chw scope of practice & statewide curriculum. overview of chw core role and scope of practice ...
TRANSCRIPT
Overview of CHW core role and scope of practice
Review of MN CHW certificate curriculum
Overview of how CHWs reduce health inequities
Review the Triple Aim and CHWs
Presentation Outline
Community Health Workers (CHWs) come from the communities they serve, building trust and vital relationships. This trusting relationship enables the CHWs to be effective links between their own communities and systems of care. This crucial relationship significantly lowers health disparities in Minnesota because CHWs: provide access to services, improve the quality and cultural competence of care, create an effective system of chronic disease management, and increase the health knowledge and self sufficiency of underserved populations.
CHW Core Role- MN Alliance Definition
Critical Links: Community Health Workers DVD produced by the Blue Cross and Blue Shield of
Minnesota Foundation
Available to be viewed on YouTube
CHW Core Role - DVD
Role 1: Bridge the gap between communities and the health and social service systems.
Role 2: Navigate the health and human services system
Role 3: Advocate for individual and community needs
Role 4: Provide direct services. Role 5: Build individual and community
capacity.
CHW Core Role – Scope of Practice
In 2009, the U.S. Department of Labor announced a Standard Occupational Classification for CHWs.
The umbrella term "community health worker" refers to individuals alternately known as outreach worker, Community Health Representative, promotor (a) de salud, and patient navigator.
CHW Core Role
Pilot of CHW curriculum began in 2005 with an 11 credit certificate program
Curriculum was updated in 2010 to a 14 credits Curriculum is a model program in U.S. Curriculum is offered free to higher education
institutions in MN Credits provide educational pathway
MN CHW Curriculum
Core Competencies Role, Advocacy, and Outreach (2 cr) Organization and Resources (2 cr) Legal and Ethical Responsibilities (1 cr) Coordination, Documentation and Reporting (1 cr) Teaching and Building Capacity (2 cr) Communication and Cultural Competence (2 cr)
Health Promotion Competencies (3 cr) Student Field Internship (2 cr)
MN CHW Curriculum
Role, Advocacy, and Outreach
This course focuses on the CHW’s personal safety, self care and personal wellness and on the promotion of health and disease prevention for clients.
CHW Curriculum
Organization and Resources: Community and Personal Strategies
This course focuses on the CHW’s knowledge of the community and the ability to prioritize and organizework. Emphasis is on the use of and critical analysis of resources and on problem solving.
CHW Curriculum
Teaching and Capacity Building
This course focuses on the CHW’s role in teaching and increasing the capacity of the community and of theclient to access the health care system. Emphasis is on establishing healthy lifestyles and clients developing agreements to take responsibility for achieving health goals. Students learn about and practice methods for planning, developing and implementing plans with clients to promote wellness.
CHW Curriculum
Legal and Ethical Responsibilities
This course focuses on the legal and ethical dimensions of the CHWs’ role. Included are boundaries of theCHW position, agency policies, confidentiality, liability, mandatory reporting and cultural issues that caninfluence legal and ethical responsibilities.
CHW Curriculum
Coordination, Documentation and Reporting
This course focuses on the importance and ability of the CHW to gather, document and report on client visitsand other activities. The emphasis is on appropriate, accurate and clear documentation with consideration oflegal and agency requirements.
CHW Curriculum
Communication and Cultural CompetenceThis course focuses on the context and skills in communication to assist the CHW in effectively interacting with clients of diverse backgrounds, their families and a range of healthcare providers. Students learn about communicating verbally and non-verbally, listening and interviewing, networking, building trust and working in teams. Students practice communication skills in the context of a community’s culture and the cultural implications that can affect client communication.
CHW Curriculum
Healthy Lifestyles This course focuses on the knowledge and skills a CHW needs to assist clients in realizing healthy eatingpatterns, controlling their weight, integrating exercise into their lives, taking their medications, talking withtheir doctors, controlling substances such as tobacco, managing stress, achieving life balance, and attainingpersonal and family wellness.
CHW Curriculum
Health Promotion Competencies◦Healthy Lifestyles◦Heart Disease and Stroke◦Maternal/Child/Teen◦Diabetes◦Cancer◦Oral Health◦Mental Health
CHW Curriculum
Internship
Students work in selected agencies to fully apply and integrate what they have learned to ensure an effective transition into the CHW role.
CHW Curriculum
Mapping of community
CHW Curriculum- Example
NEIGHBORHOOD FEATURES POTENTIAL HEALTH IMPACTS
Example: Living near a freeway or road with lots of truck traffic
Asthma from diesel pollution; noise disturbs sleep
Plenty of parks
Lots of fast food restaurants
Minneapolis Community and Technical College: F2F Normandale Community College: F2F (new 2014) Northwest Technical College: online hybrid Rochester Community and Technical College: F2F St. Catherine University: hybrid South Central College: completely online Summit Academy OIC: F2F
Schools offering the CHW Certificate
Better Care Better Health Lower Cost
Economic analysis published by Wilder Research Center in June 2012 found that every dollar investedin CHW cancer outreach and prevention saves society $2.30. (Cleary, 2012)
Triple Aim:
African American – diabetes, hypertension Latina – prenatal Native American – diabetes Native American –colorectal screening WISEWOMAN Program
(CDC, 2014)
Health Inequities
Centers for Disease Control and Prevention. (2014). How the Centers for Disease Control and Prevention (CDC) supports community health workers in chronic disease prevention and health promotion. Retrieved from http://www.cdc.gov/dhdsp/programs/spha/docs/chw_summary.pdf
Cleary, J. (2012). Community health workers: Bridging barriers to care. Minnesota Health Care News. 10(11). Retrieved from http://s472440476.onlinehome.us/wpcontent/uploads/2012/12/HealthCareNews.pdf
Sabo, S., Ingram, M., Reinschmidt, K. M., Schachter, K., Jacobs, L., de Zapien, J. G., . . . Carvajal, S. (2013). Predictors and a Framework for Fostering Community Advocacy as a Community Health Worker Core Function to Eliminate Health Disparities. American Journal of Public Health, 103(7), e67-e73.
References