Online Program

Community based Community Health Workers: A Co-Supervisory Model building shared capacities, resources and service integration

Tuesday, November 3, 2015

Jean Gunderson, DNP, RN, Mayo Clinic Employee and Community Health, Rochester, MN
Tara Nelson, Intercultural Mutual Assistance Association, Rochester, MN
Onelis Quirindongo-Cedeno, M.D., Deparment of Medicine-Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN

Nonmedical determinants of health and community health contexts require fundamental adaptations in transdisciplinary practices, primary care infrastructure, and community based organizational capacities. Over the last two years Mayo Clinic Employee Community Health and the Intercultural Mutual Association have been working in partnership to address the needs of more than 300 children and adults with complex medical conditions in Olmsted County, Minnesota.

This presentation describes a community based Co-Supervisory Community Health Worker (CHW) Model, created by a certified Health Care Home and a community based non-profit organization. Patient-centered team based care integrating CHWs within service delivery and co-supervisory capacities will be discussed.  An overview of the referral and reporting pathways for direct and non-visit patient care coordination supports will be described.  Process outputs applied in CHW home visits, early intervention, and the care of complex medical conditions, provided the contexts informing best practices.

The review of co-developed lead CHW reporting and tracking tools, the collection of transdisciplinary team building skills, cultural narratives depicting significant patient experiences, and co-supervisory best practices, will be presented in partnership with a lead CHW. 

Co-Supervisory community based CHW services are the critical link in aligning primary care infrastructure with patient/family constructs, community based resources, and organizational capacities promoting health equity and whole person care.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe a Community Based Co-Supervisory CHW Model aligning primary care with an Intercultural Mutual Assistance Association. Examine lead CHW reporting and tracking tools utilized in patient centered care. Design primary care infrastructure integrating CHW home visits. Identify strategies that develop trans-disciplinary team based care incorporating CHWs.

Keyword(s): Community Health Workers and Promoters, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Community Engagement Coordinator within Mayo Clinic Employee and Community Health, Rochester, Minnesota. My doctoral degree emphasis is in advanced practice Transcultural Community Health Nursing. I have spent many years addressing Community Health Worker capacities and serves on the MN CHW Alliance and the MN CHW Supervisory Roundtable. Transcultural Care Models promoting health equity and holistic health and healing remain at the heart of my practice.
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.