Shauntay Davis, MPH Program Director California s Comprehensive Cancer Control Program California Department of Public Health National Colorectal Cancer Roundtable Annual Meeting December 7, 2017 Bethesda, MD
California s Comprehensive Cancer Control Program California s Comprehensive Cancer Control Program (CCCP) is charged with: Establishing a cancer control coalition California Dialogue on Cancer or Assessing the burden of cancer in California Developing and implementing a Comprehensive Cancer Control Plan for California
First state cancer plan adopted in 2004 that included goals and objectives to reduce the cancer burden by 2010. CDOC formed implementation teams to achieve goals including CRC Goal for CRC: By 2010, reduce the CRC mortality rate in California by 40%.
California Dialogue for Action - 2006 CDOC CRC Implementation Team applied for funding to further CRC screening efforts identified in the cancer plan Received a grant from the Prevent Cancer Foundation to convene a California Dialogue for Action conference.
$60,000 raised to assist in establishing a 501c3 In 2007, the California Colorectal Cancer Coalition (C4) is established C4 s mission is to save lives and reduce suffering from colorectal cancer in all Californians. www.cacoloncancer.org
Led by a president and a volunteer member board Major funders are the Colon Cancer Alliance through the UNDY Run/Walk in Sacramento and San Diego and ACS Close coordination with ACS, CDOC, and the state CRC CDC funded screening program www.cacoloncancer.org
C4 Community Grants Program Annual community collaborative grant process initiated in 2013 with a major focus on increasing the screening rate in California s FQHCs 2013 through 2017 a total of $278,660 funded 35 grants www.cacoloncancer.org
C4 Community Grants Program at Work CRC HRSA* 2012 CRC HRSA 2013 CRC HRSA 2014 CRC HRSA 2015 CRC HRSA 2016 Clinic County CENTRO DE SALUD DE LA COMUNIDAD SAN YSIDRO San Diego 91,315 41.40% 31.40% 50.00% 42.90% 60.00% FAMILY HEALTH CENTERS OF SAN DIEGO, INC. SAN DIEGO San Diego 133,339 18.60% 30% 27% 33.9% 37.5% IMPERIAL BEACH COMMUNITY CLINIC IMPERIAL BEACH San Diego 10,485 34.30% 50% 35.7% 59.1% 63.5% LA MAESTRA FAMILY CLINIC SAN DIEGO San Diego 44,000 11.40% 28.60% 33.60% 51.30% 51.30% NEIGHBORHOOD HEALTH CARE ESCONDIDO San Diego 66,804 16.60% 35.80% 60.00% 45.90% 53.80% NORTH COUNTY HEALTH PROJECT, INC. SAN MARCOS San Diego 64,720 30.00% 30% 36.9% 43.0% 42.1% OPERATION SAMAHAN San Diego 16,142 8.60% 2.50% 8.60% 54.10% 40.30% SAN DIEGO FAMILY CARE San Diego 25,975 57.10% 34.20% 42.80% 39.60% 40.40% ST. VINCENT DE PAUL VILLAGE, INC. San Diego 2,833 18.60% 20% 21% 15.7% 15.7% VISTA COMMUNITY CLINIC VISTA San Diego 60,753 26.80% 29.60% 35.30% 28.10% 37.10% Average CRC Screening: San Diego County FQHCs serve 516,366 weighted by clinic size 26.1% 45.9% San Diego FQHC Screening Data - C4 Community Grants Program recipients highlighted in yellow. * Health Resources and Services Administration
CDOC and C4 continue to collaborate on CRC efforts in California C4 s independent status allows for more flexibility in initiating various efforts CDOC s broader stakeholder base and reach allows the engagement of additional partners to address CRC efforts
2014 - CDOC joined the 80 by 2018 movement and declared increasing CRC screening our BIG Win Draft Cancer Plan Goal: By 2020, increase CRC screening among CA s 50 and older by 24.22%, from the baseline of 64.4%* to 80%. 2015 - CA Comp Cancer Program was selected to participate in the first 80 by 18 Forum: Increasing CRC Screening Rates through Enhanced Partnerships between Comp Cancer Control Coalitions & FQHCs *Behavioral Risk Factor Surveillance System, 2013
80% by 2018 Forum Outcome An action plan was developed to assist community health centers increase their CRC screening rates Objective: Develop a CME training that addresses specific needs and challenges of community health centers to increase CRC screening
Established Colorectal Cancer Workgroup as part of CDOC to develop training Engaged additional partners, including C4, California Primary Care Association (CPCA), ACS and additional SMEs Utilized Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers to develop needs assessment and training curriculum
Increasing CRC Screening Rates Addressing barriers and learning best practices impacting California Community Clinics & Health Centers 4.25 CME credits Recordings of the presentations will be available on the CPCA You Tube Channel and the CPCA On Demand Library www.cpca.org
Operational Efficiencies in CRC Screening Standing orders, FluFIT Care Delivery & Coordination for CRC Screening Patient navigation, staff coordination & patient education Best Practices for Financial Sustainability for CRC Screening Hospital partnerships, EHR optimization, negotiating FIT prices
Approximately 95 participants from California community health centers: QI, compliance and administrators Nurses, PAs, and physicians Health educators and patient navigators Post meeting evaluation data indicated increased knowledge in various areas November 2017, sent out follow up survey to all training participants to assess any action taken since the training
18 respondents noted changes in all categories Operational Efficiencies in CRC Screening 50% of respondents indicate establishing a provider/care team reminder system 50% of respondents indicate making changes to an existing FluFIT program Care Delivery & Coordination for CRC Screening Most significant changes reported are in the areas of patient education, navigation, and staff training Best Practices for Financial Sustainability for CRC Screening 39% of respondents indicate they have made changes to improve EHR systems, including standing orders
Increasing CRC screening through state level coalitions requires collaboration, commitment, and passion.
Ensure there is a champion on board Utilize state cancer coalition and comprehensive cancer control program and stay engaged Engage stakeholders and build network ensure there is diversity in membership (e.g. GIs, survivors, fundraisers, advocates, etc.)
Develop a vision and goals Get creative with funding efforts Utilize existing resources Maintain stakeholder commitment