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Prevent Skin Cancer and Ultraviolet (UV) Exposure

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Story Behind the Curve

What progress has been made on implementing the strategy? What worked well?

The Skin Cancer Center in Cincinnati has worked with OCISS staff to utilize health information management students from the University of Cincinnati to help with reporting cases.  Students have submitted approximately 200 hundred case reports as of May 2023 and the workgroup is working to roll this out for other practices.  The Ohio Department of Health has written a letter to be shared with dermatologists stressing the importance of receiving case reports.  Additionally, ODH/OCISS staff has written an article for the ODA newsletter regarding melanoma reporting requirements.

What challenges did the workgroup encounter working on this strategy? How were those challenges addressed, if at all?

The workgroup is challenged by how to more effectively engage communities of color in this work and has contacted some partners and received no response.   

What do we need to keep in mind for the next year? What might be changed?

The workgroup plans to continue using student volunteers to make this project sustainable.  The workgroup would like to identify practices that truly need this assistance to begin reporting cases. 

The workgroup has discussed working with dermatopathology labs to achieve HL7 reporting of cases to reduce the need for manual entry of cases into Web Plus. 

How can voices of priority populations (those disproportionately burdened by cancer) be included in implementing the selected strategy/strategies?

The workgroup will use cross-sector collaborations within state-based and community-based organizations that utilize evidence-based interventions intended to educate and promote sun safety year-round.  Continuous collaboration with field experts and stakeholders will be used to identify policy-driven solutions. Efforts will be made to include the perspective of Black and other darker-skinned Ohioans.

Partners

Partners that can help you turn the curve:  Be specific:

Commission on Cancer Program Chair

Ohio Dept. of Health, OCISS

Ohio Dermatological Association

Melanoma Know More

Dayton Skin Cancer Center

OSU James Cancer Hospital

The Skin Cancer Center, Cincinnati

American Cancer Society

What Works

Potential Strategies identified in the Cancer Plan to address the priority factors:

PP12:

  1. The Ohio Cancer Incidence Surveillance System (OCISS) will help dermatology offices overcome barriers for reporting (e.g., develop process for entering faxed reports, simplify reporting, provide training, utilize volunteers).
  2. Disseminate information about reporting to potential dermatology reporters through the Ohio Dermatological Association.
  3. Identify and work with dermatopathology labs to increase reporting (e.g., through Clinical Laboratory Improvement Amendments).

PP13:

  1. Contact youth organizations (e.g., school districts, 4-H, scouts) to urge development of UV safety policies (e.g., sunscreen, hats, sun-protective clothing).
  2. Produce and disseminate videos about sun/UV avoidance.
  3. Provide education about melanoma in individuals with darker skin tones.

PP14:

  1. Support Ohio legislation that does not allow for parental permission for use of tanning devices.
  2. Work with advocacy groups to gain support for proposed legislation.
  3. Use digital media (e.g., social media) to encourage Ohioans to contact their legislators (i.e., calls to action).

Strategy

What strategies are we going to implement?

Strategies

Lead Organizations

Identify and reduce barriers to reporting.

OPCC Topical Workgroup - Skin Cancer & UV Exposure

 

Action Plan

Action Step

Status

Identify dermatologists who should be, but are not, reporting.

Five dermatologists who have failed to report in the past have been identified and are now reporting.  This work is continuing.

The Ohio Cancer Incidence Surveillance System (OCISS) will help dermatology offices overcome barriers for reporting by providing training for dermatology offices. OCISS staff is available to provide training for reporters.  OCISS staff members are currently training student interns from the University of Cincinnati to assist dermatology practices with reporting.
Identify and reduce additional barriers to reporting. Complete – independent dermatology practices report that staff time to report cases is a barrier. Student interns have been trained to assist them with the reporting of cases and about 200 cases have now been reported through the use of this program.
Disseminate information about reporting to potential dermatology reporters through the Ohio Dermatological Association. An article and letter were drafted and approved.
Identify and work with dermatopathology labs to increase reporting (e.g., through CLIA).    Not yet started.
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