cdc’s national comprehensive cancer control program …...cdc’s national comprehensive cancer...
TRANSCRIPT
Laura Seeff MDChief, Comprehensive Cancer Control Branch
Division of Cancer Prevention and ControlNational Comprehensive Cancer Control Program Director's Meeting
June 7, 2010 Los Angeles, CA
CDC’s National ComprehensiveCancer Control Program (NCCCP):
2010 Prioritiesand New Program Opportunities
National Center for Chronic Disease Prevention and Health Promotion
CDC’s National Comprehensive Cancer Control (CCC) Program
65 programs in each US state, DC, 7 tribal organizations, 7
territories
69 cancer plans nationwide; 95% in implementation
Robust state-, tribal-, territorial-wide coalitions work with
diverse partners
All work across cancer continuum, policy interventions
Northwest Portland Area Indian Health Board
CA
ID
NM
TX
OK
NE
SD
ND
MN
WI
ILOH
KYVA
NC
GAALMS
LA
MI
PA
NY
CT
MA
VT
NH
ME
TN
SC
OR
NV
MT
WY
CO
UT
IA
MO
AR
KS
IN
WV
FL
NJ
2010 National Comprehensive Cancer ControlStatus of Cancer Plans
OR
Northwest Portland
Area Indian Health Board
South Puget Intertribal Planning Agency
Cherokee Nation
Fond Du Lac Reservation
Aberdeen Area Tribal Chairmen’s Health Board
AK
Alaska Native Tribal Health Consortium
HI
National Comprehensive Cancer Control ProgramDivision of Cancer Prevention and ControlNational Center for Chronic Disease Prevention and Health PromotionOffice of Noncommunicable Diseases, Injury and Environmental Health February 2010
MDDE
RI
DC
WA
AMERICAN SAMOA
FEDERATED STATES OF MICRONESIA
GUAM
COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS
PUERTO RICO
REPUBLIC OF THE MARSHALL ISLANDS
REPUBLIC OF PALAU
AZ
Tohono O’Odham Nation
Creating New Plan
Current Plan or Updating Plan
Comprehensive Cancer Control (CCC) Priority Setting Process, 2010:
Why?
Developed priorities for CDC-funded CCC activities
Build on success of NCCCP
Emphasis on measurable outcomes, value of efforts, and
highest impact
Long standing focus areas
Resonate with cancer continuum framework
Comprehensive Cancer Control (CCC) Priority Implementation:
How?
CCC work may be broader in scope
Continue interventions under current plans
Continue to emphasize these priority areas
As plans updated, enhance priority areas
Implement through new funding opportunities
CDC-funded CCC Program Priorities2010
Emphasize Primary Prevention
Coordinate Early Detection and Treatment Interventions
Address Public Health Needs of Cancer Survivors
Implement Policies to Sustain Cancer Control
Eliminate Health Disparities to Achieve Health Equity
Use Evidence and Measure Impact through Evaluation
EMPHASIZE PRIMARY PREVENTION
Emphasize Primary Prevention:Strategies
Collaborate with tobacco, physical activity, nutrition, obesity, vaccine,
diabetes and other relevant partners to implement evidence-based
primary prevention interventions
Consider effective policy changes to guide primary prevention efforts
Develop and provide consistent primary prevention messages
Support collaborative primary prevention research activities
Emphasize Primary Prevention:Example Activities
Develop collaborative messaging and activities that address cancer
risk behaviors and link them to chronic disease outcomes
Provide evidentiary basis for effective primary prevention health
policies
Use coalition to:
Implement smoke-free policies and/or tobacco-free policies
Restrict tobacco sales (internet, to minors, at stores/events)
Implement of Human Papilloma Virus (HPV) and Hepatitis B Virus (HBV)
vaccine policy
Establish legislation to require daily quality PE in schools
Regulate use of indoor tanning devices by children and adolescents
COORDINATE EARLY DETECTION AND TREATMENT INTERVENTIONS
Coordinate Early Detection and Treatment Activities Using Coalition:
Strategies
Populate coalition with key cancer control representatives who can
be successful in implementing cancer control activities
Use CCC program and coalition to link cancer control programs and
clinical and public health systems
Support cancer patient navigator and community health worker
programs
Coordinate Early Detection and Treatment Activities Using Coalition:
Example Activities
Define the expectations and outcomes of the partnership/coalition,
and routinely evaluate success
Bridge clinical health and public health systems and include
members of these systems in coalition
Link cancer control with other chronic disease activities by integrating
patient navigator programs
ADDRESS PUBLIC HEALTH NEEDS OF CANCER SURVIVORS
0
2,000,000
4,000,000
6,000,000
8,000,000
10,000,000
12,000,000
1971 1976 1981 1986 1991 1996 2001 2006
Year
Nu
mb
er
11.4 Million Estimated Cancer Survivors in the U.S. in 2006
Address Public Health needs of Cancer Survivors:
Strategies
Define the scope, needs, and health behaviors of the cancer survivor
population
Enhance survivorship surveillance
Define health risks from cancer treatment and disseminate clinical
management guidelines for cancer survivors
Ensure that cancer survivors have access to a medical home
Assess capacity to support survivorship interventions
Address Public Health needs of Cancer Survivors:Example Activities
Utilize and maintain the BRFSS survivorship module
Use cancer registry data to define interventions for follow-up
treatment and care among cancer survivors
Develop evaluation measures for survivorship interventions
Conduct research to assess health risks associated with cancer
treatment
Continue primary and secondary prevention efforts for survivors
Monitor and track progress of cancer survivors’ health, economic,
psychosocial issues
CROSS-CUTTING PRIORITIESPOLICY
DISPARITIES
IMPACT
Develop and Implement a Cancer Control Policy Agenda:
Strategies
Provide evidentiary basis for effectiveness of health policies
Include coalition members who can effectively implement evidence
based cancer control policies to increase primary, secondary and
tertiary prevention of cancer
Use coalition to implement evidence based policy interventions with
well defined goals and outcomes
Develop and Implement a Cancer Control Policy Agenda:
Example Activities
Maintain staff with competency in issue framing and policy analysis &
formulation
Develop and implement strategy to support policy interventions
Engage community in supporting policy interventions
Use coalition to engage policy makers
Eliminate Health Disparities to Achieve Health Equity:
Strategies
Enhance data collection and reporting of incidence, prevalence, and
mortality, and related adverse conditions among subpopulations.
by age, gender, race/ethnicity, income, education level, health literacy level,
health insurance status, geographic location, language, or other socio-
demographic factors
Maintain diversity within coalition
Collaborate with partners on activities to eliminate health disparities
Eliminate Health Disparities to Achieve Health Equity:
Example Activities
Assess/monitor coalition structure
Support workforce development and training opportunities to
diversify the public health workforce
Identify existing data resources to measure disparate disease burden of cancer and related adverse conditions
Expand existing or develop new data resources
Track progress in eliminating health disparities using periodic status reports
Conduct health disparities research
Use Evidence and Measure Impact Through Evaluation:
Strategies
Ensure that all comprehensive cancer control interventions are
evidence-based or contribute to the evidence base
Ensure that all CCC interventions and activities reflect cancer
surveillance data
Develop capacity to implement quality evaluations
Use Evidence and Measure Impact Through Evaluation:
Example Activities
Utilize NPCR and other cancer surveillance data to develop cancer
interventions
Maintain current knowledge of cancer control evidence base
Conduct routine evaluation of all CCC activities and disseminate and
translate evaluation findings to improve programmatic efforts
Focus on reducing the burden of the top 3-4 cancers in each
state/tribe/territory/jurisdiction
New Program Opportunities2010
New Policy Implementation Funding Announcement
Comparative Effectiveness Research project with Tobacco
Quitline Programs
New 2010 Funding Opportunity:Demonstrating the Capacity of Comprehensive Cancer Control
Programs to Implement Policy and Environmental Cancer Control
Interventions
CDC-RFA–DP10-1017
New 5-year program designed for NCCCP grantees
To demonstrate the enhancement and expansion of existing recipient
activity under DP07-703 entitled “Effect Policy Change”
Eligible applicants are CCC programs funded under DP07-703
Technical assistance calls with dial-in information in amended FOA
Monday, June 21, 2010 from 9:30 a.m. to 11:30 a.m. (east coast)
Tuesday, June 22, 2010 from 3:30 p.m. to 5:30 p.m. (east coast)
Application submission date July 26, 2010
Background
Demonstrate ability of CCC programs to fully develop and implement
cancer-specific policy agenda to advance policy, environmental, and
systems changes to improve cancer control
Enhance primary, secondary, and tertiary prevention of cancer and
have broad population reach
Should address decreased tobacco use, increased physical activity,
healthier diets, increased access to screening tests, improved
screening among survivors to reduce the risk of recurrent or new
cancers, and improved delivery of high quality cancer care
Select Recipient Activities
Retain appropriate staff
Obtain state and local support for policy and environmental change
using CCC coalition as foundation
Develop a policy agenda
Implement activities to advance 3-5 policy or environmental changes
to improve cancer control within the 5-year program period
Collaborate and coordinate with appropriate ARRA-funded partners
Evaluate and monitor progress
New Program Opportunities2010
New Policy Implementation Funding Announcement
Comparative Effectiveness Research with Tobacco
Quitline Programs
Thank you!
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.