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

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

Florida Cancer Plan (FCP) Goals 1 – Clinical Services1 – Clinical Services 2 – Screening2 – Screening 3 –Diagnosis3 –Diagnosis 4 – Prevention4 – Prevention 5 – Collaboration5 – Collaboration 6 – Improve Quality6 – Improve Quality 7 –Disparity 8 – Quality of Life 9 – Public Policy 10 – Funding 11 – Data 12 - Research

Florida Cancer Plan (FCP) Goals 1 – Clinical Services1 – Clinical Services 2 – Screening2 – Screening 3 –Diagnosis3 –Diagnosis 4 – Prevention4 – Prevention 5 – Collaboration5 – Collaboration 6 – Improve Quality6 – Improve Quality 7 –Disparity 8 – Quality of Life 9 – Public Policy 10 – Funding 11 – Data 12 - Research

FCP Collaborative Partners American Cancer SocietyAmerican Cancer Society Florida Tumor RegistrarsFlorida Tumor Registrars FL Ob-Gyn SocietyFL Ob-Gyn Society FL Osteopathic Asc.FL Osteopathic Asc. Florida Hospital Asc.Florida Hospital Asc. FL Society of Clinical Oncology (FLASCO)FL Society of Clinical Oncology (FLASCO) Florida Medical Asc.Florida Medical Asc. FL Pediatric SocietyFL Pediatric Society FL Dept Education FL Dental Association Am College Surgeons FL Radiological Society FL Asc. Pediatric Tumor Programs FL DOH State Universities

FCP and CoC Parallel MissionsParallel Missions Implementation of CoC StandardsImplementation of CoC Standards –Improve Quality at your Institution –Implementation FCP at Community Level Increase Awareness & Support of the FCP at Your InstitutionIncrease Awareness & Support of the FCP at Your Institution

Goal 1 – Cancer Services Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida.Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida. Priority sites includePriority sites include –Breast –Colorectal – Skin –Prostate –Gynecologic

Goal 1 – Cancer Services Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida.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.

Goal 1 – Cancer Services Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida.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.

Goal 1 – Cancer Services Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida.Make state of the art services for cancer screening, diagnosis, and treatment more accessible and affordable throughout Florida. CP3R and EQUiP web based applicationsCP3R and EQUiP web based applications

Goal 2 – Cancer Screening Increase the percentage of Floridians who are screened appropriately for cancer per recommended guidelines.Increase the percentage of Floridians who are screened appropriately for cancer per recommended guidelines.

Goal 2 – Cancer Screening Increase the percentage of Floridians who are screened appropriately for cancer per recommended guidelines.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.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.

Goal 2 – Cancer Screening Increase the percentage of Floridians who are screened appropriately for cancer per recommended guidelines.Increase the percentage of Floridians who are screened appropriately for cancer per recommended guidelines. American Cancer Society Guidelines for the Early Detection of CancerAmerican Cancer Society Guidelines for the Early Detection of Cancer –Breast –Cervix –Colon and Rectal Cancer

Goal 5 - Collaboration Increase communication and collaboration among public and private cancer control stake- holders statewide.Increase communication and collaboration among public and private cancer control stake- holders statewide.

Goal 5 - Collaboration Increase communication and collaboration among public and private cancer control stake-holders statewide.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.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 communityThe Cancer Liaison Physician Program designates volunteer physicians who serve as liaisons with the community, and agents of change within the community

Goal 6 - Quality Improve quality, continuity, and appropriateness of care for all Floridians with cancer.Improve quality, continuity, and appropriateness of care for all Floridians with cancer.

Goal 6 - Quality Improve quality, continuity, and appropriateness of care for all Floridians with cancer.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.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.

Goal 6 - Quality Improve quality, continuity, and appropriateness of care for all Floridians with cancer.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.CoC Standard 4.3: Disease staging is assigned by the managing physician, and recorded in the medical record, for 90% of cases annually.

Goal 6 - Quality Improve quality, continuity, and appropriateness of care for all Floridians with cancer.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.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.

Goal 8 – Quality of Life Enhance quality of life for Floridians with cancer and their families and friends.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.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.

Goal 11 - Data Increase the availability of data for surveillance, planning, and evaluating progress toward improving cancer outcomes and decreasing disparities.Increase the availability of data for surveillance, planning, and evaluating progress toward improving cancer outcomes and decreasing disparities.

Goal 11 - Data Increase the availability of data for surveillance, planning, and evaluating progress toward improving cancer outcomes and decreasing disparities.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 casesCoC 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

Goal 12 - Research Advance cancer research in Florida.Advance cancer research in Florida.

Goal 12 - Research Advance cancer research in Florida.Advance cancer research in Florida. CoC Standard 5.2: Approximately 2 to 5% of new cancer cases are enrolled in cancer clinical trials.CoC Standard 5.2: Approximately 2 to 5% of new cancer cases are enrolled in cancer clinical trials.

Goal 12 - Research Advance cancer research in Florida.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.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.

FCP: Current Challenges FundingFunding –Significant reduction in operational funds –CDC reduced funding to $225,000 for five years Collaborative PartnersCollaborative Partners –Recognition –Cancer Plan Implementation 2007 and beyond2007 and beyond