Processes for Implementing Community Health Worker Workforce Development Initiatives
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 20...
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doaj-b590ebb5fd334c6092fc3e58e91a14f12021-06-24T05:34:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-06-01910.3389/fpubh.2021.659017659017Processes for Implementing Community Health Worker Workforce Development InitiativesColleen Barbero0Theresa Mason1Carl Rush2Meredith Sugarman3Aunima R. Bhuiya4Erika B. Fulmer5Jill Feldstein6Naomi Cottoms7Ashley Wennerstrom8Ashley Wennerstrom9Centers for Disease Control and Prevention, Atlanta, GA, United StatesCommunity Resources, LLC, San Antonio, TX, United StatesCommunity Resources, LLC, San Antonio, TX, United StatesCenter for Healthcare Value and Equity, Louisiana State University Health Sciences Center, New Orleans, LA, United StatesInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaCenters for Disease Control and Prevention, Atlanta, GA, United StatesPenn Center for Community Health Workers, University of Pennsylvania Health System, Philadelphia, PA, United StatesTri-County Rural Health Network, Helena-West Helena, AR, United StatesCenter for Healthcare Value and Equity, Louisiana State University Health Sciences Center, New Orleans, LA, United StatesDepartment of Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, United StatesIntroduction: 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.https://www.frontiersin.org/articles/10.3389/fpubh.2021.659017/fullcommunity health workerworkforce developmentpromotorapromotorcommunity health representative |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Colleen Barbero Theresa Mason Carl Rush Meredith Sugarman Aunima R. Bhuiya Erika B. Fulmer Jill Feldstein Naomi Cottoms Ashley Wennerstrom Ashley Wennerstrom |
spellingShingle |
Colleen Barbero Theresa Mason Carl Rush Meredith Sugarman Aunima R. Bhuiya Erika B. Fulmer Jill Feldstein Naomi Cottoms Ashley Wennerstrom Ashley Wennerstrom Processes for Implementing Community Health Worker Workforce Development Initiatives Frontiers in Public Health community health worker workforce development promotora promotor community health representative |
author_facet |
Colleen Barbero Theresa Mason Carl Rush Meredith Sugarman Aunima R. Bhuiya Erika B. Fulmer Jill Feldstein Naomi Cottoms Ashley Wennerstrom Ashley Wennerstrom |
author_sort |
Colleen Barbero |
title |
Processes for Implementing Community Health Worker Workforce Development Initiatives |
title_short |
Processes for Implementing Community Health Worker Workforce Development Initiatives |
title_full |
Processes for Implementing Community Health Worker Workforce Development Initiatives |
title_fullStr |
Processes for Implementing Community Health Worker Workforce Development Initiatives |
title_full_unstemmed |
Processes for Implementing Community Health Worker Workforce Development Initiatives |
title_sort |
processes for implementing community health worker workforce development initiatives |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2021-06-01 |
description |
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. |
topic |
community health worker workforce development promotora promotor community health representative |
url |
https://www.frontiersin.org/articles/10.3389/fpubh.2021.659017/full |
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