1. 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

2. NC Advisory Committee for Cancer Control and Coordination

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

4. 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.

5. NC Radon Program

6. 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

7. 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

8. 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

9. 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
attendees all ages
Partnered with TONS volunteers for community outreach
12 nurses volunteered
272 radon kits
Attendees from 12 counties

10. 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)

11. 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

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