Collaborative Health Planning
to Address Urban Community
Health Needs in a Limited
Resource Environment
Camden City Healthy Futures
History of the Partnership
Last community assessment for the city was done in
1995
 Role of partnership as the health advisory committee to
the Mayor
 University leadership role
 Limited success in obtaining grant support (Institute for
the Elimination of Health Disparities)
 In 2005 NJ counties were engaged in MAPP (Mobilizing
Around Partnerships and Planning) and writing
Community Health Improvement Plans (CHIP). For
Camden County this included:
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– Prioritization of health issues with special focus on the city
– BRFSS study with an oversample in the city of Camden
Partners in Camden Healthy Futures
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African-American Advisory Commission
Association for Children of New Jersey
CamCare Health Corporation
Camden Area Health Education Center
(Camden AHEC)
Camden Community
Recovery/Environmental Justice Coalition
Camden County Department of Health &
Human Services
Dr. Charles E. Brimm Medical Arts High
School
City of Camden
Community Planning and Advocacy Council
Cooper Hospital University Medical Center
Healthy Mothers, Healthy Babies Coalition of
Camden City
Hispanic Family Center of Southern NJ, Inc.
Lourdes Health System
Medical Mission Sisters
N.J. Dept. of Environmental Protection - Div.
of Air Quality Evaluation
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NJ Dept. of Health and Senior Services –
Asthma Awareness & Education Program
Planned Parenthood of Southern New Jersey
Rowan University Urban & Public Policy
Institute
Rutgers University/Camden
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Department of Public Administration
Walter Rand Institute
Cooperative Extension
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Department of Government & Community
Affairs
Institute for the Elimination of Health
Disparities
New Jersey Dental School
Robert Wood Johnson Medical School
School of Health Related Professions
School of Nursing
School of Osteopathic Medicine
School of Public Health
The South Jersey Environmental Justice
Alliance
University of Medicine and Dentistry of New
Jersey:
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Union Organization for Social Service
Virtua Health System
Weisman Children’s Rehabilitation Hospital
University’s Role in Data Collection
Because of the university’s role—the partnership was able to use
graduate students to assist with data collection/ analysis.
Student projects included:
1. City of Camden Focus Group Study with residents and
constituent groups (two separate student analyses including indepth analysis using Atlas.ti-2006)
2. BRFSS City/County Comparison Study
3. Healthy Camden City 2010-Update 2005 (comparison with NJ
Healthy People 2010 goals)
4. Key Informant Stakeholder Study
5. Provider Survey
Use of Other Available Sources of Data
6.
Camden Hospital and Emergency Room Health Data June
2006 (Camden Coalition of Healthcare Providers)
7. Camden Kids Count 2004
8. Camden Waterfront South Air Toxics Pilot Project 2005
(NJDEP)
9. From Data to Strategy: Information for Planning a Smoking
Cessation Program-2005 (Camden County Cancer Coalition)
10. Health Report Card Survey-2005 (Cooper University Hospital
Department of Family Medicine and CAMConnect
11. Camden City Health Profile (County Report for CHIP)
Access to Health Care
Percentage of Adults Who Report They Have a Source of Primary Care
96
94
Camden City
92
90
Camden
County
88
New Jersey
86
NJ Target
84
Preferred
Endpoint
82
80
2001
2005
2001 Target
Sources: NJDHSS, Center for Health Statistics, Behavioral Risk
Factor Survey; Healthy New Jersey 2010: Update 2005;
Camden City/County Comparison Behavioral Risk Factor Survey;
Healthy Camden City 2010: Update 2005
Adolescent Health
Total Number of Births per 1000 Females Aged 15 Through 17
90
80
70
60
Camden City
Target White
Target Black
Target Hispanic
NJ Target
50
40
30
20
10
0
2000
2001
2002
2003
Target
Sources: NJDHSS, Center for Health Statistics; Healthy New Jersey 2010:
Update 2005; National Center for Health Statistics and U.S. Census
Bureau; Healthy Camden City 2010: Update 2005.
Adult Health
Percentage of Persons Aged 18+ Who Are Overweight But Not Obese.
80
70
60
50
Camden City
Camden County
Target neither
NJ Target-overweight
40
30
20
10
0
neither
overweight
obese
Sources:
NJDHSS, Center for Health Statistics, Behavioral Risk Factor
Surveillance System; Camden City/County Comparison/Behavioral Risk
Factor Survey Breakdown; Healthy New Jersey 2010: Update 2005;
Healthy Camden City 2010: Update 2005
Preventing and Reducing Major Diseases
Cancer
age-adjusted mortality rate from colorectal cancer per
100,000 standard population
30
25
20
15
10
Camden City
NJ
NJ Target
5
0
2003
2002
Target
Sources:
New Jersey Department of Health and Senior Services, Center for
Health Statistics.
Healthy New Jersey 2010: Update 2005
Healthy Camden City 2010: Update 2005
Mental Health
Mortality Rate From Suicide per 100,000 Male Population
50
45
40
35
30
25
20
15
10
5
0
Camden City males 2534 rate/100,000
NJ males 25-34
rate/100,000
NJ Target 15-19
19992001
20002002
20032005
NJ
Target
15-19
Sources: NJDHSS, Center for Health Statistics; Healthy New Jersey
2010: Update 2005; Healthy Camden City 2010: Update 2005.
Challenges ….
In 2003 almost all residents can identify a
primary health care provider and 93% of
residents report having health insurance.
So….why are so many residents still utilizing the
Emergency Departments every year? One out of
two residents use the ED for care.
Source: Camden Hospital and Emergency Room Health Data June 2006
Camden Coalition of Healthcare Providers and CAMConnect
Setting Health Goals
Created spreadsheet with data from the 11
studies
 Partners worked through all of the data (where
there were overlaps and what were priorities)
and identified Five General Categories:
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2.
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Community Health/Healthy Lifestyles
Family Health and Parenting Concerns
Safety and Violence Prevention
Mental Health
Environmental Health Concerns
Creating Action Plans
Action planning grids were developed
based on MAPP design.
 Teams then identified “actionable” items
that aligned with partner agencies’
agendas
 All data/reports were put on CD as well as
posted online at www.camconnect.org
 Executive Summary was developed for the
community
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SUBCOMMITTEE-Camden City
Camden City Community Health Task Force
Topic/Issue-High mortality rate for cancer in the City
11/15/07
Specific Aim or Purpose: Decrease mortality rates for cancer in the City through earlier detection and
treatment
Desired Outcome or Improvement Target:
Plan to Achieve Target-Action Steps:
What will be done (brief
description)
Who will do it?
By when?
Evaluation
•Lung cancer-2002
Camden City 53/100,000
NJ 50/100,000
•Breast Cancer mortality rate is increasing in Camden City
rather than decreasing
17.02/100,000
26.75/100,000 in 2003
•Colo-Rectal Cancer mortality rate is increasing in Camden
City rather than decreasing
15.2/100,000
29.1/100,000 in 2003
•Invasive Cervical Cancer 5 year average 1998-2002
Camden City 23.5/100,000
Camden County 9.7/100,000
•Men’s Health > 39 years old
PSA within the last year?
Camden City 52.5%
Camden County 68.1%
Ever had a DRE?
Camden City 49.3%
Camden county 73.9%
Year One
Camden City Health Priorities
Community Health Diabetes (Obesity,
Physical Activity, Nutrition) and Cancer
 Environmental Health Lead Poisoning
and Asthma
 Safety & Violence Prevention Street
Violence
 Mental Health Depression
 Family Health Adolescent Pregnancy
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Efforts to Address
Camden City Health Priorities
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All five priorities
– Creation of Camden High School Public Health Club which focuses on our
priorities
– Cable TV public health series on how to access resources
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Diabetes/Obesity and Nutrition
– Farmer’s Markets
– Coalition of HealthCare Providers -Merck Grant formed Diabetes
Collaborative
– Health Information Exchange Coordination of Treatment
– Partnership grant applications for Community Putting Prevention to Work
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Mental Health Open Community Forums on Dual Diagnosis (Mental
Health and Substance Abuse) and Integration of Care.
Environment Camden City designated as NJ Model Lead-Safe City
Safety and Violence Prevention Mayor’s Prevention of Youth Violence
Program-Campaign Against Youth Violence as a Public Health Problem
2009 Public Health
Cable TV Series
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Dateline: Education Moderated by Bart Leff
Cable Channel 19
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Adolescent Pregnancy
Diabetes--Nutrition/Physical exercise/Obesity
Public Safety and Street Violence
Lead Prevention
Mental Health-Depression
DVDs in clinics & physician waiting rooms
Follow-up booklets on each topic distributed
throughout the city & posted online at
www.camconnect.org
Lessons Learned
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Targeted efforts must not only inform the community about the
issue but also how to access available resources
Because not all priorities can be accomplished in Year One…set
goals for Year Two
Start where resources are available and build. This includes staff
resources and money
Use the community health needs assessment priorities for seeking
grant funding
There is essential support in partnering with academic health
centers (school of public health)
Educate the community to use available benchmarks whenever
possible
There is strength in the value of the partnership
Push forward despite limitations progress will begin to take shape