Scaling What Works
Project ECHO and Patient Navigation for Rural Cancer Survivors
This Scaling What Works project combines the broad reach of Project ECHO telementoring with individual-level patient navigation to improve cancer care for survivors in rural communities. Project ECHO (Extension for Community Healthcare Outcomes) uses telementoring within communities of practice to increase workforce capacity and enhance the knowledge and skills of rural health care providers. Cancer patient navigation aims to remove barriers to health care. Patient navigators identify cancer survivors and link them, and providers, to state and local resources and wellness programs. The Centers for Disease Control and Prevention worked with the National Comprehensive Cancer Control Program Recipients in Kansas, Montana, Nevada, and South Carolina to pilot the implementation of Project ECHO + Patient Navigation. The pilot programs were found to be successful, so the project is now being scaled to other programs as part of Scaling What Works.
Addressing Risk Factors for Adult Cancers During Childhood (Skin, Cervical and Liver)
The Addressing Risk Factors for Adult Cancers During Childhood (ARF) projects evolved from pilot projects funded by the National Comprehensive Cancer Control Program (NCCCP). Three states within the NCCCP implemented primary cancer prevention interventions for adolescents that were designed to reduce the future burden of skin, liver or cervical cancers. The NCCCP recipients participating in the Scaling What Works ARF project will select and implement evidence-based interventions that target adolescent risk factors for one of the three cancers: skin, liver or cervical.
Increasing Access to Gynecologic Oncologists for Women with Ovarian Cancer
The third project piloted by the NCCCP was designed to strengthen the evidence for strategies used to increase access to gynecologic oncologist treatment for ovarian cancer and to increase the number of women with ovarian cancer who are treated by a gynecologic oncologist. To accomplish this, programs implemented the following strategies, 1) increase knowledge and awareness of the role and importance of gynecologic oncologists, 2) improve models of care through referral systems and patient navigation, and 3) expand the gynecologic oncologist workforce. Three states within the NCCCP implemented this project which is now being scaled to other programs through Scaling What Works.