1. Louisiana and REACH U.S. CEED A Community and Interpersonal Level Approach to Eliminating Screening Disparities

2. 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

3. The COFFEE Program: CHA in Action

4. 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

5. 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

7. 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

8. 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

9. 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

10. 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

11. 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

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

13. 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

14. Any Questions? Thank you!