best practices guidelines in implementing and evaluating chw programs in health care settings jamie...
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Best Practices Guidelines in Implementing and Evaluating CHW Programs in Health Care Settings
Jamie Campbell, MPH
Sinai Urban Health Institute
CHWs in Illinois: Recognizing and Sustaining the WorkforceApril 21, 2014
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Outline
• Background– Sinai Urban Health Institute– Community Health Worker (CHW)
Research and Evaluation Project
• Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings
• Concluding remarks
• Founded in 2000, SUHI is a community-based research institute that is part of the Sinai Health System
• Develops and implements effective approaches that improve the health of urban communities
• Serves as a focal point for the evidence-based examination of community health status, the effectiveness of interventions, and methods of improving health care delivery
• A lead institute in documenting and addressing health disparities in Chicago
• Implementing the CHW model for 13 years3
Sinai Urban Health Institute
• In 2010, approached by the Fry Foundation to explore CHW roles and models in healthcare
• Noticed a growing utilization of CHWs in health care settings
• Recognized gaps in the knowledge-base of the field concerning best practices
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CHW Research and Evaluation Project (2011-
2013)
Methods
• Conducted a comprehensive literature review on CHWs
• Networked with major CHW groups throughout the Illinois and the U.S.– The American Public Health Association CHW Section– The Chicago CHW Local Network– Health & Medicine Policy Research Group– The CHW Alliance of CEED@Chicago
• Conducted formal and informal interviews with stakeholders in the field
• Surveyed local health care agencies currently implementing the CHW model within their system5
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CHW Model Quadrant
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Outline
• Background– Sinai Urban Health Institute– Community Health Worker (CHW)
Research and Evaluation Project
• Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings
• Concluding remarks
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Purpose and Objective:
• Blue print for CHW program implementation or revising practices
• Aids programs wanting to more critically examine CHW system processes and program outcomes
• Grounded in evidence-based science
This project is supported by the Lloyd A Fry Foundation
1. An Extensive Review of Available Published Professional Literature
2. Evidence from the CHW National Workforce Study (2007)• National snapshot; Comparison data for #3
3. Findings from the CHW in Chicago Health Care Setting Survey (2011)• Local snapshot; Specific to health care
4. Experience from SUHI’s CHW programs• Hospital and community-based programs
5. Additional perspectives from local and national CHW employers, researchers, and CHWs themselves
Sources of Background Information
• Innovative approaches to CHW hiring, training, and performance evaluation;
• Supervision challenges and strategies for success;
• Providing a positive organizational climate to facilitate CHW integration;
• Other effective elements of program design; and
• Program evaluation, including CHW process and outcome measures.
Topics Included
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CHW Best Practice Guidelines
• Five Summary of Evidence Sections1. CHW Hiring2. CHW Training3. CHW Supervision4. CHW Integration into Health Care Systems5. Evaluating CHW Programs and Interventions
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Dissemination
• Efforts to distribute the CHW Best Practices report and inform health agencies about the CHW model– Conferences– Presentations– Workshops
• Working with local groups, such as– Chicago CHW Local Network– Health & Medicine Policy Research Group– Illinois Health Care Taskforce Working Group 3
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Outline
• Background– Sinai Urban Health Institute– Community Health Worker (CHW)
Research and Evaluation Project
• Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings
• Concluding remarks
Summary
• CHWs play a role in reducing health disparities
• Hiring CHWs strengthens communities by providing jobs
• CHWs are a community resource• CHWs must be a part of the process
and are integral to the conversation
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Reports available at and by mail:www.suhichicago.org
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Questions
Jamie Campbell, MPHPhone: 773-257-5977
Melissa Gutierrez Kapheim, [email protected]