Bridging Community and Systems for Better Health and Well-Being
Community Health Worker Integration into Primary Care Advanced Medical Homes
Community Health Worker (CHW) services and programs are crucial in helping Advanced Medical Homes improve chronic disease self-management and health outcomes, enhance the patient experience, reduce emergency room utilization and hospital readmissions, as well as impact health equity and overall healthcare costs.
View the videos below to hear directly from Community Health Workers and healthcare providers working in NC about the important role that CHWs play in improving individual and community health.
The NC AHEC Community Health Worker (CHW) Program supports the development of a qualified and sustainable CHW workforce well equipped to advance health equity. While NC AHEC serves as an anchor partner in the NC CHW Initiative, the NC DHHS Office of Rural Health serves as the lead agency. For more information about our work, contact Gwen Arnold at email@example.com.
NC AHEC Practice Support is available in partnership with NC DHHS Division of Health Benefits. Practice Support coaches are able to support primary care practices interested in adding CHWs to their teams or optimizing existing CHW programs. This service is available at no charge to your practice. Visit the NC AHEC’s Practice Support webpage for more information, or contact us via email at firstname.lastname@example.org to seek assistance.
CHW Workforce Training & Support
NC CORE COMPETENCY TRAINING
This training is offered through the NC Community College System and is required for CHW Certification in North Carolina. Learn more by visiting www.ncdhhs.gov/divisions/office-rural-health/community-health-workers/community-health-worker-training.
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CHW SPECIALTY TRAINING
NC AHEC, as an anchor partner in the NC CHW Initiative, is committed to ensuring that Community Health Workers have access to ongoing training and professional development resources. As a vital workforce for advancing health equity, it is important that CHWs are able to deepen their knowledge and sharpen their skills for providing all North Carolinians with the opportunity for health and wellness. Through funding provided by the NC DHHS Department of Health Benefits (Medicaid), NC AHEC has worked with other key stakeholders, including CHWs and CHW supervisors, to develop standards for CHW Specialty training, identify key training topics, and develop a series of online modules specifically geared towards preparing CHWs to partner with primary care practices as part of the new Medicaid Managed Care network.
Each module provides continuing education credit recognized by the NC CHW Association for the purposes of maintaining certification. Some modules stand alone in terms of the topic covered while others can be combined to deepen CHW knowledge and skills on a particular topic. Each module has been co-developed with CHWs to ensure the focus of learning and style of education reflects CHW culture and real-life scenarios. This module is divided into three sections focusing on an overview of NC Medicaid and Medicaid Managed Care, the role of CHWs in Medicaid Managed Care, and the role of CHWs in client advocacy.
CHW Integration into Advanced Medical Homes:
NC AHEC is developing self-paced online specialty training programs to prepare CHWs and practices for CHW integration into primary care as part of Medicaid Managed Care. Training programs will be released in English and Spanish on a rolling basis beginning February 2022. This service is also supplemented with Practice Support coaches with expertise in CHW optimization within your practice or Advanced Medical Home. Click on the links embedded in the training program titles below to learn more and to register.
Documentation in Client Record – English version
Motivational Interviewing Conversations: Clients with Common Health Conditions – English version
Working with Special Populations: LGBTQ – English version
Care Management for CHWs – English version
Introduction to Motivational Interviewing for Community Health Workers – English version
Introduction to Health and Wellness Coaching for Community Health Workers – English version
Resource Coordination – English version
Behavioral Health Conditions: Depression and Anxiety – English version
Working with Clients with Behavioral Health Conditions – English version
Overview of Medicaid Managed Care – English version
COVID-19 CHW Training for NC AHEC CHW Initiative:
This self-paced online course helps connect the health workforce to COVID-19 related community-based resources for patients and their families. Available in English and Spanish.
These training programs are being developed with support from the NC DHHS Division of Health Benefits and will be made available free of charge.
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MONTHLY CHW PEER LEARNING COLLABORATIVES
This ECHO-based series brings CHWs from across the state together to support shared learning. The series is co-hosted by CHWs with topics selected through input from participants. Sessions are held monthly every third Thursday at noon. Live English-Spanish interpretation is provided.
Resources for Effective CHW Integration
NEW! CHW INTEGRATION & OPTIMIZATION TOOL
This tool is an evidence-informed comprehensive resource that includes a gap analysis, implementation resources, and a project management plan for integrating new or optimizing existing CHW programs in Advanced Medical Home settings. NC AHEC Practice Support coaches are able to assist you with the use of this tool as part of your CHW optimization efforts. For more information, please contact email@example.com.
The Toolkit was developed with support from the NC DHHS Division of Health Benefits, NC AHEC, and the Rita and Alex Hillman Foundation.
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ECHO FOR CHW INTEGRATION INTO ADVANCED MEDICAL HOMES
Two 8-session ECHO series will be offered in 2022 to Advanced Medical Homes (AMH) interested in preparing for, optimizing, and/or implementing CHW services and programs. This series is offered in conjunction with 1:1 support from an NC AHEC Practice Support coach as needed by the practice or AMH.
These ECHO series will be offered with support from the NC DHHS Division of Health Benefits and will be made available free of charge.
Meet Our Team
We all share the responsibility of ensuring quality health care is equitably delivered to all people living in North Carolina. Collaboration is key to achieving this goal. We appreciate the opportunity to work with and learn from our partners in this work.
CommUnity Healing through Activism and Strategic Mobilization (CHASM) Institute
NC Community Health Center Association (CHCA)
NC CHW Association
NC DHHS Department of Health Benefits
NC DHHS Office of Rural Health
North Carolina Healthcare Association
North Carolina Central University (NCCU)
Partners in Health
Saint Augustine’s University