Funding Priorities for 2018-2019
The funding priority areas are listed below in no particular order:
Access to Breast Cancer Services: Programs that increase access to breast cancer services and decrease disparities in care (e.g., screening, diagnostics and treatment) for low-income (at or below 250% of the 2016 Federal Poverty Level), uninsured or underinsured and minority women in both rural and urban communities. This includes programs that are designed to provide increased awareness of free and reduced-cost services, financial assistance with diagnostic and treatment co-pays/deductibles, and/or by removing transportation barriers (e.g., travel vouchers, gas cards, taxi fee coverage). “Underinsured is defined as having some insurance coverage but not enough, or when one is insured yet unable to afford the out-of-pocket responsibilities not covered by his or her insurer” (Patient Advocate Foundation, http://patientadvocate.org/resources.php?p=781).
Breast Cancer Patient Navigation: Patient navigation is a process by which a trained individual- patient navigator- guides patients through and around barriers in the complex breast cancer care system. The primary focus of a patient navigator is on the individual patient, with responsibilities centered on coordinating and improving access to timely diagnostic and treatment services tailored to individual needs. Patient navigators offer interventions that may vary from patient to patient along the continuum of care and include a combination of informational, emotional, and practical support (i.e., breast cancer education, counseling, care coordination, health system navigation, and access to transportation, language services and financial resources).
Patient navigation services are a valuable resource for patients transitioning through the Breast Cancer Continuum of Care. Though some health-care institutions offer patient navigation at the screening level, the availability of services are limited.
The safety-net practices and health centers see an abundance of patients with multiple complex conditions and often find prioritizing health needs difficult. Limited access to technology can make navigating the complex health system difficult for many.
Breast Cancer Supportive Services: Programs that provide evidence-based breast cancer support groups and/or survivorship support for individuals currently undergoing breast cancer treatment or living with metastatic breast cancer (MBC). This includes:
- Creating or expanding evidence-based psychological support programs for women living with MBC and reducing barriers for women seeking to access psychological support services
- Evidence-based psychological support, including support groups, has been shown to increase quality of life for women living with MBC
- Reducing barriers for women with MBC seeking to enroll in clinical trials or to obtain metastatic breast cancer specific care at a major medical center located more than 25 miles from their home.(i.e. transportation barriers, financial barriers, childcare, etc.).
- Financial assistance with diagnostic and treatment co-pays/deductibles, transportation assistance, interpreter services, treatment support and patient navigation.
Evidenced Based Education Programs: Projects that provide evidence-based and culturally relevant breast cancer education in one-on-one and group settings. Projects must be designed to result in documented age-appropriate, breast cancer action (e.g., getting a screening mammogram, obtaining recommended follow-up after an abnormal mammogram). Breast cancer education projects must include Komen’s breast self-awareness messages and provide evidence of linkage to local breast cancer services. Health fairs and mass media campaigns are not evidence-based interventions and will not be accepted.
Based on findings from the Community Profile, priority will be given to programs demonstrating benefit to one or more of the following communities:
- African-Americans (Albany, Erie, Monroe, Onondaga, and Schenectady Counties)
- Hispanics/Latinos (Erie and Montgomery Counties)
- American Indian women (Franklin County)
- Foreign born women (Albany, Erie, and Schenectady Counties)
- Rural Counties (Allegany, Cattaraugus, Franklin, Fulton, Montgomery, Saratoga, Seneca, Tioga, and Wyoming Counties – NY; Bradford County – PA,)
Examples of successful projects include those that:
- Increase breast cancer action due to increased knowledge;
- Increase the number of “never screened” women getting breast cancer screening;
- Reduce the number of women “lost to follow‐up;”
- Reduce time from abnormal screening to diagnostic procedures;
- Reduce time from diagnostic resolution to treatment;
- Increase treatment compliance.
The Community Profile is a needs assessment document that provides an overview of Komen’s grant-making priorities and the breast health needs in our service area. Please familiarize yourself with this document before developing your applications.
Click here to view the Community Profile.