Maine CHW Stakeholder Group October 29 th & 31 st , 2013

1. Maine CHW Stakeholder GroupOctober 29th & 31st, 2013 Barbara Ginley, MPH Maine Migrant Health Program

2. Introduction • http://www.mainemigrant.org/wp-content/slideshows/reaching-out-from-within/ • MMHP has 10+ years experience working with CHWs • ME-CHW Initiative is a collaboration of ME-CDC, MCD-PH and MMHP and is part of the SIM Project

3. MAINE CHW INITIATIVE- TIMELINE FOR YR 1 Recommendations for 5 CHW Pilots Rationale, selection criteria, performance metrics to develop CHW programs Background/Enviro Scan Literature Review, Inventory of ME CHWs, Other States, Best Practices, compiled to inform development of stakeholder group and pilots Mentoring/Supporting Pilot Sites Provide ongoing technical assistance and support to pilots in their initial year of implementation. Summer ‘13 Fall ‘13 Winter ‘14 Spring ‘14 Summer ‘14 YR 2 Stakeholder Convening Engage CHW allies and interested parties to support long-term goal of sustainability* Reflection and Fine-tuning of YR 1 . Selection and Start-up of Pilots Focus will be on initial stage of implmentation, training, recruitment, supervision & support

4. 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 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. (American Public Health Association, 2009)

5. CHWs in Maine • 12 entities/40+ CHWs, (community health) outreach workers, promotoras, patient navigators, resource counselors, life-skills trainer, etc. • 3 respondents use common curriculum (UNE/PPH/AHEC Channels) • 3/4 of respondents identified the shared trait/identity as being a key component of who their CHWs were • Variability in- names/roles, formal education, training, background, organizational experience, pay

6. CHWs across the US • More than 120,000 CHWs on the job across our country; • Scope of work- health coaching, peer support, referrals, liaison/advocate, interpreter, care management, chronic disease mgmt., educator transportation, navigator, etc.. • Growing support/recognition of CHWs (ACA) • Research/evidence supporting the comparative and cost effectiveness of CHWs

7. CHW Recognition • CEPAC- http://cepac.icer-review.org/?p=1014 • AHRQ-http://www.ahrq.gov/research/findings/evidence-based-reports/comhwork-evidence-report.pdf • RWJ-http://www.rwjf.org/content/rwjf/en/search-results.html?u=&ref=&k=Community+Health+Workers&k=%22community+health+worker%22&st= • HRSA/CDC-http://www.cdc.gov/dhdsp/docs/chw_brief.pdf • http://www.hrsa.gov/ruralhealth/pdf/chwtoolkit.pdf

8. MMHP CHWs/Promotoras

9. The Role of Stakeholders • Coalescing around a common definition of CHWs - their roles and functions, standards, competencies and training. • Exploring models of certification, employment and reimbursement of CHWs. • Identifying core competencies to inform future certification and reimbursement of CHW services. • Identifying models and partners to sustain the education and training of CHWs in Maine as part of workforce development efforts. • Developing mechanisms for training, recruiting, qualifying and registering CHWs statewide as part of a unified certification system. • Establishing a venue for sharing information and best practices, as well as articulating necessary policy change(s) to support Maine's evolving system/infrastructure. • Identify sustainable financing model(s) that builds CHWs into the health care team for the long term, here in Maine.

10. Maine CHW Initiative For more information, please contact: Barbara Ginley 9 Green Street P.O. Box 405 Augusta, ME 04332-0405 (207) 622-9252 ext. 102 bginley@mainemigrant.org