James Keresztury, ACSW, MBA

Transcription

1 James Keresztury, ACSW, MBA

2 I have no actual or potential conflict of interest in relation to this program/presentation.

3 Presentation Goals Increase awareness of cancer burden in WV. Promote awareness of the purpose of MOH. Knowledgeable about the WV Cancer Plan Aims. Identify priorities for cancer work in WV. Identify how you can become part of the effort to reduce the impact of cancer in WV.

4 WV Cancer Burden Annually near 11,275 West Virginians are diagnosed with cancer Cancer is a leading cause of death in West Virginia WV has a higher rate of cancer than the nation overall 4 Source: State Cancer Profiles

5 Age-Adjusted All-Site Invasive Cancer Incidence Rates by Gender 5 Source: WVCR and USCS

6 Distribution of Cancer In Males 6 Source: WVCR

7 Distribution of Cancer In Females 7 Source: WVCR

8 Tobacco-Related Cancers Tobacco use is associated with increased risks of the following cancer types, and possibly others as well: Lung and Bronchus Cervix Colon and Rectum Stomach Urinary Bladder Esophagus Kidney and Renal Pelvis Larynx Pancreas Liver and Bile Duct Oral Cavity and Pharynx Acute Myeloid Leukemia Approximately 5,515 tobacco-related cancers are diagnosed in WV annually 8

9 Tobacco-Related Cancer Incidence Rates, West Virginia and the US, Source: WVCR and NAACCR Fast Stats

10 COMPREHENSIVE CANCER CONTROL: How It Began Sixteen years ago state and national organizations began linking cancer prevention and control programs to fight cancer more effectively.

11 COMPREHENSIVE CANCER CONTROL: Definition Comprehensive Cancer Control is a collaborative process through which a community pools resources to reduce the burden of cancer that results in: Risk reduction. Early detection. Better treatment. Enhanced survivorship.

12 COMPREHENSIVE CANCER CONTROL: CDC s Role Provide initial funds for CCC programs nationwide. Advise and support CCC programs: Planning. Putting plans into action. Support evaluation of national CCC outcomes.

13 COMPREHENSIVE CANCER CONTROL: CDC s National Program Funds states, tribes, and territories to: Establish CCC coalitions. Assess the burden of cancer. Determine priorities. Develop and implement CCC plans.

14 COMPREHENSIVE CANCER CONTROL: CCC Programs Role at the WVBPH Assess the cancer burden. Identify stakeholders and build a coalition. Develop a framework and vision. Create a plan. Set priorities and gather resources. Define steps for putting the plan into action. Put the plan into action. Evaluate activities.

15 COMPREHENSIVE CANCER CONTROL: Benefits of Collaboration Why a Statewide Cancer Coalition? A united front is more powerful. Working together is more efficient. Collective action creates new allies. Coalitions can tackle cross-cutting issues.

16 The Creation of MOH

17 Mountains of Hope Founding Organizations

18 Maximize limited resources Improve services Achieve desired cancer control outcomes More efficient delivery of healthrelated messages

19 Who is Mountains of Hope? State Agencies Community Based Organizations Research/ Academic Institutions Agents of Hope Mountains of Hope Individuals Clinicians Advocacy Groups

20 Approximately 200 Active Members & Organizations Represented

21 Mountains Of Hope Our Vision To reduce the economic and human impact of cancer in WV Our Mission To encourage strategic collaborations statewide and at the community level that address MOH s priorities

22 Author of the WV Cancer Plan a framework for comprehensive cancer control guiding statewide efforts to reach overarching goals

23 A Blueprint

24 Who Developed the Plan? Survivors Public Health Professional Organizations Health Care Providers LOGO

25 Three Pillars to Cancer Care Prevention Early Detection Survivorship Health Equity in Cancer Care LOGO

26 Risk Reduction/Prevention Reduce cancer risk by encouraging people to: Avoid tobacco use. Eat a healthy, balanced diet. Maintain a healthy weight. Exercise regularly. Limit alcohol consumption. Protect themselves from environmental risks (i.e., sun exposure).

27 Early Detection Detect cancers earlier by: Promoting recommended cancer screening guidelines and tests. Educating people about possible cancer signs and symptoms.

28 Survivorship/QOL

29 Survivorship/QOL Definition of a cancer survivor. Survivorship issues include: Patient navigation Pain management Hospice and palliative care Clinical trials Use of Advance Directives

30 Challenges to Health Equity For Cancer Care In West Virginia Poverty Lifestyle Choices Shortage of Health Care Providers

31 Challenges to Health Equity For Cancer Care In West Virginia Lack of Public Transportation Low Literacy Levels Shortage of Community Services

32 Integration Across Chronic Disease Type 2 Diabetes Cardiovascular diseases Asthma Common Factors Cancer COPD Hypertension Obesity

33 The WV Cancer Plan is based on the following five overarching goals: Goal 1 Prevent cancer from occurring. Goal 2 Detect cancer at its earliest stages. Goal 3 Treat cancer patients with the most appropriate and effective therapy. Goal 4 Improve the quality of life for every West Virginian affected by cancer. Goal 5 Achieve health equity across the cancer care continuum.

34 WV Cancer Plan 25 Specific Aims

35 Policy Systems, and Environmental Change

36 How to Get Started?

37 Screening Guidelines The US Preventive Services Task Force (USPSTF) recommends the following cancer screening guidelines for most adults. Screening tests are used to find cancer before a person has any symptoms. Everyone should talk with their health care provider to determine if screening is right for their individual situation. Cancer The Uspstf recommends (as of 09/1/17): Breast** Biennial (every other year) screening mammography for women years. The decision to start screening mammography in women prior to age 50 years should be an individual one. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years. Cervical Colorectal** The USPSTF recommends screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary. Lung Annual screening for lung cancer with low-dose computed tomography in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once the individual has not smoked for 15 years or develops a health problem that significantly limits life expectancy or the ability or willingness to have curative lung surgery. ** visit for the most current information.

38 Mountains of Hope Priority Workgroups Aim 8 (UV light) Workgroup Aim 14 (lung cancer) Workgroup Aim 10 (immunization) Workgroup Aim 17 (clinical trials) Workgroup Aim 11 (colorectal cancer) Workgroup Aim 20 and 23 (quality of life and hospice) Workgroup

39 Other Major Endeavors of MOH Collaborating with WVOS and ACS to establish a CT Network Patient Survivorship and Navigation Annual Summit Health Literacy Training Colorectal Screening PSA s Colorectal Summits Leading to 80% by 18 Initiative

40 Other Major Endeavors of MOH Community Mini Grants MOH TV Show Conversations About Cancer Fridays at 11 AM, 5 PM and 11 PM Saturdays at 5 AM and 11 PM

41 MOH Colorectal Cancer PSA

42 MOH Skin Cancer PSA

43 Merck HPV PSA

44 An Evolving MOH Old MOH No Regionalization Expect Members to Travel to Charleston No Representation on SC New MOH Create Regions Increase Representation on SC Encourage Regional Work LOGO

45 HANCOCK BROOKE OHIO Regional Coalitions (6 Regions) WETZEL MONONGALIA TYLER MARION MARION PRESTON MINERAL WOOD WIRT RITCHIE LEWIS TAYLOR BARBOUR BARBOUR TUCKER TUCKER GRANT HARDY HAMPSHIRE MASON JACKSON ROANE BRAXTON RANDOLPH PENDLETON PUTNAM CABELL KANAWHA LINCOLN WAYNE BOONE LOGAN WYOMING MCDOWELL CLAY WEBSTER NICHOLAS POCAHONTAS FAYETTE GREENBRIER RALEIGH MONROE MERCER Metro Valley Coalition Ohio Valley Coalition New River Coalition Central WV Coalition Potomac Highlands Coalition Eastern Panhandle Coalition

46 What are the most pressing WV cancer priority areas?

47 Cancer Lead Division of Health Promotion and Chronic Disease Name: Phone: Contact Information Sheryn.L.Carey

48 MOH Facilitator Contact Information Contact Information Name: Jim Keresztury Phone:

49 Join the Mountains of Hope Cancer Coalition Contact Information Name: Jenny Ostien Phone: