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The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in Measurement to Sustain the Profession

Year:
2021
State:
NatDoc: National Document
Website Link:
Publicly Available:
Yes
Billing and Reimbursement:
Certification:
CHW input in process, CHW role scope of practice, Competencies
Evidence Generation:
Documentation of how CHWs can work within care teams, Evidence-based interventions, ROI and bundled payment successes/challenges
Policy:
Building partnerships, General language around CHW WD, MCO contract language and reimbursement models
Sustainable Financing:​
Expand evidence base, Including community-based CHWs, Evidence-based interventions, Surveys and assessment tools to define and develop workforce
Workforce Development:
CHW training programs (not cert.)

Summary

Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of evaluation and research. This manuscript details the current work being done by the CI Project, demonstrating how CHWs are able to contribute to the integrity, sustainability, and viability of CHW programs through the collaborative development and adoption of a set of common process and outcome constructs and indicators for CHW practice and CHW program implementation.

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