Statement of Need

Komen Northeast Ohio provides grant funds to innovative, evidence-based projects focused on addressing one or more of the priorities identified in the Komen Northeast Ohio Community Profile.

The funding priority areas for the 2018-2019 grant year are listed below. Priorities are not weighted and/or ranked; all are considered equal. Those applications that address one or more of the following priority areas in Ashtabula, Cuyahoga, Harrison, Jefferson, Lorain, and/or Mahoning Counties will be prioritized.

Screening Navigation – Utilizing Community Health Workers (CHWs), determine appropriate pathway to educate, assess, and address barriers, make necessary referrals to address SDOH, and verify completion of screening as the desired outcome.

Successful programs will educate low-income, uninsured, underinsured, high-risk, and/or working poor women who are non-compliant with screening guidelines on breast self-awareness messaging, risk reduction, personal risk, and genetic/inherited mutations in an effort to dispel myths, increase awareness of existing resources, and reduce fears surrounding breast cancer screenings and outcomes (see Appendix B for resources on CHW programs).Programs must lead to a documented action – either mammogram and/or connection to a primary care medical home – through a Screening Navigation Pathway (see Appendix D for information related to required Pathways).

Each patient connected to a screening, diagnostic, and/or treatment service must have a patient needs assessment conducted prior to the administration of service(s) to determine primary barriers to care and/or treatment (see Appendix D for information on required patient need assessments). The needs assessment should address the Social Determinants of Health (see Appendix E for information on the social determinants of health). Once a needs assessment is complete, individuals must then be referred and navigated to the appropriate Pathway to address potential barriers.

Additionally, programs must ensure clients who receive a mammogram order follow through with services by documented completion of a Screening Pathway (see Appendix D for information related to required Pathways). Patients without health insurance who are not eligible for BCCP must also be navigated to ongoing sources of health insurance with documented completion of a Health Insurance Pathway. Individuals with abnormal screening results must have documented completion of a Diagnostic and, if necessary, Treatment Pathway. These Pathways are required and must be built into screening navigation programs.

In addition to CHW support, funding for Screening Navigation Pathways may include funds to address financial and logistical barriers to screening, diagnostic, and treatment services for the low-income, uninsured, underinsured, and/or working poor through the use of mobile mammography, co-pay assistance, coverage of out of pocket costs, genetic testing costs, transportation and childcare assistance, etc., to ensure timely access to quality, affordable services.

Continuum of Care Navigation – Increase quality and timeliness of follow-up care for women with breast abnormalities or abnormal screening results through completion of the Continuum of Care Navigation Pathway by educating, assessing, and addressing barriers, making necessary referrals to address SDOH, and verifying completion of diagnostic test(s) and treatment (if necessary) as the desired outcome.

Each patient connected to a diagnostic and/or treatment service must have a patient needs assessment conducted prior to the administration of service(s) to determine primary barriers to care and/or treatment (see Appendix D for information on required patient need assessments). The needs assessment should address the Social Determinants of Health (see Appendix E for information on the social determinants of health). Once a needs assessment is complete, individuals must then be navigated to the appropriate Pathway to address potential barriers.

Additionally, programs must ensure clients who receive follow-up referrals follow through with services by documented completion of a Continuum of Care Pathway (see Appendix D for information related to required Pathways).

In addition to navigator support, funding for Continuum of Care Navigation Pathways may include funds to address financial and logistical barriers to diagnostic and treatment services for the low-income, uninsured, underinsured, and/or working poor through the use of mobile mammography, co-pay assistance, cost of living assistance, coverage of out of pocket costs, genetic testing costs, transportation and childcare assistance, etc., to ensure timely access to quality, affordable services.

Click to view the Community Profile Executive Summary.