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302359
Employing Community Health Workers on Health Delivery Teams - Lessons from Four Leading Programs
Monday, November 17, 2014
: 10:30 AM - 12:00 PM
Emily Wang, MD, MAS
,
Department of Medicine, Yale University School of Medicine, New Haven, CT
Shira Shavit, MD
,
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA
Sonya S. Shin, MD, MPH
,
Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA
Heidi Behforouz, MD
,
Division of Global Health Equity, Brigham and Women's Hospital/Harvard Medical School, Boston, MA
Naomi Cottoms, MA
,
Tri County Rural Health Network, Helena West Helena, AR
Community Health Workers (CHWs) bring immense value to healthcare teams as they both engage and accompany the most vulnerable patients and bring the community voice to teams - improving the team’s capacity to engage and successfully intervene to achieve the triple aim of improved care experience and health at reduced costs. We propose a panel discussion to present four models for CHW integration onto healthcare teams for the care of the most vulnerable patients in the US - formerly incarcerated individuals (Transitions Clinic Network - www.transitionsclinic.org), chronically-ill citizens of Navajo Nation (COPE Project - http://www.pih.org/country/navajo-nation/about), high-risk HIV patients in cities (PACT Project - http://www.pih.org/country/usa/about), and residents of the Arkansas Mississippi delta region (Tricounty Rural Health Network). For example, Tricounty uses Community Connectors (CHWs) to identify high-risk patients living in 15 Arkansas delta counties and connect them to primary care and community-based resources to keep them out of long-term care with millions in savings to Medicaid. Naomi Cottoms, Tricounty’s first Community Connector, and now executive director, will be a panelist. Each organization will present how they use CHWs in innovative ways to achieve improved care and reduced costs and describe the challenges faced and value derived in integrating CHWs on healthcare delivery teams. We believe the breadth in which CHWs are used in the care management of complex patients by these organizations and the focus of these organizations on achieving sustainability in the setting of health reform will be of particular relevance to the CHW section and the broader policy audience.
Learning Areas:
Chronic disease management and prevention
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Learning Objectives:
Describe how four leading programs employ CHWs to achieve the triple aim of improved health and experience of care at reduced costs
Identify the challenges faced by these organizations in integrating CHWs on healthcare delivery teams.
Describe the value of CHWs to these health delivery teams and future ways CHWs will be used to achieve the triple aim.
Keyword(s): Community Health Workers and Promoters, Health Care Delivery
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am the co-founder of the Transitions Clinic Network, a CHW-integrated care management organization that focuses on the care of formerly incarcerated individuals and the former Director of Research and Development at Prevention and Access to Care and Treatment (PACT), a domestic program of Partners in Health. I have expertise in community-based complex care management approaches nationally and will moderate this session, which will feature leaders from 4 leading CHW-integrated care management organizations.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
