question about community health workers
Submitted by nuthatch43 on 13 November 2012 - 12:16pm
Good afternoon. What is the level of training/education that is needed for community health workers to be able to successfully educate and manage the asthma issues that come up during a home visit. Does the community worker refer back to the provider? Thank you.
Jerry Goldstein MD
St. Christopher's Hospital for Children
Philadelphia, PA
skinling
13 November 2012 - 1:33pm
Permalink
Our Safe at Home program,
Our Safe at Home program, funded by HUD Healthy Homes Demonstration and Production grants, requires the environmental health educators to be Certified Asthma Educators or working towards certification. The educators act as case coordinators by reporting the findings of the home inspection and the interventions performed to mitigate known health hazards (dust/allergen removal, removal of soiled carpets, mold remediation, pests, etc). They also manage the collection of pre/post health surveys to monitor asthma control as well as follow-up education and case management. In our organization they serve as the point of contact for both the provider and the family.
If you have any questions please feel free to contact me at bbrown@leadsafe.org.
Brendan Wade Brown
Program Evaluation and Data Management Associate
Coaliton to End Childhood Lead Poisoning
Green & Healthy Homes Initiative
pperetz
15 November 2012 - 12:19pm
Permalink
The WIN for Asthma program
The WIN for Asthma program does not have specific education or certification requirements for community health workers (CHWs) but, once hired, the CHWs do participate in an intensive training program that we developed. The CHWs, who represent the local community, use a peer-based approach to support participants and do not provide clinical guidance/information. Instead, they encourage the participants to communicate regularly with their provider. In addition, our medical director, a pediatrician, offers monthly community-based asthma workshops during which participants have the opportunity to ask questions about medications, side effects, etc.
To give you a sense of the type of training the CHWs receive, upon hire they participate in a 2-week core competency training that is followed by additional training in key areas such as case management, disease management, home visiting, motivational interviewing, integrated pest management strategies, among others. The initial and on-going trainings are delivered by community partners, faculty, and senior CHWs. I would be happy to share our training protocol with you and/or to discuss this topic in more detail.
Best,
Patricia Peretz
Manager, Community Health and Evaluation
NewYork Presbyterian Hospital
212-305-4065
pap9046@nyp.org
smelton
6 December 2012 - 3:09pm
Permalink
Where can I find more
Where can I find more resources and research supporting allen-proff pillows and mattress covers actually decrease asthma triggers in children?
LAWessel
6 December 2012 - 3:09pm
Permalink
Thank, Tracy and
Thank, Tracy and participants---great job.
My questions include the following:
many of the "best" CHW I know who have the cultural and linguistically competency for our target population do not have the computer literacy skills to "chart" effectively in the patient centered medical home. Part of the idea of CHW is to take the burden off the busy provider and give it to someone who is from the community and understands realities and resources. But those folks often have other barriers to being part of today's team---proficiency in English and computer skills.
-Lois Wessel, CFNP
Association of Clinicians for the Underserved
LAWessel
6 December 2012 - 3:10pm
Permalink
Second question--- How do
Second question---
How do community based CHW who are not in the PCMH (pt centered medical home) effectively communicate with the PCMH if the CHW is based at the health department or outside the clinic?
-Lois Wessel
rcostley
6 December 2012 - 3:13pm
Permalink
What ICD 9 codes are programs
What ICD 9 codes are programs currrently using for home visit reimbursement for AE-C's?
Robin Costley, CRT, AE-C
Marion County Public Health Department, AE-C
Asthma Alliance of Indianapolis, Coalition Manager
rcostley@hhcorp.org
JZotter
6 December 2012 - 3:18pm
Permalink
This is for smelton's
This is for smelton's question. The best evidence on asthma home interventions can be found at the CDC's community guide: http://www.thecommunityguide.org/asthma/index.html. The research seems to conclude that multi-trigger interventions are most effective, instead of trigger-specific interventions.
Jean
JZotter
6 December 2012 - 3:22pm
Permalink
For LAWessel's question on
For LAWessel's question on computer skills and English proficiency. This is a tough one because you are also hiring for their cultural competency and abililty to connect with hard to reach populations. I think they can be trained and systems can be set up to facilitate communcation. You might need to rethink communcation systems for this workforce. For example, at Boston Medical Center the CHW and RN meets then the RN Case Manager reviews and posts in the EMR.
Jean
JZotter
6 December 2012 - 3:23pm
Permalink
LAWessel's question 2.
LAWessel's question 2. Communcation back to provider is key. However, Boston Public Helath Commission has a good web-based system called Breathe Easy at Home that provides feedback to providers after referral. We are studying this sytem to take it statewide. If you can't find that website, please let me know.
Jean
JZotter
6 December 2012 - 3:24pm
Permalink
Here's the Breathe Easy
Here's the Breathe Easy website: http://www.cityofboston.gov/isd/housing/bmc/
pbouton
7 December 2012 - 8:08am
Permalink
@smelton, check the 2000 IOM
@smelton, check the 2000 IOM Clearing the Air Report which supported dust mite encasings and the NHLBI EPR-3 Guidelines also recommend to encase the mattess and pillow in an allergy encasing (or wash the pillow weekly which is not practical), and wash bedding weekly (page 188).
By the way, washing bedding in 130 degrees F is not necessary if the bedding will also be placed in a dryer. Just washing in cold water is 90% effective and the dryer will do the rest. Household water temp should be between 115 and 120 to reduce burn injuries.
P Bouton
Columbus Public Health, Healthy Homes Program
Bingham
3 April 2013 - 12:50am
Permalink
The community health workers
The community health workers should be educated well about the asthma isues that they would have to face during home visit. They all should be given short term courses on how to manage these situations by experienced clinical practitioners. gripgomount.com
andrew bayes
26 June 2013 - 9:09am
Permalink
Community workers don't need
Community workers don't need any special courses or skills when they enroll to this program. They will be told what to do and shall learn the knowledge they need. Anyone may join the bijuterii argint program.
deepikarai
1 August 2013 - 3:11am
Permalink
Yes we do refer back. I think
Yes we do refer back. I think before doing this me must have to see the ration and according to market research reports we need to improve our education.