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In this discussion you will learn What a Traditional Health Worker - PowerPoint PPT Presentation

In this discussion you will learn What a Traditional Health Worker is The role of the Traditional Health Worker (THW) Liaison PacificS ource/ Trilliums THW Integration and Utilization Plans PacificS ource/ Trilliums THW


  1. In this discussion you will learn…  What a Traditional Health Worker is  The role of the Traditional Health Worker (THW) Liaison  PacificS ource/ Trillium’s THW Integration and Utilization Plans  PacificS ource/ Trillium’s THW collaborations  THW Liaisons’ contact information

  2. What is a Traditional Heath Worker?  Traditional Health Workers have been working in their communities all over the world for centuries.  To be recognized as a valued part of the health system and be eligible to bill Medicaid, in 2011 the Oregon legislature passed HB 3650.This bill created the structure that allows THWs to become certified through the Oregon Health Authority.  There are 7 different types of THWs:  Community Health Worker  Peer Support Specialist  Family Support Specialist  Youth Support Specialist  Peer Wellness Specialist  Personal Health Navigator  Doula  The THW model provides culturally responsive, trauma informed, and high quality care to underserved populations. They are part of PS’s health equity strategy and work to address social determinants of health, an essential part of CCO 2.0.

  3. What is the THW Liaison’s role?  S upport and expand the THW workforce, including educating and supporting THWs on the contracting and reimbursement process  Coordinate THW trainings opportunities and recruit participants with lived experience and who are trusted members of the community they serve  Educate clinical providers, community based organizations, and health systems on THW integration best practice  Increase member access to THWs  Inform PS ’s Trillium’s THW Payment Methodology Workgroup to support building alternative payment models that provide livable wages for THWs  Collaborate with the OHA ’s THW Commission and THW workforce associations to learn and listen about workforce needs

  4. PS ’s THW Integration and Utilization Plan THW Utilization  Offer technical assistance on THW integration in community base and clinical settings  Liaise with PS ’s Provider Network staff and the THW workforce during contract conversations  Educate internal departments about THWs, including case management Community Engagement  Connect THW organizations with PS ’s regional Health Council’s  Present about THWs at community-facing meetings Member Communication  Ensure PS promotional materials such as the website, newsletters, member handbook, etc have information on how to access THW services OHA Reporting  Create PS ’s THW Payment Methodology that sustains THW services in both community based and clinical settings  S ubmit t o OHA November 2020  Collect THW utilization and THW workforce data from community based and clinic settings  S ubmit t o OHA Q3 2021 Implement Best/ Promising Practices  Collect and distribute THW related research  Educate providers on THW scopes of practice

  5. Trillium’s THW Integration and Utilization  Integrate THWs into the delivery of services  Educating providers on best use of THWs (internal staff and with providers presentations)  Educating boards and community collaborations on THW utilization  Work on newsletters articles  Promote fliers about THWs  Reach out and host member education session  Reporting Requirements by OHA  Organizations reporting tools  THWs self-reporting tools  Payment Model Grid due November 2020 & Integration and Utilization Plan due 2021  Implement OHA ’s OEI THW Commission best practice  Collaborate to expand the use of CHWs in low income housing and shelter  Collaborate to expand the use of Doulas as participating providers and non-participating providers  Exploring alternative payment methods and connecting THWs to billing and supervision hubs as needed  THW Liaison involvement  Engaged in the work of: CHP , CHA, OHA regional outreach, payment model sub-committee, local and national S DoH collaborations, flexible funds resource connection, and Diversity and Health Equity work.  Connect members to internal CHWs at Trillium and to THWs in the community

  6. Work we are doing together  Collaborating on…  S uccessfully completed Part -1 of Community Health Work Train-the-Trainer Training. In discussions with Oregon Community Health Worker Association (ORCHWA) and the new trainers to develop next steps to bring additional CHW trainings to our community.  Collaborating with the Oregon Doula Association to provide statewide Doula training that also engages local Doulas.  Coordinating with ORCHWA to bring a CHW S upervisor training to Lane County  Discussing general THW workforce strategies and advocacy  Mutually engaged with…  PS / Trillium Community Advisory Council (CAC)  Healthcare Integration Collaboration (HIC)  OHA ’s THW Commission’s Payment Model S up-Committee  PS / Trillium’s Rural Advisory Council (RAC)  Monthly state-wide meeting with THW Liaisons from a variety of CCOs  Bi-weekly ORHCWA Policy and Advocacy Committee

  7. Contact information Iris Bicksler, THW Liaison @ PacificS ource Community S olutions Iris.Bicksler@ pacificsource.com Massarra Eiwaz-Ransom, THW Liaison @ Trillium Community Health Plan Massarra.EiwazRansom@ TrilliumCHP .com

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