The NCCRT…A Centers for Disease Control/American Cancer Society Initiative

What is the NCCRT Mission? ♦ The National Colorectal Cancer Roundtable (NCCRT) is a national coalition of public, private, and voluntary organizations whose mission is to advance colorectal cancer control efforts by improving communication, coordination, and collaboration among health agencies, medical- professional organizations, and the public. ♦ The ultimate goal of the Roundtable is to increase the use of recommended colorectal cancer screening tests among in population for whom screening is appropriate.

Who makes up the NCCRT? Co-Founded by CDC and ACS in 1997 Chaired by Drs. Richard Wender and Robert Smith, and Directed by Mary Doroshenk Includes nationally known experts, thought leaders, and decision makers Over 70 Member organization include: – academic institutions – survivor groups – government agencies (CDC, NCI, CMS, AHRQ, State Health Depts) – community health centers – foundations (AARP) – industry leaders – medical professional societies and – health insurers – voluntary health agencies (ACS, ACS Divisions)

What does the NCCRT do? Serves as a forum for communication and developing consensus Challenges members to be participatory Stimulates collaboration on projects that everyone wants done, but no one is doing Leverages the talents of the members to conduct studies, create tools and identify emerging issues that can advance CRC screening Serves as a “Go To” organization

What doesn’t the NCCRT do? Importantly, its been a long standing principle of the Roundtable’s philosophy that we are careful not to compete with our member organizations or duplicate their work or mission. Rather, we strive to stimulate collaborations and take on projects that no one else is doing. The individual member orga nizations share the success of our achievements.

Six Key Areas of Emphasis Professional Education Developing and promoting evidence-based tools for Professional Education Public Awareness Unifying efforts around Public Awareness Address Disparities Working with community health centers to Address Disparities in CRC screening rates Policy Answering the day’s pressing Policy questions Quality Improving the delivery of high Quality screening International Leadership Providing International Leadership

Tools, Resources and Publications

Professional Education Key accomplishments and initiatives: Developed “How to Increase CRC Screening Rates in Practice: A Primary Care Clinician’s Toolbox and Guide” Developed Physician FOBT brochure, designed to introduce physicians to the value of FOBT screening Partnering with the National Association of Community Health Centers to increase CRC screening in community health centers Partnering with Patient Centered Primary Care Collaborative to increase cancer screening in the patient centered medical home

Quality Key accomplishments and initiatives: Published a report on evidence- and consensus-based standards for the performance of high quality colonoscopy (CoRADs) Lieberman D, Nadel M, Smith RA, et al. Standardized colonoscopy reporting and data system: report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointest Endosc. 2007;65: Published report that describes the components of a quality screening colonoscopy referral system in primary care practice Sifri R, Wender R, Lieberman D, et al. Developing a Quality Screening Colonoscopy Referral System in Primary Care Practice: A Report from the National Colorectal Cancer Roundtable. CA Cancer J Clin. 2010;60: Published a report on the responsibilities of referring clinicians to ensure quality colonoscopy Fletcher RH, Nadel MR, Allen JI, et al. The quality of colonoscopy services--responsibilities of referring clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer Roundtable. J Gen Intern Med 2010;25: Presently exploring the development of an accreditation program similar to MQSA to ensure quality colonoscopy

Public Awareness Key accomplishments and initiatives: Development of a unifying Colorectal Cancer Awareness Month (March) strategy Development and distribution of the Blue Star universal symbol for colon cancer Development and distribution of Family PLZ! campaign Development of Member CRC Awareness Marketing Kit Establish social media presence to support these activities

Policy Key accomplishments and initiatives: Conducted colonoscopy copay research project in conjunction with the Kaiser Family Foundation Conducted state by state assessment of prevention services within the Medicaid program Developed cost model showing cost savings to Medicare program for increasing cancer screening in the under 65 population Launching assessment of GI and other specialty provider participation in the Medicaid program Recruiting high level speakers to the NCCRT annual meeting, including Reps. Patrick Kennedy Al Winn, and CDC Director Dr. Thomas Frieden

International Key accomplishments and initiatives: Established the International Colorectal Cancer Screening Network (ICRCSN), an international consortium of programs, committed to improving the delivery of colorectal cancer screening to their populations Published 3 manuscripts on international screening measures that allow for international comparison with the goal of improved colorectal cancer screening quality.* With more in-depth analysis, the network can do comparative effectiveness research and give analysts the capacity to compare different tests, different screening intervals, and different criteria for positive tests. Benson VS, Atkin WS, Green J, et al. Toward standardizing and reporting colorectal cancer screening indicators on an international level: The International Colorectal Cancer Screening Network. Int J Cancer 2012;130: Atkin WS, Benson VS, Green J, et al. Improving colorectal cancer screening outcomes: proceedings of the second meeting of the International Colorectal Cancer Screening Network, a global quality initiative. Journal of medical screening. 2010;17: Benson VS, Patnick J, Davies AK, Nadel MR, Smith RA, Atkin WS. Colorectal cancer screening: a comparison of 35 initiatives in 17 countries. Int J Cancer 2008;122: *

Other key accomplishments and initiatives Developed CRC Evaluation Toolkit and conduct evaluation training Conduct CRC Media and online audits Conduct site visits to identify emerging trends, innovations, barriers and solutions around CRC screening Host key workshops with stakeholders and thought leaders to advance priority issues

How does HHS Benefit from the NCCRT? Engagement with leading organizations involved in the fight against CRC NCCRT R&D provides programs used by the member organizations and State Health Departments, contributing to our leadership and ability to achieve our CRC screening goals Benefits the public with unified, evidence-based efforts to increase CRC screening Timely, highly cited contributions to the CRC Scientific/Policy literature Many NCCRT products are embraced by CDC grantees, such as the CDC’s Colorectal Cancer Control Program

Unifies and magnifies efforts around CRC. Pools and leverages the talents of a diverse membership base Maximizes limited resources; Strengthens the collective energy behind CDC strategic priorities for increasing CRC screening with evidence-based tools NCCRT…a win win win

All NCCRT resources are available on NCCRT.org