The CDC National Program of Cancer Registries (NPCR)-funded Pacific Regional Central Cancer Registry (PRCCR) has established a cancer registry in each jurisdiction and the region since June 30, 2007, with the University of Hawaii as the designated bona fide agent on behalf of each of the six United States Affiliated Pacific Island (USAPI) jurisdictions. Collectively, USAPI jurisdictions include 3 Flag territories (Territory of American Samoa, Territory of Guam, Commonwealth of the Northern Mariana Islands (CNMI)) and 3 Freely Associated States (FAS) (The Republic of the Marshall Islands (RMI), the Republic of Palau and the Federated States of Micronesia (FSM) which consists of Chuuk, Kosrae, Pohnpei and Yap States). The total population of these 6 USAPI jurisdictions numbers slightly more than 460,000. This proposal is to continue and expand cancer registration capacity in the USAPI. The Cancer Council of the Pacific Islands will continue to serve as the Advisory Committee/Advisory Board for the PRCCR. Close coordination with the Pacific Islands Health Officers Association (PIHOA) will continue to ensure collaboration across regional NCD programs. Existing partnerships with UOG and both the John A. Burns School of Medicine, Department of Family Medicine and Community Health, (JABSOM-DFMCH) and the University of Hawaii Cancer Center, Hawai?i Tumor Registry (UHCC/HTR) and many other regional partners will continue to implement the Pacific Regional Central Cancer Registry (PRCCR). A renewed partnership with the University of Hawaii Telecommunications and Social Informatics (TASI) program will help us explore the feasibility of electronic reporting to the Pacific Regional Central Cancer Registry and Guam Cancer Registry (and perhaps CNMI). Electronic reporting is either not possible nor mandated in the three FAS, nor it is needed in American Samoa which just has one hospital and one unified health system. In addition to funding the administra
tive core, housed at the University of Hawaii, this project will continue to fund the regional cancer registrar and staff (housed at the University of Guam (UOG) and in-country cancer registry staff as well as travel support for training, QA visits, required meetings. Education and training activities will be conducted by distance and in-person. By the end of the project period, the PRCCR will continue to strengthen the infrastructure, education and quality control processes of all jurisdiction and the regional registry in order to? Improve collection and dissemination of high-quality data on all reportable incident cancer cases in a timely manner for the purpose of public health cancer prevention and control to relevant stakeholders, partners and researchers.? Improve each jurisdiction?s ability to meet established NPCR?s National Data Quality and Advanced National Data Quality standards for completeness (timeliness and quality are met)? Maintain use of the data for implementation of collaborative, evidence-based interventions (EBIs) for cancer prevention (including HPV immunization), tobacco control, cervical cancer screening, colorectal cancer screening, survivorship and health disparity strategies in each USAPI jurisdiction and the region. This includes targeted screening for populations at increased risk.? Improve use of the data, as well as quality control findings (especially related to timeliness and completion of case ascertainment), to support improvement efforts in health information management / health system changes, vital statistics (mortality reporting and coding)Additionally, because health information management (HIM) and overall jurisdiction IT capacity within public health and the hospitals have improved in Guam (nearly ready to attest for Meaningful Use Stage 1) and the CNMI, we will ? Conduct an in-depth assessment of the feasibility of limited electronic reporting to the PRCCR, Guam and CNMI registries.