Transcript Learning From Existing State CRC Coalitions or RTs

California Colorectal Cancer
Coalition (C4)
Sandra Robinson, MBA
Vice President Board of Directors, C4
Director, California Colorectal Cancer Control Program
“Our mission is to save lives and reduce suffering from
colorectal cancer in all Californians.” reduce suffering from
colorectal cancer in all Californians.
C4 Mission Statement:
To save lives and reduce suffering from
colorectal cancer in all Californians
C4 plans to fulfill this mission by:
• Implementing strategies to reduce disparities in
CRC screening, diagnosis, and treatment among
underserved populations in California
• Increasing capacity for colorectal cancer screening
• Advocating for CRC screening programs to serve
uninsured and underinsured populations
The Beginning The Dialogue Summit
Californians Taking Action to
Conquer Colorectal Cancer: a
Dialogue for Action
– In San Diego, June 1–2, 2006. The Dialogue
attracted more than 130 people. The goal of
the summit was to establish a new a 501(c)3
coalition to address the CRC screening rate in
California.
– The California Colorectal Cancer Coalition
(C4) was formed in 2007 – First Board of
Directors meeting held January 2007
Steps Taken
• Identifying the Board of Directors
• Drafting the By Laws and Articles
of Incorporation
• Filing Articles of Incorporation for
501c3 Non-Profit status and
incorporation
• Developing the Mission Statement
and Objectives
• Identifying the first activity as a
Board to increase CRC screening
The Ingredients
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Our mix of participants:
– Originally: legal and public relations. (now a gap)
– Currently: clinicians, academics, survivors, public
health administrators, legislative staff, advocates.
(smart, dedicated volunteers)
• Regular meetings held with action items reviewed
and ongoing projects discussed.
• A strong shared mission and goals among the
Board Members – “Get Californians screened for
CRC”.
• A forum for sharing ideas and best practices to
increase CRC screening.
• The key role of ACS involvement and integration
with the state organizations (government and
stakeholders).
• The remaining problem - a reliable, steady
revenue stream/source.
California’s Challenge – What
Drives Us
• 38.8 million population 2014*
• Almost 12 million currently enrolled in
Medicaid
• 6.6 million Californians in 2013 were
uninsured, with 4.1 million lacking
coverage for at least a full year.
• California's uninsured rate fell by as
much as 40% in 2014**, (to roughly just
under 4 million) in large part because of
expanded coverage under the Affordable
Care Act.
• At least 1 million is undocumented.
*http://quickfacts.census.gov/qfd/states/06000.html
**California Healthline Report: California Uninsured Rate Fell by as Much as 40% Under
ACA, Thursday, February 26, 2015
CRC Screening Rates in
California
• In 2012, Behavioral Risk Factor
Surveillance Survey (BRFSS) - 64% of
Californians over age 50 reported being
up to date with CRC screening according
to U.S. Preventive Services Task Force
(USPSTF) guidelines.
• Persons with income at or below 250% of
the Federal Poverty Guidelines (FPG) –
52%
• Hispanics – 46%
• Uninsured – 26%
• 2014 FQHC CRC screening rate 34.8%*
*http://bphc.hrsa.gov/uds/datacenter.aspx?year=2014&state=CA
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
California Pilot Project: Colorectal
Cancer Community Screening Improving access to colorectal cancer
screening and treatment for the uninsured
and underserved
A Joint Venture Championed by
Pilot sites applying these models:
• Alameda County
– Pilot FIT screening program at ACMC’s Internal Medicine clinic
– Expand pilot to consortium clinics and develop OA’s network of volunteer
GI teams at non-profit hospitals to provide added capacity
• Sacramento County
– Identify and develop resources before piloting a CRC screening program
– Potential pilot program with Kaiser Permanente and student-run clinics
• Los Angeles County
– Pilot screening program with FIT at Venice Family Clinic’s eight sites
– Expand FIT screening program at East Valley Community Health Center
– Broaden network of volunteer GI teams at private hospitals and
endoscopy centers
• Stanford University Community (Santa Clara County)
– Implement FIT screening at Stanford’s two affiliated free clinics
– Establish OA-type model at Stanford Medical Center with volunteer GI
teams
• Orange County
– Expand GI network and services at AccessOC (two GI days held in
2011, expanding in 2012)
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Stakeholder meetings with
Partners
April 26, 2012 Colorectal Cancer Roundtable Meeting:
Objectives:
• Establish strategic ways that organizations throughout the
state can work together to reduce the burden of colorectal
cancer.
• Establish regional plans to implement the colorectal cancer
objectives of California’s Comprehensive Cancer Control
Plan, 2011-2015 – Sponsored by California Dialogue on
Cancer (CDOC State Cancer Plan).
March 2015 ACS 80% by 2018 Stakeholder Meetings
Colon Cancer Screening Initiative 80% by 2018: What it will
take to get there
Los Angeles and Oakland
March 2015 Roundtable in San Diego
Requirement of 2014 C4 grant – conduct County wide meeting for
Council of Community Clinics attended by Clinic Medical
Directors.
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
Grants Program 2013
• LA Care Health Plan
$5000
Patient Navigator to increase FIT
screening
• San Diego NHC
$5000
Comprehensive approach to increase FIT
CRC screening (in-reach)
• UC Davis
$7500
Train Peer Navigators for patients with
newly diagnosed colon cancer
• UC San Francisco
$4500
Develop FIT use videos in 10 languages
• Celilia De La Hoya Cancer Center $5000
FIT testing paired with breast cancer
screening
Grants Program 2014
Grants to FQHCs
• NHC San Diego
$5000
• Operation Samahan
$5000
• San Ysidro Health Center
$10,000
• Cecilia De La Hoya Cancer Center $5000
These FQHC grants received C4 and ACS on site
training to increase colorectal cancer screening
through FIT testing
• Project Access San Diego
$8000
This grant was to coordinate the FIT screening and
follow up of + FIT with free colonoscopies. Have an
Annual County Colorectal Cancer Roundtable
• UC Davis Cancer Center
$7175
Expand the previously funded We Care Peer
Navigation to two local tribal nations
Grants Program 2015
• Clinica Sierra Vista – Fresno, CA - $8,000
Increase CRC screenning rates through FIT tests
and Education.
• White Memorial Medical Center, Los Angeles,
CA-$5,910
Educational material and FIT tests distributed
through EWC (BCCEDP) program. Focus on
Hispanic and Korean population.
• Vista Community Clinic – Vista, CA - $7,300
Patient education materials
• San Diego County Medical Society
Foundation – San Diego, - $10,000
Increase CRC screening for high risk populations
with focus on Latino and African American Males
Grants Program 2015
• Community Health Systems – Moreno Valley
Family Health Center – Moreno Valley, CA $6,000
Provide iFOBT tests for high risk population
• Neighborhood Healthcare – Escondido, CA $10,000
Increase CRC screening rates to 65% in 3 clinics
• Methodist Hospital of Southern California –
Arcadia, CA - $5,250
Community education and screening events
distributing FIT tests
• Linda Vista Health Center – San Diego, CA $5,000
Education and clinic in-reach to increase out-reach
and follow up for FIT test return
FIT Test purchase strategy
Statement of Purpose:
• A request for proposal to provide
Fecal Immunochemical Tests (FIT)
in collaboration with C4 to selected
California Federally Qualified
Health Centers to help increase
their colon cancer screening rate.
• To support Grant funded FQHCs.
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
Advocacy Efforts to Date
• Six annual C4 Sacramento Lobby days
have occurred in March to pass a
resolution to make March Colorectal
Cancer Awareness Month.
• Lobby days educated the legislators on
the burden of colon cancer in their
districts.
• 2016 Lobby Day will focus on
colonoscopy co-pay bill and March CRC
Awareness Resolution.
Advocacy Need
• Bill requiring health insurance
companies to cover the cost of
colonoscopies for people 50
and over if their fecal
screening tests are positive.
– Modeled after Oregon HB2560
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
Putt for Your Butt
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Undy Run/Walk
On line donations
Personal donations
Truck Show
C4 Projects
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Partnerships
Grants Program
Advocacy
Fundraising
Education
Educational opportunities
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Grand Rounds
Webinars
Community stakeholder meetings
Meetings with the Legislators
Our website
Thank You
Please visit our website:
http://www.cacoloncancer.org/