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.
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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 Cathryn Chandler at firstname.lastname@example.org.
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 email@example.com 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 https://ncchwa.org/en/resources#scct.
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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 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.
Chronic Disease – Prediabetes and Diabetes
Well Child Care & Immunization
Perinatal Prenatal and Postpartum
A Practical Look at Health Coaching Conversations
Introduction to Healthy Opportunities Pilots for CHWs
Introduction to Care Management for High-Risk Pregnancies (CMHRP)
Introduction to Care Management for At-Risk Children (CMARC)
ADHD (Attention-Deficit / Hyperactivity Disorder)
Chronic Disease Prevention and Intervention
Chronic Disease Medication Adherence
Documentation in Client Record
Motivational Interviewing Conversations: Clients with Common Health Conditions
Working with Special Populations: LGBTQ
Care Management for CHWs
Introduction to Motivational Interviewing for Community Health Workers
Introduction to Health and Wellness Coaching for Community Health Workers
Behavioral Health Conditions: Depression and Anxiety
Working with Clients with Behavioral Health Conditions
Overview of Medicaid Managed Care
NC AHEC Programa de Capacitación Especializada de CHW: Condiciones de Salud Conductual: Depresión y Ansiedad
NC AHEC Programa de Capacitación Especializada de CHW: Introducción a el entrenamiento de salud y bienestar para Promotores de Salud
NC AHEC Programa de Capacitación Especializada de CHW: Salud Adolescente
NC AHEC Programa de Formación Especializada de CHW: Coordinación de Recursos
Programa de formación especializada para CHW (siglas en inglés para Promotor de Salud) de NC AHEC: Introducción a la entrevista motivacional para Promotores de Salud
Programa de formación especializada de NC AHEC para CHW: Conversaciones de entrevista motivacional: Clientes con Condiciones Médicas Comunes
NC AHEC Programa de Capacitación Especializada de CHW: Visión Conjunta de Administración de Medicaid
NC AHEC Programa de Capacitación Especializada de CHW: Determinantes Sociales de la Salud
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 WEBINAR SERIES
This series of webinars seeks to build awareness and understanding in a wide audience across the state about Community Health Workers (CHW) and CHW program models that can inform and benefit CHW integration strategies and activities in NC. There is a lot of strong and impactful CHW integration work going on in NC and across the country. As a state, we are in the early phases of spreading and scaling CHW integration. It is important that we learn from those who have been leading this work to ensure that NC’s CHW integration approaches are the most impactful, equitable, and authentic (grounded in CHW culture). Click on the title below to access a recording of the webinar.
March 17, 2023 | An Introduction to Community Health Workers (CHWs) in North Carolina (passcode: 62%x3rJX)
This hour-long webinar features Honey Estrada, CHW, MPH, President of the NC CHW Association and focuses on information that will help learners to: identify the history, roles, and impact of Community Health Workers in North Carolina; outline the role of the NC CHW Association in CHW Workforce Development; describe Community Health Worker models of best practice including community-based and clinical settings.
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 firstname.lastname@example.org.
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