1. What’s in it for YOU? Amy J. Conlon, MPH WI CCC Program Director ajconlon@uwcarbone.wisc.edu

3. Example of Priority/Strategy / Action Step Table

4. WI CCC Plan Outline ChapterPrioritiesStrategiesAction Steps PREVENTION51450 SCREENING41140 TREATMENT3935 SURVIVORSHIP41231 PALLIATIVE CARE31028 DATA COLLECTION3819 TOTAL:2264203

5. Three Components WI Cancer Council Wisconsin Comprehensive Cancer Control Program WI CCC Plan 2010 - 2015

6. Implemented Strategies by the WI CCC Program in 2012 ChapterTotal # of StrategiesThose Implemented by WI CCC Program PREVENTION14536% SCREENING11436% TREATMENT9 333% SURVIVORSHIP12650% PALLIATIVE CARE10110% DATA COLLECTION8338% TOTAL:642234%

7. Chapter 1: Prevention WI CCC Program Projects: 1. TOBACCO USE & EXPOSURE 2. OBESITY: Policy Work 3. ALCOHOL 4. SUN/UV EXPOSURE: SunWise Poster Contest 5. HPV VACCINE

8. Chapter 2: Screening WI CCC Program Projects: 1. PUBLIC AWARENESS OF SCREENINGS: WI Breast Cancer Taskforce (WBCTF) 2. HEALTH SYSTEM BASED STRATEGIES: WBCTF, Provider Survey, Improving CRC Screening w/i FQHCs w/WPHCA 3. INCREASED ACCESS TO SCREENINGS: Promoting Colorectal Cancer Screening Events 4. CANCER RISK ASSESSMENTS

9. Chapter 3: Treatment WI CCC Program Projects: 1. ACCESS TO QUALITY CANCER CARE: Continuum of Care Grants 2. CANCER CLINICAL TRIALS 3. PATIENT SATISFACTION: WI Alliance for Community Health Workers

10. Chapter 4: Survivorship WI CCC Program Projects: 1. AWARENESS OF SURVIVORS’ NEEDS: Survivorship Forum 2. EDUCATE AND EMPOWER SURVIVORS: Survivorship Forum 3. INCREASE ACCESS TO QUALITY CARE AND SERVICES: WISE Survivorship Resource Directory 4. INCREASE SURVIVORSHIP RELATED DATA: Survivorship Registry

11. Chapter 5: Palliative Care WI CCC Program Projects: 1. ADVANCE CARE PLANNING 2. ACCESS TO QUALITY SYMPTOM MANAGEMENT 3. ACCESS TO QUALITY END OF LIFE CARE: Snapshots of Palliative Care in WI

12. Chapter 6: Data Collection & Reporting WI CCC Program Priorities: 1. THE WI CANCER REPORTING SYSTEM: Policy Work 2. WI CANCER RELATED DATA SOURCES: Surveillance Briefs 3. EMERGING CANCER DATA ISSUES

13. There is room in it for YOU!

14. YOU Where do YOU fit in? WI CCC Plan “Implementers” Community Based Organizations Public Health AgenciesHealth Care Systems Policy MakersHealth Care ProvidersProfessional Organizations Insurance Company or Payer Business / EmployerAcademic / Research SchoolsSurvivorsAll WI Residents

15. Prevention HEALTH CARE PROVIDERS:Screen patients and offer treatment HEALTH CARE SYSTEM: COMMUNITY BASED ORGS:Promote healthy lifestyles in your community PUBLIC HEALTH AGENCY:Decrease youth tobacco use Promote physical activity and healthy diets POLICY MAKERS:Support full funding of WI Tobacco Program Support the regulation of tanning beds INSURANCE COMPANY:Provide full coverage for prevention treatments Provide full coverage for HPV vaccine

16. Prevention BUSINESS / EMPLOYER:Provide a smoke free work environment Encourage employees to be physically fit, eat well Provide protective gear to those working outside ACADEMIC / RESEARCH:Increase the awareness between risk behaviors (obesity, alcohol) and cancer SCHOOLS:Adopt and promote standards for physical activity, healthy eating, sun/UV protection Implement youth tobacco prevention strategies SURVIVORS:Incorporate healthy lifestyles behaviors for you and your family ALL WI RESIDENTS:

17. Screening HEALTH CARE PROVIDERS:Get patients their recommended screenings HEALTH CARE SYSTEM:Office based reminder system for screenings Provide cancer risk assessments and counseling COMMUNITY BASED ORGS:Promote screening programs for underinsured PUBLIC HEALTH AGENCY:Promote screening programs for underinsured POLICY MAKERS:Support full funding for cancer screenings

18. Screening INSURANCE COMPANY:Provide incentives to members who get screened Provide full coverage for cancer screenings BUSINESS / EMPLOYER:Provide full coverage for screenings and time off to get screened Have a cancer screening event at work ACADEMIC / RESEARCH: SCHOOLS: SURVIVORS:Get recommended cancer screenings ALL WI RESIDENTS:

19. Treatment HEALTH CARE PROVIDERS:Follow nationally validated treatment guidelines HEALTH CARE SYSTEM:Accreditation by American College of Surgeons Availability of Patient Navigators Provide patients w a synopsis of their care COMMUNITY BASED ORGS:Work w Health Systems to improve health literacy PUBLIC HEALTH AGENCY:Promote screening programs w treatment coverage for underinsured POLICY MAKERS:

20. Treatment INSURANCE COMPANY:Provide full coverage for cancer treatment BUSINESS / EMPLOYER: ACADEMIC / RESEARCH:Promote cancer clinical trials SCHOOLS: SURVIVORS:Participate in cancer clinical trials as needed ALL WI RESIDENTS:

21. Survivorship HEALTH CARE PROVIDERS:Continue to increase understanding of survivorship issues HEALTH CARE SYSTEM:Provide survivorship care plans COMMUNITY BASED ORGS:Provide community educational forums PUBLIC HEALTH AGENCY: POLICY MAKERS:Support funding for survivorship services, research and surveillance

22. Survivorship INSURANCE COMPANY:Provide full coverage for survivorship related services BUSINESS / EMPLOYER:Provide info on return to work transition issues ACADEMIC / RESEARCH:Train professionals to address survivorship issues Create database to capture data on WI survivors SCHOOLS:Provide info on return to school transition issues SURVIVORS:Share your experience to help educate about survivors’ needs Join an advocacy group to improve survivorship ALL WI RESIDENTS:

23. Palliative Care HEALTH CARE PROVIDERS:Talk to patients about the benefits of palliative care HEALTH CARE SYSTEM:Promote shared decision making COMMUNITY BASED ORGS:Inform patients that quality symptom management should be expected PUBLIC HEALTH AGENCY: POLICY MAKERS:

24. Palliative Care INSURANCE COMPANY:Reimburse providers for their time to discuss advance care directives BUSINESS / EMPLOYER: ACADEMIC / RESEARCH:Identify indicators & data for monitoring quality symptom management. SCHOOLS: SURVIVORS:Complete an advance care directive ALL WI RESIDENTS:

25. Data Collection & Reporting HEALTH CARE PROVIDERS: HEALTH CARE SYSTEM:Promote timely reporting to WCRS Improve quality and completeness of data to WCRS COMMUNITY BASED ORGS: PUBLIC HEALTH AGENCY:Promote use of existing cancer-related data Collect needed data on emerging needs POLICY MAKERS:Support full funding of the WCRS

26. Data Collection & Reporting INSURANCE COMPANY: BUSINESS / EMPLOYER: ACADEMIC / RESEARCH:Collect data to measure emerging needs SCHOOLS: SURVIVORS: ALL WI RESIDENTS:

27. YOU Where do YOU fit in? WI CCC Plan IMPLEMENTATION PreventionScreeningTreatmentSurvivorship Palliative Care Data Collection

28. YOU Where do YOU fit in? WI CCC Plan “Implementers” Community Based Organizations Public Health AgenciesHealth Care Systems Policy MakersHealth Care ProvidersProfessional Organizations Insurance Company or Payer Business / EmployerAcademic / Research SchoolsSurvivorsAll WI Residents

30. Chapter Interest Groups EACH GROUP MEMBER: Share ONE item you will be working on that contributes to the WI CCC Plan’s implementation in Wisconsin. reflect on how your work fits into the WI CCC Plan – what priorities are you working to achieve, what action steps is your organization implementing?

31. Chapter Interest Groups AS A GROUP, DISCUSS: What policy or public policy topic(s) should be explored and/or addressed to reduce the burden of cancer in Wisconsin? Examples of public policy: Systems of laws Funding priorities Regulations Ideas and values on which decisions are made and action/inaction is taken Administrative practices Courses of Action Executive or judicial order

32. Chapter Interest Groups Share ONE item you will be working on that contributes to the WI CCC Plan’s implementation in Wisconsin. What policy or public policy topic(s) should be explored and/or addressed to reduce the burden of cancer in Wisconsin?