Facilitate access to high quality breast cancer services (preventive, screening, diagnostic, treatment, and counseling) to all Oklahoma women regardless of income, race, employment, or insurance status.  

Increase the number of providers who refer patients for high quality breast cancer screenings.

1. Coordinate and collaborate with health care providers, health systems, tribal nations, and community organizations to increase high quality breast cancer screenings utilizing the current USPSTF Guidelines for Breast Cancer Screening.
2. Utilize policy approaches and health systems change to improve implementation of breast guidelines and practices for health care professionals.
3. Encourage patient navigation services to assist with access to screening and timely diagnostic services.

Increase the number of women who get high quality breast cancer screenings.

1. Promote and support OHCA Connect 4 Health initiative that includes targeted messaging to females 50-74 years of age to remind about mammograms every two years.
2. Decrease structural barriers (transportation, availability, and accessibility) that limit access to breast cancer screening, diagnostic, and treatment services.  

Facilitate access to high quality cervical cancer services (preventive, screening, diagnostic, treatment, and counseling) to all Oklahoma women regardless of income, race, employment, or insurance status.  

Increase the number of providers who refer patients for high quality cervical cancer screenings.

1. Coordinate and collaborate with health care providers, health systems, tribal nations, and community organizations to increase high quality cervical cancer screenings utilizing the current USPSTF Guidelines for Cervical Cancer Screening.
2. Utilize policy approaches and health systems change to improve implementation of cervical guidelines and practices for health care professionals.
3. Encourage patient navigation services to assist with access to screening and timely diagnostic services.

Increase the number of women who get high quality cervical cancer screenings.

1. Decrease structural barriers (transportation, availability, and accessibility) that limit access to cervical cancer screening diagnostic and treatment services.  

Increase the number of Oklahoma females and males who receive the HPV vaccine in accordance with the National Advisory Committee on Immunization Practices (ACIP) recommendations.

1. Increase knowledge of parents regarding accurate and effective use of HPV vaccine.
2. Increase HPV vaccination rates for Oklahoma males and females.
3. Increase cervical cancer screenings that include HPV testing.
4. Develop patient navigation systems to facilitate access to care for women diagnosed with cervical cancer in a timely fashion.  

Overcome barriers that create inequitable health outcomes by increasing the number of Oklahomans who get evidence-based colorectal screening.  

Increase the number of partnerships to support increasing colorectal screenings.

1. Partner with health insurers in Oklahoma to create a reminder card system.
2. Actively partner with FQHCs to create system change that would update organizational policies and implement evidence-based interventions.
   
   Additionally, support The National Colorectal Cancer Roundtable (the Roundtable) efforts in Oklahoma.  

Decrease the number of preventable lung cancers by increasing the number of Oklahomans who successfully quit using tobacco;

Increase the number of health care providers who are proactively referring tobacco-using patients for recommended lung cancer screening guidelines;

Decrease the stigma placed on lung cancer patients and survivors by providing effective and sensitive education through public awareness campaigns.  

Increase by 10% the number of referrals to the Oklahoma Tobacco Helpline (OTH).

1. Partner with health care providers to proactively refer tobacco using patients to the OTH via electronic and/or fax referrals.

Increase lung cancer screening rates.

1. Increase knowledge, attitudes and behaviors regarding referral to lung cancer screening by physicians through increased education regarding risk factors and recommended screening options.
2. Develop and maintain a list of lung cancer screening facilities across Oklahoma to share with providers to improve referral rates.

Decrease the stigma placed on lung cancer patients and survivors.

1. Led by the Oklahoma Lung Cancer Initiative, we will support the “Erase the Stigma” awareness campaign to address the causes of lung cancer, increase awareness of other risk factors, and increase support for all lung cancer patients, survivors, and caregivers.

Prevent initiation of tobacco use by youth and young adults.

1. Enact key public policy measures to increase prices on tobacco products by 2022.
2. Fully implement evidence-based health communications mass media campaigns according to Center for Disease Control and Prevention (CDC) Best Practices for Comprehensive Tobacco Control Programs by 2022.
3. Maintain compliance with laws to prevent illegal sales of tobacco to youth as evidenced by Synar compliance rates greater than 90%.

Protect all Oklahomans from exposure to secondhand smoke

1. Extend state law to eliminate smoking in all indoor public places and workspaces, except in private residences, through a comprehensive state law eliminating exemptions by 2022.

Increase by 5% annually the percentage of Oklahoma adults and youth who successfully quit tobacco use.

1. Increase the number of hospitals and health systems, health care professionals, and community-based clinics that effectively implement the U.S. Public Health Service Clinical Practice Guideline for treating tobacco dependence by 2022 as evidenced by a 10% annual increase in the number of providers completing direct referrals to the Oklahoma Tobacco Helpline (OTH) via fax or EMR.
2. Increase tobacco-free properties at all workplaces including private businesses, state agencies, tribal governments, local governments, hospitals, school districts, universities and colleges, career technology centers and faith-based organizations by 2022.
3. Increase by 20% the percentage of smokers utilizing OTH services (treatment reach) by 2022.

Increase knowledge of emerging products.

1. Develop a tracking system for the sale of electronic cigarettes/devices to youth under the age of 18.
2. Routinely conduct assessments that highlight the actual usage of emerging products.