Reducing the Cancer Burden through Local Comprehensive Cancer Control

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Reducing the Cancer Burden through Local
Comprehensive Cancer Control

• Phil Roland, MD, FACS
• Vice-Chair, Committee on Cancer Liaison

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Created by statecancerprofiles.cancer.gov on
11/4/08
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Created by statecancerprofiles.cancer.gov on
11/4/08
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Created by statecancerprofiles.cancer.gov on
11/4/08
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Created by statecancerprofiles.cancer.gov on
11/4/08
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COMPREHENSIVE CANCER CONTROLHow It Began

• 1971 National Cancer Act invested in cancer
  research
• Research focused on specific cancer organ sites
• A site-specific approach has served us well,
  and necessary for success
• Not sufficient by itself to address Americas
  cancer burden

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COMPREHENSIVE CANCER CONTROLHow It Began

• A decade ago, state and national organizations
  began linking cancer prevention and control
  programs to fight cancer more effectively.
• The result was Comprehensive Cancer Control (CCC)

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COMPREHENSIVE CANCER CONTROLDefinition

• Comprehensive Cancer Control is a collaborative
  process through which a community pools resources
  to reduce the burden of cancer that results in
• Risk reduction.
• Early detection.
• Better treatment.
• Enhanced survivorship.

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COMPREHENSIVE CANCER CONTROLDefinition

• Comprehensive Cancer Control is a collaborative
  process through which a community pools resources
  to reduce the burden of cancer that results in
• Risk reduction.
• Early detection.
• Better treatment.
• Enhanced survivorship.

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The CCC National Partnership

• Unprecedented collaboration among national cancer
  organizations
• Together the National Partners
• Leverage resources and coordinate expertise to
  support CCC
• Actively build capacity for cancer control at the
  state, tribal, territory, Pacific Island
  Jurisdiction and local levels

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CCC National Partners
American Cancer Society
American College of Surgeons,Commission on Cancer
Association of State and Territorial Health
Officers
C-Change
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CCC National Partners
Centers for Disease Control and Prevention
Health Resources Services Administration
Intercultural Cancer Council
Lance Armstrong Foundation
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CCC National Partners
North American Association of Chronic Central
Cancer Registries
National Association of Chronic Disease Directors
National Association of County and City Health
Officials
National Cancer Institute
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CCC National Partner Unique Contributions

• At the state, tribe, territory, Pacific Island
  Jurisdiction and local levels, National Partners
  
• Provide technical assistance to CCC programs and
  coalitions
• Conduct trainings on the critical skills and
  knowledge needed to create and implement plans
• Advocate for CCC efforts
• Supply resources to support implementation of
  specific cancer plan strategies
• Offer expertise and leadership to accomplish
  shared goals

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CCC National Partner Unique Contributions

• At the state, tribe, territory, Pacific Island
  Jurisdiction and local levels, National Partners
  
• Provide technical assistance to CCC programs and
  coalitions
• Conduct trainings on the critical skills and
  knowledge needed to create and implement plans
• Advocate for CCC efforts
• Supply resources to support implementation of
  specific cancer plan strategies
• Offer expertise and leadership to accomplish
  shared goals

? Cancer Liaison Physician Program Impact
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2001 National Comprehensive Cancer ControlStatus
of Cancer Plans
WA
Northwest Portland Area Indian Health Board
ME
ND
MT
MN
VT
OR
NH
ID
WI
MA
SD
NY
MI
CT
WY
RI
NJ
IA
PA
NE
NV
OH
DC
IN
IL
DE
UT
MD
CO
WV
KS
VA
MO
CA
KY
NC
TN
OK
AZ
AR
NM
SC
GA
AL
MS
LA
TX
FL
National Comprehensive Cancer Control
Program Division of Cancer Prevention and
Control National Center for Chronic Disease
Prevention and Health Promotion Coordinating
Center for Health Promotion Dec 2001
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2008 National Comprehensive Cancer ControlStatus
of Cancer Plans
South Puget Intertribal Planning Agency
WA
Fond Du Lac Reservation
Northwest Portland Area Indian Health Board
ME
ND
MT
MN
VT
OR
Aberdeen Area Tribal Chairmens Health Board
NH
ID
WI
OR
MA
NY
MI
CT
SD
WY
RI
NJ
IA
PA
NE
NV
OH
DC
IN
IL
DE
UT
MD
CO
WV
VA
MO
KS
CA
KY
NC
AZ
Cherokee Nation
TN
Tohono OOdham Nation
AR
NM
OK
SC
GA
AL
MS
LA
TX
FL
National Comprehensive Cancer Control
Program Division of Cancer Prevention and
Control National Center for Chronic Disease
Prevention and Health Promotion Coordinating
Center for Health Promotion April 2008
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What CoC Brings to the Table

• Resources of the Commission on Cancer
• State Chair leadership
• Network of 1600 CLPs
• Network of 1400 CoC-approved programs
• Data
• National Cancer Data Base (NCDB)
• Facility Information Profile System (FIPS)/CoC
  Hospital Locator

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CLP Role in Comprehensive Cancer Control

• Facilitate a relationship between your facility
  and implementation of the state cancer plan
• Identify activities you and your facility can
  become involved in
• Serve as a member of the state partnership or a
  workgroup (e.g. prevention or treatment)
• Provide clinical expertise on specific cancer
  issues

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CLP Role in CCC

• Collaborate with local agencies on outreach
  activities that fit within the plans objectives
• Increase health care provider referrals for
  screening
• Foster partnerships to expand the utilization of
  cancer support services and programs
• Assist in assessing resources to support
  implementation of the plan

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Present Involvement

• 28 state cancer plans include CoC objectives
• 25 of CLPs are involved in their states cancer
  plan
• 27 of CLPs responded as presenting their state
  plan to the cancer committee

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State Chair Involvement

• Serve as an active member on state CCC team
• 7 Chairs of their Coalitions
• Provide leadership and expertise to identify
  state cancer issues
• Serve as a resource for plan development
• Share NCDB Data
• Leverage network of Cancer Liaison Physicians
• Advocacy/policy development

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Demonstrate Scope of CoC Approval
www.batchgeocode.com
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State Chair Involvement

• State Chairs advocate for objectives and
  strategies that focus on improving access and
  delivery of care
• Increase number of CoC-approved facilities
• Increasing referrals to CoC-approved programs in
  the state
• Increasing access to CoC-approved programs in the
  state

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• State cancer plans cannot be successful without
  local implementation.
• We need your help!

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CLP Focus Areas

• Quality Improvement
• American Cancer Society Partnership
• Clinical Trials
• Advocacy
• Comprehensive Cancer Control
• Staging

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Activities

• Obtain your states comprehensive cancer control
  plan from the web
• Centers for Disease Control and Prevention (CDC)
  National Comprehensive Cancer control Program
  (NCCN)
• http//www.cdc.gov/cancer/ncccp/index.htm
• Cancer Control Planet
• http//cancercontrolplanet.cancer.gov
• CancerPlan.org
• http//www.cancerplan.org

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Activities

• Become familiar with the comprehensive cancer
  control (CCC) program staff in your state
• CoC Cancer Liaison Resource Area
• http//cancercontrolplanet.cancer.gov
• Contact program staff, invite them to attend a
  cancer committee meeting
• Provide an overview of the state cancer plan

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http//cancercontrolplanet.cancer.gov/partners
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Activity

• Become an active participant in state cancer plan
  activities
• Discuss goals and objectives with your cancer
  committee
• Identify an area that your cancer program would
  like to participate
• Discuss a plan to collaborate with local agencies
  to implement these identified activities

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Activity

• Demonstrate to your cancer program, and your
  community ?
• Participation in the CoC
• Hospital Approvals Program
• promotes the
• Goals of your State Cancer Plan

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Demonstrate How CoC Standards Implement Your
State Cancer Plan
Florida CoC Report to the Florida Cancer Plan,
2006
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Activity

• Participate in on-line training to facilitate
  planning and developing evidence-based cancer
  control programs on the web portal Cancer
  Control P.L.A.N.E.T.
• Plan
• Link
• Act
• Network
• Evidence based tools
• http//cancercontrolplanet.cancer.gov

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State Examples of CoC Facility and CLP
Participation in CCC

• Minnesota
• Support of the Smoke Free Minnesota law 2007
• Pennsylvania
• Community outreach screening and education
• New Jersey
• Education / screening for uninsured patients to
  support county level grants
• Nebraska
• Provide follow up treatment to underinsured
  patients with colorectal cancer.

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Benefits of State Chair and CLP Involvement

• Expertise
• Direct access to patients
• Direct access to medical community
• Work with diverse groups
• Data oriented
• Voice
• Dedicated to reducing burden of cancer

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Our ChallengeSignificantly Impact the Cancer
Burden in our Community

• We can make a difference in our community
• We can play a role in the State Cancer Plan