Reaching Medical Practitioners in NC Deborah “hutch” Allen, PhD, RN, CNS, FNP-BC, AOCNP Oncology Advanced Practice Nurse Director of Nursing Research Duke Cancer Institute, Duke University Health System NC ACCCC Prevention Subcommittee Co-Chair

NC Advisory Committee for Cancer Control and Coordination

NC Advisory Committee for Cancer Control and Coordination NC Comprehensive Cancer Control Plan 2014-2020 Subcommittees Prevention Early detection Care Policy Surveillance Emphasis on Cancers Lung Breast & Cervical Prostate Colon Skin

Spectrum of Prevention Model for Public Health Practice Influencing policy & legislation Changing organizational practices Fostering coalitions & networks Educating providers Promoting community education Strengthening individual knowledge and skills Cohen and Swift, 1999.

NC Radon Program

Identified Opportunities Levels Identified opportunities 1 Strengthening Individual Knowledge and Skills Providing radon test kits and resources for mitigation at county health departments Engage providers to assess exposure and encourage testing through 1:1 interactions Continue to increase kit accessibility and follow-up of results 2 Promoting Community Education Promote Radon Awareness month (January) by advertising in healthcare newsletters and signs to test home in comprehensive cancer centers and clinics Provide radon test kits and resources for mitigation at community health fairs Promote media coverage and engage school nurses to identify at risk students 3 Educating Providers Submit manuscripts targeted at primary care providers to increase provider education (nurses association, medical society) Provide continuing education programs in increase provider education via conference programs, webinars, and regional meetings 4 Fostering Coalitions and Networks Introduce health care associations to real estate associations, construction and building industry representatives, and government agencies to promote radon awareness (including but not comprehensive) NC Nurses’ Association, regional chapters of the Oncology Nursing Society, NC Medical Society, NC Physician Assistant Association, Medical and Nursing Schools National Association of Builders, National Real Estate Associations NC Department of Public Health, State Health Directors Lung Cancer Initiative, American Cancer Society, Women’s Health Awareness Day, Men’s Health Initiative 5 Changing Organizational Practices Reviewing federal, state, and local building codes, mitigation standards, real estate transaction policies Create language for electronic medical record documentation about radon exposure risks, testing, and exposures (duration, concentration) 6 Influencing Policy and Legislation Consider regulating all new construction to provide radon prevention materials or radon reduction systems

Reaching Health Care Practitioners Partnering with Nurses Associations NC Nurses Association NP Council Oncology Nursing Society Regional Chapters of the Oncology Nursing Society School Nurse Association NC Physician Assistant Association Public Health Associations Medical Association NC Medical Society NC Family Medicine Society

2016 Activities Publications Presentations NCNA TarHeel Nurse Triangle Chapter ONS Newsletter NC NP Spring Symposium for CE Clinical Journal of Oncology Nursing APN Issues Column (Dec issue) NC BOD Nurses Bulletin upcoming NC Medical Society Journal upcoming Presentations Offered many with one scheduled 10/20 Triangle Chapter of the Oncology Nurses’ Association Partnered with Lung Cancer Initiative and NC ACCCC Will be offered as webex to distant members

2016 Activities: Community Outreach while Training Health Care Teams Women’s Health Awareness Event Hosted by DCI Office of Health Equity Sponsored by NIEHS Wellness Fair targeting persons with access to care issues in 5 counties 200-300 attendees all ages Partnered with TONS volunteers for community outreach 12 nurses volunteered 272 radon kits Attendees from 12 counties

Pilot with Community Health Workers Scripted calls To all women who received kits Target calls within 3 months of event 9 sent in 45% still had their kits; plan to test in Winter 17% lost kit and want replacement Will follow-up in Fall to those 62% planning to test Delivery kits to those who requested it Script developed to use when we encounter an individual with high radon test level Next steps Men’s Health Initiative (Fall every year) TONS program --- member test kits Identify similar health fair events across the state and engage local healthcare practitioner groups to help with booth (for their community outreach)

2017 Plans Pilot --- working with DCI to message Radon Action Month in January in the Cancer Center Provide information and radon test kits Provide the scripted follow-up Pilot --- work with school nurses to talk with children Continue Outreach Programs Focus on Physicians and Physician Asisstants “Exhibit” at conferences including NC Survivorship Conference & NC Navigation Conference

Keys to A Successful Dream Working with NC ACCCC towards the future Communication Collaboration Commitment Care and passion