title: Piloting performance measurement for Comprehensive Cancer Control programs.
abstract: OBJECTIVE
  To implement a pilot test of performance measures for National Comprehensive Cancer Control (CCC) programs funded by the Centers for Disease Control and Prevention (CDC).
  
  
  METHODS
  A cross-sectional assessment conducted in 2008.
  
  
  METHODS
  A total of 65 CCC-funded entities (51 states, 7 tribes, and 7 territories or jurisdictions) representing 69 CCC programs.
  
  
  METHODS
  Comprehensive Cancer Control program staff.
  
  
  METHODS
  In a process that involved stakeholders from funded programs, academia, and nonprofit organizations, the CDC developed a framework for evaluation and a performance measures worksheet containing 11 performance measures for CCC programs that assessed grantee attainment of key components of CCC as required in the funding announcement. The framework was based on a CCC logic model. The performance measures worksheet contained detailed description of the measures, definitions, and suggested data sources for the 11 measures.
  
  
  RESULTS
  Of the 69 programs, 61 completed the worksheets. The median time reported to complete the worksheet was 10 hours (interquartile range = 6-20). Almost all programs reported having representation of relevant populations in their coalition and having conducted a recent assessment of the burden of cancer. Less frequently, programs reported having a written evaluation plan or having enacted policy changes. Additional performance measures described non-CDC funding, the percentage of partners implementing CCC activities, and the percentage of implemented interventions that were evidence-based.
  
  
  CONCLUSIONS
  This pilot test of the performance measures worksheet established the feasibility of conducting a standardized survey of CCC programs to identify issues of importance to developing and implementing the CCC program at national and program levels. The performance measures provided unique data on CCC grantees to the CDC funders and feedback on performance measures for improving questions on future surveys. Refinement of the performance measures will provide a tool for monitoring processes of action and accountability of grantees and will encourage a culture of quality improvement through systematic evaluation.
authors.affiliation: Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Rochester
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Porterfield
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Richardson
authors.forename: Kelly
authors.initials: K
authors.lastname: McAleer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Adams
authors.forename: Debra
authors.initials: D
authors.lastname: Holden
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D003191:Comprehensive Health Care; D003430:Cross-Sectional Studies; D006801:Humans; D009313:National Health Programs; D009369:Neoplasms / Q000517:prevention & control*; D010865:Pilot Projects; D015397:Program Evaluation / Q000379:methods; D014481:United States