2015 APHA Annual Meeting & Expo

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

338583
Community Health Worker Interventions: Positive Outcome Measurements in Healthcare and Social Determinants of Health


Tuesday, November 3, 2015 : 12:30 p.m. - 1:00 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
     
Audio (mp3) recording Recorded Presentation (mp4)
Background: Community Health Workers (CHWs) bridge the gap between social determinants of health and medical access especially for underserved population.  CHWs are integral to accomplish the goals of the Triple Aim and health equity.  Several CHW interventions show positive outcomes for overall health.  As trusted members of the community, CHWs are highly effective health workers who engage, educate, and advocate for and with marginalized individuals to realize health equity.  It is imperative to include this workforce within the public health and medical sector through the implementation of advanced payment for CHW sustainability.

Objectives:Collect secondary research about CHW social determinants of health and healthcare interventions, and make recommendations to payers to establish payment models.

Methods: CHW social determinants of health and healthcare 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 payers in New England to promote the community health workforce.

Results:   Findings of CHW interventions will be presented to public and private payers in New England in order to recommend recognition and sustainability of the workforce.  Payers will give feedback about payment for CHWs within population health and healthcare.

Conclusions:  Collaboration with public health and healthcare stakeholders will identify CHW social determinants of health and healthcare interventions in New England.   Recommendations to sustain and recognize CHW work in overall health will be given to policy-makers and payers.  Discussion will continue about the importance of CHWs work for positive outcomes and cost-savings in the healthcare system, and how CHWs fit well into healthcare reform programs and help to achieve positive outcomes for payers/providers to better receive advanced payment.

Learning Areas:

Public health or related laws, regulations, standards, or 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 and healthcare. Assess the return of investment of CHW workforce in population health and healthcare interventions. Evaluate how CHW interventions in community outreach programs and healthcare reform settings can improve overall health. Compare information needed to integrate CHWs in health in all policy and funding to establish sustainability of the workforce. Discuss future action steps for recognizing and executing CHW work within population health and healthcare to achieve health equity and the Triple Aim.

Keyword(s): Community Health Workers and Promoters, Health Disparities/Inequities

Presenting author's disclosure statement:

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

Back to: 4206.0: Sustainability of the Community Health Worker Workforce: Achieving Health Equity and the Triple Aim through Legislation and Advanced Payment Models