Community Health Worker Core Consensus (C3) Project: Addressing health

Community Health Worker Core Consensus (C3) Project: Addressing health equity LEX HURLEY, Student, MPH Program, Texas Tech University Health Sciences Center CARL RUSH, Project on CHW Policy & Practice, University of Texas Institute for Health Policy JULIE ST. JOHN, DrPh, MA, CHWI, Associate Chair, MPH Program Abilene, GSBS, TTUHSC

Funding Disclosures Phase 2 of the C3 Project has been funded by Sanofi-US to the Paul L. Foster School of Medicine at Texas Tech Health Sciences Center El Paso This Project has been designated as “Exempt” by the TTUHSC Institutional Review Board for the protection of human subjects (FWA # 00020736 EL PASO IRB #00009945) 10-24-16 PI: Dr. E. Lee. Rosenthal, Co-PI: Dr. Julie St. John

The C3 Project Team Project Director L. Rosenthal Coordinating Organizations: Texas Tech University Health Sciences Center El Paso – lead UT Project on CHW Policy & Practice Mesa Public Health Associates Community Resources, LLC Supported by Sanofi-US Project Directors Team Outre ach Settin gs* Asses sment ** Carl Rush Lee Rosenth al (clinical) Caitli n Allen Durr ell Fox Julie St. John (comm unity) Nell Brown stein Lisa Renee Fox (Advisor liaison) Jorge Ibarr a Admin/IRB Team B. Sanchez & J. Ibarra & C. Palmer Students: *Colton Palmer *Lex Hurley **Maria Cole

Welcome! Introduction Origins of the C3 Project Early Work Current Work Future Work Goals of the C3 Project & Future Directions

C3 Project Purpose Develop national consensus around “contemporary” recommendations for: CHW Core Roles (Scope of Practice) CHW Core Skills affirm existing knowledge about CHW Core Qualities

Why C3 Now? National Community Health Advisor Study (NCHAS, 1998) – has served CHW education programs & state standards Times have changed – CHWs working “inside” healthcare More states developing official role definitions & skill requirements Pressure to create national standards; agreement among states is not clear “What’s a good training program?”

C3 Project Timeline Precursor activity in 2013: analysis of 40 CHW training programs Fall 2014 - Spring 2015: Roles & Competencies Crosswalk against NCHAS baseline & review by Advisory Committee Summer 2015: CHW Networks Review & consensus building Spring 2016: release of 2015 recommendations

C3 Benchmark Documents cross-walked with NCHAS State Role (Scope of Practice) Training Standards (Curricula California California Health Workforce Alliance State Conference Study (2014) City College of San Francisco CHW Curriculum Massachusetts State Scope of Practice (2015) State Board of Certification Core Competencies Minnesota Minnesota Community Health Worker Alliance (2012) Standard State Curriculum Required for Medicaid New York New York State CHW Initiative Guidance to State (2011) New York State CHW Initiative Oregon State Traditional Health Worker Commission (2014) Scope of Practice Committee, State Traditional Health Worker Commission Texas State Definition of CHWs (2010) State Curriculum Standards IHS Community Health Indian Health Service Scope of Representatives Program Practice (2014) [postponed]

Roles Cultural Mediation Providing Culturally Appropriate Health Education & Information Care Coordination, Case Management, & System Navigation Providing Support Coaching & Social Advocating for Individuals & Building Individual & Community Capacity Providing Direct Service Implementing Individual & Community Assessments Conducting Outreach Participating Research in Evaluation &

Sub-Roles

Skills Communication Interpersonal & Relationship-Building Service Coordination & Navigation Capacity Building Advocacy Education & Facilitation Individual & Community Assessment Outreach Professional Skills & Conduct Evaluation & Research Knowledge Base

Current Work: Outreach Individualized follow-up with CHW networks to define Core concerns & areas of interest Network with other Stakeholders in addition to CHWs: Current/Potential Employers Medical Public Health Social Services Health Insurers State/Federal Policy Makers

Current Work: Settings The Community Health Worker Core Consensus Project Survey Core 2016 Sent to members & organizations identified in the Outreach Core Evaluate which Roles & Skills are needed for CHWs in Community-Based as compared to Clinical settings. Over 500 responses at survey’s close in December 2016.

Current Work: Assessment Core Creating recommendations to assess skill proficiency Challenge to create appropriate employee/participant assessment tools Capture state of the art in techniques Use of modified community-based participatory research approaches Includes Advisory Committee interviews & survey Interviews Results and Toolkit

Proposed CHW C3 Review Cycle

Future Direction of the C3 Project Medium Term: National consensus on & wide distribution of C3 Project recommendations on roles & competencies & their proposed use Recommendations for CHW roles in varied settings (communitybased vs. clinically-based) Recommendations on appropriate methods for assessment of CHW proficiency in core skills Long Term: Utilization & endorsement of C3 Project recommendations by local, state, & national organizations Strengthen CHW education, practice, & policies nationwide

How can C3 impact health equity? Health equity: study & causes of differences in quality of health & healthcare across different populations “Attainment of the highest level of health for ALL people.” (HP

Activity

Summary C3 is a national CHW project that continues to seek to build consensus among the CHW profession Given CHWs unique characteristics, there is great potential within the project findings for dissemination among populations served by CHWs—which often face the gravest health inequities

Questions?

Contact Information Download Join 2016 Report: c3report.chwsurvey.com mailing list: c3mailing.chwsurvey.com Send us an email: [email protected]

Thank You!