Community health worker
As part of a statewide, public-private initiative, a largely rural Vermont community supports its six medical patient-centered medical home practices with a multidisciplinary provider team, real-time electronic information, and insurer-funded financial incentives, leading to more appropriate care and services and lower utilization and growth in health care spending.
Bilingual, culturally competent community health workers increased insurance enrollment, use of preventive care services and a usual source of care, and self-efficacy for low-income Latinos.
Using the Pathways model, Access El Dorado helps low-income families navigate the health care system, obtain health information, and access appropriate medical and mental health services, leading to fewer emergency department visits.
The Prevention and Access to Care and Treatment project uses specially trained community health workers to deliver culturally competent, home-based support services to help HIV-positive patients in the inner city.
A community health educator referral liaison receives physician referrals of patients with risky health behaviors; the liaison links patients with community resources, offers counseling and encouragement over the telephone, and provides feedback to the physicians.
A community health collaborative helps vulnerable populations secure and retain insurance coverage, access primary care, and connect to a medical home, leading to fewer emergency department visits, higher provider revenues, and high levels of provider satisfaction.
King County Steps to Health connected medical practices to community resources by encouraging organizations to work together to identify common messages, leverage resources, and develop programs for populations at risk for diabetes, asthma, and obesity.
The Michigan Prisoner Reentry Initiative, in partnership with the Muskegon Community Health Project, helps newly released or paroled prisoners access needed health care, contributing to a decline in recidivism.
The Chinese Women's Health Project used two approaches to promote cervical cancer screening among Chinese women—mailing Chinese-language written materials to women and home visits by bicultural, trilingual outreach workers.
The Pathways Model employs community health workers who connect at-risk individuals to evidence-based care through the use of individualized care pathways designed to produce healthy outcomes; implementation of this model in Richland County, OH, resulted in increased services to at-risk women and a decline in the rate of low birth weight babies.