Grant Applications must provide services within the following counties and cities:
Alleghany, Amherst, Bath, Bedford, Bland, Botetourt, Bristol, Buchanan, Buena Vista, Campbell, Carroll, Covington, Craig, Danville, Dickenson, Floyd, Franklin, Galax, Giles, Grayson, Henry, Lee, Lexington, Lynchburg, Martinsville, Montgomery, Norton, Patrick, Pittsylvania, Pulaski, Radford, Roanoke, Roanoke City, Rockbridge, Russell, Salem, Scott, Smyth, Tazewell, Washington, Wise and Wythe
2019-20 Community Grant Funding Priorities
1. Low or No-Cost Screening and Diagnostic Services
Evidence-based projects that provide low- or no-cost screening and/or diagnostic services through programs such as mobile mammography and/or co-pay and deductible assistance for individuals residing in the 42 city/county service area.
Individuals served must be:
- Uninsured with an income below 250 percent of the federal poverty line; or
- “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://www.patientadvocate.org/resources.php?p=781).
- In order to qualify as underinsured under this program, the individual must have
▪ Out-of-pocket health care costs exceeding 10 percent of income; or
▪ Out-of-pocket health care costs exceeding 5 percent of income if their household income is less than 250 percent of the federal poverty line
- Forty years or older OR if under 40, must be symptomatic or have a referral from a physician indicating a need for screening services (i.e. strong family history, high risk, etc.)
2. Patient Navigation
Projects that provide evidence-based patient navigation particularly for rural and black women that reside in the 42 city and county service area. Patient navigation must follow the individual from abnormal screening to diagnostic resolution and through treatment, if necessary.
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).
3. Reducing Other Barriers to Care
- Breast Cancer Education
- 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). Based on findings from the Community Profile, these projects should target rural, black, and/or low-income individuals that reside in the 42 city and county service area.
- Breast cancer education projects should include Komen’s breast self-awareness messages, if appropriate, based on the need, audience and purpose of the educational project. Projects must provide evidence of linkage to local breast cancer services and include follow up with participants. Health fairs and mass media campaigns are not evidence-based interventions and will not be accepted or funded.
- Transportation Assistance
- Projects that provide transportation assistance through shuttle, taxi, or other direct service.
- Projects utilizing gas cards for transportation assistance must establish requirements for eligibility, such as mileage, lack of public transportation options, income, etc. Applications must show how program will determine need, how program ensures funds are utilized for transportation assistance for appointments, and explain the method of distributing gas cards (i.e. mailed before appointment, given at appointment, etc.).