Measuring Success in Wyomings Efforts Surrounding Comprehensive Cancer Control Linda Chasson, MS, Administrator Preventive Health & Safety Division Wyoming Department of Health Linda Chasson, MS, Administrator Preventive Health & Safety Division Wyoming Department of Health

Taking a Look at the History of Cancer Control in Wyoming Inadequate infrastructure for cancer control; Limited resources for cancer patients, families, and caregivers; Limited data use in decision- making; Lack of coordination among cancer control efforts; Heavy and unequal cancer burden among underserved populations; Insufficient information about effective programs and services. Inadequate infrastructure for cancer control; Limited resources for cancer patients, families, and caregivers; Limited data use in decision- making; Lack of coordination among cancer control efforts; Heavy and unequal cancer burden among underserved populations; Insufficient information about effective programs and services.

What Did We Do About It? Developed Wyoming Comprehensive Cancer Control Program; Improve the use of existing resources and increase the level of overall support; Gathered interested stakeholders to draft Wyomings first Comprehensive Cancer Control Plan; Developed Wyoming Comprehensive Cancer Control Program; Improve the use of existing resources and increase the level of overall support; Gathered interested stakeholders to draft Wyomings first Comprehensive Cancer Control Plan;

What Did We Do About It? Increased coordination and collaboration efforts among stakeholders; and Developed a strategy for assessing both process and outcomes associated with the CCC effort. Increased coordination and collaboration efforts among stakeholders; and Developed a strategy for assessing both process and outcomes associated with the CCC effort.

And most importantly… We look towards reduced morbidity from cancer; and Reduce health disparities among underserved populations We look towards reduced morbidity from cancer; and Reduce health disparities among underserved populations

How Will We Know That Weve Made A Difference? Evaluation Plan July 2006 Prepared for: Wyoming Comprehensive Cancer Control Program Wyoming Department of Health Preventive Health & Safety Division Chronic Disease Section Prepared by: Kimberly Rogers Comprehensive Cancer Control Program Manager Joseph Grandpre, Ph.D., MPH Deputy State Epidemiologist 6101 Yellowstone Road, Suite 259A Cheyenne, WY Evaluation Plan July 2006 Prepared for: Wyoming Comprehensive Cancer Control Program Wyoming Department of Health Preventive Health & Safety Division Chronic Disease Section Prepared by: Kimberly Rogers Comprehensive Cancer Control Program Manager Joseph Grandpre, Ph.D., MPH Deputy State Epidemiologist 6101 Yellowstone Road, Suite 259A Cheyenne, WY

What Will We Evaluate? Context Evaluation/ Process/ Organizational Implementation Activities Outcomes Context Evaluation/ Process/ Organizational Implementation Activities Outcomes

Context Evaluation As part of Wyomings evaluation plan, contextual factors, such as environment or organizational design, must also be evaluated in order to obtain data relating to the programs success based on factors that may impede or facilitate ongoing decision- making or priority setting.

Example I Each year, a WCCCC evaluation is completed. This evaluation depicts each partner organizations satisfaction with: 1. Partnership diversity and structure; 2. Partnership climate; 3. Meeting frequency and logistics; 4. Support by the WDH Comp Cancer Program; and 5. Leadership vision, competence, and opportunities. * This evaluation also offers opportunities to become involved with specific activities/ strategies tied to the Wyoming Cancer Control Plan Each year, a WCCCC evaluation is completed. This evaluation depicts each partner organizations satisfaction with: 1. Partnership diversity and structure; 2. Partnership climate; 3. Meeting frequency and logistics; 4. Support by the WDH Comp Cancer Program; and 5. Leadership vision, competence, and opportunities. * This evaluation also offers opportunities to become involved with specific activities/ strategies tied to the Wyoming Cancer Control Plan

Implementation Evaluation As part of Phase II: Implementation for the National Comprehensive Cancer Control Program Award, the WCCCP will also monitor outcomes being met as a result of the strategies tied within the Wyoming Cancer Control Plan. The WCCCP, in conjunction with the CCC Steering Committee, and the CCC Data Committee, will be monitoring plan goals, objectives, and strategies for program accomplishments, weaknesses, and modifications.

Example II County Cancer Resource Coordinators (CCRC) Pilot Project (2007) Activity Monitoring Tool Community-level data Colorectal Cancer Reimbursement Program (2008?) Activity Monitoring Tool Increase in Colorectal Cancer Screening (BRFSS) County Cancer Resource Coordinators (CCRC) Pilot Project (2007) Activity Monitoring Tool Community-level data Colorectal Cancer Reimbursement Program (2008?) Activity Monitoring Tool Increase in Colorectal Cancer Screening (BRFSS)

Outcome Evaluation The outcome evaluation component is probably the most crucial information we will receive. The information will tell us how well we are doing at decreasing the impact of cancer on Wyoming and promote data driven decision-making as we move forward with CCC efforts in Wyoming.

Example III GOAL: All Wyoming people diagnosed with cancer will receive quality cancer care. Objective II: By 2010, enhance communications among the various health care providers within the state. Activity Monitoring Tool (Electronic Tumor Board Project) Provider survey GOAL: All Wyoming people diagnosed with cancer will receive quality cancer care. Objective II: By 2010, enhance communications among the various health care providers within the state. Activity Monitoring Tool (Electronic Tumor Board Project) Provider survey

Concluding Thoughts 2007 Wyoming Cancer Control Plan Evaluation Report Evaluation efforts may change as the priority needs of Wyoming change, however; this evaluation concept will remain similar; A decrease in cancer rates will show change, but the true change occurs in the Quality of Life of those who are impacted by cancer Wyoming Cancer Control Plan Evaluation Report Evaluation efforts may change as the priority needs of Wyoming change, however; this evaluation concept will remain similar; A decrease in cancer rates will show change, but the true change occurs in the Quality of Life of those who are impacted by cancer.

Questions? Thank you for your time and commitment to Cancer Prevention & Control in the State of Wyoming.