Collaborating across multiple health care institutions in an urban colorectal cancer screening program

Authors

  • Robert Villanueva MPA,

    Corresponding author
    1. Center for Cancer Prevention and Control, Maryland Department of Health and Mental Hygiene, Baltimore, Maryland
    2. University of Maryland, School of Medicine, Baltimore, Maryland
    • Corresponding author: Robert Villanueva, University of Maryland, School of Medicine, Baltimore, MD 21201; Fax: (770) 488-3230; rvillanueva@smail.umaryland.edu

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  • Donna Gugel MHS,

    1. Center for Cancer Prevention and Control, Maryland Department of Health and Mental Hygiene, Baltimore, Maryland
    2. Prevention and Health Promotion Administration, Maryland Department of Health and Mental Hygiene, Baltimore, Maryland
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  • Diane M. Dwyer MD

    1. Center for Cancer Prevention and Control, Maryland Department of Health and Mental Hygiene, Baltimore, Maryland
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  • The articles in this supplement were commissioned based on participation in evaluating the Centers for Disease Control and Prevention–funded Colorectal Cancer Screening Demonstration Program.

  • The opinions or views expressed in this supplement are those of the authors and do not necessarily reflect the opinions or recommendations of the journal editors, the American Cancer Society, John Wiley & Sons, Inc., or the Centers for Disease Control and Prevention.

  • This program would not have been possible without the cooperation and participation of the following individuals from the DHMH CCSC: Barbara Andrews, Marsha Bienia, Carmela Groves, Annette Hopkins, Kitty Musk, Eileen Steinberger, Vicki Varsalone; the following individuals from the participating hospitals: Mary Austin, Jennie Boyer, Kira Eyring, Michael Farrier, Nancy Goldstein, Christine Hendrix, Alva Hutchison, Myra James, Jin Lee, Marylu Manning, Eileen Marks, Candace Shaffer, Eden Stotsky, Toby Tighe, Linda Wieczynski; and the participating colonoscopists: Richard Baum, Sudhir Dutta, Anthony Kalloo, Gopal Kowdley, Robert Mathieson, Patrick Okolo, Justin Somerville, and Rakesh Vinayek.

  • This article is dedicated to the memory of Eileen Marks. Her wisdom, compassion, and commitment were instrumental to the success of the program.

Abstract

BACKGROUND

Maryland, excluding Baltimore City, began public health screening for colorectal cancer in 2000. Initiating colorectal cancer screening in Baltimore City was an objective in the Maryland Comprehensive Cancer Control Plan. The Centers for Disease Control and Prevention's (CDC's) funding announcement for the “Colorectal Cancer Screening Demonstration Program” (CRCSDP) was seen as a potential opportunity for Maryland to begin screening in Baltimore City.

METHODS

The Maryland Department of Health and Mental Hygiene (DHMH), the American Cancer Society, and five Baltimore City Hospitals collaborated to develop the funding application and model for the Baltimore City CRCSDP. After receipt of funding, between 2005 and September 2009, screening sites collaborated with the DHMH to implement the multi-site colorectal cancer screening program in Baltimore City.

RESULTS

Close collaboration across organizational boundaries enabled the funding, formation, and implementation of the CRCSDP in Baltimore City. The Baltimore City CRCSDP illustrates the complexity of establishing a functional public health screening program. The program overcame expected and unexpected fiscal, programmatic, and clinical challenges to successfully perform 709 colonoscopies screening cycles among 696 people and detect three cancers during the 38 months of screening.

CONCLUSIONS

Partnerships among the state and local health department, the American Cancer Society, and hospitals in Baltimore City enabled the implementation of this successful program. Lessons learned from the collaborative planning process and the program implementation may facilitate similar collaborations in other geographic areas. Cancer 2013;119(15 suppl):2905–13. © 2013 American Cancer Society.

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