Comprehensive Cancer Control Planning

Telling New Jersey’s Story

Peg Knight, RN, M.Ed.Executive Director

Office of Cancer Control and Prevention

New Jersey Dept. of Health & Senior Services

History of Comprehensive Cancer Control

• Cancer leading health concern of NJ citizens

• Need for a more organized and integrated approach to cancer control

• DHSS Internal Strategic Planning Team– directed by the Commissioner– identified priority recommendations for cancer

control

History of Comprehensive Cancer Control

• State-wide comprehensive cancer control plan

• Executive Order, May 2000– “Task Force on Prevention, Early Detection and

Treatment in NJ”

• 2 state-wide educational forums on comprehensive cancer control

History of Comprehensive Cancer Control

• Established Office of Cancer Control and Prevention– Support Task Force

• Task Force Kickoff Meeting Jan. 29, 2001– 18 month timeline to develop plan

Task Force Members

• Commissioner of Health & Senior Services

• Chair: Arnold Baskies, MD

• Vice Chair: Philip Benson

• 16 public, Governor appointed members:• Cancer Survivors

• Providers of Cancer Treatment and Services

• Community-Based Organizations

• Academia

• Pharmaceutical Industry

Centers for Disease Control and Prevention

Definition of Comprehensive Cancer Control

“an integrated and coordinated approach to reduce

cancer incidence, morbidity and mortality through

prevention, early detection, treatment, rehabilitation

and palliation.”

Why Do It?• Heavy and unequal cancer burden

• Inadequate infrastructure

• Limited resources

• Limited data use in decision making

• Lack of coordination

• One cycle of planning and implementation is insufficient

What Works

• Organization of organizations• Commitment to planning & implementation• Evidence-based process• Topical subcommittees develop objectives and

strategies• Priority-setting process within larger body• Mutual education about issues in cancer control• Focus on what’s feasible to do NOW by US

TIMELINE

A Framework for Comprehensive Cancer Control

• Phase 1 - Setting Optimal Objectives

• Phase 2 - Determining Possible Strategies

• Phase 3 - Planning Feasible Strategies

• Phase 4 - Implementing Effective Strategies

Phase 1: Setting Optimal Objectives

• Existing data assessed for usefulness

• Identify existing Needs &

Capacity Assessments (N&CA) at County level

• Identify gaps

Phase 2: Determining Possible Strategies

WORK GROUPS • BREAST

• CERVICAL

• PROSTATE

• LUNG

• COLORECTAL

• MELANOMA

• ORAL/PHARYNGEAL

• OVERARCHING• ACCESS/RESOURCES

• ADVOCACY

• NUTRITION/PHYSICAL ACTIVITY

• PALLIATION

• CHILDHOOD CANCERS

ISSUES ADDRESSED

•RESEARCH

•SURVEILLANCE

•EDUCATION

•OUTREACH

•SCREENING

•TREATMENT

•PALLIATIVE CARE

•EVALUATION/QUALITY

Work Groups: Composition

• Decision Makers

• Task Force Members

• Members of Respective Task Force Member Organizations

• Broader, more comprehensive

• Pharmaceutical

• Advocacy Groups

• Community Organizations

• Local Health Departments

• Who isn’t here that should be?

4 Stages of Development

Develop Issue/Problem Statements

Generate Goals and Objectives

Select Priorities

Develop Implementation Strategies

Phase 3: Planning Feasible Strategies

Phase 4: Implementing Effective Strategies

• Evaluating

• Tool: Data

Where Are We Now?

Press ConferenceJanuary 9, 2003

$3,250,000

Budget Allocation to Implement the Plan

Public Awareness Campaign

• Melanoma

• Educational Materials Translation

• State-wide Campaign

• State-wide Conference

Surveillance

• Increase BRFSS encounters from 4000 to 10,000– dissemination of information at the county level– essential for Capacity/Needs Assessment

• Cancer Cluster Task Force

New Jersey Commission on Cancer Research

• Expanded funding to address– Cancer and Aging– Quality of Life– Disparities

• Clinical Trial Education Initiative

• Informed Consent Workshops

Evaluation

• Procurement of evaluation services on the Comprehensive Cancer Control Plan as mandated by Executive Order 114 and as indicated by CDC guidelines allowing for biennial reports, monitoring, revising and updating.

Infrastructure

• Office of Cancer Control and Prevention– directing activities– internal monitoring– funding initiatives

• NJCEED

• Cancer Registry– capacity/needs assessment– GIS expansion– NCI SEER contract

Infrastructure

• Health Service Grants through the 25 NJCEED lead agencies – critical for the capacity/needs assessment per

CDC guidelines– local cancer coalition building– implementation of the Plan at the community

level

To be continued...

Together We Can Make A Difference

Telling New Jersey’s Story

THANK YOU!

Questions

Contact Information

Office of Cancer Control and Prevention

P.O. Box 369

3635 Quakerbridge Road

Trenton, NJ 08625-0369

609-588-7681

609-588-4992 (FAX)peg.knight@doh.state.nj.us

www.state.nj.us/health