WorkGroup for Community Health Workers Laura Herrera Scott

Work-Group for Community Health Workers Laura Herrera Scott, MD, MPH Don Shell, MD, MA Russ Montgomery, MHS Maryland Department of Health and Mental Hygiene Maryland Insurance Association December 15, 2014 Maryland Hospital Association 6820 Elkridge MD 21075

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Cur/CC Mass Cur/CC (Boston Initiative) Texas Cur/CC Ohio Cur/CC New York Cur/CC Minnesota Cur/CC Effective Oral and Written Communication Skills Communication and Medical Terminology Addressed Throughout the Curriculum Interviewing and Communication Skills Interpersonal Skills Communication III Role of the CHW Core – Communication Skills and Cultural Competence Effective Interaction And Coordination, Documentation and Reporting Cultural Competency Cultural Humility Cultural Aspects of Communication And Review Cultural Differences and Individual Styles Knowledge Base on Specific Health Issues Individual and Community Advocacy Diversity; Community Liaison Social Constructionism – Informal Counseling II Role of the CHW Core Communication Skills and Cultural Competence – Community Culture and Cultural Implications

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Cur/CC Mass Cur/CC (Boston Initiative) Texas Cur/CC Ohio Cur/CC New York Cur/CC Minnesota Cur/CC Knowledge of Local Resources and System Navigation Using Health Care and Social Service Systems Identifying Effective Ways of Navigating the Healthcare System and Conduct Community Outreach Service Coordination Skills Community Resources Behavior Change and Theories and Practices Organization and Resources: Community and Personal Strategies And Coordination, Documentation, and Reporting Advocacy and Community Capacity Building Skills Facilitating Behavioral Change Advocacy and Conflict Resolution And Identify Basic Ways to Empower the Community That They Work In and Patients That Are Encountered Capacity Building Skills And Advocacy Skills Individual and Community Advocacy Positive Psychology – Informal Counseling – Empowerment And Communication II Advocacy and Outreach And CHW Role in Teaching and Capacity Building Competencies Crosswalk

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Mass (Boston Initiative) Texas Ohio New York Minnesota Care Coordination Skills Introduction to CHW – Role in Health Care Team Roles and Responsibilities of CHW Service Coordination Skills Service Skills and Responsibiliti es – Care Coordination Behavior Change Theory and Practice Healthy Promotion Competencies Healthy Lifestyles Teaching Skills to Promote Healthy Behavior Teaching Individuals or Groups About Health and Wellness; Adult Learning Styles Identify Ways to Assess Individual Self Management Teaching Skills Health Education – Educating and Explaining Health, Public Health and Healthcare Healthy Lifestyles

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Mass (Boston Initiative) Texas Ohio New York Minnesota Outreach Methods and Strategies Assessing Client and Community Needs Conduct Community Outreach Interpersonal Skills and Service Coordination Skills Community Resources Training and Group Facilitation Advocacy and Outreach Ability to Bridge Needs and Identify Resources Assessing Client and Community Needs Knowledge Base on Specific Health Issues Community Resources – Utilization of Community Resources and Their Referral Processes Cognitive Behavioral Therapy Organization and Resources; Community and Personal Strategies

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Mass (Boston Initiative) Texas Ohio New York Minnesota Understanding of Public Health Concepts and Health Literacy Introduction to CHW – US Health Care System; Triple Aim, Primary Care Medical Home And Basic Information About Wellness et al Overview of the Healthcare System, Concepts of Public Health, Community Health, Individual Health and the Chronic Care Model Knowledge Base on Specific Health Issues Health Care And Health Education Adult Learning Theory and Practice Heart Disease and Stroke Maternal Child/Teen Diabetes Cancer Oral Health Mental Health Understanding of Ethics and Confidentiality Issues Ethics and Legal Reporting Requirements (within Introduction to CHW) Professional Boundaries Service Skills and Responsibilities – Confidentiality and Release of Client Information Social Constructionism – Informal Counseling II (Ethical Use of Power) And CHW History & CHW Roles, Skills, and Tasks (Code of Ethics) CHW: Legal and Ethical Responsibilities

CHW Competency Curriculum/Course Content Crosswalk Competency South Carolina Mass (Boston Initiative) Texas New York Minnesota Variety of training programs (governed by Board of Nursing) 70 Hours Classroom, 35 Hours practicum; 35 Hours additional for specific disease Service Skills and Responsibilities Ability to Use and Understand Health Information Technology Training Requirement Ohio Six week, full time training program includes classroom and in office and/or community 17 College Credit 80 hour Internship TBD; 80 hours minimum 100 hours, 60 practicum

CHW Competency Curriculum/Course Content Crosswalk, State of Maryland Training Program Oral & Written Comm Cultural Comp Know Local Resources System Navigation Advocacy & Comm Capacity Building Project HEAL X X ESAHEC X X WMD AHEC X X IPHI X Healthy Start Baltimore Care Coor Skills Teaching Skill s & Promote Healthy Behavior Outreach Methods & Strategies Ability to Bridge Needs & Identify Resources Understand PH Concepts and Health Literacy Understand Ethics & Confidentiality X X X X X X X X X Sisters Together and Reaching, Inc. X X X X X Prince George’s HEZ X X X X X Mont Co. Latino Health Initiative X X Ability to Use and Understand Health Info Tech X

Maryland CHW Curriculum/ Course Content Disease Specific Additional Training Competency Project HEAL Eastern Shore AHEC Western Maryland AHEC Institute for Public Health Innovation Baltimore Healthy Start Sisters Together and Reaching, Inc. Prince George’s HEZ Montgomery County Latino Healthy Initiative Holy Cross Disease Specific Cancer – Breast, Prostate, Colorectal Diabetes Hypertension COPD Cardiac Issues Hypertensi on Exercise Nutrition Diabetes Tobacco Oral Health Chronic Disease Self Management Cardiovascular Diabetes HIV/AIDS Blood Pressure Glucose Testing Fetal Heart Monitoring Urine collection and testing Heart Disease and Stroke Hypertension Cholesterol Diabetes Heart Attack Stroke Heart Failure Atrial Fibrillation Heart Disease Stroke Hypertension High Cholesterol Asthma Physical Activity CV Disease Diabetes Obesity Behavioral Health Cancer Maternal and Child Health Training Requirements 8 Hours (6 + 2 self study) 60 hours 5 weeks (Hours to TBD) 80 Hours 80 classroom; 3 months practicum 120 Hours Flexible based on discretionary funds 20 Hours 2. 5 Hours

CHW Competency Review • • • Effective Oral and Written Communication Skills Cultural Competency (added) Knowledge of Local Resources and System Navigation Advocacy and Community Capacity Building Skills Care Coordination Skills Teaching Skills to Promote Healthy Behavior Change Outreach Methods and Strategies Ability to Bridge Needs and Identify Resources Understanding of Public Health Concepts and Health Literacy Understanding of Ethics and Confidentiality (added) Ability to Use and Understand Health Information Technology (added)