Community Health Worker Strategy Meeting - IPHA Health...آ  Community Health Worker Strategy Meeting

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  • Community Health Worker Strategy Meeting

    March 20, 2019 Herrin Hospital

    Heritage Building

    A Value Driven Solution for Population Health

    Funding for this Project is Provided by IDPH 1815 Grant; Prevention and Management of Diabetes, Heart Disease, and Stroke

  • What is a CHW- APHA? “A Community Health Worker (CHW) 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.”

  • Other Names Promotores de Salud

    Community Health Representatives

    Community Health Advisors

    Peer Navigator


  • Recommendations Roles and Responsibilities

    Training and Certification

    Financing & Reimbursement

    Workforce Development

    Raising Awareness

  • A National Lens: National Association of Community

    Health Workers (NACHW)

    Wandy D. Hernandez

  • NACHW Board Co-Chairs Wandy Hernandez & Sergio Matos

  • Founding Board of Directors

    • 20 Directors • Bi-weekly phone calls since 2016

    • In-person meetings across country

    • Local/regional representation of USA

    • Majority CHW

    • Majority women

    • Includes both allies and practitioners

    • 1 part-time support staff

  • NACHW Board Members

    • Mae-Gilene Begay,

    • Naomi Cottoms,

    • Ramona Dillard,

    • Durrell Fox,

    • Catherine Haywood,

    • Gail Hirsch,

    • Lisa Renee Holderby-Fox,

    • Maria Lemus,

    • Susan Mayfield-Johnson,

    • Anita McDonnell,

    • Floribella Redondo,

    • Alise Sanchez,

    • Julie Smithwick,

    • Napualani Spock,

    • Ashley Wennerstrom,

    • Geoff Wilkinson,

    • Katie Sutkowi,, ex-oficio/consultant

    Wandy Hernandez, Co-Chair Carl Rush, Treasurer

    Sergio Matos, Co-chair Joelisa Castillo, Secretary

  • Why Now?

    • Increased interest in CHWs • ACA • DOL • CMMI • Health Reform Innovations – goals and financing

    • Value-based payment, shared risk, bundled payments

    • Large body of evidence – effectiveness of CHWs • Business Case

    • Value-added, cost-savings, return-on-investment • Outreach, engagement, activation, adherence, retention • CMMI report

    • Scholarly texts

    • Preserve integrity of CHW work

  • Honoring Our Past, Building Our Future


    2007 - 2009 APHA

    • CHW SPIG, 2000

    • CHW Section, 2009

    • Resolutions

    Unity conferences,

    1999 - present

  • NACHW Mission, Vision, Values

    Vision: Community Health Workers united nationally to support communities in achieving health, equity and social justice

    Mission: To unify the voices of Community Health Workers and strengthen the profession’s capacity to promote healthy communities

    Values: • Self-empowerment of CHWs and their communities • Social justice and Equity • Integrity of CHW work • Dignity and Respect • Unity • Informed Self-determination

  • Work in Progress

    • Non-profit incorporation- Completed Feb. 2019

    • Member recruitment & engagement

    • Fundraising

    • Launch Planning

  • NACHW’s Value for the CHW Workforce

    • Build a unified professional identity

    • Preserve workforce integrity

    • CHW policy development and advocacy

    • Technical assistance to state CHW associations

    • National information clearinghouse

    • Convene conferences and foster professional collaboration

    • Training, networking, and other member services and benefits

    • Conduct and disseminate research

  • Washington, DC, 2018

  • Membership • Four categories of membership:

    • Individual CHW

    • Individual Ally (Non-CHW)

    • CHW Network Organization

    • Other Organization

    • Sponsor and Champion memberships core to financial sustainability

    • Multiple membership benefits

  • Make NACHW Your Organization!

     Participate in a NACHW Launch Committee

     Engage with your local or state CHW organization • Strong local efforts are essential for sustaining a national effort

     Make plans to join as a founding member

     Attend the Launch at Unity 2019 in April (Las Vegas)

     Share information about NACHW with your CHW colleagues

     Sign up for NACHW’s mailing list

  • Join Us for the Official Launch!

    Unity Conference, 2019

    April 14-17, 2019

    Las Vegas, Nevada

    All CHWs and allies interested in celebrating

    the launch of NACHW are invited and encouraged to attend this historic event!

  • Thank You

    Email: Website:

    Wandy Hernandez

    Co-Chair NACHW/Vice President


  • Illinois Department of Public Health Community Health Worker (CHW) Update

    Paula Jimenez, RN

    Mona Van Kanegan, DDS, MS, MPH

  • Centers for Disease Control Grant Period (October 1, 2018 – June 30, 2023)

    DP18-1815 Improving the Health of Illinoisans Through Chronic Disease Prevention

  • Long Term Outcomes

    • Decreased proportion of people with diabetes with an


    • Increased number of people with prediabetes enrolled

    in a CDC-recognized lifestyle change

    program who have achieved 5-7% weight loss

    • Increased control among adults with known high

    blood pressure and high blood cholesterol

    DP18-1815 Improving the Health of Illinoisans Through Chronic Disease Prevention

  • 2 Out of 10 Strategies involve CHWs

    • Develop a statewide infrastructure to

    promote long-term

    sustainability/reimbursement for

    CHWs as a means to establish or

    expand their use in

    – a) CDC-recognized lifestyle

    change programs for type 2

    diabetes prevention and/or

    – b) ADA-recognized/AADE-

    accredited DSMES programs

    for diabetes management.

    Strategy A7

    • Develop a statewide

    infrastructure to promote

    sustainability for CHWs to

    promote management of

    hypertension and high

    blood cholesterol.

    Strategy B5

    ADA – American Diabetes Association

    AADE – American Association of Diabetes Educators

    DSMES – Diabetes Self-Management Education and Support

    DP18-1815 Improving the Health of Illinoisans Through Chronic Disease Prevention

  • Asthma Education and

    Environmental Management

    • Asthma education/environmental management are evidence-based

    strategies that reduce asthma-related emergency room visits and

    hospitalizations and reduce health care costs.

    – reimbursement tends to be lower

    • GOAL: To expand access to evidence-based, home-based asthma

    education and environmental interventions through sustainable financing


    – Expand reimbursement for asthma educators, CHWs.

    – Amend contracts between state Medicaid and Medicaid

    Managed Care Organizations to enable and provide guidance for

    the use of CHWs.

    EH-14-1404 Comprehensive Asthma Control Through Evidence-Based Strategies and Publ