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NE Colon Cancer Program Implementation of Health Systems Change in Clinic's to Improve Colon Cancer Screening

Award Number: NU58DP006761
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

Group Awards By Issue Date FY or Funding FY:

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Nebraska’s Women’s and Men’s Health Programs intends to work with all seven Federally Qualified Health Centers and two safety net clinics to implement evidence based interventions to increase colorectal cancer screening rates within the clinic population. These nine clinics will provide statewide wide coverage, serving the state’s most vulnerable populations. All nine clinics currently partner with the WMHP using integrated fixed cost subawards to increase cancer screening rates. The CDC funded projects implement EBIs to increase breast and cervical cancer screening rates and increase hypertension control rates. Processes are already in place to assess clinic readiness by utilizing EHRs (Electronic Health Records) to calculate screening rates and implement appropriate EBIs based on clinic capacity and resources. Both WMHP staff and clinics have experience in utilizing data and documenting patient pathways to implement clinic EBIs. Through provision of technical assistance from program nursing TAs (Technical Assistants) and external partners with expertise in using various EHRs to identify quality issues and data capture issues, clinics have begun to make positive changes in preventive screening rates, including colorectal cancer screening rates. Colorectal cancer screening has been identified as a priority for all clinics. They are excited about the opportunity to expand current activities to include identification and implementation of EBIs specifically to increase CRC screening rates. All nine clinics have been working with their existing EHR systems to calculate screening rates and identify those patients who are due or past due for colorectal cancer screening. However, due to an inability to adequately follow up on individuals with positive FOBT/FIT results the clinics have been reluctant to engage in more aggressive strategies to increase screening rates. Grant funding will provide resources for follow up colonoscopy after positive FOBT/FIT. Resources provided to the clinics will include technical assistance in the areas of utilizing EHR screening data, data capturing, implementing EBIs, and utilizing data to plan and implement midcourse corrections to meet clinic screening goals. Each clinic will implement one or more of the following EBIs: client reminders, provider reminders, provider assessment and feedback, and decrease in structural barriers through one to one navigation.


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: 2023 ( Subtotal = $400,000 )
2023	2023	NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES	301 CENTENNIAL MALL S	LINCOLN	NE	68508	LANCASTER	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 = $450,000 )
2022	2022	HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF	301 CENTENNIAL MALL S-3RD FL	LINCOLN	NE	68508	LANCASTER	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	3	5/19/2022	NON-COMPETING CONTINUATION	$450,000
														Subtotal = $450,000

Issue Date FY: 2021 ( Subtotal = $450,000 )
2021	2021	HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF	301 Centennial Mall S-3rd Fl	Lincoln	NE	68508	LANCASTER	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	2	5/12/2021	NON-COMPETING CONTINUATION	$450,000
2021	2021	HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF	301 CENTENNIAL MALL S-3RD FL	LINCOLN	NE	68508	LANCASTER	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	2	9/15/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $450,000

Issue Date FY: 2020 ( Subtotal = $450,000 )
2020	2020	HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF	301 CENTENNIAL MALL S-3RD FL	LINCOLN	NE	68508	LANCASTER	USA	Organized Approaches to Increase Colorectal Cancer Screening	01	1	8/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF	301 CENTENNIAL MALL S-3RD FL	LINCOLN	NE	68508	LANCASTER	USA	Organized Approaches to Increase Colorectal Cancer Screening	00	1	6/9/2020	NEW	$450,000
														Subtotal = $450,000

Grand Total All Awards = $1,750,000

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NE Colon Cancer Program Implementation of Health Systems Change in Clinic's to Improve Colon Cancer Screening

Award Number: NU58DP006761

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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