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5520 Park Avenue, Suite 109, Trumbull, CT 06611 Community Health Workers in Connecticut “What CHWs Say” “What Employers Say”

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Page 1: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

5520 Park Avenue, Suite 109, Trumbull, CT

06611

Community Health Workers

in Connecticut

“What CHWs Say”

“What Employers Say”

Page 2: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Process

Identified Data Needed

CT-RI Public Health Training Center

Intern from Yale School of Public Health

Yale Community Health Practicum students

Two surveys, designed and implemented and

analyzed

CHWs - 43

Employers - 97

Page 3: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Demographics of CHWs (%)

(N=43)

Page 4: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHW Educational Attainment (%) (N=43)

Page 5: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHW Salaries, Full-Time Employees (%)

(N=38)

Page 6: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHW Job Satisfaction & Security (N=43)

92.5% are satisfied with their job

47.5% did not feel secure in Job

Lack of stable funding (55.8%)

Lack of understanding of CHW’s

contributions to community (46.5%)

Lack of training resources (41.9%)

Lack of standard definition of who CHW’s

are (37.2%)

Page 7: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Activities of CHWs in CT (%)

Page 8: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Job Titles

Case manager

Outreach specialist

Community health

representative

Community care

coordinator

Outreach worker*

Community health

educator

Patient navigator

Community health

worker*

Community worker

Promotora de salud

*represent titles that were most frequently selected by

respondents

Page 9: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Skills Required for Employment

Communication 96.9%

Interpersonal 90.6%

Confidentiality 75%

Knowledge of

Community 75%

Organizational 68.8%

Bilingual 65.6%

Advocacy 62.5%

Knowledge Base of

Health 59.4%

Coordination 56.3%

Teaching 40.6%

Capacity Building

31.3%

Other 15.6%

No Skills Required

0%

Page 10: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Training and Support

Willing to Provide Financial Assistance for CHW

Training (%) (N=31)

Page 11: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHW’s Perspective on Training

75% felt they were well-

trained for my job as a CHW

25% did not feel well-

prepared

All but one indicated they

would benefit from more

training.

Page 12: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHW’s Perspective

“I feel there should be a standard

training program in place for new

CHWs and a yearly training

refresher and update . . .”

Page 13: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Who Employs CHWs?

Page 14: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Financing of CHWs

Numerous job titles/roles serves as an

obstacle for recognition as a professional

workforce

Sustainable financing for CHW positions is a

nation-wide challenge

Many paid through grants targeting specific

diseases or conditions.

Many studies not showing ROI –

Opportunities with Innovation Grants –

State Innovation Model Design Grant – CT

Page 15: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

IN THEIR OWN WORDS

It’s the best job you can

have if you enjoy helping

individuals regardless of

their background. This

position is very rewarding.

Page 16: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

What ‘s Happening for CHW’s in

CT? CHW Task Force

Definition and Scope of Work/Roles

Workgroup

Training Workgroup

Business Case

Sign up sheet at Registration Desk

Community Health Worker Association of CT

– Born in 2013

Page 17: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

CHWs in CT

OPPORTUNITIES! – SIM Model Design Grant

Educating, Justifying, Data – Recognition

Developing the Workforce

Vision

Innovation

TBD

LET’S DO IT!

Page 18: Community Health Workers in Connecticut · Community Health Workers in Connecticut ... Community care coordinator ... Definition and Scope of Work/Roles Workgroup

Special Thanks to:

Brigette Davis, Jennifer Alvisurez,

Benjamin Clopper, Charles Felix, Crystal

Gibson, and Jasmin Harpe (students at

the Yale School of Public Health)