1. Restructuring the Cancer Programs and Task Force Workgroups

2.  Improved Program Performance  Collaboration Among B&C (NJCEED), Cancer Registry and Chronic Disease  Increase Screening through Population Based Strategies  Focus on Policy, Systems and Environmental Change Strategies through Four Domains:  Epidemiology, Surveillance and Evaluation  Environmental Strategies (PES)  Health Systems Interventions  Community-Clinical Linkages  Revise the Cancer Plan

3.  Comprehensive Cancer Control (CCC)  NJ Cancer Education and Early Detection Program (NJCEED)  NJ Commission on Cancer Research  Task Force on the Prevention, Early Detection and Treatment of Cancer in NJ  New Name ◦ Office of Cancer Control

4. Original Composition of the CCC and Task Force

5.  10 Regional Coalitions comprised of 21 Counties ◦ Enhanced Funding ◦ Evidence based Interventions ◦ PES Initiatives ◦ Linkage to the Task Force for expertise, partnership and expansion of efforts

6.  Prior Structure ◦ Task Force, 3 Standing Committees, 10 Site Specific Cancer Work Groups  New Structure ◦ Task Force, 2 Standing Committees, 4 Domain Driven Work Groups

7. CCC Task Force Executive Committee Epidemiology, Surveillance, Evaluation Data Sources, Evaluation of projects, interventions Policy, Systems, Environmental Change Tobacco, Obesity, Physical Activity, Schools, worksites Health Systems Team based care, quality care, clinical services, referral and follow up issues Community-Clinical Linkages Screening, early detection, survivorship, self management programs NJDOH Chronic Disease/CCC Advocacy Communications 2012 Recommended Task Force Structure

8. NJDOH/CDPC/ Office of Cancer Control NJCEED19 Lead Agencies NJ Commission on Cancer Research CCC 10 Regional Coalitions Task Force (Gov. App.) Advocacy Communications Epidemiology, Surveillance, Evaluation Policy, Systems, Environmental Change Health Systems Community-Clinical Linkages 2012 OCCP Structure

9.  “CDC has created 7 regional coordinator positions to lead an improved approach to technical assistance for grantees. The regional coordinators and PCs are assigned to their specific geographically centered teams and will meet on a monthly basis to identify opportunities for collaboration and coordination across CDC’s Chronic Disease Center programs.”  “Acceptance of the new Cancer Grant award is commitment to the new process, including the use of the Four Domains.”

10. Epidemiolo gy & Surveillanc e Collaboration & Community Mobilization Communica tions Program Develop ment Evaluation - x - - Community- Clinical Linkages Work Group Epidemiology, Surveillance & Evaluation Work Group Environmental Strategies Work Group Health Systems Interventions Work Group STATE PLAN NJDHSS processes to enhance internal functionality x x x x Stakeholder Work Groups guide the State Plan New Jersey Chronic Disease Prevention and Health Promotion Plan (The NJ State Plan) ROLE: STATE PLAN SUPPORTER ROLE: STATE PLAN DRIVER DOMAINS Epidemiology, Surveillance and Evaluation Collect data and information to develop and deploy effective interventions, identify and address gaps in program delivery, and monitor and evaluate progress in achieving program goals. Use data and information to routinely inform decision makers and the public about the burden of chronic diseases, associated risk factors and the impact of interventions. Environmental Strategies Improve social and physical environments like schools, worksites, and communities to make healthy behaviors easier and more convenient. These types of interventions support and reinforce healthy choices and behaviors and make it easier for people to take charge of their health. They have broad reach, sustained health impact and are best buys for public health. Health System Interventions Improve the clinical environment to more effectively deliver quality preventive services and help people more effectively use and benefit from those services so that some chronic diseases and conditions will be avoided completely, and others will be detected early, or managed better. Community-Clinical Linkages Ensure that people with or at high risk of chronic diseases have access to community resources and support to prevent, delay or manage chronic conditions once they occur. This includes clinician referral, community delivery and third-party payment for effective programs that increase the likelihood that people will take charge of their health.

11.  Develop strategies with the Regional Coalitions that increase screening and reduce burden and include in the revised Plan.  Take and Share these strategies with our Coordinated Chronic Disease partners.  Collaborate with NJCEED and Chronic Disease stakeholders to expand partnerships and widen target populations in need.  Cross cut into Obesity and Tobacco efforts to maximize the reduction of cancer incidence, mortality and morbidity in NJ and increase preventive screening among at risk populations.  Serve the Regional Coalitions in a true advisory capacity.

12. 12 Questions and Discussion?