#13_Attach 4_TCO_Template

#13_Attach 4_TCO_Template.pdf

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

#13_Attach 4_TCO_Template

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NCCCP Template for Community Outreach
GENERAL COMMENTS and SUGGESTED PROCESS
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Define target population and define targeted project activities
o Through a review of community data, surveys, or other local or state
processes, a significant unmet need is determined (e.g., Hispanic women
at risk for breast cancer and African American men at risk for prostate
cancer). Note that CIS can assist with data for this type of assessment.
o Cancer outreach, screening and follow up efforts for the NCCCP project
would target these populations and this specific effort. (Note: for Native
Americans, it is recommended that only one tribe be the focus for such an
effort.)
Determine partners and focus – For this specific effort, consider which other
community groups (e.g., an FQHC, faith-based efforts) or efforts serve these
populations to develop partnerships and/or to form an advisory group. Define the
purpose/goal of the partnership.
Define scope, objectives/goals and expected outcomes – For this specific effort,
determine scope (e.g. track screening through resolution of abnormal finding,
track screening through treatment and follow up care/survivorship), effective
strategies and targets. Consider what information is able to be tracked. Consider
community input and/or experience from other providers/community groups.
Consider the need for specific culturally appropriate material. Consider
consulting NCI Community Network Programs (CNPs) with a particular focus, or
other NCI or Advocacy resources as needed.
Develop metrics and proposed targets – to determine baseline and change for this
specific effort during timeframe of pilot (e.g. the breast cancer tracking tool and
the proposed colon cancer tool may offer a useful template).
Document barriers – Note strategies to overcome barriers for this specific effort.
Flag items for discussion with others on monthly calls or initiate connections with
other pilot sites or NCI as needed.
Evaluate – Assess effectiveness of this specific effort to make changes in
interventions and to overcome barriers. Note ongoing barriers and share successes
with other sites and NCI, through quarterly reports, e-mail updates, or agenda
items for discussion on monthly calls.

Template was developed as part of the Disparities Vision and Program Overview which
was approved by the Pilot Executive Committee December 16, 2008
Version 2.0


File Typeapplication/pdf
File TitleTemplate for Disparities Planning
AuthorHP Authorized Customer
File Modified2010-08-10
File Created2010-08-10

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