Target Audience: American Indian/Alaska Native

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Colorectal Cancer Screening In American Indian & Alaska Native Communities – November 28, 2017

This webinar explored the opportunities and barriers related to delivering quality colorectal cancer screening and follow-up care in health care settings serving American Indian and Alaska Native (AI/AN) communities. The webinar provided a review of basic basic data on colorectal cancer incidence, mortality, and screening rates in AI/AN populations, an overview of the American Cancer Society and the NCCRT’s work to address this issue, and presentations from two AI/AN-serving healthcare systems about their innovative approaches to increasing colorectal cancer screening.

Learn more about the American Cancer Society and the NCCRT’s work to address this issue in the post-meeting report from the April 2016 one-day summit to explore the challenges and potential solutions to improving access to quality colorectal cancer screening in this population.

Speakers:

  • Kris Rhodes, MPH, Chief Executive Officer, American Indian Cancer Foundation (Moderator)
  • Laura Makaroff, DO, Senior Director, Cancer Control Intervention, American Cancer Society, Inc.
  • Jessica Deaton, RN, BSN, Care Manager, Oklahoma City Indian Clinic
  • Richard Mousseau, MS, Director, Community Health Prevention Programs, Great Plains Tribal Chairmen’s Health Board
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Meeting Report: Increasing Colorectal Cancer Screening for American Indians and Alaska Natives

This post meeting report summarizes the presentations, discussions, and strategic planning that took place during the American Cancer Society and NCCRT co-sponsored meeting to discuss increasing colorectal cancer screening in American Indian and Alaska Native (AI/AN) communities that took place on April 25th, 2016 in Traverse City, Michigan. The report provides an overview of the burden of colorectal cancer among AI/AN, summarizes meeting presentations and discussions, and presents the participants’ collaborative “framework for change” tool that identifies goals, priority tactics, barriers, and potential communities of solution and roles.

Learn more by viewing the webinar replay and slide deck from the November 28, 2017 webinar that explored the opportunities and barriers related to delivering quality colorectal cancer screening and follow-up care in health care settings serving AI/AN communities.

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HRSA Health Center Program
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HSRA Community Health Center Program Data

Each year, Health Resources and Services Administration (HRSA) funded Health Centers (HC) are required to report a core set of information that includes data on patient demographics, services provided, clinical indicators, utilization rates, costs, and revenues. Since 2012, colorectal cancer screening has been included as a clinical quality measure (CQM).

HRSA’s Health Center Data website allows users to explore the UDS colorectal cancer screening rate at the national, the state, and at the HC level. The UDS Mapper allows users to view UDS measures by zip code, create custom maps by adding graphics and text, and export maps. Free registration is required to use the UDS Mapper.

Evaluation: The specification for HRSA’s CQMs are aligned with Centers for Medicare and Medicaid Services (CMS) electronic-specified clinical quality measures (e-CQMS) to ensure measure alignment across the Department of Health and Human Services (HHS). HRSA is also modernizing the UDS reporting process to increase data standardization across national programs, reduce reporting burden, increase data quality, and expand data use to improve clinical care and operations. Rigorous reporting requirements ensure accurate reporting of quality data.

Permissions: Made publicly available online by the Health Resources and Services Administration.

Publication date: Published annually; latest data is for 2016

Post date: October 2, 2017

Contact: Send comments, questions, and suggestions via web form or call 877-974-2742.

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Leading Cancer Cases and Deaths 2014
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United States Cancer Statistics: Data Visualizations

This resource provides interactive data visualizations of official federal statistics on cancer incidence and deaths that are produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI).

Graphs show national and state cancer data by age and race/ethnicity; trends in cancer incidence and mortality by cancer type and state; and state rankings by types of cancer. The website also provides links to a variety of visualizations of other viewpoints on cancer.

Incidence data are compiled from cancer registries that meet the data quality criteria for all invasive cancer sites combined (covering approximately 100% of the U.S. population).

Evaluation: The website uses official federal statistics on cancer incidence and deaths that are produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI).

Permissions: Made publicly available online by the Centers for Disease Control and Prevention.

Publication date: 2017

Post date: September 21, 2017

Contact: Submit comments, questions, and suggestions via web form.

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SCP graphic
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State Cancer Profiles

The State Cancer Profiles website provides interactive graphics and maps to characterize the cancer burden across various geographic areas and demographic groups. It focuses on cancer sites for which there are evidence-based control interventions.

The target audiences are health planners, policy makers, and cancer information providers who need quick and easy access to descriptive cancer statistics to prioritize investments in cancer control.

The website brings together data that are collected from the Centers for Disease Control and Prevention and the National Cancer Institute public health surveillance systems by using either their published reports or public use files. The data are the most recent data that have completed the national data synthesis and quality assurance processes. Many states provide websites with their individual state data, which may be more recent, or in more detail, than can be provided nationally.

The State Cancer Profiles website provides a variety of helpful resources including tutorials, descriptions, and quick reference guides for tables and graphs on the website, which include data on county-level cancer screening, incidence, and mortality rates.

Evaluation: The website brings together data that are collected from public health surveillance systems by using either their published reports or public use files.

Permissions: Made publicly available online by the US Department of Health and Human Services, National Institutes of Health, and the National Cancer Institute.

Publication date: Updated annually

Post date: September 21, 2017

Contact: Submit comments, questions, and suggestions via web form.

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American Indian Cancer Foundation
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Improving Northern Plains American Indian Colorectal Cancer Screening (INPACS) Report

The American Indian Cancer Foundation’s Improving Northern Plains American Indian Colorectal Cancer Screening (INPACS) project recruited 54 Indian Health Services (IHS), tribal health, and urban health clinics within MN, WI, ND, SD, NE, MT, and WY to better understand successes and challenges for colorectal cancer screening and to collaboratively develop strategies to improve cancer screening rates.

About 96,000 American Indians between ages 50 and 74 reside in the Northern Plains, where the incidence of colorectal cancer is 53% higher for American Indians compared to non-Hispanic Whites. Although rates are improving, less than half of Northern Plain American Indians ages 50 years and older are up to date with colorectal cancer screening.

Data for this report was collected by INPACS staff during visits to each participating site. Multiple components of the project comprehensively assessed quality assurance measures at both the provider-level and the systems-level such as colorectal cancer policies and clinic systems for provider and patient reminders.

A clear, overarching finding of this project is that system-level strategies are needed to impact colorectal cancer screening rates in clinics across Indian Country. A provider who recommends screening is the most influential factor in patients completing colorectal cancer screening. The report also discusses clinic policies on screening, clinic reminder systems, communication systems, highlights from provider discussions, and lessons learned from the INPACS project.

Evaluation: The INPACS project used surveys and one-on-one discussions to assess clinic colorectal cancer screening practices. The project focused on evaluating the use of evidence-based practices, such as patient and provider reminders, described in in NCCRT’s “How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox & Guide.”

Permissions: Made publicly available online through the American Indian Cancer Foundation.

Publication date: May 2013

Post date: October 2, 2017

Contact: Send comments, questions, and suggestions to Anne Walaszek at awalaszek@aicaf.org or info@aicaf.org.

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Make It Your Own
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Make It Your Own (MIYO)

Make It Your Own (MIYO) is an interactive website that allows users to print or create culturally appropriate educational materials in English and Spanish at no cost. MIYO-developed products are high quality, designed by graphic artists, and apply evidence-based strategies recommended by the Community Preventive Services Task Force in The Guide to Community Preventive Services (The Community Guide).

MIYO offers hundreds of images that vary by race, ethnicity, age, gender and location; messages targeted to specific populations, cultural groups and languages; product formats that include flyers, inserts, posters, postcards, question cards, and web banner ads; and support for health topics that include colorectal cancer screening, breast cancer screening, cervical cancer screening, HPV vaccination, tobacco cessation, and more. Many of MIYO’s colorectal cancer screening messages incorporate tested messages developed by NCCRT and the American Cancer Society found in the 80% by 2018 Communications Guidebook.

MIYO is a product of the Health Communication Research Laboratory (HCRL) at Washington University in St. Louis and Health Communication Impact, LLC.

Evaluation: MIYO uses evidence-based communication strategies that have been shown to work and that are recommended in The Community Guide. MIYO also systematically evaluates user data to create a “smart system” that recognizes which resources, designs, images and messages are most attractive to specific agencies.

Permissions: Made publicly available online by Washington University in St. Louis. Users must register to access the resource.

Publication date: Since 2007; updates made on an occasional basis

Post date: September 22, 2017

Contact: Submit comments, questions, and suggestions by web form.