UNASSIGNED: 272 Background: @entity1 with newly diagnosed @entity1820 require diagnostic studies and evaluations by physicians that may delay @entity5 care. Uninsured populations are particularly vulnerable. A Nurse Navigator (NN) can help decrease barriers and improve timeliness of care. This study aims to compare timeliness of @entity5 care received by @entity1 referred to a GI MDC Program by the @entity1 's insurance status at the time of referral. METHODS: @entity1 referred to the GI MDC are assigned a NN who evaluates medical history, diagnostic studies, and coordinates further testing and physician evaluations. Timeliness measures assessing milestones in @entity5 care initiation are collected prospectively. Descriptive statistics are presented and average times for measures are compared by insurance status (insured vs. uninsured) using t-tests, chi-square tests, and the @entity16043 's Exact test. RESULTS: 366 @entity1 were evaluated between January 2010 and June 2012. 70% (255/366) were for new @entity5 diagnoses. Median age of @entity5 @entity1 was 64 years (range 29-94), 63.1% of @entity1 were male, and 94.1% of @entity1 had insurance. @entity5 diagnosis types were colon/rectal (19.2%), esophageal/gastric (25.1%), hepatobiliary (12.8%) and pancreatic/ampullary/duodenal (35.7%) and 1.6% other. The table describes timeliness and care coordination measures by insurance status. CONCLUSIONS: Uninsured @entity5 @entity1 in our health system appear to receive care in a timely fashion which does not differ from @entity1 with insurance. The impact of a dedicated @entity344 in avoiding disparate care for uninsured warrants further study. [Table: see text].

Coordination and timeliness of care by insurance status in a XXXX (MDC) program.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Major cancer', 'initiation of cancer', 'cancer'] @entity344 :: ('MESH:D005767', 'Disease') :: ['GI NN'] @entity1820 :: ('MESH:D005770', 'Disease') :: ['GI cancers'] @entity16043 :: ('76720', 'Species') :: ['Fisher']
@entity344 :: (MESH:D005767,Disease) :: ['gastrointestinal (GI) multidisciplinary care']
