NOFO DP17-1701 Comprehensive Cancer Control Program Overview New - - PowerPoint PPT Presentation

NOFO DP17-1701 Comprehensive Cancer Control Program Overview

New Mexico Cancer Coalition Meeting July 18, 2018

Trey Bonner, MPH - Program Evaluation and Partnership Team Comprehensive Cancer Control Branch (CCCB)

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Objectives

• Present National Comprehensive Cancer Control Program

and its Priorities

• Discuss Notice of Funding Opportunity (NOFO) Expected

Outcomes

• Outline NOFO Expected Implementation Strategies
• Relationship between State Cancer Coalitions and State

CCCP

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Outline

• Background
• What is NCCCP?
• Priorities
• Logic Model
• Program Expected Outcomes & Long Term Impacts
• NOFO Strategies
• NCCCP Workplans
• State CCCP and Coalitions
• Q & A

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National Comprehensive Cancer Control Program

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The National Comprehensive Cancer Control Program

The National Comprehensive Cancer Control Program (NCCCP) provides the funding, science, and guidance that national organizations, health departments, health systems, and their partners need to plan, implement, and evaluate cancer control plans and interventions.

The Cancer Control Continuum

PREVENTION

Tobacco control Diet Physical activity Sun protection HPV vaccine Limited alcohol use Chemoprevention

DETECTION

Pap/HPV testing Mammography Fecal occult blood test Colonoscopy Lung cancer screening

DIAGNOSIS

Shared and informed decision making

TREATMENT

Health care delivery and outcomes research

SURVIVORSHIP

Coping Health promotion for survivors

Crosscutting Issues Focus

Communications Surveillance Social Determinants of Health Disparities Genetic Testing Decision-Making Dissemination of Evidence-Based Interventions Quality of Cancer Care Epidemiology Measurement Adapted from David B. Abrams, Brown University School of Medicine

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NCCCP Priorities

• 1. Emphasize Primary Cancer Prevention
• 2. Extend Early Detection and Treatment Activities
• 3. Support Cancer Survivors and their Families
• 4. Implement Evidence-Based Cancer Control Policy, Systems,

and Environmental Changes

• 5. Promote Health Equity
• 6. Demonstrate Outcomes through Evaluation

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NCCCP Expected Outcomes

• Increased Policy, Systems and Environmental (PSE) changes

that lead to improved community access to lifestyle programs and clinical preventive services, and cancer care among cancer survivors.

• Reduced cancer risks, increased health seeking and healthy

lifestyle behaviors, increased early detection of cancer, and improve quality of life for survivors.

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NCCCP Long-Term Impact

• Preventing Cancers and their Reoccurrences;
• Improving Cancer Survivor’s Quality of Life;
• Reducing Cancer Health Disparities; and
• Decreasing Cancer Morbidity and Mortality.

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NOFO Strategies

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NOFO Strategies

• Strategy 1 - Program Collaboration
• Strategy 2 - External Partnerships
• Strategy 3 – Cancer Data and Surveillance
• Strategy 4 - Environmental Approaches for Sustainable

Cancer Control

• Strategy 5: Community-Clinical Linkages to Aid Patient

Support

• Strategy 6 - Health Systems Changes
• Strategy 7: Program Monitoring and Evaluation

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Strategy 1 – Program Collaboration

• Recruit and maintain representatives from National Program
• f Cancer Registry, BRFSS, and other state-based surveillance

systems to actively participate on cancer control coalitions.

• Collaborate with chronic disease risk factor prevention

programs to include cancer prevention and control strategies in statewide chronic disease plans

• Coordinate technical assistance and training to build capacity

to implement cancer prevention and control activities

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Strategy 1 – Program Collaboration

Cancer Control Leadership Team Requirements (Page 19 of the FOA)

• NCCCP Program Director responsible for facilitating the:
• Convening of the team and
• Development of the leadership plan
• Comprised of Program Directors from the:
• National Breast and Cervical Cancer Early Detection Program;
• National Comprehensive Cancer Control Program; and
• National Program of Cancer Registries

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Strategy 2 – External Partnerships

• Support an existing state-, tribe-, territorial-, or jurisdictional-

wide cancer coalition to achieve cancer plan goals and

• bjectives.
• Leverage community resources to implement EBIs that are

aligned with promoting cancer-related health equity

• Foster and maintain relationships with key organizations

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Strategy 3 – Cancer Data and Surveillance

• Facilitate use of cancer data for program planning,

implementation and evaluation efforts

• Identify high risk populations in collaboration with cancer

and other chronic disease programs (e.g., smoking and health)

• Participate in joint reporting of population risks and cancer

burden with other chronic disease programs using public health surveillance data

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The Heart of the NCCCP: Implementation Strategies 4 - 6

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Priority areas:

Primary Prevention Cancer Disparities Screening Survivorship Addressed by Implementing Environmental Approaches Community Clinical Linkages Health System Changes

Strategies 4 - 6 :

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Strategy 4 – Environmental Approaches for Sustainable Cancer Control

Collaborate with other chronic disease programs and/or other public health programs to support proposals for changes in policies that support cancer prevention and control

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Strategy 5 – Community-Clinical Linkages to Aid Patient Support

• Use registry and/or cancer mortality data to identify

populations at higher risk for late-stage diagnosis or higher cancer mortality

• Collaborate with other cancer and chronic disease programs

in the design and targeting of prevention such as HPV vaccination and tobacco cessation or screening interventions to those with increase cancer burdens

• Support use of survivorship care planning and chronic

disease self-management for cancer survivors

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Strategy 6 –Health Systems Changes

• Implement (or support the implementation of) evidenced-

based interventions such as client reminders, provider assessment and feedback to improved cancer screening within health systems.

• Partner with health systems to use data to identify screening

rates and treatment data to identify populations at risk for late-stage disease or not receiving recommended care

• Participate in and encourage electronic reporting from cancer

care providers and collaborate with other state programs to achieve increased electronic reporting

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Strategy 7 – Program Monitoring and Evaluation

• Grantees Must:
• Develop a 5 year evaluation plan
• Should be revised annually,
• Submit Annual evaluation reports summarizing key findings
• Report program progress using the Chronic Disease Management

Information System, and

• Create at least 4 dissemination documents

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CCCP Workplans

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Importance of Workplan & Role in Implementation

• State Cancer Plan
• Strategic planning (roadmap)
• Data driven prioritization of cancer prevention and

control effort within the state

• NCCCP Workplan
• Aligns with the guidance and expectations of the

NOFO (DP17-1701)

• Operationalize the state cancer plan

goals, objectives and strategies

• Not implemented by program only

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Work Plans

Work Plans should include at least 3 Evidence-Based Interventions in each

• f the following priority areas:
• Priority 1: Primary prevention of cancer
• Priority 2: Screening and early detection of cancer
• Priority 3: Improving quality of life of cancer survivors
• Priority 4: Health Disparities*

*One (1) of each health disparities EBIs should focus on each of the prior three (3) priorities (primary prevention, screening and early detection and improving survivors quality of life) – example on next slide

*Grantees will select their strategies from our Library of Indicator and Data

Sources (LIDS).

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Examples of Workplan Required Evidence-Based Interventions

Primary Prevention of cancer

• EBI
• EBI
• EBI
• Health Disparities, primary prevention-focused EBI

Screening and Early Detection of cancer

• EBI
• EBI
• EBI
• Health Disparities, early detection and screening EBI

Improving quality of life of cancer survivors

• EBI
• EBI
• EBI
• Health Disparities, early detection and screening EBI

Primary Prevention of cancer

• EBI
• EBI
• EBI

Screening and Early Detection of cancer

• EBI
• EBI
• EBI

Improving quality of life of cancer survivors

• EBI
• EBI
• EBI

Health Disparities

• Primary prevention focused EBI
• Screening and Early Detection EBI
• Improving quality of life of cancer survivors

EBI

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Example 1 Example 2

State CCCP and Coalitions

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Collaboration

State CCC programs and coalitions should build and maintain a collaborative working partnership that supports the planning, implementation and evaluation of policy, system, and environmental (PSE) changes

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State Cancer Program Role

• Communicate routinely with coalition members, partners and

staff from other CDC-funded cancer programs as well as chronic disease prevention and health promotion programs to ensure efforts are aligned with the state cancer plan priorities and NCCCP workplan, presenting a clear and consistent vision of what needs to be accomplished to increase cancer prevention across the state.

• Sharing relevant to data
• Connect the coalition with the state cancer registry
• Ensure existing/new partners (traditional and non-traditional)

expertise are utilized

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Coalition Role

• With the support of the state cancer program:
• Execute the planning, implementation and/or evaluation projects

aligned with state cancer plan priorities, included but not limited to the evidence based interventions within the state comprehensive cancer program’s DP17-1701 workplan

• Regular convening of statewide partners to ensure continued

progression of these projects/activities

• Conduct annual membership gap analysis to ensure all key players

are at the table AND actively involved

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Coalition Make-Up

• Diverse membership representation across sectors,
• rganizations, geography and individuals
• Steering Committee
• Should include a representative from the state health department

cancer program

• Taskforces/Workgroups aligned with state cancer priorities

Questions? Contact Information: Trey Bonner, kfz5@cdc.gov

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.

Go to the official source of cancer prevention information: www.cdc.gov/cancer.

@CDC_Cancer CDC Breast Cancer

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