Improving Care in the Community: How to Effectively Deploy Community - - PowerPoint PPT Presentation

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

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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

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Overview of PCORI’s CHW Portfolio

• Aggregate view of PCORI’s CHW projects
• Conditions, populations, functions

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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.

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PCORI Portfolio: What are CHWs Called?

• Community Health Worker
• Peer Health Worker
• Patient or Peer Navigator
• Health Coach
• Community Health Representative

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… r s c h s s s y e h c e n e e r i r t s t l e u s l l s

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a d n a a j e b i n e e t C a e e r s a i H

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C r t / R e u v i i / l r d a i e N e t t r t N u l c C a n p u M e i d t l

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31

Categories Not Mutually Exclusive

30 25 20 14 14 13 9 6 6 5 5 5 10 15 20 Number of Projects M u R e p r

PCORI Portfolio: Health Conditions

PCORI Portfolio: Populations included

70 60 64

Categories Not Mutually Exclusive

50 43 40 30 20 10 22 13 12

Racial/Ethnic Minorities Low-Income Low Literacy/Numeracy Rural Older Adults

Number of Projects

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Number of Projects 20 15 10 5 2016 2017 2018 2019 Year 2020 2021 2022 25

When are Projects Finishing?

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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

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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

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Learn More

• www.pcori.org
• info@pcori.org
• #PCORI2018

Thank You!

Cathy Gurgol

Senior Program Officer November 1, 2018

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