Sep

1

How the American Cancer Society Will Help Bring Cancer Under Control Earlier in the 21st Century: A Moral Imperative

John R. Seffrin, PhD

CEO, American Cancer Society

National Health Council

24th Annual Voluntary Health Leadership Conference

• Decrease cancer mortality by 50 percent

• Reduce cancer incidence rates by 25 percent

• Measurably improvethe quality of life for people with cancer

Our Goals for 2015

Sep

2

All Sites – Mortality Rates

8090

100110120130140150160170180190200210220

75 78 81 84 87 90 93 96 99 '02 '05 '08 '11 '14

By Year of Death - All Races, Males and Females

2015 Goal – 50% Reduction from Baseline

1991 Baseline

215.1

2015 Goal

107.6Incidence and mortality rates per 100,000 and age-adjusted to 2000 US standard population

SEER Cancer Statistics Review 1975-2007.

2007

178.2

( 17.2% from

baseline)

(Current trend to 2015 - 30.0% from baseline)(The latest joinpoint trend (2001-2007) shows a -1.6 APC in age-adjusted rates)

2015

Projected

Rate – 150.6

Total Number of Cancer Deaths AvertedFrom 1991 to 2006 in Men and from 1992 to 2006 in Women

Sep

3

What It Will Take to Make Our 2015 Goals

• Redouble research

• Promote and elevate prevention

• Ensure access to quality health care

NCDs Will Dominate Health Agendas in the 21st Century

50 MillionDeaths

10 MillionDeaths

Sep

4

8.1

45.4

92.8

140.8

192.8

193.3

203.1

204.4

298.2

753.2

24.8

70.1

125.8

204.4

895.2

0 200 400 600 800 1000

Economic Value of DALYs† Lost (US$ billion) in 2008

Cancer

Heart diseases

Cerebrovascular disease

Diabetes mellitus

Road traffic accidents

Chronic obstructive pulmonary disease

HIV/AIDS

Perinatal conditions

Suicides

Lower respiratory infections

Cirrhosis of the liver

Diarrhoeal diseases

Tuberculosis

Malaria

Measles

†Disability Adjusted Life Year

Economic Loss from the Top 15 Causes of Death

STD & HIV/AIDS Control

Infectious Disease Control

Health Policy/Management

Basic Health Care

Reproductive Health Care

Basic Health Care Infrastructure

Medical Research

Medical Services

Family Planning

Basic Nutrition

Health Training

Health Education

Water Supply/Sanitation - Large Systems

Water Policy/Management

Basic Drinking Water Supply/Management

River Development

Waste Management/Disposal

Water Resources Protection

Water Education/TrainingSource: WHO

$2.70

$2.00

$1.00

$0.30

$0.20

$0.10

$0.00

$0.00

$0.08

$0.10

$0.20

$0.20

$0.60

$0.70

$1.30

$1.80

$1.93

$2.10$4.75

Donor Funding – Where Are NCDs?Official Development Assistance for Health, 2006, in US Billions

Total: $21 Billion

Sep

5

Total Percentage of Public/Private Developmental Funding for Health Spent on NCDs:

Less than 3%

but NCDs are 60% of burden of disease.

Source: Center for Global Development, Washington, D.C.

What We Could Accomplish Globally

350 more

lives1,000

more lives

10,000

more lives

Sep

6

Transforming the American Cancer Society

ThenDoor-to-doorlocal cancer charity,local services

NowHighly visible cancer control enterprise andchange agency

TomorrowGlobal institution leading the movement to bring cancer under control in 21st century

1.0

2.0

3.0

What it will take to bring cancer under control

… earlier in the 21st century

Sep

7

What is the Quickest Way to a World with Less Cancer … and More Birthdays?

The ABCs:

A. Prevent preventable cancers

B. Treat those that are treatable and curable

C. Provide state-of-the-art care and palliation to those that are not preventable or curable

What It Will Take …

• A successful high-level meeting of the UN on non-communicable diseases

• More research and a balanced portfolio

• Strong and effective public health education– Awareness campaigns

– Community-based interventions

– Aggressive advocacy

• Systems change

• Effective collaborations

• Leadership of a movement

Sep

8

“Give me a lever and something on which to stand, and I shall move the earth.”

– Archimedes, Greek philosopher and mathematician

Transforming the American Cancer Society

New cancer landscape

Business model is holding us back

Delimited mission

Defined primary lines of business

Delineated roles

Increased capacity and skills

Save more lives by increasing/broadening

our relevance and impact

Transformed ACS

Sep

9

“It is not the strongest of the

species that survives, nor the

most intelligent that survives.

It is the one that is the most

adaptable to change.”

– Charles Darwin

Where we are today

SOURCE: Scott Keller and Colin Price, ‘Performance and Health: An evidence-based approach to transforming your organization’, 2010

Act4

Advance5How do we keep moving forward?

Architect3What do we need to do to get there?

Performance

Aspire1Healthessentials

Strategicobjectives

Where do wewant to go?

Assess2How ready are we to go there?

Health

Discovery process

Influence model

Change engine

Centered leadership

Capability platform

Portfolio of initiatives

Delivery model

Continuous improvement

How do we manage the journey?

Transformation Model:The 5 frames of Performance/Health

Sep

10

The Society’s Transformation Team

Implementation Team

Joe Cahoon, Chair

Jari Allen

Mike Dany

Don Gudaitis

Terry Music

Scott Bennett

Susan Herrington

Core Team

Joe Cahoon, Chair

Terry Music

Skye Proctor

Nicole Lewis

Amy Swygert

Jennifer Lewis

Drive the execution of

the established

transformation design,

preparation, and

implementation.

Responsible for the day-

to-day activities to

support design,

preparation, and

implementation.

Lead the design, preparation, implementation, and sustainability of

the transformation efforts; actively partner with the National Board

Advisory Committee on Transformation to ensure appropriate

perspectives are at the forefront of decision-making throughout.

Provide strategic direction to the transformation efforts;

ensure the outcomes align with the Society’s strategic

direction; ensure the National Board, volunteers, & staff

enterprise-wide are engaged, informed, & involved.

Staffed by Joe Cahoon & Susan Herrington

National Board Advisory

Committee on Transformation

Gary Reedy, Chair

Bryan Earnest

Phil Evans

Terry Fontham

Adnan Hammad

Allen Henderson

Carol Jackson

Douglas Kelsey

Cynthia LeBlanc

Pamela Meyerhoffer

Jim Murray

Maryjean Schenk

David Zacks

John Seffrin

Greg Bontrager

Board Chair & President

ex-officio members

Transformation

Steering Committee

John Seffrin, Chair

Greg Bontrager

Otis Brawley

Terry Music

Joe Cahoon

Jari Allen

Mike Dany

Don Gudaitis

Paula Mohan

Nancy Yaw

Scott Bennett

Greg Donaldson

Chris Hansen

Catherine Mickle

Susan Herrington

21

4

6

2

3

5

1 Greater interdependence, trust, and support for each other, with proactive outreach, cooperation, and collaboration as norms vs. exceptions

Ongoing development and more rapid scaling of next generation, cost effective methods to achieve significant, sustained revenue growth

A talent focused organization that more systematically helps our people achieve their full potential for contributing to winning the war on cancer

Leadership’s role clarity, expectations, and accountabilities aligned to optimize enterprise organization performance AND health

Customers’ experiences and needs at the center of fact-based decision-making, e.g., disparate populations, large employers, Generation Y

Budgeting process focused to fully deliver on our mission, i.e., more dynamically optimizing resource allocation to maximize saved lives

Six Principles of Transformation

Sep

11

Transformation Timeline and Key Activities

Sep

20112010

Nov FebJanDecOct MarKey activities

Develop and begin planning and implementation of a portfolio of initiatives, or the set of activities that will enable the Society to achieve transformation goals

Continue nationwide conversation to share information and gather input on expanding the Society’s reach and relevance to save 1,000 more lives/day in US, 10,000 more lives/day worldwide

Begin implementation of a portfolio of initiatives

Make the case for change

2

3

4

1

SOURCE: Team analysis

2012

Jan

The Principles Map to Identified “From/Tos”From ToPrinciples

2 Leadership’s role clarity, expectations, and accountabilities aligned

Bureaucratic and hierarchical

Blurred lines of authority and accountability

Nimble, broader, flatter platform

Crystal clear lines of responsibility and accountability

1 Greater interdependence, trust, and support for each other

Over processing, slow decision making

Preserving autonomy/separateness at all costs

Unified enterprise with common purpose

Fast decision velocity based on evidence and fact

3 Customers’ experiences and needs at the center

Domestic only

Non-competitive marketing presence

Global leader

Competitive – charity of choice position and voice

A talent-focused organization

6 Few rewards and incentives

Performance-based compensation that rewards desired behavior

5 Ongoing development and more rapid scaling of next generation methods

Local corporate relationships

Global enterprise wide partnerships with multinationals

4 Dynamically optimizing resource allocation

Limited ability to resource and seize opportunity

Flexibility in resource allocation –human and financial

Sep

12

Proposed First Wave

PRELIMINARY

Enhance the CEOs Against Cancer platform as the premier partnership of CEOs to significantly contribute to the goal of saving 1,000 lives per day nationally and 10,000 lives per day globally

Assess current activities within research work and develop multiple research portfolio options, creating an integrated effort between national office and ACS Divisions to maximize lives saved

GoalsInitiative

Sharing ACS’s Change Story through all levels of the organization Cascading the Change Story

50-60 “change ambassadors” throughout organization; role models/viral marketing

Change Champions

CEO Initiative

Research 3.0

Ensure clear understanding of roles, responsibilities at each level of ACS leadership, crystal clear understanding of decision rights and process, and consistent accountability

Leadership, Governance, and Accountability

Five Initiatives Proposed for the First Wave of Transformation Work

©2009 American Cancer Society, Inc. No.0052.19