The Montana Cancer Screening Program: Lewistown Site: Detailed Information

Central Montana Family Planning

505 W. Main Street
Suite #108
Lewistown, MT 59457
Phone & Fax: 406.535.8811
Toll-Free: 877.421.8646

~ MCSP Mission Statement ~

To reduce breast, cervical, and colorectal cancer morbidity and mortality amongst Montanans by providing on-going quality screening services and education in a manner that is appropriate, accessible, cost-effective, and sensitive to people's needs.

~ Rationale ~

Screening mammograms make it possible to find early stage (in-situ and local) breast cancer.
The ability of mammography to identify breast cancer at an early stage improves the opportunity for effective reatment and survival.
Pap tests make it possible to find pre-cancerous (dysplasia) lesions or early (in-situ) cervical cancer.
Survival rates are greatest at the earliest stage of disease.
Treatment of cancer at later stages is substantially less effective as well as more debilitating.

~ Background ~

The Breast and Cervical Cancer Mortality Prevention Act of 1990 (PL-101-354) established a comprehensive, national screening program for low-income, minority, and under-served women.
Further clarification of the public law known as the NBCCEDP* Reauthorization Act of 2007.
The Montana Breast & Cervical Health Program received comprehensive screening funds in September, 1996 from the Centers of Disease Control & Prevention.
The Montana Breast & Cervical Health Program received State Special Revenue funds from the State of Montana for breast screening of women 40 - 49 years of age and cervical screening of women 30 - 49 years of age beginning in 2007.

*NBCCEDP National Breast & Cervical Cancer Early Detection Program

~ MCSP Components* ~

Screening & Diagnostic Services
Evaluation
Professional Development
Recruitment
Partnerships
Quality Assurance & Improvement
Data Management
Program Management

*Established through PL-101-354

~ Target Population ~

Montana Cancer Screening Program Centers for Disease Control & Prevention
Includes women who:
- Are 50 - 64 years of age*¹
- Are uninsured or underinsured
- Have rarely or never been screened for cervical cancer
- Have a gross family income at or below 200% of the current Federal Poverty Level

State Special Revenue Funds
Includes women who:
- Are MCSP eligible
- Are 30 - 49 years of age for Cervical Cancer Screening*²
- Are 40 - 49 years of age for Breast Cancer Screening*²

*¹ Women 65 years of age and older who cannot pay the premium to enroll in Medicare Part B and meet the income eligibility criteria are eligible for services.

*² Limited funds.

~ American Indian Screening Initiative ~

Implemented in 2000, the Montana Indian Reservations and Urban Indian Centers in partnership with the MBCHP Administrative Sites are collaborating to increase breast and cervical health screening services to American Indian Women.

Reservations & Tribes
Blackfeet Reservation (Blackfeet Tribe)
Crow Reservation (Crow Tribe)
Flathead Reservation (Salish & Kootenai Tribes)
Fort Belknap Reservation (Gros Ventre & Assiniboine Tribes)
Fort Peck Reservation (Assiniboine & Sioux Tribes)
Northern Cheyenne Reservation (Northern Cheyenne Tribe)
Rocky Boy's Reservation (Chippewa & Cree Tribes)
Little Shell Tribe of Chippewa Indians of Montana - Headquarters, Great Falls

Urban Indian Centers
Indian Health Board of Billings Clinic - Billings
North American Indian Alliance - Butte
Indian Family Health Clinic - Great Falls
Helena Indian Alliance - Helena
Missoula Indian Center - Missoula

MT/WY Tribal Leaders Council - Billings

~ Collaborative Partnerships ~

The MBCHP has established collaborative partnerships with private and public sector organizations to ensure the success of the program.
Listed below are some examples of organizations that partner with the MBCHP.

- American Association of Retired People
- American Cancer Society
- Blue Cross Blue Shield of Montana
- Cancer Treatment Centers
- Community Health Clinics
- Council on Aging
- Family Planning Clinics
- Health Departments
- Hospitals & Medical Service Providers
- Local Newspapers, Television, & Radio Stations
- Local Pharmacies
- Montana Cancer Control Coalition
- Montana Tobacco Use Prevention Program
- National Indian Women's Health Resource Center
- Office of Public Assistance
- Planned Parenthood
- Private Businesses & Foundations
- Senior Centers
- Susan G. Komen for the Cure
- Tribal Health Facilities
- Town Pump
- United States Postal Service
- Urban Indian Centers

~ Technical Notes & Definitions ~

Stage at Diagnosis
The staging of cancers is based on the size of the primary lesion, its extent of spread to regional lymph nodes, and the presence or absence of blood-borne metastases. The stages in order of increasing spread are described below:
-- In-situ: A neoplasm that fulfills all the microscopic criteria for a malignancy, but does not invade or penetrate surrounding tissue.
-- Localized (Stage 1): An invasive neoplasm confined entirely to the organ of origin.
-- Regional (Stage 2): A neoplasm that has extended beyond the limits of the organ of origin directly into the surrounding organs or tissues; into regional lymph nodes; or both direct extension and regional lymph node involvement.
-- Distant (Stage 3): A neoplasm that has spread to parts of the body remote from the primary tumor, either by direct extension or by discontinuous metastasis.
-- Unstaged (Stage 4): Information is not sufficient to assign a stage.

Montana Central Tumor Registry (MCTR)
A central state registry of nearly all cancers diagnosed and/or treated in Montana. The MCTR uses a computer data system designed for the collection, storage, management, and analysis of the data collected and maintained.

SEER
National Institutes of Health/National Cancer Institute Surveillance, Epidemiology, and End Results. SEER data is gathered from 11 geographic areas of the United States. These geographic areas are considered by SEER to be "reasonably representative subsets of the United States population."

Incidence Rate
The cancer incidence rate is the number of new cases diagnosed during the specified time period per 100,000 (using the sum population of the time period in the denominator). The time period for Montana cancer rates is 2000-2004, while the time period for national (SEER) data rates is 2000-2004. All rates are standardized to the 1970 U.S. standard million population by the direct method.