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Webinar: Demonstrating Quality of Care in Cancer Screening for Difficult to Reach Populations

Webinar: Demonstrating Quality of Care in Cancer Screening for Difficult to Reach Populations

Demonstrating Quality of Care in Cancer Screening for Difficult to Reach Populations


DATE RECORDED: May 23, 2012
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer at Migrant Clinicians Network and Hans Dethlefs, MD,  Medical Director at Heartland Community Health Network

View the recorded webinar now

Additional Resources

Presentation Slides (PDF)

Participant Evaluation

In recent years there has been increasing emphasis placed on the ability to demonstrate clinical quality through health outcomes throughout the health care sector. The Health Resources and Services Administration (HRSA) has been working to generate greater emphasis on health outcomes and demonstrate the value of care delivered by health centers funded under Health Center Program. However, the ability to measure the quality of care provided is greatly complicated when health centers are working with special populations whose life circumstances may make it difficult to incorporate them into a more traditional set of services.  

This presentation will consist of a review of the Clinical Core Measures required by the BPHC related to cancer screening with particular emphasis on reaching the hardest to serve. The presenters will review the specific clinical core measures tied to the screening of both cervical cancer and the recently added colon cancer. The presentation will give detailed descriptions of the measures as well as methods of data collection using both paper charts and EHRs. The presentation will conclude with a “real life” case study from a health center who was struggling with their Cervical Cancer Screening Measure.

SPONSORED BY: Migrant Clinicians Network


  1. The participant will understand the details of the BPHC Cervical and Colon Cancer Clinical Measures and the rational for this requirement.
  2. The participant will be able to obtain accurate data on their health centers cancer screening measures in both paper medical records and EHR format.
  3. The participant will understand the process that a health center can employ to analyze the results of a cancer clinical measure and design a step wise method to achieve improvement.


Edward Zuroweste, MD, Chief Medical Officer at Migrant Clinicians Network

Hans Dethlefs, MD, Medical Director at Heartland Community Health Network

Edward Zuroweste, MD
Edward Zuroweste, MD

Dr. Zuroweste began his work with migrants as a partner in a private practice in Chambersberg, PA. He later became the Medical Director of Keystone Health Center, a large Migrant and Community Health Center in Chambersburg, Pennsylvania. While attending to his administrative responsibilities, Dr. Zuroweste also maintained a full-time clinical practice in family practice and obstetrics, including full hospital privileges in Pediatrics, Adult Medicine and Obstetrics.

In addition to his work with MCN, Dr. Zuroweste is an Assistant Professor of Medicine, Johns Hopkins School of Medicine where he directs an International Rural Health Elective in Honduras. Dr. Zuroweste is also the staff physician for Dauphin and Franklin County HD tuberculosis clinic, PA Dept. of Health; a Clinical Consultant for 3 separate consulting firms; and serves as a Locum Tenem family physician for multiple sites.

Dr. Zuroweste has traveled extensively in Central America, especially Honduras and Guatemala both for teaching and pleasure. He has also traveled to Europe, South America and the Caribbean.

Dr. Zuroweste is married with three children. When not working, Dr. Zuroweste enjoys long distance running, listen to great music, great movies and concerts, work out of doors, and travel with family and friends to far off locations.


Hans Dethlefs, MD
Hans Dethlefs, MD

Dr Hans Dethlefs is a family physician at the OneWorld Community Health Center in Omaha, NE.  Apart from providing direct patient care he serves as the medical director for the Heartland Community Health Network.  In this capacity he focuses on EHR development, EHR reporting, and supporting quality improvement for the network members.

Jillian Hopewell, MPA, MA, Director of Education and Professional Development
(p) 530.345.4806 (e)