Table 2.

Cancer Prevention and Control Research Network Activities within the Centers for Disease Control and Prevention’s Science Impact Framework

Impact	Indicators	N	Examples
Disseminating Science	Presentations	1,848	• Presentation of CPCRN collaborative work, entitled “CPCRN Work with Federally Qualified Health Centers: Findings from FQHC, HPV, and Tobacco/Lung Cancer Workgroups” presented at CDC led Cancer Conference. • Collaboration Between Accountable Care Organizations and Primary Care Practices, entitled Promising Practices for Implementing Interventions to Increase Colorectal Cancer Screening in Medicaid Members, CPCRN FQHC Workgroup
	Training	46	• Putting Public Health Evidence in Action curriculum www.cpcrn.org)
	General Communication (social media, web, print)	28	• Investigators from Oregon Health & Science University provide regular contribution to a blog titled “Cancer Translated.” https://blogs.ohsu.edu/cancertranslated/2017/12/27/knight-cancer-institute-signal-achievements-of-2017/ • An investigator at the University of Pennsylvania was featured in television, radio, and print news coverage of regulations for reef-safe sunscreen • Multiple cross-center workgroups have created reports of their research findings to share with community partners
	Other Communication Reports	78	• Together We Can: Georgia Colorectal Cancer Program Evaluation Report
Creating Awareness	Requests for Expertise	40	• Investigators from the University of Washington were invited to serve as members on CDC’s Breast and Cervical Cancer Early Detection and Control Advisory Committee. • Investigators from the University of Kentucky CPCRN provided technical assistance to state teams at the 80% by 2018 Forum, “Increasing Colorectal Cancer Screening Rates through Enhanced Partnerships between Comprehensive Cancer Control Coalitions and Federally Qualified Health Centers.”
	Feedback	24	• Oregon Health & Science University held a special funding opportunity, “Step It Up! Survivors,” and received positive feedback from cancer survivor participants: “I love what you have brought to our community. We needed this, look how many happy people are walking everywhere.” • “The tool created by (The University of North Carolina) to track FIT distribution is one of the most valuable parts of our CRC screening program. It is useful to have a tool that not only shows areas where we might need improvement specifically…but it also shows this data in real time so that we can address it and make improvements right away.”
Catalyzing Action	Partnerships and Collaborations	6	• Local research project by the University of South Carolina led to collaboration with South Carolina Hospital Association and Self-Regional Hospital to develop a pilot program to address health literacy in Greenwood (South Carolina) and to create a statewide Clinic Readiness Assessment.
	Research & Development	5	• Acting on FQHC provider survey evaluation findings. • Health literacy presentation leads to pilot program.
	Advocacy Groups	3	• The University of Washington participated in the American Thoracic Society’s Research Policy Statement on integrating smoking cessation into lung cancer screening. Recommendations included monitoring of smoking cessation and quit rates to lung cancer screening programs were made and the recommendations were incorporated by the Committee in their official policy statement.
	Office Practice/ Point of Care Changes	3	• The University of Washington local project conducted patient interviews to understand FIT test education material and clinic staff workflow. The patients feedback helped update FIT education materials at the FQHCs and restructure the clinic staff workflow to ensure clinic staff members were not missing opportunities to discuss colorectal cancer screening with patients.
	Technology Creating	2	• As a result of the pilot work conducted at Metrohealth to set up and test the eReferral to the State Quitline, the MetroHealth system has now adopted those changes made to the electronic medical record as permanent.
Effecting Change	Building Public Health Capacity	5	• Collaborative Colorectal Cancer Project: Peer Learning Event. Multiple activities took place to help FQHCs to identified barriers, challenges, and needs to uptake evidence-based strategies to increase colorectal cancer screening.
	Creation of Registries/Surveillance	24	• Case Western Reserve CPCRN investigator led an effort at FQHCs to create a registry of abnormal cervical cytology/path reports of patients seen at the clinic, so the team can better follow-up with patients and in a timely manner.
	Legal/Policy Changes	1	• Kentucky Senate Bill 101 allows pharmacists in Kentucky to administer the guideline-recommended HPV vaccinations for adolescents, pursuant to prescriber-approved protocols with the consent of a parent or guardian. The policy was informed by CPCRN HPV vaccination workgroup.
	Change Instilled	57	• The changes at MetroHealth’s electronic medical records are complemented by significant role changes for the medical assistants and nurses at primary care clinics. These role changes have been adopted as new procedures for addressing tobacco assessment and assistance.

^*FQHC=Federally Qualified Health Center; CPCRN=Cancer Prevention and Control Research Network; CDC=Centers for Disease Control and Prevention; HPV= Human Papillomavirus; FIT= Fecal Immunochemical Test