Appalachian Center for Cancer Education, Screening, and Support
The Appalachian Center for Cancer Education, Screening, and Support (ACCESS) is a special interest project of the University of Kentucky Prevention Research Center, locally recognized as the Rural Cancer Prevention Center (Cooperative Agreement Number 1U48DP005014-01). ACCESS is one of eight collaborating centers of the Cancer Prevention and Control Research Network (CPCRN) which is supported by funding from the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). ACCESS is dedicated to supporting CPCRN’s overall mission to accelerate the adoption of evidence-based cancer prevention and control in underserved communities. In addition to national CPCRN research efforts, ACCESS focuses on the dissemination and implementation of multilevel interventions designed to increase use of evidence-based cancer preventive services to impact Appalachian cancer disparities. ACCESS has initiated collaborative research with a federally qualified health center – White House Clinics – serving a medically underserved, high-poverty region in eastern Kentucky. The academic-community partnership is guided by a systems-based participatory research approach to sustainable translational research and quality improvement that engages health system leadership, practicing clinicians, and patients. The project focuses on the design, implementation, and evaluation of a proactive office encounter intervention, a systematic approach to offering breast, cervical, colorectal, and lung cancer screening services at every office encounter for every eligible patient. The overall goal is to use existing primary care resources more efficiently and effectively to promote cancer preventive services to achieve gains in population health.
Improving Kentucky Cancer Registry Data through Ancillary Data Linkage
The project will create enhanced Kentucky Cancer Registry data by linking with external sources such as Medicare, Medicaid and private payers, compare treatment summaries based on both enhanced and original registry data for breast and colorectal cancers, and conduct patterns of care research in cancer survival disparities for several cancer sites, including breast, colorectal, lung and pancreatic cancers in Appalachian and non-Appalachian populations.