Lisa Bailey, MD, FACS

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• Lisa Bailey, MD, FACS
• State Chair, Cancer Liaison Program, Northern
  California

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2007 National Comprehensive Cancer ControlStatus
of Cancer Plans
South Puget Intertribal Planning Agency
WA
Fond Du Lac Reservation
Northwest Portland Area Indian Health Board
ME
ND
MT
MN
VT
OR
Aberdeen Area Tribal Chairmens Health Board
NH
ID
WI
OR
MA
NY
MI
CT
SD
WY
RI
NJ
IA
PA
NE
NV
OH
DC
IN
IL
DE
UT
MD
CO
WV
VA
MO
KS
CA
KY
NC
AZ
Cherokee Nation
TN
Tohono OOdham Nation
AR
NM
OK
SC
GA
AL
MS
LA
TX
FL
National Comprehensive Cancer Control Program
Division of Cancer Prevention and Control
National Center for Chronic Disease Prevention
and Health Promotion Coordinating Center for Heal
th Promotion July 2007
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CLP Role in CCC

• Serve as a member of the partnership or a
  workgroup (e.g. prevention or treatment)
  
• Lend expertise on specific cancer issues
• Assist in identifying the problem in your
  state
  
• Assist in assessing resources to support
  implementation of the plan
  

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CLP Role in CCC

• Support priorities outlined within state cancer
  plan
  
• Collaborate with local agencies on outreach
  activities that fit within the plans objectives
  
• Increase health care provider referrals for
  screening
  
• Foster partnerships to expand the utilization of
  cancer support services and programs

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Present Involvement

• 83 of State Chairs are involved with their
  states cancer plan
  
• 9 State Chairs chair their state CCC team
• 34 state cancer plans include CoC objectives
• 20 of CLPs are involved in their states cancer
  plan
  
• 23 of CLPs responded as presenting their state
  plan to the cancer committee
  

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CoC Involvement

• State Chairs advocate for objectives and
  strategies that focus on improving access and
  delivery of care
  
• Increase number of CoC-approved facilities
• Increasing referrals to CoC-approved programs in
  the state
  
• Increasing access to CoC-approved programs in the
  state
  

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Tools

• Tools you can use to evaluate your hospital and
  your community
  
• look for needed changes and
  programs
  
• be part of the state cancer plan
  and affect change

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Causes of Cancer Estimated Percentage of Total
Cancer Deaths Attributable to Established Causes
of Cancer
0 5 10 15 20 25 30
5
3
2
1
0 5 10 15 20 25 30
Source Harvard Report on Cancer Prevention,
Cancer Causes and Control, November/December,
1996.
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SMART Selected Metropolitan/Micropolitan Area
Risk Trends View Health Risk Da
ta 2005 - San Francisco-Oakland-Fremont, CA Metro
politan Statistical Area 
www.cdc.gov/brfss
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California Health Interview Study, 2001 Alameda
County

• Health Behavior Estimated Percent
• Colorectal Screening 196,000 57.4
• in past 10 years
• Colorectal Screening 91,000 26.8
• in past 2 years
• Current Smokers 163,000 15.4

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California Health Interview Study, 2001 Alameda
County

• Health Behavior Estimated Percent
• Cervical Screening 461,000 85.2
• in past 3 years
• Mammogram in 239,000
  80.4
  
• past 2 years
• Prostate-Specific 75,000 52.5
• Antigen in past 3
• years

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California Health Interview Study, 2001 Alameda
County

• Health Behavior Estimated
  Percent
  
• Overweight or Obese 539,000
  51.5 BMI 25.0
  
• No moderate or vigorous 289,000
  27.2
  
• exercise in past month
• Eating 5-A-Day Fruits and 534,000
  51.6
  
• vegetables in past month

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Cancer Risk Factors Among Adults, Alameda County
and California, 2003
Alameda County
California
California Health Interview Survey, 2001 and
2003
www.acphd.org
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Cancer Incidence and Mortality, Oakland
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Incidence, All CancersOakland 1996-2000
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Cancer Mortality Oakland, 1999-2001
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Stage at Diagnosis, Alameda County, 2001
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Lung Cancer Incidence and Mortality, Oakland,
1990-2000
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Lung Cancer IncidenceOakland 1996-2000
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Lung Cancer MortalityOakland, 1999-2001
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National Cancer Data Base (NCDB)

• Most extensive database dedicated to assessing
  quality of care (IOM, 1999 and 2000)
  
• Joint program of American College of Surgeons and
  American Cancer Society
  
• Data from all CoC-approved cancer programs
• Data on 60 primary sites 16,000,000 cases

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Data Collected

• Patient Demographic information
• Tumor characteristics
• Staging information
• First Course Therapy
• Surgery
• Radiation
• Systemic
• First Recurrence Survival Status

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NCDB Benchmarks-Public
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Stage of Diagnosis Colon and Rectal Cancers,
1995-2004 Sutter Hospitals
http//cancer.sutterhealth.org/about/reports/SH_20
05rpt_cancer.pdf
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Preliminary Data, Large Breast Cancer Study, Alta
Bates Summit Medical Center, 2000-2004
Percentage of Ethnic groups - Large Breast
Cancer Study vs. 2001 Annual Cancer Report
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Facility Information Profile System (FIPS)

• Data sharing activity with the ACS
• Share data on resources, services and cancer
  caseload
  
• Information used by ACS National Call Center and
  posted on ACS Web www.cancer.org
  
• Cancer caseload information sharing is voluntary

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Cancer Liaison Physicians - Get Involved in your
State Cancer Plan

• National and State Plans have large goals
• To achieve those goals
• Statewide strategies and tactics
• Local action is necessary
• The big four, and local issues
• Assess the risks, incidence and mortality,
  disparities, and opportunities
  
• Identify the ways that your cancer program can
  improve the risk reduction, early detection, and
  better treatment of cancers in your community
  

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How Can You Get Involved?

• Obtain a copy of state plan
• CDC http//www.cdc.gov/cancer/ncccp/index.htm
• Cancer Control Planet http//cancercontrolplanet.c
  ancer.gov/
  
• CancerPlan.org http//www.cancerplan.org/
• Become familiar with CCC program staff in your
  state
  
• CoCs Web site contains a list of the state
  comprehensive cancer control contacts
  
• Invite them or a designee to come present an
  overview at a cancer committee meeting
  
• Become a member of the state partnership (or
  assign a facility representative)

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How Can You Get Involved?

• Present the state plan to your cancer committee
• Determine how your facilitys interests fit with
  state priorities
  
• Identify specific goals and objectives from the
  plan to implement within your community
  
• As an institution or in collaboration with
  community agencies on outreach activities
  
• Inform the state planning team of your activities
  and success
  
• Attend press release/town hall meetings

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How Can You Get Involved?

• Participate in on-line training to facilitate
  planning and developing evidence-based cancer
  control programs on the web portal Cancer
  Control P.L.A.N.E.T. (Plan, Link, Act, Network
  with Evidence-based Tools).
• This self-paced tutorial is provided on the top
  right corner of the PLANETs home page at
  http//cancercontrolplanet.cancer.gov/.

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What CoC Brings to the Table

• Resources of the Commission on Cancer
• Network of CLPs
• Network of CoC-approved programs
• NCDB and FIPS
• Resources of the American College of Surgeons
• State chapter support
• Network of Chapter members
• ACOSOG

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Benefits of State Chair and CLP Involvement

• Expertise
• Direct access to patients
• Direct access to medical community
• Work with diverse groups
• Data oriented
• Voice
• Dedicated to reducing burden of cancer

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Our ChallengeSignificantly Impact the Cancer
Burden in our Community

• We can make a difference in our community
• We can play a role in the State Cancer Plan