Missouri WISEWOMAN Program Manual
Purpose and Program Overview
Purpose Of This Manual
The purpose of this manual is to provide the information and resources needed to implement a successful WISEWOMAN Program and provide services to program-eligible women in Missouri. If you do not find the information you need in this manual, please contact a member of the Missouri WISEWOMAN team toll free at 866-726-9926.
WISEWOMAN and Show-Me Healthy Women Program Overview
National Breast and Cervical Cancer Early Detection Program
In 1990, the United States Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990 (Public Law 101-354) to establish the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The Centers for Disease Control and Prevention (CDC) authorizes the NBCCEDP to provide grants to states, American Indian/Alaska Native tribes and U.S. Territories to carry out cancer early detection activities.
WISEWOMAN Program History
In 1993, Congress amended the NBCCEDP Public Law 101-354 to create the Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Program. The WISEWOMAN Program addresses women’s risk for heart disease and stroke by providing cardiovascular disease (CVD) health screenings and risk reduction education for NBCCEDP participants. The Missouri WISEWOMAN Program started in 2003 and is a sister program to Missouri’s NBCCEDP Program, Show-Me Healthy Women (SMHW), both of which are offered through Missouri DHSS (MDHSS).
Show-Me Healthy Women
Vision Statement
Improve the quality of life in Missouri through the cure and elimination of breast and cervical cancers.
Mission Statement
Support quality screening, diagnostic and treatment services, in accordance with current medical standards of care for breast and cervical cancers for all women in Missouri. This is achieved by education, community outreach and resource development, in partnership with public and private entities, communities and citizens.
WISEWOMAN
Vision Statement
A world where all women can access preventative health services and gain the wisdom and confidence to improve her health.
Mission Statement
Provide low-income, underinsured or uninsured, 40-64 year old women with the knowledge, skills and opportunities to improve their diet, physical activity and other life habits to prevent, delay or control cardiovascular and other chronic diseases.
NBCCEDP And WISEWOMAN Similarities
NBCCEDP (known in the State of Missouri as Show-Me Healthy Women) shares an established infrastructure with WISEWOMAN to provide integrated services including:
- Recruiting and working with women eligible for services
- Delivering screening services through an established health care delivery system
- Collecting and reporting minimum data elements (MDEs) used to track, monitor and evaluate program efforts
- Providing professional development opportunities for staff, providers and partners
- Providing public education to raise awareness about the need for women to receive program services
- Assuring that quality care is provided to women participating in the program
| Topic | NBCCEDP/SMHW | WISEWOMAN |
|---|---|---|
| First State/Tribal Health Agency Was Funded | 1990 | 1995 Three demonstration projects were funded |
| Number of Nation-Wide Funded Programs | 50 states, District of Columbia, 5 territories and 12 tribal organizations | 21 states and 3 tribal organizations |
| Program Administration | CDC’s Division of Cancer Prevention and Control Program, Services Branch, National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) | CDC’s Division for Heart Disease and Stroke Prevention, Program Development and Services Branch, NCCDPHP |
| Services Provided | Cancer screening: clinical breast exam (CBE), pap test and mammography Diagnostic tests to identify breast and cervical problems Referral to health care providers for medical management of conditions for women with abnormal or suspicious test results Referral to the Missouri Tobacco Quitline for women who smoke | Heart Disease and Stroke Risk Factor Screenings: total cholesterol low-density lipoprotein (LDL) high-density lipoprotein (HDL), triglycerides, hemoglobin A1C (A1C) or fasting glucose, hypertension (HTN), waist/hip circumference, height/weight for body mass index (BMI), risk counseling Diagnostic Office Visit: Identify/confirm a new diagnosis of HTN, diabetes, elevated cholesterol Referral to community-based resources, Lifestyle Education Programs (LSPs), Missouri Tobacco Quitline, HTN medical follow-up |