North Dakota Colorectal Cancer Roundtable

The North Dakota Colorectal Cancer Roundtable (NDCCRT), co-lead by the American Cancer Society and the North Dakota Department of Health, is a statewide coalition of organizations dedicated to reducing the incidence of and mortality from colorectal cancer in our state, through coordinated leadership and strategic planning.  The ultimate goal of the state’s Roundtable is to increase the use of proven colorectal cancer screening tests among the entire population for whom screening is appropriate.

March Colorectal Awareness Month- 2019 Turn ND Photo Contest Winners!

West River Health Services

Custer Health


Thank you to all who participated!

Welcome Dr. Donald Warne as our new Roundtable Chair

At our October 24, 2018, ND CRC Roundtable meeting, our founding Chair (2015-18) Dr. Fadel Nammour officially “passed the baton” to Dr. Donald Warne. Dr. Nammour played an integral role in successfully launching the Roundtable and has generously donated his time to help elevate CRC screening as a priority statewide in North Dakota as well as educate local providers about screening options and strategies. During his time as Chair, North Dakota achieved a 7% improvement in CRC screening and was recognized as one of the most improved states in the nation. We express our full gratitude to Dr. Nammour for his service as our founding Chair.

We are equally as grateful to have yet another strong leader in Dr. Warne, our incoming Chair. Dr. Warne, MD, MPH, is the Associate Dean of Diversity, Equity and Inclusion as well as the Indians Into Medicine (INMED) Program Director, and Professor of Family and Community Medicine at the School of Medicine and Health Sciences at the University of North Dakota. He also serves as the Senior Policy Advisor to the Great Plains Tribal Chairmen’s Health Board. Dr. Warne is a member of the Oglala Lakota tribe from Pine Ridge, SD and comes from a long line of traditional healers and medicine men.

Introducing “80% in Every Community”

While the 80% by 2018 campaign will come to a close on December 31st, our dedication to working toward our shared goal to reach a nationwide 80% colorectal cancer screening rate is as strong as ever. With input from stakeholders over the past year, the National Colorectal Cancer Roundtable unveiled the new campaign at their Annual Meeting on November 15th. Beginning January 1st, 2019, our shared efforts to reach 80% will become “80% in Every Community.” The name reflects the work that still needs to be done to address persistent screening rate disparities in particular communities, such as racial/ethnic groups, ages 50-54, and rural populations.

What happens next? There is still much work to be done, but by early January NCCRT will share additional messaging and materials to provide you with the tools you need to embrace the new campaign. These will include a campaign description, logo, talking points, press materials, and more. Please watch for updates on

While North Dakota has made progress in recent years, 35% of eligible adults in our state are still not up to date with colorectal cancer screening. It is imperative that we continue working to increase screening rates in North Dakota. Your organization can join this movement by signing the 80% Pledge today!


Tools & Resources 


Get Involved Locally

The ND Colorectal Cancer Roundtable has prioritized several strategies for increasing colorectal cancer screening statewide.  Priority strategies include provider education, public awareness, and access to care. If you are interested in a joining a workgroup or learning more, please contact


Thank you to the following ND organizations for signing the 80% by 2018 Pledge:

  • Altru Health System
  • Blue Cross Blue Shield of North Dakota
  • Central Valley Health District
  • CHI St. Alexius Health
  • City-County Health District
  • Coal Country Community Health Centers
  • Community Health Association of the Dakotas
  • Custer Health
  • Essentia Health
  • Family HealthCare
  • Great Plains Tribal Chairmen’s Health Board
  • North Dakota Cancer Coalition
  • North Dakota Department of Health
  • North Dakota Medical Association
  • Northland Community Health Center
  • Quality Health Associates of North Dakota
  • Sanford Health
  • Sakakawea Medical Center
  • Sargent County Health District
  • Southwestern District Health Unit
  • Trinity Health
  • Valley Community Health Center

Thank you to the ND CRC Roundtable Steering Committee:

  • Dr. Donald Warne, Chair (MD, MPH, Associate Dean of Diversity, Equity and Inclusion; INMED Director; Professor of Family and Community Medicine, School of Medicine and Health Sciences, University of North Dakota)
  • Dr. Fadel Nammour, Previous Chair (MD, Gastroenterologist, Dakota Gastroenterology Clinic, & President, ND Medical Association)
  • Dr. Aaron Garman (MD, Medical Director, Coal Country Community Health Centers)
  • Pam Gulleson (Vice President of Public Affairs, Blue Cross Blue Shield of North Dakota)
  • Dr. Stephen Nelson (MD, Associate Medical Officer, Sanford Health Plan)
  • Carey Rivinius, (NP, North Dakota Nurse Practitioner Association
  • Pete Seljevold (Director, North Dakota Worksite Wellness Initiative)
  • Dr. Jeff Hostetter (MD, Program Director, UND Center for Family Medicine – Bismarck)

Questions? Please contact Shannon Bacon, Health Systems Manager with the American Cancer Society or Dr. Jesse Tran, Director of the Comprehensive Cancer Control Program with North Dakota Department of Heal