Comprehensive Cancer Control Planning Telling New Jerseys Story

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Comprehensive Cancer Control PlanningTelling New
Jerseys Story

• Peg Knight, RN, M.Ed.
• Executive Director
• Office of Cancer Control and Prevention
• New Jersey Dept. of Health Senior Services

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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

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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

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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

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Task Force Members

• Commissioner of Health Senior Services
• Chair Arnold Baskies, MD
• Vice Chair Philip Benson
• 16 public, Governor appointed members
• Cancer Survivors
• Providers of Cancer Treatment and Services
• Community-Based Organizations
• Academia
• Pharmaceutical Industry

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Centers for Disease Control and Prevention
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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.

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Why Do It?

• 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

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What Works

• 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 whats feasible to do NOW by US

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TIMELINE
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A Framework for Comprehensive Cancer Control

• Phase 1 - Setting Optimal Objectives
• Phase 2 - Determining Possible Strategies
• Phase 3 - Planning Feasible Strategies
• Phase 4 - Implementing Effective Strategies

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Phase 1 Setting Optimal Objectives

• Existing data assessed for usefulness
• Identify existing Needs
• Capacity Assessments (NCA) at County level
• Identify gaps

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Phase 2 Determining Possible Strategies

• WORK GROUPS
• BREAST
• CERVICAL
• PROSTATE
• LUNG
• COLORECTAL
• MELANOMA
• ORAL/PHARYNGEAL
• OVERARCHING
• ACCESS/RESOURCES
• ADVOCACY
• NUTRITION/PHYSICAL ACTIVITY
• PALLIATION
• CHILDHOOD CANCERS

• ISSUES ADDRESSED
• RESEARCH
• SURVEILLANCE
• EDUCATION
• OUTREACH
• SCREENING
• TREATMENT
• PALLIATIVE CARE
• EVALUATION/QUALITY

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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 isnt here that should be?

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4 Stages of Development

• Develop Issue/Problem Statements
• Generate Goals and Objectives
• Select Priorities
• Develop Implementation Strategies

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Phase 3 Planning Feasible Strategies
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Phase 4 Implementing Effective Strategies

• Evaluating
• Tool Data

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Where Are We Now?
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Press ConferenceJanuary 9, 2003
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3,250,000

• Budget Allocation to Implement the Plan

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Public Awareness Campaign

• Melanoma
• Educational Materials Translation
• State-wide Campaign
• State-wide Conference

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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

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New Jersey Commission on Cancer Research

• Expanded funding to address
• Cancer and Aging
• Quality of Life
• Disparities
• Clinical Trial Education Initiative
• Informed Consent Workshops

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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.

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Infrastructure

• Office of Cancer Control and Prevention
• directing activities
• internal monitoring
• funding initiatives
• NJCEED
• Cancer Registry
• capacity/needs assessment
• GIS expansion
• NCI SEER contract

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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

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To be continued...
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Together We Can Make A Difference

• Telling New Jerseys Story

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THANK YOU!
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Questions
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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)
• peg.knight_at_doh.state.nj.us
• www.state.nj.us/health