Cover Sheet for Example Documentation for PHAB Domain 1 Standard 4 Measure 2

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1 Cover Sheet for Example Documentation for PHAB Domain 1 Standard 4 Measure 2 The following documentation has been submitted to ASTHO for the Accreditation Library as a potential example of Health Department documentation that might meet the PHAB Standard and Measure This document is not intended to be a template, but is a reference as state health agencies develop and select accreditation documentation specific to the health department's activities. Please note that the inclusion of documentation in this library does not indicate official approval or acceptance by PHAB. Document Title: Document Date: to Healthy Maine Partnership 04/30/2015 Version of Standards and Measures Used: 1.0 Related PHAB Standard and Measure Number Domain: 1 Standard: 4 Measure: 2 Required Documentation: Short description of how this document meets the Standard and Measure s requirements: 2 This is an example of the distribution of Maine s Cancer Surveillance Report 2014 to the Health Maine Partnership (HMP) listserv. This partnership includes public health system partners, community groups and key stakeholders. addresses have been redacted; however, the name of the entities in the HMP are listed. Submitting Agency: Staff Contact Name: Staff Contact Position: Staff Contact Staff Contact Phone: Maine Center for Disease Control and Prevention Nancy Birkhimer Accreditation and Performance Improvement Manager Nancy.birkhimer@maine.gov

2 This is an that was sent to the Cancer Control Program's Listserv as well as the Healthy Maine Partnerships, announcing the release of a new Cancer Surveillance Report. Among many community agencies across the state, the Portland Division of Public Health is on this listserv and received this notice. Following pages include a list of recipients and the reportrecipients from Portland Public Health are highlighted yellow on pages 2, 6, 7, and 8. Tribal Liaisons are highlighted blue on pages 7 and 8. [mailto:hmp-bounces@informe.org] On Behalf Of Rebecca Sent: Thursday, April 30, :27 PM To: Subject: [hmp] FW: Maine Cancer Surveillance Report 2014 now available Sent on behalf of Jessica Shaffer please excuse any cross posting. Dear cancer control partners, The Maine CDC Cancer Prevention and Control Programs are pleased to share the Maine Cancer Surveillance Report 2014, available for download at: The Maine Cancer Surveillance Report 2014 was produced through a collaboration of the Maine CDC Cancer Prevention and Control Programs (Breast and Cervical Health Program, Colorectal Cancer Control Program, Comprehensive Cancer Control Program and Maine Cancer Registry) and the University of Southern Maine Chronic Disease Epidemiology staff. The Report provides a comprehensive source of current cancer data for the state of Maine, including incidence and mortality data collected from , as well as data on cancer-related risk factors and behaviors, cancer screening and cancer survivorship. We hope that you find the Report useful in your cancer prevention and control efforts. Please feel free to contact me if you have any questions. Jessica Shaffer, MS, CHES Maine CDC Division of Population Health Maine Comprehensive Cancer Control Program Manager Maine Colorectal Cancer Control Program Director 286 Water Street, 5th Floor Augusta, ME Phone: (207) Fax: (207) jessica.shaffer@maine.gov

3 1 2 Aroostook Community Action Program 3 Bangor Y 4 Beth Wright Cancer Center 5 Blue Hill Memorial Hospital 6 Burgess Advertising 7 Calais Hospital Cancer Care Center of York County 8 Cancer Care Center of York County 9 Cancer Community Center - Portland 10 Celgene, Inc. 11 City of Portland, ME 12 City of Portland, ME City of Portland, ME 13 City of Sanford, ME 14 Compassionate Hands Children's Case Management Services 15 Debra Violette, Free ME from Lung Cancer 16 Delorie Software Dermatology Associates 17 Dermatology Associates 18 DHHS Caribou - Quality Management Specialist Eli Lilly and Co. Family Planning Association of Maine 21 Family Planning Association of Maine

4 Franklin County Health Network 22 Franklin County Health Network 23 Genentech 24 HD Goodall Hospital 25 HealthReach 26 Healthy Oxford Hills - HMP 27 Hospice of Southern Maine 28 Komen Maine 29 Maine Academy of Family Physicians Maine Cancer Consortium Staff Maine Cancer Consortium Staff 30 Maine Cancer Consortium Staff Maine Cancer Consortium Staff 31 Maine Cancer Foundation Maine CDC/ Cumberland Public Health District Maine CDC/ DEH Maine CDC/ DEH 32 S S Maine CDC/ OHE Maine Center for Cancer Medicine 33 Maine Center for Cancer Medicine Maine Center for Cancer Medicine 34 Maine Coalition to Fight Prostate Cancer 35 Maine Hospice Council 36 Maine Hospital Association 37

5 38 Maine Municipal Association Maine Primary Care Association 39 Maine Primary Care Association 40 Maine School Administrative District #75 41 MaineHealth MaineHealth 42 MaineHealth MaineHealth MaineHealth 43 Medical Care Development 44 Melanoma Foundation of New England Mercy Medical Center Mercy Medical Center 45 Mercy Medical Center Mercy Medical Center MidCoast Hospital 46 MidCoast Hospital Millinocket Hospital 47 Millinocket Hospital 48 Nancy Oden - Jonesboro, ME 49 New Hampshire Cancer Control Program 50 Northern New England Clinical Oncology Society Penobscot Bay Health Care Penobscot Bay Health Care 51 Penobscot Bay Health Care Penobscot Bay Health Care 52 Penquis - Community Action Agency 53 Prevent Harm Redington-Fairview General Hospital 54 Redington-Fairview General Hospital 55 Regional School Unit #18 Southern Maine Health Care 56 Southern Maine Health Care 57 Spectrum Medical Group St. Mary's Health System St. Mary's Health System 58 St. Mary's Health System St. Mary's Health System St. Mary's Health System 59 Sunrise Opportunties - Washington and Eastern Hancock County

6 60 The Aroostook Medical Center 61 The Breathe Easy Coalition 62 The Jackson Laboratory Togus - Veterans Affairs 63 Togus - Veterans Affairs Togus - Veterans Affairs Togus - Veterans Affairs UNE 64 UNE UNE 65 United Way of Greater Portland 66 USM 67 Waldo County General Hospital 68 Washington County: One Community Coalition 69 Western Maine Health (Stephens Memorial Hospital) Western Maine Health (Stephens Memorial Hospital) 70 YMCA of Southern Maine N=226 mz

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