Maine CHW Stakeholder Group October 29 th & 31 st, 2013 Barbara Ginley, MPH Maine Migrant Health Program

Introduction content/slideshows/reaching-out-from- within/ content/slideshows/reaching-out-from- within/ MMHP has 10+ years experience working with CHWs ME-CHW Initiative is a collaboration of ME- CDC, MCD-PH and MMHP and is part of the SIM Project

Fall ‘13Winter ‘14Spring ‘14Summer ‘14Summer ‘13 YR 2 Background/Enviro Scan Literature Review, Inventory of ME CHWs, Other States, Best Practices, compiled to inform development of stakeholder group and pilots Recommendations for 5 CHW Pilots Rationale, selection criteria, performance metrics to develop CHW programs Mentoring/Supporting Pilot Sites Provide ongoing technical assistance and support to pilots in their initial year of implementation. Stakeholder Convening Engage CHW allies and interested parties to support long-term goal of sustainability* Selection and Start-up of Pilots Focus will be on initial stage of implmentation, training, recruitment, supervision & support Reflection and Fine- tuning of YR 1. MAINE CHW INITIATIVE- TIMELINE FOR YR 1

Community Health Worker is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. (American Public Health Association, 2009)

CHWs in Maine 12 entities/40+ CHWs, (community health) outreach workers, promotoras, patient navigators, resource counselors, life-skills trainer, etc. 3 respondents use common curriculum (UNE/PPH/AHEC Channels) 3/4 of respondents identified the shared trait/identity as being a key component of who their CHWs were Variability in- names/roles, formal education, training, background, organizational experience, pay

CHWs across the US More than 120,000 CHWs on the job across our country; Scope of work- health coaching, peer support, referrals, liaison/advocate, interpreter, care management, chronic disease mgmt., educator transportation, navigator, etc.. Growing support/recognition of CHWs (ACA) Research/evidence supporting the comparative and cost effectiveness of CHWs

CHW Recognition CEPAC- AHRQ- -based-reports/comhwork-evidence-report.pdf RWJ- results.html?u=&ref=&k=Community+Health+Wo rkers&k=%22community+health+worker%22&st= HRSA/CDC- pdf

MMHP CHWs/Promotoras

The Role of Stakeholders Coalescing around a common definition of CHWs - their roles and functions, standards, competencies and training. Exploring models of certification, employment and reimbursement of CHWs. Identifying core competencies to inform future certification and reimbursement of CHW services. Identifying models and partners to sustain the education and training of CHWs in Maine as part of workforce development efforts. Developing mechanisms for training, recruiting, qualifying and registering CHWs statewide as part of a unified certification system. Establishing a venue for sharing information and best practices, as well as articulating necessary policy change(s) to support Maine's evolving system/infrastructure. Identify sustainable financing model(s) that builds CHWs into the health care team for the long term, here in Maine.

Maine CHW Initiative For more information, please contact: Barbara Ginley 9 Green Street P.O. Box 405 Augusta, ME (207) ext. 102