B - NBCCEDP Framework

Attachment B - NBCCEDP Framework

NBCCEDP Framework for Population-Based Breast and Cervical Cancer Prevention and Early Detection
CDC Activities

• Collaborate
With federal
partners and
participate in
national
partnerships

• Grantee
Funding
• Technical
Assistance and
Training for
Grantees
• Monitoring,
Evaluation,
and Research,
Including
Economic
Analysis
• Data
Management
• Surveillance
• Policy
Development

B&C Screening Promotion: Communication, Systems and Policy Change
Program Management
• Provide overall project oversight
• Adequate and qualified staffing
• Assess program capacity, health care
systems, health insurance plans,
professional organizations,
employers/worksites, and legislation
• Develop work plans to guide the
implementation of promotion activities
• Establish and maintain formal
agreements
• Support program collaboration across
cancer, chronic disease and other
relevant programs

standards for B&C screening
• Promote practice-based system changes
designed to increase B&C screening
• Promote use of provider assessment and
feedback to support B&C screening
services
• Promote use of client reminders
Health Insurance Plans
• Encourage coverage and/or expanded
benefits for B&C screening
• Encourage adequate reimbursement
rates for B&C screening, diagnostics, and
patient support services
• Promote reimbursement strategies that
reward fidelity with USPSTF B&C
screening guidelines
• Encourage use of HEDIS measures
Professional Organizations
• Provide education on and increase
awareness of B&C screening guidelines
• Promote the use and monitoring of
quality standards for B&C screening
Employers and Worksites
• Encourage policies that support
preventive care (e.g., time off for B&C
screening)
• Support wellness programs
• Increase awareness of the need and
benefits of B&C screening
Policy Development
• Support legislative changes for
mandatory insurance coverage and
reduced co-pays for B&C screening
• Support certification and licensure for
CHWs and Patient Navigators

•
•

Reduce out-of-pocket expense
One-on-one education

Quality Assurance and Quality
Improvement
• Promote guidelines and quality
standards for B&C screening and
surveillance
• Conduct ongoing performance
monitoring for continuous quality
improvement
Professional Development
• Develop an professional development
work plan to strengthen clinical and
nonclinical practices
• Promote implementation of evidencebased practices

Partnerships, Coordination and
Collaboration
WISEWOMAN
• Promote cross-collaboration
Cancer Registry
Data Management and Utilization
•
Support communication, data linkages
• Establish data systems for non-screening
and data utilization
program activities, including those that
Comprehensive Cancer Control Coalitions
promote population-based B&C
• Support policy changes to promote B&C
screening
screening
• Encourage use of clinical and cost data
• Coalition building with diverse partners
measures by health care systems, health
Community Transformation Grant (CTG)
plans, and providers
• Support the use and evaluation of
promising practices
Program Monitoring and Evaluation
• Support policy, environment,
• Identify short-term, intermediate and
programmatic and infrastructure
long-term objectives
changes
• Develop logic models to guide
• Promote progress towards reducing
implementation of program components
health disparities
and activities
Coordinated Chronic Disease Prevention
• Conduct targeted process and impact
and Health Promotion Grant
evaluation of program activities
• Collaborate across chronic disease
Public Education and Targeted Outreach
• Conduct evidence-based program
programs
• Conduct evidence-based public
activities
• Support and promote coordination of
awareness and educational activities
• Disseminate evaluation findings
patient services
• Promote B&C screening, especially
• Support policy changes to promote B&C
among high-risk and disparate
screening
populations
Health Care Systems
• Promote use of provider reminder and Patient Navigation
recall systems and electronic medical
• Encourage the use of patient navigation
records
and other support services to reduce
• Promote guidelines and quality
structural barriers

Outcomes
Population
• Increased B&C screening rates
• Decreased disparities in B&C screening rates
Policy
• Increase Federal, State, and local legislative
policy that supports B&C screening
Community
• Increased awareness of benefits of screening
and recommended screening guidelines
• Increased resources for B&C prevention and
control activities
• Increased access to B&C services
Organizational
 Health Care Systems
• Increased % of patients screened and
adoption of policies, programs, and practices
that support high quality B&C screening
• Increased capacity and volume for screening
 Health Insurance Plans
• Increase % of patients screened
• Expanded coverage for B&C services
• High-quality B&C screening, diagnostics, and
treatment
 Professional Organizations
• Increased promotion of policies, programs,
and practices supporting the provision of
quality B&C services
• Increased diversity among partner
organizations
 Employers and Worksites
• Increased adoption of policies and programs
that support B&C services
Individual/Interpersonal
 Increased Individual
• Knowledge of need and benefits of B&C
screening
• Intention and self-efficacy to be screened
• Adherence to B&C screening
recommendations
• Completion of diagnostic services
• Timely initiation of cancer treatment services
 Increased or Improved Providers
• Knowledge of and adherence to current B&C
screening guidelines
• Recommendation to patients for B&C
screening

Goals

• Reduced
breast and
cervical
cancer
morbidity
and
mortality

• Reduced
health
disparities
in breast
and
cervical
cancer

NBCCEDP Framework for Population-Based Breast and Cervical Cancer Prevention and Early Detection
CDC Activities

• Collaborate With
federal partners
and participate in
national
partnerships
• Grantee Funding
• Technical
Assistance and
Training for
Grantees
• Monitoring,
Evaluation, and
Research,
Including
Economic
Analysis
• Data
Management
• Surveillance
• Policy
Development

B&C Screening Provision: Low-Income, Uninsured and Underinsured Individuals
Program Management and Leadership
• Continuous monitoring and quality improvement
• Provide overall project oversight
• Contract with providers
Professional Development
• Convene medical advisory board and develop policy
• Develop and support provider continuing education
• Develop data management and billing systems
• Support education and reinforcement of provider
reporting and data management
Partnerships, Coordination and Collaboration
• Support program integration and coordination of
Data Utilization and Management
patient services
• Establish and maintain a data system to collect, edit,
• Partner with WISEWOMAN, CRCCP, CCC coalition,
manage and continuously improve data
providers, CBOs, cancer registries, local health
• Establish and maintain mechanisms for reviewing,
department, and AI/AN groups
assessing the completeness, accuracy and timeliness
• Expand screening through chronic disease linkages
of data
• Expand linkages to other payment services
• Utilize data systems to collect and analyze
population-based information
Public Education and Targeted Outreach
• Timely collection and submission of Minimum Data
• Promote population-based screening
Elements (MDEs)
• Promote screening among disparate and other
• Utilize data systems to monitor service gaps for
population subgroups
disparate populations
• Use program planning approaches to prioritize
populations and activities
Program Monitoring and Evaluation
• Develop and cultivate partnerships to maximize
• Evaluation of screening activities
reach
• Clinical and cost data collection and tracking
• Implement evidence-based strategies
• Data collection and monitoring with specific
emphasis on disparate populations and other
Screening, Diagnostic and Follow-up
subgroups of interest.
• Integrate screening with other clinical services
• Provide appropriate ,quality B&C screening,
rescreening and surveillance
• Provide timely follow-up of abnormal screens
Patient Navigation
• Implement patient navigation
• Facilitate access to diagnosis and treatment
• Address structural barriers
• Reduce out-of-pocket expense (for breast only)
• One-on-one education
Quality Assurance and Quality Improvement
• Implement standards, systems, and policies to
support quality B&C screening

Outcomes
Population
• Increased B&C screening rates
• Decreased disparities in B&C screening rates
Policy
• Increase Federal, State, and local legislative policy that
supports B&C screening
Community
• Increased awareness of benefits of screening and
recommended screening guidelines
• Increased resources for B&C prevention and control
activities
• Increased access to B&C services
Organizational
 Health Care Systems
• Increased % of patients screened for B&C cancer
• Increased adoption of policies, programs, and practices
that support high quality B&C screening
• Increased capacity and volume for screening
 Health Insurance Plans
• Increase % of patients screened
• Expanded coverage for B&C services
• High-quality B&C screening, diagnostics, and treatment
 Professional Organizations
• Increased promotion of policies, programs, and practices
supporting the provision of quality B&C services
• Increased diversity among partner organizations
 Employers and Worksites
• Increased adoption of policies and programs that support
B&C services
Individual/Interpersonal
 Increased Individual
• Knowledge of need and benefits of B&C screening
• Intention and self-efficacy to be screened
• Adherence to B&C screening recommendations
• Completion of diagnostic services
• Timely initiation of cancer treatment services
 Increased or Improved Providers
• Knowledge of and adherence to current B&C screening
guidelines
• Recommendation to patients for B&C screening

AI/AN: American Indian/Alaska Native, CBO: Community-Based Organization, CCC: Comprehensive Cancer Control, USPSTF: United States Preventive Services Task Force, WISEWOMAN: Well Integrated Screening and Evaluation for Women Across the Nation
Strategy recommended by Guide to Community Preventive Services (http://www.thecommunityguide.org/cancer/index.html) *Intended as examples of possible grantee activities. (December 2, 2011)
*The activities listed in the NBCCEDP framework should are examples and should not limit the potential scope of grantee activities.
* For the complete NBCCEDP Framework please go to the NBCCEDP resource website, (https://www.nbccedp.org/cgi-bin/index.pl)

Goals

• Reduced
breast and
cervical
cancer
morbidity
and
mortality

• Reduced
health
disparities
in breast
and
cervical
cancer