SPECIAL Community of Practice meeting in December 6, 12-1pm "CHW Framework"
CHW Center for research and evaluation
CHW Common Indictors (CI)
The purpose of the Community Health Worker Common Indicators (CI) Project is to contribute to the integrity, sustainability and viability of CHW programs.
The Problem
Despite progress in documenting the outcomes of Community Health Worker (CHW) interventions, the lack of standardized measures to assess CHW practice has made it impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. Lack of easy-to-use indicators hampers the ability of many community-based programs to reliably report outcomes to funders. Lack of attention to the processes by which CHWs achieve outcomes has made it difficult to conclusively demonstrate the importance of particular CHW roles, skills, and qualities. Finally, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of research.
History of the National CHW Common Indicators Project
Responding to this set of problems, in 2013, members of the Michigan CHW Alliance (MiCHWA) began the process of creating a common set of evaluation indicators and measures to understand the unique contributions of CHWs to successful program outcomes and their added value to health care and human services systems. In 2015, CHWs and researchers in Oregon brought MiCHWA colleagues together with partners from three additional states and founded the national CHW Common Indicators (CI) Project.
CHW Common Indicators Project Leadership Team and CHW Council, 2020-2021
Contact: Noelle Wiggins EdD, MSPH ninanoelia@msn.com
Using popular education in an online environment: lessons learned from the Community Health Worker Common Indicators Summit
Community Health Workers and the Power of Measurement
Wiggins, N., Maes, K., Palmisano, G., Rodela, K., Rodriguez Avila, L., Kieffer, E. (2021). A Community Participatory Approach to Identify Common Evaluation Indicators for Community Health Worker Practice. Progress in Community Health Partnerships, 15(2): 217-224.
This paper covers the early phase of the project, including its origins as a regional project in Michigan, the founding of the national project, and work conducted up to the point that funding was first received in August of 2019.
Rodela, K.R., Wiggins, N., Maes, K., Campos Dominguez, T., Adewumi, V., Jewell, P., Mayfield-Johnson, S. (2021). The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in measurement to sustain the profession. Frontiers in Public Health, 9:1-12. doi: 10.3389/fpubh.2021.674858
This paper describes work conducted in 2019-2020, including the collaborative selection of 10 priority constructs and development of associated indicators.
Download the 2023 CHW Common Indicators Guide:
CHW Common Indicators Guide_2023.pdfDownload PDF • 497KB
Data Analysis Plan ( under development)
Links to Documents & Recordings (NWRPCA)
- National Community Health Advisor Study
- 2015 CI Summit Executive Summary
- Community Health Workers and the Power of Measurement Blog Post
- Using Popular Education in an Online Environment: Lessons Learned from the Community Health Worker Common Indicators Summit
- 2020 Report: CHW Common Indicators Project Virtual Summit
- 2021 Proposed List of Indicators for Priority Constructs
- 2021 CHW Common Indicators Policy Brief
- An Introduction to Popular/People's Education
- Common Indicators Project Racial Equity Lens
- 2023 CHW Common Indicators Grid
- 2023 Tejido de Indicadores
- Conducting CHW workforce surveys using the Common Indicators Webinar (Recording)
California Health Care Foundation (CHCF)
Healthforce Center at UCSF
Understanding California’s Community Health Worker/Promotor Workforce
A new series of reports aims to paint a more complete picture of the community health worker/ promoter workforce in California, as well as challenges and opportunities related to training and employment. Reports will be released during the fall of 2022 and winter of 2023.
Understanding California’s Community Health Worker/Promotor Workforce: A Survey of CHW/Ps
NOVEMBER 16, 2022
Download: Understanding California’s Community Health Worker/Promotor Workforce: A Survey of CHW/Ps (PDF)
Understanding California’s Community Health Worker/Promotor Workforce: CHW/P Training Programs
FEBRUARY 6, 2023
Download: Understanding California’s Community Health Worker/Promotor Workforce
CHW Research Resources
UNITY 2024: Involving CHWs in Research and Evaluation
UNITY 2024: Involving CHWs in Research and Evaluation
UNITY 2024: Involving CHWs in Research and Evaluation
Involving CHWs in Research and Evaluation
With Victoria Adewumi
https://www.linkedin.com/in/victoriaadewumi/
The roundtable discussion will focus on answering key questions about CHW inclusion in research teams that align with the objectives of the conference theme and how to best amplify CHW voices within current and future projects. Key questions will explore how to center CHWs in research leadership and overcome barriers related to equitable compensation, and project pace and complexity. We will also investigate our strategies for CHW inclusion, such as CHWs on research teams, CHWs as project principal investigators, and CHW on advisory councils and committees. After the discussion, attendees will have built a deeper understanding of the unique value that CHWs bring to the evaluation process, through providing context to findings through their personal and professional experiences within communities. They will also gain practical methods to involve and center CHWs and community members as leaders in the evaluation of public health initiatives, and of their own profession.
Sports Medicine
UNITY 2024: Involving CHWs in Research and Evaluation
UNITY 2024: Involving CHWs in Research and Evaluation
Our sports medicine team provides specialized care for athletes of all ages and skill levels. We focus on injury prevention, rehabilitation, and performance enhancement.
Physical Therapy
UNITY 2024: Involving CHWs in Research and Evaluation
Occupational Health
Our licensed physical therapists provide personalized care to help you recover from injury or surgery. We use evidence-based techniques to help you regain strength, mobility, and function.
Occupational Health
Occupational Health
Occupational Health
We provide a variety of occupational health services to help businesses maintain a healthy workforce. Our services include pre-employment screenings, drug testing, and injury management.
Senior Care
Occupational Health
Community Outreach
We provide comprehensive care for seniors, including geriatric assessments, medication management, and memory care. Our team is dedicated to helping seniors maintain their independence and quality of life.
Community Outreach
Occupational Health
Community Outreach
We are committed to serving our community. That's why we offer a variety of outreach programs, including health fairs, free screenings, and educational events.
The National Health Advisor Study
Summary 1998
Community Health Advisors (CHA) help people take greater control over their health and their lives. They promote healthy living by educating about how to prevent disease and injury as well as how to access health and human service systems. The National Community Health Advisory Study identified steps to strengthen outreach services of CHAs across the country. The study was funded by the Annie E. Casey Foundation.
Table of Contents
2. Methodology & Study Participants (pp. 8-10)
3. Core Roles and Competencies of Community Health Advisors (pp. 11-17)
Study Chapter written by Noel Wiggins, MSPH (Assisted by Angelina Borbon, PHN)
4. Evaluating CHA Services (pp. 18-24)
Study Chapter written by J. Nell Brownstein, PhD (Assisted by E. Lee Rosenthal, MPH)
5. Community Health Advisors - A Career in Development (pp. 25-33)
Study Chapter written by E. Lee Rosenthal, MPH
Study Youth Supplement written by Roberta Rael, et al.
6. Community Health Advisors in the Changing Health System (pp. 34-41)
Study Chapter written by Sarah Johnson, MSW, MPH
7. Conclusion (pp. 42-44)
Study Chapter written by E. Lee Rosenthal, MPH
Summary of Core Recommendations - Reference Page (pp. 45-46)
2024
CHW/P/R Policy Coalition
CHW/P/R Policy Coalition
CHW/P/R Policy Coalition
🌱Check out “The People’s Agenda: Planting the Seeds for a Healthy Tomorrow." It shares our policy agenda for Community Health Workers, Promotoras & Represenatives (#CHWPR)
Our focuses:
❤️🔥Equity
❤️🔥Workforce Development
❤️🔥Integration
❤️🔥Equitable Access
https://cpehn.org/assets/uploads/2024/03/2024-CHWPR-Policy-Agenda-1.pdf
State Certification
CHW/P/R Policy Coalition
CHW/P/R Policy Coalition
MARCH 19, 2024
State Approaches to Community Health Worker Certification
"At its core, certification is a declaration by an issuing authority that a CHW has met a standard set of qualifications (e.g., skills, education, or training). Each state that has developed a CHW certification program, however, has taken its own approach to setting re
MARCH 19, 2024
State Approaches to Community Health Worker Certification
"At its core, certification is a declaration by an issuing authority that a CHW has met a standard set of qualifications (e.g., skills, education, or training). Each state that has developed a CHW certification program, however, has taken its own approach to setting requirements for certification and determining how to administer the program."
Our Services
CHW/P/R Policy Coalition
Our Services
We offer a wide range of medical services, including primary care, pediatrics, women's health, and more. Our services are designed to meet the diverse health needs of our patients, from newborns to seniors.
2021
NACHW National CHW Survey 2021
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Data for Action: NACHW National CHW Survey to Advance CHW Professional Identity, Leadership and Capacity
As part of the Johnson & Johnson Our Race to Health Equity initiative to eradicate racial and social injustice, the National survey launched in 2021 with a snapshot of 867 CHWs represented across each CHW title, region, sector, race/ethnicity identities, and values. Call to action to unify, gain and build recognition of the CHW professional identity, and advance our leadership. From the largest number of CHWs represented in a survey created by CHWs for CHWs, CHW facilitators will take you on the journey of the data findings, meaning and story behind the data, and examples in applying key takeaways in practice, advocacy, state and local policy, research, and CHW community well-being.
Handouts
For more information on the National CHW Survey, consult these handouts!
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
Assessing the Community Health Worker (CHW) Workforce at the State and Local Level
The National Association of Community Health Workers (NACHW) unifies the voices of Community Health Workers to support communities in achieving health equity and social justice.
Author Meredith Sugarman, MPH
Contributors Carl Rush, MRP and Theresa Mason, MA, PhD and Bernadine Mavhungu
May 2021 ( 5 pages)
VISIT The NACHW CHW Document Resource Center
AMERICAN PUBLIC HEALTH ASSOCIATION CHW SECTION • https://www.apha.org/apha-communities/member-sections/community-health-workers/
ASTHO CHW RESOURCES: • https://www.astho.org/Community-Health-Workers/
NATIONAL ASSOCIATION OF STATE HEALTH POLICY: STATE CHW MODELS • https://www.nashp.org/state-community-health-worker-models/
COMMUNITY HEALTH WORKER NATIONAL WORKFORCE STUDY • https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/communityhealthworkforce.p df
CENTERS FOR DISEASE CONTROL CHW RESOURCES • https://www.cdc.gov/publichealthgateway/chw/index.html
PENN CENTER FOR CHWS: PUBLISHED RESEARCH • https://chw.upenn.edu/research/ BUREAU OF
LABOR STATISTICS • https://www.bls.gov/oes/current/oes211094.htm • https://www.bls.gov/ooh/community-and-social-service/health-educators.htm
- TOP COVID-19 RESOURCES FOR CHWs ( Infographic)
- COMMUNITY HEALTH WORKERS STRENGTHEN COVID-19 RESPONSE
- 3Ways to Amplify the Work of CHWs
- COMMUNITY HEALTH WORKERS AND COVID19 THREE WAYS TO SUPPORT ASIAN AMERICAN AND PACIFIC ISLANDER COMMUNITIES
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
- SEPTEMBER 9, 2021
- 51 pages
Meeting the needs of racially & ethnically diverse communities during the pandemic
Across California, community-based organizations (CBOs) have stepped up to address community needs during the COVID-19 pandemic. While the ongoing crisis continues to affect most Californians, BIPOC communities (Black, Indigenous, and people of color) continue to experience disproportionately negative economic impacts and the highest COVID-19 case rates.
This report — created by the California Pan-Ethnic Health Network, ChangeLab Solutions, and Prevention Institute, with contributions from 21 California CBOs — shows policymakers and community leaders how they can improve California’s efforts toward an equitable recovery from the social, economic, and health effects of the pandemic.
An equitable recovery is one that prioritizes racially just, community-led solutions to reverse the underlying inequities that have generated disparities in COVID-19 case and death rates. An equitable recovery must give decision-making power to BIPOC communities, to ensure that their needs are adequately addressed. Informed by interviews with CBOs throughout the state about how they pivoted to deliver crucial supports and services to community members, this report offers recommendations for changes in policies and practices that can help governments partner with community organizations to better meet community needs.
Besides documenting efforts toward equitable recovery and providing recommendations, the report reveals that the success of equitable recovery efforts — and efforts to promote health equity more broadly — depend on improved relationship building between government entities, CBOs, and community members. Local governments must make structural changes to ensure that equity considerations are incorporated properly and effectively in all of their policies and services. CBOs are indispensable within the wider public infrastructure and should be empowered and funded in accordance with the vital services and supports that they provide.
Effect of CHWs on 30-Day Hospital Readmissions
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
Jocelyn Carter, MD, MPH1; Susan Hassan, BA1; Anne Walton, RN1; et al
JAMA Network Open. 2021;4(5):e2110936. doi:10.1001/jamanetworkopen.2021.10936
May 20, 2021
Key Points
Question: Does community health worker care reduce 30-day hospital readmissions in inpatient adults participating in accountable care organization plans?
Findings: In this randomized clinical trial including 550 adults, intervention patients were significantly less likely to experience 30-day hospital readmissions than control participants. In post hoc subgroup analysis, the effect remained significant for participants discharged to short-term rehabilitation but not for those discharged home.
Meaning: In this study, community health workercare improved postdischarge outcomes in clinically complex patients insured by accountable care organizations, particularly for those discharged to short-term rehabilitation.
Importance: Value-based care within accountable care organizations (ACOs) has magnified the importance of reducing preventable hospital readmissions. Community health worker (CHW) interventions may address patients’ unmet psychosocial and clinical care needs but have been underused in inpatient and postdischarge care.
Conclusions
This randomized clinical trial found that integration of CHWs into clinical care improved preventive care and reduced 30-day readmissions for patients discharged to rehabilitation. Reducing preventable readmissions is a central priority for the Centers for Medicare & Medicaid Services and principal health care stakeholders. As US health care organizations continue to adopt ACO models with the goal of achieving higher quality care at lower costs, policies supporting insurance-based reimbursement for CHW care and investment in comprehensive training and integration of CHWs as valued members of patient care teams will continue to be critical.46 Future research is needed to identify which patients benefit most from certain CHW intervention activities.
2019-2020
CHW COMMON INDICATORS PROJECT
The California CHW Certification Debate
The California CHW Certification Debate
The purpose of the Community Health Worker Common Indicators (CI) Project is to contribute to the integrity, sustainability and viability of CHW programs.
Despite progress in documenting the outcomes of Community Health Worker (CHW) interventions, the lack of standardized measures to assess CHW practice has made it impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. Lack of easy-to-use indicators hampers the ability of many community-based programs to reliably report outcomes to funders. Lack of attention to the processes by which CHWs achieve outcomes has made it difficult to conclusively demonstrate the importance of particular CHW roles, skills, and qualities. Finally, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of research.
History of the National CHW Common Indicators Project
Responding to this set of problems, in 2013, members of the Michigan CHW Alliance (MiCHWA) began the process of creating a common set of evaluation indicators and measures to understand the unique contributions of CHWs to successful program outcomes and their added value to health care and human services systems. In 2015, CHWs and researchers in Oregon brought MiCHWA colleagues together with partners from three additional states and founded the national CHW Common Indicators (CI) Project.
CHW Common Indicators Project Leadership Team and CHW Council, 2020-2021
Contact: Noelle Wiggins EdD, MSPH ninanoelia@msn.com
- Using popular education in an online environment: lessons learned from the Community Health Worker Common Indicators Summit
- Community Health Workers and the Power of Measurement
- Wiggins, N., Maes, K., Palmisano, G., Rodela, K., Rodriguez Avila, L., Kieffer, E. (2021). A Community Participatory Approach to Identify Common Evaluation Indicators for Community Health Worker Practice. Progress in Community Health Partnerships, 15(2): 217-224.
This paper covers the early phase of the project, including its origins as a regional project in Michigan, the founding of the national project, and work conducted up to the point that funding was first received in August of 2019.
- Rodela, K.R., Wiggins, N., Maes, K., Campos Dominguez, T., Adewumi, V., Jewell, P., Mayfield-Johnson, S. (2021). The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in measurement to sustain the profession. Frontiers in Public Health, 9:1-12. doi: 10.3389/fpubh.2021.674858
This paper describes work conducted in 2019-2020, including the collaborative selection of 10 priority constructs and development of associated indicators.
The California CHW Certification Debate
The California CHW Certification Debate
The California CHW Certification Debate
By Ashley Kissinger MPH, PhD
A dissertation submitted in partial satisfaction of the requirements for the degree of Doctor of Public Health in the Graduate Division of the University of California, Berkeley
Summer 2020
Community health workers (CHWs) are trusted members of the community who have an intimate understanding of the populations and communities they serve. They deliver culturally informed interventions to their communities and leverage their shared experiences and linguistic and cultural relationships to bridge their community to health care and social services. Historically successful in developing countries, CHWs promote chronic disease management, improve health outcomes, and reduce health care costs.
Despite the evidence, CHWs are not widely utilized within the health care system. The National Academy of Medicine declares barriers to working with CHWs, such as inconsistent scope of practice, variable training and qualifications, and lack of professional recognition by other health care providers. States are investigating ways to standardize the CHW workforce, such as certification, to set workforce entry standards and integrate CHWs into health care systems.
Currently, the CHW workforce faces a crossroads. One path leads to a standardized CHW workforce integrated into health care systems via formalized training and qualifications. The other path holds CHWs as part of the communities where they live and work, valuing their relationships and embodied knowledge. While both paths are options for the CHW workforce, CHWs and CHW stakeholders must determine if or how these two paths can coexist. California is the perfect case study because there is continued debate across CHW stakeholders about the stakes of certifying CHWs. California’s diverse CHW workforce represents varying CHW types with contrasting ideologies of care, such as clinical and community-based CHWs and promotores de salud, a subset of CHWs who primarily serve Latinx communities and are grounded in a social, rather than medical, model of care. California’s size and social characteristics pose implementation factors that are relevant for the diverse issues other states will have to address for their own CHW workforce.
This dissertation identifies the unique contributions offered by CHWs to fill health system gaps and challenges differently than other health care providers. The research then describes feelings of opportunity and exclusion related to CHW certification in California. Finally, this dissertation presents strategic options for California stakeholders to develop an appropriate CHW certification model.
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The California CHW Certification Debate
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2021
HRSA: CHWS 2016-2030
Processes for Implementing Community Health Worker Workforce Development Initiatives
CHW Common Indicators Project: 22 June 2021
Allied Health Workforce Projections, 2016-2030: Community Health Workers
Authors: National Center for Health Workforce Analysis
Pages 3
Using HRSA’s Health Workforce Simulation Model (HWSM)
"Current data on CHWs is limited due, in part, to the diverse role of CHWs, the lack of standardized training, highly varied certification and licensure requirements, the low barriers to entry to and exit from the workforce, and the high proportion of volunteers.
Therefore, this factsheet does not include future supply projections for CHWs. Improvements in data sources and modeling ethodologies may support CHW supply projections in the future. However, it has been argued that the flexible roles, educational pathways, credentialing standards, and scopes of practice for CHWs that limit availability of reliable data sources for health workforce projection work may also be a key strength for
this occupation.
Visit the website: https://bhw.hrsa.gov/national-centerhealth-workforce-analysis
CHW Common Indicators Project: 22 June 2021
Processes for Implementing Community Health Worker Workforce Development Initiatives
CHW Common Indicators Project: 22 June 2021
Front. Public Health, 22 June 2021
Abstract
Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of evaluation and research. This manuscript details the current work being done by the CI Project, demonstrating how CHWs are able to contribute to the integrity, sustainability, and viability of CHW programs through the collaborative development and adoption of a set of common process and outcome constructs and indicators for CHW practice and CHW program implementation.
[ Full Text ]
Citation:
Rodela, K., Wiggins, N., Maes, K., Campos-Dominguez, T., Adewumi, V., Jewell, P., & Mayfield-Johnson, S. (2021). The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in Measurement to Sustain the Profession. Frontiers in public health, 9, 674858. https://doi.org/10.3389/fpubh.2021.674858
Processes for Implementing Community Health Worker Workforce Development Initiatives
Processes for Implementing Community Health Worker Workforce Development Initiatives
Processes for Implementing Community Health Worker Workforce Development Initiatives
Processes for Implementing Community Health Worker Workforce Development Initiatives
Abstract
Introduction: The objective of this observational, cross-sectional study was to identify, document, and assess the progress made to date in implementing various processes involved in statewide community health worker (CHW) workforce development initiatives.
Methods: From September 2017 to December 2020, we developed and applied a conceptual model of processes involved in implementing statewide CHW initiatives. One or more outputs were identified for each model process and assessed across the 50 states, D.C., and Puerto Rico using peer-reviewed and gray literature available as of September 2020.
Results: Twelve statewide CHW workforce development processes were identified, and 21 outputs were assessed. We found an average of eight processes implemented per state, with seven states implementing all 12 processes. As of September 2020, 45 states had a multi-stakeholder CHW coalition and 31 states had a statewide CHW organization. In 20 states CHWs were included in Medicaid Managed Care Organizations or Health Plans. We found routine monitoring of statewide CHW employment in six states.
Discussion: Stakeholders have advanced statewide CHW workforce development initiatives using the processes reflected in our conceptual model. Our results could help to inform future CHW initiative design, measurement, monitoring, and evaluation efforts, especially at the state level.
[ Full Text ]
Citation:
Barbero, C., Mason, T., Rush, C., Sugarman, M., Bhuiya, A. R., Fulmer, E. B., Feldstein, J., Cottoms, N., & Wennerstrom, A. (2021). Processes for Implementing Community Health Worker Workforce Development Initiatives. Frontiers in public health, 9, 659017. https://doi.org/10.3389/fpubh.2021.659017
Statewide Training Approaches for Community Health Workers
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
Processes for Implementing Community Health Worker Workforce Development Initiatives
NACHW presents a new report on statewide training approaches for CHWs. This report provides an example of the use of the CHW Document Resource Center to investigate the topic of setting standards for statewide core training for community health workers. Brief case examples from six states illustrate different features of and approaches to statewide training standards for the workforce and related infrastructure.
Authors: Theresa H. Mason, Carl H. Rush, Meredith K. Sugarman
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
Latino Coalition for a Healthy California (LCHC):
"CHW/P Investing in change agents for a healthy California"
By: Abhinaya Narayana and Oscar G Echevrria
Harvard Kennedy School of Public Health
April 6, 2021 ( 89 pages)
Presentation to the community
June 30 2021
4pm
Contact:
- Abhinaya Narayanan, MPP anarayanan@hks.harvard.edu
- Oscar G. Echeverria, MPP oecheverria@hks.harvard.edu
Dr. Seciah Aquino, Deputy Director of LCHC, and Mar Velez, State Policy Senior Manager of LCHC, will be carrying forward the efforts at LCHC to advance CHW/P policy.
Community Health Workers: Evidence of Their Effectiveness
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
Community Health Workers and Promotores: Investing in Change Agents for a Healthy California
ASTHO: Community Health Workers: Evidence of Their Effectiveness
Number of CHW Studies:
- 1964–1973 (14)
- 1994–2003 (252)
- 2014–2016 (574 )
- 2017- 2022 (?)
- SYSTEMATIC REVIEWS ON CHW INTERVENTIONS
- RANDOMIZED CONTROL TRIALS (RCTs):
- RETURN ON INVESTMENT (ROI) STUDIES ON CHW INTERVENTIONS
- INTERVENTIONS FOR CHRONIC DISEASE MANAGEMENT
- CHW PROGRAM SUCCCESES IN RURAL SETTINGS
Financing Strategies to Support the Community Health Worker
Preserving A Transformative Community Health Worker/ Promotor Workforce
Financing Strategies to Support the Community Health Worker
Financing Strategies to Support the Community Health Worker (CHW) Workforce: November 12, 2019 (PPT 18 slides)
Hourly Wages and Turnover of Community Health Workers
Preserving A Transformative Community Health Worker/ Promotor Workforce
Financing Strategies to Support the Community Health Worker
AJPH
Tammie M. Jones, PhD, MHA, Chanup Jeung, PhD, Alex Schulte, Charlotte M. Lewis, DrPH, MPH, andPeggy J. Maddox, RN, EdD, MSN
States that adopted CHW certification programs saw an increase in wages for CHWs.
Increases in wages in response to certification have been found to reduce turnover among low-wage workers in previous studies.
Medicaid reimbursement was not found to have an effect on wages or turnover
Preserving A Transformative Community Health Worker/ Promotor Workforce
Preserving A Transformative Community Health Worker/ Promotor Workforce
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
Preserving A Transformative Community Health Worker/ Promotor Workforce:
El Sol’s CHW/P Training Center Approach
Click on the link below to view the full report
As more organizations are integrating CHWs/Ps into their operations, we hope that this case study can help stimulate reflection, dialogue, and action among CHW/P organizations on how to incorporate these long-standing guiding principles into their operations. In doing so, we can continue to build examples of CHW/P-centered interventions that reflect values and paradigms such as health care for all, health equity, and health as a right. Key topics include:
- CHW/P Training Application of Underlying Principles
- CHW/P Contributions to Health Equity
- Application of Popular Education
- El Sol Training Center Components
- Recommendations for Building Organizational Readiness to Integrate CHWs/Ps and Much More
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
June 2021
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integration
More and more, community and migrant health centers (C/MHCs) are seeing the positive health benefits of integrating behavioral health care into their patients' primary care. As C/MCHs work to develop models of team-based care to provide integrated behavioral health services, attention is turning to the roles that Community Health Workers/Promotores/as (CHW/Ps) can play in the promotion of emotional wellness and the provision of mental health services to the community.
Click here for the Full Report with Appendices
Click here for the Full Report without Appendices
Click here for the Executive Summary
California Brief Multicultural Competence Scale (CBMCS)
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
Effect of CHWs on 30-Day Hospital Readmissions in an ACO Population: A Randomized Clinical Trial
- Glenn C. Gamst – University of La Verne, USA
- Aghop Der-Karabetian – University of La Verne, USA
- Richard H. Dana – Regional Research Institute for Human Services, Portland State University
Features a wellspring of seminal research studies critical to understanding the complex issues surrounding mental health care and diversity. Providing a wealth of in-depth research into delivering culturally competent care, this rich anthology examines general issues in multicultural counseling competence training; ethnic minority intervention and treatment research; and sociocultural diversities.
Key Features and Benefits Features carefully selected research articles that are accessible to and practical for mental health practitioners and students. Provides critical background research that sprang from rigorous research methods and multivariate statistical processes
Opens with the key article that details the development of the ground-breaking 21-item California Brief Multicultural Competence Scale
Reviews: Instructor trained in the model and module by California Mental Health Institute. Best model I have been exposed to. Trainers from CIMH are good.
Dr Juan Garcia Counseling Special Ed Dept, California State University – Fresno
Effect of CHWs on 30-Day Hospital Readmissions in an ACO Population: A Randomized Clinical Trial
Supporting Community Health Workers to Enhance Effectiveness of Behavioral Health-Primary Care Integ
Effect of CHWs on 30-Day Hospital Readmissions in an ACO Population: A Randomized Clinical Trial
Jocelyn Carter, MD, MPH1; Susan Hassan, BA1; Anne Walton, RN1; et al
JAMA Network Open. 2021;4(5):e2110936. doi:10.1001/jamanetworkopen.2021.10936
May 20, 2021
Key Points
Question: Does community health worker care reduce 30-day hospital readmissions in inpatient adults participating in accountable care organization plans?
Findings: In this randomized clinical trial including 550 adults, intervention patients were significantly less likely to experience 30-day hospital readmissions than control participants. In post hoc subgroup analysis, the effect remained significant for participants discharged to short-term rehabilitation but not for those discharged home.
Meaning: In this study, community health worker care improved post discharge outcomes in clinically complex patients insured by accountable care organizations, particularly for those discharged to short-term rehabilitation.
Importance: Value-based care within accountable care organizations (ACOs) has magnified the importance of reducing preventable hospital readmissions. Community health worker (CHW) interventions may address patients’ unmet psychosocial and clinical care needs but have been underused in inpatient and post discharge care.
Conclusions
This randomized clinical trial found that integration of CHWs into clinical care improved preventive care and reduced 30-day readmissions for patients discharged to rehabilitation. Reducing preventable readmissions is a central priority for the Centers for Medicare & Medicaid Services and principal health care stakeholders. As US health care organizations continue to adopt ACO models with the goal of achieving higher quality care at lower costs, policies supporting insurance-based reimbursement for CHW care and investment in comprehensive training and integration of CHWs as valued members of patient care teams will continue to be critical.46 Future research is needed to identify which patients benefit most from certain CHW intervention activities.
2012
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
- Henry Perry and Rose Zulliger
- Departments of International Health and Health, Behavior and Society Johns Hopkins Bloomberg School of Public Health
An Overview of Current Evidence with Recommendations for Strengthening Community Health Worker Programs to Accelerate Progress in Achieving the Health-related Millennium Development Goals
- 22 Pages
- 83 References
Primary Care
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
Our primary care physicians provide comprehensive care for all ages. We focus on building relationships with our patients to provide personalized care.
Insurance
HOW EFFECTIVE ARE COMMUNITY HEALTH WORKERS?
Insurance
We accept most insurance plans, including Medicare and Medicaid. We also offer affordable self-pay options for those without insurance.
vision y compromiso
Key Workforce Priorities for the Community Transformation Model 2017
visionycompromiso.org › workforce_report_web PDF
Key Workforce Priorities for the Community Transformation Model
January 2017
Pages: 32
Authors: Visión y Compromiso
Funders: This work was made possible by the generous support of
The California Endowment, Kaiser Permanente Northern California Community Benefit
Program, Y&H Soda Foundation, and The Women’s Foundation of California.
TABLE OF CONTENTS
From the Executive Director 2
Executive Summary 3
The Community Transformation Model 7
Findings 13
1. The Promotor Model is a Model for Community Transformation
2. Training and Professional Development
3. Core Competencies and Curricula
4. Credentialing 19 5. Supervision
6. Funding and Program Sustainability 2
Next Steps 24
Endnotes 27
Acknowledgements 28
Alma Avila, City College San Francisco
Gerry Balcazar, Visión y Compromiso
Mayra Barcenas, El Sol Neighborhood Educational Center
Norma Benitez, Esperanza Community Housing Corporation
America Bracho, Latino Health Access
Melinda Cordero-Bárzaga, Visión y Compromiso
Alma Esquivel, Visión y Compromiso
Alex Fajardo, El Sol Neighborhood Educational Center
Gloria Giraldo, Latino Health Access
Lupe Gonzalez, Promotora
Nancy Halpern Ibrahim, Esperanza Community Housing Corporation
Miriam Hernandez, Providence Holy Cross Medical Center
Ruben Imperial, Stanislaus County Behavioral Health And Recovery Services
Maria Lemus, Visión y Compromiso
Carlos Londoño, Tiburcio Vasquez Health Center
Magaly Marques, Planned Parenthood Los Angeles
Marie Mayen-Cho, Providence Holy Cross Medical Center
Patricia Veliz-Macal, Planned Parenthood Los Angeles
Contact: Visión y Compromiso
1000 N. Alameda Street Los Angeles, CA 90012
(213) 613-0630
Public Health Institute
CALIFORNIA HEALTH WORKFORCE ALLIANCE
COMMUNITY HEALTH WORKERS IN CALIFORNIA: Sharpening Our Focus on Strategies to Expand Engagement
Date: January 2015
Pages: 33
http://www.phi.org/uploads/application/files/2rapr38zarzdgvycgqnizf7o8ftv03ie3mdnioede1ou6s1cv3.pdf
CONTENTS Acknowledgements..............................................................................................................................2
Executive Summary..............................................................................................................................3 Introduction ..........................................................................................................................................6 Background ...........................................................................................................................................8 Discussion Themes Design Considerations in Team-Based Care..................................................17
Skills, Recruitment, and Training of CHWs.......................................................................................20
Organizational Capacity for Engagement .......................................................................................23
Building Analytic Capacity .................................................................................................................25
Taking the Engagement of CHWs to Scale: Recommendations....................................................30
Appendix A..........................................................................................................................................33
R1: Establish a statewide clearinghouse to facilitate the rapid sharing of innovations, tools, best practice delivery models, and research support resources.
R2: Develop a landscape analysis that outlines a scope of practice for CHWs that accommodates alternative team-based models and other team members and the full range of services and activities in clinical and community-based settings.
R3: Conduct an independent assessment of employer-based, independent, and academic institution-based training programs that describes content scope and intensity, time frame, prerequisites, pedagogical models, geographic focus, and competencies.
R4: Develop competency-based certification standards for new and existing training programs and for individuals who complete the appropriate training.
R5: Identify regional sites to pilot the establishment of centralized data repositories that facilitate the integration of community-level data collection efforts and support the expanded use of collaborative data sharing tools for patient care management.
R6: Provide targeted technical assistance to community health clinics to develop or adapt existing evaluation tools to monitor and disseminate program outcomes.
R7: Partner with mobile health technology organizations to support mobile data collection, point of care decision support, and case management by CHWs and pilot those interventions with selected communities and organizations.
R8: Develop standard metrics that effectively capture outcomes associated with services and activities undertaken by CHWs to address the social determinants of health.
Public Health INstitute
CALIFORNIA HEALTH WORKFORCE ALLIANCE
Date August 2013
Pages 24
Contact: For more information, please contact: Kevin Barnett, Dr.P.H., M.C.P., Senior Investigator, Public Health Institute, and Co-Director, California Health Workforce Alliance (www.calhealthworkforce.org), at kevinpb@pacbell.net
PROJECT LEADERSHIP TEAM (pg 22)
Steve Barrow CEO and President AHEAD
Juan Carlos Belliard, Ph.D. Assistant Vice President for Community Partnerships and Diversity Loma Linda University
America Bracho, MD Executive Director Latino Health Access
Xochitl Castaneda Director Health Initiative of the Americas,
UC Berkeley, School of Public Health
Cecilia Echeverría, MPP, MPH Director of Safety Net Partnerships Kaiser Permanente
Catherine Dower, JD Associate Director Center for the Health Professions, University of California, San Francisco
Pamela Ford-Keach, MS California Department of Public Health
Nancy Halpern Ibrahim, MPH Executive Director Esperanza Community Housing Corporation
Maria Lemus Executive Director Vision y Compromiso
Laura Long, MBA Director of National Workforce Planning and Development, Kaiser Permanente
Jean Nudelman, MPH, Director of Community Benefit Programs, Kaiser Permanente
David Quackenbush, Vice President of Member Services, California Primary Care Association
Rea Pañares, MHS ;Senior Advisor, Prevention Institute
Beatriz Solis, Ph.D., MPH, Director of Healthy Communities, Strategies South Region, The California Endowment
Perfecto Munoz, Senior Policy Advisor on Consumer Health and the Workforce, UC Berkeley, School of Public Health
Tivo Rojas-Cheatham, MPH, Chief of the Community Participation and Education Section, CDPH