Administration – certification boards, state health departments, etc.; who will administer a certification program? Are they inside or outside state government?
CHW input in process: how have CHWs been involved in considering or designing certification?
CHW role, scope of practice: what process was followed in defining the occupation? What definitions were adopted?
Competencies: what process was followed in defining the skills that are required to work as a CHW?
Continuing education: what requirements are considered appropriate for ongoing learning in order to renew certification?
Funding of certification: how will/should the administration of a certification program be funded?
Grandparenting language and processes: what was discussed or concluded about requirements for certification on the basis of past experience? What processes were discussed/established to evaluate applications based on experience?
Legislative language, bills, etc.: what kind of legislation was needed to officially authorize or establish certification?
Lessons learned from other states: what have other states learned about the best way to go about deciding whether to have certification, and/or what it should look like? Who needs to be involved? (see also subtopics under “The Policy Development Process”)
National guidance: what do national studies say about certification, and decision processes around certification, looking at multiple states? What do various organizations say in support of, or opposition to, certification?
Process and development: what steps were taken by state level groups in making decisions around certification?
Reciprocity between states: what have states decided about accepting or recognizing a CHW certified in another state as being automatically certified if they move into their state, or commute across state lines to work?
Role of state government: what official role did the state government play in decision processes around certification? Is it an official state initiative? If not, did the state officially participate in the decision process or fund it?
Specialty tracks and supervisor training: was certification recommended only as a general qualification, or were other specialist certifications created as well, such as behavioral health or oral health? Was training recommended or created for supervisors of CHWs?
State input in process: did state government take official positions in decisions about certification? How did state officials communicate their views during the decision process?
Training and training programs: what decisions were made about training requirements for CHW certification? Were standards created for CHW training programs? Did these standards become part of official certification requirements? Does the certification program include certification of training programs or instructors?
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