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Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden NJ Presented by Jean F. Mouch, MD, MPH

Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

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Page 1: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Eliminating Health Disparities Workgroup for Camden County Cancer Coalition

Camden County Cancer Coalition Meeting

June 29, 2005

Cooper Hospital, Camden NJ

Presented by Jean F. Mouch, MD, MPH

Page 2: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

CEED in Camden County – since 1996

Federal and State Program for early detection of cancer and education for prevention

Screening for Breast Cancer & Cervical Cancer in women; Prostate Cancer in men; & Colorectal Cancer

Entitlement program: less than 250% of poverty level by income; no health insurance or underinsured for health

Page 3: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Meeting the gaps in Cancer Services – Eliminate Health Disparities

CEED meets the need of working people with no health insurance for early detection and screening

Estimate of the number of eligible women <250% of poverty level for income = 7,033 who are 40-64 years of age but do not have an estimate for men.

Women diagnosed with Breast Cancer or Cervical Cancer – are Medicaid eligible for treatment phase

Do not have Medicaid eligibility for men diagnosed with prostate cancer nor for colorectal cancer

Page 4: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Progress since 2003

The funding to screen only covered 18% of the eligible population. (12% Federal and 6% additional from State)

In 2004 report, Camden County CEED met this goal, covering 18% of the eligible Women.

McGreevey doubled the State funding in 2004 Thus 24-30% of the eligible population should be

getting services in 2005.

Page 5: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Background to Camden County CEED program

Camden County has two Cancer Education and Early Detection Programs (CEED) – Cooper Hospital, since 1996, and

Virtua Health - Voorhees, 2001. Both have met their targeted number of

enrollments of women but have struggled to reach their targeted number of men

How well do they reach the eligible population of working people with incomes <250% of poverty with no health insurance?

Page 6: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Data on Camden County CEED clients December 2003 - June 2005

Race / Ethnicity of Women served

White Black Asian Asian or Pacific Islander

Other Hispanic

Virtua Health CEED

56.3% 25.0% 5.4% 2.6% 1.0% 9.7%

Cooper Hospital CEED

36.3% 31.0% 1.3% 3.0% 2.0% 26.4%

Total County CEED = 4,195

2,591

61.7%

1,281

30.5%

79

1.9%

125

2.97%

14

0.33%

1,011

24%

GREAT! 47.2% of eligible women in ages 40-64 are screened at least once!! who are <250% of Poverty Level with no Health Insurance

Page 7: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Age Groups of Women in CEED Camden County New Jersey

Age groups

of Women

<20 years

20-29 yrs

30-39 yrs

40-49 yrs

50-64 yrs

65+ years

Virtua Health CEED

18 102 84 183 188 1

Cooper Hospital

CEED

23 133 395 1,517 1,429 125

Total =

4,195

41 235 479 1,700 1,617 126

% of Eligible Women

18-64 years of age and uninsured for health = 14,322 women

28.4% - screened

40-64 years of age and uninsured women = 7,033 <250% of Poverty

47.2% - screened

Page 8: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Colorectal and Prostate Cancer Screening through CEED

Eligible men for CEED not known 65+ census in Camden County showed

almost 5,000 (9.6%) living below the poverty line

Women 65+ = 9% and Men 65+ = 4.7% 8 municipalities have >10% of individuals

living below the poverty line No Health Insurance: 7.6% White; 16.9%

Black; 38.2% Hispanic

Page 9: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

In 2004-2005 CEED Clients

Colorectal Cancer Screening in women = 216men = 69

Prostate Cancer Screening in Men = 68 Issues for increasing these two Cancer

Screenings - estimating the target group - planning the intervention - education, more education

Page 10: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Information from NCIS Health Consumer Profiles

Regional Health Consumer Profile for Burlington, Camden, and Gloucester County

Medically Underserved Population Tri-County= 230,385

Information by race, gender, and ethnicity Prostate Cancer Screening target, men > 50+

years of age = 19,669 Colorectal Cancer Screening target population:

women = 28,496men = 22,591

Page 11: Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden

Join our Eliminating Health Disparities Workgroup!!

Sign up on the Workgroup sheet being passed around

Contact: Evelyn Robles-Rodriguez

856-968-7315

Joan Lombardi

856-355-6177