1. Colorectal Cancer Control Program (CRCCP) Workgroup Peggy Hannon, Cam Escoffery, & Annette Maxwell, Co-chairs October 20, 2010

2. About CRCCP

3. 80% screening by 2014

4. About CRCCP 80% screening by 2014 Four broad strategies population reach & impact policy & systems change awareness & outreach leverage existing resources

5. About CRCCP Promote screening Local CRCCP programs provide CRC screening and follow-up care to low-income persons aged 50-64 years Using EBIs from the Community Guide client reminders small media reducing structural barriers provider assessment/feedback provider reminders

6. 6 State Grantees Alabama Arizona California Colorado Connecticut Delaware Florida Georgia Iowa Maine Maryland Massachusetts Michigan Minnesota Montana Nebraska Nevada New Hampshire New Mexico New York Oregon Pennsylvania South Dakota Utah Washington Tribal Grantees Alaska Native Tribal Health Consortium Arctic Slope Native Association South Puget Intertribal Planning Agency Southcentral Foundation CRCCP Grantees Funded in 2009-2010

7. Annual Grantee Survey How do CRCCP grantees implement their programs? CRCCP program resources Activities implemented Partnerships established How is CRC screening provided to underserved? How is CRCCP program integrated with other services? Challenges/facilitators of implementation Training, technical support accessed/needed for implementation Characteristics of grantees that achieve an 80% screening prevalence by 2014 7

8. Other Evaluation Efforts Clinical data elements (quality of clinical services provided) Cost assessment Longitudinal Case Studies: Tribal Case Study, MA Case Study, Intervention/Control sites Impact Study Population Survey Provider Survey Secondary Data Behavioral Risk Factor Surveillance System (BRFSS) National Program of Cancer Registries (NPCR) Surveillance, Epidemiology, and End Results Program (SEER) 8

9. A unique opportunity for CPCRN Natural laboratory for dissemination Defined set of cancer control EBIs Large-scale practice settings Perfect timing

10. CDC CPCRN Collaboration CRCCP workgroup takes responsibility for finalizing and implementing the Annual Grantee Survey (pending funding) CRCCP workgroup will develop and implement additional assessment(s) to assess details of –Adoption –Implementation –Context –Technical support and Resources needed/available –Organizational Characteristics 10

11. Annual Survey – Key Tasks Measure Development IRB approval Implementation Data Analysis 11

12. Dissemination Frameworks Interactive Systems Framework Knowledge to Action RE-AIM CFIR 12

13. Potential Research Questions What is the process of turning EBAs into interventions? What are the gaps in current implementation measures? How does the changing context affect CRCCP and its effectiveness? 13

14. Sub-committees Inventory of implementation measures Annual grantee survey & beyond Data linkages & registries 14

15. Potential Synergies with FQHC Implementation measures inventory Impact of context/Health Care Reform Organization characteristics Provider reminders & Provider assessment and recall strategies 15