Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study

Sugarman, Meredith; Ezouah, Pascaline; Haywood, Catherine; Wennerstrom, Ashley

doi:10.1007/s10900-020-00843-7

Cited by 11 publications

(9 citation statements)

References 10 publications

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“…While side-effect monitoring has been proposed as a solution, 57 we suggest that these disparities could reasonably be diminished by investing in community health workers (CHWs) or patient navigators, health professionals who have a close understanding of the communities they serve. 58 While there is currently no sustainable funding source for CHWs in Louisiana, their work has been shown to reduce ED use, hospitalizations, and overall health care costs across the country. 59 60 61 This is because CHWs address things like timely access to screening programs, health care, health insurance, health education, housing, food security, transportation, and many other social determinants of health.…”

Section: Discussionmentioning

confidence: 99%

“… 59 60 61 This is because CHWs address things like timely access to screening programs, health care, health insurance, health education, housing, food security, transportation, and many other social determinants of health. 58 62 63 Patient-navigator programs for cancer patients have demonstrated their ability to immensely reduce health care costs and lead to better outcomes. 59 These reasons should prompt the state to develop a sustainable CHW program that could collaborate with palliative care services.…”

Section: Discussionmentioning

confidence: 99%

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Referral Patterns of Outpatient Palliative Care among the Head and Neck Cancer Population

Saravia

Kong

Roy

et al. 2022

Int Arch Otorhinolaryngol

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Introduction Patients with head and neck cancer (HNC) experience unique physical and psychosocial challenges that impact their health and quality of life. Early implementation of palliative care has been shown to improve various health care outcomes. Objective The aim of the present study was to evaluate the patterns of referral of patients with HNC to outpatient palliative care as they relate to utilization of resources and end-of-life discussions. Methods We performed a retrospective review of 245 patients with HNC referred to outpatient palliative care services at two Louisiana tertiary care centers from June 1, 2014, to October 1, 2019. The control group consisted of those that were referred but did not follow-up. Reasons for referral were obtained, and outcome measures such as emergency department (ED) visits, hospital readmissions, and advance care planning (ACP) documentation were assessed according to predictive variables. Results There were 177 patients in the treatment group and 68 in the control group. Patients were more likely to follow up to outpatient palliative care services if referred for pain management. Hospital system, prior inpatient palliative care, and number of outpatient visits were associated with an increased likelihood for ED visits and hospital readmissions. Those in the palliative care treatment group were also more likely to have ACP discussions. Conclusion Early implementation of outpatient palliative care among patients with HNC can initiate ACP discussions. However, there are discrepancies in referral reasons to palliative care and continued existing barriers to its effective utilization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Referral Patterns of Outpatient Palliative Care among the Head and Neck Cancer Population

Saravia

Kong

Roy

et al. 2022

Int Arch Otorhinolaryngol

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“…These two types of entities often have different purposes, with the CHW organization(s) typically serving as the “voice” for the CHW workforce in the state. The opportunity to partner with a statewide CHW organization may have a wide range of benefits, including enabling the successful execution of workforce studies and full participation of CHWs in the formation of policy ( 28 ). CHW organizations can also help to lead decision making about whether or not to pursue CHW certification or another form of professional recognition.…”

Section: Discussionmentioning

confidence: 99%

Processes for Implementing Community Health Worker Workforce Development Initiatives

Barbero

Mason²,

Rush³

et al. 2021

Front. Public Health

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Introduction: The objective of this observational, cross-sectional study was to identify, document, and assess the progress made to date in implementing various processes involved in statewide community health worker (CHW) workforce development initiatives.Methods: From September 2017 to December 2020, we developed and applied a conceptual model of processes involved in implementing statewide CHW initiatives. One or more outputs were identified for each model process and assessed across the 50 states, D.C., and Puerto Rico using peer-reviewed and gray literature available as of September 2020.Results: Twelve statewide CHW workforce development processes were identified, and 21 outputs were assessed. We found an average of eight processes implemented per state, with seven states implementing all 12 processes. As of September 2020, 45 states had a multi-stakeholder CHW coalition and 31 states had a statewide CHW organization. In 20 states CHWs were included in Medicaid Managed Care Organizations or Health Plans. We found routine monitoring of statewide CHW employment in six states.Discussion: Stakeholders have advanced statewide CHW workforce development initiatives using the processes reflected in our conceptual model. Our results could help to inform future CHW initiative design, measurement, monitoring, and evaluation efforts, especially at the state level.

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“…partnership and the Arizona State University CDC CCR 2110 National Evaluation team. Survey items are adapted from several sources including previous CHR workforce surveys conducted in Arizona ( 7 ), the 2021 AzCHOW CHW Workforce Integration Readiness Assessment ( 19 ), the 2020 Louisiana CHW Workforce Study ( 20 ), CHW Core Consensus Project ( 21 ) and the CHW Common Indicators Project ( 22 ). Here we present preliminary descriptive analysis using SPSS software for quantitative analysis.…”

Section: Key Programmatic Elementsmentioning

confidence: 99%

“…Building from the level and type of collaborations that CHRs have with other community programs—we assessed how CHRs and managers address the social and structural determinants of health by connecting clients to services through referrals. The referral service categories included in the survey were generated through free listing with managers and CHRs of the known programs and services in their region, and further adapted from a recent Community Health Worker Workforce Study ( 20 ). Among both CHRs and CHR manager respondents, the two most common referral categories were transportation and environmental health services.…”

Section: Key Programmatic Elementsmentioning

confidence: 99%

Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing

Sabo

O'Meara²,

Yellowhair³

et al. 2023

Front. Public Health

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Tribally employed, Community Health Representatives (CHRs) serving Indigenous and American Indian and Alaskan Native (AIAN) peoples are culturally and linguistically embedded community leaders, with the unique ability to serve as the link and intermediary between community members and systems. Unique to the CHR workforce scope of practice is the expectation for high level integration within the medical and social service care team. This explicit role outlined in the scope of work sets an expectation for both CHR and care teams to deliver integrated patient, family, and systems level care coordination and case management. This paper aims to build from our previous manuscript published in Volume 1 of the special issue Community Health Workers Practice from Recruitment to Integration. In that Volume, we explored through a Community Case Study CHR Managers' perspectives on the challenges and opportunities for full CHR integration into health systems and teams serving AIAN. In this paper, we offer new information about the current CHR and CHR Managers' involvements and perceived level of integration within health care teams and the broader public health systems addressing the social and structural determinants of health. We approach this topic considering the COVID-19 pandemic and how CHRs and CHR Programs were included and not included in tribal pandemic response efforts.

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Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study

Cited by 11 publications

References 10 publications

Referral Patterns of Outpatient Palliative Care among the Head and Neck Cancer Population

Referral Patterns of Outpatient Palliative Care among the Head and Neck Cancer Population

Processes for Implementing Community Health Worker Workforce Development Initiatives

Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing

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