This article explains the current state and focus of the U.S. healthcare system and describes it’s shortcomings. The authors propose a widening of definitions in regards to product, place, and provider in an effort to allow for cheaper health interventions such as community health worker programs. This article also evaluates the different ways in which healthcare in the U.S.
The focus of this report is on the financial sustainability of Community Health Worker (CHW) programs in the state of Connecticut. The goal of this research is to find a way in which Connecticut can develop an effective program that utilizes CHWs to improve patient health outcomes and achieve a level of positive financial return. This report worked within the boundaries of Connecticut’s State Innovation Model (SIM), a federally funded grant to aid in transforming healthcare systems from state to state, in order to ensure a possible funding source for the resulting new programs. The repor
The objective of this study was to evaluate how the Community Outreach and Patient Empowerment (CORE) program has affected Navajo Nation Community Health Representative (CHR) teams over the past 6 years. COPE staff members surveyed CHRs in 2014 and 2015 about their perceptions of and experience working with COPE, including potential effects COPE may have had on communication among patients, CHRs, and hospital-based providers. COPE staff also conducted focus groups with all eight Navajo Nation CHR teams.
A Community Health Worker (CHW) is a public health worker that is committed to improving the quality and accessibility of healthcare and social services in a community. The CDC has compiled a webpage with resources collected from their projects across the organization related to CHWs. This page serves as an excellent resource for both CHW workers as well as people that work with CHWs.
This brief explains how community health workers improve people’s health, reduce health care costs, and address barriers to care. The brief continues to discuss key questions regarding sustainable funding of CHW programs through Medicaid reimbursement for states that want to start or expand such programs. Case studies in Massachusetts, Minnesota, and New Mexico are presented, detailing how these states fund, train, certify, and integrate CHW programs. Finally, the authors discuss what state advocates need to know to move forward with building or expanding CHW programs in their state.
Recent years have proven that community health workers serve important roles in healthcare systems, including in the United States. This article briefly discusses the effectiveness and versatility of community health workers and their various roles in healthcare delivery systems. The evidence demonstrates the effectiveness of community health workers in many diverse public health-related roles.
Daniel Palazuelos, Partners In Health, and Dr. Kevin Fiori, co-founder of Hope Through Health, discuss Dr. Fiori’s organization and global health. Hope Through Health is an organization dedicated to health care delivery in Togo and faced many challenges in its beginnings, but now successfully utilizes community health workers to empower the community and has increased the capacity of the community to hold the health care system accountable for quality and effective health care.
In this roundtable discussion, Daniel Palazuelos, Partners In Health, and Dr. Shreya Kangovi, Penn Center for Community Health Workers, discuss the significance of CHW programs in the United States. Whereas community health workers are often thought to be necessary in resource-poor settings, there is a place for CHWs in the U.S. as they are often a solution to approaching the big picture. Dr. Kangovi founded a domestic U.S.