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Program Services Branch Division of Cancer Prevention Control

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Program Services Branch Division of Cancer Prevention Control

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    1. Program Services Branch Division of Cancer Prevention & Control Djenaba Joseph, MD, MPH Medical Director (Acting) National Center for Chronic Disease Prevention and Health Promotion

    2. Program Service Branch Program Services Branch (PSB) manages CDC’s two cancer screening programs: National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Colorectal Cancer Control Program (CRCCP)

    4. Breast and Cervical Mortality Prevention Act of 1990 Key Activities Specified Breast and cervical cancer screening Referrals, follow-up and support services Public information and education Professional education Quality assurance No funds for treatment Evaluation Key Required Elements 60% of funds to be used for direct clinical services 40% for other activities 10% limit on administrative costs State contributes $1 for every $3 US federal funds

    5. Women Uninsured or underinsured for screening services 250% Federal Poverty Level or lower Aged 18 – 64 for cervical cancer screening Aged 40 – 64 for breast cancer screening Women 65 and older typically covered by Medicare

    6. The Breast and Cervical Cancer Prevention and Treatment (BCCPT) Act of 2000 This Act gives states the option to provide treatment through Medicaid to women screened by the NBCCEDP and found to have breast or cervical cancer, including pre-cancerous conditions. Administered by CMS, not CDC State choice to participate or not (all states participate) State choice on BCCPT “options” which provide different levels of access to treatment through Medicaid Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001 This technical amendment to the BCCPT Act extends benefits of the BCCPT Act to American Indian and Alaska Native women.

    8. Number of Women Screened, NBCCEDP Program Fiscal Years 1991-2008

    9. Number of Women Receiving Pap Tests, NBCCEDP Program Fiscal Years 1991-2008

    10. Impact of the NBCCEDP Between program years 1991 – 2008: >3.3 million women screened >8 million breast and/or cervical cancer screening examinations completed 37,117 breast cancers detected 121,500 pre-malignant cervical lesions & invasive cervical cancers detected

    13. CRC Demonstration Screening Program CDC designed CRC demonstration screening program To determine feasibility of establishing organized screening program for underserved population using federal funds To learn how best to implement CRC screening at community level To explore NBCCEDP model To inform current and future organized CRC screening efforts

    16. Colorectal Cancer Control Program Two broad functions that are parallel, but separate tracks in terms of program development and evaluation planning: Providing CRC screening to low-income, un- and under-insured men and women Promoting CRC to all persons, insured and uninsured who are aged 50 and older for whom CRC screening is recommended Both contribute to achieving our program goal to increase CRC screening rates to 80% at the population-level by 2014

    17. Providing CRC Screening Direct service delivery of CRC screening and diagnostic services to target population: Men and women aged 50 – 64 years Underinsured or uninsured for screening services 250% Federal Poverty Level or lower

    18. Promoting CRC Screening Implementation of activities aimed to increase population-level screening rates: Policy Health Systems Health Care Providers Public Awareness and Education Strategic Partnerships Communities

    19. Evaluation Planning Providing CRC Screening Clinical data collection (CCDEs) Cost data collection (PRD, CAT) Promoting CRC Screening - current CDC efforts: Develop program framework and logic models Develop implementation evaluation and outcome measures Incorporate relevant activities into cost evaluation (CAT)

    21. Thank You!

    22. Breast and Cervical Mortality Prevention Act of 1990 (PL101-354) Law includes: Breast and cervical cancer screening Referrals, follow-up and support services including case management Public information and education Professional education Quality assurance No funds for treatment Evaluation

    23. The Breast and Cervical Cancer Prevention and Treatment (BCCPT) Act of 2000 Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001

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