National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)  Vision: a nation in which all people live healthy lives free from the devastation of chronic diseases.  Within NCCDPHP, the Division of Cancer Prevention and Control (DCPC) works with national organizations, state health agencies, tribes and tribal organizations, territorial health agencies, and other key groups to develop, implement, evaluate, and promote effective cancer prevention and control practices.

Goal HP2020: Reduce the number of new cancer cases, as well as the illness, disability, and death caused by cancer Cancer Screening Objectives: Increase the proportion of the population who receive either cervical, colorectal or breast cancer screening based on the most recent guidelines through community-based research

National Prevention Strategy A priority in cancer control research is greater understanding of the multilevel intervention implementation process. Implementation and dissemination of multilevel interventions is needed to achieve the goals of the National Prevention Strategy.

Budget ActivityFY 14 Cancer Prevention and Control Total $ Million Breast and Cervical Cancer (BA and PPHF, excludes WISEWOMAN) $183.5 Million Breast Cancer Awareness for Young Women $4.875 Million Cancer Registries$48.2 Million Colorectal Cancer$42 Million Comprehensive Cancer$19.15 Million Johanna's Law$4.85 Million Ovarian Cancer$4.75 Million Prostate Cancer$12.75 Million Skin Cancer$2.075 Million Cancer Survivorship Resource Center$470,000 FY14 Appropriations Budget Allocations

CPCRN  Purpose: to work with partners to accelerate the implementation of evidence-based cancer prevention and control in communities:  to reach underserved populations  to reduce cancer risk  to improve screening utilization  to reduce death from cancer  to ameliorate health disparities in the community and within health systems

Research needs of DCPC programs  Surveillance data: more innovative use of surveillance systems  Health disparity: focus on the never/rarely screened, those who are new to ACA  Scaling up: evidence-based interventions, sustainability  Communication: risk communication, provider-patient about screening, cultural translation  Intersections: with other chronic diseases (ex. diabetes) and other sectors (ex. transportation)

NCI – Share CDC’s perspective and priorities  We share the need for multilevel research  Define “levels”  Evaluate metrics  Understand interactions between levels  We share the need to understand dissemination & Implementation  Key factors at each of the human levels (orgs, provider teams, Individuals)  Two Priority Content areas  Colorectal cancer screening Implementation March 16, 17 th 2015 Conference on CRC implementation  HPV vaccination Taplin et al Multilevel interventions in Health Care JNCI 2012, Taplin et al Primary Care Interfaces Across the Cancer Continuum JNCI 2010