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Promoting policy and systems change to expand employment of Community Health Workers CHWs

Series outline

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Promoting policy and systems change to expand employment of Community Health Workers CHWs

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    1. Introducing a proposed webinar series sponsored by the Centers for Disease Control and Prevention, Heart Disease and Stroke Prevention Program Principal author: Carl H. Rush, MRP Community Resources, LLC San Antonio, Texas Promoting policy and systems change to expand employment of Community Health Workers (CHWs)

    2. Series outline – Sessions Definitions: CHW roles and scope of practice Current issues within the CHW field Arenas of change: workforce development Arenas of change: occupational regulation Arenas of change: Sustainable financing of ongoing CHW services Standards for research and evaluation Achieving policy and systems change: learning from MA and MN examples

    3. Purpose and format PURPOSE: Equip interested State leaders with common background knowledge (“getting on the same page”) and tools to pursue increased utilization of CHWs FORMAT: online PowerPoint slide shows with streaming audio narration Possible ongoing exchange for sharing ideas, experiences and resources: blog? conference calls? Tied to formal process evaluation

    4. Why the current interest in CHWs? Diversity of population and need for cultural competence Aging and growing prevalence of chronic diseases Growing complexity of health care services Recognition of importance of social and behavioral determinants Commitment to reducing health inequities Cost pressures on system Shortages of clinical personnel limiting time per patient

    5. Definition of CHW: American Public Health Association …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.

    6. CHW roles, functions Cultural mediation between communities and health and human services system Providing culturally appropriate health education and information Assuring people get the services they need Informal counseling and social support Advocating for individual and community needs Providing direct services [mainly in remote areas] and meeting basic needs Building individual and community capacity National Community Health Advisor Study, 1998 (http://bit.ly/dbKqgD)

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