HOW DO WE SUSTAIN CHW PROGRAMS?
• We market CHW strengths in the work place and in the community
• Increase the CHW value by providing outreach training and patient centered skills training
• Constantly educate Legislators and Employers of the benefits of hiring a CHW
• Capture measurement of work outcomes and present data to potential funders.
TOOLS TO MEASURE CHW OUTCOMES:
• (ODTS) Outreach data tracking sheet
• Customizing ODTS to reflect the CHWs productivity example generating new patients or clients.
• Utilizing the EMR systems to track improvement in the quality of care. (BP, A1c etc)
• Calculate the revenue generated by number of patients or individuals that receive services as a direct result of CHW effort
DATA REFLECTING CHW’S ACHIEVEMENTS
149
85
69
155
95
72
154
93
70
144
102
73
0
20
40
60
80
100
120
140
160
JAN FEB MAR APRIL
OUTREACH
INS/PCP
PHYSICAL
BARRIERS THAT EMPLOYERS PERCEIVE WITH HIRING CHWs
• Lack of funding for CHW positions.
• Credentialing OF A CHW in the workplace
• Clarifying their role within the healthcare delivery system as part of the medical team in a clinical setting
• Supervision of the CHW
• Justifying their salary in a budget
TALKING TO YOUR LEGISLATOR
• Advocate for grants and funding in the budget to support the CHW
• Help pass a bill for CHW
• Present your CHW success story
• Invite your state representative or state senator to attend a CHW event.
• Hold Legislator accountable by getting them involved and engaged.
HIGHLIGHTS OF SUCCESS(CHW educates Legislators about Prostate Cancer at
the Boston State House on September 15th 2011)
A CEO WITH A VISION(Creating CHW Jobs for a new CHC)
• Building a new CHC building helps to create jobs for individuals in the community.
• Hiring CHWs and training the CHWs who are vested in the community
• A new building as a result of a strong history of CHW’S work and an outreach system based on the CHW Model
CHW INNOVATION
• Modifying data collecting tools to effectively Capture information on health care for at risk population for many diseases, health and social disparities.
• CHW created (ACAP) Angelicah Community assistance plan which helped hundreds of people to receive social services. (ID & Birth Certificate Programs and transportation Passes) (Identifying barriers to health care)
• Conduct research and data analysis at the grass-root level of our communities.
• Collaborate with many organizations
SELF ASSESSMENT AND EVALUATION
• Constantly evaluate yourself and measure your outcomes to see how successful you were as a CHW getting the job done
• Publish articles of success stories, best practices and evidence base models that work.
• Example: taking 90 men of color to the Annual Prostate Cancer Symposium 2011
SUSTAINABILITY
• Make sure your Funding is secured• Network and discuss growth opportunities• Provide training for all CHW each year• Communicate well between Doctors,
Nurses, Nurse Practitioner, Medical Assistant, Patient and Relatives.
• Document the good and the bad. • Evaluate your self and assess your
surroundings.