The Edna G. Kynett Memorial Foundation 60th Anniversary Program

Addressing Cardiovascular Disparities: Integrating Community and Clinical Approaches

To celebrate its 60th anniversary, The Edna G. Kynett Memorial Foundation, Inc. solicited proposals for interventions designed to address the burden of cardiovascular disease in vulnerable populations. Interventions must include an active community outreach strategy. The Foundation was particularly interested in outreach interventions that include community health workers, patient navigators, peer educators, counselors or other outreach workers and required that any proposal include a partnership between the community health organization doing outreach and health care clinics, hospitals or other health care providers. A focus on prevention was a priority. The successful proposals received grants of $60,000 a year for two years.

The Foundation is very pleased to announce that the recipients of its 60th Anniversary Grants are:
• Abottsford Family Practice & Counseling Network - Heart to Heart
• Penn Center for Community Health Workers – IMPaCT Primary Care
• Puentes du Salud – Promatoras Program in South Philadelphia

The Foundation also made one year grants of $30,000 each to:
• Project H.O.M.E. – Community Health Worker Led Outreach and Health Screenings
• Health Promotion Council of SEPA – Corazones en Accion

Background

African Americans, Latinos and other underrepresented minority groups have much higher rates of heart disease and are less likely to receive effective treatment than non-Hispanic whites. Major risk factors for heart disease include hypertension, obesity, smoking and diabetes. These risk factors are also more common in lower-income populations and can be addressed through effective prevention programs.

A promising approach to reducing inequities in heart disease links community outreach with health care providers. For this program, the term community health workers (CHWs) refers to community members who provide services such as health education, screenings and informal counseling. CHWs also connect residents with healthcare providers and serve as advocates, providing care and social support in line with the culture of the community. Studies have shown that interventions involving community health workers improve self-care, increase access to health and social services and promote changes in behavior in underserved communities. Other outreach workers may include patient navigators, nurses, peer educators, exercise trainers, behavioral counselors or others who contact individuals outside of health care settings.

PRIORITY WAS GIVEN TO PROGRAMS WHICH

  • included community health workers or other outreach workers
  • focused on prevention
  • proposed interventions that are evidence-based or promising based on preliminary experiences in the target community
  • proposed interventions that are sustainable and may be replicated at a reasonable cost

OTHER SELECTION CONSIDERATIONS:

  • Identification of the community, the target population and number of persons to be reached
  • Experience in partnerships between community-based nonprofit organization(s) and health care providers
  • Documentation of how community outreach is integrated with the health care entity.
  • Experience of the program leaders and other team members in the target community
  • Commitment to decreasing disparities in the risk of cardiovascular disease and/or improving cardiovascular disease outcomes
  • Clearly defined outcomes for each level/component of the intervention
  • A plan for evaluation, including measures of success

EXAMPLES OF POTENTIALLY ELIGIBLE INTERVENTION PROGRAMS

Community health workers teaching self-management skills for diabetes or hypertension and providing prevention services and education in non-clinical community settings while enhancing connections to health care.

After school (or other out-of-school time) programs that engage children and their families in nutrition and physical activity initiatives in partnership with school-based or community health clinics (Out-of-school time refers to before-school, after school, summer programs, etc.)

Community based screening programs for hypertension, diabetes, overweight and smoking that ensure health care enrollment and follow up.

Community-based organizations partnering with hospitals to address important cardiovascular health care issues as part of the hospital’s plan based on its community health needs assessment.

USE OF FUNDS

60th Anniversary grants could be used only for the direct expenses of the program in question, for example, staff salaries, consultant fees, data collection and analysis, supplies and project related travel. The Foundation does not make grants to support capital campaigns or endowments or capital investment in equipment or construction or renovation of facilities. Funds could not be used to meet the costs of patient care or to substitute for third party reimbursement.

EVALUATION AND MONITORING

As a condition of accepting 60th Anniversary funds, grantees must provide interim and final project reports (including budgets), share evaluation results and participate in any evaluation conducted on behalf of the Foundation. Please click on Reporting Documents (at the left) for the 60th Anniversary report forms.