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Supervision Strategies and Community Health Worker Effectiveness in Health Care Settings

NatDoc: National Document
Website Link:
Publicly Available:
Billing and Reimbursement:
CHW role scope of practice
Evidence Generation:
Evidence-based interventions, General other, White papers
Building partnerships
Sustainable Financing:​
General other, Documentation of how CHWs can work within care teams, ROI and bundled payment successes/challenges
Workforce Development:
CDC expand CHW work into SDOH, CHW training programs (not cert.), Data sharing between social services and clinical teams, General other (including mention of “employment practices”), Outreach education and TA to employers on CHW generally, Recruiting and convening CHWs stakeholders, Training- Content modes delivery, Training- Continuing education


In the United States, supportive supervision is crucial to the effective integration of CHWs into institutional workflows, which is in turn fundamental to achieving the mission of health care and public health organizations. The integration of CHWs is a nuanced and contextualized endeavor in both public health and health care settings, and so too must be their supervision to optimize their contributions. During a 2019 workshop at the National Academies of Sciences, Engineering, and Medicine’s Roundtable on Population Health Improvement, a panel of CHWs, trainers, supervisors, academics, and payment-mechanism specialists pointed out that across the different contexts in which CHWs work, organizations must be ready to accommodate and support the ways in which CHWs carry out their work and be willing to rethink the manner in which they are supervised, which requires changes to traditional or historical modes of supervision in health care.