NC Colorectal Cancer Roundtable
The North Carolina Colorectal Cancer Roundtable (NC CRCRT) is a statewide coalition of public, private, voluntary organizations, and invited individuals dedicated to reducing the morbidity and mortality from colorectal cancer (CRC) in NC, through coordinated leadership, strategic planning, and advocacy.
On February 12, 2015, the North Carolina Colorectal Cancer Forum was held to bring together partners, organizations and individuals interested in addressing colorectal cancer in North Carolina. As a result of that forum, the NC Colorectal Cancer Roundtable was established. The founding members were the NC Cancer Prevention and Control Branch (NC CPCB), American Cancer Society (ACS) and Mecklenburg County Health Department. They took the lead to recruit members to serve on the NC CRCRT Steering Committee and create the structure of the NC CRCRT. The Steering Committee meets twice per year to review strategies, implement initiatives and evaluate progress. NC CPCB and ACS continue to provide organizational support.
The NC CRCRT and its task groups are actively working on policy, education and outreach, structured barriers to access to care and working with insurance companies and providers to increase screenings. There has been success in convening leaders from medical, community, academic, and public health agencies representing geographic locations across the state to serve as NC CRCRT Steering Committee members and partners. Due to the expertise of members and partners the NC CRCRT has been successful in changing public policy to increase and/ or expand insurance coverage for preventive screening services and increase access to care and treatment.
The NC CRCRT signed the National Colorectal Cancer Roundtable pledge of screening 80% of eligible North Carolinians for colorectal cancer by 2018. Additionally, the NC CRCRT took the lead to bring awareness of the national effort and encourage organizations to sign the pledge. The campaign continues as 80% in Every Community. As of June 2020, there are 84 organizations in North Carolina that have signed the pledge.
The Vision of the Roundtable
Eliminate colorectal cancer deaths in North Carolina.
The Mission of the Roundtable
Reduce the burden of colorectal cancer in North Carolina through prevention and early detection.
The Objectives of the Roundtable
Objective 1: By Dec. 31, 2020, 80% of eligible adults in North Carolina will be have completed a colorectal cancer screening using an appropriate screening method in alignment with the National Colorectal Cancer Roundtable goal of 80% in Every Community.
Objective 2: By Dec. 31, 2020, North Carolina will support outreach and efforts to increase colorectal cancer screening rates, especially in counties with the greatest incidence of colorectal cancer.
The Strategies/Action Steps of the Roundtable
Objective 1: By Dec. 31, 2020:
- Enhance the organizational structure of the NC Colorectal Cancer Roundtable to better support statewide efforts.
- Motivate all age-appropriate and/or at-risk individuals to seek colorectal cancer screenings.
- Reduce barriers that prevent people from seeking appropriate colorectal cancer screenings.
- Focus efforts where there are high concentrations of people who are not receiving appropriate screenings.
Objective 2: By Dec. 31, 2020:
- Leverage existing and recruit new partner organizations that have strong ties to the targeted communities (those with high numbers of people not receiving screenings) to reduce disparities in colorectal cancer screening.
- Examine available data to identify populations with largest disparities and measure trends over time.
- Support efforts to target clinical system change efforts at reducing disparities in colorectal cancer screening.
- Reduce barriers that prevent people from seeking appropriate colorectal cancer screenings such as transportation, financial, language, institutional racism.
The Roundtable Steering Committee, Executive Committee, and Task Groups carry out the work of the NC CRCRT.
Currently, the NC CRCRT is comprised of twenty-four Steering Committee members of colorectal cancer experts, advocates, and survivors. The role of the Steering Committee members is to use their expertise, resources, and influence institutions, organizations, and community to help reduce colorectal cancer, and to guide the broader work of the Roundtable.
The Executive Committee is empowered to make decisions necessary for the ongoing work of the Colorectal Cancer Roundtable and Steering Committee, and to facilitate communication and ongoing work of the task groups between Steering Committee meetings.
The task groups are charged with developing and implementing action steps to facilitate statewide work directed by the Steering Committee. The task groups are comprised of partners, survivors, experts and advocates. The Task groups shall report to and get feedback from the Steering and Executive Committees on a regular basis.
Any interested individual or organization committed to reducing colorectal cancer in North Carolina may participate in the Roundtable. For more information contact Debi Nelson, Executive Director of the North Carolina Colorectal Cancer Roundtable, at 919-707-5155 or Marti Wolf, Chair, at 919-707-5334.
2021 Meeting Dates
- March 20, 2021 from 9:00 am to 12:00 pm
- October 15, 2021 from 9:00 am to 12:00 pm
March 2, 2020 Meeting
- SCORE (Scaling Colorectal Cancer Screening Through Outreach, Referral & Engagement) Update, March 2020
- BCBSNC Fit Kit Colon Cancer Screening Program
- Kentucky Colon Cancer Policy: A (Not Overnight) Success Story
- North Carolina CRC QI Learning Collaborative
October 20, 2019 Meeting
- SCORE (Scaling Colorectal Cancer Screening Through Outreach, Referral & Engagement) Update, October 2019
NC CRCRT Steering Committee Bylaws Revised 02/12/19 (PDF, 188 KB)
Steering Committee List
NC CRCRT Steering Committee Members, May 2020 (PDF, 297 KB)
- American Cancer Society Colorectal Cancer Screening Guidelines
North Carolina Advisory Committee on Cancer Coordination and Control,
- Colon Cancer Screening Position Statement (PDF, 232 KB)
- United States Multi-Society Task Force Colorectal Cancer Screening Guidelines
- United States Preventive Services Task Force Screening Guidelines
National Colorectal Cancer Roundtable (NCCRT)
- NCCRT Home Page
- 80% in Every Community - Colorectal Cancer Awareness Campaign
Colorectal Cancer Awareness Month (March)
- Governor’s Proclamation for Colorectal Cancer Month (March)
- 2020 Colorectal Cancer Awareness Month Social Media Toolkit, George Washington University Cancer Center’s Cancer Control Technical Assistance Portal.
Data and Statistics
- 2020-2022 Colorectal Cancer Facts & Figures: Colorectal Cancer Facts & Figures booklet, American Cancer Society.
- 2020 Cancer Facts and Statistics: Current trends cancer occurrence and survival. American Cancer Society.
- Cancer Prevention Works: Quick Facts Colorectal Cancer (CRC) Screening in North Carolina Behavioral Risk Factor Surveillance System -- 2016: Self-reported information on CRC Screening. CDC, National Comprehensive Cancer Control Program.
- Colon and Rectum Cancer Fact Sheet - 2017: One-page of statistics on the occurrence and extent of diagnosed disease for NC, NC Central Cancer Registry.
- Colorectal Cancer is a Major Public Health Problem: Web page of national number on CRC, NCCRT.
- NC Cancer Statistics and Reports: Various reports as far back as 1998 for 26 different cancers, NC State Center for Health Statistics.
- United States Cancer Statistics: Data Visualizations: Interactive web page by cancer type, risk factors, geographic areas and more, CDC.
Education and Outreach
- 2019 Colorectal Cancer Screening Messaging Guidebook: Recommended Messages to Reach the Unscreened: Messages and campaigns to increase awareness and action, NCCRT.
- 2020 Colorectal Cancer Awareness Month Social Media Toolkit: How to use Twitter, Facebook Instagram and LinkedIn for CRC awareness, George Washington Cancer Center, Cancer Control Technical Assistance Portal .
- About Colorectal Cancer in North Carolina: An easy-to-read fact sheet on how CRC starts, how screening is done, what happens if you have CRC, NC Comprehensive Cancer Control Program. (This document is currently under revision.)
- Colon Cancer Coalition: A coalition that is dedicated to encouraging screening and raising awareness of colorectal cancer. They provide educational information and resources as well as community events nationwide.
- Colorectal Cancer Information -- Patient Version: Provides an overview, and links to additional resources for CRC causes, prevention, screening and treatment, National Cancer Institute.
- Colorectal Cancer Resources: Links to podcasts, videos, print materials and more, CDC.
- Colorectal Cancer Screening Saves Lives: Brochure on what CRC is, who should be screened, description of screening tests and more, CDC.
- Colorectal Cancer Screening Test At-A-Glance: Description of screening tests, how to prepare, what happens and how often they should be done, CDC.
- Live Healthy to Be There: Get Colorectal Cancer Screening: Links to information about living healthy, NC Division of Public Health.
- Screen for Life: National Colorectal Cancer Action Campaign: Fact sheets, posters, reminder cards and more to encourage people to get screened, CDC.
- 1-800-227-2345: Questions about Colorectal Cancer? Call the American Cancer Society’s Helpline available 24 hours a day, 7 days a week.
- A Provider's Guide to Colorectal Cancer Screenings: One-page of Do and Don’t Guidance for Healthcare Providers, American Cancer Society (ACS).
- Advanced Colorectal Polyp Brief: Tools for Endoscopists to use with patients with advanced polyps, National Colorectal Cancer Roundtable (NCCRT).
- Clinician’s Reference: Stool-Based Tests for Colorectal Cancer Screening: Discussion on screening tests, ACS.
- ColonMD: Clinicians' Information Source: Campaigns and tools for provider offices, ACS.
- Colorectal Cancer Basics and Screening Recommendations for Your Practice, Online Self-Paced Learning, Target Audience: Primary Care Physicians, Registered Nurses, Office Managers, Quality Managers This is an enduring materials course, approved for CME on February 7, 2020 and content will be reviewed prior to February 6, 2022. Eastern AHEC.
- Colorectal Cancer Screening and Risk Assessment Workflow and Documentation Guide for Health Center NextGen Users: Toolkit specific to users of the NextGen electronic health record, NCCRT.
- How To Assure Follow Up Colonoscopy For Positive FIT From The Process Side -- January 30, 2018: Recorded webinar on evidence and processes for follow-up colonoscopy after a positive FIT, NCCRT.
- Identifying High Risk Patients and Families in Your Practice: Targets Endoscopists, NCCRT.
- Improving Access to Specialists for Community Health Center Patients in the Delivery of Colorectal Cancer Screening and Follow-up Care: Advice from Model Program: Recorded webinar of best practices, NCCRT.
- National Colorectal Cancer Roundtable Resource Center: Large Resource web site on CRC, NCCRT.
- Paying for Colorectal Cancer Screening Patient Navigation Toolkit & Interactive Website: Case studies and other resources for sustaining Patient Navigation, NCCRT.
- Risk Assessment and Screening Toolkit to Detect Familial, Hereditary and Early Onset Colorectal Cancer: Tools to identify high risk patients, NCCRT.
- Screening for Colorectal Cancer: Optimizing Quality (CME): Recorded trainings, one for primary care providers and one for Endoscopists, NCCRT.
- Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers: Resources found to be effective in Community Health Centers, NCCRT.
- Webinar -- What Do The Data Tell Us: What Can We Learn From The Latest Colorectal Cancer Screening Rate Trends Over Time? January 30, 2020: Describes progress toward 80% in Every Community and compares data from different sources, NCCRT.
- What Can Gastroenterologists and Endoscopists Do to Advance 80% by 2018?: How specialists can be champions for CRC screening, NCCRT.
Last Modified: 02-16-2021