[PPT] - Please use the following citation when referencing this PowerPoint Presentation

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Colorado Community Health Worker and Patient Navigator Collaborative-Regionalization Subcommittee and the Colorado School of Public Health. “Colorado Community Health Worker and Patient Navigator Statewide Survey”. Conference Presentation, Public Health in the Rockies, September, 2013.

Please use the following citation when referencing this information/data:

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Community Health Worker/Patient Navigator Collaborative: Overview and Future Directions

Chris Armijo The Colorado Trust Colorado Public Health Association September 20, 2013

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+ PN and CHW Evidence

Sufficient Evidence Some Evidence Source: Colorado Patient Navigator Training Program

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Overview of Community Health Worker/Patient Navigator Workgroup

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+ Goals of CHW/PN Workgroup

 Identify and agree upon roles and competencies of patient

navigators (PNs) and community health workers (CHWs).

 Identify and develop training pathways for PNs and CHWs

in Colorado.

 Collaborate to create sustainable funding for patient

navigators and community health workers.

 Develop policy solutions that align patient

navigation/community health worker/promotor groups around the state into a more structured body in order to engage in the above work.

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“Coming together is a beginning. Keeping together is progress. Working together is success.”

Henry Ford

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+ CHW/PN Language and Terms

 Little emphasis on profession

“identity”

 Mainly focus on roles and

competencies

 Stressing sustainability and

reimbursement as a key

utcome

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Currently over 100 members
Represent a number of health fields and roles in health
Geographically diverse
Represent a variety of different perspectives

Overview of CHW/PN Workgroup

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+ CHW/PN Subcommittees

Definitions Regionalization Competencies

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Stage 1

Competencies Regionalization Definition

Professionalization Credentialing Training Curricula Financing and Reimbursement Certification Coordinatio n of Resources and Services

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Regionalization Subcommittee

Andrea Dwyer-Chair Regionalization Subcommittee

University of Colorado Cancer Center Colorado School of Public Health

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Background

As Workgroup/Collaborative formed-clear that CO is rich in CHW/PN resources. While advancing the field and examining definitions and competencies, good to think about linkage of people and resources throughout CO. Nearly 15-20 people attend each meeting –statewide representation

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Statewide

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Regions

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Regionalization Committee Spearheaded Statewide Survey

1) learn about who, what and where: services, research, training and policy are delivered/underway in Colorado and

2) utilize information to create a directory/resource

guide for Colorado constituents and colleagues

3) Statewide forum for Patient Navigation and

Community Health Work

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Survey Design

Providing Direct Services

 How Do They Identify  Services-Who, What, Where

Managing Services

 How Do They Identify  Services-Who, What, Where

Research Training Policy

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Response Information

Response truly statewide, representation from every CO County 259 completed responses 134 incomplete/partial responses Survey Results to Be Shared

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Possibilities of Where We’re Going

Survey Results to Help Link CHW and PN and services they provide to CO constituents Resource Directory: Linkages 2-1-1 United Way Phone and Database Identify Needs and Gaps Understand more about who people are and how they define themselves Contribute to Body of Literature-Manuscript Partnerships with Other States

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Colorado Community Health Worker and Patient Navigator Collaborative-Regionalization Subcommittee and the Colorado School of Public Health. “Colorado Community Health Worker and Patient Navigator Statewide Survey”. Conference Presentation, Public Health in the Rockies, September, 2013.

Please use the following citation when referencing this information/data:

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September 20, 2013

Patient Navigation, Community Health Work and Care Coordination in Colorado Communities

2013 Statewide Survey Results

Community Health Worker, Patient Navigation Regionalization Sub-Committee

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Survey Methods and Background

Online survey using the REDCap database/Participant email
Developed by the Colorado CHW/PN workgroup
Disseminated to workgroup members, clinical and community

members, coalitions and programs

Modified-snowball sampling method
Difficult to assess response rate/denominator
Survey Structure
Section I: Persons actually delivering the service/care to clients
Section II: Persons directing or managing programs
Section III: Persons involved in training
Section IV: Persons conducting research
Section V: Persons involved in policy work/advocacy
Section VI: Persons who are not currently involved but have an

interest

Response data
259 completed responses
134 incomplete/partial responses

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Today’s Agenda

I. Examine who/groups: i. Community Health Workers/Patient Navigators/Case Managers/Care Coordinators/ Promotores ii. Managing

iii. Training
iv. Research

v. Policy and Advocacy II. Examine specific focus/ activities by group

III. Examine work/activity settings by group
IV. Examine activities at Colorado county level
V. Examine training programs/gaps in training
VI. Examine funding mechanisms

VII.Todays presentation v. expanded presentation

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Overall Survey Response (n=259)

70% 28% 24% 6.0% 14.0%

Respondent Roles and Work Focus*

CHW=Community Health Worker; PN=Patient Navigator; CC=Care Coordinator; CM= Case manager; PM=Promotora

*multiple responses permitted

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Counties Served by All Respondents (n=259)

# of Individuals

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CHW/PN/CC/CM/PM Roles (n=182)

7 18 21 31 32 60 Promotora Other Case Manager Community Health Worker Care coordinator Patient Navigator

Employment/ Volunteer Roles

Percent

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Counties Served by CHW/PN/CC/CM/PM (self-described) (n=182)

# of Individuals

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Counties Served by CHW/PN/CC/CM/PM X Median Household Income

# of Individuals

(n=182))

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CDC Community Health Worker Definition (CDC): An individual who works almost exclusively in a community, health worker, promotores, or patient community setting. They serve as connectors navigators, care coordinators and case managers between health care consumers and providers to promote health among groups that have traditionally lacked access to adequate health care. This individual is uniquely qualified as connectors because they live in the communities in which they work.

Community Health Worker, Patient Navigator and Health Promotor Workgroup Subcommittee Working Definitions

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Harold Freeman Patient Navigator Definition (HF): An individual who works primarily in a medical setting but can be also work in a community. This individual informs people about the need for certain recommended examinations and provides timely access to such examinations, eliminates any barriers to timely care across the entire health care continuum and integrates a fragmented healthcare system for the individual patient.

Community Health Worker, Patient Navigator and Health Promotor Workgroup Subcommittee Working Definitions

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University of North Caroling Health Promotor Definition UNC:

An individual who works in a medical setting and also works in the community. This individual has received training to perform some examinations and screenings to assist in medical diagnosis. This individual bridges health care access for individuals that are reluctant to participate in regular care settings, and utilizes their knowledge and experience as a critical function of patient guidance to confirm the immediate need for medical attention. This person is generally recognized through community leadership as a person of trust and confidence that is vested in the health of their community.

Community Health Worker, Patient Navigator and Health Promotor Workgroup Subcommittee Working Definitions

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