Presentation is loading. Please wait.

Presentation is loading. Please wait.

Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho (CCAI) WELCOME Kari May President, CCAI.

Similar presentations


Presentation on theme: "Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho (CCAI) WELCOME Kari May President, CCAI."— Presentation transcript:

1 Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho (CCAI) WELCOME Kari May President, CCAI

2 Comprehensive Cancer Alliance for Idaho Vision Every Idahoan deserves the opportunity for proper cancer prevention and detection, state of the art cancer treatment, and the highest possible quality of life which we are committed to provide through a data driven, coordinated comprehensive cancer plan.

3 Comprehensive Cancer Alliance for Idaho MISSION Strengthen and coordinate efforts to address cancer issues along the continuum of cancer prevention and care. Assess, define and monitor the burden of cancer in Idaho. Resources will be identified or developed and will be networked through collaborative efforts. Raise awareness among the general populations, health care professions, organizations, agencies and policymakers.

4 Comprehensive Cancer Alliance for Idaho Cancer Data Registry of Idaho Chris Johnson, MPH Epidemiologist

5 Comprehensive Cancer Alliance for Idaho Cancer Data Registry of Idaho CDRI is a statewide cancer registry that collects incidence and survival data on all cancer patients who reside in the state of Idaho or who are diagnosed and/or treated for cancer in the state of Idaho. CDRI was established in 1969 and became population- based in Cancer is a reportable disease under state law, and operations of the registry are mandated by Idaho Code. Funding comes from three sources: – <1% of the Idaho tobacco tax. –CDC –Grants & contracts

6 Comprehensive Cancer Alliance for Idaho Thanks for Participating in the MAC Survey! 1)What specific types of data or formats of reports would be helpful to you and your peers? “Incidence rates and survival rates per county for each year and how this compares to national rates.” 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?7. Cancer data for Idaho can be accessed through the Cancer Data Registry of Idaho’s website at and is linked to the CCAI website. With regards to cancer data please comment on the following: 1)What specific types of data or formats of reports would be helpful to you and your peers? 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?7. Cancer data for Idaho can be accessed through the Cancer Data Registry of Idaho’s website at and is linked to the CCAI website. With regards to cancer data please comment on the following: 1)What specific types of data or formats of reports would be helpful to you and your peers? 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?

7 Comprehensive Cancer Alliance for Idaho

8

9

10

11

12 BRFSS Data – Gem County

13 Comprehensive Cancer Alliance for Idaho Cancer Survival Methods development continues –State life tables –Pohar Perme net survival instead of relative survival No US national cancer survival statistics –yet… “Evaluation of NACCR Cancer in North America Data for Use in Population- Based Cancer Survival Studies” to be published in JNCI survival monograph (Fall 2013)

14 Comprehensive Cancer Alliance for Idaho MAC Survey and Action Items 2) How should data reports be distributed to health care professionals? –“Electronic newsletter to all Idaho physicians.” What CDRI will do: –Idaho Disease Bulletin (Chris Hahn, MD, State Epidemiologist) Utilizes IMA mailing list (not just members) –IMAges (Idaho Medical Association) 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?7. Cancer data for Idaho can be accessed through the Cancer Data Registry of Idaho’s website at and is linked to the CCAI website. With regards to cancer data please comment on the following: 1)What specific types of data or formats of reports would be helpful to you and your peers? 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?7. Cancer data for Idaho can be accessed through the Cancer Data Registry of Idaho’s website at and is linked to the CCAI website. With regards to cancer data please comment on the following: 1)What specific types of data or formats of reports would be helpful to you and your peers? 2) How should data reports be distributed to health care professionals? 3) Do you have any avenues for data dissemination within your hospital/practice clinic?

15 Comprehensive Cancer Alliance for Idaho MAC Survey and Action Items 3) Support for policy implementation – clinical trials. –“Utilize research assistant to screen new patients to determine if they are eligible for clinical trials and let physicians know who may be a candidate.” CDRI concept: –Utilize CDRI database for identifying patients for clinical trial eligibility, statewide. –Requires new data model of rapid case reporting, something CDRI is exploring.

16 Comprehensive Cancer Alliance for Idaho Women’s Health Check Susan Bordeaux, RN Clinical Coordinator

17 Comprehensive Cancer Alliance for Idaho Women’s Health Check Serves nearly 5,000 low-income, uninsured and underinsured women yearly Aged for breast screening, aged for cervical screening 138 women diagnosed with cancer in FY12 –77 Breast, 3 Cervical, 58 Pre-cervical Most of these diagnosed women are approved to BCC Medicaid for the duration of their active treatment.

18 Comprehensive Cancer Alliance for Idaho Women’s Health Check 10 contractors coordinate over 400 providers Program oversees quality assurance and improvement for best care by national standards Program promotes screening and early detection for the general population, not only WHC-eligible WHC currently has openings for screening assistance statewide.

19 Comprehensive Cancer Alliance for Idaho BCC Survey Action Item – Increase Mammography Screening 67% Support campaign to increase primary care provider referrals for mammography. What can CCAI impact? –Provider script pads (50%) –Provider impact reports (for WHC providers)- 25% Develop Mammogram script pad for use in medical offices and clinics –Design and production stages completed by 6/7/13 –Announced in newsletters, distributed throughout Idaho via WHC contractors, IAFP, other partners

20 Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Control Program Patti Moran, MHS Program Manager

21 Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Action Promotion of screening: Confusion on what works/doesn’t work Educate partners on evidence-based promotion strategies Continue to watch impacts of healthcare reform

22 Comprehensive Cancer Alliance for Idaho Sample: Task Force Recommendations & Findings InterventionsBreast CancerCervical Cancer Colorectal Cancer Client Reminders Recommended July 2010 Client Incentives Insufficient Evidence July 2010 Small Media Recommended December 2005 Mass Media Insufficient Evidence October 2009 Group Education Recommended October 2009 Insufficient Evidence October 2009 One-on-One Education Recommended March 2010 Reducing Structural Barriers Recommended March 2010 Insufficient Evidence March 2010 Recommended March 2010 Reducing Client Out-of-Pocket Costs Recommended October 2009 Insufficient Evidence October 2009

23 Comprehensive Cancer Alliance for Idaho Continue to educate stakeholders on the effectiveness of policy, systems, and environmental change interventions –Clinical trials –Tanning restrictions for teens –Shade policies Survivorship- not included on survey but CCCP is now required to address, e.g.: –Survivorship Plan/Treatment summaries –Referral to post treatment community QOL programs (physical activity, support, prevent secondary cancers, cessation)

24 Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Strategic Plan Objectives 2011 ‐ 2015 Outcome Measures Used in Cancer Control * Outcome measures in decreasing order of utility for monitoring and evaluating components of cancer control. Adapted from: Armstrong BK. The role of the cancer registry in cancer control. Cancer Causes and Control 1992;3:

25 Comprehensive Cancer Alliance for Idaho Version History – May 13, 2013 Recalculation of all cancer mortality baseline data, targets, and rankings using revised intercensal population estimates released from the National Center for Health Statistics in October Updates to SEER cancer incidence through 2010; US mortality through 2010; Idaho mortality data through 2011; and Idaho incidence data through 2010.

26 Comprehensive Cancer Alliance for Idaho Version History – May 13, 2013 Update of US data for Objective 27 - Reduce the proportion of adolescents in grades 9 through 12 who report using artificial sources of ultraviolet light for tanning. When 2010 US cancer incidence data are made available (expected July 2013), all cancer incidence baseline data, targets, and rankings will need to be recalculated using the revised intercensal population estimates released from the National Center for Health Statistics in October 2012.

27 Comprehensive Cancer Alliance for Idaho Melanoma Mortality

28 Comprehensive Cancer Alliance for Idaho Cancer Conference Discussion Applied for funds to support statewide cancer meeting tailored to professionals. May 2014 How important are CMEs? General or breakouts with specific tracks? –Ideas for tracks? (dermatology, clinical research, survivorship) Speaker volunteers or suggestions?

29 Comprehensive Cancer Alliance for Idaho Clinical Guidelines Discussion Which sources do you rely on for clinical guidelines?

30 Comprehensive Cancer Alliance for Idaho Clinical Practice Guidelines in Oncology National Comprehensive Cancer Network (NCCN) National Cancer Institute (NCI) American Society of Clinical Oncology (ASCO) Agency for Healthcare Research and Quality (AHRQ) National Guideline Clearinghouse Others??

31 Comprehensive Cancer Alliance for Idaho

32

33 NCI Positive for BCR/ABL  –Imatinib –Nilotinib –Dasatinib The preferred initial treatment for newly diagnosed patients with chronic-phase CML could be any of these specific inhibitors of the BCR/ABL tyrosine kinase. –[Wei G, Rafiyath S, Liu D: First-line treatment for chronic myeloid leukemia: dasatinib, nilotinib, or imatinib. J Hematol Oncol 3: 47, 2010.]

34 Comprehensive Cancer Alliance for Idaho ASCO Summary of Postmastectomy Radiotherapy Guidelines (Recht et al, 2001) 1. Patients With Four or More Positive Axillary Lymph Nodes –PMRT is recommended for patients with four or more positive axillary lymph nodes. 2. Patients With One to Three Positive Axillary Lymph Nodes –There is insufficient evidence to make recommendations or suggestions for the routine use of PMRT in patients with T1/2 tumors with one to three positive nodes. 3. Patients With T3 or Stage III Tumors –PMRT is suggested for patients with T3 tumors with positive axillary nodes and patients with operable stage III tumors. (Many more)

35 Comprehensive Cancer Alliance for Idaho Discussion Topics CDRI is planning to use our CER dataset (2011 cases) to measure patterns of care in Idaho against clinical guidelines for breast, colon, rectum, and CML cases. Do you have comments regarding granularity of reports? Routes of dissemination to medical community?


Download ppt "Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho (CCAI) WELCOME Kari May President, CCAI."

Similar presentations


Ads by Google