The NCCRT…A Centers for Disease
Control/American Cancer Society
Initiative
What is the NCCRT Mission?
♦ The National Colorectal Cancer Roundtable
(NCCRT) is a national coalition of public, private,
and voluntary organizations whose mission is to
advance colorectal cancer control efforts by
improving communication, coordination, and
collaboration among health agencies, medicalprofessional organizations, and the public.
♦ The ultimate goal of the Roundtable is to
increase the use of recommended colorectal
cancer screening tests among in population for
whom screening is appropriate.
Who makes up the NCCRT?
• Co-Founded by CDC and ACS in 1997
• Chaired by Drs. Richard Wender and Robert Smith,
and Directed by Mary Doroshenk
• Includes nationally known experts, thought leaders,
and decision makers
• Over 70 Member organization include:
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academic institutions
survivor groups
government agencies (CDC, NCI, CMS, AHRQ, State Health Depts)
community health centers
foundations (AARP)
industry leaders
medical professional societies and
health insurers
voluntary health agencies (ACS, ACS Divisions)
What does the NCCRT do?
• Serves as a forum for communication and developing
consensus
• Challenges members to be participatory
• Stimulates collaboration on projects that everyone
wants done, but no one is doing
• Leverages the talents of the members to conduct
studies, create tools and identify emerging issues that
can advance CRC screening
• Serves as a “Go To” organization
What doesn’t the NCCRT do?
• Importantly, its been a long standing
principle of the Roundtable’s philosophy
that we are careful not to compete with
our member organizations or duplicate
their work or mission.
• Rather, we strive to stimulate
collaborations and take on projects that no
one else is doing.
• The individual member organizations
share the success of our achievements.
Six Key Areas of Emphasis
• Developing and promoting evidence-based tools
for Professional Education
• Unifying efforts around Public Awareness
• Working with community health centers to
Address Disparities in CRC screening rates
• Answering the day’s pressing Policy questions
• Improving the delivery of high Quality screening
• Providing International Leadership
Tools, Resources and Publications
Gastrointestinal Endoscopy 2007;65: 757-66
Professional Education
Key accomplishments and
initiatives:
• Developed “How to Increase CRC
Screening Rates in Practice: A Primary
Care Clinician’s Toolbox and Guide”
• Developed Physician FOBT brochure,
designed to introduce physicians to the
value of FOBT screening
• Partnering with the National Association
of Community Health Centers to increase
CRC screening in community health
centers
• Partnering with Patient Centered Primary
Care Collaborative to increase cancer
screening in the patient centered medical
home
Quality
Key accomplishments and initiatives:
• Published a report on evidence- and consensus-based standards
for the performance of high quality colonoscopy (CoRADs)
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Lieberman D, Nadel M, Smith RA, et al. Standardized colonoscopy reporting and data system: report of the
Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointest Endosc.
2007;65:757-766.
• Published report that describes the components of a quality
screening colonoscopy referral system in primary care practice
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Sifri R, Wender R, Lieberman D, et al. Developing a Quality Screening Colonoscopy Referral System in
Primary Care Practice: A Report from the National Colorectal Cancer Roundtable. CA Cancer J Clin.
2010;60:40-49.
• Published a report on the responsibilities of referring clinicians to
ensure quality colonoscopy
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Fletcher RH, Nadel MR, Allen JI, et al. The quality of colonoscopy services--responsibilities of referring
clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer
Roundtable. J Gen Intern Med 2010;25:1230-4.
• Presently exploring the development of an accreditation program
similar to MQSA to ensure quality colonoscopy
Public Awareness
Key accomplishments and initiatives:
• Development of a unifying Colorectal Cancer Awareness
Month (March) strategy
• Development and distribution of the Blue Star universal
symbol for colon cancer
• Development and distribution of Family PLZ! campaign
• Development of Member CRC Awareness Marketing Kit
• Establish social media presence to support these activities
Policy
Key accomplishments and initiatives:
• Conducted colonoscopy copay research project in
conjunction with the Kaiser Family Foundation
• Conducted state by state assessment of prevention services
within the Medicaid program
• Developed cost model showing cost savings to Medicare
program for increasing cancer screening in the under 65
population
• Launching assessment of GI and other specialty provider
participation in the Medicaid program
• Recruiting high level speakers to the NCCRT annual meeting,
including Reps. Patrick Kennedy Al Winn, and CDC Director
Dr. Thomas Frieden
International
Key accomplishments and initiatives:
• Established the International Colorectal Cancer Screening
Network (ICRCSN), an international consortium of programs,
committed to improving the delivery of colorectal cancer
screening to their populations
• Published 3 manuscripts on international screening
measures that allow for international comparison with the
goal of improved colorectal cancer screening quality.*
• With more in-depth analysis, the network can do
comparative effectiveness research and give analysts the
capacity to compare different tests, different screening
intervals, and different criteria for positive tests.
VS, Atkin WS, Green J, et al. Toward standardizing and reporting colorectal cancer screening indicators
* Benson
on an international level: The International Colorectal Cancer Screening Network. Int J Cancer 2012;130:2961-2973.
Atkin WS, Benson VS, Green J, et al. Improving colorectal cancer screening outcomes: proceedings of the second meeting
of the International Colorectal Cancer Screening Network, a global quality initiative. Journal of medical screening. 2010;17:152-157.
Benson VS, Patnick J, Davies AK, Nadel MR, Smith RA, Atkin WS. Colorectal cancer screening: a comparison of 35 initiatives
in 17 countries. Int J Cancer 2008;122:1357-1367.
Other key accomplishments and
initiatives
• Developed CRC Evaluation Toolkit and conduct evaluation
training
• Conduct CRC Media and online audits
• Conduct site visits to identify emerging trends, innovations,
barriers and solutions around CRC screening
• Host key workshops with stakeholders and thought leaders
to advance priority issues
How does HHS Benefit from the
NCCRT?
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Engagement with leading organizations involved in the fight
against CRC
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NCCRT R&D provides programs used by the member
organizations and State Health Departments, contributing to
our leadership and ability to achieve our CRC screening
goals
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Benefits the public with unified, evidence-based efforts to
increase CRC screening
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Timely, highly cited contributions to the CRC Scientific/Policy
literature
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Many NCCRT products are embraced by CDC grantees,
such as the CDC’s Colorectal Cancer Control Program
NCCRT…a win win win
• Unifies and magnifies efforts around CRC.
• Pools and leverages the talents of a
diverse membership base
• Maximizes limited resources;
• Strengthens the collective energy behind
CDC strategic priorities for increasing CRC
screening with evidence-based tools
All NCCRT resources are available on NCCRT.org