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Jul 13, 2023 361 likes •699 views

The presentation will begin shortly. The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their own, and not necessarily the views of HRET. This content is made

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The presentation will begin shortly.

The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their

  • wn, and not necessarily the views of HRET. This content is made available on an “AS IS” basis, and HRET disclaims all warranties

including, but not limited to, warranties of merchantability, fitness for a particular purpose, title and non-infringement. No advice or information provided by any presenter shall create any warranty.

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Improving Health through Effective, Sustainable Community Health Worker Programs

Jill Feldstein Chief Operating Officer Penn Center for Community Health Workers June 7, 2017

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Our mission is to improve health in high- risk populations through the effective use of CHWs

Penn Center for Community Health Workers

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  • Applicability: Design, test and refine

IMPaCT model of care

  • Sustainability: ROI of $2:$1; care for

2,000 patients/year

  • Adaptability: all diseases,

in/outpatient

  • Dissemination: Support to more

than 800 organizations

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Penn Center for Community Health Workers

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Designing IMPaCT

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Hiring IMPaCT CHWs

  • Long-time members of the community they serve
  • Innate characteristics (ex: natural care givers)
  • High school diploma or GED
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Designing the intervention

Category Patient Summary Goal Tailored Support Psychosocial 62 year-old socially isolated woman hospitalized for panic attacks and chest pain. Find a fun social activity CHW went with patient to local recreation center. She felt “at home” and plans to go back. Resource 53 year-old with schizophrenia who lives in a boarding home that will close in two weeks. Find housing CHW worked with patient and family to move him into another community boarding home. Navigation 46 year-old patient with hypertension who could not afford $65 co-pay for discharge medications Get low-cost prescriptions CHW and patient asked hospitalist to prescribe generics with no co-pay

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Common Problem IMPaCT Solution

1. Staff turnover/variability 2. Lack of infrastructure 3. Disease specific, clinically focused 4. Not integrated with clinicians 5. Low quality evidence, poor

  • utcomes measurement

6. Time-limited external funding 1. Specialized hiring practices 2. Standardized program 3. Patient-centered, focus on psychosocial support 4. Integrated with the clinical workflow 5. Scientifically proven and evaluated, with a focus

  • n the financial impact

6. Financially self-sustaining

Addressing critical pitfalls

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How it works

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Target patients

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Set goals Target patients

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Target patients Set goals Support

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Target patients Set goals Connect Support

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Target patients Set goals Measure

  • utcomes

Support Connect

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Infrastructure

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Online learning platform

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Manuals

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Supervision

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Documentation and reporting

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Clinical integration

IMPaCT CHWs are “symbolic of the highest standards of patient advocacy and the best our health system offers its patients.”

  • Randi Jackson, Chief Service Care Coordinator

Penn Presbyterian Medical Center

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Results

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Randomized Controlled Trial (n=446)

Kangovi et al, JAMA Internal Medicine 2014.

Improved care, improved health and lower cost

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Sharing our learning

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IMPaCT Communities Program

– Launch quickly – Scale efficiently – Avoid “reinventing the wheel” – Achieve financial sustainability – Evaluate and continuously improve

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Plan Build Ongoing support

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Ongoing support

Process and Tech Infrastructure Specialized Hiring Train CHWs and Managers Integrate with Care Teams Implement and Evaluate

Build Plan

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Build Ongoing support Plan

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Thank you! http://chw.upenn.edu/

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Please click the link below to take our webinar evaluation. The evaluation will

  • pen in a new tab in your default browser.

https://www.surveymonkey.com/r/aha_education_06-07-17

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@HRETtweets

#hpoe

@communityhlth

#chiweek

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Celebrate With Us: CHI Week!

Visit healthycommunities.org/chiweek for more information Email ACHI@aha.org to share stories and pictures from your community health improvement activities

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Save the Date: Upcoming AHA Education Webinar Food Insecurity and the Role of Hospitals

July 6, 2017

Register Today

For more information go to hpoe.org