CRC News – Week of October 30, 2017

The following email news update was shared with NCCRT members and partners on Thursday, November 2nd, 2017. Sign up to subscribe to our regular email updates

NCCRT Annual Meeting Invitations are Out!

Today, NCCRT members should have received a personalized invitation to this year’s NCCRT Annual Meeting, which will be held on Dec. 6th, 7th and 8th in Bethesda, MD at the DoubleTree Hilton. The invitation should have arrived in an email from the National Colorectal Cancer Roundtable. If you are an NCCRT member and you did not receive this invitation, please check your spam filter, and then email Dionne.Christopher@cancer.org. You can take a view the NCCRT annual meeting agenda here. Pre-conference activities, including the Task Group meetings, will occur on Dec. 6th. Note that members are responsible for their own travel and lodging costs, but members are able to reserve a room in the rooming block during the registration process. If you would like to request a room in the block, we suggest registering as soon as possible. Please note that while members are expected to cover the cost of their own travel, we do have a few travel scholarships available for those members for whom travel costs would prohibit them from attending the meeting. Please email mary.doroshenk@cancer.org for a scholarship application form, if needed. We look forward to seeing you there!

NCCRT Member Organizational Reports are Due December 1st, 2017

It’s that time of year! We know our NCCRT members are doing great work, and we want to hear about it! In preparation for this year’s annual meeting of the NCCRT, members are requested to provide a brief summary of organizational activities focused on colorectal cancer screening since the last NCCRT meeting. New this year, we will be posting the reports to nccrt.org (with your permission), so please plan accordingly. We will only be accepting forms through our online form, but please let us know if you would like a Word copy to help organize your response. Only one response is needed per organization, so please coordinate with your colleagues who are also active in the NCCRT.

These reports will be shared with all members to allow us to see activities underway that contribute to our shared life-saving mission. Please fill out the report online no later than close of business Friday, December 1st.

New Blog Interview with AT&T, 80% by 2018 Partner

A new 80% by 2018 Blog is now live, featuring the work of AT&T, one of the largest organizations to make a commitment to advancing our shared goal to regularly screen 80% of adults ages 50 and over. Learn about AT&T’s innovative approach to increasing colorectal cancer awareness and screening among employees, including the important role of employee work groups and leadership, and how they were able to work with their health plan to track their screening rates. Special thanks to Ben Jackson and Monica Shadden of AT&T for sharing their incredible work with us, and to their ACS staff partner Steven Lange, who supported their work.

If you or your colleagues would like to share on social media, you are welcome to use our shortened URL (http://ow.ly/WL2dI) and/or to retweet/repost the messages we are sharing through @NCCRTnews and facebook.com/coloncancerroundtable.

Newly Updated Brief: What Can Employers Do To Advance the 80% Screening Goal?

Also published today is a new update to our brief on what employers can do to advance the 80% screening goal. Special thanks to Jessica Berger, Durado Brooks, Noel Huebner, Shelley MacAllister, Sarah Shafir, Gregg Walker, and Tracy Wiedt for their feedback on this new resource.

NCI Funding Opportunities: Accelerating Colorectal Cancer Screening and follow-up through Implementation Science (ACCSIS)

NCI has released two companion funding opportunity announcements (FOAs) associated with the Beau Biden Cancer MoonshotSM Initiative intended to accelerate cancer research:

  • Accelerating Colorectal Cancer Screening and follow-up through Implementation Science (ACCSIS) (UG3/UH3) [RFA-CA-17-038]
  • Accelerating Colorectal Cancer Screening and follow-up through Implementation Science (ACCSIS) Coordinating Center (U24) [RFA-CA-17-039]

This purpose of this FOA is to promote research in colorectal cancer (CRC) screening, follow-up, and referral-to-care among target populations for whom screening rates are below national standards. This research will provide an evidence base for multilevel interventions that increase rates of CRC screening, follow-up, and referral-to-care, and best practices for how multilevel interventions can be scaled-up to reduce the burden of colorectal cancer on the United States (U.S.) population.

A pre-application webinar will be held on November 17th at 11:00am ET. Registration is required.

Application Due Date: January 18, 2018 by 5:00pm local time of applicant organization

Harvard Business Review, Sanford Health & 80% by 2018

Harvard Business Review published an article featuring Sanford Health, titled “Using Technology to Improve Rural Health Care,” and mentions their goal setting on 80% by 2018.  Among EMR platforms, Integrated depts., and telemedicine, they call out data transparency as a way to improve rural health care – including reaching 80% screening rate for colorectal cancer in 10 clinics.    Thank you to Angie Rolle and Durado Brooks for bringing this article to our attention.  You can visit the full article here. Congratulations to the team at Sanford Health!

Comparison of FIT and High Sensitivity Guaiac Tests for CRC Screening

A new study in the American Journal of Gastroenterology compared the performance characteristics of the HS-gFOBT Hemoccult II SENSA and two FITs (InSure FIT and OC FIT-CHEK) for detecting advanced colorectal neoplasia.  Visit this link to learn more.  Congratulations to NCCRT friends Jean Shapiro, TR Levin, Marion Nadel, David Lieberman, Ann Zauber, Djenaba Joseph and the other study authors!

Ask the Expert Article on the Trend of Increasing CRC Rates in Younger People

In the September issue of ASGE Connection, several of the top experts in CRC screening and prevention discuss the trend of increasing CRC rates in younger people.   NCCRT Members Mark Pochapin, Doug Rex and Anjee Davis are among the experts who provide comment.  Thank you to Gina Steiner of ASGE for sharing this article with us.

CDC’s Vital Signs Issue Focuses on the Association between Obesity and Cancer

CDC’s Vital Signs series focused last month on the association between overweight and obesity and at least 13 types of cancer, including colorectal cancer. Around 55% of cancers diagnosed in women and 24% of cancers diagnosed in men are overweight- and obesity-related cancers. About 2 in 3 occur in adults 50-74 years old.  The rate of non-overweight- and obesity-related cancer in the United States is going down, but increasing in overweight- and obesity-related cancers (except colorectal cancer). This Vital Signs details these facts and shows how everyone can work together to reduce cancer risk.

Participate in CMS Field Testing of Episode-Based Cost Measures Including for Colonoscopy by November 15

The Centers for Medicare & Medicaid Services (CMS) is conducting a field test for eight episode-based cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program, including for colonsocopy. During the field test, clinicians may access confidential feedback reports with information about their performance on these new measures. All stakeholders are also invited to comment on the measures and supplemental documents.

The field test is a voluntary opportunity for stakeholders to comment on the measure specifications and the report template for the eight measures in their current stage of development. This feedback will be considered in refining the measures and for future measure development activities.  Please provide comments through this online survey by 11:59 PM ET on November 15, 2017.

You may refer to the fact sheet or FAQs document for additional information. If you have any questions, please contact QPPCostMeasureTesting@ketchum.com.

Save the Date for Tuesday, November 28th Webinar on Colorectal Cancer Screening in American Indian & Alaska Native Communities

Join us on Tuesday, November 28th at 2:00pm ET for an NCCRT webinar, in which we will explore CRC screening in American Indian and Alaska Native (AI/AN) communities. This webinar will provide a brief overview of the NCCRT and ACS’s April 2016 summit on CRC and AI/AN communities and describe ACS’s recent grants to increase screening for AI/AN-serving primary care clinics. We will also hear from two AI/AN-serving organizations that are implementing innovative strategies to increase CRC screening in the communities they serve. Speakers will include: Laura Makaroff of ACS, Jessica Deaton of the Oklahoma City Indian Clinic, and Richard Mousseau of the Great Plains Tribal Chairmen’s Health Board. Save the date. Registration will be available soon.

The webinar is open to NCCRT members, 80% by 2018 partners, CDC grantees, ACS Health Systems and Communications staff, and new partners interested in getting engaged in colorectal cancer screening efforts. You must be registered to join the webinar.

Save the date for Thursday, November 30th Webinar on Employer Strategies to Increase Colorectal Cancer Screening

Join us on Thursday, November 30th at 2:00pm ET for an ACS webinar on how employers can impact their employees’ health through colorectal cancer screening interventions. The webinar will begin with a brief introduction to steps employers can take to increase screening rates at their company and then feature three corporate partners who have implemented effective strategies. Speakers will include presenters from Ameren, AT&T, and Progressive Insurance. Advance registration is not required. Save the date and follow this link to join the webinar via Webex on November 30th.

The webinar is open to NCCRT members, 80% by 2018 partners, CDC grantees, ACS Health Systems and Communications staff, and new partners interested in getting engaged in colorectal cancer screening efforts.

Post-2018 “Listening Tour”

We want to hear from you!  As was previously announced, we want your input on what comes after 80% by 2018!  Please complete this brief survey to provide feedback on what you would like to see.

Interview with AT&T—Pledging a commitment to employee health

November 2, 2017 – Author: Ben Jackson: Assistant Vice-President Benefits, AT&T

In January 2017, AT&T signed the 80% by 2018 pledge, becoming one of the largest organizations to make a commitment to advancing our shared goal to regularly screen 80% of adults 50 or over by 2018. Read on to learn more about what AT&T is doing to support the health of its employees.

Ben Jackson AT&T

Ben Jackson delivers leading edge healthcare experiences and operations for almost one million active and retired employees and their family members.

Previously, Ben was Director of Savings Plan Operations overseeing the day-to-day operations of the company’s 401(k) plans and the $36B of plan assets. Ben introduced Your Money Matters, a communication program focused on improving the financial skills of AT&T employees. 

He holds a bachelor’s degree in Management Information Systems from the University of Georgia. In 2015, Ben was recognized as a Workforce Game Changer by Human Capital Media.

Ben lives in Dallas, TX with his wife Sarah and their son. He is actively involved with the Boys and Girls Club of Dallas where he serves on the Board of Directors.

Hi, Ben! We’re excited to talk with you about AT&T’s colorectal cancer screening efforts on the 80% by 2018 Blog. Can you tell us a little about AT&T?

AT&T is the world’s largest communications company by revenue and one of the world’s largest providers of pay TV. Our mission is to connect people with their world everywhere they live, work and play – and do it better than anyone else!

AT&T provides access to healthcare to almost one million employees, retirees and their family members. Your Health Matters is the name of AT&T’s health and well-being program. We want to empower our employees to take ownership of their personal pursuit toward total well-being. Nothing matters more than our health, and we place a special emphasis on giving our employees tools to look after theirs.

In alignment with 80% by 2018 as a nationwide initiative, our focus for increasing colorectal cancer screening rates is US based, but we plan to evaluate ways to expand efforts globally in the coming years.

Screening for colon cancer is an important topic for us as approximately 33% of our U.S. based workforce is 50 years or older. When considering spouses of employees, the opportunity to create awareness about screening is even greater.

When and why did AT&T decide to focus on increasing colorectal cancer screening among employees?

Preventive care is a key population health category for us. We promote the importance of annual preventive care visits and encourage employees to know their numbers by obtaining baseline biometric values, such as blood pressure and cholesterol, and completing a health questionnaire. We also routinely post preventive care blogs on “Your Health Matters” tSpace, our internal wellness social media site, about the importance of preventive screenings and annual wellness visits.

We’ve found that real stories about real employees resonate with colleagues. In 2014, we produced and internally distributed a short cancer awareness video featuring several AT&T employees who shared their personal stories as a cancer survivor or as a caretaker of a family member with cancer. Various forms of cancer were highlighted including the colon cancer survivor story of one of AT&T’s former senior leaders, Chief Diversity Officer Cynthia (Cynt) Marshall, who retired earlier this year.

Blogs and videos can be effective, but we are continually looking for innovative ways to expand our reach, engagement and impact.

In early 2016, our benefits team was approached by one of AT&T’s Employee Resource Groups, “Professionals 50 & Forward” suggesting a partnership initiative to help educate employees about colon cancer awareness and screening. Members of the Dallas office of the American Cancer Society (ACS) had recently hosted an information session for various AT&T employee resource group leaders regarding volunteer opportunities and ACS had also met with our benefits team to overview available cancer workplace solutions. All three entities decided to join forces to plan a live, one-hour webcast dedicated to educating and informing employees about the importance of colon cancer screening. Because screening not only detects cancer early, but can also prevent it, we wanted to motivate employees to be proactive. Our goal was to discuss the topic in a transparent and approachable manner, empowering employees to understand the facts and take action for themselves or a family member.

ShiningALight

What role did leadership play in making this initiative a priority?

Our leadership have been very supportive of our efforts to educate employees about colon cancer screening, including AT&T joining 80% by 2018.

As we were developing the format for the 2016 webcast, we decided on a moderated panel discussion featuring three unique perspectives. We proactively selected panelists who also held leadership roles in their respective areas. We included a survivor (Cynt Marshall, then-SVP HR and Chief Diversity Officer for AT&T) and a health expert (Richard Wender, MD, NCCRT Chair and Chief Cancer Control Officer, ACS). I rounded out the panel as our benefits and company representative. Charles Bassett, our moderator, is a public relations manager in our corporate communications group and is recognized internally from his role co-hosting, “Around the Globe”, a weekly AT&T internal news broadcast. During the webcast, Charles publicly shared that he would soon be age-eligible for screening.  In a show of accountability, Charles committed to getting his screening done.

Live Panel - AT&T Shining a Light on Colon Cancer

Were you able to establish a baseline screening rate of your employees?

For evaluation of our screening rate, we are focusing on all age-eligible employees and spouses (50-75 years). For our communications campaigns that promote screening, we will continue to message all employees. Although many of our employees are not yet age-eligible for screening, we hope they will share information with family members and friends who need to get screened.

The baseline screening rate is very important as it’s an historical representation for the path forward, but establishing the rate can be very challenging. Understanding which data to include and which repositories to leverage is important as well as defining the right population and the right approach. Third party sources to consider include medical carriers, your eligibility and enrollment provider and, if available, a data warehouse.

For AT&T, we’ve established parameters based on covered screening methods and associated guidelines. Based on a five-year lookback rate, the colorectal cancer screening rate is defined as the number of individuals, 50 to 75 years, who completed an approved screening method, expressed as a percentage of the total number of individuals 50 to 75 years. Colorectal cancer screening tests include the following:

  • Fecal occult blood test (FOBT) during the measurement year
  • Fecal Immunochemical Test (FIT) during the measurement year
  • Stool DNA test within the measurement year or previous two years
  • Flexible sigmoidoscopy during the measurement year or within the previous four years
  • CT colonography during the measurement year or within the previous four years
  • Colonoscopy during the measurement year or within the previous nine years

While the guideline for screening by colonoscopy is every ten years, we are only looking back five years so our rate is not accounting for colonoscopies completed prior to the beginning of the analytic window which could potentially understate our overall screening rate. Our third party data warehouse has considered this and suggested that any understatement should be minimal.

When calculating the rate, the data warehouse excluded any data reflecting total colectomy or diagnosis of colorectal cancer any time prior to or during the measurement period as well as hospice services during the measurement year.

Comparing aggregate level screening rates from April 2016 to April 2017 we have observed an increase of six percentage points in our overall screening rate (from 43% to 49%). Looking specifically at our management population, the screening rate is slightly higher, 53% as of April 2017, up from 47% last year.

For future campaigns, in addition to communications targeting our general population, we also plan to take into consideration alternative tactics and channels for messaging employees to accommodate various job types and work environments.

Going forward, we plan to review the screening rate on a quarterly basis through 2018 looking for increased engagement that may correlate with semiannual communication campaigns.

What has been your approach to promoting colorectal cancer screening for employees? 

In November of 2016, in partnership with ACS and AT&T’s Professionals 50 & Forward Employee Resource Group, we hosted “Shining the Light: A Conversation about Colon Cancer” webcast and panel discussion broadcast live from our headquarters location in Dallas. Discussion topics included prevention guidelines, screening options, risk factors and common myths. We also included time for Q&A. The webcast was recorded and made available for replay.

Leading up to the webcast, there were two days of educational outreach at our headquarters location which enabled employees to visit an educational walk-through colon, and speak one-on-one with oncology nurses from UT Southwestern Medical Center in Dallas and Moncrief Cancer Institute in Ft. Worth (Texas).

Panelists with inflatable colon

Earlier this year, ACS produced a short video congratulating AT&T for joining 80% by 2018 which we shared with our employees in conjunction with National Colorectal Cancer Awareness Month in March; we also socialized a link to the webcast replay to reinforce the importance of prevention and early detection through screening.

In addition to internal education efforts in March within the company, AT&T extended messaging to our local community as Cynt participated alongside Dr. Durado Brooks, ACS’s vice president of cancer control interventions, in a radio interview for I Heart Media’s public affairs program.  The topics were colorectal cancer awareness and workplace wellness. The 30-minute segment was broadcast multiple times across a handful of top-ranked radio stations across the Dallas/Ft. Worth metro area. While we are not able to quantify the impact of the radio interview in terms of people screened, we are confident the message resonated and inspired action.

Dr Brooks on radio

Other than the impressive increase in your screening rates, have you seen other successes? How do you plan to measure success?

Including the attendees from the November broadcast and subsequent replays, 2,200 employees have viewed the panel discussion. More than 35 questions were submitted during the event that we were not able to address during the Q&A segment. We collaborated with our medical carriers and ACS to collect responses which we later posted to the Your Health Matters tSpace platform.

Numerous employees commented favorably about the webcast and many candidly shared their personal experience with colorectal cancer, encouraging others to make screening a priority.

To capture the attention of as many employees as possible, we deploy a multichannel communications strategy for all our health and well-being campaigns – things like elevator and digital signage, tSpace blogs and infographics, blurbs in our internal HR newsletter, “The Resource”, and a mention in the “Around the Globe” newscast.

During the March campaign to promote 80% by 2018, Charles (Bassett) announced during an “Around the Globe” newscast that he had followed through on his promise of getting screened. He shared highlights of “screening day” and directed employees to resources. More than 24,000 employees viewed the segment.

27,000 views/clicks, 420 likes and 80 comments were captured because of the March campaign. We are considering ways to highlight personal testimonials employees shared in response to last year’s webcast and in March during National Colorectal Cancer Awareness Month.

Around the Globe

Do you have any final tips for our readers that are working to achieve 80% by 2018 in the workplace?

Others who have joined 80% by 2018 would likely agree this is a bold mission that requires bold action!

We feel strongly that including an employee story in the message is a best practice. Universally, our health is one thing at work that all employees have in common. So, hearing the firsthand account of an employee’s direct experience with a health issue or condition can be both compelling and inspiring. Seeing someone you recognize as a leader or colleague at work brings the message to life.

Messaging impacts family members too – we want our employees to take the information they’ve learned home to share with family and friends.

In addition to leveraging Colorectal Cancer Awareness Month in March to promote screening, also consider rolling out a campaign during annual enrollment season. This is typically the time of year when many employees complete an annual wellness visit so it is a great time for employees to also consider age-eligible screenings.

Consider increased collaboration with medical carriers to align timing of educational and targeted outreach efforts.

Leverage all available channels for socializing your messaging, including internal ambassadors like employee resource groups and health champions. At AT&T, we are considering variations of all these tactics as we develop future communication campaigns.

We have significant opportunity to increase our screening rate, but we are committed to continuing the dialogue about this very important topic with our employees.

Thank you for sharing your story with us! We look forward to hearing more about AT&T’s progress in the future.

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We highlight successes, leaders, best practices, and tools that are making an impact in the nationwide movement to reach 80% screened for colorectal cancer.

Do you have a suggestion for a future blog topic? We welcome you to share your suggestions by emailing nccrt@cancer.org.

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Opinions expressed in these blog posts are that of the author and do not represent policies of the National Colorectal Cancer Roundtable or the author’s institution.

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CRC News – Week of October 23, 2017

The following email news update was shared with NCCRT members and partners on Monday, October 23rd, 2017. Sign up to subscribe to our regular email updates

Nominations for the 80% by 2018 National Achievement Awards Are Open!

The NCCRT is pleased to announce that nominations are open for the 2018 80% by 2018 National Achievement Awards, a competitive recognition program that seeks to highlight 80% by 2018 success stories by recognizing individuals and organizations who are dedicating their time, talent and expertise to advancing the shared goal to regularly screen 80% of adults 50 and over by 2018.

Of course, we welcome nominations of partners who have reached 80%, but we are also looking to recognize systems who are seeing noted improvements in baseline screening rates or recognize individual champions who have made a difference through leadership or other means. Visit the 80% by 2018 National Achievement Awards webpage to learn about contest rules, prizes and recognition, and to submit your nomination. The top nominee will receive a $3,000 donation to support their efforts (see the website for details and exceptions). Watch this video from Dr. Wender to learn more.

The nominations deadline is December 11th, 2017. Visit www.nccrt.org/awards to learn more and submit your nomination (or self-nomination) today!

Replay 80% by 2018 Progress Webinar

In case you missed it, you can watch a replay of our Oct. 3rd webinar, 80% by 2018 Progress, featuring NCCRT Chair and ACS Chief Cancer Control Officer, Dr. Richard Wender.  The purpose of the webinar is look at the latest CRC screening measures and discuss what they tell us about our progress and challenges, discuss the urgency needed over the next 15 months and share plans for the transition to the next phase of our colorectal cancer screening work.

Launch of the Post-2018 “Listening Tour”

We want to hear from you!  As was mentioned during the webinar, we want your feedback on the initiative that comes after 2018!  Please complete this brief survey through which you can provide feedback on what you would like to see.

Coming Soon:  Registration for the 2017 NCCRT Annual Meeting!

Next week, NCCRT members will be receiving their personalized registration link for the 2017 NCCRT Annual Meeting in an email from the American Cancer Society.  The meeting will be held on Dec. 7th and 8th at the DoubleTree Hilton in Bethesda, MD.  Pre-conference activities, including the Task Group meetings, will occur on Dec. 6th.  You can take a peek at the NCCRT annual meeting agenda here.  Note that members are responsible for their own travel and lodging costs, but members are able to reserve a room in the rooming block during the registration process.  If you would like to request a room in the block, we suggest registering sooner rather than later.   Learn more here.

And a big shout out to those organizations that have agreed to sponsor the NCCRT Annual Meeting: American Society for Gastrointestinal Endoscopy, Bracco Diagnostics, Inc., the Center for Colon Cancer Research – USC, Colon Cancer Alliance, Colon Cancer Coalition, Epigenomics, Fight Colorectal Cancer, Medial EarlySign, Medtronic GI Solutions, Inc., the National Colorectal Cancer Prevention Foundation, Polymedco, and Quest Diagnostics. We are also pleased to recognize individual contributions from Amy Manela, Tom Imperiale and Rich Wender.  We are incredibly grateful to you for your support!

We look forward to seeing you there!

2017 NCCRT Task Group Webinars

In preparation for this year’s NCCRT meeting we are making a few changes regarding our task group meeting structure for the 2017 NCCRT Annual meeting.  New this year, task group meeting attendees will be required to participate in (or watch a replay of) a short task group webinar.  During these webinars the task group co-chairs will recap the work of the task group, in order to ensure that we don’t spend valuable face-to-face meeting time getting the group up to speed.  Rather, the intention is that the in-person time can be used to advance key issues and projects. Webinar dates and times are included below (all times are Eastern). While we have held one hour blocks, each session will likely last for 20 to 30 minutes.  Please RSVP to caleb.levell@cancer.org

  • Evaluation and Measurement – Monday, October 23 – 12 to 1 pm EST
  • Community Health Centers – Friday, October 27 – 1 to 2 pm EST
  • Family History and Early Age Onset CRC – TBD (Previously announced time needs to be rescheduled).
  • Public Awareness and Social Media – Friday, November 3 – 1:30 to 2:30 pm EST
  • Professional Education and Practice Implementation – Thursday, November 9 – 1 to 2 pm EST
  • Policy Action –November 16, 1 to 1:30 pm EST

And just a reminder, as was announced previously, at this year’s NCCRT annual meeting, the Task Groups will meet on Wednesday, December 6th from 5:00pm to 6:30pm.

In Search of Primary Care Practices Focused on Risk Assessment and Early Onset CRC

The NCCRT, ACS, and The Jackson Laboratory are collaborating to develop a toolkit for primary care providers to help implement best practices in colorectal cancer risk assessment, screening, and early detection for early-onset, familial, and hereditary cancers. As part of this initiative, we are looking to learn from primary care providers and practices that have implemented such programs.

Do you know of a primary care practice that has been focusing on quality improvement efforts in one or more of the following areas?

  • Cancer family history collection
  • CRC risk assessment
  • Identification of candidates for earlier CRC screening in young adults
  • Identification of high-risk families for referral to genetics
  • Detecting early signs and symptoms of CRC in young adults

If so, please refer them to us! Contact Emily Edelman at emily.edelman@jax.org with suggestions, or provide contact information through this survey.

Participation will include telephone interviews with individual members of the practice. Participants will be offered a $50 gift card as honoraria.

This activity is being conducted as an IRB-approved study through The Jackson Laboratory. The purpose is to identify the educational and clinical needs of primary care providers regarding risk assessment and screening for familial colorectal cancer. Study participation is voluntary.

NCCRT Request for Proposals:

The NCCRT is pleased to announce a request for proposals to develop a new resource that will improve our understanding of the role that state Medicaid agencies can play in advancing colorectal cancer screening amongst the populations they serve. This project follows previously commissioned work, overseen by the NCCRT Policy Action Task Group, which conducted a state by state assessment of colorectal cancer control activity among Medicaid programs. The report found a wide range of colorectal cancer control activity among Medicaid agencies, ranging from no activity to extensive colorectal cancer activity. The purpose of this current scope of work is to analyze more thoroughly the ten states identified as having extensive colorectal cancer activity, thus unveiling activities other Medicaid agencies should consider for replication in order to advance screening.

Please email Caleb Levell, NCCRT Program Manager, (caleb.levell@cancer.org) with your suggestions or with any questions related to the RFP. The proposal due date is Friday, October 27, 2017. All questions and answers will be posted to this webpage.

Relevant Journal Articles

Here are recent relevant articles/studies that may be of interest:

  • A study that appeared in the Preventive Medicine finds that workers at organizations with fewer than 25 employees are less likely to have been screened for colorectal cancer and two other cancers, as were people working in certain occupations. Using National Health Interview Survey (NHIS) data, ACS investigators examined screening rates for cervical, breast, and colorectal cancer by occupational characteristics in 2010, 2013, and 2015.  Disparities in cancer screening by occupational characteristics were mostly attributed to lower socioeconomic status and lack of insurance. Congratulations to study authors Stacey Fedewa, Rebecca Siegel and the other authors!
  • A systematic review of Interventions to Improve Follow-up of Positive Results on Fecal Blood Tests was published in the Annals of Internal Medicine.  The review found that patient navigators and giving providers reminders or performance data may help improve colonoscopy rates of asymptomatic adults with positive fecal blood test results. Current evidence about useful system-level interventions is scant and insufficient.  Thank you to Dennis Ahnen for bringing this article to our attention.  Congratulations to NCCRT friends, Kevin Selby, TR Levin, Chyke Doubeni, Ann Zauber and the other authors!
  • A study in the Journal for General Internal Medicine sought to compare the effectiveness of different forms of reminders for a direct-mail fecal immunochemical test (FIT) program. The data suggest that FIT reminders that included a live call were more effective than reminders that relied solely on written communication (a text message or letter).  Thank you to Anna Hassan for bringing this article to our attention.  Congratulations to NCCRT Steering Committee member and study author Gloria Coronado, as well as the other authors!

Newly Revised Clinician’s Reference: Stool-Based Tests For Colorectal Cancer Screening

In the last email, we shared an updated version of the Clinician’s Reference resource on stool-based testing. Some of you noted that the link was down, so we wanted to resend, as the link is now working again.

Call for NCCRT Steering Committee Nominations

We are currently seeking nominations for the NCCRT Steering Committee.  The NCCRT Steering Committee provides strategic guidance to the NCCRT through participation in Steering Committee meetings, calls, and the NCCRT Annual Meeting.  Steering Committee responsibilities include strategic planning, membership  approval, oversight of NCCRT projects and general leadership.  The term of service is for two years beginning December 2017 and is renewable for one term.  The names of nominees are submitted to the Nominating Committee, which reviews the nominations and selects the slate of Steering Committee candidates.  The slate of candidates will be presented by email to the NCCRT membership prior to the Annual Meeting to be voted on at the Annual Meeting, which is on December 6th, 7th and 8th in Bethesda, MD.

Self-nominations are accepted.  Traditionally, the Nominating Committee has preferred candidates who have a history of engagement with the NCCRT.  Representatives from our Corporate Associates may not serve on the Steering Committee, but  they may nominate other candidates.  Please note that nominees are not guaranteed a spot on the Steering Committee, as this can be a competitive process.  Having said that, we are grateful to all individuals who are willing to put themselves forward as nominees.  Serving on  the Steering Committee is a big commitment, and Steering Committee members play a vital role in the work of the Roundtable.

If you are interested in submitting your name to the Nominating Committee for consideration or would like to nominate someone, please email Mary.Doroshenk@cancer.org by Friday, October 27th.  Nominees will be asked to submit a Statement of Interest (1,000 word maximum) along with a CV.

80% by 2018 Event in NYC Wins SCOPY Award!

Fight Colorectal Cancer, the NCCRT, the American Cancer Society, Stand Up To Cancer, the Mayo Clinic, the Entertainment Industry Foundation, Exact Sciences and many other partners were recognized earlier this month with the 2017 SCOPY (Service Award for Colorectal Cancer Outreach, Prevention and Year-Round Excellence) Spirit of Collaboration Award for our awareness event held in New York City’s Hard Rock Café on March 1. SCOPY awards are given each year by the American College of Gastroenterology to honor the most innovative and impactful community education programs aimed to raise awareness of colorectal cancer.  Danielle Burgess, director of communication for Fight Colorectal Cancer, and Emily Butler Bell, MPH, associate director, NCCRT went to Orlando to receive the award earlier this month.  You can read more about the award here.

Collaboration to promote 80% by 2018 and colorectal cancer awareness wins prestigious SCOPY Award

The NCCRT, the American Cancer Society, Fight Colorectal Cancer, Stand Up To Cancer, the Mayo Clinic, the Entertainment Industry Foundation, Exact Sciences and many other partners were recognized over the weekend with the 2017 SCOPY (Service Award for Colorectal Cancer Outreach, Prevention and Year-Round Excellence) Spirit of Collaboration Award for the awareness event held in New York City’s Hard Rock Café on March 1.

If you recall, our Countdown to 2018 event featured Katie Couric, whose first husband died of colon cancer at age 42, and actor Luke Perry, whose best friend’s wife was diagnosed with the disease, interviewing lots of impressive people involved in the fight against colon cancer, including Richard Wender, MD, NCCRT chair and ACS chief cancer control officer.

SCOPY awards are given each year by the American College of Gastroenterology to honor the most innovative and impactful community education programs aimed to raise awareness of colorectal cancer. Details of all the award winners can be found here.

Emily Bell, associate director of NCCRT, and Danielle Burgess, director of communication for Fight Colorectal Cancer, accepted the award on behalf of the partner organizations at an award ceremony on Sunday in Orlando, Florida.

“The 2017 SCOPY Award Winners deliver yet another class of extraordinary initiatives, meeting the high bar established in past years,” said Jordan J. Karlitz, MD, FACG, chair, ACG Public Relations Committee and associate professor of Clinical Medicine, Section of Gastroenterology and Hepatology, Tulane Cancer Center, New Orleans, LA. “Many projects exhibit zeal and a fervent, ongoing commitment to community service, public health, and the national screening goal of 80% of eligible adults by 2018.”

Twenty-one projects were selected by a panel of three judges that included Dr. Karlitz; Patricia L. Raymond, MD, FACG, ACG Public Relations Committee, assistant professor of Clinical Internal Medicine, Eastern Virginia Medical School; and Eugenia Tsai, MD, GI Fellow, Tulane University School of Medicine.

“Year after year, the GI community demonstrates its remarkable dedication to support colorectal cancer (CRC) prevention,” said ACG President Carol A. Burke, MD, FACG. “The passion and dedication of ACG members to communicate the critical message of CRC screening and prevention is evident in every submission,” she added.

From left, actress Karen Walsh, who was diagnosed with stage IV colon cancer at age 40; Candace Henley, a colon cancer survivor and founder of the Blue Hat Foundation, one of the 2017 80% by 2018 National Achievement Award honorees, and journalist Katie Couric.
From left, actress Karen Walsh, who was diagnosed with stage IV colon cancer at age 40; Candace Henley, a colon cancer survivor and founder of the Blue Hat Foundation, one of the 2017 80% by 2018 National Achievement Award honorees, and journalist Katie Couric. Walsh died several months after the event.
Left, is Danielle Burgess, director of communication for Fight Colorectal Cancer, and right is Emily Butler Bell, MPH, associate director, NCCRT
Left, is Danielle Burgess, director of communication for Fight Colorectal Cancer, and right is Emily Butler Bell, MPH, associate director, NCCRT

CRC News – Week of October 2, 2017

The following email news update was shared with NCCRT members and partners on Tuesday, October 3rd, 2017. Sign up to subscribe to our regular email updates

We have been thinking of our colleagues in Texas, Florida, Puerto Rico and now Las Vegas, and hope this email finds you and your loved ones safe.  Our work goes on, but please know, we are thinking of you.

Today 1:00pm ET 80% by 2018 Progress Webinar
Just a reminder to register for today’s webinar 80% by 2018 Progress, which will feature NCCRT Chair and ACS Chief Cancer Control Officer, Dr. Richard Wender.  The webinar will be held at 1:00pm ET today.  The purpose of the webinar is look at the latest CRC screening measures and discuss what they tell us about our progress and challenges, discuss the urgency needed over the next 15 months and share plans for the transition to the next phase of our colorectal cancer screening work.  This webinar will be open to NCCRT members, ACS staff, 80% by 2018 pledgers, CDC grantees and others interested in the effort.  You must be pre-registered to join the webinar.

NCCRT’s new website is now live!
Starting today, www.nccrt.org has a fresh new look with new features to make it even easier for you to find the tools and resources you need to support your work to increase colorectal cancer screening. New features include interactive maps that allow you to explore the partners that have pledged 80% by 2018 in each state; a new Resource Center, which is a searchable database that will allow you to identify and select evidence-based innovations and tools to help you in your work; and ways to share your signature tools and resources with our community. Watch this video (http://bit.ly/2hJxaGC) to take a guided tour of the new features. We also encourage you to share with your partners! You can adapt this message and retweet/repost the messages we’re sharing on @NCCRTnews and facebook.com/coloncancerroundtable.

A huge thank you to the many NCCRT friends who helped get the site where it is, including Melinda Baker, April Barry, Barry Berger, Heather Dacus, Anjee Davis, Andi Dwyer, Stacey Fedewa, David Greenwald, Heather Hampel, Djenaba Joseph, Elizabeth Mendes, Angela Moore, Lauren Rosenthal, Jennifer Sienko, Michael Sola, Tamar Wallace and especially, Emily Bell!

2017 Task Group Webinars  – Save the Date!
In preparation for this year’s NCCRT meeting we are making a few changes regarding our task group meeting structure for the 2017 Annual meeting (December 6th, 7th, and 8th, 2017 at the DoubleTree Hilton in Bethesda, MD).  New this year, task group meeting attendees will be required to participate in (or watch a replay of) a short task group webinar. During these webinars the task group co-chairs will recap the work of the task group, in order to ensure that we don’t spend valuable face-to-face meeting time getting the group up to speed. Rather, the intention is that the in-person time can be used to advance key issues and projects. Webinar dates and times are included below (all times are Eastern). While we have held one hour blocks, each session will likely last for 20 to 30 minutes. Please save the date for your task group’s webinar!

  • Evaluation and Measurement – Monday, October 23 – 12 to 1 p.m.
  • Community Health Centers – Friday, October 27 – 1 to 2 p.m.
  • Family History and Early Age Onset CRC – Wednesday, November 1 – 12 to 1 p.m.
  • Public Awareness and Social Media – Friday, November 3 – 1:30 to 2:30 p.m.
  • Professional Education and Practice Implementation – Thursday, November 9 – 1 to 2 p.m.
  • Policy Action – TBD

And just a reminder, as was announced previously, at this year’s NCCRT annual meeting, the Task Groups will meet on Wednesday, December 6th from 5:00pm to 6:30pm. We invite and encourage all NCCRT members to join us for these task group sessions, which we know will be lively and productive conversations on how we continue to advance our work. We hope you will be able to join us! Please email caleb.levell@cancer.org with questions or for more information.

Newly Revised Clinician’s Reference: Stool-Based Tests For Colorectal Cancer Screening
An updated version of the popular Clinician’s Reference resource on stool-based testing is now available. The resource is designed to introduce (or reintroduce) clinicians to the value of stool-based testing for colorectal cancer. It explains the different types of stool-based tests available—Fecal Immunochemical Tests (FIT), High-Sensitivity Fecal Occult Blood Tests (HS-gFOBT) and FIT-DNA testing—and provides guidance on implementing high quality stool-based screening programs. The resource now includes information on sensitivity and specificity for many of the most commonly used tests.

Special thanks to the following individuals, many from the NCCRT Professional Education and Practice Implementation Task Group, for reviewing past and current versions of this resource and contributing to this work: James Allison, Kim Andrews, Durado Brooks, Gloria Coronado, Debbie Kirkland, Theodore Levin, Dorothy Lane, Laura Makaroff, Marion Nadel, Kerstin Ohlander, Mike Potter, Robert Smith, Emily Bell and Richard Wender. We’d also like to thank the Comprehensive Cancer Control Program National Partners for providing funding support.

NCCRT Request for Proposals:
The NCCRT is pleased to announce a request for proposals to develop a new resource that will improve our understanding of the role that state Medicaid agencies can play in advancing colorectal cancer screening amongst the populations they serve. This project follows previously commissioned work, overseen by the NCCRT Policy Action Task Group, which conducted a state by state assessment of colorectal cancer control activity among Medicaid programs. The report found a wide range of colorectal cancer control activity among Medicaid agencies, ranging from no activity to extensive colorectal cancer activity. The purpose of this current scope of work is to analyze more thoroughly the ten states identified as having extensive colorectal cancer activity, thus unveiling activities other Medicaid agencies should consider for replication in order to advance screening.

Please email Caleb Levell, NCCRT Program Manager, (caleb.levell@cancer.org) with your suggestions or with any questions related to the RFP. The deadline to email notification of intent to apply and ask questions is due October 20, 2017. The proposal due date is October 27, 2017. All questions and answers will be posted to this webpage.

CRC Screening Message Goes Viral!
Many of you may recall Dr. Andrew Albert with Advocate Illinois Masonic Medical Center, our 80% by 2018 award winner from earlier this year. This past weekend, Dr. Albert started a social media campaign asking people anywhere/everywhere to put a sign on their backs to help raise awareness and wanted you to know about the campaign as well. Check out his facebook page for posts of individuals sharing their messages.  #backoffcoloncancer  See the coverage he has gotten on CBS Chicago. Congratulations to Dr. Albert for his work raising awareness!  View this video to learn more.

Catch It in Time Video
You may also enjoy this new video, Catch It In Time, featuring NCCRT Steering Committee Member, Dr. Dennis Ahnen. In the video, Dr. Ahnen shares his story of how his colorectal cancer was prevented. Thank you Dr. Ahnen for sharing your story!

Op Ed on Colonoscopy Copay Issue
An American Gastroenterology Association member recently was able to place an op-ed in the Philadelphia Inquirer about the colonoscopy cost-sharing issue. Congratulations to Dr. Shazia M. Siddique, who is with the division of gastroenterology at Penn Medicine and is a fellow at Penn’s Leonard Davis Institute of Health Economics, Center for Healthcare Improvement and Patient Safety.  Thank you to Kathleen Teixeira for sharing this Op Ed with us!

CRC News – Week of September 18, 2017

The following email news update was shared with NCCRT members and partners on Tuesday, September 21st, 2017. Please email nccrt@cancer.org to subscribe to our regular email updates.

NCCRT Request for Proposals:
The NCCRT is pleased to announce a request for proposals to develop a new resource that will improve our understanding of the role that state Medicaid agencies can play in advancing colorectal cancer screening amongst the populations they serve. This project follows previously commissioned work, overseen by the NCCRT Policy Action Task Group, which conducted a state by state assessment of colorectal cancer control activity among Medicaid programs. The report found a wide range of colorectal cancer control activity among Medicaid agencies, ranging from no activity to extensive colorectal cancer activity. The purpose of this current scope of work is to analyze more thoroughly the ten states identified as having extensive colorectal cancer activity, thus unveiling activities other Medicaid agencies should consider for replication in order to advance screening.

Please email Caleb Levell, NCCRT Program Manager, (caleb.levell@cancer.org) with your suggestions or with any questions related to the RFP. The deadline to email notification of intent to apply and ask questions is due October 20, 2017. The proposal due date is October 27, 2017. All questions and answers will be posted to this webpage.

Hispanic Heritage Month
Hispanic Heritage month kicked off on September 15th!  If you are conducting any initiatives related to the month, we encourage you to consider the advice and resources available in the NCCRT Hispanics/Latinos and Colorectal Cancer Companion Guide. The Companion Guide includes:

◾Perceptions about colorectal cancer and barriers to screening among unscreened Hispanics/Latinos

◾Recommendations for reaching unscreened Hispanics/Latinos

◾Spanish language tested messages

In addition, you may find this infographic with key messages, developed by the American Gastroenterological Association, useful to share with providers and public health professionals who are looking to reach this priority audience.   Many thanks to Hannah M. Herrington, Senior Patient Communications Manager for sharing this resource with us.

Coming Soon….nccrt.org is Getting an Update!
Starting October 3rd, www.nccrt.org will have a fresh new look with new features to make it even easier for you to find the tools and resources you need to support your work to increase colorectal cancer screening.  New features will include interactive maps that allow you to explore the partners that have pledged 80% by 2018 in each state; a new Resource Center, which is a searchable database that will allow you to identify and select evidence-based innovations and tools to help you in your work; and ways to share your signature tools and resources with our community. Visit www.nccrt.org on October 3rd to start exploring the new site!   A huge thank you to the many NCCRT friends who helped get the site where it is, including Melinda Baker, April Barry, Barry Berger, Heather Dacus, Anjee Davis, Andi Dwyer, Stacey Fedewa, David Greenwald, Heather Hampel, Djenaba Joseph, Elizabeth Mendes, Angela Moore, Lauren Rosenthal, Jennifer Sienko, Michael Sola, Tamar Wallace and especially, Emily Bell!

Success Story:  New Blog on Systems of Support to Increase Colorectal Cancer Screening
Dr. Bev Green at Kaiser Permanente Washington Health Research Institute wrote a blogpost about her work that was previously mentioned in CRC news.  Please feel free to share the link with others who might be interested. (Kaiser Permanente is @KPWaResearch on Twitter and Facebook.)   Many thanks to Dr. Chris Tachibana, Scientific Editor, Kaiser Permanente Washington Health Research Institute for sharing the blog with us.

The 2017 80% by 2018 Partner Survey is Open
Our third annual 80% by 2018 Partner Survey should have arrived in your inbox last week by way of an email from NCCRT Chair Dr. Richard Wender. The survey is designed to help us better understand how the organization you represent is advancing colorectal cancer screening and how we can better support those efforts. We’re especially eager to get your feedback this year since it will help inform how we double down on our efforts in the last 16 months of the 80% by 2018 initiative and begin to plan our work beyond 2018. We would greatly appreciate it if you would complete the survey, using your personalized link included in the email, by Friday, September 29th.

Register for 80% by 2018 Progress Webinar, to be held on Tuesday, Oct. 3rd at 1:00pm ET:
Just a reminder to register for a special upcoming webinar 80% by 2018 Progress, which will feature NCCRT Chair and ACS Chief Cancer Control Officer, Dr. Richard Wender.  The webinar will be held at 1:00pm ET on Tuesday, October 3rd.  The purpose of the webinar is look at the latest CRC screening measures and discuss what they tell us about our progress and challenges, discuss the urgency needed over the next 15 months and share plans for the transition to the next phase of our colorectal cancer screening work.  This webinar will be open to NCCRT members, ACS staff, 80% by 2018 pledgers, CDC grantees and others interested in the effort.  You must be pre-registered to join the webinar.

Tools to promote CRC screening during Hispanic Heritage Month

National Hispanic Heritage Month is September 15th to October 15th!  If you are conducting any initiatives related to the month, we encourage you to consider the advice and resources available in the NCCRT Hispanics/Latinos and Colorectal Cancer Companion Guide. The Companion Guide includes:

◾Perceptions about colorectal cancer and barriers to screening among unscreened Hispanics/Latinos

◾Recommendations for reaching unscreened Hispanics/Latinos

◾Spanish language tested messages

In addition, you may find this infographic with key messages, developed by the American Gastroenterological Association, useful to share with providers and public health professionals who are looking to reach this priority audience. Many thanks to Hannah M. Herrington, Senior Patient Communications Manager for sharing this resource with us.

Tested Messages to Reach the Unscreened

CRC News – Week of September 11, 2017

The following email news update was shared with NCCRT members and partners on Tuesday, September 12th, 2017. Please email nccrt@cancer.org to subscribe to our regular email updates.

The 2017 80% by 2018 Partner Survey Launches Today
Our third annual 80% by 2018 Partner Survey will arrive in your inbox later this afternoon by way of an email from NCCRT Chair Dr. Richard Wender. The survey is designed to help us better understand how the organization you represent is advancing colorectal cancer screening and how we can better support those efforts. We’re especially eager to get your feedback this year since it will help inform how we double down on our efforts in the last 16 months of the 80% by 2018 initiative and begin to plan our work beyond 2018. We would greatly appreciate it if you would take the time to complete the survey. Please watch for the email from Dr. Wender, which will include your personal survey link.

Register for 80% by 2018 Progress Webinar, to be held on Tuesday, Oct. 3rd at 1:00pm ET:
Please register for a special upcoming webinar 80% by 2018 Progress, which will feature NCCRT Chair and ACS Chief Cancer Control Officer, Dr. Richard Wender. The webinar will be held at 1:00pm ET on Tuesday, October 3rd. The purpose of the webinar is look at the latest CRC screening measures and discuss what they tell us about our progress and challenges, discuss the urgency needed over the next 15 months and share plans for the transition to the next phase of our colorectal cancer screening work. This webinar will be open to NCCRT members, ACS staff, 80% by 2018 pledgers, CDC grantees and others interested in the effort. You must be pre-registered to join the webinar.

Change at this Year’s Meeting of the NCCRT – Task Groups will Meet on Wednesday, December 6th from 5:00pm to 6:30pm.
Please note – there will be a change to the scheduling of the NCCRT Task Group meetings at this year’s NCCRT annual meeting, to be held December 7th and 8th in Bethesda, MD. This year, the Steering Committee is recommending that the Task Group meetings be held during the pre-conference session on Wednesday evening, December 6th from 5:00pm to 6:30pm.

The reason for this change is that as the NCCRT meeting attendance continues to grow, there is an inevitable influx of new attendees, including to the task group meetings. We believe that by moving the Task Group sessions to the pre-conference session, the attendees who self-select to come to the task group meetings will be more interested and motivated to participate in task group work, both at the meeting and year round.

Further, Task Group meeting attendees will be required to participate in (or watch a replay of) a short task group webinar, the dates of which will be announced in the next CRC News. During these webinars the task group co-chairs will recap the work of the task group, in order to ensure that we don’t spend valuable face-to-face meeting time getting the group up to speed. Rather, the intention is that the in-person time can be used to advance key issues and projects.

These changes have been made after careful review of the 2016 year meeting evaluations. We will, of course, evaluate how this new format is received and will continue to make changes to try and ensure that you each feel you have a productive and engaged task group with which to work year round. Please plan for this new time accordingly. We hope you will be able to join your task group on December 6th! Please email caleb.levell@cancer.org with questions or for more information.

Welcome to New NCCRT Members!
We are pleased to announce the addition of two new NCCRT Member organizations, UT Southwestern (UTSW)/Moncrief Cancer Institute (MCI), which will be represented by Dr. Keith Argenbright and Stacie Miller, as well as the University of Chicago’s Center for Asian Health Equity, which will be represented by Dr. Karen Kim and Fornessa Randal.  Please join me in extending a warm welcome to these new NCCRT Members!

Relevant Journal Articles

  • A new study published in Gastroenterology found that a financial incentive resulted in modestly higher screening colonoscopy uptake. Study authors performed a randomized controlled trial of 2245 employees of a large health care system to determine whether an email containing a phone number for scheduling (control), an email with the active choice to opt in or opt out (active choice), or the active choice email plus a $100 incentive (financial incentive) increased colonoscopy completion within 3 months. Higher proportions of participants in the financial incentive group underwent screening (3.7%) than in the control (1.6%) or active choice groups (1.5%). They found no difference in uptake of screening between the active choice and control groups. The $100 conditional incentive modestly, but significantly increased colonoscopy use. According to the article, previous data suggest that some patients become motivated to undergo colorectal cancer screening by financial incentives, which may be reasonable given the cost-effectiveness of screening.  Congratulations to study author, Dr. Chyke Doubeni, as well as to the other authors.  Thank you to NCCRT Steering Committee member, Dr. Heather Hampel for sharing this article with us.
  • A new CDC study published in Preventing Chronic Disease examined the feasibility of using practice facilitation to assist federally qualified health centers (FQHCs) in increasing colorectal cancer screening rates in North Carolina.  Overall, the percentage of eligible patients with a documented colorectal cancer screening recommendation increased from 15% to 29%. The percentage of patients up to date with colorectal cancer screening rose from 23% to 34%. Key informants in all 3 clinics said the implementation support from the practice facilitator was critical for initiating or improving office systems.  The study concluded that practice facilitation is a feasible, acceptable, and promising approach for supporting universal colorectal cancer screening in FQHCs. A larger-scale study is warranted.  Congratulations to study author, Dr. Catherine Rohweder, as well as to the other authors.  Thank you to Randy Schwartz for bringing this article to our attention.

New Public Use Database Covers 100% of U.S. Population
CDC has released a public use research NPCR and SEER Incidence – United States Cancer Statistics database that provides cancer data from all 50 U.S. states, Washington D.C., and Puerto Rico. This is the first time combined data from the CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) program have been made available in this format.

New Preventive Services Tool for Providers and Practices from the Centers for Medicare and Medicaid Services (CMS)
This new educational tool from CMS provides the following information on Medicare preventive services: Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes; International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis codes; coverage requirements; frequency requirements; and Medicare beneficiary liability for each Medicare preventive service.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.  Many thanks to Barry Berger for bringing this resource to our attention!

Congratulations to the 22 State Teams that Attended our July and September 80% by 2018 Forums!
Congratulations to twenty-two (22) state teams that attended one of two 80% by 2018 Forums held in Atlanta, GA earlier this summer.  All teams include six (6) organizations/key members.  Selected teams for the July forum were: Arkansas, District of Columbia, Hawaii, Idaho, Indiana, Missouri, Nebraska, New Jersey, North Carolina, Puerto Rico, and Rhode Island.  Selected teams for the September Forum were: Colorado, Connecticut, Maryland, North Dakota, South Carolina, Washington, Illinois, Kansas, Montana, Ohio, and West Virginia.  The forums were sponsored by CDC, the National Cancer Institute, the American Cancer Society, the NCCRT, NACDD, NACHC, HRSA and other national partners.  Participants received training on topics such as reaching out to partners and stakeholders, enhancing patient navigation systems, and communication strategies for clinics and health systems, all while working toward development of a state colorectal cancer screening action plan.  Special thanks to the many experts who served as speakers, facilitators, planning committee members and subject matter experts.  It was an incredible effort with many hands helping!

15th Annual How Do You Measure Up? Report – American Cancer Society Cancer Action Network
Some of you may be interested in this report from the American Cancer Society Cancer Action Network, which was released last month, How Do You Measure Up?  The report is now live on acscan.org where you can download the full version. The report is an annual snapshot of key state policies, particularly important as the nation is looking toward more state-driven solutions to address chronic disease prevention and access to health coverage.  There is a special two page section in the report on 80% by 2018 and features a CRC screening legislative success story from Arkansas.  Congratulations to our friends in Arkansas!

Community Health Centers Receive Recognition from the American Cancer Society
In honor of last month’s National Health Center Week, the American Cancer Society (ACS) recognized outstanding achievement among community health centers with the ACS’s first-ever national community health center awards. These national awards recognize the best CHCs in seven categories: health screening, public housing, homeless, agricultural worker, consumer board, and children’s health.  Please join me in congratulating all the winners, including:

  • Peoples Community Health Clinic, Waterloo, IA
    Award category: health screenings (colorectal cancer screening)
  • Legacy Community Health, Houston, TX
    Award category: health screenings (colorectal cancer screening)
  • Hudson River HealthCare, Peekskill, NY
    Award category: consumer board member (winner: Alan Steiner, HRH Board of Directors chair for support of colorectal cancer screening)

Read more about the awards, as well as the other winners in this blog from Dr. Richard Wender.

CRC News – Week of August 14, 2017

The following email news update was shared with NCCRT members and partners on Friday, August, 18th, 2017. Please email nccrt@cancer.org to subscribe to our regular email updates.

 

Happy 8/18 Day, the official holiday of the 80% by 2018 effort!   Lots of news to share, as we celebrate our self-created holiday…

Register for 80% by 2018 Progress Webinar, to be held on Tuesday, Oct. 3rd at 1:00pm ET:
Please register for a special upcoming webinar 80% by 2018 Progress, which will feature NCCRT Chair and ACS Chief Cancer Control Officer, Dr. Richard Wender. The webinar will be held at 1:00pm ET on Tuesday, October 3rd. The purpose of the webinar is look at the latest CRC screening measures and discuss what they tell us about our progress and challenges, discuss the urgency needed over the next 15 months and share plans for the transition to the next iteration of our colorectal cancer screening work. This webinar will be open to NCCRT members, ACS staff, 80% by 2018 partners, CDC grantees and others interested in the effort.  You must be pre-register to join the webinar.

2016 UDS Rates for CRC Screening are Now Available:
The 2016 national average for CRC screening in HRSA-funded health centers has just been released and is at 39.9%, which increased from 38.3% in 2015. Visit the HRSA website for an additional understanding of the rates. There are now 28 community health centers (CHCs) that have reached 80%, a jump up from 19 last year! View our 80% by 2018 Hall of Fame to see the list of these centers that are meeting or exceeding our shared goal. Congratulations to all our colleagues working in health centers, as well as to the many of you who work to support health centers on this continued improvement!

NCCRT Celebrates National Health Center Week with 80% by 2018 Blog:
Join us in celebrating community health centers this week, National Health Center Week (NHCW), by checking out our new 80% by 2018 Blog post on the critical role of CHCs in the fight against CRC. Thank you to Drs. Durado Brooks and James Hotz, co-chairs of NCCRT’s Community Health Center Task Group, for sharing their reflections on the incredible progress CHCs are making to increase CRC screening. Share the link (http://ow.ly/WL2dI) and/or retweet/repost the messages we’ve already shared through @NCCRTnews and facebook.com/coloncancerroundtable.

Also, be sure to visit the NHCW blog to read a post authored by NCCRT chair Dr. Rich Wender and visit https://healthcenterweek.org/ to find social media tools, a media toolkit, fact sheets, and more to use in thanking the CHCs that you work with. Finally, please join us in giving a shout out to the nearly 200 CHCs that have pledged 80% by 2018! #ValueCHCs

Replay of NCCRT Webinar on Links of Care Now Available:
In case you missed it, you can access a replay of the NCCRT July 27th webinar Links of Care: Successes and Lessons Learned from Three Pilot Sites. Many thanks to our presenters, Sue Lagarde, Julia Williams, Chris Singer and Kara Riehman for sharing their lessons learned during the webinar! As a reminder, all NCCRT webinars are archived and can be accessed here.

Updated CDC Community Guide for Colorectal Cancer Screening Interventions Released:
In case you missed it, the CDC recently posted their updated community guide for CRC. The recommendations now place a bigger emphasis on multi-component interventions. The major findings are that multicomponent interventions increased colorectal cancer screening by any test by a median of 15.4 percentage points when compared with no intervention. The largest screening increases were seen among multicomponent interventions that combined approaches from each of the three strategies or that combined approaches to increase community demand and access. Learn more by looking at this one-pager with additional information. Many thanks to Stacey Fedewa for sharing this update with us.

ACS Study Shows Colorectal Cancer Death Rates Rising in People Under 55:
An ACS study appeared last week in the Journal of the American Medical Association (JAMA), showing that colorectal cancer mortality rates have increased in white adults ages 20 to 54 since the mid-2000s, after falling for decades. You can view the JAMA article here. These findings reinforce earlier ACS work published last February that identified an increase in colorectal cancer incidence rates among young and middle-aged adults in the US. You can also view an NCCRT news article on the study here. Congratulations to Rebecca Siegel, as well as the other authors, for their continued work on this important issue.

Upcoming Cancer Moonshot Funding Opportunities
Following receipt of the Blue Ribbon Panel (BRP) report, the NCI established implementation teams to consider multiple ways to fund Cancer Moonshot-related research. The teams have identified and the NCI Board of Scientific Advisors has approved nine upcoming funding opportunity announcements that directly address the goals of the Cancer Moonshot, including one on Accelerating Colorectal Cancer Screening and Follow-Up Through Implementation Science (ACCSIS). While these funding opportunities have not yet been formally released, they are expected to be formerly published in the coming months pending the appropriation of fiscal year (FY) 2018 funding for Cancer Moonshot. To learn more about these FOA’s please visit the Cancer Moonshot Upcoming Funding Opportunities web page.

Eleven Additional State Teams Selected to Attend September 80% by 2018 Forum
Eleven (11) state teams have been selected to attend the third 80% by 2018 Forum in Atlanta, GA on September 6th and 7th. All teams include six (6) organizations/key members.  Selected teams are: Colorado, Connecticut, Maryland, North Dakota, South Carolina, Washington, Illinois, Kansas, Montana, Ohio, and West Virginia. This is the third in a series of forums sponsored by CDC, the National Cancer Institute, the American Cancer Society, the NCCRT, NACDD, NACHC, HRSA and other national partners.  Participants will receive training on topics such as reaching out to partners and stakeholders, enhancing patient navigation systems, and communication strategies for clinics and health systems, while working to create a state colorectal cancer screening action plan. Congratulations to these eleven teams!

Relevant Journal Articles
Here are a few relevant articles/studies that may be of interest:

A study on patient navigation and colonoscopy completion that was published in the American Journal of Preventive Medicine found that navigation significantly improved colonoscopy screening completion among a racially diverse, low-income population. The study concludes that the results contribute to mounting evidence demonstrating the efficacy of patient navigation in increasing colorectal cancer screening and that screening can be further enhanced when navigation is combined with other evidence-based practices implemented in healthcare systems and the community. Congratulations to NCCRT friends, Amy DeGroff, Paul Schroy and Djenaba Joseph, as well as the other study authors.

The journal Cancer published a study that found a centralized mailed program with stepped increases of support increased CRC screening adherence. The study concluded that in a health care organization with clinic-based activities to increase CRC screening, a centralized program led to increased CRC screening adherence over 5 years. Congratulations to Bev Green and the other study authors!  Many thanks to Durado Brooks for bringing this study to our attention.

A study published in Clinical Gastroenterology and Hepatology found that replacing the guaiac fecal occults blood test (gFOBT) with the fecal immunochemical test (FIT) increased the proportion of individuals screened. The study concluded that replacement of the gFOBT with the FIT should be strongly considered by all healthcare systems.  Congratulations to NCCRT friend, Jim Allison, as well as the other authors! Many thanks to Durado Brooks for bringing this study to our attention.

The American Journal of Gastroenterology published an article highlighting ACG’s role in the national 80% by 2018 effort. Many thanks to Jordan Karlitz, Anne-Louise Oliphant, Dave Greenwald and Mark Pochapin for documenting this important work.

The Annual NCCRT Meeting will Be in December this year!  Save the Dates — December 6th, 7th and 8th
Members, please mark your calendars for this year’s meeting of the National Colorectal Cancer Roundtable, which will be held on December 7th and 8th at the DoubleTree Hilton in Bethesda, MD. Pre-conference sessions will be held on Wednesday, December 6th. The general meeting is tentatively scheduled to start at 8:00 am on Thursday, December 7th and wrap up no later than 12:30 pm on Friday, December 8th. You will receive more detailed information regarding the meeting in the coming months.

 

 

 

CRC screening rates reach 39.9% in FQHCs in 2016

The Health Resources and Services Administration (HRSA) recently reported 2016 Uniform Data System (UDS) data shows significant gains in colorectal cancer (CRC) screening rates in the nation’s federally qualified health centers (FQHCs), also called community health centers.

The UDS CRC screening rate reached 39.9% in 2016, which amounts to a more than five percentage point jump since the launch of the 80% by 2018 campaign in 2014. Furthermore, 28 health centers reached the 80% goal in 2016, up from 19 in 2015.

Health centers served nearly 26 million patients in 2016, many of which are at or below the federal poverty level and come from underserved communities that experience lower CRC screening rates. Because of this, health centers have tremendous potential to improve CRC screening rates and to reduce CRC morbidity and mortality in racially and ethnically diverse, socioeconomically challenged communities across the country.

The NCCRT would like to congratulate our partners at HRSA and the National Association for Community Health Centers (NACHC) for championing 80% by 2018 among their grantee and member health centers partners. And most of all, we’d like to share a huge round of applause for the staff and providers at health centers for their persistence and innovation in working day in and day out to provide eligible patients with the opportunity to screen for this largely preventable disease.

Read more about the incredible work happening in health centers and NCCRT and the American Cancer Society’s work to support their efforts in a post from Dr. Rich Wender, NCCRT chair, on the NACHC blog and a post from Drs. Durado Brooks and Jim Hotz, NCCRT Community Health Center Task Group co-chairs, on the NCCRT blog.

Visit the HRSA website to learn more about the UDS measure and to find the UDS screening rate for health centers in your state.