Louisiana and REACH U.S. CEED

A Community and InterpersonalLevel Approach to Eliminating

Screening Disparities

The Evolution of CEED in LA

• First round– 2 funded legacy projects

• TUSPHTM: Interactive DVD Project• LCCP/ACS: COFFEE Program, Policy Support and Hospital In-Reach

• Second round– LA CAP funded

• COFFEE and In-Reach (supplemented by DVD) and Policy

• Third round– Focus on COFFEE program– Leveraging other resources to fund policy and In-Reach

The COFFEE Program: CHA in Action

The COFFEE Program

• 35 community network partners

• 5 unique communities• 30 COFFEE-Mates

trained• Educating women on

breast & cervical screening

• Navigating women to screening services

Successes

• Leveraging resources to grow COFFEE– Community Network partner received Avon

funding to expand program to Jefferson Parish– LBCHP received additional funding to continue

including Latina and Vietnamese communities– ACS received funding for home health parties

from LSU School of Medicine MB-CCOP

Successes• “Abreast a Boat of Hope” DVD disseminated– Recipients included:• Disaster Navigation Program Community Advisory

Board• Franklin Avenue Baptist Church• Watson Memorial Church• American Cancer Society COFFEE program• McFarland Institute• Orleans & Jefferson Parish Community Neighborhood

health centers

Successes

• Moving some CAP activities to other funding sources– The In-Reach program was funded by NBCCEDP

supplemental funds– Louisiana Comprehensive Cancer Control Program

received a CDC policy grant to support policy work• Sustainability– “Abreast a Boat of Hope” DVD was distributed to

COFFEE program and In-Reach program to enhance educational outreach activities

Successes• Publications and Presentations– COFFEE program

• 2009 oral presentation and 2010 poster presentation at APHA• ACS Imagine Newsletter (Internal)• ACS Volunteer Newsletter (Distributed to Orleans-Area

volunteers)

– “Abreast a Boat of Hope” DVD• LCRC Cancer Letter (10,000 subscribers)• Tulane Interventionist (Global distribution)• Local New Orleans television presentations• 2010 poster presentation at APHA

Challenges• Data Overload– Data collection– Data entry– Data coordination/HIPPA/partnerships– Evaluation of data• How to get from intervention exposure measurement

to screening outcome measurement to long-term health outcome

Challenges

• Program Coordination and Integration– “Abreast a Boat of Hope” DVD sustainability for

evaluation and outcomes measurements– Cancer navigation and COFFEE - many different

versions of navigation along cancer continuum

LA Patient Navigation Network:Maximizing the Harold P. Freeman Patient Navigation Institute Model

Opportunities• Patient Navigation Network• Louisiana Breast and Cervical Health Program

Navigation funding• Better coordination/integration of existing programs• Rapides Foundation is partnering to grow CHA

program work in Central Louisiana• “Abreast a Boat of Hope” – submitted NIH proposal– Afro-Caribbean global health disparities – Includes evaluation component

Any Questions?

Thank you!