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Joni Reynolds, RN-CNS, MSN Director of Public Health Programs

Winnable Battles: Cancer in Colorado. Joni Reynolds, RN-CNS, MSN Director of Public Health Programs. Challenging Disparities. Freedom Sculpture by Zenos Frudakis. CRC 5 Year Cause Specific Survival Rates. 49% :: High Poverty Area 57% :: Medium Poverty Area

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Joni Reynolds, RN-CNS, MSN Director of Public Health Programs

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  1. Winnable Battles: Cancer in Colorado Joni Reynolds, RN-CNS, MSN Director of Public Health Programs

  2. Challenging Disparities Freedom Sculpture by ZenosFrudakis

  3. CRC 5 Year Cause Specific Survival Rates 49% :: High Poverty Area 57% :: Medium Poverty Area 63% :: Low Poverty Area

  4. “Early” Detection is percent in situ + localized of staged cases (unknowns excluded) Source: Colorado Central Cancer Registry, CDPHE, September 2013

  5. Opportunities for Change Freedom Sculpture by ZenosFrudakis

  6. An estimated 478,000 Coloradans will now be eligible for Medicaid Already over 900,000 Coloradans access the roughly 250 community clinics in the state

  7. Baseline Screening Assessment Infrastructure & Resource Review EHR Updates Office Policy & Work Flow Development Staff Training

  8. Taking the Leap Freedom Sculpture by ZenosFrudakis

  9. Cancer and Prevention Guidelines Ned Calonge, MD, MPH

  10. The ACA and the US Preventive Services Task Force

  11. Lifetime impact of mammography for 1000 women at 40 years of age

  12. Lifetime impact of mammography for 1000 women at 40 years of age Women who will die from breast cancer with no screening

  13. Lifetime impact of mammography for 1000 women at 40 years of age Women who will not die from breast cancer because of screening

  14. Lifetime impact of mammography for 1000 women at 40 years of age Women who will have a false positive mammogram requiring additional procedures

  15. Breast cancer screening in Colorado • Women age 50 and older with a mammogram in the past 2 years 63% • 2009 incidence of breast cancer 3465 • 2012 deaths from breast cancer 585

  16. Cervical cancer screening in Colorado • Women having a PAP test in the past 3 years 79% • Annual incidence of cervical cancer 149 • Annual deaths from cervical cancer 39

  17. Colorectal cancer screening in Colorado • Adults age 50 and older with visualization (ever) 67% • 2009 incidence of colon cancer 1705 • 2012 deaths from colon cancer 633

  18. Lung cancer in Colorado • Estimated number of smokers 676,000 • 2009 incidence of lung cancer 2292 • 2012 deaths from lung cancer 1590 • Potential lives saved with screening 310 • Potential lives saved with no smoking 1431

  19. ACA and USPSTF recommendations • Should there be a direct link between evidence of net benefit and coverage?

  20. eHealth for Behavioral Science: LEARNING AT THE SPEED OF TECHNOLOGY National Cancer InstituteU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESNational Institutes of Health Michael Sanchez, MPH, CHES University of Colorado Cancer Center, October 2, 2013 Aurora, CO

  21. Adapted from Bill Riley, NCI 2-10 years 2005 2006 2007 2008 2009 2010 2011 2012 Grant Submitted Grant Awarded Develop & Pilot Test Recruit & Randomize Follow-ups Analyze & Publish Replications, Reviews & Adoption

  22. SHOW ME THE EVIDENCE!

  23. http://www.wired.com/wired/issue/16-07

  24. Fail quickly and often; think MINC Disseminate across platforms Implement in rapid learning health systems

  25. Michael Sanchez sanchezgarciama@mail.nih.gov

  26. Patient Navigators Improve Health Outcomes Elizabeth Whitley, PhD, RN October 2013

  27. Denver Health Patient Navigators

  28. Patient Navigation Elizabeth Whitley, Ph.D., RN Patient Navigator Training Collaborative www.patientnavigatortraining.org

  29. 18 Million Cancer SurvivorsProjected in 2022 Yrs since dx

  30. Cancer Care Continuum

  31. A Coordinated Cancer Care Team and family caregivers

  32. Ideal survivorship care Courage Heart Brains Supportive Oncology Care Team

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