Centinela Freeman Regional Medical Center Memorial Campus
Inglewood, CA
Memorial Campus
333 North Prairie Avenue
Inglewood, CA 90301
http://www.centinelafreeman.com/Memorial/default
PI: Michael L. Steinberg, MD
Centinela Freeman Regional Medical Center Memorial Campus is
owned and operated by Memorial Campus local hospital administrtors, physicians and community leaders. Memorial Campus is a 358-bed acute
care community hospital offering a wide array of greatly
needed medical and surgical services, including cancer treatment,
obstetrics, neonatal intensive care, pediatrics, neurology,
neurosurgery, acute rehabilitation and emergency room services. Memorial Campus continues the hospital's almost 50-year mission of
service to the Inglewood community since it acquired the
facility in 2001. Memorial Campus is grounded in the tradition and history
of the sisters of St. Joseph of Carondelet, who founded the
hospital and remain on the hospital campus in service to
the hospital and community.
Memorial Campus is a general
acute hospital licensed by the California Department of Health
Services. The hospital is fully accredited by the Joint Commission
on the Accreditation of Health Care Organizations and fully
certified by the Center for Medicare and Medicaid services
to participate in the Medicare and Medicaid programs.
Memorial Campus services are provided without regard to religious beliefs,
national origin, or any factor unrelated to care. Memorial Campus is
a disproportionate share hospital in recognition of the considerable
service provided to high need/low resource persons. In 2002,
more than 23 percent of inpatient and outpatient services
were to poor and vulnerable populations. Most of Memorial Campus primary
service area is low or moderate income: in 2002, 47 percent
of households had annual incomes of $30,000. The area includes
the cities of Inglewood, El Segundo, Hawthorne, Lawndale,
Lennox, as well as adjacent neighborhoods in south central
Los Angeles to the east. The vast majority of area residents
(92%) self-describe themselves as Latino and African American.
About three in ten residents are immigrants or first generation
Americans. English is also a second language in nearly one
in three households. (Source: Memorial Campus Community Health Needs
Assessment, August, 1998.)
The Cancer Center at Centinela Freeman, Memorial Campus offers an array of inpatient, outpatient and supportive
services. From diagnosis to treatment, Memorial Campus has the capabilities
to handle a broad range of cancer diagnosis.
Starting with imaging technologies, Memorial Campus is taking delivery
on a state of the art PET scanner. It was operational in
May 2003. This modality will greatly assist in diagnosis
and monitoring the progress of treatment regimes. The hospital
is also in the process of taking delivery of a second 16-channel
multi-slice CT scanner. This machine, in tandem with the
hospital's MRI, allows for sophisticated imaging necessary
for stereotactic neurosurgical and radiosurgical procedures.
Treatment modalities include, surgical
intervention, inpatient and outpatient infusion therapy
and a full array of radiation therapy modalities including
permanent seed implants and high dose rate brachytherapy.
Patient Population
Centinela Freeman Reginal Medical Center, Memorial Campus is the
primary provider of radiation oncology services to the community/service
area and although within an urban environment, the next closest
hospital with radiation oncology services to the community
is 8 miles to the north, 7 miles to the south and 15 miles
to the east: none lie to the west. In 2002, about 45 percent
of Memorial Campus's radiation oncology services were provided to African
Americans and 45 percent were to Latinos. African Americans
make up 6.7 percent and Latinos 32 percent of California's
population respectively.
Cancer Disparities Research Partnership Program Project Summary
Project Title: Urban Latino African American Cancer
Disparities Project
The Urban Latino-African American Cancer Disparity
Project (ULAAC Disparities Project) links Centinela Freeman Regional Medical Center, a community hospital in service
of a high need/low resource urban community (45% Latino,
45% African American) with major research institutions:
University of Southern California, University of California
San Francisco, and RAND to create a permanent clinical
trials infrastructure. This collaboration generates
unprecedented opportunity to reduce disparities in
access to radiation oncology, cancer prevention and
translational research trials as well as demonstrate
an intervention model with potential application to
similar urban communities throughout the nation. The
Project builds and stabilizes independent and collaborative
clinical research capabilities of Centinela Freeman with its partners
and improves ability to extend access to radiation
oncology clinical research to African Americans and
Latino persons with cancer and at high risk for cancer.
The Project uses a cultural and language appropriate
health Educator to outreach to potential patients for
Project-sponsored clinical and prevention trials, explain
the benefits of trials participation, and identify
and recruit trials participants. The Health Educator
identifies potential Project patients through the 383
primary care physicians in the Project's target service
community. Outreach through primary care physicians
builds on established patient and physician relationships
that can, with Project interventions, overcome patient
reticence and other barriers to clinical trials. The
assignment of patients to Patient Navigators facilitates
the care process by improving coordination of care
functions, which will in turn improve the quality of
the medical interaction and increase enrollment and
retention of patients in clinical trials. The Project
demonstrates the use of a Health Educator and Patient
Navigator facilitated interventions to recruit and
encourage African American and Latino persons with
breast or prostate cancer or at high risk for these
conditions to participate in and successfully complete
radiation oncology clinical trials, a partial breast
irradiation trial, cancer prevention trials and certain
translational research investigations.
A crucial Project component is systematic evaluation.
The evaluation assesses the needs and concerns of stakeholders
and provides ongoing feedback and suggests alternative
approaches.
Centinela Freeman Regional Medical Center
Patient Navigators will provide
individual assistance to reduce disparities caused by factors
such as adult illiteracy, inadequate English language skills,
immigration and other legal issues, misinformation about
cancer, fatalism, fear of being a "guinea pig," fear of exploitation
and fear of harm from "experiments," and lack of case-managed
guidance and follow-up assistance to assure continuity of
care. The
Project demonstrates use of Patient Navigator-facilitated
interventions to recruit and encourage African American and
Latino persons with breast or prostate cancer or at high
risk for these conditions to participate and successfully
complete radiation oncology clinical trials. Once referred
to the Memorial Campus Cancer Center, every patient will receive individual
assistance from a specially trained culturally and linguistically
appropriate Patient Navigator. The Patient Navigator's role
is both global and personal to ensure that the patient's
medical and social needs are addressed. Patient Navigators
will help patients to overcome barriers to access including
but not limited to: 1) lack of transportation, 2) confusing
clinical trial eligibility criteria, 3) service discontinuities
that can occur with unaided referral to specialists, 4) coping
with the psychological shock of cancer while also having
to make decisions with quality of life consequences, 5) scheduling
and keeping multiple appointments, and 6) complying with
protocols that can require repeated treatment visits. These
impediments can be especially daunting for socially isolated
persons who also lack someone who can advocate for them when
they are unable to do so themselves.
Centinela Freeman Reginal Medical Center will
mobilize and train a group of Patient Navigators, whose purpose
is to assist program patients in overcoming any and all barriers
to streamlined, expeditious medical care and, where applicable,
barriers to entrance into current clinical trials. Patient
Navigators will be individually matched with patients based
on cultural, interpersonal, professional and peer characteristics
with the object of maximizing the patient's comfort and trust
in the navigator and the care process.
Simultaneous with the mobilization of
the navigator team, the Project's Health Educator will outreach
to community groups, physicians and patients to educate them
about breast and prostate cancer and/or to inform them of the
availability and purpose of the navigator program. The Health
Educator will also provide information about both the need
and opportunity for inclusion of Latino and African American
patients into pertinent clinical trials.
Contact Information
Community Health Educator
Deborah Karaman, MPH
Phone: (310) 674-7050 ext.3489
Email: debbie.karaman@centinelafreeman.com