Online Program

Community Health Worker Social Determinants of Health Interventions: Sustainability within Health in All Policies and the Payer Sector

Wednesday, November 4, 2015 : 1:30 p.m. - 1:50 p.m.

Rumana Rabbani, MHA 2017 Candidate, Dept. of Health Policy & Management, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC
Dannie Ritchie, MD, MPH, Center for Primary Care and Prevention, Brown University, Providence, RI
Background: Health System's integration of Community Health Workers (CHWs) to address social determinants of health for underserved population to accomplish the goals of the Triple Aim should be executed.  Several CHW interventions show positive outcomes for overall health.  As trusted members of the community, CHWs are highly effective public health workers to engage, educate, and advocate for and with marginalized individuals to realize health equity.  It is imperative to include this workforce within health in all policies and implement advanced payment for CHW sustainability.

Objectives:Collect feedback from New England public health programs about CHW social determinants of health interventions, and make recommendations to payers to establish payment mechanisms and to policy officials within health legislation.

Methods: CHW social determinants of health interventions in New England will be reviewed based on environmental scans.   Secondary research will be conducted to find CHW interventions that show return-of-investment. Interventions will be shown to policy-makers in New England for the recommendation of community health workers.

Results:  CHW interventions in population health will be identified.  Findings of interventions will be presented to payers and health policy-makers in New England in order to recommend recognition and sustainability of the workforce. 

Conclusions:  Collaboration with health stakeholders will help identify CHW social determinants of health interventions in community outreach programs and public health programs in New England.   Recommendations to sustain and recognize CHW work in population health will be given to policy-makers and payers.   Implementation of the CHW public health workforce will be discussed to help achieve health equity.

Learning Areas:

Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Describe different CHW interventions in New England that show positive outcomes for the social determinants of health. Assess the return of investment of CHW workforce in population health interventions. Evaluate how CHW interventions in community outreach programs and public health can improve overall health. Compare information needed to implement CHWs in health policy and funding to establish sustainability within the workforce. Discuss future action steps for recognizing and executing CHW work within population health to achieve health equity.

Keyword(s): Health Promotion and Education, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: have been working on healthcare consulting projects involving the implementation of ACA reforms, and as a Research Assistant on Medicaid health policies. I have also been working with Community Health Workers (CHWs), healthcare/public health stakeholders, and policy officials from organizations such as NE Regional Health Equity Council,Southwestern Area Health Education Center,and CHW section of APHA to address the issues of health equity and CHW sustainability.I have conducted previous Community-Based-Preparatory Research about CHW sustainability and funding.
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.