Commission on Cancer and Comprehensive Cancer Control

1
Commission on Cancer and Comprehensive Cancer
Control
2
Commission on Cancer Mission

• The CoC is a consortium of professional
  organizations dedicated to reducing the morbidity
  and mortality of cancer through education,
  standard-setting, and the monitoring of quality
  care.

3
CoC Objectives

• Set standards for quality multidisciplinary
  cancer care
• Survey facilities to assess compliance with those
  standards
• Collect standardized data from approved
  facilities to measure treatment patterns of care
  and outcomes
• Use data to evaluate hospital provider
  performance and develop educational interventions
  to improve cancer care outcomes.

4
CoC Membership

• Multidisciplinary
• 100 members
• 40 member organizations
• Balance surgeons
• Three Standing Committees
• Approvals Committee
• Quality Integration Committee
• Committee on Cancer Liaison

5
Distribution of CoC Approved Cancer Programs by
State
55
6
Cancer Programs in United States Hospitals
Treated elsewhere
Hospitals w/ approval
20
25
80
75
Dx and treated in approved programs
Hospitals w/o approval
7
CoC Cancer Liaison Program Mission

• A grassroots network of physician volunteers
  willing to manage clinically-related cancer
  activities in their local facilities and
  surrounding communities.

8
Program Membership

• 65 State chairs
• Selected by College Chapters - surgeons
• 1,600 physician volunteers
• Selected by hospital cancer committees
• 55 surgeons 45 other specialties
• Activities governed by Committee on Cancer
  Liaison
• Program funded by American Cancer Society

9
State Chair Key Activities

• Regularly communicate with liaison physicians
• Spearhead CoC initiatives at state/regional level
• Recruit new programs
• Utilize NCDB data to improve quality cancer care
• Participate in collaborative activities
• College chapter
• ACS
• Comprehensive Cancer Control

10
Liaison Key Activities

• Promote cancer program
• Serve as active member of cancer committee
• Use data to identify areas for improvement
• Spearhead initiatives to comply with CoC
  standards
• Develop and strengthen relationships with local
  ACS

11
Community Outreach Standards

• Ensure that supportive services offered on-site
  or by referral
• Ensure that two prevention and early detection
  programs are held annually
• Monitor community outreach activities annually

12
Comprehensive Cancer Control

• An integrated and coordinated approach to
  reducing cancer incidence, morbidity, and
  mortality through prevention, early detection,
  treatment, rehabilitation, and palliation.
• Extension of TRIAD
• Goal To have all states implementing CCC cancer
  plans by 2005.

13
Benefits of CCC

• Maximize impact to reduce the incidence and
  mortality and improve quality of life
• Create and integrate state and community cancer
  efforts
• Optimize the use of resources
• Reduce duplication of efforts
• Enable multi-level, simultaneous interventions
• Change systems and policies by promoting best
  practices

14
2006 National Comprehensive Cancer Control Status
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
Cherokee Nation
TN
AZ
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 August 2006
15
CoC Support of CCC

• Comprehensive Cancer Control Leadership
  Institutes
• Member of C-Change
• Improving the Cancer Continuum
• Legislative Activities

16
CCC and the CoC Network
State Cancer Plan
Planning
(State Chair)
Implementation
(Cancer Liaison Physician)
Community Cancer Plan
17
State Chair Role in CCC

• Serve as an active member on state CCC team
• Provide leadership and expertise concerning state
  cancer issues
• Access to care
• Quality improvement of cancer care
• Disparities
• Professional education

18
State Chair Role in CCC

• Share NCDB Data
• State, Regional and National Comparisons
• Establish Priorities for Cancer Control Efforts
• Identify Target Audiences/Disparities
• Prevention/Early Detection Efforts
• Tx Variations

19
State Chair Role in CCC

• Leverage network of Cancer Liaison Physicians
• Updates
• Communications
• Implementation activities
• Serve as a resource
• Advocacy/Policy development

20
CLP Role in CCC

• Serve as a member of the partnership or a
  workgroup
• Assist in assessing resources and activities in
  the state
• Assist in identifying the problem
• Assist in community mobilization
• Lend expertise on specific cancer issues

21
CLP Role in CCC

• Support priorities outlined within state cancer
  plan
• Collaborate with local agencies on outreach
  activities that fit within the plan
• Increase health care provider referrals for
  screening
• Foster partnerships to expand the utilization of
  cancer support services and programs

22
Present Involvement

• 80 of State Chairs are involved with their
  states cancer plan
• 5 State Chairs chair their state CCC team
• 6 state cancer plans include the CoC

23
Future Involvement

• Advocate for objectives and strategies that focus
  on improving access and delivery of care
• Increase number of CoC-approved facilities
• Improve patient access through referrals to
  CoC-approved facilities
• Promote availability of quality care

24
How Can You Get Involved?

• Obtain a copy of state plan
• CoCs Web site is a list of the state
  comprehensive cancer control contacts
• Become a member of the state partnership
• Assign facility representative to partnership
• Present the state plan to your cancer committee
• Determine how your facilitys interests fit with
  state priorities

25
How Can You Get Involved?

• Identify specific goals and objectives from the
  plan to implement within your community
• As an institution or in collaboration with
  community agencies on outreach activities
• Inform the state planning team of your activities
  and success
• Attend press release/town hall meetings

26
What CoC Brings to the Table

• Resources of the Commission on Cancer
• Network of CLPs
• Network of CoC-approved programs
• NCDB and FIPS
• Resources of the American College of Surgeons
• State chapter support
• Network of Chapter members
• ACOSOG

27
National Cancer Data Base (NCDB)

• Most extensive database dedicated to assessing
  quality of care (IOM, 1999 and 2000)
• Joint program of American College of Surgeons and
  American Cancer Society
• Data from all CoC-approved cancer programs
• Data on 60 primary sites 16,000,000 cases

28
Data Collected

• Patient Demographic information
• Tumor characteristics
• Staging information
• First Course Therapy
• Surgery
• Radiation
• Systemic
• First Recurrence Survival Status

29
NCDB Benchmarks-Public
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40
Facility Information Profile System - FIPS

• Data sharing activity with the ACS
• Share data on resources, services and cancer
  caseload
• Information used by ACS National Call Center and
  posted on ACS Web www.cancer.org
• Cancer caseload information sharing is voluntary

41
(No Transcript)
42
(No Transcript)
43
(No Transcript)
44
(No Transcript)
45
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

46
Challenges

• Time
• Difficult to reach
• Turnover
• Keeping them engaged
• Task oriented

47
Discussion

• How can we expand the potential of the State
  Chairs and CLPs and further engage them in CCC?
• What role do you see the State Chairs and CLPs
  playing in CCC?