Wisconsin Well Woman WISEWOMAN Implementation and Evaluation

About

Breast and cervical cancer, and cardiovascular disease remain among the leading causes of death and disability among women of all racial and ethnic groups in Wisconsin and are very costly diseases. Wisconsin has developed a strong capacity over the past 18 years to address the needs of low-income underserved women throughout the state. Wisconsin has been a CDC Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Program grantee since 2008. WISEWOMAN extends preventive health services to women who are participants of the CDC-funded National Breast and Cervical Cancer Early Detection Program known as Well Woman in Wisconsin. The extended services include assessment of cardiovascular risk factors and the provision of services to reduce those risks through improved diet, physical activity, tobacco cessation, and medication adherence support. 

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Aims

Wisconsin builds on the strengths, assets and infrastructure of its current WISEWOMAN program, its collaborative partners and its proven ability to improve outcomes to expand implementation of WISEWOMAN services.

These services include clinical screening, assessment of cardiovascular, stoke, and diabetes risk factors, risk reduction counseling with a focus on high blood pressure, case management, lifestyle programs, access to community linkages to improve diet, physical activity, tobacco cessation, self-management, medication adherence, and clinical referrals for continuing care and disease control.

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Expected Outcomes

• Improvements in WISEWOMAN clients’ clinical values (e.g. BP, cholesterol, A1C, BMI)
• Increases in physical activity , healthy eating, self-management of conditions, and medication adherence among WISEWOMAN clients
• Control of hypertension among those WISEWOMAN clients with uncontrolled hypertension upon enrollment
• System-wide adaptation of patient-centered, team-based care among participating providers, using motivational interviewing techniques.

 

Partners

• Wisconsin Department of Health Services, Division of Public Health  
• Aurora Walker’s Point Clinic (Provider)
• City of Milwaukee Health Department (Provider)
• Outreach Community Health Centers Inc. (Provider)
• St. Croix  County Public Health (Provider)
• Red Cliff Community Health Clinic (Provider)
• Center for Urban Population Health (Evaluator)
• CDC Division for Heart Disease and Stroke Prevention, Program Development and Services Branch (Funder)

Team

Maebe Brown, Initiative Manager
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Michelle Corbett, MPH, CHES
Melissa Lemke, MS