maryland cigarette restitution fund public health grant at johns hopkins new pathways for care: a...
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Maryland Cigarette Restitution Fund Public Health Grant at Johns Hopkins
New Pathways for Care: A Model for Delivering Prostate Cancer
Screening to Men in Need
Charlotte Neuhaus, MHS
Program ManagerCommunity-based Research
Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsNovember 12, 2003
Age-adjusted Prostate Cancer Rates in Baltimore City, 1999
Incidence Mortality
0
50
100
150
200
250
Black men White men
Per 100,000 population
Source: Maryland Cancer Registry, 2002
237
169
77
37
Prostate Cancer Screening Practices, Baltimore City, Males over Age 40
Yes65%
No35%
Source: Maryland BRFSS, 2001
Never Checked
37%
2 Yrs or More6%
Within 2 Yrs57%
Have you ever had a PSA test? When did you have your last PSA test?
Baltimore City: Significant Facts
25% of residents have no health insurance.
African-Americans twice as likely uninsured.
57% of uninsured men age >40 report having no health coverage in over 5 years.
Source: City of Baltimore, 2000
Source: City of Baltimore, 2000
Source: Maryland BRFSS, 2001
The Community-based Research team
is dedicated to cancer prevention and control
through innovative community-based programs
and research.
Mission Statement
Public Health Grant:Goals
Implement new model for community-based cancer education, screening diagnosis and treatment.
Reduce prostate cancer disparities in Baltimore City.
Improve access to prostate cancer screening.
Leverage existing resources through partnerships to increase men’s access to other health services.
Public Health Grant:Who We Are
Johns Hopkins partnership with 7 organizations: 5 community-based organizations, a community-based health provider, and a historically black university.
Recruited and trained staff from communities to: – Increase community awareness about prostate cancer– Outreach and provide education – Ensure informed decision-making prior to screening,
Provide prostate cancer screening, diagnosis, and treatment services to eligible men.
Plan OverviewPrevention, Education, Screening
Develop and expand community infrastructure for cancer awareness and screening
Sites– Credible presence in the communities and a
commitment to cancer prevention and control
Assess individual community needs through a qualitative and quantitative methods
Screening methods– Prostate: PSA & DRE
Delivery of Services
Region A
Region B
St. Clare Medical Outreach Van
Urban Medical Institute
Plan OverviewDiagnosis and Treatment
Individuals with suspicious and/or positive cancer screening results:
- For those with health insurance, covered via their existing health insurance plan
- For those without health insurance or who are underinsured and meet eligibility requirements, covered via Federal/State medical assistance programs
Plan OverviewDiagnosis and Treatment (cont’d)
For those without health insurance or who are underinsured and do not meet eligibility requirements for Federal/State medical assistance programs, covered via the CRF/JH Diagnosis and Treatment Program
A New Roadmap: Pebbles in the Road
New pathway for providing care
Budget cuts
Interface with– 7 partners– Baltimore City Department of Health– Baltimore City Cancer Coalition– Department of Health and Mental Hygiene– Clinical providers
Serving as health insurer, health educators, case managers, outreach workers, patient navigators
Necessary Components for a New Pathway
Community capacity building– CLAM
A shared vision for health promotion
Sustainable service programs in the community
Clear and honest communication
Public Health Grant Progress
Total educated 20071
Total screened 1101 –FY04 Screening Goal by June 30, 2004 500–Total screened since July, 2003 (FY04) 200
Case management Number of men provided with
diagnostic and treatment services for prostate cancer
56
Diagnosed with prostate cancer 6
On the Road: Maintaining Success
On the Road: Maintaining Success
On the Road: Maintaining Success
On the Road: Maintaining Success