presentation to the county evaluators for the new jersey comprehensive cancer control plan

14May2003 -- SH Weiss, S Collini 1

Presentation to the County Evaluators for the

New Jersey Comprehensive Cancer Control Plan

May 14, 2003May 14, 2003


Task Force on Cancer Prevention, Early Detection and

Treatment in New JerseyEVALUATION EVALUATION COMMITTEECOMMITTEE

25April2003 -- SH Weiss, S Collini 3

This document reflects a "work in This document reflects a "work in progress."progress."

It is meant ONLY as a general guide and It is meant ONLY as a general guide and overview to some of the many dynamically overview to some of the many dynamically evolving implementation issues related to evolving implementation issues related to the CCCP.the CCCP.

Caveat/Disclaimer:


Today’s Presentation

Where Does Everyone Fit In?Where Does Everyone Fit In? Evaluation CommitteeEvaluation Committee Implementation UpdateImplementation Update CollaborationsCollaborations Funding UpdateFunding Update

14May2003 5

So, Where Does So, Where Does Everyone Fit In?Everyone Fit In?

6

Administrative Matrix for CCCP: Who Reports to Who?

Office of the Governor

NJDHSS

Cancer Registry State NJ

CEED Office

OCCPExec. Director: Peg Knight

Task Force on Cancer Prevention, Early Detection

and Treatment in NJChair: A. Baskies

Evaluation Committee

Chair: S. Weiss

Workgroups– responsible for

each cancer/area (8) and key over-arching

issues

25 CEED CE/CCCP

UMDNJ-SPH TrainingS. Weiss (PI); M. Sass (Co-PI)

UMDNJ-NJMS Evaluation S. Weiss (PI)

CINJ – Comprehensive Cancer Center

NCI/CDC

American Cancer Society

NJLINCS & Local Health Officers

Battelle Centers for

Public Health Research and

Evaluation

Collaboration and Data Exchange Matrix for CCCP

Office of the Governor

NJDHSS

Cancer Registry

State NJ CEED Office

OCCPExec. Director: Peg Knight

Task Force on Cancer Prevention, Early Detection

and Treatment in NJChair: A. Baskies

Evaluation Committee

Chair: S. Weiss

Workgroups – responsible for each

cancer/area (8) and key over-arching issues

25 CEED CE/CCCP


UMDNJ-SPH TrainingS. Weiss (PI); M. Sass (Co-PI)

UMDNJ-NJMS Evaluation

S. Weiss (PI)

CINJ – Comprehensive Cancer Center

Dotted Line: Interaction/Collaboration between two entities Arrow: Direction of Data Flow

NCI/CDC

NJLINCS & Local Health

Officers

Battelle


Evaluation CommitteeChair: Stanley H. Weiss, M.D.

[email protected] The evaluation committee is part of the The evaluation committee is part of the

Task Force on Cancer Prevention, Early Task Force on Cancer Prevention, Early Detection and Treatment in New JerseyDetection and Treatment in New Jersey

This committee will provide some overall This committee will provide some overall guidance to the County Evaluators and guidance to the County Evaluators and WorkgroupsWorkgroups


Evaluation Committee Will Also:

County EvaluatorsCounty Evaluators and and Workgroups will report will report to the Office of Cancer Control and Prevention to the Office of Cancer Control and Prevention (OCCP) and Peg Knight, who will(OCCP) and Peg Knight, who will Synthesize their reports and Synthesize their reports and Relay them to Dr. Weiss and to the Task Force Relay them to Dr. Weiss and to the Task Force

for further assessmentfor further assessment

Consolidate input from evaluation activities both Consolidate input from evaluation activities both within NJDHSS and external sources, including within NJDHSS and external sources, including the County Evaluators for the CCCP (CE/CCCP)the County Evaluators for the CCCP (CE/CCCP)


The Evaluation Committee’s Web Site Is Located At:

www.umdnj.eduwww.umdnj.edu // evalcwebevalcweb //


Implementation Is Moving Forward: An Update


New County Evaluators for the CCCP (CE/CCCP)

As part of the Implementation Process of the As part of the Implementation Process of the CCCP, the new CE/CCCP will be hired by each CCCP, the new CE/CCCP will be hired by each CEED program to conduct a Capacity and Needs CEED program to conduct a Capacity and Needs

Assessment (C/NA) Assessment (C/NA) and an evaluation of all and an evaluation of all aspects concerning cancer prevention, aspects concerning cancer prevention, detection and treatment in their countydetection and treatment in their county . .

These “County Evaluators” will either be These “County Evaluators” will either be

consultants or employees.consultants or employees.


New County Evaluators for the CCCP: Key Responsibilities

Investigates cancer needs and capacity Investigates cancer needs and capacity assessments in their Countyassessments in their County

Describes impediments to best cancer prevention practices Describes impediments to best cancer prevention practices in their County in their County

Describes the system for early detection and prompt Describes the system for early detection and prompt therapy of cancers in their Countytherapy of cancers in their County

Develops guidelines to implement a comprehensive Develops guidelines to implement a comprehensive cancer C/NA and a work plan to implement the capacity cancer C/NA and a work plan to implement the capacity and needs guidelinesand needs guidelines

Works with OCCP and the Cancer Registry to identify Works with OCCP and the Cancer Registry to identify communities and populations where cancer burden is communities and populations where cancer burden is highest highest


Purpose of Capacity Needs Assessment

To provide the best approach to To provide the best approach to implementing the CCCPimplementing the CCCP

To help keep the implementation process on To help keep the implementation process on targettarget

To provide both baseline and (over time) To provide both baseline and (over time) follow-up information for evaluation follow-up information for evaluation purposespurposes


Collaboration

Information will be gathered by the County Information will be gathered by the County Evaluators through collaboration with Evaluators through collaboration with multiple sources, such as:multiple sources, such as: Task Force WorkgroupsTask Force Workgroups Battelle Centers for Public Health Research and Battelle Centers for Public Health Research and

EvaluationEvaluation American Cancer Society American Cancer Society CDC and NCI’s Cancer Control PLANET and Cancer CDC and NCI’s Cancer Control PLANET and Cancer

Information Service Information Service NJ State Cancer RegistryNJ State Cancer Registry


CCCP Workgroups

BreastBreast Cervical Cervical ColorectalColorectal LungLung Melanoma Melanoma Oral/OropharangyealOral/Oropharangyeal ProstateProstate

AdvocacyAdvocacy PalliationPalliation Nutrition and Physical Nutrition and Physical

Activity Activity Childhood CancerChildhood Cancer [Will be part of [Will be part of

Evaluation Committee: Evaluation Committee: the former Access and the former Access and Resources Workgroup]Resources Workgroup]


County Evaluators working with Workgroups

Workgroups will need to start working with Workgroups will need to start working with County Evaluators to identify cancer resources County Evaluators to identify cancer resources throughout the state for their specific cancer site. throughout the state for their specific cancer site.

Information on how to contact each Workgroup Information on how to contact each Workgroup will be provided to CEs. will be provided to CEs.

If there a well-delineated, specific and readily If there a well-delineated, specific and readily accomplished task,Workgroups may potentially accomplished task,Workgroups may potentially give some task to CEs at this juncture so as to give some task to CEs at this juncture so as to move forward on that strategy.move forward on that strategy.

Strategy CO 1.3.1 on pg. 148 Strategy CO 1.3.1 on pg. 148


Battelle: Tracking Progress in the Workgroups

Battelle Centers for Public Health Research and Evaluation is working on developing an electronic tracking system that each Workgroup is to use under the direction of the Workgroup chair or appointee.

A draft version is explained in a Word document, it should be used with appropriate goal/objective/ strategy, names and numbers – replacing those in the draft.

These should be modified by each Workgroup so as to create one form for EACH strategy.


Battelle: Tracking Progress in the

Workgroups If and when more sophisticated electronic versions to If and when more sophisticated electronic versions to

capture this information are developed, these will be capture this information are developed, these will be provided to the Workgroups.provided to the Workgroups.

On a bi-monthly or quarterly basis, the OCCP requests On a bi-monthly or quarterly basis, the OCCP requests that each Workgroup provide an update.that each Workgroup provide an update.

First updates desired by OCCP during First updates desired by OCCP during June 2003June 2003

See example…….See example…….


Date Form Completed:Date Form Completed: [AUTOMATED][AUTOMATED]

Work Group:Work Group: COLORECTAL CANCERCOLORECTAL CANCER

Submitted By:Submitted By: [FIRST NAME] [LAST NAME] [FIRST NAME] [LAST NAME]

Goal CO-1:Goal CO-1: To raise awareness about colorectal cancer for all residents of New Jersey………………..To raise awareness about colorectal cancer for all residents of New Jersey………………..

Objective CO-1.1 :Objective CO-1.1 : To target specific educational efforts for subpopulations, including but not limited to, To target specific educational efforts for subpopulations, including but not limited to, lower socioeconomic status (SES) and high-risk groups, in order to increase awareness of colorectal cancer.lower socioeconomic status (SES) and high-risk groups, in order to increase awareness of colorectal cancer.

Strategy CO-1.1.1:Strategy CO-1.1.1: Review the content of the curriculum the New Jersey Department of Education is developing as Review the content of the curriculum the New Jersey Department of Education is developing as supported by Title 18A:40-32, Cancer Awareness Week and Title 18A:40-33, Cancer Awareness Program for School-aged supported by Title 18A:40-32, Cancer Awareness Week and Title 18A:40-33, Cancer Awareness Program for School-aged Children, as it relates to colorectal cancer. Children, as it relates to colorectal cancer.

FundingFunding

Amount:Amount: Source:Source: Comments:Comments:

i.e. $25,000i.e. $25,000 Wonderful Granting Agency's NameWonderful Granting Agency's Name Grant application – award announcement March2003Grant application – award announcement March2003

i.e. $30,000i.e. $30,000 Another Wonderful Granting AgencyAnother Wonderful Granting Agency On hold for FY 2003On hold for FY 2003

TargetsTargets

Target Date:Target Date: Status:Status: Date:Date: month/year of anticipated or actual completion month/year of anticipated or actual completion

20032003

2004………2004………

Principal Change AgentsPrincipal Change Agents Last Contact Date:Last Contact Date: Name:Name:

i.e. American Cancer Societyi.e. American Cancer Society

Sample Tracking Form for Workgroups


Additional Project By Battelle

Battelle is also developing indexing/cross-indexing of the CCCP according to key parameters

Link to www.umdnj.edu/evalcweb/ under Battelle for a list of these key parameters

Enable tracking by Workgroups of NJ activities with respect to the CCCP, by linkage to the above CCCP database system



Currently conducting its own Capacity and Needs Assessment in New Jersey

ACS plans to share with OCCP the results of their regional Capacity and Needs Assessment

Also, ACS is adopting the NJ CCCP in its OWN forward planning, which is important in terms of long-term goals


New Jersey’s 6 ACS RegionsRegion No

Counties

Counties 2002 Report

Received

Number of CEED

Programs

1. Northwest5 Morris, Warren,

Sussex, Somerset & Hunterdon

5

2. Northern2 Bergen & Passaic

3

3.. Metro3 Essex, Hudson &

Union

5

4. Central2 Middlesex & Mercer

2

5. Shore2 Monmouth & Ocean

2

6. South7 Camden, Gloucester,

Burlington, Salem, Atlantic, Cumberland & Cape May

4/1/03

8


New Jersey’s 6 ACS Regions

We shall assess whether the CE’s should on occasion meet together for regional discussions, perhaps structured on the ACS regional structure.


CCCP, ACS & NJ CEED Priority Areas

CCCPCCCP ACSACS CEEDCEED

1.1. BREASTBREAST YY YY YY

2.2. CERVICALCERVICAL YY NONO YY

3.3. COLORECTALCOLORECTAL YY YY YY

4.4. LUNGLUNG YY YY NONO

5.5. MELANOMAMELANOMA YY YY NONO

6.6. ORAL/O-PORAL/O-P YY NONO NONO

7.7. PROSTATEPROSTATE YY YY YY


Working with NCI and CDC: Cancer Control PLANET

Tommy Thompson, announced the launch of the Cancer Control PLANET website on April 24, 2003

It is a collaborative (CDC, NCI, ACS etc) effort aimed at providing access to data and resources that can help cancer control planners, health educators,

program staff, and researchers design, implement, and evaluate evidence-based cancer control programs.

http://cancercontrolplanet.cancer.gov


CIS: a national resource for information and CIS: a national resource for information and education about cancer.education about cancer.

Through its Through its Partnership ProgramPartnership Program, the CIS is , the CIS is dedicated to reaching the medically underserved.dedicated to reaching the medically underserved.

CIS partners with state and regional organizations CIS partners with state and regional organizations to directly serve these audiences. to directly serve these audiences.

Pool resources to create and develop programs Pool resources to create and develop programs with wider reach and greater impact. with wider reach and greater impact.

Working with NCI: Cancer Information Service


Working with the New Jersey State Cancer Registry

An individual-level dataset is available from the An individual-level dataset is available from the New Jersey State Cancer Registry without New Jersey State Cancer Registry without identifiers, which includes data from 1991-identifiers, which includes data from 1991-1998, for persons doing research1998, for persons doing research

This is available to the County Evaluators to do This is available to the County Evaluators to do data analysis (incidence, mortality etc.) for data analysis (incidence, mortality etc.) for cancer in their county, after completion of cancer in their county, after completion of request formsrequest forms


Working with the New Jersey State Cancer Registry

Betsy Kohler has highlighted some useful reports Betsy Kohler has highlighted some useful reports available through the NJSCR:available through the NJSCR: Cancer Among Older Adults in NJ (1994-1998)Cancer Among Older Adults in NJ (1994-1998)

Cancer Among Hispanics in NJ (1990 – 199Cancer Among Hispanics in NJ (1990 – 19966))

Cancer Incidence and Mortality in NJ (1996 – 2000)Cancer Incidence and Mortality in NJ (1996 – 2000)

County Cancer Statistics Report – release County Cancer Statistics Report – release date TBDdate TBD


Funding


The Original Planned Fiscal 2003 The Original Planned Fiscal 2003 New $3.25M Allocation Was to Support:New $3.25M Allocation Was to Support:

NJDHSSNJDHSS: :

1. Office of Cancer Control and 1. Office of Cancer Control and Prevention - Office of the CCCP Prevention - Office of the CCCP Executive DirectorExecutive Director

Peg Knight, RN, MEdPeg Knight, RN, MEd

2 new staff positions 2 new staff positions [[On HOLDOn HOLD]]



NJDHSSNJDHSS: :

2. Cancer Registry - Office of 2. Cancer Registry - Office of Cancer EpidemiologyCancer Epidemiology

Betsy A. Kohler, MPH, CTRBetsy A. Kohler, MPH, CTR

2-3 new staff positions 2-3 new staff positions [[On HOLDOn HOLD]]


The Original Planned Fiscal 2003 The Original Planned Fiscal 2003 New $3.25M Allocation Was to Support:New $3.25M Allocation Was to Support: NJDHSS:NJDHSS:

3.3. NJ Cancer Education and Early NJ Cancer Education and Early Detection (CEED) ProgramsDetection (CEED) Programs

25 new positions at each program (programs 25 new positions at each program (programs in all 21 NJ counties with 4 counties having in all 21 NJ counties with 4 counties having 2 programs)2 programs)

Administered by: Doreleena Sammons-Administered by: Doreleena Sammons-Posey, SM and Anna Ruth Thies, RN, MAPosey, SM and Anna Ruth Thies, RN, MA

1 new 1 new central central State staff position in fiscal State staff position in fiscal 2003 2003 [[On HOLDOn HOLD]]



3. CEED Programs [cont.]3. CEED Programs [cont.] $57,100$57,100 to each program in Fiscal 200 to each program in Fiscal 2003:3:

$52,100$52,100 for a staff/consultant position for a staff/consultant position for Capacity/Needs Assessment and for Capacity/Needs Assessment and Evaluation as the “Evaluation as the “County Evaluators for County Evaluators for the CCCPthe CCCP” (CE/CCCP)” (CE/CCCP)

$5,000$5,000 for support resources - computer for support resources - computer equipmentequipment



NJDHSS: NJDHSS: 3. CEED Programs [cont.]3. CEED Programs [cont.]

On March 5, the above mentioned $57,100 in On March 5, the above mentioned $57,100 in funds received an extension for use beyond funds received an extension for use beyond JUNE 30thJUNE 30th - to permit use through - to permit use through SEPTEMBER 30thSEPTEMBER 30th..

As of April 1, 2003, this has CHANGED and As of April 1, 2003, this has CHANGED and the extension will be through the extension will be through DECEMBER 31stDECEMBER 31st, , providing a more adequate time frame to providing a more adequate time frame to accomplish the goals.accomplish the goals.



4. Training of NJ CEED “CE/CCCP”4. Training of NJ CEED “CE/CCCP” Fiscal 200Fiscal 20033 MOA with UMDNJ- MOA with UMDNJ-SPHSPH Approximately four, day-long programs for Approximately four, day-long programs for

training in basic skills and applying training in basic skills and applying standardized methodology standardized methodology

11stst day of training set for May 14 day of training set for May 14thth

Drs. Marcia Sass [co-PI] and Stanley H. Drs. Marcia Sass [co-PI] and Stanley H. Weiss [PI]Weiss [PI]


The Original Planned Fiscal 2003 The Original Planned Fiscal 2003 New $3.25M Allocation Was to Support:New $3.25M Allocation Was to Support: NJDHSS: NJDHSS:

5. 5. Technical Assistance to NJDHSS/Task Technical Assistance to NJDHSS/Task Force, and External Evaluation:Force, and External Evaluation:

MOA with UMDNJ-NJMSMOA with UMDNJ-NJMS Stanley H. Weiss, MD [PI]Stanley H. Weiss, MD [PI] Susan Collini, MPHSusan Collini, MPH William Halperin, MDWilliam Halperin, MD Judith B. Klotz, MS, DrPH [after May 1Judith B. Klotz, MS, DrPH [after May 1stst ] ]

Funding after June 30, 2003 Funding after June 30, 2003 [[ON HOLD]ON HOLD]


5.5. Technical Assistance to NJDHSS/Task Technical Assistance to NJDHSS/Task Force and External EvaluationForce and External Evaluation (continued)(continued)

Review assessment/evaluation plans and implementation Review assessment/evaluation plans and implementation of other States identified by CDC as exemplary models of other States identified by CDC as exemplary models

Assess instruments and systems for data collection and Assess instruments and systems for data collection and systemization by NJDHSS and its contractorssystemization by NJDHSS and its contractors

Public health/epidemiologic assessment of the Public health/epidemiologic assessment of the Comprehensive Cancer Control Plan (CCCP)Comprehensive Cancer Control Plan (CCCP)



Additional Funding by the State in Additional Funding by the State in Cancer ResearchCancer Research

Cancer Institute of New JerseyCancer Institute of New Jersey William N. Hait, MD, PhDWilliam N. Hait, MD, PhD

NCI-Comprehensive Cancer Center, with NCI-Comprehensive Cancer Center, with NCI mandates related to the communityNCI mandates related to the community

Added allocations of $20M Fiscal 2003, Added allocations of $20M Fiscal 2003, $18M Fiscal 2004 $18M Fiscal 2004

Including for development of a system to Including for development of a system to foster communication about treatment foster communication about treatment programsprograms

RFAs issued March 2003RFAs issued March 2003


The Comprehensive Cancer Control Plan on the Web…..

http://www.state.nj.us/health/ccp/ccc_plan.htmhttp://www.state.nj.us/health/ccp/ccc_plan.htm

presentation to the county evaluators for the new jersey comprehensive cancer control plan

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