Dennis Dunmyer, BBA, MSW, JD, Vice President of Behavioral Health and Community Programs, Kansas City CARE Clinic
Learning Objectives:
1. Explore the approach to Missouri’s Community Health Worker workforce.
2. Discuss the role of school-based health care in preventative medicine.
3. Discuss examples of workplace wellness programs that create healthier employees while improving an organization’s bottom line.
A Community Health Worker (CHW) is a frontline public health worker who is a trusted community member with an unusually close understanding of the community served. This is short presentation designed to garner support for CHWs.
THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
YOU CAN JOIN FACEBOOK GROUP FOR MORE SUCH VIDEOS BY THIS LINK- https://www.facebook.com/groups/241390897133057/
FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG - https://mynursingstudents.blogspot.com/
Instagram- https://www.instagram.com/mystudentsupportsystem_nursing/
Twitter-https://twitter.com/student_system?s=08
,#Mystudentsupportsystem,#COMMUNITYNEEDASSESSMENT,#CNA,#phc,#chc, #continuingeducation, #PLA,
#survey, #communityhealth, #communityhealthnursing, #femalehealthworker,#anm, #homehealthcare
A Community Health Worker (CHW) is a frontline public health worker who is a trusted community member with an unusually close understanding of the community served. This is short presentation designed to garner support for CHWs.
THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
YOU CAN JOIN FACEBOOK GROUP FOR MORE SUCH VIDEOS BY THIS LINK- https://www.facebook.com/groups/241390897133057/
FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG - https://mynursingstudents.blogspot.com/
Instagram- https://www.instagram.com/mystudentsupportsystem_nursing/
Twitter-https://twitter.com/student_system?s=08
,#Mystudentsupportsystem,#COMMUNITYNEEDASSESSMENT,#CNA,#phc,#chc, #continuingeducation, #PLA,
#survey, #communityhealth, #communityhealthnursing, #femalehealthworker,#anm, #homehealthcare
This presentation is helpful for MBBS 1st year students to have basic Ideas on family health. This can be used by Masters in Public Health (MPH) students as well.
Indicator is a variable which gives an indication of a given situation or a reflection of that situation.
Health Indicator is a variable, susceptible to direct measurement, that reflects the state of health of persons in a community.
Indicators help to measure the extent to which the objectives and targets of a programme are being attained.
This presentation is helpful for MBBS 1st year students to have basic Ideas on family health. This can be used by Masters in Public Health (MPH) students as well.
Indicator is a variable which gives an indication of a given situation or a reflection of that situation.
Health Indicator is a variable, susceptible to direct measurement, that reflects the state of health of persons in a community.
Indicators help to measure the extent to which the objectives and targets of a programme are being attained.
A presentation by Robinson Karuga on quality improvement in community health worker programmes in Kenya. This was given at the 2016 Global Symposium on Health Systems Research.
Healthcare delivery systems in India need a thorough look by reformist in India. Ehealth may be a probable option tool to help integrating hospital and community care
The Health Educators Guide to Social Media - ANZAHPE AMEA 2015David Townsend
Presentation given Monday 30 March at the ANZAHPE AMEA Conference in Newcastle, Australia
Abstract:
The Health Professional Educators Guide To Social Media
David Townsend
University of New England, NSW, Australia
Introduction/ Background
The new frontier of Social Media presents a fantastic opportunity for health professional educators (HPE’s) to expand their professional networks, keep up to date with the latest news and developments in health education and provides an exciting interactive vehicle for communicating with students and trainees
This workshop will be a taster for HPE’s who are interested in Social Media but don’t know where to begin and will provide them with the confidence and tools to get off to a flying start. Our goal is not simply to inform people about the benefits of social media, but instead to get them active and involved so they can experience it for themselves.
Purpose/Objectives
David will be presenting about how Australian & international social media pioneers have used their blogs, Twitter accounts and Facebook to develop networks across the world. He will be expanding upon the results of the study he presented at ANZHPE14 (Townsend, D. Guppy, M. Methods Used by Australian Medical Students to Assess the Quality of Social Media Educational Resources) and showing how the results of this study can be implemented. He will also be sharing how to keep safe online and balance the risks to ensure you protect your professional reputation. This will be a hands on workshop with all participants expected to give social media a go!
Learning objectives:
The workshop will be based on a 60% practical and 40% theoretical mix. At the end of this workshop, participants will be able to:
1. Sign up, Sign in, Follow hashtags & Start interacting on Facebook, Twitter & LinkedIn.
2. Establish a Facebook page & Blog to start interacting with their students & colleagues
3. Protect their professional reputation online
Method or Issues for exploration/ideas for discussion
David will be sharing his social media experience, however the majority of the time will be made up with practical walkthroughs on how to sign up and speak up on social media networks. He will also be providing a printed “how to” guide for use on the day and will be directing participants to the Social Media GP website (www.socialmediagp.org), a website specifically developed for GPs and other health professionals with more advanced information on social media for use after the event. Social Media GP has been developed by David and a team of GP’s, GP registrars and medical students.
Revolution in the air: integration of housing health and social careCambridgeshireInsight
Revolution in the air: integration of housing health and social care.
Our keynote speaker, Sue Adams of Care & Repair England presented these slides to the Cambridge sub-regional housing board event in October 2013.
This presentation is for the UK Association of Directors of Public Health policy workshop 2016 and looks at how Public Health can support and lead health approaches to Housing strategy and delivery. It takes a number of examples and case studies and identifies 7 key policy and strategy principles
Advancing Team-Based Care:Dissolving the Walls: Clinic Community ConnectionsCHC Connecticut
This final webinar of the Transforming Teams series addressed the ways innovative practices keep connected to their communities by offering non-medical services that benefit patients, linking to quality community resources, and acting as advocates in their communities for resources and programs that may be needed.
This webinar was presented Jun 2, 2016 3:00 PM Eastern Time
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
Major Stakeholders in Healthcare systemWajid Farooq
The health care delivery system is intended to provide services and resources for better health. This system includes hospitals, clinics, health centers, nursing homes and special health programs in school, industry and community
Stephen Webber, JD, State Representative, Missouri House of Representatives
Learning Objective:
Discuss the importance of reducing healthcare expenditures and explore possible routes to doing so.
Peter Vallentyne, PhD, Florence G. Kline Professor of Philosophy, University of Missouri
Learning Objective:
Discuss key moral considerations in favor, and against, the justice of the ACA.
Lael Keiser, PhD, Associate Professor, Department of Political Science, Truman
School of Public Affairs, University of Missouri;
Justin Dyer, PhD, Associate Professor, Department of Political Science, University of Missouri
Learning Objectives:
1. Discuss the importance of implementation in determining the future of the ACA.
2. Explain the role of the Executive Branch, Courts and Congress in the rulemaking process.
3. Discuss the implications for recent court decisions on implementation.
Laura Schopp, PhD, Wellness Program Director, Healthy for Life: T.E. Atkins University of Missouri Wellness Program
Learning Objectives:
1. Explore the approach to Missouri’s Community Health Worker workforce.
2. Discuss the role of school-based health care in preventative medicine.
3. Discuss examples of workplace wellness programs that create healthier employees while improving an organization’s bottom line.
Daphne Miller, MD: Associate Clinical Professor, Department of Family and Community Medicine, University of California San Francisco
MO Health Policy Summit 2013
More from Center for Health Policy, University of Missouri (14)
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
1. Using Community Health
Workers As Health
NaHveailgtha Ctaorer sDelivered Where People Live,
Learn, Work and Play
Dennis Dunmyer, JD, LCSW
2. American Public Health Association
• APHA Definition of a CHW:
• A Community Health Worker (CHW) is a frontline public
health worker who is a trusted member of and/or has an
unusually close understanding of the community served.
This trusting relationship enables the CHW to serve as a
liaison/link/intermediary between health/social services
and the community to facilitate access to services and
improve the quality and cultural competence of service
delivery.
• A CHW also builds individual and community capacity by
increasing health knowledge and self-sufficiency through a
range of activities such as outreach, community education,
informal counseling, social support and advocacy.
Community Health Workers: Patient
Engagement
3. Kansas City Definition:
• “Community Health Workers bridge the gap
between healthcare providers and populations in
need of care. CHW’s are a trusted member or
have a close understanding of the community
they serve. They are a link between the patient
and the health or social services agencies, striving
to improve health outcomes. Ultimately, a CHW
improves access to services and quality of care
for patients.”
– Established by MARC Regional CHW Stakeholder Committee.
– Currently under review
Community Health Workers: Patient
Engagement
4. Community Health Workers: Patient
Engagement
Dula Peer Counselor
Health Promoter
Prevention Outreach
worker
Promotora de salud
Navigator
Health Coach
5. History of CHWs
• The history of the CHW can be traced back to the
early 17th century. During a shortage of doctors in
Russia, laypeople known as “feldshers” received
training in the field to provide basic medical care to
military personnel.
• In the 1950’s, CHW’s thrived in Latin America. Their
role was to remedy the unequal distribution of
health resources and bring health care to the poor.
Community Health Workers: Patient
Engagement
6. History of CHWs cont.
• In the 1960’s, CHW’s started emerging in the United
States as part of the Great Society domestic programs.
The Federal Migrant act of 1962 and the Economic
Opportunity Act of 1964 brought formal government
support to community health programs. These
legislations also mandated outreach efforts to low-income
neighborhoods and migrant worker camps.
• The use of CHW’s began to wane in the 1970’s and early
1980’s. In the late 1980’s and early 1990’s programs
began to pop up again in migrant and seasonal farm
working communities.
Community Health Workers: Patient
Engagement
7. CHWs today
• In the 2000’s, CHWs continue to grow:
– CMS recognizes CHWs as reimbursable provider
and between 2001 and 2007 the following states
began using CHW’s: Texas, Ohio, New Mexico,
Massachusetts, and Minnesota.
– In 2010 the Affordable Care Act included language
that encourages the use of CHWs
– Currently HHS, CDC, OASH and state and local
Public Health departments are exploring
increasing the use of CHWs
Community Health Workers: Patient
Engagement
8. Scope of Practice*
1. Bridge the gap between communities and the
health and social service systems
2. Navigate the health and human service systems
3. Advocate for individual and community needs
4. Provide Direct Services
5. Build individual and community capacity
*Minnesota CHW Alliance
Community Health Workers: Patient
Engagement
9. Bridge the Gap
• Enhance the quality and safety of health care by
aiding communication between provider and patient
• Educate community members about how to use the
health care and social service systems
• Educate the health and social service systems about
the community needs and perspectives
Community Health Workers: Patient
Engagement
10. Navigate
• Increase access to Primary Care
– Often will attend medical visit with the client
• Make referrals and coordinate services
• Teach self management skills and tools
• Facilitate continuity of care by providing follow-up
• Enroll clients in health coverage programs
– Ie Medicaid, Medicare, Marketplace
• And educate them on how to use their new coverage
• Link clients to community resources
Community Health Workers: Patient
Engagement
11. Advocate
• Be a spokesperson for clients when they are unable
to speak for themselves
• Involve participants in self and community advocacy
Community Health Workers: Patient
Engagement
12. Direct Services
• Provide culturally appropriate health information
• Educate clients about disease prevention
• Assist clients in self-management of chronic disease
• Assist clients with medication adherence
• Conduct health screenings
• Provide individual and social and health care support
• Organize and facilitate support groups
Community Health Workers: Patient
Engagement
13. Build capacity
• Build individual capacity to achieve wellness
• Build community capacity by addressing social
determinants of health
• Identify individual and community needs
• Mentor other CHWs
Community Health Workers: Patient
Engagement
14. Bob
• ED high utilizer (8 times for alcohol abuse)
• Homeless with no phone
• CHW worked with ED staff so that ED staff contacted
CHW the 9th time Bob came in. CHW worked with
Artist’s Helping the Homeless and together enrolled
Bob in rehab at Salvation Army. Then the CHW
created care plan and worked with Bob to connect
him to Medicaid and housing.
Community Health Workers: Patient
Engagement
15. Bob 2 years later
• Has Medicaid
• Stable housing
• Sober
• Has not been to the ED in over a year
• Attends medical appointments at his new Primary
Care medical home
Community Health Workers: Patient
Engagement
16. Settings for CHWs
• Hospitals
• Physician Clinics
• Health Departments
• Faith Communities
• Community Based Organizations
Community Health Workers: Patient
Engagement
17. Why a CHW?
• Hired from within at-risk communities, CHWs
reflect the values and culture of the community
they work within.
• Peer-to-peer relationship of trust with patients,
rather than provider-patient relationships.
• It is this relationships that allows CHWs to
communicate openly with patients on issues
related to health and ultimately to improve
health care access and outcomes.
Community Health Workers: Patient
Engagement
18. KC CARE CHW program
• Our goal is to improve health of patients as
evidenced by:
1) increased access to medication
2) improved patient self-management
3) high percentage of patients achieving personal
healthcare goals
4) increased engagement with a medical home
5) reduction in ED use
6) a high level of patient satisfaction
Community Health Workers: Patient
Engagement
19. CHWs at the KC CARE Clinic
• Started in 2010 with two CHWs working with
“afterhours” safety net clinics
• Today intervene in a continuum with 8 CHWs
– Hospital EDs
– Safety Net Clinics
– Wellness Center
Community Health Workers: Patient
Engagement
20. Strategies for Patient engagement
• CHWs function as a medical tour guide for patients,
walking side-by-side they teach patients to navigate
the health care system
– Attendance at appointments
– Home/Community visits
• Individualized assessment and treatment plan
• Motivational interviewing techniques
• Self management capacity building
– Ask me three
– Pre-appointment planning
– Post-appointment review
Community Health Workers: Patient
Engagement
21. Self Management Strategies cont
• Note book
– Pre-appointment planning
– Post appointment review
• “Ask me three” (questions to ask provider)
– What is my main problem?
– What do I need to do?
– Why is it important for me to do this?
• Operationalizing care plan
– Home visit or trip to grocery store
Community Health Workers: Patient
Engagement
22. Mary
• Diabetes, Hypertension, COPD
• $200,000 hospital bill because of frequent ED use
• Agoraphobia
• Using ED because leaving the house terrifies her and
so a trip to the doctor was frightening
• CHW met her at her house to travel with her by cab
to the first doctor’s appointment
Community Health Workers: Patient
Engagement
23. Mary after CHW
• Approved for Medicaid and disability
• Attends appointments with primary care doctor
• Diabetes is now controlled
• Attended specialty physician visits
• Currently in MH services for her agoraphobia
• Will now leave the house with her husband
occasionally
• Overall health improvement
Community Health Workers: Patient
Engagement
24. Sustainability/ROI
• Cost savings due to lower ER utilization and hospital
admissions, and access to preventive medicine
– Denver Health found an ROI of $2.38 for every $1
invested
– Arkansas Community Connector realized 23.8 percent
reduction in Medicaid spending for long term care
with use of CHWs
– In Baltimore, MD, CHWs work with diabetes patients
on Medicaid. They realized 38% reduction in ER visits
and 27% drop in Medicaid spending for these
patients. Each CHW is estimated to save $80-90,000
Community Health Workers: Patient
Engagement