Christian Brown, BS1, Sonya S. Shin, MD, MPH2, Cameron Curley3, Olivia Muskett3, Shine Salt4, Amber Lalla5, Kathy Ray6, Mae-Gilene Begay, MSW7 and Adrianne Katrina Nelson, MPH, MSc1
(1)Community Outreach and Patient Empowerment Program, Gallup, NM, (2)Brigham and Women's Hospital, Boston, MA, (3)Community Outreach & Patient Empowerment Program, Gallup, NM, (4)Community Outreach and Patient Empowerment (COPE) Program, Gallup, NM, (5)University of Norte Dame, Gallup, NM, (6)Indian Health Service, St. Michael, AZ, (7)Navajo Nation Department of Health, Window Rock, AZ

Abstract:
background: The Navajo Nation Community Health Representatives (CHRs) provide home health care and education to community members. COPE, a community-based organization, seeks to improve coordination between clinical teams and CHRs. Clinic-community linkages are strengthened through provider-led trainings of CHRs on health topics, CHR utilization of patient education materials (flipcharts that have been developed with local provider input to reflect regional and national best practices), and development of care processes, such as referrals to CHRs and CHR access to Electronic Health Records (EHR). objective: Understand providers’ opinions about COPE and collaboration with Navajo CHRs. methods: Qualitative interviews were conducted with 13 healthcare providers from five of the eight service units. Three study staff used open-coding to create a codebook. Coded material was summarized and patterns were identified and tied into a narrative using concept mapping. results: Providers overwhelmingly supported CHRs’ access to EHR to record patient visits and streamline referrals. They were enthusiastic about COPE flipcharts mentioning they provided a consistent message to CHRs and community. Those that led COPE trainings with CHRs valued the face-to-face time and opportunity to build relationships. Among their requests were having designated clinic personnel to manage referrals with CHRs and a formal system to track CHR training on specific modules. conclusion: Providers participating in COPE trainings highly valued the work of CHRs and requested COPE help to further streamline relationship-building and communication, such as referrals and updates, with the CHRs. Future resources should be focused on making communication easy and pleasant between CHRs and providers.
Session 3006.0: Utilizing Health Communications and Technologies in American Indian and Alaska Native Communities (ID=52362)
Session Type:
Oral
Session Scheduled: Monday, November 6, 2017: 8:30 a.m. - 10:00 a.m.
Slot:
3006.0 - SCI: Monday, November 6, 2017: 8:30 a.m.-10:00 a.m.
Scheduled Time:
8:30 a.m.
Title:
Clinic community linkages: Provider perspectives in working with Community Health Representatives
Preferred Presentation Format:
OralOnly
Learning outcomes:
  • Name the different perspectives that the providers had on working with the COPE Program and the Navajo Community Health Representatives.
  • Explain how clinic-community linkages were strengthened between the providers and the community health representatives in the field.
  • Evaluate how the collaboration between the providers and the community health representatives can be strengthened in the future.
Target Audiences:
Providers interested in strengthening their work with Community Health Workers in a Tribal Setting
Keyword(s):
Community Health Workers and Promoters, Primary Care
Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Comments to Organizers:
N/A.
External Funding:
Research reported in this abstract was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (AD-1304-6566).
Author
Christian Brown, BS
Email: chris@COPEProject.org
Alternate Email: Brown.Christian.N@Gmail.com -- Will not be published
Community Outreach and Patient Empowerment Program
Brigham and Womens' Hospital
Research Assistant
Gallup NM
USA

Presenter
Presenter
Sonya S. Shin, MD, MPH
Email: sshin@partners.org
Alternate Email: Sonya@COPEProject.org -- Will not be published
Brigham and Women's Hospital
Division of Global Health Equity
Boston MA
USA

Any relevant financial relationships? No
Qualified on the content I am responsible for because: I am the PU on this project and have participated in study design, data collection plan and instruments and interpretation of study findings.
Signed on 08/07/2017 by Sonya Shin
Author
Cameron Curley
Email: cameron@copeproject.org
Community Outreach & Patient Empowerment Program
Technology/Data Manager
Gallup NM
USA

Author
Olivia Muskett
Email: olivia@copeproject.org
Community Outreach & Patient Empowerment Program
Community Outreach Specialist
Gallup NM
USA

Author
Shine Salt
Email: shine@copeproject.org
Community Outreach and Patient Empowerment (COPE) Program
Research
PCORI Intern
Gallup NM
USA

Author
Amber Lalla
Email: shine@copeproject.org
Alternate Email: shine@copeproject.org -- Will not be published
University of Norte Dame
MS Global Health Candidate
Gallup NM
USA

Author
Kathy Ray
Email: kathy.ray@ihs.gov
Indian Health Service
Navajo Area Indian Health Service
Navajo Area Clinical Applications Coordinator
St. Michael AZ
USA

Author
Mae-Gilene Begay, MSW
Email: Mae-Gilene.Begay@nndoh.org
Navajo Nation Department of Health
Navajo Community Health Representative/Outreach Program
Program Director
Window Rock AZ
USA

Any relevant financial relationships? No
Qualified on the content I am responsible for because: As director of the Navajo CHR/Outreach program, I am directly involved with the CHWs and how they are directly involved with increasing health literacy of their clients by working on improving and enhancing their knowledge and build their skills so that learning can be passed on to their clienteles. by working with the CHWs, were looking how best to build capacity of the CHWs.
Signed on 03/03/2017 by Mae-Gilene Begay
Author
Adrianne Katrina Nelson, MPH, MSc
Email: Katrina@COPEProject.org
Alternate Email: adrianne_nelson@hms.harvard.edu -- Will not be published
Community Outreach and Patient Empowerment Program
Research Manager
Gallup NM
USA