ࡱ> egf L@\p Dan Grauman Ba= =u0c$8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1 Arial1$Arial1@Arial1Arial1Arial1hArial1 Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) "$"#,##0.00#,##0.00;[Red]#,##0.00 "$"#,##0!"$"#,##0.00;[Red]"$"#,##0.00"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"],[$ -2]\ #,##0.00_);[Red]\([$ -2]\ #,##0.00\)                + ) , *                       8 0@ 0 p"@  x  p  p@ 7 t@ 7 p 7 x@  p@  x!@  p!@  p  0 4 8 < 0@  8 X P x"@   x  x  x  |  4@  (  ,  h   l  4@ t 7 t@ 7  |   0 0@  8@  8    8  8  8 x@ p@ |"@    8@ |@  |!@   8@ 4  0@ <  0 @ \  4@ |   8@ |@ x  p  |   |    8@ *8     ! (  9       x7   x@ 7  8   x 7   8  0@  8@  8  8    8   8 8  x  "8  `IGoal 1pGoal 2tzGoal 3Goal 4Goal 5C Overarching.Totals,+Additional_excise_tax<L6Average_number_or_packets_smoked_in_decline_population<7!Current_number_of_smokers_in_Iowa<C-Number_of_packets_of_cigarettes_sold_annually<G1Predicted_rate_of_smoking_decline_with_excess_tax<R<Predicted_rate_of_smoking_decline_with_excess_tax_first_year<S=Predicted_rate_of_smoking_decline_with_excess_tax_second_year<R<Predicted_rate_of_smoking_decline_with_excess_tax_third_year<+Total_Cost_Strategy_A<" Qb3. Cancer scholar awards to recruit the best and the brightest to Iowa in areas of greatest need. 4. Seed/Pilot grant funding that will serve to  prime the pump of new cancer research programs to enhance their competitiveness for national awards.5. Translational research awards to facilitate testing the clinical potential of promising research ideas that come from Iowa s laboratories.I*Brief description of the Iowa State-Wide Cancer Control Research Program*Many groups across Iowa are involved in anti-tobacco advocacy. Specifics related to individual strategies under "Tobacco" may vary over time with the goal of remaining in synchrony with the priorities and efforts of other anti-tobacco advocacy groups in Iowa.*This budget does not include costs of treatment for patients identified during enhanced screening activities, nor does it include the eventual savings in both medical care and on the economy in general that will result from more cancers being detected early at more treatable stages.x*The Iowa Statewide Cancer Control Research Program is included under the "overarching issues" section of this document. See belowPPublic education and social marketing, Materials development and dissemination, =Public education and social marketing, Professional educationProfessional education (general screening), Professional education targeting colorectal screening, Colorectal screening (uninsured), Cervical screening (uninsured), Breast screening (uninsured)9Professional Education, Partnership and capacity buildingMWebsite expansion, Website maintenance, Public education and social marketing Coordination QWebsite expansion, website maintenance (covered by Goal 3, Problem 3, Strategy B)RCollation of insurance coverage information, Public education and social marketingN/A/Iowa State-wide Cancer Control Research ProgramAdditional StrategyAnnual Cost (Base year 2007))Annual Cost (Base year 2007),Annual Cost (Base year 2007)%Annual Cost (Base year 2007)'Annual Cost (Base year 2007)[Advances that lead to decreasing the burden of cancer begin with research. Investing in a statewide cancer control research program will enhance our ability to bring the newest discoveries to the people of Iowa, and to assure our cancer control activities are having the optimal impact. Examples of the efforts the program would support include Applications for support from the Iowa State-Wide Cancer Control Research Program would be solicited from both public and private institutions across Iowa. A review panel composed of individuals from Iowa and other states with expertise in cancer prevention and control, cancer biology, cancer clinical trials, early detection of cancer, quality of life, survivorship and health economics would meet on an annual basis to review all applications and select the most meritorious for support.`1. Cancer control research infrastructure such as a statewide clinical and prevention network. ^2. Rigorous evaluation of the effectiveness of all cancer prevention and control activities. Page 38Page 40Page 41Page 42Page 43Page 449Problem 1 - Increase Awareness of Quality of Life Issues NProblem 1 - Reduce Existing Financial Barriers to Clinical Trial ParticipationPage 45Encourage insurance carriers to provide coverage through insurance plans for clinical cancer trial participation and cover routine patient costs for those enrolled in a clinical cancer trialPage 46Make public aware of insurance carriers coverage of clinical cancer trial participation and coverage of routine care during participation%Public Education and Social Marketing?Problem 2 - Management of Anxiety Issues around Genetic PrivacyPage 47RProblem 3 - Increase Patient Knowledge of Options Regarding Cancer Clinical TrialsPage 48Develop Iowa-specific companion materials for Iowans recently diagnosed with cancer that can be used in conjunction with nationally developed clinical trials education materialsPage 49GProblem 4 - Ensure Uniformity of Clinical Trial Availability and AccessMaintain and expand central website containing up to date information about open clinical trials across Iowa including contact information and eligibilityTotal Cost Goal 1 - PreventionTotal Cost Goal 2 - ScreeningTotal Cost Goal 3 - Treatment#Total Cost Goal 4 - Quality of LifeTotal Cost Goal 5 - ResearchFNB: Clinical Research Addressed Separately in the Cancer Research PlanAdvocacysDevelopment and enactment of policies for all Iowa insurance carriers and Iowa employees to ensure genetic privacy Policy development and enactmentEntire State and Target RegionsBased on CDC recommendationsPublic education and social marketing, Increase QUITLINE capacity, NRT subsidy, Access incidentals, Development and dissemination of language appropriate materialsNPublic education and social marketing, Materials development and disseminationIncrease patient/family awareness of programs and resources available to address the needs of the patient and their caregiver/familyYIncrease community awareness of the impact of cancer, and its treatment, on the caregiverAEducate caregivers on the importance of taking care of themselves3Partnership and capacity building; public educationTotal Cost Problem 3Total Cost Problem 4Total Cost Problem 5Total Cost Problem 6Total Cost Goal 1Total Cost Goal 3Total Cost Goal 2TotalsTotal Cost Goal 4Total Cost Goal 5,Total Cost Comprehensive Cancer Budget 2007 Increase the general awareness of cancer screening guidelines among Iowans. Increase the knowledge of Iowans regarding personal responsibility for adhering to cancer screening guidelines to detect cancers at earlier, more treatable stagesGoal 5 - ResearchCurrent Initiative supportUtilize the media to increase public awareness and understanding of early detection screening guidelines and practices to facilitate accurate information being reported to the publicSupport Lighten Up Iowa, a statewide campaign to reduce the prevalence of overweight and obesity among Iowans by increasing physical activity and improving food choices Overarching GoalsIncludes evaluationTotal Cost Overarching GoalsAll cancer patients in Iowa should receive consultation or care at a facility associated with a program accredited by the American College of Surgeons Committee on Cancer qCoordination and navigation to address disparities in access to cancer prevention, early detection and treatment jQuality control, analysis and administration to assure cancer control activities are achieving their goalsPage 16Page 17Page 18Page 19Page 20Page 21Page 22ICCCC Plan Ref.Page 23Page 24Page 25Page 26Page 28Page 29Page 30Page 31Page 32Page 33Page 35Page 36Page 37Problem 1 - Patient EducationUtilize cancer support groups, HMOs, insurance carriers, the ACS, the ICCCC website and other organizations for exchanging information among cancer patients, families/caregivers, survivors, and physicians.Develop a speakers bureau and other resource databases to facilitate statewide networking and communication among physicians, such as primary care physicians and other primary care providers who diagnose and oncologists who treat cancerProblem 2 - Physician Education)Problem 3 - Barriers to Quality TreatmentPIdentify gaps in treatment options and resources for underserved cancer patientsMaintain and expand the ICCCC website as a resource accessible to both patients and healthcare providers, and incorporate it into a broader communication/education source for cancer information and resources.tCoordinate with existing agencies to provide transportation for cancer patients<6 to/from cancer treatment facilities.Identify alternative financial options and other resources available for cancer care for uninsured or low-income cancer patientsGoal 4 - Quality of LifeIncrease awareness of quality of life issues and skills to effectively engage survivors in making decisions related to treatment and quality of life.Improve the level of cooperative/shared decision making in defining quality of life and develop a plan to increase patient/caregiver awareness of the issuerSupport healthcare providers, cancer survivors, and caregivers in developing a follow-up plan to cancer treatment.'Problem 2 - Pain and Symptom ManagementtSupport improved pain management initiatives throughout the state for persons in non-hospital based/hospice settingsEProblem 3 - Support for Cancer patients, Family, Peers, and CommunityCoordinate resources to support the needs of cancer patients who have completed treatment, particularly addressing physical, emotional, and financial outcomesSupport the programs and activities of the Iowa Air Coalition and IDPH that promote mitigation of homes that have tested equal to or above 4 pCi/LIncrease agency capacity yEncourage newly constructed homes and buildings to be built according to the 2000 International Residential Building CodeProblem 5 - Alcohol^Support the Goals of the Governor's Office of Drug Control Policy's 2006 Drug Control StrategyProblem 6 - DNA TestinguIncrease availability and knowledge of personalized cancer risk assessment and appropriate susceptibility/DNA testing'Materials development and disseminationGoal 2 - ScreeningProblem 1 - Screening)Problem 2 - Recommendations for ScreeningEnhance the ability of health care providers to recommend or provide early detection services, programs, and procedures for their patients.Increase primary care provider knowledge and utilization of existing resources for non-traditional, publicly and privately funded payment for early detection cancer screening services(Problem 3 - Reduce Barriers to ScreeningAssess geographical distribution of healthcare providers trained to perform and interpret early detection screening services for cancer Decrease the financial barriers that restrict Iowans' abilities to access early detection cancer screenings through increased public and provider knowledge of insurance plan coverage options and other non-traditional resources (including free services) for cancer early detection servicesAdvocate increasing public funding for early detection cancer screenings at entities that provide services at little or no cost to the service recipient Advocacy Decrease the screening-related barriers of personal fear and embarrassment that Iowans perceive, inhibiting access to routine cancer early detection servicesDecrease the language and cultural belief-related barriers that prevent individuals from accessing early detection screening services. Goal 3 - Treatment Strategy ATotal Cost Strategy A DescriptionGeographical TargetGoal 1 - Prevention Entire State Strategy BStrategy ComponentskIncrease awareness of and participation in current programs for smoking and other tobacco product cessationTotal Cost Strategy B Strategy ClIncorporate tobacco product cessation into counseling programs provided by licensed substance abuse agencies(Increase substance abuse agency capacity Strategy DoEliminate the public's exposure to secondhand smoke in workplaces, restaurants, and all other public facilitiesProblem 1 - Smoking Strategy EXIncrease funding for Iowa's tobacco prevention program to make it comprehensive in scopeTotal Cost Problem 1Problem 2 - Obesity`Increase the awareness of the relationship of obesity, physical activity and nutrition to cancerSupport the efforts of Iowans Fit for Life, a CDC sponsored program charged with the creation of a comprehensive state plan to address physical activity and nutrition to prevent obesity and other chronic diseases, !Partnership and capacity buildingTotal Cost Problem 2Problem 3 - Sun ExposureaDevelop an occupational safety plan that identifies skin protection for seasonal, outdoor workers"Plan development and disseminationImplement community-based interventions, focusing on children and adolescents that: 1) increase awareness that sunburn is a risk factor for skin cancer and 2) implement policy changes to help reduce overexposure to the sunImplement a social marketing campaign to educate Iowa youth regarding the risks associated with excessive exposure to ultraviolet rays from artificial tanning devicesProblem 4 - Radon ExposureEncourage homeowners and buyers to hire certified radon measurement specialists to test all buildings for radon before they are sold and at the time of sale(Iowa Comprehensive Cancer Control Budgetl Pj # %&v(*+(,-_1]11M3^6`2:<@~ A C| D GScc L@ 2cno  dMbP?_*+%~&C&"Arial,Bold Italic"&11Additional resources required annually to fully implement the Iowa Consortium for Cancer Control Planyv&L&"Arial,Bold Italic"&12Companion Document to the ICCCC Plan (May 2006)&"arial,Regular"&10 October 2006 Page &P of &N(?)?M6hp LaserJet 1320 PCL 5eXC odXXLetterDINU"4$*$IUPH dLetter [none] [none]Arial4Pd?GRAUMAND<Automatic>  di j. m EXCEL.EXE"VXX??U} } I } I-} $} $)} I} $ 2X@ v@w@t@@@@ Y@ @ @ @ @,@w@@s@V@;G@u@u@;@;@ @ p ssssss3 5_ 5 5 5 6 rrr++, X XX Z &: &<] 8 8Y ' ' '[ 8 8Y \ ' '=[ L LZ   ;T '' . //~ Vv q qt--F X X[ & & &( @ 8 8[ ' ' ' Y L L\ Q  A # '' . //~ V? qqr++G X X] & & &@ L L] Z & &@ K K^   (# 88 .B //~ V. qqr++G X X` & & &(@ X Xa &~ & &@ L La   (# 88 .C //~ V.A qqr++G K Kb   # 88 .D //~ V@ qqr++G K Kc  # 88 0E 11~ W@ ** )F **~ ?HxB X"P"PPPP8"PPP8"PPP8"PPP8"P8"B8 )*+,-./01 )333334*333334+333334,333334-333334.333334/33333403333341333334>@: 7ggD L@ yry  dMbP?_*+%&C&"Arial,Bold Italic"&11Additional resources required annually to fully implement the Iowa Consortium for Comprehensive Cancer Control Planyv&L&"Arial,Bold Italic"&12Companion Document to the ICCCC Plan (May 2006)&"arial,Regular"&10 October 2006 Page &P of &N(?)?"V XX??U} $ } } I-} } I)} I}  +e  e   r8W   p uuuuuu _     rrr++, X Xd ZM & & @  e P  (#  . //~ V@A rrrrrG X Xf Z & &  @  g ' ' ' Y  9 ::~ ^V r rrrrG X Xg & & & @ 8 8h \ ' ' Y 8 8h ' ' 'Y 8 8i ' ' '(Y  i   # %% 0B 11~ W (( ;H ((~ S8"F"PP8"PP8"PPPPP88 >@" 7 L@ 4T|r  dMbP?_*+%&C&"Arial,Bold Italic"&11Additional resources required annually to fully implement the Iowa Consortium for Comprehensive Cancer Control Planyv&L&"Arial,Bold Italic"&12Companion Document to the ICCCC Plan (May 2006)&"arial,Regular"&10 October 2006 Page &P of &N(?)?"TXX??U} }  } I.} m} I)} } $ 4@ +@@@J@@@ w@ @ X@ U@ H@9@@h@  8@J@;;Y@ p uuuuuu _     rmrr++,  j &n & &@ 9 ::~ ^@ rprr++G  k Zo Z Z _ 9 ::~ ^ @ rq rr++G  Xk &r & & @ K 8l \s ' '  Y K 8l 't ' '  Y K 8 'u ' 'Y K L 'U ' 'Y %% =B 22~ `p << )G **~ H[z h v vv      ggg   ggg   BX"F"F*"P*"PPPPP88, !"#$%&'()*+,-./0123 !"#$%&'()*+,-./0123,X| >@* 7 L@ "  dMbP?_*+%&C&"Arial,Bold Italic"&11Additional resources required annually to fully implement the Iowa Consortium for Comprehensive Cancer Control Planyv&L&"Arial,Bold Italic"&12Companion Document to the ICCCC Plan (May 2006)&"arial,Regular"&10 October 2006 Page &P of &N(?)?"YXX??U} } $ } I-}  } I)} m"} $ "@ I@@@J@ @  ` ` ;@@@ @`@  ,;;;@ p uvuuuuu _    ! r"rrrrr U a &w & &(@ U a &x & &@ U P 'y ' 'Y 9 ::~ ^Z@ rz rrrrr w P &{ & &O @ zM # zM  # {P 9 ::~ ^@ r|rrrrr U a &} & &@ w O '> ' '(Y yP # U O! 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