Sponsored By W. K. Kellogg Foundation

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Sponsored By W. K. Kellogg Foundation

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Community Health Workers What Are They?

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Community Health Workers A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and has an unusually close understanding of the community served.

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Community Health Workers Are Known By Many Titles Community Health Advocates Community Health Educators Outreach Workers Community Health Advisors Lay Health Advocates “Promotores (as)” Outreach Educators Community Health Representatives Peer Health Promoters Mental Health Aides Navigators Peer Health Educators

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What do CHWs do? Outreach, community mobilization and advocacy Community/cultural liaison Home based services and social support Health promotion, prevention and education Navigates health systems HealthCare Team member

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Clinic-Community Linkages ROLES OF CHWs COMMUNITY Point person for community resources Provides social support Flexibility of “office” – may be in the community Home visitor CLINICAL Serves as a liaison between the patient and various resources Reinforces educational messages given to the patient by the healthcare team Operates as a member of the healthcare team Flexibility in location of “office” – may have a base at a clinic.

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Improving Quality of Care IMPACT ON CARE Clinical Fewer visits for same complaint Patient compliance with clinical instructions Improves health outcomes Empowers patient Improves quality of care Community Healthier communities Healthcare costs lowered Increased access to care

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Where Do CHWs Work? CHWs provide services in a number of settings including community clients’ homes, faith-based organizations, their employers or sponsoring agencies, community health centers,non-profit organizations, public health clinics and private clinics, public housing organizations, hospitals and other settings.

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CHWs receive training to help them understand their roles as members of the health or social service teams. CHWs have eight core competencies on which they must train and become knowledgeable. These assure mastery of knowledge and skill, provides a holistic approach to meeting community health needs, links learning to employment opportunities and meets certification requirements. What Training Do CHWs Have?

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Community Health Workers are currently being used to build capacity to reduce health disparities. In Mississippi, they are being used to address direct care, prevention, and intervention CHWs in Mississippi

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CHWs in Mississippi CHWs work at the community level in both rural and urban communities to help health and social service agencies address issues such as diabetes, child health, high blood pressure, nutrition, tobacco control, lack of access to healthcare and health education, and health disparities through health education and health promotion activities.

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The majority of CHW services in MS are currently not eligible for reimbursement. However, CHW services are reimbursed for a small percent of agencies such as SCHIP, Medicaid, Medicare, and private health insurance.

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National support & movement towards CHW recognition The Patient Protection and Affordable Care Act of 2010 (PPACA) cites CHWs in three sections — §5101, §5313, and §5403 — and identifies them as an important part of the health care workforce.

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Mississippi Organizations Use of CHWs 78% are nongovernment organizations 75% utilize a combination of paid and volunteer CHWs 38% of CHWs work in programs supported by HRSA Nearly 30% of the organizations fund their CHWs using a mix of federal, state, local and private sources. 1 in 3 organizations view CHWs as a viable part of the work force.

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National Support & Movement Towards CHW Recognition Association of State and Territorial Health Officials 2012 CDC Division for Heart Disease and Stroke Prevention 2011 National Prevention Council 2011 HHS Action Plan to Reduce Racial and Ethnic Health Disparities 2011 American Association of Diabetes Educators 2010 Bureau of Labor Statistics 2010 HHS National HealthAction Plan to ImproveHealth Literacy 2010 Agency for Healthcare Research & Quality 2009 American Public Health Association 2009, 2001 National Conference of State Legislatures 2008 National Fund for Medical Education 2006 Institute of Medicine 2003 American Medical Association 2002

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For More Information on Community Health Workers Tougaloo College Central Mississippi Area Health Education Center 350 W. Woodrow Wilson Drive, Suite 3320 Jackson, MS 39213 Phone: (601) 987-9463 Website: www.tougaloo.edu/administration/health-and-wellness/central-mississippi-area-health-education-center or http://tinyurl.com/wearechws Facebook: www.facebook.com/tougaloohealth Twitter: www.twitter.com/tougaloohealth