The cancer committee is a multidisciplinary forum that provides a platform to evaluate care within and across disciplines. This forum allows discussion of processes that work and evaluate how patient care can be improved through evidence-based practice. Cancer prevention and screening requires cancer programs to identify risk factor with their community and patient population, and use strategies to modify attitudes and behaviors to reduce the chance of developing cancer.

Our 2019 Partners in Prevention included the University of Missouri & MUHC Communications, Development, Marketing, Zimmer Communications, and Cosmo & Lauren in the Morning on Y107 Radio. Public Service Announcements and interviews regarding health issues, disparities, and prevention efforts given to The Maneater on MU’s campus and The Prowler on Rockbridge HS’s campus, television stations KOMU, KRCG Focus on Health, and ABC17. Posters were created and posted on screensavers and communication stations throughout both MU Campus and Health Care to educate and inform visitors of upcoming cancer prevention events. Education around skin cancer prevention, HPV vaccination and tobacco prevention were leading initiatives.

A new collaboration between the Columbia Public School System, Boone County Health Department, Department of Health and Human Services, The Veterans Administration, Truth Initiative, American Cancer Society, American Lung Association, the MU Chair of Family & Community Medicine, Tobacco 21, the Columbia City Council, and the Family Access Center of Excellence (FACE) of Boone County was established to educate, prevent, and influence public education and policy change for youth tobacco purchase and usage. A platform of education, cessation and prevention rather than instilling punitive measures for Missouri youth was emphasized in each event. From this initiative in August, a Tobacco Task Force formed with members of the 2019 Partners to address opportunities to impact change.

In cooperation with the Missouri Department of Health and Senior Services Comprehensive Cancer Control Program, we have established a presence on the CRC, Lung, and Breast & Cervical Action Teams to positively influence, learn, and collaborate with area cancer institutions and physicians. Within this working group, we have included the EFCC Patient Navigators into these discussions to better learn and address barriers to patient care and to work to find solutions for all Missourians.

Actions that have been identified for the future include continuation of the Tobacco Task Force, adding more Certified Tobacco Treatment Specialists in the State of Missouri, creating an accreditation facility in the State of Missouri, enforcement of existing tobacco control policies, continued interviews and public speaking engagements to educate and inform community members on healthy habits to prevent cancers and other chronic health issues.

Prevention Programs

Women’s Breast Health

  • Activities: 8 Pink Out Events
  • Dates held: Feb-Nov 2019
  • # of participants: 131,618
  • Dates discussed: 09/16/2019
  • Summary of effectiveness: Coordinated with Mizzou Athletics, Ellis Fischel Cancer Center, University of Missouri Health Care, University of Missouri Homecoming Committee, Zeta Tau Alpha Sorority, Southern Boone High School, Hallsville High School to discuss educate the community on proper self-screenings, breast health, and screening guidelines.

Patient Assistance

  • Activities: Artful Bra Fundraiser
  • Dates held: 10/17/2019
  • # of participants: 328
  • Dates discussed: 12/16/2019
  • Summary of effectiveness:  Coordinated with community health programs, area businesses and local radio stations to communicate the importance of breast health and the need for out of pocket expense assistance. Raised $14,800.

Patient Education/ Health Literacy

  • Activities: Videography and social stories
  • Dates held: Feb – Nov 2019
  • # of participants: 30
  • Guideline used: NCCN
  • Dates discussed: 09/16/2019
  • Summary of effectiveness:  Physicians/Surgeons coordinated with MU Communications to film a video series to discuss health education and literacy issues ranging from breast, lung, colorectal, skin, pancreas, and prostate.

Nursing & Health Literacy Education

  • Activities: 2019 Oncology Nursing Symposium
  • Dates held: April 2019
  • # of participants: 350
  • Guideline used: NCCN
  • Dates discussed: 06/10/19
  • Summary of effectiveness: The purpose of this one-day symposium is to update the knowledge and enhance the skills of area oncology nurses, advanced practice nurses, social workers, and other cancer care professionals by exploring the latest evidence-based practices and tools related to the clinical management and care of patients with cancer and their families. The day offers a blend of clinical and relationship-centered topics applicable to both inpatient and ambulatory oncology practice settings.

Youth Vape Public Health Crisis

  • Activities: Town Halls at area High Schools and Public School Administration and City Council.
  • Dates held: Aug – Nov 2019
  • # of participants: 2,518
  • Guideline used: DHHS, FDA, CDC
  • Dates discussed: 09/16/2019
  • Summary of effectiveness: Collaborated with public health officials from the state, city and county, tobacco policy activists, public officials, University of Missouri Health Care and University of Missouri Campus to address the epidemic, resources available, and current knowledge.

Tobacco Cessation Counseling Groups

  • Activities: Tobacco Treatment Specialist Counseling & Pharmacology Groups
  • Dates held: Jan – Mar, Mar – May, Aug – Oct, Oct - Dec
  • # of participants: 53
  • Guideline used: CTTTP
  • Dates discussed: 12/16/19
  • Summary of effectiveness: Combustible cigarette, pipe, and smokeless tobacco cessation was the focus for 2019. We utilized measurement of class attendance and self-reported quit, per CTTTP guidelines, as a means of evaluating overall effectiveness. We conducted four 10-week group counseling and pharmacology cessation sessions; January – March, March – May, August – October, and October – December. 40-week data indicated that those participants that completed the 10-week cycle had a quit rate of 54%. 72% of the attendees were from the public, while 28% were University of Missouri employees. Formed a Tobacco Task force in November 2019 to review current policy, prevention, education, & cessation efforts with multiple members of the community and state to better meet the needs and address the barriers for our cancer catchment area.

Screening Programs

Head and Neck Screening

  • Activities: One day screening event where the ENT physicians performed physical exams on participants
  • Date Held: 04/12/2019
  • # of participants: 102
  • Guideline used: Head and Neck Cancer Alliance Guidelines; ACS; European Society for Medical Oncology Clinical Practice Guidelines
  • Date discussed: 06/10/19
  • Process to follow up: Patients with abnormal finding were referred for additional evaluation
  • Summary of Effectiveness: 5% of participants referred for abnormalities that needed further evaluation. A decline over 2018 by 3%.

Thyroid Screening

  • Activities: One day screening event where the ENT physicians performed physical exams on participants
  • Date Held: 04/12/2019
  • # of participants: 24
  • Guideline used: Head and Neck Cancer Alliance Guidelines; ACS; European Society for Medical Oncology Clinical Practice Guidelines
  • Date discussed: 06/10/19
  • Process to follow up: Patients with abnormal finding were referred for additional evaluation
  • Summary of Effectiveness: 21% of participants referred for abnormalities that needed further evaluation.

Skin Screening

  • Activities: Several events where the Dermatology physicians performed physical exams on participants
  • Date Held: Mar-May
  • # of participants: 214
  • Guideline used: NCCN Guidelines
  • Date discussed: 06/10/19
  • Process to follow up: Patients with abnormal finding were referred for additional evaluation
  • Summary of Effectiveness: 214 people were screened 69 referred for follow-up (41 of which presented) 11 cancers found

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