Accelerating the Use of Findings from Patient-Centered Outcomes Research in Clinical Practice to Improve Health and Health Care Proceedings of a Workshop Series (2022) / Chapter Skim
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2 Workshop 1 Keynote: Community Health Workers
2 Workshop 1 Keynote: Community Health Workers
Pages 3-10
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From page 3... ...
INTRODUCTION TO WORKSHOP Lauren Hughes, associate professor of family medicine and state policy director of the Farley Health Policy Center at the University of Colorado, explained that the first workshop will explore the Agency for Healthcare Research and Quality's (AHRQ's) proposed priorities and strategies to make them clearer and more likely to lead to high-impact funding and projects, while also being consistent with the congressional mandate to invest funds from the Patient-Centered Outcomes Research Trust Fund (PCORTF)
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From page 4... ...
PCOR, she explained, provides decision makers with objective scientific evidence on comparative effectiveness of different treatments, services, and other interventions used in health care, while PCORTF, which receives most of its funds from a tax on private insurance plans, provides funding to support dissemination, training, and data infrastructure for PCOR. She explained that Congress mandated that 80 percent of trust fund spending would go to the Patient-Centered Outcomes Research Institute (PCORI)
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From page 5... ...
The nation's 86,000 community-based organizations employ the majority of the nation's CHWs though public health departments and, more recently, value-based health care organizations.2 Kangovi noted CHWs are not siloed in one part of the care continuum or one specific patient population. They are frontline public health workers with a uniquely broad and deep understanding of the community they serve.
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From page 6... ...
Kangovi suggested that FIGURE 2-1 Community health workers address all stages of health inequity SOURCE: Presented by Shreya Kangovi on June 9, 2022, at Accelerating the Use of Findings from Patient-Centered Outcomes Research in Clinical Practice to Improve Health and Health Care: A Workshop Series.
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From page 7... ...
Burke noted that CHWs take on many different roles depending on the needs of their patients: "We become what the patient needs most: a friend, a confidant, a gym partner, a walking buddy, an advocate at appointments, a shoulder to cry on," she said. She described CHWs as the link that helps health care providers see and understand the whole picture of their patients' lives, not just the part they see in their offices.
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From page 8... ...
Kangovi noted that when she began researching the barriers to successful CHW programs, she expected the primary barriers would be lack of funding and political will. However, she learned that the main impediments were implementation factors, staff turnover, lack of infrastructure, not truly understanding what CHWs should be doing, and a lack of understanding of how to incorporate this unique workforce into the health care system without destroying or over medicalizing3 them.
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From page 9... ...
. Those clients also had higher scores on health care services surveys regarding primary care access and quality, and also had improved chronic disease management and mental health (Kangovi, 2018)
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From page 10... ...
Kangovi highlighted two funding related challenges for CHW programs that should be addressed at the policy level. First, she said, there is a need for sustainable and adequate funding for CHW programs, as opposed to the current patchwork of grants and demonstration projects.
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