Florida Cancer Plan

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Florida Cancer Plan

• Phil Roland, MD FACS FACOG
• Florida State Chair A
• Commission on Cancer

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Florida Cancer Plan

• Reduce the cancer burden through a collaborative
  effort with public and private partners
  throughout Florida
• Bureau of Chronic Disease Prevention and Health
  Promotion
• Comprehensive Cancer Control
• Cancer Control Research Advisory Council (CCRAB)
• Multiple Stake Holders, including Commission on
  Cancer

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Florida Cancer Plan (FCP) Goals

• 1 Clinical Services
• 2 Screening
• 3 Diagnosis
• 4 Prevention
• 5 Collaboration
• 6 Improve Quality

• 7 Disparity
• 8 Quality of Life
• 9 Public Policy
• 10 Funding
• 11 Data
• 12 - Research

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Florida Cancer Plan (FCP) Goals

• 1 Clinical Services
• 2 Screening
• 3 Diagnosis
• 4 Prevention
• 5 Collaboration
• 6 Improve Quality

• 7 Disparity
• 8 Quality of Life
• 9 Public Policy
• 10 Funding
• 11 Data
• 12 - Research

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FCP Collaborative Partners

• American Cancer Society
• Florida Tumor Registrars
• FL Ob-Gyn Society
• FL Osteopathic Asc.
• Florida Hospital Asc.
• FL Society of Clinical Oncology (FLASCO)
• Florida Medical Asc.
• FL Pediatric Society

• FL Dept Education
• FL Dental Association
• Am College Surgeons
• FL Radiological Society
• FL Asc. Pediatric Tumor Programs
• FL DOH
• State Universities

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FCP and CoC

• Parallel Missions
• Implementation of CoC Standards
• Improve Quality at your Institution
• Implementation FCP at Community Level
• Increase Awareness Support of the FCP at Your
  Institution

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Goal 1 Cancer Services

• Make state of the art services for cancer
  screening, diagnosis, and treatment more
  accessible and affordable throughout Florida.
• Priority sites include
• Breast
• Colorectal
• Skin
• Prostate
• Gynecologic

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Goal 1 Cancer Services

• Make state of the art services for cancer
  screening, diagnosis, and treatment more
  accessible and affordable throughout Florida.
• Participation in the CoC Hospital Approvals
  Program ensures a hospital cancer program
  provides multidisciplinary care in areas of
  cancer screening, diagnosis, and treatment to
  patients in the community.

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Goal 1 Cancer Services

• Make state of the art services for cancer
  screening, diagnosis, and treatment more
  accessible and affordable throughout Florida.

CoC Standards identify clinical services needed
to provide high-quality cancer care to patients
clinical laboratory, diagnostic imaging, surgical
procedures, radiation treatment, systemic
therapy, cancer staging, oncology nursing,
patient guidelines, and rehabilitation.
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Goal 1 Cancer Services

• Make state of the art services for cancer
  screening, diagnosis, and treatment more
  accessible and affordable throughout Florida.
• CP3R and EQUiP web based applications

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Goal 2 Cancer Screening

• Increase the percentage of Floridians who are
  screened appropriately for cancer per recommended
  guidelines.

12
Goal 2 Cancer Screening

• Increase the percentage of Floridians who are
  screened appropriately for cancer per recommended
  guidelines.
• CoC Standard 6.2 Each year, two prevention or
  early detection programs are provided on site or
  are coordinated with other facilities or local
  agencies.

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Goal 2 Cancer Screening

• Increase the percentage of Floridians who are
  screened appropriately for cancer per recommended
  guidelines.
• American Cancer Society Guidelines for the Early
  Detection of Cancer
• Breast
• Cervix
• Colon and Rectal Cancer

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Goal 5 - Collaboration

• Increase communication and collaboration among
  public and private cancer control stake-holders
  statewide.

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Goal 5 - Collaboration

• Increase communication and collaboration among
  public and private cancer control stake-holders
  statewide.
• Collaboration with services and programs offered
  by the American Cancer Society is required of all
  CoC approved cancer programs.
• The Cancer Liaison Physician Program designates
  volunteer physicians who serve as liaisons with
  the community, and agents of change within the
  community

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Goal 6 - Quality

• Improve quality, continuity, and appropriateness
  of care for all Floridians with cancer.

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Goal 6 - Quality

• Improve quality, continuity, and appropriateness
  of care for all Floridians with cancer.
• CoC Standards 2.7 2.8 Hospitals conduct
  regular, multidisciplinary cancer conferences.
  Approximately 10 of cases seen each year must be
  presented at cancer conferences. 75 of cases
  must be discussed prospectively.

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Goal 6 - Quality

• Improve quality, continuity, and appropriateness
  of care for all Floridians with cancer.
• CoC Standard 4.3 Disease staging is assigned by
  the managing physician, and recorded in the
  medical record, for 90 of cases annually.

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Goal 6 - Quality

• Improve quality, continuity, and appropriateness
  of care for all Floridians with cancer.
• CoC Standard 8.1 8.2 Each year the cancer
  committee completes and documents studies that
  measure quality and outcomes. Two improvement
  measures are implemented annually that directly
  affect cancer patient care.

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Goal 8 Quality of Life

• Enhance quality of life for Floridians with
  cancer and their families and friends.
• CoC Standard 6.1 Supportive services are
  provided on site or coordinated with local
  agencies and facilities. Services may include
  career, grief, and nutritional counseling,
  genetic testing, palliative care, support groups,
  and transportation services.

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Goal 11 - Data

• Increase the availability of data for
  surveillance, planning, and evaluating progress
  toward improving cancer outcomes and decreasing
  disparities.

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Goal 11 - Data

• Increase the availability of data for
  surveillance, planning, and evaluating progress
  toward improving cancer outcomes and decreasing
  disparities.
• CoC Standard 3.7 Annually, cases are submitted
  to the National Cancer Database (NCDB) -- a
  nationwide, facility-based, oncology data set
  that currently captures 75 of all newly
  diagnosed cancer cases in the United States
  annually, and holds information on over 20
  million cases

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Goal 12 - Research

• Advance cancer research in Florida.

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Goal 12 - Research

• Advance cancer research in Florida.
• CoC Standard 5.2 Approximately 2 to 5 of new
  cancer cases are enrolled in cancer clinical
  trials.

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Goal 12 - Research

• Advance cancer research in Florida.
• CoC partnership with the American Cancer Society,
  which provides the Florida Cancer Trials Matching
  Service. This internet and phone based clinical
  trial matching services provides Floridians with
  up to date listings of clinical trials available
  in their area.

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www.floridacancertrials.com
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FCP Current Challenges

• Funding
• Significant reduction in operational funds
• CDC reduced funding to 225,000 for five years
• Collaborative Partners
• Recognition
• Cancer Plan Implementation
• 2007 and beyond

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http//ccplanet.cancer.gov/