The next social challenge to public health: the information environment.pptx
Early detection a.fletcher
1.
2. Medical Advisory Board
Quality assurance
Maine Cancer Registry
US Centers for Disease
Control and Prevention
Cancer Treatment Centers and
Cancer Treating Hospitals
Treatment and Complications
(Per Memorandums of Understandings)
American Cancer
Society
Public Health
Education, client
referral via call center
Maine Breast and
Cervical Health
Program
Client Referral
Healthy Maine
Partnerships
Public Health
Education/recruitment
Maine Tribes
Client Recruitment and
Referral/Education
Free Clinics
Client Recruitment and
Referral
Maine Primary
Care Association/
Federally
Qualified Health
Centers
Client Recruitment and
Referral
Maine CDC/Comprehensive Cancer
Control Program
Program planning and oversight, fiscal
management, provider contracting, public
education, cost data collection and tracking,
evaluation and outreach,
client In-reach to MBCHP
Maine Health Systems:
MaineHealth, MaineGeneral,
Eastern Maine Health System,
Central Maine Healthcare
Eligibility determination, screening and
diagnostic follow-up services, referral to
cancer treatment, patient support services
and data collection and reporting
Medical Care Development
Program and Data Management
Cost/screening data collection and tracking,
fiscal management, and provider contracting
Maine Center for Public Health
Evaluation
Burgess Advertising & Marketing
Maine Colorectal Cancer Control Program Design
3. • Build a supportive infrastructure for a statewide CRC screening program
by January 1, 2010.
• To establish procedures and protocols to guide the screening program by
January 1, 2010.
• To develop data collection and tracking tools by January 1, 2010.
• To implement the statewide screening program within the priority
population by June 30, 2010.
• To develop and implement a public education campaign to raise
awareness of the colorectal cancer screening program by June 30, 2010.
• To develop and implement a comprehensive evaluation plan for the
colorectal cancer screening program by June 30, 2010.
• To establish a contingency plan to ensure effective handling of
complications and cancer diagnoses by December 1, 2009.
Maine Colorectal Cancer Control Program:
Year 1 Goals (2009-2010)
4. Maine Colorectal Cancer Control Program:
Clinical and Service Quality Data for Year 1
Indicator CMHC EMHS MG MH Total CDC Benchmark
Number of calls received to the toll-free
number.
45 208 83 109 445
Number of persons enrolled (as of Jun-29,
2010).
14 69 18 43 144
Number of persons screened with
colonoscopy
9 39 7 9 64 250
Number of persons screened with FIT. 0* 0* 0* 0* 0*
Number of FIT testing requiring f/u
diagnostic colonoscopy.
N/A* N/A* N/A* N/A* 0*
Percent of abnormal test results with
diagnostic follow-up completed.
7/7 18/18 4/4 2/2 31/31 ≥90%
Number of CRC cases detected overall. 0 0 0 0 0
Number of polyps detected and removed. 4 35 13 4 56
Percent of diagnosed cancers with
treatment initiated.
NA NA NA NA NA ≥90%
Percent of cancers diagnosed with
treatment initiated within 60 days.
NA NA NA NA NA ≥80%
Data Source: Primarily from the CCDE Database; call-related information obtained from program coordinators at each participating health system.
Notes: *FIT offered, but not utilized in Year 1 of implementation.
NA= Data not available at the time of compilation of this report.
5.
6. • Cancer Plan Goal 9: Early Detection
Promote, increase, optimize, and support the use of high quality cancer
screening tests and follow-up services in Maine for all detectable cancers.
Objective 9.3: Increase to 80% the proportion of adults ages 50 and older
who have ever received a colonoscopy or sigmoidoscopy by 2015.
(Baseline: 72.6%, BRFSS, 2008)
Maine Colorectal Cancer Control Program:
How are we contributing to the
implementation of the Cancer Plan?
7. Thank you!
Andrea G. Fletcher
Comprehensive Health Planner
Maine Comprehensive Cancer Control Program
andrea.fletcher@maine.gov