Federally Qualified Health Center Cross-Center Project Proposal

Multi-Level, Community-Clinical Intervention to Promote Cancer Screening in Partnership with FQHCs

Robin Vanderpool, DrPH, CHES and Daniela B. Friedman, MSc, PhD

December 12, 2014

Ad Hoc Workgroup

• Held two workgroup conference calls

• Representation and active participation from 6-7 CPCRN centers on the calls

• Focusing on funders’ priorities of community-clinical linkages and multi-level intervention work

• Centers have spoken with/worked with their local PCAs/FQHCs in between calls to gauge interest and capacity

Potential Cross-Site Initiative

Given our strong partnership with FQHCs, experience with environmental interventions at an FQHC (e.g., USC farmers’ market), and proposed work…we are interested in a cross-site CPCRN project that aims to:

• Increase cancer screenings at FQHCs and• Target multiple levels: local community environment, organization/practice

setting, and individual patient, and• Provide preliminary data for a cross-site R01 or other grant proposal

We will potentially focus on:• Cervical cancer or colorectal cancer given sites’ interests & national priorities• We could approach FQHCs that expressed greater readiness for research

Intervention Levels

• Local community – community-clinical linkage via community mini-grants process to increase education about cancer screening.

• Organization/practice setting – office systems changes implemented through quality improvement approaches.

• Kaiser Permanente Proactive Office Encounter (POE) vs. American Cancer Society toolkits (a comparison?)

• Individual patient – adaptation of EBIs (primarily client directed interventions) for minority, ethnic, and/or LEP populations (depending on CPCRN site)

• Given research/interests in communication -- guided by plain language, cultural sensitivity, social marketing principles, etc.

Scaling Up from Previous FQHC Efforts

Focus on methodology Ensuring mixed methods formative approach Systematic evaluation of trainings

Deliverables at each phase of research Community-clinical linkages and multi-level work will be required Technical assistance will be offered, monitored, and evaluated Clear subcommittees focused on specific aspects of campaign

Training, messaging, evaluation, etc.