National Cancer Institute
National Cancer Institute U.S. National Institutes of Health www.cancer.gov

Pilot Site Profile

Brackenridge Hospital, Austin, Texas
Shivers Center

John Brindley, President and CEO, Seton Medical Center Austin
Jesus Garza, President and CEO, Brackenridge Hospital
T. Samuel Shomaker, MD, JD, Cancer Program Medical Director

Background
Brackenridge is one of four hospitals in the Seton Family of Hospitals, serving Central Texas, that offer a continuum of cancer services. Through its Shivers Center, Brackenridge Hospital offers the broadest range of cancer service in the network. It houses the Seton Family’s clinical research program and Seton’s only Internal Review Board (IRB) focusing on cancer-related studies. The Shivers Center offers patients access to clinical research through its affiliation with the Scott and White Community CCOP. The Shivers Center refers patients to the University of Texas’ MD Anderson Cancer Center.

Patient Service Area
All 10 counties in Brackenridge Hospital’s service area are designated medically underserved for their entire county or census tract. The Shivers Center has a 60 percent minority patient population. The state of Texas has the highest percentage of uninsured in the nation, at 25 percent (some estimates are as high as 30.7 percent). The state estimates that more than half (53 percent) of the entire Texas population will be Hispanic by 2030, with 30.3 White, 9.2 percent African American, and other. In both men and women, the service area has particularly high rates of melanoma. For this reason, the network supports an annual community skin cancer screening and awareness campaign.

Access and Outreach Initiatives
As part of the Seton Family of Hospitals, Brackenridge Hospital led the formation of the Indigent Care Collaboration, which includes all the major healthcare providers in Austin and is nationally recognized as a model for its community-wide efforts to meet the needs of the uninsured. The collaborative project focuses on providing medical homes, developing IT linkages among providers, and offering a care management program.

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