1. Cancer, Cardiovascular Disease and
Pulmonary Disease (CCPD)
Review Committee
Stakeholder Input
Colleen Kapsimalis, MPH
January 13, 2012
colleen.kapsimalis@state.co.us

2. Why stakeholder input?
• Stakeholder feedback will inform CCPD Review
Committee members as they determine funding
priorities and a strategic approach
• Goal is to develop a strategic budget that is:
▫ Data-driven
▫ Evidence-based
▫ Compliant with the legislative requirements
▫ Aligned with the role and functions of public
health

3. Stakeholder Input Methods
• CCPD Review Committee Stakeholder
Feedback Survey
• Public Comment by stakeholders
regarding the strategic direction of the
CCPD grants program (January 13, 2012)

4. CCPD Review Committee
Stakeholder Feedback Survey
• Survey developed by Epidemiology, Planning
and Evaluation Branch of CDPHE’s Prevention
Services Division based on discussion by CCPD
Review Committee members
• Contained both quantitative and qualitative
questions
• Survey administered to stakeholders between
December 19, 2011 and January 6, 2012
• 192 respondents started survey; 157 respondents
completed survey

5. Survey Results
Stakeholder groups represented
Response Count
Question 1: Please select the stakeholder group that best represents your organizations (select all that apply).

6. Disease areas of primary interest
Question 3: CCPD Review Committee awards grants in three disease areas. Which of the following is your
primary interest? If cross-cutting, select all that apply.

7. Disease areas in which stakeholders are most
likely to apply for funding
Question 4: In which of the following disease areas of the CCPD Review Committee would you be most likely
to apply for CCPD funding?

8. Main prevention focus of organization
Question 5: How would you describe the main prevention focus of your organization?

9. Prevention strategies in which stakeholder is most likely
to apply for CCPD funding
Question 6: In which of the following prevention strategies would you most likely to apply for CCPD funding?
Select all that apply.

10. CCPD strategic direction BEFORE ACA implementation
Question 7: ….Please select which of the options below you feel the CCPD Review Committee should consider
BEFORE ACA implementation.

11. CCPD strategic direction AFTER full ACA implementation (2014)
Question 8: ….Please select which option below you feel the CCPD Review Committee should consider
AFTER 2014 and full ACA implementation.

12. Support for CCPD prioritizing funding for primary
prevention strategies
Question 9: If the CCPD Review Committee were to move toward prioritizing funding for primary prevention
strategies, would you support this change?

13. Ability to compete for CCPD funding
35.0%
29.7%
30.0%
25.0%
18.8% 18.8%
20.0%
13.9% 13.9%
15.0%
10.0%
5.0%
0.0%
1 Will not impact ability 2 3 4 5 Will greatly impact ability
Question 10: If the CCPD Review Committee were to move towards prioritizing funding for primary
prevention strategies, please rate how this would impact your ability to compete for CCPD funding.

14. Ability to implement primary prevention strategies
30.0%
28.5%
25.0%
21.8%
18.8%
20.0%
15.8%
15.0%
10.3%
10.0%
5.0%
0.0%
1 Will not impact ability 2 3 4 5 Will greatly impact
ability
Question 11 If the CCPD Review Committee moves toward prioritizing funding for primary prevention
strategies, please rate how this will impact your ability to implement primary prevention strategies.

15. Survey Results from
Current and Past Grantees
• 20 respondents identified themselves as current
grantees
• 53 respondents identified themselves as past
grantees

16. Disease areas of primary interest
Current Grantees Past Grantees
Question 3: CCPD Review Committee awards grants in three disease areas. Which of the following is your
primary interest? If cross-cutting, select all that apply.

17. Disease areas in which stakeholders are most
likely to apply for funding
Current Grantees Past Grantees
Question 4: In which of the following disease areas of the CCPD Review Committee would you be most likely
to apply for CCPD funding?

18. Main prevention focus of organization
Current Grantees Past Grantees
Question 5: How would you describe the main prevention focus of your organization?

19. Prevention strategies in which stakeholder is most likely
to apply for CCPD funding
Current Grantees Past Grantees
Question 6: In which of the following prevention strategies would you most likely to apply for CCPD funding?
Select all that apply.

20. CCPD strategic direction BEFORE ACA implementation
Current Grantees Past Grantees
Question 7: ….Please select which of the options below you feel the CCPD Review Committee should consider
BEFORE ACA implementation.

21. CCPD strategic direction AFTER full ACA implementation (2014)
Current Grantees Past Grantees
78.9%
Question 8: ….Please select which option below you feel the CCPD Review Committee should consider
AFTER 2014 and full ACA implementation.

22. Support for CCPD prioritizing funding for primary
prevention strategies
Current Grantees Past Grantees
Question 9: If the CCPD Review Committee were to move toward prioritizing funding for primary prevention
strategies, would you support this change?

23. Ability to compete for CCPD funding
Overall Past Grantees
35.0%
29.7% 40.0% 37.3%
30.0%
35.0%
25.0% 30.0%
18.8% 18.8%
20.0% 25.0%
19.6% 19.6%
13.9% 13.9% 20.0%
15.0%
15.0% 11.8%
9.8%
10.0% 10.0%
5.0%
5.0%
0.0%
1 Will not 2 3 4 5 Will greatly
0.0%
impact ability impact ability
1 Will not 2 3 4 5 Will
impact greatly
ability impact
ability
Question 10: If the CCPD Review Committee were to move towards prioritizing funding for primary
prevention strategies, please rate how this would impact your ability to compete for CCPD funding.

24. Ability to implement primary prevention strategies
Overall Past Grantees
30.0% 28.5% 35.0% 33.3%
25.0% 21.8% 30.0%
18.8%
20.0% 25.0% 23.5%
15.8%
19.6%
15.0% 20.0%
10.3% 15.7%
10.0% 15.0%
5.0% 10.0% 7.8%
0.0% 5.0%
1 Will not 2 3 4 5 Will
impact greatly 0.0%
ability impact 1 Will not 2 3 4 5 Will greatly
ability impact ability impact ability
Question 11 If the CCPD Review Committee moves toward prioritizing funding for primary prevention
strategies, please rate how this will impact your ability to implement primary prevention strategies.

25. General Conclusions
• Slightly less than half (42.9%) of all respondents
identified primary prevention as their main
prevention focus
• When deciding how to proceed before and after ACA
implementation, the majority of stakeholders
suggested to make incremental increases in funding
for primary prevention strategies while continuing
to support secondary and tertiary prevention,
• The majority (79.5%) of respondents answered “yes”
to supporting CCPD prioritizing primary prevention
strategies.

26. Qualitative Data Results
• 48 survey respondents provided written
comments
• Overall findings
▫ Support for funding primary prevention strategies
▫ Include funding for primary, secondary, and
tertiary prevention strategies
▫ Definitions of prevention levels
▫ Evidence-based practices
▫ Focus on specific populations
▫ Application review

27. Support for funding primary
prevention strategies
“Prevention and wellness have been a major
focus of our organization, but it has been
difficult to find funding for much beyond small
pilot programs. We would welcome a change in
emphasizing primary prevention as a way to
take what we’ve done and learned to a larger
population.” –Survey Respondent, 1/6/12

28. Include funding for primary, secondary,
and tertiary prevention strategies
“This competitive grants program should provide
funding for a wide variety of evidence-based
projects and services that the public health
community and groups are willing, enthusiastic
and able to take on in order to reduce the
burden of chronic disease, including primary,
secondary, and tertiary prevention.” –Survey
Respondent, 1/6/12

29. Definitions of prevention levels
• Important to be specific and clear about
definitions for primary, secondary, and tertiary
prevention levels
• Necessary to be in agreement about prevention
level definitions

30. Evidence-based practices
“The evidence for primary prevention for several
conditions/diseases are lacking or not from
rigorous bodies of evidence. My understanding
is that the CCPD program is for the
implementation of strong evidence (those based
on meta-analysis, systematic reviews and
randomized-controlled trials) versus
performing research.” –Survey Respondent,
12/19/11

31. Focus on specific populations
• Underinsured or uninsured residents
• Lesbian, Gay, Bisexual, Transgender (LGBT)
community
• Marginalized, hard-to-reach populations
• Populations impacted by health disparity
• Populations impacted by social determinants of
health

32. Application review process
• Fund the best proposed interventions
• Competitive process
• Restore previously approved grants

33. Overall lessons learned
• Support for funding primary prevention
strategies in addition to maintaining funding for
secondary and tertiary prevention strategies
• Necessary to clearly define prevention levels and
evidence-based practices