Upload
everett-bryant
View
225
Download
2
Tags:
Embed Size (px)
Citation preview
Overview of Community Health Worker Home
Visit MOP CHW Working Group
Asthma Guidelines Working Group7.16.2014
2
CHW Working GroupThe CHW Working Group will guide the
activities of the CHW Coordinating Center at Sinai, ensuring the integrity of the CHW training, hiring and intervention process.
3
CHW Working Group MembersName Role Institution
Helen Margellos-Anast
Chair Sinai
Cort Lohff Member CDPH
Molly Martin Member UI Health
Valerie PressNicole Woodrick
MemberMember
U of C
Jessica Ramsay CHW Trainer/ Intervention Director
Sinai
Kenneth Soyemi Member StrogerJanet Flores Member Lurie Children’s
4
CHW Working GroupResponsibilities
Assist with Year 1 focus groups Finalize the home visit intervention protocol, building off of
existing protocols (Sinai’s, Molly’s, etc.) Participate in the identification, selection and development of
appropriate education and support materials to be provided to clients
Development of ED discharge packet Participate in the recruitment of CHWs Train CHWs Supervise CHWs Develop Quality Assurance activities and protocols Monitor intervention progress Consult with Asthma Guidelines Working Group
5
List of Documents for DiscussionComponents of overall CHW Home Visit MOP
CHW Home Visit ProtocolTeach to Goal MOP (Medication Use)Home Environmental MOP
Home Trigger Assessment Home Environmental Checklist Patient Educational Handouts - Triggers
CHW Curriculum
6
CHW Home Visit ProtocolGuides CHWs as they complete the asthma
education portion of each home visit, ensuring a certain level of consistency
Follows the proposed home visit schedule: Visit 1: 2-3 days post ED dischargeVisit 2: 2 weeks post ED dischargeVisit 3: 1 month post ED dischargeVisit 4: 3 months post ED dischargeVisit 5: 6 months post ED discharge
7
CHW Home Visit ProtocolVisit # Timing of Visit Focus
1 2-3 days post ED CHICAGO Trial overview, asthma basics, medication purpose and use, 504 plan
2 2-weeks Home environmental walk-through, triggers and avoidance strategies, green cleaning techniques
3 1-month Review of asthma basics, medication purpose and technique, Asthma Action Plan (AAP)
4 3-months 2nd home environmental walk-through, triggers, review of medication use
5 6-months Reinforcement of all education provided, final home environmental walk-through
8
At all visits:Behavior Change Plan, outline specific short-
term goals for family to work towards by next visit, will be collaboratively created. Reviewed and updated at each visit
Referrals will be made as necessary (e.g., complex housing issues, social services, etc.)
Medication technique will be assessed and re-taught as needed Home Visit Inhaler Assessment and Education
Protocol: Teach To Goal (TTG) Checklists
CHW Home Visit Protocol
9
Teach to Goal MOPOverview of TTG
Tailored, pt-centeredDevice technique
checklistsObjective measuresMDI/Diskus/Twisthaler/
Turbohaler/ NebulizerTTG @ each visitPatient/Parent
Additional infoCleaning techniqueMedication dose tracking
sheet
10
Home Environmental MOPCreated in partnership with Asthma
Guidelines WGOutlines specific procedures to be taken by
CHWs to address triggers identified during the Home Environmental Assessment (HEA)
HEA – thorough walk-through of the home environment conducted by CHW – emphasis on child’s bedroom, kitchen, living room and overall cleaning techniques and frequency
11
Home Environmental MOPHEA to be conducted at 2-week, 3-month &
6-month visitsMOP focuses on primary triggers:
cockroaches, rodents, tobacco smokeSecondary triggers: mold and dust mites
Begins with shortened overview of protocol and education points for each trigger, then refers to pages with further detail on procedures to address each trigger
All other triggers included in appendix
12
Home Environmental MOPPatient Educational Handouts – Triggers
One for each of the primary and secondary triggers
Provide overview of: Why each is a trigger What to look for/pictures of trigger Advocates for allergy testing Action steps to avoid trigger
Will also have other patient handouts regarding other triggers (CHW WG to finalize)
13
CHW CurriculumCHW “bible” of information – does not
include proceduresUsed as a guide for the CHW training process
– all topics in the curriculum are covered in training
Supplements the CHW MOP – acts as a reference for more detailed information on all educational topics covered in home visits
14
CHW CurriculumDivided into 8 sections, Asthma and CHW
Core Skills:CHW BackgroundAsthma BasicsAsthma Education and DevicesMotivational InterviewingPatient Self-Management and Goal SettingPatient Documentation: How to write case
notesCollaborating with Medical Professionals
15
For discussionLayout of the CHW MOP
Suggestions for making it more user-friendly?Frequency of Home Environmental Checklist
Currently at 2-week, 3-month and 6-month visits – ok?
Provision of spacersWill we be providing spacers at home visits or
will this happen at ED discharge?Others?Comments/suggestions?