Improving Care in the Community: How to Effectively Deploy Community Health Workers Cathy Gurgol Senior Program Officer November 1, 2018 #PCORI2018
Cathy Gurgol • Has nothing to disclose. 2 • November 1, 2018
Who are CHWs? “A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery…” -American Public Health Association Definition 3 • November 1, 2018
Importance • Bridge between communities and health care system • Ability to understand barriers to care • Help to address social factors that affect health and health care access • CHWs can play a role in improving health systems to provide patient-centered care and reducing disparities • States have initiated programs to promote sustainability of CHWs 4 • November 1, 2018
Overview of PCORI’s CHW Portfolio • Aggregate view of PCORI’s CHW projects • Conditions, populations, functions 5 • November 1, 2018
PCORI’s CHW Research • As of October 2018, PCORI has funded 79 comparative effectiveness research studies that use community health workers in the intervention, an investment of nearly $300 million. 6 • November 1, 2018
PCORI Portfolio: What are CHWs Called? • Community Health Worker • Peer Health Worker • Patient or Peer Navigator • Health Coach • Community Health Representative 7 • November 1, 2018
PCORI Portfolio: Health Conditions 35 31 30 Categories Not Mutually Number of Projects Exclusive 25 20 20 14 14 13 15 9 10 6 6 5 5 5 0 … h s c s s r s e y h e n i e e r s r t t l e l s c u l o o s a a a a n d a j b e i n e e t e e a r s a i H o I H s s C i d / t D i s i e a n D l D l i a a M D m o y r t y r e C o a a l u r & a n n i c o l a v c c d i t i r a n l u i r i a T a g K e h s o n r o P a e r i o p l h v / B o i s e o C t r / e u v i i l / r R d a i e e t t r t u c l N a n p u N C e i d t M l o u r M p e R 8 • November 1, 2018
PCORI Portfolio: Populations included 70 Categories Not Mutually 64 Exclusive 60 Number of Projects 50 43 40 30 22 20 13 12 10 0 Racial/Ethnic Low-Income Low Rural Older Adults Minorities Literacy/Numeracy 9 • November 1, 2018
When are Projects Finishing? 25 20 Number of Projects 15 10 5 0 2016 2017 2018 2019 2020 2021 2022 Year 10 • November 1, 2018
PCORI Portfolio: CHW Functions • Providing social support – e.g., sharing information to increase patients’ health awareness, providing feedback/advice • Assisting in adopting health behaviors – e.g., developing plan, teaching or modeling skills • Leveraging cultural congruence – e.g., facilitating trusting relationships, language/health literacy support • Providing direct services – e.g., conducting health screening, assisting with medication adherence • Navigating the health system – e.g., making referrals, enrolling patients into programs 11 • November 1, 2018
Panel Introduction • Brad Kramer, MPA , Asthma Program Manager, Public Health Seattle & King County, Washington • Maria Rodriguez, CHW • Nadirah Rogers, CHW • Judith Long, MD , Sol Katz Professor of Medicine, University of Pennsylvania Perelman School of Medicine • Sinsi Hernandez-Cancio, JD , Director of Health Equity, Families USA • Andrea Gelzer, MD, MS , Senior Vice President and Corporate Chief Medical Officer, AmeriHealth Caritas 12 • November 1, 2018
Learn More • www.pcori.org • info@pcori.org • #PCORI2018 13 • November 1, 2018
Thank You! Cathy Gurgol Senior Program Officer November 1, 2018 14 • November 1, 2018
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