Integrating Community Health Workers into Medical Homes
Rogers, EA, Manser, ST, Cleary J, Joseph AM, Harwood EM, & Call KT. (2018). "Integrating Community Health Workers Into Medical Homes." Annals of Family Medicine 16(1): 13-20. doi: 10.1370/afm.2171
This article details a qualitative analysis that (1) identified facilitators and barriers to utilizing a community health worker (CHW) model among patient-centered medical homes (PCMHs) in Minnesota; and (2) defined roles played by the CHW workforce within the PCMH team. Four themes emerged as facilitators and barriers: the presence of leaders with knowledge of CHWs who championed the model; a clinic culture that favored piloting innovation vs. maintaining established care models; clinic prioritization of patients' nonmedical needs; and leadership perceptions of sustainability. CHWs performed both common and clinic-specific roles that included outreach, health education and coaching, community resource linkage, system navigation, and facilitating communication between clinicians and patients.