What Can Comprehensive Cancer Control Coalitions
Do to Advance 80% in Every Community?

 

Comprehensive cancer control (CCC) programs and coalitions play a critical role in promoting colorectal cancer screening messages and activities in community settings across the United States. From educating coalition members to raising public awareness about colorectal cancer screening options, CCC programs and coalitions can support the national 80% in Every Community campaign and help make increasing colorectal cancer screening rates a leading public health priority.

This brief contains useful information and resources that will accelerate efforts to improve screening rates in your state, tribal organization, or territory.

Improving Colorectal cancer Screening: Promising Practices for State Medicaid Agencies

This report follows up on a 2015 report commissioned by the NCCRT, Colorectal Cancer Initiatives in Medicaid Agencies—A National Review. That report broadly described the activities being undertaken by Medicaid programs in all 50 states, identifying ten states that had adopted more robust approaches to colorectal cancer screening.

To develop a deeper understanding of how these higher-performing states are approaching the challenges of colorectal cancer screening, follow-up research was conducted with several of the states (Arizona, Maryland, Minnesota, Montana, New York, and Oregon) that had progressed further on their efforts. 

Thus, this guide establishes nine practices that have shown sufficient promise to merit consideration by other state Medicaid agencies who wish to enhance their screening efforts for this important population.

The 9 promising practices described within this guide include: 

  1. Define a CRC Metric for State Medicaid Plans
  2. Support or Mandate Public Reporting of CRC Screening Rates
  3. Develop an Incentive Program/Value-Based Purchasing Measure for CRC
  4. Provide Education and Technical Support to Managed Care Organizations and Providers
  5. Collaborate with State Public Health Staff
  6. Work Closely with FQHCs that Serve Large Medicaid Populations
  7. Promote Evidence-Based Strategies and Interventions
  8. Facilitate Access by Covering Multiple Tests Without Cost-Sharing
  9. Promote Test Options to Overcome Compliance Barriers, Provider Shortages, Geographic Issues, and Logistical Constraints

State-by-State Colorectal Cancer Screening Landscape

This resource, developed by Exact Sciences, provides a snapshot of the colorectal cancer screening landscape in each state while also putting into context how the different states compare with each other in a range of areas. While the majority of the information included is publicly available, it is difficult to find all this information in one place. This resource is intended to help people better understand what the CRC screening landscape – from coverage to screening rates to legislation – looks like in each state.

Evaluation: The last slide includes reference links for the included information. This involved considerable time and research across multiple websites and through research from Exact Sciences’ legal team.

Permissions: Made publicly available online by Exact Sciences.

Publication date: November 2019; updated August 2020

Post date: November 3, 2020

Contact: Submit comments, questions, and suggestions to Bryan Goettel: bgoettel@exactsciences.com.

Summary Report on Links of Care Pilot to Increase Colorectal Cancer Screening for Underserved Patients

The newly released report, Report on a Pilot Project to Increase Colorectal Cancer Screening Rates and Ensure Access to Specialty Care for Underserved Patients, provides an overview of the Links of Care pilot project (2015-2017), which implemented evidence-based strategies to increase screening rates and timely access to specialists after abnormal screenings in three Federally Qualified Health Centers (FQHCs). Participating FQHCs successfully increased CRC screening rates by 8-28 percentage points, secured low- or no-cost colonoscopies from specialty care providers, and implemented patient navigation to ensure timely follow-up to diagnostic services. The report outlines key facilitators to success.

Congratulations to the evaluators and authors that contributed to this publication, Lesley Watson, Kara Riehman, Mary Doroshenk, Rentonia Williams, Vonda Evans, Lynn Basilio, Maryanne Goss, and Roshan Paudel, as well as the numerous individuals that contributed to the pilot projects’ success.

The NCCRT Resources Center also includes two webinars that feature findings from the Links of Care pilot projects, including a 2017 webinar and a 2015 webinar

Colorectal Cancer Burden Shifting To Younger Individuals: A Close Look At What The Most Recent Data Tells Us About Colorectal Cancer Incidence, Mortality, And Screening Rates – May 18, 2020

This webinar provided a close look at the findings from Colorectal Cancer Statistics 2020, a recent American Cancer Society publication released on March 5, 2020. According to the report, the burden of colorectal cancer is swiftly shifting to younger individuals as incidence increases in young adults and declines in older age groups. Additional report findings include the median age of diagnosis has dropped from age 72 in 2001-2002 to age 66 during 2015-2016 and half of all new diagnoses in people 66 or younger. The publication is accompanied by a consumer version, Colorectal Cancer Facts & Figures and a press release is also available. Learn about these findings and more in this webinar featuring report lead author Rebecca Siegel, MPH.

Speakers:

  • Rebecca Siegel, MPH, Scientific  Director, Surveillance Research, American Cancer Society, Inc.
  • Robert Smith, PhD, Senior Vice President, Cancer Screening, American Cancer Society, Inc. (Moderator)

My CT Colonography Center Locator Tool

The American College of Radiology (ACR) is now offering the My CT Colonography Center online locator, a patient-friendly online tool to find a computed tomography (CT) colonography screening center near you.

Bracco Diagnostics, Inc. originally developed the tool, which includes 120 centers – only a portion of the more than 700 estimated centers that perform CT Colonography (CTC). The ACR will now work with stakeholders to explore ways to achieve the goal of having all facilities that perform CTC registered on a center locator. To date, there are 220 centers registered for the locator tool.

The webpage also includes patient brochures on CTC, a video of a patient receiving a CTC, and more.

Evaluation: This tool was developed as a collaborative effort with Bracco Diagnostic and ACR CTC registry participants discussing a need to increase awareness of CTC screening option for patients.


Permissions:
 Made publicly available online by the American College of Radiology.


Publication date: 
September 2019


Post date: 
April 20, 2020


Contact:
Submit comments, questions, and suggestions info@acr.org.

Nuestras Voces Network Colorectal Cancer Awareness Month Infographic

This bilingual infographic on colorectal cancer was developed by the National Alliance for Hispanic Health’s Nuestras Voces Network Program to raise awareness about the importance of screening, and to promote the information from Centers for Disease Control and Prevention’s (CDC’s) Screen for Life National Colorectal Cancer Action Campaign during National Colorectal Cancer Awareness Month.

This infographic can be shared, posted on social media, printed for community distribution, and customized to include a local organization logo. For more information on how to use this resource in your own community see contact information below.

Evaluation: The content of the infographic was based on evidence-based resources including NCCRT’s 2019 Colorectal Cancer Screening Messaging Guidebook and CDC’s Screen for Life National Colorectal Cancer Action Campaign.

Permissions: Made publicly available online by the National Alliance for Hispanic Health’s Nuestras Voces Network Program. See Contact section below for more information.

Publication date: 2020

Post date: March 30, 2020

Contact: For more information about this infographic and the Nuestras Voces Network Program please contact Marcela Gaitán at mgaitan@healthyamericas.org.

March 2020 Colorectal Cancer Awareness Month Broadcast

On March 5th, 2020, NCCRT hosted a live broadcast from Atlanta, Georgia featuring Dr. Richard Wender, NCCRT Chair and other special guests to mark National Colorectal Cancer Awareness Month. This recorded broadcast features interviews with experts, survivors, 2020 80% in Every Community National Achievement Awards winners, and others.

80% in Every Community 2019 Messaging Guidebook: Recommended Messages to Reaching the Unscreened – July 16, 2019

This webinar provided an introduction to the 2019 80% in Every Community Messaging Guidebook: Recommended messages to reach the unscreened. The guidebook serves as a resource to both better understand the motivations, attitudes, and barriers of key unscreened populations, while it also recommends market tested messages that can educate and motivate these key audiences on the importance of colorectal cancer screening. The 2019 update to this NCCRT resource includes new findings, new population profiles, and message delivery insights that will better inform our efforts to improve colorectal cancer screening rates to 80% in Every Community. 

Speakers:

  • Michelle Aubertine, KS&R
  • Bill Willard, American Cancer Society

 

80% in Every Community Press Kit

Below are relevant materials for press events and communications about 80% in Every Community. We hope these materials serve as an excellent foundation for your communication needs and to share about 80% in Every Community with stakeholders who might be less familiar with the campaign. As you develop media relationships, note that it is always best to prepare new and unique story opportunities for reporting. 

Use the following tools to help you promote and evaluate 80% in Every Community communications: