Colorectal Cancer Control Program (CRCCP) Workgroup

Peggy Hannon, Cam Escoffery, & Annette Maxwell, Co-chairs

October 20, 2010

About CRCCP

About CRCCP

80% screening by 2014

About CRCCP

80% screening by 2014

Four broad strategiespopulation reach & impactpolicy & systems change awareness & outreachleverage existing resources

About CRCCPPromote screening

Local CRCCP programs provide CRC screening and follow-up care to low-income persons aged 50-64 years

Using EBIs from the Community Guide

client reminderssmall mediareducing structural barriersprovider assessment/feedbackprovider reminders

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State GranteesAlabama

Arizona

California

Colorado

Connecticut

Delaware

Florida

Georgia

Iowa

Maine

Maryland

Massachusetts

Michigan

Minnesota

Montana

Nebraska

Nevada

New Hampshire

New Mexico

New York

Oregon

Pennsylvania

South Dakota

Utah

Washington

Tribal Grantees

Alaska Native Tribal Health Consortium

Arctic Slope Native Association

South Puget Intertribal Planning Agency

Southcentral Foundation

CRCCP Grantees Funded in 2009-2010

Annual Grantee Survey

How do CRCCP grantees implement their programs?

CRCCP program resources

Activities implemented

Partnerships established

How is CRC screening provided to underserved?

How is CRCCP program integrated with other services?

Challenges/facilitators of implementation

Training, technical support accessed/needed for implementation

Characteristics of grantees that achieve an 80% screening prevalence by 2014

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Other Evaluation Efforts

Clinical data elements (quality of clinical services provided)

Cost assessment

Longitudinal Case Studies: Tribal Case Study, MA Case Study, Intervention/Control sites Impact Study

Population Survey

Provider Survey

Secondary Data

Behavioral Risk Factor Surveillance System (BRFSS)

National Program of Cancer Registries (NPCR)

Surveillance, Epidemiology, and End Results Program

(SEER) 8

A unique opportunity for CPCRN

Natural laboratory for dissemination

Defined set of cancer control EBIs

Large-scale practice settings

Perfect timing

CDC CPCRN Collaboration

CRCCP workgroup takes responsibility for finalizing and implementing the Annual Grantee Survey (pending funding)

CRCCP workgroup will develop and implement additional assessment(s) to assess details of

– Adoption– Implementation– Context– Technical support and Resources needed/available– Organizational Characteristics

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Annual Survey – Key Tasks

Measure Development

IRB approval

Implementation

Data Analysis

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Dissemination Frameworks

Interactive Systems Framework

Knowledge to Action

RE-AIM

CFIR

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Potential ResearchQuestions

What is the process of turning EBAs into interventions?

What are the gaps in current implementation measures?

How does the changing context affect CRCCP and its effectiveness?

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Sub-committees

Inventory of implementation measures

Annual grantee survey & beyond

Data linkages & registries

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Potential Synergies with FQHC

Implementation measures inventory

Impact of context/Health Care Reform

Organization characteristics

Provider reminders & Provider assessment and recall strategies

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