1. Employer Engagement and community health worker
In collaboration with the CHW Statewide Planning Committee
-Developed by the Employer Engagement Sub-Committee

2. Chws: what do they do?
CHWs are trusted members of the community who promote good health and nutrition among community residents. Their training and focus is on education and health system navigation rather than direct provision of health care services.
CHWs may be known by a variety of titles, including community health advisor, lay health worker, community health representative, promotora or promotores de salud, or health coaches.
Slide revised to align with brochure.

3. WHY CHW’s
Market evolution from fee-for-service to a risk-based, fee-for-value, payment model is requiring a redesign of the tradition health care labor model.
CHWs can improve health care access and quality, while reducing cost and community disparities. Such roles can amplify the value of clinical roles, by allowing clinicians to each perform toward the top of their own skill ranges, while ensuring efficient relationship building and care coordination. Improved health outcomes and increased patient engagement/satisfaction should also result. While lower cost than typical clinical roles, the roles pay a living wage and, if effectively embedded in health systems, can provide rewarding career paths that produce long-term, fully engaged employees.

4. Roles of the CHW
Creating connections between vulnerable populations and healthcare systems
Managing care and care transitions for vulnerable populations
Determining eligibility and enrolling individuals into health insurance plans
Ensuring cultural competence among healthcare professionals serving vulnerable populations
Providing culturally appropriate health education on topics related to chronic disease prevention, physical activity and nutrition
Advocating for underserved individuals to receive appropriate services
Providing informal counseling
Building capacity to address health issues
Let me know if we want to add the potential roles suggested by Beth or keep the what’s listed (didn’t receive any feedback concerning this slide).

5. Services Provided by CHW’s
Advocacy
Outreach
education

6. WHO HIRES CHW’S
Community Health Workers work in a wide variety of organizational settings. CHW’s are employed by many non-profits and community based organizations, including healthcare facilities, e.g.: acute care, physicians practices, Federally Qualified Health Centers, government agencies, schools and community agencies. There are many types of CHW positions; they may work in an office or call center environment, but often carry out their roles where people live, work, worship and go to school.
The principle reasons employers have CHWs are:
To reduce hospital admissions
To help patients manage chronic conditions
Many responsibilities reported by employers for CHWs:
Patient Navigation
Health Education
Connecting patients to health and social services

7. Community Health Worker
Community Population
Ethnicity
African American
Latinos
Immigrant Communities
Geographic
Rural
Urban
Disease population
Maternal & Child Health
Injury Prevention
Mental Health
Chronic Disease Management
Diabetes
Cancer
HIV/AIDS

8. CHW core competencies
CHW training programs teach a range of skills to prepare individuals
Engage and work with patients and clients
Understand, engage and work within healthcare environments and systems.
In PA competencies include the following:
Communication and interpersonal skills
Motivational interviewing.
Knowledge of community specific health issues and social service systems
Teamwork: working in a healthcare team
Cultural competency
Community resources and Asset Mapping
Advocacy & Teaching skills
Medical terminology and healthcare systems
*Note: Data Collection & Documentation are integral components as well.
Should we keep the Items listed in RED or take them out?

9. Core Competencies for Teaching & Advocacy

10. Meeting the needs of Community
Teaching & advocacy
Meeting the needs of Community

11. Employing a Community Health Worker

12. Engaging the HR Process
For initial CHW hires, employers must establish a criteria for hiring that serves the employers’ identified needs and results in an optimal match. The following should be given careful consideration:
Job Descriptions: Duties with Minimal requirements i.e., education level, training, community experience, experience, experience as a medical assistant
The role of the CHW On-Boarding – Main Responsibilities
Patient navigation
Health Education
Connect to Health and Social Services
Supervision – OJT, Continuing Education
Payment/Reimbursement – Grant opportunities
Develop hiring process/selection guidelines
Recommend appropriate reporting relationships and management guidelines
Develop career ladders/pathways to ensure long-term CHW engagement
In RED is not on the brochure….do we want to keep?
In Yellow are the additions.

13. Return on investment
The return on investment or ROI is promising. Areas of focus include reduced rates of hospital admission, ameliorating compound problems, and facilitating patient compliance; however there is data that needs to be gathered formally. A recent article in the Journal of the American Medical Association 2014, indicated that “ Patient-centered CHW intervention improves access to primary care and quality of discharge while controlling recurrent readmissions in a high-risk population. Health systems may leverage the CHW workforce to improve post hospital outcomes by addressing behavioral and socioeconomic drivers of disease. The study showed CHWs:
Increased access to primary care
Improved HCAHPA scores for quality of communication between patients and providers
Reduced likelihood of recurrent 30 day hospital readmissions among readmitted patients
Improved patients’ mental health and level of engagement with their health care providers

14. OTHER Job titles FOR CHWs EMPLOYED in the USA
Abuse Counselor
Access Worker
Adult Case Manager
Addiction Treatment Specialist
Assistor Case Coordinator
Asthma Outreach Worker
Asthma Educator
Asthma Family Support Worker
Asthma Peer Educator
Bilingual Family Outreach Specialist
Bilingual Family Advocate
Birth Assistant (Doula)
Birth Attendant
Birthing Family Support Worker
Case Management Technician
Care Coordinator
Care Transitions Coordinator
Career Coach
Case Worker
Case Managers SNAP
Certified Application Assistant (CAA)
Certified Recovery Specialist
Community Activist
Community Advocate
Community Aide
Community Care Worker (CCW)
Community Coordinator
Community Connector
Community Dental Health Coordinators
Community Health Associate
Volunteers
Volunteer Health Worker
Wellness Ambassadors
Women’s Health Specialist
Youth Development Specialist
Youth Worker-Program Assistant

15. OTHER Job titles FOR CHWs EMPLOYED in the USA
Community Follow-Up Worker
Community Health Adviser
Community Health Advocate
Community Health Aide
Community Health Coach
Community Health Educator
Community Health Navigators
Community Health Outreach Worker
Community Health Outreach Worker Community Health Promotion
Community Health Representative
Community Health Specialist
Community Liaison
Community-Clinical Linkage Specialist
Community Navigator
Community Organizer
Community Outreach Manager
Community Outreach Worker
Community Social Worker
Cooperative Extension Professionals
Counselor
Cultural Case Manager
Cultural Counselor
Cultural Interpreter
Diabetes Educator
Diabetes Family Support Worker
Diabetes Navigator
Direct Care Worker
Discharge Planner
Educator
Eligibility Worker
Youth Peer Counselor
Youth Worker

16. OTHER Job titles FOR CHWs EMPLOYED in the USA
Enrollment Worker
Family Advocate
Family Education Coordinator
Family Planning Counselor
Family Support Worker
Family Health Advocate
Family Health Promoter
Family Leadership Specialist
Family Outreach Worker
Family Support Specialist
Financial Counselor
Frontline Health Worker
Head Start Teacher Assistant
Health Advisor
Health Advocate
Health Agent
Health Assistant
Health Broker
Health Communicator
Health Educator
Health Extension Workers
Health Facilitator
Health/Nutrition Support Worker
Health Information Specialist
Health Insurance Counselor
Health Promoter
Health Liaison
Health Specialist
Health Workers
HIV/AIDS Educator

17. OTHER Job titles FOR CHWs EMPLOYED in the USA
HIV/AIDS Family Support Worker
HIV Peer Advocate
HIV Prevention Coordinator
HIV Risk Assessment/Disclosure Counselor
HIV Service Coordinator
HIV/STD Prevention Counselor
Home Care Worker
Home Visitor
Home-Based Clinician Intake Specialist
Homeless Advocate
Independent Living Services Manager
Informal Counselor
Intake Coordinator
Intake Assistant
Interpreter
La Leche Peer Counselor (Breastfeeding support)
Lay Health Advisor
Lady Health Worker
Lay Health Advocate
Maternal and Child Health Case Manager
Medical Concierge
Medical Interpreter
Medical Representative
Mental Health First Aid Responder
Mental Health Worker
Men’s Health Specialist
Men’s Health Worker
Multicultural Health Brokers
Natural Researcher
Navigator

18. OTHER Job titles FOR CHWs EMPLOYED in the USA
Neighborhood Health Advocate
New Professionals
Non Clinicians
Nutrition Adviser
Nutrition Assistant
Nutrition Educator
Nutrition Support Worker Mental Health Aide
Outreach Advocate
Outreach Case Manager
Outreach Coordinator
Outreach Educator
Outreach Specialist
Outreach Worker
Parent Aide
Parent Liaison
Part Time Project Associates
Patient Experts
Patient Navigator
Peer Advocate
Peer Counselor
Peer Educator
Peer Health Advisor
Peer Health Educator
Peer Leader
Physical Activity Specialist
Preconception Peer Educator 
Pre-Perinatal Health Specialists
Public Health Advisor
Public Health Aide
Public Service Aide
Roving Listener
Social Determinants of Health Specialists
Social Worker Assistant
Street Outreach Worker
Team Advocate, Level I
Trained Health Extension Workers
Prevention Specialist
Program Coordinator
Promotor

19. Community health worker funding
p/funding_chw_best_practices.pdf
Reimbursement-for-Community-Based-Prevention/

20. Stephen Klein Wellness Center
We love having community health workers at the Stephen Klein Wellness Center (SKWC) and are fortunate to have two--one full-time and one part-time employee.
Our community health workers are a bridge between the clinic and our patients and wider community, at large.  They each have their own panels of patients and are tasked to reach out to them-- to help engage and promote patients'  health and wellness.  Sometimes, this is a simple weekly "check-in" phone call.  Other times, it's a home visit with food from our emergency pantry.  Or, it's help to make follow-up clinical appointments and then transportation to that specialist's office with communication back to the referring SKWC medical provider and nurses.  Our CHWs can be found comforting anxious patients during SKWC dental appointments, engaging with individuals who simply walk in to our building and want to learn about our services, making reminder phone calls about our wellness programs or even helping vulnerable patients in our hospitality program with a shower and a sandwich.  No two days are ever the same!

21. PA CHW Resources PA Department of Health
Stater Reforum
worker-models
PENN Center for Community Health Workers
chw.upenn.edu
Temple University – CSPCD
PA AHEC
Rural Health Information HUB
District 1199C Training & Upgrading Fund

22. Community health workers
are members of a community who are chosen by community members or organizations to provide basic health and medical care to their community