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)
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 RELIABLE TRUSTED SCIENTIFIC DCPC 2
Outline • Background • What is NCCCP? Priorities Logic Model Program Expected Outcomes & Long Term Impacts • NOFO Strategies • NCCCP Workplans • State CCCP and Coalitions • Q & A RELIABLE TRUSTED SCIENTIFIC DCPC 3
National Comprehensive Cancer Control Program
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. RELIABLE TRUSTED SCIENTIFIC DCPC
The Cancer Control Continuum Focus PREVENTION DETECTION DIAGNOSIS TREATMENT SURVIVORSHIP Tobacco control Pap/HPV testing Shared and informed Health care delivery Coping Diet Mammography decision making and outcomes Health promotion Physical activity Fecal occult blood research for survivors Sun protection test HPV vaccine Colonoscopy Limited alcohol use Lung cancer Chemoprevention screening Crosscutting Issues 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
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 RELIABLE TRUSTED SCIENTIFIC DCPC
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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. RELIABLE TRUSTED SCIENTIFIC DCPC 9
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. RELIABLE TRUSTED SCIENTIFIC DCPC 10
NOFO Strategies
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 RELIABLE TRUSTED SCIENTIFIC DCPC 12
Strategy 1 – Program Collaboration • Recruit and maintain representatives from National Program of 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 RELIABLE TRUSTED SCIENTIFIC DCPC 13
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 RELIABLE TRUSTED SCIENTIFIC DCPC 14
Strategy 2 – External Partnerships • Support an existing state-, tribe-, territorial-, or jurisdictional- wide cancer coalition to achieve cancer plan goals and objectives. • Leverage community resources to implement EBIs that are aligned with promoting cancer-related health equity • Foster and maintain relationships with key organizations RELIABLE TRUSTED SCIENTIFIC DCPC 15
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 RELIABLE TRUSTED SCIENTIFIC DCPC 16
The Heart of the NCCCP: Implementation Strategies 4 - 6 Cancer Disparities Environmental Approaches Strategies 4 - 6 : Primary Priority areas: Prevention Addressed by Implementing Health System Changes Screening Community Clinical Linkages Survivorship RELIABLE TRUSTED SCIENTIFIC DCPC 17
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 RELIABLE TRUSTED SCIENTIFIC DCPC 18
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 RELIABLE TRUSTED SCIENTIFIC DCPC 19
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 RELIABLE TRUSTED SCIENTIFIC DCPC 20
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 RELIABLE TRUSTED SCIENTIFIC DCPC 21
CCCP Workplans
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 RELIABLE TRUSTED SCIENTIFIC DCPC 23
Work Plans Work Plans should include at least 3 Evidence-Based Interventions in each of 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). RELIABLE TRUSTED SCIENTIFIC DCPC 24
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