Priority County: Johnson County, Missouri
The purpose of the 2015 Susan G. Komen Community Profile Report (CP) is to conduct an updated needs assessment of Komen Kansas City’s 17-county, bi-state service area. This comprehensive study utilizes quantitative (statistical) and qualitative (focus group and provider interview) data collection and analysis. The assessment is used to establish priorities for the Affiliate’s decisions regarding grant funding, education, marketing and outreach and public policy activities. It is our road map for future funding and will guide the Affiliate’s Strategic Plan for the next several years.
JOHNSON COUNTY, MISSOURI
Johnson County, Missouri, has been chosen as a target community due to higher than average breast cancer death rates, late-stage diagnosis rates and an increasing trend in incidence rates. In the Affiliate’s 17-county service area, Johnson has one of the highest death rates and the highest rates of late-stage breast cancer diagnosis. Consequently, Johnson County has also been identified as a high priority county due to the amount of time needed to meet the Healthy People 2020 goals. Johnson County currently has breast cancer incidence rates lower than both the United States and service area averages. However, trends show incidence rates increasing. Also problematic, both breast cancer death and late-stage diagnosis rates are above the United States and service area averages, with an increasing
trend for late-stage diagnosis. No data is available for trends related to the death rates from breast cancer. With screening rates in Johnson County below the United States and service area averages, it is possible women are experience barriers to receiving mammography screening. This may be associated with higher rates of late-stage diagnoses and more women dying from breast cancer. It may also explain the lower rates of incidence.
Analysis by Target Community
Johnson County, Missouri, lacks the breast health services of the metropolitan regions of Komen Kansas City’s service area. With the only health department and hospital located in Warrensburg, Missouri, any residents not living in this city lack convenient access to services. Western Medical Center in Warrensburg partners with Saint Luke’s Hospital to provide diagnostic and screening services, as well as a biweekly oncology clinic providing physicians, infusion therapy, and labs. However, patients needing radiation therapy are sent to Saint Luke’s East in Lee’s Summit, Missouri. Residents in Johnson County Missouri, have limited access to treatment and survivorship services, forcing them to travel to the nearby cities in order to receive care. Johnson County Cancer Foundation provides financial assistance to cancer patients. However, barriers faced are not solely financial in nature.
Public Policy Implications
Because Missouri and Kansas chose not to expand Medicaid, a coverage gap is left of people making too little to qualify for federal help. The authors of ACA intended these individuals to be covered by Medicaid expansion, but both states in our service area opted to not expand. Therefore, most of Kansas and Missouri’s poorest, working-age residents — those under age 65 and below the poverty line of $11,490 for an individual and $15,510 for a couple — aren’t eligible for government help. In Kansas there are currently 369,000 uninsured individuals – 78,000 in Kansas (21% of uninsured) who would have been eligible for Medicaid if the state expanded will fall into the coverage gap. In Missouri, 93,000 of the 834,000 uninsured adults (23% of the uninsured) will fall into this gap.
Through advocacy efforts and partnerships, Komen Kansas City continues to be a voice for breast health in both Missouri and Kansas. Komen Kansas City advocates for funding of breast health screening, research, and treatment programs.
Our Mission Action Plan
Women in Johnson County, Missouri, have high breast cancer death rates & late-stage diagnosis rates. Mammography screening rates are below average. Johnson County can be considered “rural” and outside of Warrensburg, the county has no additional hospitals or health departments. Residents have to travel to the metropolitan area in order to receive the full continuum of care. To address the high needs in Johnson County, Missouri, the Affiliate will work diligently to increase the number of women getting preventative breast health screening. The Affiliate will also work to pull together the health systems to discuss transitions for treatment of women diagnosed with breast cancer. Additionally, the Affiliate will work to increase presence in the county as well as increase capacity to provide individual education to
women in the area.
- By the end of FY16 identify the best plan for women to receive services from Show Me Healthy Women
- By the end of FY17, develop and implement a campaign encouraging women to make their health care a priority
- By the end of FY17, develop and implement a campaign to educate the population and those who work directly with them on Show Me Healthy Women as well as the breast health provisions outlined with the Affordable Care Act
- In FY16, hold at least two collaborative meetings with health care providers and community
organizations to develop a plan on how to improve the breast cancer treatment process
- Beginning with FY17, a key funding priority will be developing or improving patient navigation programs targeting Johnson County women
- Recruit and retain a minimum of one Board Member who resides in Johnson County, Missouri during FY18
- By the end of FY19, a minimum of eight outings will be conducted in Johnson County using the
Affiliate’s Connecting for a Cure curriculum
- By the end of FY19, a minimum of six members will be recruited and remain active in the Komen
Kansas City “Pink Army”
We look forward to providing you reports on our efforts over the next few years.