Highlighted Best Practices and Insights From a Community Health Worker (CHW) Literature Review

Sponsoring Program Name
JSI for the Maine CDC, Department of Health and Human Services, Division of Population Health
This literature review highlights approaches used among CHW interventions that demonstrated effectiveness in terms of improving service quality, cost-savings, and/or improving health and quality of life outcomes. As CHW interventions are gaining greater recognition as a promising element of healthcare reform, the research summarized is hoped to shine a light on promising practices for implementation in the state of Maine. Given limited research, important elements for replication and the range of outcomes that may be expected are only starting to emerge. Some mixed findings exist that further research by the larger field of researchers may eventually help to illuminate. For example, the central importance of home visiting and other face-to-face interactions was emphasized in the ICER 2013 Report, specifically that 75% of successful CHW models they reviewed along with their expert review team came to consensus on the importance of home visiting. However this is not found consistently to be imperative across subsequent studies for all conditions. With such caveats in mind, the literature does point to models that can be drawn upon that may be relevant for advancing the Maine Community Health Worker Initiative and the pilot CHW programs the Initiative supports.
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Asthma Awareness Month Event Planning Kit

Sponsoring Program Name
U.S. Environmental Protection Agency
Join the US EPA in the national effort to raise asthma awareness during Asthma Awareness Month. Host activities to educate people in your community about comprehensive asthma management. Download EPA’s Asthma Awareness Month Event Planning Kit featuring new ideas for outreach and awareness activities, tips for working with the media, success stories, and much more.
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Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform

Sponsoring Program Name
U.S. Department of Health and Human Services
John E. Snyder, U.S. Department of Health and Human Services, January 2016
This report reviews select health services research findings on Community Health Worker (CHW) utilization that are relevant to U.S. policymakers and considers the key challenges to fully realizing the potential for CHWs to improve health care delivery.

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CHWPolicy.pdf (676.24 KB)
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Facilitating Home Visit Referrals Using an Asthma Clinical Decision Support Tool within the Electronic Health Record: Key Considerations

Sponsoring Program Name
Association of Clinicians for the Underserved
When integrated into the electronic health record (EHR) and clinical workflow, clinical decision support (CDS) can enhance health care quality and improve patient outcomes.1 Using computerized alerts, reminders, forms, templates, data reports, evidence-based protocols, and other tools, CDS organizes, filters, and presents clinical knowledge and patient-specific information to guide decisions at the point of care.2 This brief discusses how an asthma CDS tool can promote the consistent use of clinical practice guidelines for asthma, and how incorporating a referral form template can promote wider use of in-home asthma programs as an effective complement to asthma care in clinical settings.
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Addressing the Challenges of Reporting on Childhood Asthma in a Changing Health Care System: Building Better Evidence for High Performance

Sponsoring Program Name
Childhood Asthma Leadership Coalition
As a follow-up to the 2010 Changing pO2licy Report, The George Washington University authored additional briefs to highlight key policy issues related to childhood asthma. These briefs were supported by MCAN and the RCHN Community Health Foundation.
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The Affordable Care Act, Medical Homes, and Childhood Asthma: A Key Opportunity for Progress

Sponsoring Program Name
Childhood Asthma Leadership Coalition
As a follow-up to the 2010 Changing pO2licy Report, The George Washington University authored additional briefs to highlight key policy issues related to childhood asthma. These briefs were supported by MCAN and the RCHN Community Health Foundation.
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Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes

Sponsoring Program Name
Childhood Asthma Leadership Coalition
The Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes report resulted from a landmark study by health policy researchers at The George Washington University (GW) School of Public Health and Health Services to determine why American children are not benefiting more from science-based asthma treatment and management, and the policy reforms that are essential to improve outcomes for these children.

The report was funded by the Merck Childhood Asthma Network and the RCHN Community Health Foundation.
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Merck Childhood Asthma Network 10-Year Impact SHORT Report

Sponsoring Program Name
Merck Childhood Asthma Network
This report highlights the impact of MCAN on:
The implementation of evidence-based interventions and their role in reducing morbidity related to childhood asthma. Advocacy for public policy
debate and changes needed to facilitate improved asthma care. Sustainability of effective interventions in diverse settings, primarily in
impoverished communities.
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Translating Evidence Into Practice: Merck Childhood Asthma Network 10-Year Impact Report

Sponsoring Program Name
Merck Childhood Asthma Network
This report highlights the impact of MCAN on:
The implementation of evidence-based interventions and their role in reducing morbidity related to childhood asthma. Advocacy for public policy
debate and changes needed to facilitate improved asthma care. Sustainability of effective interventions in diverse settings, primarily in
impoverished communities.
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