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Public Health Academy: Community Health Worker Policy

Public Health Academy: Community Health Worker Policy. Presented to Public Health Academy Teams 10.22.13 Presented by Buffalo County Public Health Academy Team.

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Public Health Academy: Community Health Worker Policy

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  1. Public Health Academy: Community Health Worker Policy Presented to Public Health Academy Teams 10.22.13 Presented by Buffalo County Public Health Academy Team

  2. “A 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 community capacity by increasing health knowledge and self-efficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.” - American Public Health Association

  3. Parent Liaison Veterans Advocate Adult Case Manager Peer Advocate Street Outreach Worker Promotor(a) de Salud Nutrition Educator Promotor(a) Patient Navigator Parent Aide Peer Leader Maternal and Child Health Case Manager Home-Based Clinician Outreach Coordinator Youth Worker Parole Advocate Intake Specialist Youth Development Specialist Home Visitor Health Educator Outreach Advocate Outreach Educator Mental Health Worker Case Coordinator HIV Prevention Coordinator Medical Representative HIV Peer Advocate Community Coordinator Health Assistant Home Care Worker Health Agent Community Liaison Health Advocate Community Organizer Outreach Worker Health Insurance Counselor Health Advisor Health Communicator Community Outreach Worker Family Education Coordinator Family Support Worker Job Titles Under CHW Umbrella: Community Health Educator Community Social Worker Family Advocate Community Health Representative Community Outreach Manager Outreach Case Manager

  4. What do Community Health Workers do?

  5. What have Community Health Workers Accomplished?

  6. What’s Missing? Nebraska does not have a standardized, reimbursable system to insure a workforce structure for CHW that encompasses core competencies and a scope of practice meets the requirements of the patient centered medical home and medical neighborhoods.

  7. Why does it matter?

  8. What should be done?

  9. Next Steps for Nebraska:

  10. Core Competencies

  11. Policy Implementation: • Nebraska needs to adopt the American Public Health Association’s (APHA) definition of Community Health Workers as an umbrella job classification for the varied job descriptions already being used throughout the state of Nebraska. • Nebraska needs to adopt a certification training program for Community Health Workers, which includes standardized core competencies and a scope of practice based upon consistent themes found in national research. • Nebraska needs to adopt a standardized payer system which incorporates Community Health Workers into the Center for Medicare/Medicaid Services (CMS) and commercial payers. The Community Health Worker should be included as a part of the integrated health care team to help reduce the cost of health care and improve health outcomes.

  12. Further Action Steps to Policy: • Nebraska should complete a statewide assessment and evaluation of CHWs and their impact on the health and the health care system. • Include CHWs in integrated health care team in both private and public settings.

  13. Projected Impact and Research • Reduce health care costs and reduce ER use • Improve health and well-being of population • Appropriate care at the appropriate time • In Buffalo County, Nebraska, Community Health Workers have demonstrated a 5:1 return on investment and cost savings of $3.5 million for the hospital in two years.

  14. Projected Impact and Research • Reduce burden on physicians • Integrate with health team and community referral system • Improve population health • In New Mexico, 1% of Medicaid participants were consuming 20% of state support. Community Health Workers reduced the use of resources, resulting in cost savings of over $2 million.

  15. Projected Impact and Research • Increase access to health and social service needs • Infuse social services and medical needs to provide holistic care • Improve the humanity in health care • In Arkansas, Community Health Workers helped the elderly population address housing, medical, and social needs to keep them in their own homes rather than assisted living or nursing homes, resulting in cost savings over $2.6 million for tax payers from 2005-2008.

  16. Communication Plan

  17. Thank you UNMC! • Comments • Questions • Clarifications • Next Steps • Buffalo County Public Policy Academy Team: • Terry Krohn, Two Rivers Public Health Department • Jessie Perez, Buffalo County Community Partners • Ann Tvrdik, Region 3 Behavioral Health Services • Julie Weir, Community Action Partnership of Mid NE • Crystal Winfield, Sentinel Health Care • Denise Zwiener, Buffalo County Community Partners • Home Team: Dr. Ken Shaffer, Carol Wahl – Good Samaritan Hospital

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