The Massachusetts Association of Community Health Workers (MACHW) Summer Updates: Board of Certification of CHWs
The Board of Certification of Community Health Workers continues to meet on the 2ndTuesday of the month (unless otherwise noted) from 9:00 am – 12:00 pm at the Division of Health Professions Licensure, 239 Causeway St, Boston (near North Station T stop) in Conference Rooms 417 A&B. The meeting dates for 2014 are posted on the Board’swebsite.
As some of you may have been following, ten core competencies for CHWs have been proposed as follows:
- Outreach Methods and Strategies
- Individual and Community Assessment
- Effective Communication
- Cultural Responsiveness and Mediation
- Education to Promote Healthy Behavior Change
- Care Coordination and System Navigation
- Use of Public Health Concepts and Approaches
- Advocacy and Community Capacity Building
- Professional Skills and Conduct
In addition, much discussion has taken place around the two individual pathways to certification. One pathway being explored will be for CHWs with work experience only (no approved core competency training). Under this pathway, it is proposed that individuals would be “grandfathered” in and the pathway will expire after a sunset period. The 2nd pathway proposed will be tailored for CHWs with both work experience and CHW core competency training. Both pathways would require an ethics exam (standards of conduct for CHWs) — a draft and discussion around this has begun.
Other topics of discussion have included the requirements for CHWs certified as trainers. Although this piece is not final, the Board is looking at this as a career advancement opportunity for CHWs. It is required now that the Board provide this tier. It is proposed that this would create a board-approved CHW with the goal of certifying a CHW as a trainer (not to be confused with a CHW trainer).
Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver (UTMB Health) Donna Sollenberger EVP, CEO Health System February 2012 http://www.utmb.edu/1115/docs/1115Waiver-CommunityPresentation-2012-02-21.pdf
ASTHO and the Pacific and Southwest Regional Health Equity Council to Hold Webinar on Community Health Workers
On Sept. 3 from 4-5 p.m. EDT, ( 1pm – 2pm Pacific ) ASTHO and the Pacific and Southwest Regional Health Equity Council (Region IX) will hold the webinar “Community Health Workers: Part of the Solution for Advancing Health Equity; Perspectives and Initiatives from the Pacific and Southwest Regional Health Equity Council (Region IX).” The webinar will address case studies that demonstrate the value and impact of community health workers (CHWs) on health disparities and how the documented value of CHWs can assist in educating and informing the work of policymakers, payers, and other critical audiences. The webinar will highlight Region IX focus on CHWs’ role in enhancing health equity and addressing the social determinants of health. The webinar will also highlight the history and current landscape of CHW practices in the region’s states and territories, and discuss recommendations on how to build and sustain a regional system of support for CHWs and organizations that utilize CHWs.
Marissa Scalia Sucosky, MPH
Project Officer Blackberry: 404-384-9135 firstname.lastname@example.org
Program Development and Implementation Branch
Division of Community Health
National Center for Chronic Disease Prevention and Health Promotion
Centers for Disease Control and Prevention
4770 Buford Highway, NE, MS F-81 Atlanta, GA 30341
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines factors that can contribute to health status. In the United States, less than 9 percent of health expenditures go to disease prevention, and there is little support for social services, such as programs for older adults, housing, and employment programs.
This brief focuses on “multiple determinant” studies that seek to quantify the relative influence of some of these factors on health. It is part of a larger project, supported by the Robert Wood Johnson Foundation, which aims to create a structure for conducting analyses that demonstrate the value of investments in nonclinical primary prevention and their impact on health care costs. You may view the latest post at http://healthaffairs.org/blog/2014/08/22/health-policy-brief-the-relative-contribution-of-multiple-determinants-to-health-outcomes/ Health Affairs email@example.com
CMS Beneficiary Engagement, Incentives, and Behavioral Insights Request for Information (RFI) 08/19/2014 The announcement and response form are at: http://www.healthcarecommunities.org/Home/RFI-BeneficiaryEngagement.aspx
Request for Information on Beneficiary Engagement, Incentives, and Behavioral Insights
AGENCY: Centers for Medicare & Medicaid Services (CMS), DHHS
ACTION: Request for Information (RFI)
The Centers for Medicare & Medicaid Services (CMS) are seeking input on the following areas related to potential initiatives to test innovative models to increase the engagement of Medicare beneficiaries, Medicaid beneficiaries, Medicare-Medicaid beneficiaries, and/or Children’s Health Insurance Program (CHIP) beneficiaries in their health and health care. By “engagement,” we mean beneficiaries’ active involvement in behaviors and activities meant to improve their health status and outcomes.
We are especially interested in models that use evidence-based social and behavioral insights to improve beneficiary engagement. We are interested in interventions and engagement that utilize methods from behavioral economics, social psychology, incentive design, and other methods to attract attention of beneficiaries, encourage enrollment in the models, and provide continued motivation for the beneficiary to continue to engage in the model to improve health and healthcare activities.
CMS anticipates publishing a separate request for information (RFI) to solicit ideas related to Medicare Parts C and D, Medigap organizations, Medicaid, Medicare-Medicaid beneficiaries, or CHIP managed care, and information related to value-based insurance design (VBID). In this current RFI, we are interested in suggestions from all parties, including beneficiaries and beneficiary advocates, insurers, managed care plans, and employers related to how incentives and behavioral insights may help to improve beneficiary engagement, but anticipate that models that are considered in connection with this RFI will not include VBID issues.
DATES: Comment Date: To be assured consideration, comments must be received by 11:59 p.m. on September 15, 2014.
FORMAT: All comments submitted must be typed into the text boxes, put in Microsoft Word or Adobe PDF file formats. CMS will not accept hard copy responses. Responses to this request are voluntary. Response to each question should be limited to 200 words or less. Total responses to the entire RFI should be 2,500 words or less, double spaced.
ADDRESSES: Comments should be submitted electronically through the CMS Innovation Center’s web page at: http://innovation.cms.gov/initiatives/Beneficiary-Engagement/
FOR FURTHER INFORMATION CONTACT: BenEngage@cms.hhs.gov with “RFI” in the subject line.
Section 1115A of the Social Security Act, as added by section 3021 of the Affordable Care Act, authorizes the Center for Medicare and Medicaid Innovation (Innovation Center) to test innovative payment and service delivery models that have the potential to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, Medicare-Medicaid, and CHIP beneficiaries. CMS is interested in testing new models that will encourage beneficiaries’ engagement in their health and health care in order to create improved care, better health, and lower costs. These models would complement CMS’s existing portfolio of models that use innovative methods to increase beneficiary engagement. (For more information on the Innovation Center’s models, please see http://innovation.cms.gov.) CMS is issuing this RFI to obtain comments on the selection and design of models to improve beneficiary engagement in their health and health care.
Questions: This RFI seeks responses from clinicians, clinician practices, healthcare institutions, Medicaid/CHIP agencies, external quality review organizations, quality improvement organizations, advocacy organizations, health plans, employers, purchasers, consumers, research and policy groups, Medicaid/CHIP agencies, external quality review organizations, community-based providers and other members of the public about how to improve engagement of CMS beneficiaries in health care in order to generate better care and better health at lower costs. The comments sent in response to the RFI may be used to develop future requests for proposals to test new models to improve CMS beneficiary engagement in their health and health care.
Commenters are requested to provide responses to the following questions. Please respond to those questions that are germane to your experience and expertise. A response to every question is not required.