1. Accomplishments & Outcomes: Genomics Successes in Oregon Amy Zlot Oregon Genetics Program

2. GENOMICS JEOPARDY Dissemination: Tools, Products & Articles Family History & Genetics Surveillance & Analysis 200 300 400 500 Oregon Genetics ProgramFINAL JEOPARDY

3. Q: The article published in the April 2007 issue of CDC's Preventing Chronic Disease emphasizes the multifactorial nature of this common condition:

4. Tools, Products & Articles 200 Q: The article published in the April 2007 issue of CDC's Preventing Chronic Disease emphasizes the multifactorial nature of this common condition: A: What is obesity? GENOMICS JEOPARDY

5. Q: The number of peer-reviewed journal articles published (or accepted for publication) by our program since the inception of the CDC Genomics Grant in 2004:

6. Tools, Products & Articles 300 A: What are four? Q: The number of peer-reviewed journal articles published (or accepted for publication) by our program since the inception of the CDC Genomics Grant in 2004:

7. Peer-Reviewed Journal Articles Primary Care - 2004 Genetics for targeting disease prevention: diabetes Preventing Chronic Disease - 2005 Perceived likelihood of developing diabetes among high-risk Oregonians Preventing Chronic Disease - 2007 Addressing the obesity epidemic: a genomics perspective Preventing Chronic Disease – 2008 (accepted) Influence of family history of diabetes on health care provider practice and patient behavior among non- diabetic Oregonians GENOMICS JEOPARDY

8. Q: This tool was developed in collaboration with select Federally-qualified Health Center (FQHC) providers to improve the collection of family history information:

9. Tools, Products & Articles 400 Q: This tool was developed in collaboration with select Federally-qualified Health Center (FQHC) providers to improve the collection of family history information: A: What is a template (family history form) to collect family history information in a FQHC setting?

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11. Q: Based on a health behavior concept, this tool allows us to assess the readiness of other public health programs to integrate genomics:

12. Tools, Products & Articles 500 Q: Based on a health behavior concept, this tool allows us to assess the readiness of other public health programs to integrate genomics: A: What is the “Genomics Model Process”?

13. Genomics Model Process Adapted from the Transtheoretical Model (TTM) of individual behavior change Tailor interventions based on program’s stage Stage-appropriate activities GENOMICS JEOPARDY

14. Q: In addition to assessing how family history information is collected and used in an HMO setting, our project also evaluated this CDC tool, from the providers’ perspective:

15. Family History & Genetics 200 Q: In addition to assessing how family history information is collected and used in an HMO setting, our project also evaluated this CDC tool, from the providers’ perspective: A: What is Family Healthware TM ? GENOMICS JEOPARDY

16. Q: Family history and chronic disease fact sheets adapted from this state have been distributed at multiple health promotion events in Oregon:

17. Family History & Genetics 300 Q: Family history and chronic disease fact sheets adapted from this state have been distributed at multiple health promotion events in Oregon: A: What is Minnesota?

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19. Q: An entire chapter dedicated to Genetics & Family History was included in this state document:

20. Family History & Genetics 400 Q: An entire chapter dedicated to Genetics & Family History was included in this state document: A: What is the Oregon Comprehensive Cancer Plan?

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22. Q: This resource (CD-Summary) for providers, which reviews how to use family history to identify and prevent disease in high-risk populations was distributed to this number of providers in July 2006.

23. Family History & Genetics 500 Q: This resource (CD-Summary) for providers, which reviews how to use family history to identify and prevent disease in high-risk populations was distributed to this number of providers in July 2006. A: What is 18,000 Oregon primary care providers? GENOMICS JEOPARDY

24. Q: Family History Questions were NOT added to this surveillance system (multiple choice)

25. Surveillance & Analysis 200 Q: Family History Questions were NOT added to this surveillance system (multiple choice) A: What is BRFSS? B: What is PRAMS2? C: What is YRBS? D: What is the General Knowledge Survey?

26. D: What is YRBS? Surveillance & Analysis 200 GENOMICS JEOPARDY Q: Family History Questions were NOT added to this surveillance system (multiple choice)

27. Q: This Oregon public health program had already included family history questions on the BRFSS even before the CDC Genomics Grant existed:

28. Surveillance & Analysis 300 Q: This Oregon public health program had already included family history questions on the BRFSS even before the CDC Genomics Grant existed: A: What is the Oregon Diabetes Program? GENOMICS JEOPARDY

29. Q: This project, which examined data from clinical genetics centers to determine how many patients traveled more than 80 miles for genetic services, used this technology:

30. Surveillance & Analysis 400 Q: This project, which examined data from clinical genetics centers to determine how many patients traveled more than 80 miles for genetic services, used this technology: A: What is a GIS?

31. Outside of Portland Eugene, & Bend Population 2004 545,101 % of Population 15% # of Genetics Patients 2006 155 % of all Genetics Patients seen in Oregon 4%

32. Outside of Portland Eugene, & Bend Population 2004 545,101 Percent of Population 15% # of Cancer Genetics Patients 2006 17 % of all Cancer Genetics Patients seen in Oregon 3% GENOMICS JEOPARDY

33. Q: Similar to the project in Michigan, this analysis focused on early on- set cases of this condition:

34. Surveillance & Analysis 500 Q: Similar to the project in Michigan, this analysis focused on early on-set cases of this condition: A: What is cancer?

35. Early Age of Diagnosis: Limited list of invasive cancers, Oregon 1996-2004 Total Cancer Cases% of total that are early onset (< 50 years) Total81,31210.74% Stomach1,88210.04% Colon11,4786.19% rectum4,29310.23% other GI3,06114.73% Pancreas3,4025.64% Breast24,10619.48% Ovary2,65120.60% Uterine/endometrial4,17613.07% Prostate22,6311.87% Kidney and renal pelvis3,63214.79%

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39. FINAL JEOPARDY Q: In an average week, the number of unique visitors going to www.healthoregon.org/genetics: A: What is 600?

40. Successes Oregon Genetics Program Genomics integration into public health: –Diabetes –Cancer (multiple partnerships) Surveillance –Diabetes –Heart disease –Colorectal cancer Publications –Diabetes –Obesity Provider activities –Kaiser Family History Project –FQHC Project –Education