Renee Yanke, ARNP, MN, AOCN

WhidbeyHealth

Coupeville, WA

Objectives:

1. Describe two Cancer prevention/early detection programs that meet the COC standards 4.1 & 4.2. .

2. Identify one resource for getting data from the state or community for your community assessment.

3. Describe a survivorship program and how it was funded.

Std. 4.1: “Each year the cancer committee provides at least 1 cancer

prevention program that is targeted to meet the needs of the community

and should be designed to reduce the incidence of a specific cancer type.

The prevention program is consistent with evidence‐based national

guidelines for cancer prevention.”

Examples: Chemoprevention programs

Education/cancer awareness

Skin cancer prevention

Smoking cessation or prevention in adolescents

Nutrition, physical activity, and weight loss programs

Std. 4.2: “Each year, the cancer committee provides at least 1 cancer screening

program that is targeted to decreasing the number of patients with late‐

stage disease. The screening program is based on community needs and is

consistent with evidence‐based national guidelines and evidence‐based

interventions. A process is developed to follow up on all positive findings.”

Examples include:

Breast: radiographic and physical examinations

Colon: colonoscopy, flexible sigmoidoscopy,

fecal occult blood testing

Cervix: PAP testing with or without HPV testing

Prostate when advised by a physician

Skin surveys

Designed to integrate combination screenings – Cancer Risk Assessment, cholesterol, blood sugar and blood pressure

Collaboration of Christiana Care’s Community Health Outreach & Education

American Cancer Society

NCI, Community Cancer Centers Program

Local & state foundations

www.rtips.cancer.gov

Aligned with the Delaware Cancer Consortium

State’s health priorities, including cancer prevention, access to health services, obesity and infant/maternal health

Understanding of culture and health literacy of targeted population

Recognize needs, cultural norms and boundaries

Go to where the people go…

75 vendors – African American, Asian, & Hispanic

Outreach staff are multicultural, bilingual

Goal – reach 75-100 shoppers per event to ask about Health Info on the Go or participate in screening.

Multilingual brochures for education and advertising.

What happens: Discussion about health risk factors

BP, glucose and total cholesterol/HDL testing with immediate results & feedback

Assistance to access programs for cancer screening

Assistance in finding access to health care providers

Paired with outreach staff to help with navigating the system with education and resources.

For years 2009-2015, 54 Health Info on the Go events were hosted

The one on one conversations helped recruit people for breast, colorectal and skin cancer screenings

Combination screenings helped initiate the cancer screening conversations with those uninsured or would not usually discuss the topic.

1087 total screenings

816 – minorities

34% uninsured

24% - no provider visit in 2 years

21% needed referral for cancer screening

2014-2015 – 216 asked for outreach staff f/u for help

During Community Outreach Event:

Registered people for Cancer Risk screening

People were to complete the online NCI screening tool

If people did not complete, they had forms available for completion

Results were reviewed with people

High risk candidates identified

Instructions to help people make lifestyle adjustments

Education about Colorectal Screening was provided

Walking tour thru grocery store supported by one chain

ACS materials for handouts

Hem occult testing – utilizing certified mail and personal call f/u

Community Statistics from:

ACS

Healthy People 2020

Assessment.communitycommons.org

Important to f/u and get results to measure your outcome….

Treatment summaries….

Lori McMullen presented:

Funding from Pharma Grant

RN for 24 hours/week – saw 100 patients over the year

Used the Journey Forward

Due to patients not always wanting to come in, looking at ways to put the information on the portal for patients to pick up later.

50-60 participants

Majority from rural settings

Gave examples of long distance care – Alaska, Washington, Montana, Wisconsin, & Tennessee

Fewer than 5 people raised their hands for having a COC accredited program

Lots of interest regarding Palliative Care

3 - 4 people came to Continuing the Conversation after the program