FY 2022 Accelerating Cancer Screening Progress Report

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Accelerating Cancer Screening Progress Report 
Award Recipient Name
Grant Number
BHCMIS ID
Reporting Period End Date
Tracking Number







N/A
Awarded Amount 
(System populated data)

1. Project Status
[ ] Not Started
[ ] Less than or equal to 50% complete
[ ] Greater than 50% and less than 100% complete
[ ] Completed

2. Confirm which cancer type(s) that your Acs project is addressing (check all that apply):
    • Breast cancer
    • Cervical cancer
    • Colorectal cancer
    • Other 

Provide additional information below (maximum 2000 characters):
    • If any of the selections above are different than what you proposed in your approved arc’s application, describe the change.
    • If you selected ‘Other’ above, list additional cancer type(s) targeted. Additionally, in your first and third biannual report, provide an attachment that includes the number and percentage of patients screened for each targeted ‘Other’ cancer type by race/ethnicity.

3. Provide a status update on the activities supported with this funding under the following activity focus areas. Identify what activities within these categories have been completed, are in progress, and/or are planned with this funding: (check all categories that apply; maximum 2000 characters)
    • Access and affordability
    • Patient experience
    • Screening
    • Workforce development

Alternatively, you may attach your work plan with a new column showing activity status (completed, in progress, planned, and/or revising).

4. Are the implemented or planned activities described above and associated uses of the funds consistent with your AxCS approved application?  
[ ] Yes [ ] No
If No, please describe. For changes that impact your approved budget, provide details by cost category. (maximum 2000 characters)
5. Are there or do you anticipate any issues or barriers in the use of the funding and/or implementing the planned activities consistent with your approved AxCS application?
[ ] Yes [ ] No
If Yes, please describe. 

6. Attachment(s) (attach other documents as needed or as instructed by the awarding Federal Agency):
<<name of attachment(s)>>
In your first and third biannual reports, report the following data.
Measure
2022 Data (January 1, 2022-December 31, 2022)
2023 Data (January 1, 2023-December 1, 2023)
7. Number of adults assisted with accessing appropriate follow-up care within 30 days of receiving an abnormal cancer screening test result. 


    a. Cervical cancer



    b. Breast cancer



    c. Colorectal cancer



    d. Other (if you select Other in 2 above) 


8. Percentage of patients that you refer for care and treatment for whom you receive a report from the provider to whom the patient was referred.


OMB Control Number: 0970-0334









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