NIH State-of-the-Science Conference:
Enhancing Use and Quality of
Colorectal Cancer Screening
February 2–4, 2010
Bethesda, Maryland
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National Cancer Institute
Office of Medical Applications of Research
of the National Institutes of Health
Co-sponsors
National Institute on Aging
National Institute of Diabetes Digestive and Kidney Diseases
National Institute of Nursing Research
Office of Behavioral and Social Sciences Research
Partners
Centers for Medicare and Medicaid Services
Health Resources and Services Administration
Centers for Disease Control and Prevention
The Agency for Healthcare Research and Quality and the Centers for Disease Control and Prevention provided additional conference development support.
Tuesday, February 2, 2010
| 8:30 a.m. | Opening Remarks Robert T. Croyle, Ph.D. Director Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health |
| 8:40 a.m. | Charge to the Panel Jennifer M. Croswell, M.D., M.P.H. Acting Director Office of Medical Applications of Research Office of the Director National Institutes of Health |
| 8:50 a.m. | Conference Overview and Panel Activities Donald M. Steinwachs, Ph.D. Panel and Conference Chairperson Professor and Director Health Services Research and Development Center Department of Health Policy and Management Bloomberg School of Public Health The Johns Hopkins University |
| 9:00 a.m. | The Importance of Colorectal Cancer Screening and Its Public Health Impact David A. Lieberman, M.D. Professor of Medicine Chief, Division of Gastroenterology Oregon Health and Science University Veterans Affairs Medical Center |
| 9:20 a.m. | U.S. Preventive Services Task Force and Colorectal Cancer Screening: Current Recommendations and Supporting Evidence Mary Barton, M.D., M.P.P. Scientific Director, U.S. Preventive Services Task Force Center for Primary Care, Prevention, and Clinical Partnerships Agency for Healthcare Research and Quality |
| I. | What Are the Recent Trends in the Use and Quality of Colorectal Cancer Screening? |
| 9:40 a.m. | Trends in the Use and Quality of Colorectal Cancer Screening in the U.S. Carrie N. Klabunde, Ph.D. Epidemiologist Health Services and Economics Branch Applied Research Program Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health |
| 10:00 a.m. | Why Disparities Matter in Colorectal Cancer Screening Electra D. Paskett, Ph.D., M.P.H. Marion N. Rowley Professor of Cancer Research College of Public Health The Ohio State University |
| 10:20 a.m. | Ensuring Quality in Colorectal Screening: Avoiding Misuse and Overuse David F. Ransohoff, M.D. Professor of Medicine Clinical Professor of Epidemiology Schools of Medicine and Public Health University of North Carolina at Chapel Hill |
| 10:40 a.m. | Evidence-based Practice Center Presentation I: Systematic Review Methodology and Recent Trends in the Use and Quality of Colorectal Cancer Screening Russell Harris, M.D., M.P.H. Professor of Medicine University of North Carolina School of Medicine Cecil G. Sheps Center for Health Services Research |
| 11:00 a.m. | Discussion |
| 11:40 a.m. | Lunch Panel Executive Session |
| II. | What Factors Influence the Use of Colorectal Cancer Screening? |
| 12:40 p.m. | Evidence-based Practice Center Presentation II: Factors Influencing the Use of Colorectal Cancer Screening Debra J. Holden, Ph.D. Community Health Psychologist Senior Director, Community Health Promotion Research RTI International |
| 1:00 p.m. | Patient Preferences, Patient-Physician Communication, and Shared Decision Making Department of Social and Behavioral Health, School of Medicine Virginia Commonwealth University |
| 1:20 p.m. | Patient and Physician Barriers to Colorectal Cancer Screening Steven Woolf, M.D., M.P.H. Professor of Medicine Departments of Family Medicine, Epidemiology, and Community Health Director, VCU Center for Human Needs Virginia Commonwealth University |
| 1:40 p.m. | Primary Care Practice and Health System Influences John Z. Ayanian, M.D., M.P.P. Professor, Medicine and Health Care Policy Harvard Medical School Professor, Health Policy and Management Harvard School of Public Health |
| 2:00 p.m. | Discussion |
| III. | Which Strategies Are Effective in Increasing the Appropriate Use of Colorectal Cancer Screening and Follow-Up? |
| 2:40 p.m. | Evidence-based Practice Center Presentation III: Effective Strategies in Increasing the Appropriate Use of Colorectal Cancer Screening and Surveillance Debra J. Holden, Ph.D. |
| 3:00 p.m. | Intervention Strategies in Diverse Populations Roshan Bastani, Ph.D. Professor of Health Services Associate Dean for Research UCLA School of Public Health |
| 3:20 p.m. | Primary Care Practice-Based Interventions Allen J. Dietrich, M.D. Professor Department of Community and Family Medicine Associate Director for Population Sciences & James J. Carroll Professor in Oncology Dartmouth Medical School Norris Cotton Cancer Center Dartmouth Hitchcock Medical Center |
| 3:40 p.m. | Quality Improvement Initiatives and Programs Elizabeth Yano, Ph.D., M.S.P.H. Adjunct Professor of Health Services UCLA School of Public Health Senior Social Scientist and Co-Director VA Center for the Study of Healthcare Provider Behavior VA Greater Los Angeles Healthcare System |
| 4:00 p.m. | Discussion |
| 4:40 p.m. | Adjournment |
Wednesday, February 3, 2010
| IV. | What Are the Current and Projected Capacities to Deliver Colorectal Cancer Screening and Surveillance at the Population Level? |
| 8:30 a.m. | CT Colonography Capacity in U.S. Hospitals Megan McHugh, Ph.D. Director of Research, Health Research & Educational Trust American Hospital Association |
| 8:50 a.m. | CT Colonography: Training Issues, Quality Control, and Potential Certification C. Daniel Johnson, M.D. Professor of Radiology Mayo Clinic Arizona |
| 9:10 a.m. | Endoscopy Capacity Laura C. Seeff, M.D. Acting Branch Chief, Comprehensive Cancer Control Branch Division of Cancer Prevention and Control Centers for Disease Control and Prevention |
| 9:30 a.m. | National Estimates of Resource Requirements for Delivering Colorectal Cancer Screening Ann G. Zauber, Ph.D. Associate Attending Biostatistician Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center |
| 9:50 a.m. | Evidence-based Practice Center Presentation IV: Current and Projected Capacity to Deliver Colorectal Cancer Screening and Surveillance and Effective Approaches for Monitoring Use and Quality of Colorectal Cancer Screening Russell Harris, M.D., M.P.H. Professor of Medicine University of North Carolina School of Medicine Cecil G. Sheps Center for Health Services Research |
| 10:10 a.m. | Discussion |
| V. | What are the Effective Approaches for Monitoring the Use and Quality of Colorectal Cancer Screening? |
| 11:00 a.m. | Achieving Population-based Performance Measurement for Colorectal Cancer Screening in the United States Eric C. Schneider, M.D., M.Sc. Senior Scientist and Director RAND Boston Associate Professor Department of Health Policy and Management Harvard School of Public Health |
| 11:20 a.m. | Implementing and Monitoring Colorectal Cancer Screening Performance Improvement in an Integrated Healthcare System T.R. Levin, M.D. Research Scientist Director of Colorectal Cancer Screening Kaiser Permanente Northern California |
| 11:40 a.m. | Implementing and Monitoring Colorectal Cancer Screening Performance in the National Health Service Julietta Patnick, CBE, FFPH Director National Health Service Cancer Screening Programmes |
| 12:00 p.m. | Discussion |
| 12:30 p.m. | Adjournment |
Thursday, February 4, 2010
| 9:00 a.m. | Presentation of the Draft Consensus Statement |
| 9:30 a.m. | Public Discussion |
| 11:00 a.m. | Panel Meets in Executive Session Adjournment |
| 2:00 p.m. | Press Telebriefing |
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