How My Sister's Cancer Prepared Me For Mine

As healthcare evolves, hospital systems prioritize not only the level of care they provide, but also how well they respond to the needs of the people they serve.

This is true with programs like Anthem Blue Cross and Blue Shield’s Quality-In-Sights: Hospital Incentive Program (Q-HIP), which scores organizations’ health equity efforts.

When we invest in equitable care, our patients receive better treatment, our team members feel supported and we have additional resources that we can use to improve care.

Why do programs rewarding health equity matter?

Programs like Q-HIP recognize healthcare organizations for delivering high-quality, patient-centered care. Rather than focusing on how many patients are seen, these models score performance across quality, safety, outcomes and experience.

Programs like Q-HIP align with Wellstar's mission to enhance the health and well-being of every person we serve.

Health equity’s role in Anthem’s Q-HIP program

Q-HIP has recognized Wellstar with a reimbursement bonus point for health equity, acknowledging our efforts to reach underserved patients and tailor our care to the communities and people we serve.

“Programs like Q-HIP make it clear that equity work isn’t separate from performance—it’s part of how we deliver quality and earn the resources we reinvest back into patient care,” said Mindy St. George, Wellstar assistant vice president of managed care.

The Q-HIP health equity assessment evaluates whether health systems:

• Commit to advance health equity
• Collect and analyze demographic and social needs data
• Look at quality measures to identify disparities
• Work to improve disparities and gaps in care
• Involve leadership in equity efforts

To provide high-quality care, you need to address inequities.

Wellstar’s approach: Equity as responsiveness

At Wellstar, health equity is part of everything we do. Through Wellstar Community Health and Center for Health Equity, equity is embedded into how we design care, improve quality, engage leadership across the system and analyze data.

We focus on understanding who we serve, identifying barriers to care and continuously improving how services are delivered.

“Health equity is not an add-on to our work—it’s how we deliver better care,” said Elise Lockamy-Kassim, Wellstar assistant vice president of community health and Center for Health Equity. “When healthcare systems are responsive to people’s needs, outcomes improve, care becomes more efficient and everyone benefits.”

Why equity investments benefit everyone

When patients can access care more easily and feel like their clinicians care about them, they’re more likely to get the preventative care they need. This helps them manage chronic conditions like diabetes, stay ahead of disease and avoid unnecessary hospitalizations.

Equity-driven improvements also support Wellstar team members by improving workflows and enabling us to invest resources in our people.

“When we focus on health equity, we’re strengthening the entire system,” said Dr. Earl Stewart, Wellstar medical director of health equity. “Better data and better responsiveness lead to better care—for every patient, every time.”

Why continued investment matters

Programs like Q-HIP make it clear: Equity performance is quality performance and quality performance is rewarded.

For Wellstar, continued investment in health equity means:

• Stronger performance in programs like Q-HIP
• Resources to reinvest in team members and care
• Better outcomes for patients across all communities
• A healthcare system that is responsive, resilient and sustainable

Learn more about health equity at Wellstar.

According to the American Cancer Society, 1 in 8 women will get breast cancer in their lifetime. Breast cancer is the second leading cause of cancer death for women. However, when found in its earliest stages, breast cancer can be stopped from spreading, is more treatable and nearly 100% curable. Screening is the best way to find breast cancer early. Let’s talk about mammograms as well as the right way to perform a self breast exam.

Mammograms

When should I start getting mammograms?

Unless you have a new breast problem or need to start screenings earlier because of risk, most guidelines recommend starting screening mammography at age 40.
How often should I get a mammogram?

Guidelines differ somewhat but are consistent that if you are of average risk, you should have them at least every other year.  If you are at increased risk, including having dense breast tissue or a family history of breast cancer,  it is recommended that you get an annual mammography screening and possibly enhanced screenings with MRI, ultrasound or contrast enhanced mammography.

Is getting a mammogram dangerous to my health?

While there is a small radiation exposure with every mammogram, the benefit of early detection of small, curable cancers almost always outweighs that risk of exposure.

Does it hurt to get a mammogram?

Some women do find mammograms uncomfortable.  This is more common when having imaging just before your menstrual period when breast tissue can be swollen and more sensitive.  If you do have extra sensitivity, scheduling the exam after your cycle starts or taking an over-the-counter NSAID pain reliever* a few hours before the exam may minimize the discomfort.  Because positioning of the breast and taking each mammogram image is typically less than 30 seconds, the extent of discomfort during the exam is short-lived.

*NSAIDs are nonsteroidal anti-inflammatory drugs, like ibuprofen (Advil, Motrin), naproxen sodium (Aleve) and aspirin.

Breast self-exam options

What is the correct technique for a breast self-exam?

Any pattern for feeling all of your breast tissue is acceptable. The goal is to make sure you are feeling with varying pressure from your collar bone to cleavage, to the bottom of the breast out to past where your breast meets your chest wall, including your armpit.

How often should I do a breast self-exam?

Self-exams should not be done too often because it can make it difficult to tell if a lump is evolving over time. Think of how hard it is to tell if your appearance changes gradually as you get older because you see yourself every day, compared to more easily seeing changes in someone’s appearance after not seeing them for a long time. Typically, once a month is enough.

Is there a best time to do a breast self-exam?

 It is important to do your breast self-exam in approximately the same time in your cycle rather than a specific interval—especially since not all menstrual cycles are exactly 28 days apart.  Doing the exam at the same place in your cycle will give you consistency in how the tissue should feel in terms of lumpiness, texture and density. 
I encourage my patients to do their exam the day after their cycle starts as a consistent point in their hormonal cycle fluctuations.

What am I actually looking for during a breast self-exam?

Your breast self-exam should be a tool to familiarize yourself with the general “normal texture” of the tissue in each of your breasts so if you detect something that is different, you will be able to identify it as new or changed. 

Can a breast self-exam replace a mammogram?

Self-breast exams cannot replace mammograms because mammograms can detect subtle changes like densities or calcifications that are too small to feel. The goal with screening mammograms is to detect breast cancer before you can feel it because early detection leads to better overall outcomes.
Learn more about breast cancer screening and treatment at Wellstar. 

David Butler's cancer journey took him through a rare jaw reconstruction, multiple rounds of radiation treatment, chemotherapy, intense rehabilitation and coordinated care from specialists across Wellstar.

From survival to summit

After David did the hard work of fighting cancer twice and feeling like recovery was truly sailing along, he set a new goal. David and one of his daughters, Madeline Hawkins, completed a hiking and camping trip that included summiting Blood Mountain in North Georgia. They covered 14 miles, camping overnight and making friends along the trail.

The hike wasn't easy.

“I forgot you have to be half mountain goat!” he quipped.

David moved at his own pace and pushed through lingering fatigue. Reaching the summit’s stunning vista at Preacher’s Rock was a reminder of how far he had come since his cancer diagnosis.