… Working together to conquer cancer. Cancer Control in Iowa Overview of ICCCC Strengths, Weaknesses, Opportunities and Threats (one person’s opinion.

… Working together to conquer cancer

Cancer Control in Iowa

Overview of ICCCC

Strengths, Weaknesses, Opportunities and Threats

(one person’s opinion – not the official policy of the Holden Comprehensive Cancer Center,

University of Iowa or Iowa Consortium for Comprehensive Cancer Control)

COMPREHENSIVE CANCER CONTROL

An integrated and coordinated approach to reducing cancer incidence, morbidity, and mortality through:

Prevention Early detection Treatment Enhancing quality of life

2001 - House File 726 in 2001 required a study of cancer burden in Iowa

2002 - “Faces of Cancer” published - quantified burden

2003 - “Changing Faces of Cancer” plan implemented Many strategies for cancer control proposed High priority strategies identified Support from

Iowa DPH CDC In kind contributions from participating organizations

Revised plan established in late 2006. Included document that outlined budget that would be required to “fully implement cancer control” Cancer treatment itself not included in budget

ICCCC Timeline

Estimated costs of fully implementing cancer control in Iowa

Total Cost Goal 1 – Prevention $27,136,556

Total Cost Goal 2 – Screening $28,787,894

Total Cost Goal 3 – Treatment (educational efforts) $2,004,735

Total Cost Goal 4 - Quality of Life $3,122,028

Overarching Goals Including Research $38,575,458

Total Cost Comprehensive Cancer Budget 2007 $99,626,671

ICCCC Top Priorities

• Tobacco Control• Increase the excise tax on cigarettes by $1/pack• Eliminate exposure to secondhand smoke • Increase funding for Iowa’s tobacco prevention program

• Screening/early detection • Educate health care providers about appropriate screening• Increase awareness about cancer screening among Iowans• Decrease the financial barriers to screening• Increase resources for early detection cancer screenings

• Access to treatment• Identify gaps in treatment options for underserved cancer patients • Encourage coverage for clinical cancer trial participation

• Holistic view of cancer • Increase health care providers’ awareness of quality of life issues• Increase the awareness of the link between nutrition/physical activity and

cancer • Maintain and expand the ICCCC website as an information resource

State supportNew this session

• $8.9M increase in tobacco control budget• $200K increase in support for colorectal and

cervical cancer screening• $500K to support other initiatives of the ICCCC

• Consortium manager• New colorectal screening programs

Strengths• “A small body of determined spirits fired by an

unquenchable faith in their mission can alter the course of history” - Gandhi• Joint vision• Dedication of participants• Collaborative spirit• Supportive state government• Growing state and national profile

Weaknesses

• “Because that is where the money is” (Not!) - Willie Sutton • Funding for cancer control remains inadequate• Lack of financial reward to private sector for cancer

control

• “Them’s the rules” - My grandfather

• Bureaucracy and “good governmental practices” can interfere with “Working together to conquer cancer”

Opportunities• “Discontent is the first step in the progress

of a man or a nation” – Oscar Wilde

• Growing recognition of the value of prevention and early detection

• Building of trust within the Iowa cancer control community, and between the Iowa cancer control community and state government

• Tobacco tax• Slow but real decreases in cancer mortality

• Focus of state government on health care

Threats

• “If at first you don’t succeed, redefine success” – poster in Spencer’s Gifts

• Frustration with slow pace of progress• Frustration with administrative and

bureaucratic obstacles• Tendency to want to declare victory

prematurely or be satisfied with limited pace of success

Next steps

• Work with local, statewide and national partners to strengthen cancer control

• Demonstrate investment to date has paid off• Use cancer control plan and budget as basis for

obtaining additional support• 501(c)(3) with goal of identifying additional

sources of support for cancer control• Work towards line item support for ICCCC

activities or multiyear contract

• Agree on bold vision

A bold vision“Iowa should have the nation’s lowest age-

adjusted death rate from cancer”

• Out of the 50 states, Iowa currently ranks 18th with respect to age-adjusted mortality rate from cancer.  

• We can and must do better.  Our goal is to decrease the age-adjusted mortality rate in Iowa so that Iowa will have one of 5 lowest death rates by 2010, and the lowest rate in the nation by 2020.