kentucky colon cancer screening program (krs 215.540-215.544) phn itv april 18, 2013 connie gayle...
TRANSCRIPT
Kentucky Colon Cancer Screening
Program(KRS 215.540-215.544)
PHN ITVApril 18, 2013
Connie Gayle White, MD, MS, FACOGDeputy Commissioner, KDPH
Division Director, DPQI
Why have a screening program?
* Colon Cancer is the third most common cancer diagnosed in both men and women in the US
* Colon Cancer is the second leading cause of cancer death in men in Kentucky
* Colon Cancer is the third leading cause of cancer death in women in Kentucky
* Colon Cancer is >90% preventable if precancerous polyps are removed
US Rate: 46.30
US Rate: 16.70
Agency Representative Agency Representative
American Cancer Society Ellen Schroeder VA Medical CenterJ. Mel Bennett, MD Chair
Colon Cancer Prevention Project William Beam
Kentucky Department for Public Health Connie Gayle White, MD, MS
Colon Cancer Prevention Project Whitney Jones, MD Kentucky Hospital Association Kim DeesColon Cancer Prevention Project Andrea Shepherd
Kentucky House of Representatives Rep. Rocky Adkins
Kentucky African Americans Against Cancer Virginia Bradford, RN
Kentucky House of Representatives Rep. Tom Burch
Kentucky Cancer Consortium Jennifer Redmond, DrPH Kentucky Senate Sen. Alice Forgy Kerr
Kentucky Cancer Program Debra Armstrong, MSW, MPA Kinkead & Stilz, PLLC Benjamin Kessinger, III
Kentucky Cancer Program Connie Sorrel Pike County Health Department Paul Hopkins
Kentucky Cancer Registry Tom Tucker, PhD, MPH UK Markey Cancer Center Mark Evers, MDKentucky Department for Medicaid Services Mary Coleman, RN UL Brown Cancer Center Donald Miller, MD, PhD
Colon Cancer Screening Advisory Committee (KRS
214.544)
Colorectal Cancer Screening in Kentucky
70%
60%
50%
40%
30%2002 2004 2006
58.6%
47.2%43.9%
34.7%
20081999 2010
63.7%63.7%
49th in the U.S. 20th in the U.S.
Funding:
* KRS 215.540-215.544* Legislature assigned $1 million this biennium (FY
13 – FY 14)* This money will be matched (another $1 million)
by the Kentucky Cancer Foundation, a private organization
* 10 sites received funding for this project
Target Population: Low income uninsured adults aged 50 to 64 Increase colon cancer screening Reduce morbidity and mortality from colon cancer Reduce the cost of treating colon cancer through
screening and early detection
Screening Services (annual) 1,500 FIT Screenings 150 Colonoscopies following a positive FIT 500 Colonoscopies for those at increased risk for
CRC
Program Objectives
Target Population: Low income uninsured adults aged 50 to 64 Increase colon cancer screening Reduce morbidity and mortality from colon cancer Reduce the cost of treating colon cancer through
screening and early detection
Screening Services (annual) 1,500 FIT Screenings + 1,500 FIT screens donated by
Metro LOU 150 Colonoscopies following a positive FIT 500 Colonoscopies for those at increased risk for CRC Plus 150 Colonoscopies donated by Metro LOU
Program Objectives
Development and Release of RFP Review and Scoring of proposals
Development of program policies, manual, and forms
Contracted for lease of FIT analyzer Programming of state lab data system for data
collection Provided 6 face to face trainings for patient
navigators 10 initial site visits conducted – visits continue
throughout the grant period
Tasks Accomplished to Launch the Program
Counties Funded for the Kentucky Colon Cancer Screening Program:
2012-2014
10 Funded CRC Screening Sites* Note – Counties of the same color are funded as
one site** Counties with a starburst are the fiscal agent
for multiple counties not part of a health department district
10 Funded CRC Screening Sites Plus Counties with Coal Severance Funds
Counties Funded for the Kentucky Colon Cancer Screening Program:
2012 - 2014
Counties Receiving Coal Severance Funds
Positive FIT screeningor High risk by history
Positive FIT screening would lead to colonoscopyor High risk by history
Outcome and Quality Control Reports
# and % Positive FIT
# and % Defined as Increased or High Risk
# and % Positive Scope
Complications on Scope
Cecum Reached and Entered – Target 95%
Quality of Prep – Target 90% Good or Excellent
# and % with Polyps # and % with 1cm or
larger polyps # and % needing
surgical resection # and % lost to follow-up Documentation of
connection to cancer treatment
% with Positive FIT where colonoscopy occurs within 90 days – Target 95%
Data of colonoscopy results: first 2 months
●25 colonoscopies ages 30 to 64●7 with family history of colon cancer●3 with personal history of colon polyp
removal●14 negative colonoscopies●9 polyps – 5 adenomatous polyps●1 cancer
April 9, 2013
Thank you to all the partners who have made this program
possible!
Colon cancer awareness
IT’S NOT JUST FOR MARCH ANYMOREIT’S NOT JUST FOR MARCH ANYMORE
Stephanie Mayfield Gibson, MD – Commissioner Director, Division of Kentucky State Laboratory
Connie Gayle White, MD, MS – Deputy Commissioner Director, Division of Prevention and Quality
Improvement Gary L. Kupchinsky, MA - Assistant Director Sue Thomas-Cox, RN, BA, MAC – Branch Manager
Chronic Disease Prevention* Janet Luttrell – Colon Cancer Program Coordinator Becki Thompson, RN, BSN, CDE - Nurse Consultant Teri Wood, PhD - Epidemiologist, Data Management
and Outcome Reporting
Kentucky Department for Public Health Staff