Transcript Comprehensive Cancer Control in New Jersey

Comprehensive Cancer Control
Planning
Telling New Jersey’s Story
Peg Knight, RN, M.Ed.
Executive Director
Office of Cancer Control and Prevention
New Jersey Dept. of Health & Senior Services
History of Comprehensive
Cancer Control
• Cancer leading health concern of NJ
citizens
• Need for a more organized and integrated
approach to cancer control
• DHSS Internal Strategic Planning Team
– directed by the Commissioner
– identified priority recommendations for cancer
control
History of Comprehensive
Cancer Control
• State-wide comprehensive cancer control
plan
• Executive Order, May 2000
– “Task Force on Prevention, Early Detection and
Treatment in NJ”
• 2 state-wide educational forums on
comprehensive cancer control
History of Comprehensive
Cancer Control
• Established Office of Cancer Control and
Prevention
– Support Task Force
• Task Force Kickoff Meeting Jan. 29, 2001
– 18 month timeline to develop plan
Task Force Members
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Commissioner of Health & Senior Services
Chair: Arnold Baskies, MD
Vice Chair: Philip Benson
16 public, Governor appointed members:
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Cancer Survivors
Providers of Cancer Treatment and Services
Community-Based Organizations
Academia
Pharmaceutical Industry
Centers for Disease Control and
Prevention
Definition of Comprehensive Cancer
Control
“an integrated and coordinated approach to reduce
cancer incidence, morbidity and mortality through
prevention, early detection, treatment, rehabilitation
and palliation.”
Why Do It?
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Heavy and unequal cancer burden
Inadequate infrastructure
Limited resources
Limited data use in decision making
Lack of coordination
One cycle of planning and implementation
is insufficient
What Works
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Organization of organizations
Commitment to planning & implementation
Evidence-based process
Topical subcommittees develop objectives and
strategies
• Priority-setting process within larger body
• Mutual education about issues in cancer control
• Focus on what’s feasible to do NOW by US
TIMELINE
A Framework for
Comprehensive Cancer Control
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Phase 1 - Setting Optimal Objectives
Phase 2 - Determining Possible Strategies
Phase 3 - Planning Feasible Strategies
Phase 4 - Implementing Effective Strategies
Phase 1: Setting Optimal Objectives
• Existing data assessed for usefulness
• Identify existing Needs &
Capacity Assessments (N&CA) at County level
• Identify gaps
Phase 2: Determining Possible Strategies
WORK GROUPS
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BREAST
CERVICAL
PROSTATE
LUNG
COLORECTAL
MELANOMA
ORAL/PHARYNGEAL
OVERARCHING
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ACCESS/RESOURCES
ADVOCACY
NUTRITION/PHYSICAL
ACTIVITY
PALLIATION
CHILDHOOD CANCERS
ISSUES ADDRESSED
•RESEARCH
•SURVEILLANCE
•EDUCATION
•OUTREACH
•SCREENING
•TREATMENT
•PALLIATIVE CARE
•EVALUATION/QUALITY
Work Groups: Composition
• Decision Makers
• Task Force Members
• Members of Respective Task Force Member
Organizations
• Broader, more comprehensive
• Pharmaceutical
• Advocacy Groups
• Community Organizations
• Local Health Departments
• Who isn’t here that should be?
4 Stages of Development
Develop Issue/Problem Statements
Generate Goals and Objectives
Select Priorities
Develop Implementation Strategies
Phase 3: Planning Feasible
Strategies
Phase 4: Implementing Effective
Strategies
• Evaluating
• Tool: Data
Where Are We Now?
Press Conference
January 9, 2003
$3,250,000
Budget Allocation to
Implement the Plan
Public Awareness Campaign
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Melanoma
Educational Materials Translation
State-wide Campaign
State-wide Conference
Surveillance
• Increase BRFSS encounters from 4000 to
10,000
– dissemination of information at the county level
– essential for Capacity/Needs Assessment
• Cancer Cluster Task Force
New Jersey Commission on
Cancer Research
• Expanded funding to address
– Cancer and Aging
– Quality of Life
– Disparities
• Clinical Trial Education Initiative
• Informed Consent Workshops
Evaluation
• Procurement of evaluation services on the
Comprehensive Cancer Control Plan as
mandated by Executive Order 114 and as
indicated by CDC guidelines allowing for
biennial reports, monitoring, revising and
updating.
Infrastructure
• Office of Cancer Control and Prevention
– directing activities
– internal monitoring
– funding initiatives
• NJCEED
• Cancer Registry
– capacity/needs assessment
– GIS expansion
– NCI SEER contract
Infrastructure
• Health Service Grants through the 25
NJCEED lead agencies
– critical for the capacity/needs assessment per
CDC guidelines
– local cancer coalition building
– implementation of the Plan at the community
level
To be continued...
Together We Can Make A
Difference
Telling New Jersey’s Story
THANK YOU!
Questions
Contact Information
Office of Cancer Control and Prevention
P.O. Box 369
3635 Quakerbridge Road
Trenton, NJ 08625-0369
609-588-7681
609-588-4992 (FAX)
[email protected]
www.state.nj.us/health