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Reaching 80% Colorectal Screening Rate
by 2018
Michigan Cancer Consortium September 17, 2014
Tom Rich, American Cancer Society
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Page 1 of 19
The State of Colorectal Cancer
• Colorectal Cancer is the third most common cancer and the 3rd deadliest in the United States
• Colon cancer incidence rates have dropped 30% in the last 10 years
• Nationally: In 2014, an estimated 136,830 new cases are expected to occur, with an estimated 50,310 deaths
• Michigan: In 2014, an estimated 4,570 new cases are expected to occur, with an estimated 1,680 deaths
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Page 2 of 19
• Collective push to eliminate colorectal cancer as a major public health problem nationwide
• Led by the National Colorectal Cancer Roundtable (NCCRT)
• Pledge commitment to the cause and work together toward the goal of reaching 80% colorectal cancer screening rate by 2018 – Currently, over 100 organizations have
signed the pledge.
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What is “80% by 18”?
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Page 3 of 19
• Nationwide, 65% percent of the population is up-to-date with their recommended colorectal cancer screening
• In Michigan, 69.3% of population is up-to-date with screening
• Almost 1 in 3 adults between 50 & 75 are NOT getting their recommended screenings
American Cancer Society (2014). Colorectal Cancer Facts & Figure 2014-16. Retrieved from http://www.cancer.org/acs/groups/content/documents/document/acspc-042280.pdf.
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The State of Colorectal Cancer Screening
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Page 4 of 19
10 events, accomplishments, and decisions have
converged today.
Together, they have created an extraordinary opportunity to achieve our goal of an
80% colon cancer screening rate by 2018.
Why Now?
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Page 5 of 19
Ten Drivers of our Colon Cancer Opportunity
1. The new BRFSS report confirms progress
2. The ACA coverage expansion has begun
3. Many financial barriers to screening are being eliminated
4. FQHCS are now reporting colon cancer screening rates as one of the UDS measures
5. Emphasis on quality screening is accelerating
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Page 6 of 19
The Ten Drivers of our Colon Cancer Opportunity (continued)
6. The colorectal screening efforts of the CDC funded 25 states and 4 tribes are maturing
7. The Patient Centered Medical Home (PCMH) has embraced cancer screening
8. We have the tools and teams in place to catalyze a coordinated push
9. An incredible group of organizations, leaders, and advocates have already pledged (or will be)
10. The Assistant Secretary for Health is expecting us to get this done
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Page 7 of 19
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Background
Colorectal cancer is a major public health problem. It is the
second leading cause of cancer death, and a cause of
considerable suffering among more than 140,000 adults
diagnosed with colorectal cancer each year. However, colorectal
cancer can be detected early at a curable stage, and it can be
prevented through the detection and removal of precancerous
polyps.
Shared Goal: Reaching 80% Screened for Colorectal Cancer by
2018
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Page 8 of 19
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Commitment
Our organizations stand united in the belief that we can
eliminate colorectal cancer as a major public health problem.
We have screening technologies that work, the national
capacity to apply these technologies, and effective local models
for delivering the continuum of care in a more organized
fashion. Equal access to care is everyone’s responsibility. We
share a commitment to eliminating disparities in access to care.
As such, our organizations will work to empower communities,
patients, providers, community health centers and health
systems to embrace these models and develop the partnerships
needed to deliver coordinated, quality colorectal cancer
screening and follow up care that engages the patient and
empowers them to complete needed care from screening
through treatment and long-term follow-up.
Pledge
[ Insert Organization ] is embracing the shared goal
of reaching 80% screened for colorectal cancer by 2018.
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Page 9 of 19
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“80% x 18”: From Pledge to Practice
• Provider Education • Blue Star • FamilyPLZ • Public Education • Policy Action • Quality • Disparities • 80% by 2018
http://nccrt.org/tools/
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Page 10 of 19
Gastrointestinal Endoscopy 2007;65: 757-66
Tools, Resources and Publications
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Page 11 of 19
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NCCRT “Toolkit”
• Materials assembled & assessed by
Northwestern (Dr. David Baker)
• CRC outreach and screening
instruction materials:
• Assessed for literacy, quality,
design & accuracy (300+)
• Also developed set of materials to
promote screening among diverse
populations
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Page 12 of 19
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• 4 “Essentials” • Regular physician
recommendation • Office screening policy • Office reminder system • Effective communication
• Charts, tools & templates such as
sample office policies, chart prompts.
Clinician’s Guide
http://cancer.org/colonmd
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Page 13 of 19
cdc.gov/cancer
CDC Colorectal Cancer Control Program
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Partner Organizations
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Partner Organizations
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Partner Organizations
We need every health system, every comprehensive cancer program, every insurer, every hospital, every practice group to
make a commitment to get this done.
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How Your Organization Can Support “80% by 2018”
1. Sign the Pledge: Included in your packet
2. Think and Evaluate: Where could your organization/practice play a role? How can we work together to “operationalize” your pledge?
3. Reach out to ACS for assistance, questions, and resources, etc.
4. Visit the NCCRT website: http://nccrt.org/about/80-percent-by-2018/
5. Recruit, Promote, and Share
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Page 18 of 19
Contact Information:
Tom Rich, State Health Systems
American Cancer Society
Email: [email protected]
Phone: 517-664-1422
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