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Getting to the Next Level in Reducing Maine’s Cancer Burden

Getting to the Next Level in Reducing Maine’s Cancer Burden Commission to Study the Incidence of and Mortality Related to Cancer Friday, October 25, 2013 Timothy Cowan, MSPH Director, Health Index Initiative, MaineHealth. Our System.

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Getting to the Next Level in Reducing Maine’s Cancer Burden

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  1. Getting to the Next Level in Reducing Maine’s Cancer Burden Commission to Study the Incidence of and Mortality Related to Cancer Friday, October 25, 2013 Timothy Cowan, MSPH Director, Health Index Initiative, MaineHealth

  2. Our System MaineHealth is a not-for-profit family of leading high-quality providers and other healthcare organizations working together so their communities are the healthiest in America. MaineHealth is ranked among the nation's top 100 integrated healthcare delivery networks

  3. Decrease Cancer Mortality • Getting to the Next Level • Reduce tobacco use • Reduce obesity • Increase screenings • Colorectal cancer • Implement MaineHealth Regional Oncology Plan

  4. CRC Screening Rates Differ by Demographics & Geography

  5. Opportunity: Fecal Immunochemical Tests Randomized Control Trial in 16 Rural Family Medicine Offices in Iowa JABFM, September-October 2013, Vol. 26 No. 5; p 486-497 doi: 10.3122/jabfm.2013.05.130041

  6. Opportunity: Maine Colorectal Cancer Control Program Last year of current funding (federal $$). • Policy Issues • System Interventions • Screening for Low Income, underinsured and uninsured Mainers • Planning to apply for additional $$ to continue • Program Manager: Jessica Schaefer

  7. Source: America’s Health Rankings®

  8. Tobacco Use Prevalence Youth Tobacco Use 2011: ME US Cigarettes 16% 18% Cigars, little cigars 13% 23% Smokeless 7% 7% = Youth Smoking Rates 19% or higher

  9. Half of Smokers Making Serious Quit Attempts

  10. % Adult Smokers: Maine vs. U.S.- ‘06/07

  11. Maine one of eight states made change: more smokers made quit attempts in 2006/2007 = significant increase in “Ever smokers” who quit 92/93 vs. 06/07

  12. Tobacco Use Prevalence Youth Tobacco Use 2011: ME US Cigarettes 16% 18% Cigars, little cigars 13% 23% Smokeless 7% 7% = Youth Smoking Rates 19% or higher

  13. Example: Decrease Tobacco Use Macro Population Health Strategies (e.g., Community/Policy Settings) • Education in schools • Community “No Butts” policies in parks or playgrounds • Limit advertising in convenience stores • Insurer coverage of tobacco treatment • Employer adoption of higher health insurance premiums • “Helpers” Program • Media outreach • Increase tobacco tax

  14. Example: Decrease Tobacco Use Micro Population Health Strategies (e.g., Clinical Settings) • Target tobacco users in primary care and hospital settings to receive brief counseling • Increase referrals to the Maine Tobacco HelpLine • Increase access to nicotine replacement therapy • Provide provider training in motivational interviewing • Increase access to tobacco treatment for inpatients, outpatients and employees

  15. Clinician Support for Quitting- 2010

  16. Comments and QuestionsContacts:Timothy Cowan, MSPHDirector, Health Index Initiativecowant@mainehealth.org

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