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2019-2020 Komen Inland Empire Community Grant

Grants to California Nonprofits to Provide Breast Health Services
to the Underserved in Riverside and San Bernardino Counties

Agency Type:

Foundation / Corporation

Funding Source:

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Susan G. Komen Inland Empire

Conf. Date:

11/15/18

Deadline Date:

12/13/18 11:59 PM

Description:

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Grants ranging from $5,000 to $20,000 to California nonprofits and governmental organizations to provide breast health services to medically underserved populations in Riverside and San Bernardino counties. Consideration will be given to projects that enhance or improve breast cancer education, outreach, screening, treatment, patient navigation and support services.

The funding priority areas are listed below:
- Patient Navigation (Clinic and/or Hospital Setting)
Patient Navigation (Clinic and/or Hospital Setting) Komen Inland Empire seeks to fund patient navigation projects that target a defined set of health services required to complete an episode of breast cancer care, focusing on the identification of individual patient-level barriers to care, and aiming to reduce delays in accessing the continuum of care services to ensure patients progress into treatment from an abnormal finding within 60-day period.

Project must provide culturally appropriate one-on-one patient navigation programs that aid breast cancer patients in accessing and understanding the medical system and help to ensure that they receive and complete the best treatment possible (including, but not limited to: translation, transportation, accurate information, awareness raising, system navigation, insurance navigation, etc.) This may require collaboration with healthcare providers to improve culturally sensitive services, increase community linkages and improve treatment continuity and follow-up.

Culturally appropriate patient navigation reduces disparities in breast cancer outcomes by increasing a woman’s likelihood of initiating and completing treatment, especially among medically underserved women.

Priority will be given to projects that provide patient navigation to residents, including uninsured, underinsured (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) and undocumented, in Riverside and San Bernardino Counties.

Required Evaluation Methods:
- Baseline breast cancer specific data (survey/medical reports): the type and stage of cancer at diagnosis, and what treatment was prescribed. Cancer baseline data should be recorded according to NCI standards.
- Abnormal screening and treatment follow up (tracking logs): How many clients with an abnormal screening got a diagnostic resolution How many clients completed their treatment program?
- Time to progress through each step of the continuum of care (tracking logs): How many days between screening and diagnostic resolution? How many days from diagnosis to treatment?
- Overcoming barriers to care (tracking logs):
- What barriers to care were identified? How were barriers overcome?
- Client reported outcomes (survey):
- Was the client satisfied with their patient navigation? Did the client feel less distressed or have a better quality of life with the patient navigator?

- Reducing Barriers to Care and Access to Breast Cancer Screening and Diagnostic Services (site-neutral):

Evidence-based projects that reduce barriers to quality breast cancer care experienced by uninsured and underinsured individuals residing in Riverside and San Bernardino Counties. “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)

Komen Inland Empire seeks to fund projects that provide no cost or low cost screening/diagnostic/treatment services, mobile mammography, diagnostic/treatment copay and deductible assistance, transportation and interpreter services.

Projects that provide the following screening services:
- Clinical breast exams for uninsured and under insured women.
- Financial assistance with genetic screening to determine personal breast cancer risk; and/or
- Projects that provide breast cancer diagnostic services for individuals who do not qualify for the Every Woman Counts program.

Required Screening and Diagnostic Evaluation Methods:
- Services provided (tracking logs): What services were provided? How many services to many unduplicated clients?
- Timeline (tracking logs): How many days from authorization request to approval/denial response? How many days from approval to diagnostic service provided?

- Breast Cancer Education
Evidence-based breast cancer education project(s) that provide appropriate and culturally competent educational methods, and the implementation of a follow up plan that establishes links to provide individuals with free or low-cost breast cancer screenings and completion of screening. Breast cancer education (e.g., one-on-one and group sessions) should include a focus on Komen’s breast self-awareness messages, breast cancer insurance options and local resources to assist individuals in overcoming cultural and linguistic barriers in accessing breast cancer care.

Required Evaluation Methods:
- Knowledge increase (Pre and post knowledge survey)
- What percentage did the participants’ knowledge increase after the education?
- Intent to get screened increase (Pre and post intent survey)
- Did the participants’ intent to get screened change after the education?
- Behavior patterns (behavior survey)
- What are the participants’ current screening behavior patterns? If not yet recommended for screening, did the participants make behavior pledges?
- Number of requested screening and follow-up (tracking logs)
- How many participants requested assistance in scheduling screening? How many of those participants made and appointment for screening? How many of those appointments were completed?
- For participants not yet recommended for screening: How many referred family members for screening? How many family members were screened?

- Breast Cancer Patient Financial and Transportation Assistance
Projects that provide breast cancer treatment financial support for patients that are medically uninsured, underinsured or undocumented. Breast cancer patients are those currently in treatment and those living with metastatic breast cancer Komen Inland Empire seeks to fund transportation assistance and financial assistance with treatment co-pays/deductibles. Patient treatment assistance program must be available to residents within all of San Bernardino and Riverside Counties.

Required Evaluation Methods:
- Financial aid provided (tracking logs): How much financial aid was provided to how many unduplicated clients? What was the financial aid provided for? How was the financial aid provided (i.e. gift card, direct payment, etc.)?

Support Services & Survivorship (site-neutral):
Komen Inland Empire seeks to fund projects that provide support and survivorship services to breast cancer patients, individuals living with metastatic disease (breast cancer) and/or survivors, with a focus on further addressing cultural and survivorship needs.

Follow-up services and survivorship support may include things like navigating insurance issues, locating financial assistance, symptom management, such as pain, fatigue, sexual issues, bone health, etc. Education may address topics such as making healthy lifestyle choices, long-term effects of treatment, managing side effects, the importance of follow up appointments and communication with their providers. Education can address some of these barriers and help a woman progress through the continuum more quickly.

A project that would provide evidence-based and culturally competent wellness services to breast cancer patients (including newly diagnosed), survivors, and those living with metastatic disease (breast cancer) including, but not limited to: nutrition education, physical therapy and/or exercise classes, and lymphedema services.

Required Evaluation Methods:
- Support services provided (tracking logs): How many support service items were provided to how many unduplicated clients?
- Client reported outcomes (survey): Were the client’s needs met?
- Did the client receive follow up? Was the client satisfied with their support service?

Examples of successful projects include those that result in:
- An increase in breast cancer action due to knowledge gained;
- An increase the number of “never screened” women getting breast cancer screening;
- A reduction in the number of women “lost to follow‐up;”
- A reduction in time from abnormal screening to diagnostic procedures;
- A reduction in time from diagnostic resolution to treatment;
- An increase in treatment compliance.

Funds may be requested for the following types of expenses, provided they are directly attributable to the project:
- Key Personnel / Salaries
- Consultants/ Sub-contracts
- Supplies
- Travel
- Patient care
- Other direct project expenses
- Equipment, including software, not to exceed $5,000 total, essential to the breast health‐ related project to be conducted

Priority will be given to projects that demonstrate benefit to the following communities:
- Hispanics/Latinos in MSSA 128 (Arabia, Coachella, Desert Beach, Flowing Wells, Indo South, La Quinta East, Mecca, Oasis, and Thermal)
- African-Americans in MSSA 145.2 (Adelanto, Phelan, Pinon Hills and Victorville Northwest)
- African-Americans in MSSA 151 g (Muscoy and San Bernardino Central)
- African-Americans in MSSA 151 k (Highland and San Bernardino East)

Educational Materials and Messages:
To reduce confusion and reinforce learning, the Foundation only funds projects that use educational messages and materials that are consistent with Komen messages, such as the breast self-awareness messages - know your risk, get screened, know what is normal for you and make healthy lifestyle choices. The consistent and repeated use of the same messages can reduce confusion, improve retention and lead to the adoption of actions it is believed are important for quality breast care.

GrantWatch ID#:

GrantWatch ID#: 173816

Estimated Size of Grant:

Applicants may request funding from $5,000 up to $20,000 (combined direct) for one year.

Term of Contract:

The project must occur between April 1, 2019 and March 31, 2020.

Additional Eligibility Criteria:

The following eligibility requirements must be met at the time of application submission:
- Applications will only be accepted from governmental organizations under Section 170(c)(1) or nonprofit organizations under Section 501(c)(3) of the Internal Revenue Service (IRS) code. Applicants must prove tax‐exempt status by providing a letter of determination from the IRS.
- Applicant organizations must provide services to residents of one or more of the following locations:
- San Bernardino County
- Riverside County
-Proposed projects must be specific to breast health and/or breast cancer and address the priorities identified within this RFA. If a project includes other health issues along with breast cancer, such as a breast and cervical cancer project, funding may only be requested for the breast cancer portion.
- Applicant must use, as applicable, the State National Breast and Cervical Cancer Early Detection Program, Every Woman Counts

Funds may not be used for the following purposes:
- Research, defined as any project or program with the primary goal of gathering and analyzing data or information.
- Specific examples include, but are not limited to, projects or programs designed to:
- Understand the biology and/or causes of breast cancer
- Improve existing or develop new screening or diagnostic methods
- Identify approaches to breast cancer prevention or risk reduction
- Improve existing or develop new treatments for breast cancer or to overcome treatment resistance, or to understand post‐treatment effects
- Investigate or validate methods or tools
- Education regarding breast self-exams/use of breast models. According to studies, teaching breast self-exam (BSE) has not been shown to be effective at reducing mortality from breast cancer.
- Development of educational materials or resources that either duplicate existing Komen materials or for which there is not a demonstrated need.
Education via mass media (e.g., television, radio, newspapers, billboards), health fairs and material distribution. Evidence-based methods such as one on one and group sessions should be used to educate the community and providers.
- Construction or renovation of facilities/ land acquisition
- Political campaigns or lobbying
- General operating funds
- Debt reduction
- Fundraising (e.g., endowments, annual campaigns, capital campaigns, employee matching gifts, events)
- Event sponsorships
- Projects completed before the date of grant approval
- Project-related investments/loans
- Scholarships
- Thermography
-Equipment over $5,000 total
- Projects or portions of projects not specifically addressing breast cancer
- Indirect Costs
- Individuals are not eligible to apply.
- Health fairs and mass media campaigns are not evidence-based interventions and will not be accepted.

Pre-proposal Conference:

There will be a conference on November 15th, 2018 from 2:00 pm – 4:00 pm at The Community Foundation– 3700 6th St. Riverside, CA 92501.

Those interested in submitting an application, new and returning alike, are encouraged to attend the workshop to receive information and changes about the 2019-2020 Grant Making Process.

Please RSVP (space is limited) for the Grant Making and Networking Workshop to Kamesha Miles at kmiles@komenie.org.

Pre-Application Information:

Key Dates:
Application Deadline: December 13, 2018 at 11:59 pm
Award Notification: March 22, 2019
Award Period: April 1, 2019 - March 31, 2020
Grantee Orientation: April 2019

All proposals must be submitted online through the Komen Grants eManagement System (GeMS). All applications must be submitted before the Application Deadline listed in the Key Dates section above.

At the discretion of Komen Inland Empire, the grantee may request one no-cost extension of no more than six months per project. Requests must be made by grantee no later than 30 days prior to the end date of the project

Komen Educational Materials:
http://ww5.komen.org/BreastCancer/KomenEducationalMaterials.html

More About Komen:
http://ww5.komen.org/BreastCancer/BreastSelfAwareness.html

Breast Cancer Education Toolkits:
http://komentoolkits.org/

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Apply Online:
https://affiliategrants.komen.org/

Questions should be directed to:
Kamesha Miles
951-676-7465
kmiles@komenie.org

Jill Eaton
951-236-4103
jeaton@komenie.org

URL for Full Text (RFP):

Geographic Focus:

USA: California: Riverside and San Bernardino Counties