(first bullet) CIAA signed May 31 2002 on World no tobacco day. Went into effect November 27, 2002. 2 nd state I the nation to go smoke-free. (second bullet) Excise tax was 24 cents when the original “green book was published. The most recent increase went into effect July 31 st of 2009. The tax is now $1.60. That is a 667% increase from 2002. Delaware is ranked 18 th in the nation. Average of all US states excise tax is $1.32. (third bullet) Decrease in smoking prevalence for both youth and adults are at all time lows. (fourth bullet) Cessation: Delaware Quitline. Telephone or face-to-face counseling, cessation products for eligible program participants. 33% quit rate after 6 months. (fifth bullet) Community programs. Best prevention is to get kids to never start. (seventh bullet) Menu labeling bill (SB 81) was introduced, Would provide information on calories, saturated fat, carbohydrates, sodium for menu items. (eighth bullet) Tanning bed legislation (SB 90). Introduced and passed this year. Minors under age 18 need parental permission to use tanning beds. Minors under 14 need a prescription from a healthcare professional. Additionally, Delaware was one of a handful of states (4 or 5 depending on the year) to meet the CDC recommendations. The recommendations for Delaware were updated in October 2007 from $8.6 million to $13.9 million. No state meets the current recommendations but DE funding has in the past remained relatively consistent.
(first bullet) Cancer Care Coordinators assisted with medical referrals, financial issues, acquisition of equipment or treatment needs, delivery of psychosocial services, and educating about clinical trials (second bullet) Cancer treatment validation study conducted and determined: Standard/appropriate treatment was provided Data collection differences between central and hospital registries (fifth bullet) Delaware Cancer Registry Advisory Committee’s (DCRAC) Delaware Cancer Registry maintains Gold standard for timeliness, completeness and quality of incidence data for 4 consecutive years
For your information - (BRFSS) – Behavioral Risk Factor Surveillance Survey (last bullet on slide) Initiating an investigation into statewide cancer treatment patterns using a targeted approach: Includes - Breast cancer time-to-treat project Which will evaluate time-lag from: 1. Abnormal mammogram 2. Diagnostic confirmation 3. Definitive surgery
(third bullet on slide) DATAS represents the largest and most comprehensive study of air toxic contaminants and the risks to human health undertaken in the Mid-Atlantic region (fifth bullet on slide) Over 2,300 finfish consumption advisory signs were posted on water streams throughout the state to notify the public of potential hazards.
(fourth bullet on slide) Delaware Cancer Treatment Program - Nearly 650 people have received services through the Delaware Cancer Treatment Program (DCTP) between July 2004 and June 2009. (fourth bullet on slide) AND Over $24 million dollars has been reimbursed to Delaware Medicaid Assistance Providers for cancer treatment through DCTP between July 2004 and June 2009
(first bullet) Delaware had been on of a small handful of states to fund tobacco prevention efforts at recommended levels. In Oct 2007 the recommendations, based on more evidence, were increased. The recommendation for DE is now $13.9 million/year. It was $8.6 million/year. NOTE: Report cards will now use the midpoint levels not the minimum recommendations as in the past. The lower end estimates for DE are $9.3 million. We do meet that lower estimate. The estimate for what DE spent on tobacco prevention and control effort was $10.6 million in FY09. (second bullet) There is concern that since we have been very effective that this problem has been solved. (third bullet) Cessation coverage needs to be provided and barriers removed. (fourth bullet) Obesity is a risk factor for many cancers. Physical activity, nutrition and obesity prevention programs needs to be increased.
(fourth bullet) Facilitating data exchange with private insurers Replicate methods used by BCBS of Ohio and NCDB Collaborate with BCBSDE representatives Create framework for future data exchange opportunities with other health insurance companies (fifth bullet) Capitalize on Delaware’s (relatively) small number of treatment facilities Improve collection of outpatient cancer treatment data Explore opportunities associated with electronic medical records Enhance acquisition of first course treatment data Promote standardized data acquisition and analysis procedures
The Delaware Cancer Consortium has received recognition from national organizations and federal agencies as being a model for cancer control and prevention. Most recently, the Delaware Cancer Consortium received the 2009 C-Change award for Best Implementation Plan for Cancer Control. The DCC and former Delaware Governor Minner have been the 2006, 2008 and 2009 C-Change award winners The only state to have won all three C-Change Awards
Turning Action into Results February 15, 2010 Meg Maley, RN, BSN Chair, Environment Committee Delaware Cancer Consortium
Creating methods/tools to promote primary care cancer screening
Quality “Report Cards”: annual, facility-specific reports to inform Delawareans of performance on quality measures
Extend Cancer Care Coordination services beyond the treatment phase
Collection of complete first course of treatment data in the Delaware Cancer Registry to support studies of quality of cancer care, facilitated by electronic reporting system and insurance claims data merging, etc
Facilitating data exchange with private insurers
Capitalize on Delaware’s (relatively) small number of treatment facilities