Transcript Strengths, Weaknesses, Opportunities, Threats

… Working together to conquer cancer
Cancer Control in Iowa
Overview of ICCCC
Strengths, Weaknesses,
Opportunities and Threats
(one person’s opinion – not the official policy
of the Holden Comprehensive Cancer Center,
University of Iowa or Iowa Consortium for
Comprehensive Cancer Control)
COMPREHENSIVE CANCER CONTROL
An integrated and coordinated approach to
reducing cancer incidence, morbidity, and
mortality through:
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Prevention
Early detection
Treatment
Enhancing quality of life
ICCCC Timeline
 2001 - House File 726 in 2001 required a study of cancer
burden in Iowa
 2002 - “Faces of Cancer” published - quantified burden
 2003 - “Changing Faces of Cancer” plan implemented
 Many strategies for cancer control proposed
 High priority strategies identified
 Support from
 Iowa DPH
 CDC
 In kind contributions from participating organizations
 Revised plan established in late 2006. Included document
that outlined budget that would be required to “fully
implement cancer control”
 Cancer treatment itself not included in budget
Estimated costs of fully implementing
cancer control in Iowa
Total Cost Goal 1 – Prevention
$27,136,556
Total Cost Goal 2 – Screening
$28,787,894
Total Cost Goal 3 – Treatment (educational efforts)
$2,004,735
Total Cost Goal 4 - Quality of Life
$3,122,028
Overarching Goals Including Research
Total Cost Comprehensive Cancer Budget
2007
$38,575,458
$99,626,671
ICCCC Top Priorities
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Tobacco Control
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Increase the excise tax on cigarettes by $1/pack
Eliminate exposure to secondhand smoke
Increase funding for Iowa’s tobacco prevention program
Screening/early detection
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Educate health care providers about appropriate screening
Increase awareness about cancer screening among Iowans
Decrease the financial barriers to screening
Increase resources for early detection cancer screenings
Access to treatment
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Identify gaps in treatment options for underserved cancer patients
Encourage coverage for clinical cancer trial participation
Holistic view of cancer
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Increase health care providers’ awareness of quality of life issues
Increase the awareness of the link between nutrition/physical activity and
cancer
Maintain and expand the ICCCC website as an information resource
State support
New this session
• $8.9M increase in tobacco control budget
• $200K increase in support for colorectal and
cervical cancer screening
• $500K to support other initiatives of the ICCCC
• Consortium manager
• New colorectal screening programs
Strengths
• “A small body of determined spirits fired by an
unquenchable faith in their mission can alter
the course of history” - Gandhi
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Joint vision
Dedication of participants
Collaborative spirit
Supportive state government
Growing state and national profile
Weaknesses
• “Because that is where the money is” (Not!) Willie Sutton
• Funding for cancer control remains inadequate
• Lack of financial reward to private sector for cancer
control
• “Them’s the rules” - My grandfather
• Bureaucracy and “good governmental practices”
can interfere with “Working together to conquer
cancer”
Opportunities
• “Discontent is the first step in the progress
of a man or a nation” – Oscar Wilde
• Growing recognition of the value of
prevention and early detection
• Building of trust within the Iowa cancer
control community, and between the Iowa
cancer control community and state
government
• Tobacco tax
• Slow but real decreases in cancer mortality
• Focus of state government on health care
Threats
• “If at first you don’t succeed, redefine
success” – poster in Spencer’s Gifts
• Frustration with slow pace of progress
• Frustration with administrative and
bureaucratic obstacles
• Tendency to want to declare victory
prematurely or be satisfied with limited
pace of success
Next steps
• Work with local, statewide and national partners
to strengthen cancer control
• Demonstrate investment to date has paid off
• Use cancer control plan and budget as basis for
obtaining additional support
• 501(c)(3) with goal of identifying additional
sources of support for cancer control
• Work towards line item support for ICCCC
activities or multiyear contract
• Agree on bold vision
A bold vision
“Iowa should have the nation’s lowest ageadjusted death rate from cancer”
• Out of the 50 states, Iowa
currently ranks 18th with
respect to age-adjusted
mortality rate from cancer.
• We can and must do
better. Our goal is to
decrease the age-adjusted
mortality rate in Iowa so that
Iowa will have one of 5 lowest
death rates by 2010, and the
lowest rate in the nation by
2020.