DP17-1701 Program 2 National Comprehensive Cancer Control Program Objective Reviewer s Tool March 2017
Approach (0-40 total points) Describes the cancer burden in the applicant s jurisdiction? (5) Clearly identifies outcomes to be achieved? (5) Describes how infrastructure will be maintained? (5) Describes efforts to facilitate collaboration to maximize resources? (10) Describes how cancer risk factor and surveillance data will be used? (5) Describes core interventions that will enhance, increase, and promote services and care? (5) Describes how strategies will improve health status and reduce gaps? (5) Approach components described on FOA pages 15 and 19-20 Work Plan expectations are listed on FOA page 28
Approach-Cancer Burden (0-5 points) How thoroughly does the applicant describes its cancer incidence and mortality? What are the data sources for the incidence and mortality data? Does the applicant reference the State s cancer registry as a data source? How well does the applicant describes its cancer survivor population (percentage of survivors in the population as well as some of the issues or challenges its cancer survivors face.) Look for descriptions of disproportionate health outcomes among disparate populations within applicant s community. RELIABLE TRUSTED SCIENTIFIC DCPC
Approach: Achieving Outcomes (0-5) Does the applicant describe how it will achieve the short- and intermediate-term outcomes described in the program logic model? Short-term: At a minimum, look for mention of policy, environmental and health systems change activities to promote or support healthy lifestyle behaviors, cancer screening, and improved quality of life for cancer survivors. Intermediate: At a minimum, look for mention improved access to services and programs and increased use of preventive services, etc. Long-term outcomes may be included.
Approach: Maintaining infrastructure (0-5) Is the program staffing limited to 40% of the total budget application? **Note: It is permissible to use contractors to implement specific cancer control plan activities. These contractors do not count towards the 40% staffing requirement. Does the applicant describe a plan for engaging stakeholders and maintaining a cancer coalition? How well does the applicant describe plans to implement activities described in the state s cancer control plan? RELIABLE TRUSTED SCIENTIFIC DCPC
Approach: Facilitating Collaboration (0-10) Does the applicant describe a plan to convene and facilitate activities of the required Leadership Team (LT)? The LT is comprised of representation from the state s other cancer prevention and control programs, i.e. the state s CDC-funded Breast and Cervical Cancer Early Detection Program, Cancer Registry, and Colorectal Cancer Control Program. (Note**CDC funds 30 CRCCP grantees. Refer to this site (https://www.cdc.gov/cancer/crccp/contact.htm ) to determine if CDC funds a CRCCP in your applicant s state.) Note- The Leadership Team is a requirement for state applicants only. While applicants from tribes and territories are not specifically required to convene a Leadership Team, they are however, required to collaborate with other programs in their organizations and should describe how that will be accomplished.
Approach: Facilitating Collaboration (0-10) cont. At a minimum, applicants must provide Letters of Support (LOS) from: The state s Chronic Disease Director committing support to the collaborative efforts required in this FOA, as appropriate. The state s current CDC-funded Colorectal Cancer Control Program manager (as applicable), as well as the state applicants requesting consideration for NBCCEP and NPCR program funding through this opportunity. Each letter must commit support and participation on the State Leadership Team. Tribal and Territorial applicants requesting funding for multiple components through this opportunity must also submit similar letters supporting collaboration across those components.
Approach: Facilitating Collaboration (0-10) Letters of Support cont. A letter of support from its Cancer Coalition Chair committing support for activities to revise and update the state s cancer plan as appropriate and implement state cancer plan priorities. A minimum of 3 letters from state or local partners committing support of activities to implement cancer plan priorities at the local level. RELIABLE TRUSTED SCIENTIFIC DCPC
Approach: Facilitating Collaboration (0-10) cont. In addition to collaborating with the state s CDC-funded cancer programs, applicants are also expected to describe proposed collaborations with other CDC-funded chronic disease programs, i.e. the state s tobacco control, diabetes prevention, and physical activity and nutrition programs. Applicants should also propose collaborations with CDCfunded programs, such as immunization programs, school health programs, hepatitis programs, etc. While we have not specified a specific number of collaborations, we do expect the selected collaborations to be based on burden and impact potential.
Approach: Collaborations with non-cdc funded programs (0-5) Similar to collaborations with other CDC-funded programs, applicants are expected to describe proposed collaborations with other national, state, local partners to leverage and maximize the state s capacity to effectively implement cancer plan priorities. Collaborators could include: American Cancer Society, Prevention Research Centers, Comprehensive Cancer Centers, Primary Care Associations, Federally Qualified Health Centers, and other organizations RELIABLE TRUSTED SCIENTIFIC DCPC
Approach: Plans to use surveillance data (0-5) Applicant must describe how cancer risk factor and surveillance data will be used to inform implementation efforts.
Approach: Core Interventions (0-5) * Core Intervention strategies are to be selected using the LIDS tool. (See handouts) Applicants must: Describe core interventions that will enhance: social and physical environments increase preventive health services or health care extender services promote clinical care Describe how these efforts will: emphasize primary prevention of cancer promote early detection and screening improve the quality of life among cancer survivors
Approach: Disparities (0-5) Applicant is expected to describe how chosen strategies will improve health status for the entire population as well as seek to reduce the disparities we see in health outcomes by targeting some efforts on specific population groups disproportionately affected by cancer.
Evaluation and Performance Measurement (0-20 points) Applicants are required to: Develop an initial evaluation and performance measurement plan (10) Plan should evaluate activities to: Assess coalition effectiveness and contribution to the implementation of program priorities Use appropriate data to inform program practice Implement statewide cancer plan activities Plan program sustainability and resource allocation Use evidence-based approaches to address cancer burden in the general population as well as the target populations. The plan follows the CDC Evaluation Framework (10) Evaluation Plan components included on FOA page 24
Organizational Capacity (0-40 points) In this section, the applicant should: Demonstrate relevant experience and capacity (10) Demonstrate previous 5-year experience implementing a CCC program (15) Demonstrate experience and capacity to implement the evaluation plan (10) Provide a staffing plan (5) Required capacity and key staff described on FOA pages 25-26
Organizational Capacity: Relevant experience and capacity (0-10) Does the applicant provide: Evidence of an active state-, tribal- or jurisdiction-wide cancer control coalition. A current state, tribal or territorial cancer control plan Evidence of prior experience collaborating with central cancer registries, as well as state and tribal epidemiology centers to use surveillance data to plan and implement cancer control and prevention program activities Evidence of prior experience collaborating with established population-based cancer screening programs.
Organizational Capacity: Relevant experience and capacity, cont. (0-10) Evidence of prior experience collaborating with other CDCfunded chronic disease programs to inform and support policy, systems, and environmental change interventions to reduce risks of developing cancer, such as promoting tobacco cessation, reducing exposure to second-hand smoke, increasing access to safe places for physical activity, increasing access to healthy food choices, etc Evidence of prior experience collaborating with key, non- CDC-funded stakeholders RELIABLE TRUSTED SCIENTIFIC DCPC
Organizational Capacity: Relevant experience and capacity, cont. (0-10) Evidence of capacity to collaborate with state-based Immunization programs Proof of published dissemination documents describing successes implementing comprehensive cancer control program strategies Describe existing capacity to inform the general public, stakeholders, and key decision-makers about cancer risks and burden and the potential positive impact of effective policy, systems, and environmental change interventions on this burden RELIABLE TRUSTED SCIENTIFIC DCPC
Organizational Capacity: Experience implementing a CCC program (0-15) Does the applicant: Describe experience implementing evidence-based policy, systems, and environmental change strategies and activities to prevent and control cancer? This includes implementing activities for populations disproportionately affected by cancer; implementing activities to encourage healthy behaviors such as not smoking or eating a healthy diet and maintaining a healthy weight; helping people detect cancer early by getting screened as recommended; supporting early cancer diagnosis and treatment; and putting policies and practices in place to link those most in need to community activities that support clinical recommendations
Organizational Capacity: Experience implementing a CCC program cont. (0-15) Demonstrate experience serving in a leadership capacity on the executive board and/or various workgroups of the state s, tribe s, or territory s cancer coalition Demonstrate experience and success implementing cancer prevention and control strategies at the local level Describe experience identifying populations disproportionately affected by cancer using data and implementing evidence-based interventions and strategies. This should be done in conjunction with key partners to reduce health disparities and improve health equity at the state and community level
Organizational Capacity: Evaluation planning and implementation (0-10) Does the applicant provide: Demonstrated expertise in planning and implementing a utilization-focused evaluation for the purpose of documenting outcomes and facilitating program improvement Evidence of prior experience conducting comprehensive cancer control program evaluation. RELIABLE TRUSTED SCIENTIFIC DCPC
Organizational Capacity: Staffing (0-10) Does the staffing plan include a: Program Director Policy Systems and Environmental Change Strategy expert Program Evaluator Look for evidence of communications (public relations, media relations, social media), surveillance epidemiology and utilization of health data, health care system interventions, fiscal and resource management, professional development, strategic planning and coalition and partnership development expertise Look for evidence of expertise in issue framing, policy analysis, policy formulation, message tailoring, and media advocacy RELIABLE TRUSTED SCIENTIFIC DCPC
Budget (not scored) Is the proposed budget reasonable and consistent with the proposed staffing and programmatic activities? Are the proposed activities within the scope of work described in the FOA? Does the applicant provide an itemized budget narrative? Does the proposed budget allocates at least 60% of funding for program implementation and no more than 40% for program staffing? RELIABLE TRUSTED SCIENTIFIC DCPC