FOA DP17-1701 Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations National Comprehensive Cancer Control Program Reviewer Training March 16, 2017 Angela Moore, MPH, Team Leader - Program Evaluation and Partnership Team Dana White, MPA, Public Health Advisor - Communications and Training Team Comprehensive Cancer Control Branch (CCCB)
Training Objectives Present NCCCP and its Priorities Discuss the FOA s Expected Outcomes Identify Applicant s Expected Implementation Strategies Understand Award Info, Eligibility, and Scoring Criteria 2
Outline Background Domains of Prevention What is NCCCP? Priorities Logic Model FOA Outcomes Strategies Award Info Eligibility Scoring Q & A 3
Domains of Prevention
The Four Domains of Prevention Environmental Approaches Surveillance and Epidemiology Health Systems Interventions Community-Clinical Linkages 5
Public Health Prevention Domains Surveillance and Epidemiology: Provide states and communities with the necessary expertise to: Collect data and information; Develop and deploy effective interventions; Identify and address gaps in program delivery; and Monitor and evaluate progress in achieving program goals. 6
Public Health Prevention Domains (cont). Environmental Approaches: Promote, support and reinforce healthful behaviors in schools, worksites, and communities. These approaches work to expand availability and access to: Healthy foods and beverages; Opportunities for increased physical activity; Resources that reduce tobacco use, prevent youth initiation, and eliminate exposure to secondhand smoke. 7
Public Health Prevention Domains (cont). Health System Interventions: Improve the delivery and use of clinical and other services to prevent disease, detect disease early, reduce or eliminate risk factors, and prevent or manage complications Community-Clinical Linkages: Develop and support relationships between communities and clinics so that patients are referred to disease management programs; and Ensure that persons at high risk for chronic diseases have access to community resources that will help them manage and reduce their risk 8
National Comprehensive Cancer Control Program
The National Comprehensive Cancer Control Program The National Comprehensive Cancer Control Program (NCCCP) provides the funding, science, and guidance that national organizations, health departments, health systems, and their partners need to plan, implement, and evaluate cancer control plans and interventions.
The Cancer Control Continuum Focus PREVENTION DETECTION DIAGNOSIS TREATMENT SURVIVORSHIP Tobacco control Diet Physical activity Sun protection HPV vaccine Limited alcohol use Chemoprevention Communications Surveillance Pap/HPV testing Mammography Fecal occult blood test Colonoscopy Lung cancer screening Shared and informed decision making Crosscutting Issues Health care delivery and outcomes research Coping Health promotion for survivors Social Determinants of Health Disparities Genetic Testing Decision-Making Dissemination of Evidence-Based Interventions Quality of Cancer Care Epidemiology Measurement Adapted from David B. Abrams, Brown University School of Medicine
NCCCP Priorities Emphasize Primary Cancer Prevention Extend Early Detection and Treatment Activities Support Cancer Survivors and their Families Implement Evidence-Based Cancer Control Policy, Systems, and Environmental Changes Promote Health Equity Demonstrate Outcomes through Evaluation
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NCCCP Expected Outcomes Increased Policy, Systems and Environmental (PSE) changes that lead to improved community access to lifestyle programs and clinical preventive services, and cancer care among cancer survivors. Reduced cancer risks, increased health seeking and healthy lifestyle behaviors, increased early detection of cancer, and improve quality of life for survivors. 14
NCCCP Long-Term Impact Preventing Cancers and their Reoccurrences; Improving Cancer Survivor s Quality of Life; Reducing Cancer Health Disparities; and Decreasing Cancer Morbidity and Mortality. 15
FOA Strategies
FOA Strategies Strategy 1 - Program Collaboration Strategy 2 - External Partnerships Strategy 3 Cancer Data and Surveillance Strategy 4 - Environmental Approaches for Sustainable Cancer Control Strategy 5: Community-Clinical Linkages to Aid Patient Support Strategy 6 - Health Systems Changes Strategy 7: Program 17
Strategy 1 Program Collaboration Recruit and maintain representatives from NPCR, BRFSS, and other state-based surveillance systems to actively participate on cancer control coalitions. Collaborate with chronic disease risk factor prevention programs to include cancer prevention and control strategies in statewide chronic disease plans Coordinate technical assistance and training to build capacity to implement cancer prevention and control activities 18
Strategy 1 Program Collaboration Cancer Control Leadership Team Requirements (Page 19 of the FOA) NCCCP Program Director responsible for facilitating the: Convening of the team and Development of the leadership plan Comprised of Program Directors from the: National Breast and Cervical Cancer Early Detection Program; National Comprehensive Cancer Control Program; and National Program of Cancer Registries Application Must Include Letters of Commitment from each Program 19
Strategy 2 External Partnerships Support an existing state-, tribe-, territorial-, or jurisdictionalwide cancer coalition to achieve cancer plan goals and objectives. Leverage community resources to implement EBIs that are aligned with promoting cancer-related health equity Foster and maintain relationships with key organizations 20
Strategy 3 Cancer Data and Surveillance Facilitate use of cancer data for program planning and implementation efforts Identify high risk populations in collaboration with cancer and other chronic disease programs (e.g., smoking and health) Participate in joint reporting of population risks and cancer burden with other chronic disease programs using public health surveillance data 21
Strategies 4 6 Strategies 4-6 are the Heart of the NCCCP section. They include: 3 Focus Areas Primary Prevention, Early Detection, and Survivorship AND 3 Cross-Cutting Priorities Policy, Systems, and Environmental Approaches, Health Equity, and Evaluation 22
The Heart of the NCCCP: Implementation Strategies 4-6 Cancer Disparities Priority areas: Primary Prevention Screening Addressed by Implementing Strategies 4-6 : Environmental Approaches Health System Changes Survivorship Community Clinical Linkages 23
Strategy 4 Environmental Approaches for Sustainable Cancer Control Collaborate with other chronic disease programs and/or other public health programs to support proposals for changes in policies that support cancer prevention and control 24
Strategy 5 Community-Clinical Linkages to Aid Patient Support Use registry and/or cancer mortality data to identify populations at higher risk for late-stage diagnosis or higher cancer mortality Collaborate with other cancer and chronic disease programs in the design and targeting of prevention such as HPV vaccination and tobacco cessation or screening interventions to those with increase cancer burdens Support use of survivorship care planning and chronic disease self-management for cancer survivors 25
Strategy 6 Health Systems Changes Implement (or support the implementation of) evidencedbased interventions such as client reminders, provider assessment and feedback to improved cancer screening within health systems. Partner with health systems to use data to identify screening rates and treatment data to identify populations at risk for late-stage disease or not receiving recommended care Participate in and encourage electronic reporting from cancer care providers and collaborate with other state programs to achieve increased electronic reporting 26
Applicant Work Plans Work Plans should include at least 3 Evidence-Based Interventions in each of the following priority areas: Priority 1: Primary prevention of cancer Priority 2: Screening and early detection of cancer Priority 3: Improving quality of life of cancer survivors At least one (1) of the selected strategies in each priority area must address cancer-related disparities as evidenced by risk, incidence, and mortality. *Grantees will select their strategies from our Library of Indicator and Data Sources (LIDS) located at \\cdc.gov\private\m121\hcq9\ccc Library of Indicators and Data Sources_2014.accdb. 27
Strategy 7 Program Monitoring and Evaluation Grantees Must: Develop a 5 year evaluation plan; Submit Annual evaluation reports summarizing key findings; Report program progress using the Chronic Disease Management Information System, and Create at least 4 dissemination documents 28
Award Information
NCCCP Component Award Information Approximately $22 million per year available Ceiling per budget period: $750,000 Anticipated award date: June 29, 2017 30
NCCCP Component Eligibility State Health Agencies or their Bona Fide Agents US Territories Pacific Island Jurisdictions (USA PIJ) Federal and State Recognized Native American, American Indian, and Alaska Native Tribal Governments and Organizations Native American Tribal Organizations (Other than Federally Recognized Tribal Organizations) 31
NCCCP Component Scoring Criteria Maximum Points Approach 40 Evaluation and Performance Measurement 20 Organizational Capacity 40 Budget 0 32
Approach (40 points) Does the Applicant: Address cancer burden in their jurisdiction? (5) Clearly identify outcomes to be achieved? (5) Describe how infrastructure will be maintained? (5) Describe efforts to facilitate collaboration to maximize resources? (10) Describe how cancer risk factor and surveillance data will be used? (5) Describe core interventions that will enhance, increase, and promote services and care? (5) Describe how strategies will improve health status and reduce gaps? (5) 33
Evaluation and Performance Measurement (20 points) The Applicant must: Develop an initial evaluation and performance measurement plan (10) Ensure the plan follows the CDC Evaluation Framework (10) 34
Organizational Capacity (40 points) The Applicant Must: 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) 35
Budget (0 points) Does the budget align with staffing, project, and work plan? Is an itemized budget narrative provided? Is at least 60% allocated for program implementation and no more than 40% allocated for program staffing? 36
Questions and/or Comments? Please Send Post-Training Questions to CDCReview@grantreview.org 37
Follow DCPC Online! @CDC_Cancer CDC Breast Cancer Go to the official source of cancer prevention information: www.cdc.gov/cancer. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.