1. Minnesota Colorectal Cancer Roundtable Action Planning Meeting March 4, 2015

2.  Minnesota Cancer Alliance recognized CRC as single priority for improvement (900 deaths, perhaps 500 avoidable)  Brought together care systems, health plans, ICSI, MDH, MNCM to collaborate on improving screening rates  Recognized we had the capacity to appropriately screen all Minnesotans 2009 Roundtable

3.  Confusing and disparate messages about appropriate CRC screening and surveillance options and intervals  No real agreement on how to identify and stratify risk and customize screening recommendations  Little agreement on standards for colonoscopy in the state  Needed new ways for care systems to better engage and encourage patients to be screened  Needed statewide publicity campaign to get messages out about appropriate screening and surveillance benefits  Failure was expensive in not only lives and misery, but in costs of treatment What we heard in 2009

4.  New ICSI Guideline  MNCM new measure greater transparency, DD submission  Numerous communication strategies implemented  Clarification/simplification of billing for screening  Development of colonoscopy quality measures  Statewide rate ~66%  Some focus on racial, economic and geographic disparities and risk stratification 2010 Roundtable

5.  As the priority spread, we needed a forum to help connect the projects started by different organizations  Informational by design, network meetings are intended to spark ideas and help people with like interests and challenges share ideas MCA Colon Cancer Network

6.  CRC remains the single biggest achievable “bang for the buck” in limiting cancer death and cost in Minnesota today  Minnesota Payers, Providers and Public Health Leaders remain committed to the vision  We can do more if we work together October 10 th Roundtable 2014

7.  The MN Physician article in your folder includes a complete list of ideas generated that day  Today we want to frame up a discussion of these strategies within three specific areas:  Access to Screening/Follow-up Care  Demand of Screening/Patient Engagement  Delivery of Screening/Provider Engagement October 10 th Strategies

8. We have a month

9. We have a color

10. We have a ribbon

11. We are engaging the public

12. And healthcare providers

13. But we also have a challenge

14.  Allina Health  American Cancer Society  Blue Cross and Blue Shield of MN  Colon Cancer Coalition  HealthPartners  Mayo  Medica  MN Cancer Alliance  MN Gastroenterology  Preferred One  Sanford Health  Ucare Minnesota is taking the Pledge

15.  What could Minnesota stakeholders do to demonstrate this renewed commitment?  What kind of effort would have the most impact on state screening rates?  Could the organizations in the room feasibly accomplish the effort?  Can we create an action plan to move this forward in the next 12 months? But we need more action

16.  To identify potential projects which could help Minnesota accelerate the increase of state colorectal cancer screening  To identify stakeholders willing to join these project teams to make measureable progress in the next 12 months Meeting Objectives

17.  Where are we today?  How could we get there?  Creating Action Plans/Project Teams  Access  Delivery  Demand Action Planning Day Agenda