2014 Presentations & Handouts

To access handouts for the sessions, click on the "Handout" link. If there is not a handout available, it means the presenter has not provided the handout to be posted online (presentations are due from presenters on May 15). "No Handout" has been indicated for presentations where the presenter has notified us that there will not be a handout to post online. Descriptions of the poster presentations that will be available can be found here.

Wednesday, June 18, 2014

 8:00 – 11:30 AM

CAH Pre-Conference

 8:30 – 11:30 AM

NDPHA Meeting

  • No handouts

 12:45 – 1:45 PM

Keynote Presentation: Public Health in Transition: Embracing and Preparing for the Future
Joyce Gaufin, BS, President, American Public Health Association

ABSTRACT: In 2013, APHA Affiliate leaders identified three key areas that need to be strengthened in order to meet current and future challenges that face those working in public health (PH): 1) there is a need to identify new leaders and to develop the skills of current leaders; 2) identify new PH advocates, and additional skills to enhance current advocacy efforts; and 3) PH leaders need to identify new partners, and to create more effective collaboration with current partners. Ms. Gaufin will address ways that APHA and the Affiliate organizations can help advance these issues, and she will address some of the most “wicked” challenges that have emerged in the area of PH. She will identify specific skills and methods that can be developed by individuals and organizational leaders. She will bring warmth, humor, and inspiration to those who work everywhere, every day, as they advance the public’s health.

 2:00 – 3:00 PM

Intensive 1: Health Information Technology in Practice
North Dakota Health Information Network
Sheldon Wolf, CPA, North Dakota Health Information Network Director, North Dakota Information Technology Department
Chad Peterson, BS, North Dakota Health Information Network Technology Manager, North Dakota Information Technology Department

ABSTRACT: This presentation will provide attendees with an update on the North Dakota Health Information Network.

Session 1: New and Emerging Trends of Childhood Safety Issues: The Things Kids Get Into
Carma Hanson, MS, RN, Coordinator, Safe Kids Grand Forks, Altru Health System

ABSTRACT: Our houses should be a safe place for kids to live and grow but there are emerging risk areas that parents and caregivers don't even know exist in their homes. Come learn about some of these dangers, including television tip overs, button battery hazards, high powered magnet ingestion, medication poisonings and others. Learn ways to keep kids and how to access resources that can help in spreading these important safety messages. Because being informed helps to keep kids safe at home, at school, at play and on the way!

Session 2: Dance Until You Drop or Host a Harvest Party: Innovative Solutions to Address Workforce and Wellness in North Dakota Communities
Karin Becker, MA, Community Researcher, University of North Dakota Center for Rural Health
Ken Hall, JD, Community Researchers, University of North Dakota Center for Rural Health
Mark Barclay, BS, FASPR, Director of Member Services, 3RNet

ABSTRACT: Learn about the health issues confronting North Dakota communities as identified through Community Health Needs Assessments. Discover innovative solutions that have been implemented, and identify possible collaboration opportunities through our interactive map.

Session 3: Coalescing a Community Around Improving Healthcare Access
Debbie Swanson, MS, RN, Nursing and Nutrition Supervisor, Grand Forks Public Health Department
Mara Jiran, MPH, Project Director, Valley Community Health Centers

ABSTRACT: The Alliance for Healthcare Access was formed in 2010 in response to the growing concern about gaps in access to primary healthcare for residents in the upper Red River Valley. Recognizing that prevention was a more cost effective solution, and building upon the collaborative efforts of the Northern Valley Dental Health Coalition, community leaders advanced creative solutions to improve healthcare accessibility. This presentation will highlight the tools used to set common goals, conduct strategic planning, obtain grants to support the Alliance's priorities, engage community residents, and inform policymakers of our progress. Practical suggestions will be provided to participants demonstrating the importance of effective collaboration to improve rural and public health.

 3:45 – 4:45 PM

Intensive 1: Health Information Technology in Practice (continued)

Creating a New Kind of Healthcare Delivery Channel-The Virtual Mental Health Network
David Lopez, MD, Psychiatry Networks, Inc.

ABSTRACT: Access to mental health services for those in need is often very challenging. One way to address this challenge is through the use of internet based solutions, or what has traditionally been known as telemedicine.

Telemedicine-Connecting Patients and Providers
Marsha Waind, M/OTR, Manager, Regional Services, Altru Health System

Session 4: Overview of Concepts Vital for Effective Teamwork
Arlen Leholm, PhD, Founder-Leholm & Associates

ABSTRACT: This presentation will focus on building blocks for high team performance. Including why building trust and establishing work environments where creativity and innovation can flourish will set in motion a process where everyone in the organization takes ownership for results. The importance of interpersonal skills, including the role of emotional intelligence, in achieving successful teams and collaborations will be addressed.

Session 5: When Health Reform Comes, It Will Be Too Late
Greg Paris, MA, Sr. Executive of Rural Services, StuderGroup

ABSTRACT: How ready are you and your Critical Access Hospital for payment reform? Hospitals that succeed in the new world must be change ready and be experts at hardwiring best practices to drive efficiency, patient satisfaction and quality outcomes. You will walk away with a new look at your organization and tools to set you up for long term success.

Session 6: Mental Health First Aid Overview
Paula Carter, PhD, Research Assistant Professor, Director of the National Resource Center on Native American Aging, Center for Rural Health
Jacque Gray, PhD, Researcher Associate Professor, Director of the Seven Generations Center of Excellence in Native Behavioral Health and the National Indigenous Elder Justice Initiative, Center for Rural Health

ABSTRACT: This Mental Health First Aid Overview will be comprised of a short history of the program’s origin which will lead into a, “what is mental health first aid” section that will inform the audience of the definitional aspects of Mental Health First Aid including the core five-step action plan. The presentation will also illuminate the critical need for mental health programs such as this. Discussion will include the effectiveness of Mental Health First Aid and its impact on the field of mental health wellness through its evidence-based nature.

  • No Handout


Thursday, June 19, 2014

 8:00 – 9:00 AM

Keynote 2: Re-imagining Health
Paul Kuehnert, DNP, MS, Team Director and Senior Program Officer, Public Health Team, Robert Wood Johnson

ABSTRACT: This presentation will explore the challenges and opportunities facing us in the rapidly changing world of health and healthcare in the U.S. It will provide a call to action for all of us to re-imagine our practices and organizational relationships and move toward building a culture of health.

 9:15 – 10:15 AM

Intensive 2:

Exposing Nursing Students to Rural Healthcare Through Participation in a Rural Nurse Fellow Program
Lori Hendrickx, EdD, Professor, South Dakota State University College of Nursing
Becka Foerster, MS, Instructor, South Dakota State University College of Nursing
Laurie Johansen, MS, RN, Instructor, South Dakota State University College of Nursing

ABSTRACT: This session will describe how a College of Nursing developed and implemented a Rural Nurse Fellow program in an effort to improve understanding of rural health issues and increase interest in rural practice. The Rural Nurse Fellow program provides an opportunity for senior level nursing students to complete a preceptorship experience of 160 hours in a rural healthcare facility.

Marketing for Recruitment Success: Knowing your Strengths and Targeting the Right Provider
Mark Barclay, BS, FASPR, Director of Member Services, 3RNet

ABSTRACT: Recruiting a provider in the current market can be extremely challenging. Providers get bombarded with recruitment emails and contract offers every day. With this much competition, making your opportunity stand out is essential. This session will demonstrate how differential marketing and physician demographic preferences can be used in recruitment to attract the providers you want.

Session 7: The New Nicotine Epidemic: E-Cigarettes
Mark Meaney, J.D., Attorney, Network for Public Health Law -Tobacco Control Legal Consortium

ABSTRACT: The e-cigarette is an electronic device that allows the user to inhale a vapor of nicotine, or other substances, to imitate traditional smoking methods. The new product is marketed as safe, but tobacco prevention experts are not so sure. Tobacco prevention advocates share concerns that the popularity of the e-cigarette could have negative health consequences-including an increase in nicotine addiction in minors.

Session 8: Legal Strategies to Address Public Health Nuisances
Jill Krueger, JD, Senior Staff Attorney, Network for Public Health Law

ABSTRACT: This session will describe legal strategies to address public nuisances that threaten health. It explains the role of public health in abating nuisances. We will discuss collaboration with other units of government and healthcare providers, including mental health providers. We will compare law enforcement and public health strategies, and evaluate their appropriateness for particular situations.

Session 9a: MediQHome: The Transformation of Healthcare in North Dakota
Eunah Fischer, MD, Internal Chief Medical Officer, Health Network Innovation, Blue Cross Blue Shield of North Dakota

ABSTRACT: Blue Cross Blue Shield of North Dakota’s MediQHome program is leading the transformation of healthcare in North Dakota. MediQHome, which is used by a majority of North Dakota physicians, is improving care coordination and ensuring patients receive the right care at the right time and for the right reasons. MediQHome shows how collaboration can help meet today’s healthcare reform challenges.

  • No Handout

Session 9b: Patient Centered Medical Homes – ND Pilot Program
Tracey Regimbal, AS, REACH/HIT Implementation/Marketing Specialist, North Dakota Healthcare Review, Inc.

ABSTRACT: In this presentation, attendees will learn about the effectiveness of patient-centered medical homes in achieving better quality, lower costs, and improved experience of care. A North Dakota pilot study of three facilities will be the starting point for understanding the components of PCMH and discussing lessons learned.

 10:45 – 11:45 AM

Intensive 2: (continued)

Hospitalists for North Dakota - producing our own!
S. Shiraz Hyder, MD, MMM, Vice President Medical Affairs, St. Alexius Medical Center

ABSTRACT: The “Producing Our Own” approach at St. Alexius Medical Center, in collaboration with University of North Dakota, launched a Hospital Medicine Fellowship Training Program in 2012. Two fellows were trained the first year with program expansion to four fellows the following year. This comprehensive training program not only ensures competency of complex inpatient medical patients, it also grooms hospitalists to provide physician leadership as it exposes trainees to quality, safety, credentialing, peer review, infection prevention, bio-ethics, etc. The program also collaborates with Mayo Clinic, (trainees choose a month of electives) and also with the American College of Physician Executives (trainees attend courses at ACPE that can lead to certification as Physician Executives).

North Dakota AHEC. AHEC of a Good Idea
Bill Krivarchka, DDS, Director, Eastern North Dakota Area Health Education Center

ABSTRACT: The North Dakota AHEC is helping rural healthcare facilities and academic institutions collaborate to overcome workforce shortages. Participants will be made aware of the collaborative efforts in educating students to become healthcare professions, learn about opportunities for healthcare professionals and development of rural clinical experiences.

Session 10a: Emerging Tobacco Products…What You Need to Know
Jodi L. Radke, MNM, Director, Campaign for Tobacco-Free Kids

ABSTRACT: The presentation will allow attendees to leave confidently with direct resources/contacts in hand to explore the future of emerging products. Attendees will receive information on listservs they can join to monitor emerging products, contact information for those in the field, and specific case-study information for states that have been "test markets", necessitating both state/local action.

Session 10b: How Tobacco Taxes Impact Us All and Why We Should Care
Jodi L. Radke, MNM, Director, Campaign for Tobacco-Free Kids
Pat McKone, BA, Director, Tobacco Control Programs and Policy, American Lung Association of the Upper Midwest

ABSTRACT: Join this session to understand the benefits of increasing the price of tobacco products, how it affects us all and why the tobacco industry spends their time and energy to defeat such efforts. Discover the role you can play in moving this important public health policy forward by learning more and engaging in collective conversation on how we can partner to achieve success.

Session 11a: Opportunities for Improving Health in Rural Communities
Jasper Schneider, JD, State Director, USDA

ABSTRACT:  Overview of USDA Programs that are relevant to real Healthcare Providers.

Session 11b: Enhancing Accessibility in Your Facility
Emily Rodacker, MBA, Outreach Coordinator, Minot State University North Dakota Center for Persons with Disabilities

ABSTRACT: People with disabilities are faced with a number of challenges that put their health at greater risk than the general public. People with disabilities can be healthy, however, many experience barriers to accessing healthcare. This presentation will discuss barriers faced by people with disabilities and how healthcare facilities can address these issues.

Session 12: Tioga Oil Spill
Dave Glatt, P.E., Section Chief, Environmental Health Section, North Dakota Department of Health

ABSTRACT: This presentation will provide details of the Tesoro Pipeline break which will provide a brief overview of actions taken to include: Initial response actions-which includes delineation, containment and initial stages of remediation of the released oil, ongoing assessment and monitoring of the oil remaining in the environment, proposed full scale remediation plan, and lessons learned from the oil release.

 12:00 – 1:00 PM

Military Appreciation Lunch

 1:15 – 2:45 PM

Keynote 3: Connecting the Dots of Healthcare: Better Healthcare through Mutuality
M. Tray Dunaway, MD, FACS, CSP, CEO, Healthcare Value, Inc.

ABSTRACT: You won’t need caffeine to jolt you awake after this unique and highly motivational, inspirational and entertaining keynote on business facets of the modern healthcare ecosystem that rival any nightclub act in town, including Vegas! We all work in an increasingly complex matrix creating an ecosystem of healthcare. Decisions and actions by any individual, group, or organization of these “dots of healthcare” affect the entire ecosystem composed of other “dots.” Cataclysmic financial, social, and political evolutionary pressures of the late 20th continue to change the face of healthcare.

In the face of unprecedented change, our relationships will ultimately determine organizational survival, or extinction. Using principle foundational elements, Dr. Dunaway weaves a program to help cope with the future changes to not just survive, but thrive by focusing on a few key elements we all can use in this complex network of interconnectivity and discover solutions to future successes.

  • No Handout

 3:00 – 4:00 PM

Intensive 3: Stroke and Cardiac Care in North Dakota

Status of Cardiac/Stroke Systems of Care in ND- ND Stroke Education Project
Jody Ward, RN, MS, APHN, Flex Coordinator, University of North Dakota Center for Rural Health
Tom Nehring, Director, North Dakota Department of Health Division of Emergency Medical Services and Trauma

ABSTRACT: The presentation will inform participants about cardiac and stroke systems of care in North Dakota and how ND hospitals work together to sustain quality healthcare that ensures rural citizens receive high quality care.

Session 13: Alcohol Abuse Screening and Brief Interventions for Use in Primary Care Settings
Maridee Shogren, DNP, CNM, Clinical Assistant Professor, University of North Dakota College of Nursing and Professional Disciplines
Christine Harsell, DNP, ANP-BC, Clinical Assistant Professor, University of North Dakota College of Nursing and Professional Disciplines

ABSTRACT: Substance abuse is a critical problem in North Dakota. Secondary to a shortage of primary care providers, substance abuse disorders are often underdiagnosed, misdiagnosed, untreated or undertreated. This presentation will introduce participants to a variety of alcohol screening tools as well as discuss brief interventions and referral options available for use in primary care settings.

Session 14: From Student to Public Health Professional: Pursuing a Career in Public Health
Mark Strand, PhD, Associate Professor North Dakota State University Masters of Public Health Program

ABSTRACT: The MPH Program in North Dakota was launched in 2012 at NDSU and UND. The first graduates are now beginning to search for opportunities to use their MPH degree in their professional career. This process is not easy because the public health degree is not well understood by many people in the healthcare system. MPH is an interdisciplinary graduate degree and different from medical or nursing degrees that are based on clinical service delivery. It is essential that students develop a philosophy of public health so they can explain their professional plans to potential employers clearly. It's also important that students create career goals that bring their learning experiences, including the practicum and other internship opportunities, together in a coherent way. Matching their philosophy of public health and their learning experiences with their professional ambitions and the job opportunities available will allow students to develop a career plan that can progress smoothly.

Session 15: Patient Navigators and CHCs
Linda Ross, MBA, CEO, Community Healthcare Association of the Dakotas
Neil Scharpe, MS, Sp Ed, Program/Research Director, North Dakota Center for Persons with Disabilities

ABSTRACT: Community Health Centers through their trained Certified Application Counselors (CAC) provide consumers with assistance and information to navigate through the newly established Healthcare.gov website and the Health Insurance Marketplace. The Affordable Care Act which became law in 2010 has provided the opportunity for individuals to get health insurance. For those who have had health insurance the process is not simple; for those who have not had health insurance the process can be daunting and confusing. Adding to this complexity within North Dakota is Medicaid expansion. For those who have not been eligible, there is this option which may also require assistance to navigate that system. Whatever one’s situation may be, the opportunity to get health insurance is real and a knowledgeable health center CAC can be a resource to assist in gaining much needed and desired health insurance coverage.

 4:15 – 5:15 PM

Intensive 3: Stroke and Cardiac Care in North Dakota (continued)

Stroke and Heart Disease in North Dakota- ND Stroke Education Project
Ziad Darkhabani, MD, Interventional Neurologist, Essentia Health

ABSTRACT: Stroke is the fourth leading cause of death and the first leading cause of disability in the United State. The ND Stroke Education Project at Essentia Health was developed as a means to address the gaps in community and healthcare education. This presentation will discuss the methods used to deliver education and the impact of increasing stroke awareness throughout the communities, healthcare organizations and state.

Session 16: Connection, Engagement, and Empowerment (CEE)
Dave Yearwood, Ph.D., CSTM, Professor, Graduate Director and Chair-Technology Department, University of North Dakota

ABSTRACT: Connection is largely about establishing relationships with audiences and finding/establishing common reference points. Presenters have information they wish to share; however, failure to establish meaningful connections raises questions about how best to engage audiences whose focus may be elsewhere. Engagement, a crucial aspect of CEE, is difficult if not impossible in the absence of a connection. Presenters are generally engaged with their content, but what of engagement between audience and presenter; including audience to audience interactions? Teaching audiences to be critical evaluators of content at the same time they are exposed to a given content goes a long way to empowering them to use what is learned in creative and meaningful ways. Technological tools, when appropriately used, can make a difference in a presenter’s work with audiences. This workshop will provide information about CEE and the presenter will also model aspects of CEE to demonstrate its effectiveness to enhance education.

Session 17a: Patient Activation: The Need – The Challenge – The Interventions
Sally May, RN, BSN, CH-GCN, Senior Quality Improvement Specialist, North Dakota Healthcare Review, Inc.

ABSTRACT: This program will introduce participants to patient activation; its relevance to health outcomes and practices and the challenges to effective patient self-management. Participants will be provided practical evidence-based interventions to improve their patients’ knowledge, skill, and confidence to manage their own health and healthcare.

Session 17b: Activating and Engaging Seniors and Families for Improved Health and Reduced Acute Care Utilization
Judy Beck, MA, Quality Improvement Program Director, North Dakota Healthcare Review, Inc.
Alona Jarmin, MSN, BSN, RN, CMC, CMCN, QI Specialist, North Dakota Healthcare Review, Inc.

ABSTRACT: In this presentation, Judy Beck and Alona Jarmin of NDHCRI will discuss the importance of engaging patients and their families in healthcare decisions, and share effective strategies and lessons learned from a recent campaign to engage residents of assisted living facilities. Attendees will learn how to apply some of these strategies toward educating seniors in other care settings.

Session 18: Rural Hospice Issues: A National Study Looking at the Conditions and Factors Shaping Rural Hospice Programs
Brad Gibbens, MPA, Deputy Director/Assistant Professor, University of North Dakota Center for Rural Health
Karen Goldsteen, Ph.D., Research Associate Professor, University of North Dakota Master of Public Health Program
Alana Knudson, Ph.D., Co-Director, University of Chicago NORC Walsh Center for Rural Health Analysis

ABSTRACT:The provision of hospice services to a rural population is a critical health access issue. This national study of rural hospice programs identified six key factors facing rural hospice (e.g., finance, workforce, regulations, and others) and also looked at the perceived strengths of rural hospice and how hospice providers view the future.

Friday, June 20, 2014

 8:00 – 8:45 AM

Panel: Healthcare Policy Leaders
Senator Judy Lee, ND District 13
Senator Tim Mathern, ND District 11
Representative Jon Nelson, ND District 14
Jerry Jurena, President, North Dakota Hospital Association
Darrold Bertsch, President, North Dakota Rural Health Association

ABSTRACT: Representatives from the ND Hospital Association, ND Rural Health Association, and the ND Public Health Association will each have an opportunity to list the hot topic issues within their organizations followed by discussion with three North Dakota legislators regarding these issues.

 8:45 – 9:45 AM

Keynote 4: Federal Policies and the Impact on Rural Health Delivery
Maggie Elehwany, JD, Government Affairs and Policy Vice President, National Rural Health Association

ABSTRACT: The Federal Government disproportionately impacts rural providers who often see more Medicare and Medicaid patients that their suburban and urban counterparts. Federal Medicare and Medicaid cuts and threatened cuts are putting hundreds of millions of dollars in rural healthcare funding in jeopardy. Never have rural healthcare providers faced such a significant risk of losing this amount of Federal funding. During this presentation she will outline the current Federal challenges as what can be done at a grassroots and advocacy level to protect current Federal funding. I will detail federal funding payment policies for various types of rural hospitals, Critical Access Hospitals, Rural Health Clinics and providers.

 10:00 – 11:00 AM

Intensive 4: Hepatitis C Outbreak in Ward County, Update on Tuberculosis in Grand Forks County and Disease Control Highlights
Sarah Weninger, MPH, Epidemiologist, North Dakota Department of Health Division of Disease Control
Dee Pritschet, BS, Tuberculosis Controller & HIV Surveillance Coordinator, North Dakota Department of Health Division of Disease Control

ABSTRACT: The Division of Disease Control has coordinated and responded to two outbreaks in the past two years. An outbreak of tuberculosis in North Dakota began in September 2012 and continues to this day. Presently, 26 active cases have occurred in this outbreak. An update will be given that highlights the challenges and successes of this investigation. In addition, an investigation started in August 2013 looking at potential healthcare associated outbreak of Hepatitis C cases in Ward County. This presentation will provide details of the data collection, data analysis and observations regarding this investigation. Significant epidemiologic data and investigations also conducted by the Division of Disease Control will also be presented.

Session 19: New Models of Care – Dental Therapy and Community Paramedicine
Marshall Shragg, MPH, Executive Director, Minnesota Board of Dentistry
Ken Reed, MS, BS, NR-Paramedic, EMS Director, Heart of America Medical Center

ABSTRACT: The Minnesota Board of Dentistry was responsible for integrating the new profession of dental therapists into the Dental Practice Act and the dental team. The presentation will provide background on the Board’s role in the legislative process that resulted in Minnesota being the first state in the country to license dental therapists, as well as the processes that the Board utilized to fulfill its responsibility to ensure that the public could trust that dental therapists are competent to provide care within their established scope of practice. Additionally, the Board just released a report in partnership with the Minnesota Department of Health addressing the early impacts of dental therapists in Minnesota. The presentation will highlight those outcomes to provide a sense of how dental therapists are actually impacting care to rural and other underserved populations. The Community Paramedic (CP) model is an innovative, proven solution to provide high quality primary care and preventative services by employing a currently available and often underutilized healthcare resource. The North Dakota Legislature has authorized the ND Department of Health to conduct a pilot Community Paramedic program. The presentation will overview the history of the Community Paramedic concept, some examples of current programs in the U.S. and discuss the North Dakota pilot program and its progress.

Session 20: Altru’s Healthy Life Employee Wellness Program
Bethany Brandvold, MS, Medical Fitness Specialist, Altru Health System
Mary LaHaise, BS, HR Generalist, Human Resources, Altru Health System
Karen Mellum, Ph.D., Organizational Development Consultant, Learning and Organizational Development, Altru Health System

ABSTRACT: In this program, we will cover our strategy to collaborate across the system to develop and promote wellness, using a comprehensive wellness model that addresses diverse population needs. We will invite participants to join us in quick and fun physical wellness activities that can be easily implemented in other organizations.

 11:15 AM – 12:15 PM

Intensive 4: Hepatitis C Outbreak in Ward County, Update on Tuberculosis in Grand Forks County and Disease Control Highlights (continued)
Sarah Weninger, MPH, Epidemiologist, North Dakota Department of Health Division of Disease Control
Dee Pritschet, BS, Tuberculosis Controller & HIV Surveillance Coordinator, North Dakota Department of Health Division of Disease Control

Session 21: Behavioral Mental Health Services and Gaps in North Dakota
Renee Schulte, MA, CEO/Founder Schulte Consulting, LLC, Schulte Consulting, LLC

ABSTRACT: Schulte Consulting, LLC, having been awarded a grant by the North Dakota Legislative Management and Human Services Committee, will present the results of a study of the behavioral health needs of youth and adults in North Dakota. The scope of this study is to include access, availability and delivery of behavioral health services throughout the state. This presentation will share the results of broad statewide, private and public input, stakeholder prioritization of behavioral health services, as well as specific goals and objectives for improvement and recommendations for implementation.

Session 22: Barriers to Colorectal Cancer Screening and the Effect of Discussion with a Healthcare Provider
Jesse Tran, MBA, Program Evaluator, North Dakota Department of Health Division of Cancer Prevention and Control
Michael Carlson, MS, Manager of Health Management Services, Blue Cross Blue Shield of North Dakota

ABSTRACT: This presentation includes the results and implications for practice of a study on perceived barriers to colorectal cancer screening (CRC). The issues of CRC incidence, mortality, late-stage diagnosis, and screening rates will be discussed. The barriers of fear, awareness, and cost are examined through several effects including having a discussion about CRC screening with a healthcare provider.