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North Carolina Partnerships to Increase Colorectal Cancer Screening (NC PICCS)

Award Number: NU58DP006746
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 06/30/2020
PERIOD OF PERFORMANCE END DATE: 08/29/2025

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North Carolina Partnerships to Increase Colorectal Cancer Screening (NC PICCS) - In North Carolina, colorectal cancer (CRC) is the fourth leading cause of all cancer deaths. Approximately 38% of those diagnosed with CRC will die of the disease. Many of these deaths could be prevented if all individuals aged 50 years or older were routinely screened. Systematic approaches are needed to achieve national CRC screening goals proposed by Healthy People 2020 (70.5%), and other initiatives such as the National Colorectal Cancer Roundtable’s goal of “80% in Every Community”. The purpose of this grant is to increase NC colorectal cancer (CRC) screening rates among target populations age 50-75 years through improved screening delivery systems and implementation of evidence-based interventions (EBIs). The Division of Public Health Cancer Prevention and Control Branch (CPCB), American Cancer Society (ACS), and the University of North Carolina (UNC) have agreed to partner with NC Federally Qualified Health Centers (FQHCs) to improve screening rates through EBIs, improved data quality and linkage to follow up for patients with positive FIT tests. Addressing screening in FQHCs will give us a statewide reach, as 87 of NC’s 100 counties have at least 1 FQHC primary care location. In 2018, FQHCs served over 570,000 patients; nearly 50% were of an ethnic minority, 48% were at or below the Federal Poverty Level, and 42% were uninsured. Of eligible patients in FQHCs statewide, only 43% were screened for CRC. Four of the larger FQHCs with significantly lower screening rates have submitted Letters of Support to express their willingness to engage in the Learning Collaboratives, assessments, data collection and other CDC requirements of this opportunity. Through this funding, the CPCB/ACS/UNC team will assist FQHCs to implement EBIs and supporting strategies such as patient navigation, improve data quality and improve access to follow up care as needed. The following short-, intermediate-, and long-term outcomes will be achieved: • Partnerships established that support increased CRC screening • At least two EBIs implemented within FQHC health systems • Knowledge about need for and access to CRC screening increased • Provider knowledge of and adherence to USPSTF CRC screening guidelines improved • Clinic-level data quality improved • Data used for population health • Disparities in CRC screening, CRC incidence and mortality decreased • Detection of early-stage CRC increased • Timely CRC treatment initiation increased • CRC incidence and mortality decreased • Number of cancers prevented increased • Diagnosis of cancers at early stages increased


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	02	5	5/7/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	6/23/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $607,077 )
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	5	6/11/2024	NON-COMPETING CONTINUATION	$607,077
2024	2024	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	5	6/17/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	4	3/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $607,077

Issue Date FY: 2023 ( Subtotal = $700,277 )
2023	2023	STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES	101 BLAIR DR	RALEIGH	NC	27603	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	4	5/19/2023	NON-COMPETING CONTINUATION	$700,277
														Subtotal = $700,277

Issue Date FY: 2022 ( Subtotal = $700,277 )
2022	2022	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	3	5/19/2022	NON-COMPETING CONTINUATION	$700,277
														Subtotal = $700,277

Issue Date FY: 2021 ( Subtotal = $691,367 )
2021	2021	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	2	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	2	5/12/2021	NON-COMPETING CONTINUATION	$691,367
2021	2020	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	2	5/12/2021	NON-COMPETING CONTINUATION	$0
2021	2020	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	2	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $691,367

Issue Date FY: 2020 ( Subtotal = $691,367 )
2020	2020	Health & Human Services, North Carolina Department Of	2025 Mail Service Ctr	Raleigh	NC	27699	WAKE	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	1	6/11/2020	NEW	$691,367
														Subtotal = $691,367

Grand Total All Awards = $3,390,365

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North Carolina Partnerships to Increase Colorectal Cancer Screening (NC PICCS)

Award Number: NU58DP006746

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 06/30/2020

PERIOD OF PERFORMANCE END DATE: 08/29/2025

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