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Partnering with health systems to increase colorectal cancer screening in federally qualified health centers.

Award Number: NU58DP006754
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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Partnering with health systems to increase colorectal cancer screening in federally qualified health centers. - While statewide colorectal cancer (CRC) incidence and mortality rates have significantly declined during the past decade, it remains the third most commonly diagnosed cancer and the third leading cause of cancer-related death in Maine. Furthermore, colorectal cancer is significantly more likely to be diagnosed at a late stage (51.8% of new cases) than at a local stage (38.2% of new cases) in Maine, indicating an ongoing need for screening awareness and education. Despite recent success, health inequity regarding colorectal cancer screening and prevention remain, and the proportion of colorectal cancer diagnosed at a late stage among Maine’s 50+ population continues to rise. Due to its size and rural nature, geographic disparity remains a major challenge in Maine. There is variation in three-year colorectal cancer incidence rates between Maine counties; Maine’s northern most county, Aroostook County (48.3 per 100,00) had an age adjusted incidence rate significantly higher than Maine overall (37.0 per 100,000). In addition to geographic challenges, populations in rural areas face additional socioeconomic barriers to screening. Behavioral Risk Factor Surveillance System data for Maine indicates that the prevalence of CRC screening is lowest among individuals with lower education and an annual household income of less than $25,000, uninsured individuals, and those ages 50 -54. In order to address the inequities in CRC screening currently facing Maine’s underserved and overburdened populations, the Maine Center for Disease Control and Prevention, and the Maine Primary Care Association (MPCA) will collaborate to expand the implementation of appropriate evidence-based interventions (EBIs), focusing first on federally qualified health centers (FQHCs) with colorectal cancer screening rates below 60% and eventually ensuring EBIs are used by all 20 FQHCs in the state. MPCA community health center members include all 20 FQHCs in Maine and operate more than 70 service delivery sites across the state. Maine’s community health center network spans as far north as Fort Kent, as far south as North Berwick, eastward to Lubec, and westward to Rangeley. These rural health centers served nearly 210,000 patients in 2018, or almost 16% of Maine’s total population. According to figures from the Health Resources and Services Administration’s (HRSA’s) 2018 Uniform Data System (UDS), Maine’s FQHC colorectal cancer screening rates range from 80% to 43%. Half of Maine’s FQHCs have colorectal screening rates less than 60%. During the first year of funding, 2 -3 FQHC’s will be selected to participate in the implementation readiness assessment. MPCA has more than 35 years of experience working with their member community health centers on quality improvement initiatives, workforce development, community outreach, and implementation of health information technologies. Collaboration with MPCA will allow the deployment of EBIs to increase colorectal cancer screening across Maine’s community health centers that are still significantly below Maine’s current CRC screening rate.


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: 2026 ( Subtotal = -$55,106 )
2026	2024	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	3/25/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$55,106
2026	2023	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	3/25/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2022	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	3/25/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2021	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	3/25/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2020	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	03	5	3/25/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$55,106

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	02	5	6/23/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $100,000 )
2024	2024	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	5	8/8/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	Health And Human Services, Maine Department Of	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	5	6/11/2024	NON-COMPETING CONTINUATION	$100,000
														Subtotal = $100,000

Issue Date FY: 2023 ( Subtotal = $400,000 )
2023	2023	HEALTH AND HUMAN SERVICES, MAINE DEPARTMENT OF	11 STATE HOUSE STA	AUGUSTA	ME	04333	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	4	5/19/2023	NON-COMPETING CONTINUATION	$400,000
														Subtotal = $400,000

Issue Date FY: 2022 ( Subtotal = $477,339 )
2022	2022	Health And Human Services, Maine Department Of	109 CAPITOL ST	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	3	5/19/2022	NON-COMPETING CONTINUATION	$477,339
														Subtotal = $477,339

Issue Date FY: 2021 ( Subtotal = $477,339 )
2021	2021	Health And Human Services, Maine Department Of	109 CAPITOL ST	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	2	9/15/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	Health And Human Services, Maine Department Of	109 Capitol St	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	2	5/12/2021	NON-COMPETING CONTINUATION	$477,339
														Subtotal = $477,339

Issue Date FY: 2020 ( Subtotal = $477,339 )
2020	2020	Health And Human Services, Maine Department Of	109 Capitol St	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	1	7/15/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	Health And Human Services, Maine Department Of	109 Capitol St	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	02	1	8/13/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	Health And Human Services, Maine Department Of	109 Capitol St	Augusta	ME	04330	KENNEBEC	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	1	6/10/2020	NEW	$477,339
														Subtotal = $477,339

Grand Total All Awards = $1,876,911

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Partnering with health systems to increase colorectal cancer screening in federally qualified health centers.

Award Number: NU58DP006754

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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