Defining the Role of the Community Health Worker within a Federal Healthy Start Care Coordination Team
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Defining the Role of the Community Health Worker within a Federal Healthy Start Care Coordination Team Jennifer E. Raffo1 · Celeste Lloyd2 · Monica Collier3 · LaDynah Slater4 · Belinda Cunningham2 · Katherine Penninga4 · Susan Henning2 · Janis Coil3 · Bonita Agee2 · Veronica Quintino‑Aranda5 · Peggy VanderMeulen2 · Lee Anne Roman6
© Springer Science+Business Media, LLC 2017
Abstract Introduction Federal and state policies often require utilization of evidence-based home visiting programs. Measurement of specified interventions is important for tracking program implementation and achieving program outcomes. Thus, the Strong Beginnings program worked to define community health worker (CHW) interventions, a core service of the program to improve maternal and child health. Methods A workgroup consisting of CHWs, supervisors and other program staff was created in order to develop and define specific CHW interventions within a nurse or social worker care team. Basic interventions were first compared to the nurse or social worker care coordinator home visiting interventions by risk topic. The evaluator then grouped each CHW intervention into categories per
risk domain using thematic analysis and assigned a CHW core function or role based on literature review findings. The workgroup confirmed the results. The workgroup then continued discussions to further enhance CHW interventions per risk domain once the general structure was created. Results The workgroup identified seven core functions and 28 maternal and child health risk topics to be addressed by the CHW. The process resulted in a detailed document of program interventions that the CHWs use to guide care. Conclusions The process helped CHWs feel more valued with their role in team care. The specified interventions will help others understand the CHW role within the care team, ensure consistent interventions are delivered across program
* Jennifer E. Raffo [email protected]
Peggy VanderMeulen [email protected]
Celeste Lloyd [email protected]
Lee Anne Roman [email protected]
Monica Collier [email protected]
1
LaDynah Slater [email protected]
Department of Obstetrics, Gynecology & Reproductive Biology, Michigan State University, 15 Michigan Street NE, Grand Rapids, MI 49503, USA
2
Belinda Cunningham [email protected]
Spectrum Health Healthier Communities, 665 Seward Avenue NW, Grand Rapids, MI 49504, USA
3
Katherine Penninga [email protected]
Kent County Health Department, 700 Fuller Avenue NE, Grand Rapids, MI 49503, USA
4
Susan Henning [email protected]
Cherry Health, 550 Cherry St. SE, Grand Rapids, MI 49503, USA
5
Janis Coil [email protected]
Family Futures, 678 Front Ave NW #210, Grand Rapids, MI 49504, USA
6
Department of Obstetrics, Gynecology & Reproductive Biology, Michigan State University, E Fee Hall, 965 Fee Rd Room A630, East Lansing, MI 48824, USA
Bonita Agee [email protected]
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