CHW Montana

CHW Montana

CHW Montana CHW Fundamentals SEPTEMBER 12, 2017 CHW Fundamentals Introductions CHW Fundamentals Updated - Program Themes, Core Competencies, and Skills Training Program Delivery (on-ground, blended, online, instructor/preceptor-guided) Site Selection, Oversight, Requirements, and Assessment of the Supervised Experience Training/ Certification" of Instructors/Preceptors Instructor/Preceptor Manual Program Implementation Program Sustainability CHW Advanced CHW Fundamentals

Overview CHW Fundamentals Montana is a standardized Program designed for individuals interested in becoming a Community Health Worker (CHW) or for those already in CHW positions. It is an instructor/preceptor-guided Program; 80 hours in length. The Program consists of 4-15 hour Training Modules and 1-20 hour supervised agency/facility experience Module taken at the completion of the 4 Training Modules. CHW Fundamentals students are expected to achieve a PASS in each Module attempted. Additionally they are to successfully perform all expected CHW skills, complete a Reflective Practice Journal, and present a CHW Case Study. CHW Fundamentals Learning Outcomes At the end of CHW Fundamentals, students will: 1. Display positive behaviors and attitudes needed to effectively succeed in the role and fulfill the responsibilities of a CHW, engage in self-care, and maintain personal and client safety.

2. Apply a basic knowledge of anatomy and physiology, human development, aging, and acute and chronic illness and disease to plan, monitor, and determine client needs and resources for care. 3. Incorporate legal requirements and ethical guidelines into all responsibilities particularly when observing, reporting, and documenting. 4. Exhibit effective communication and coaching skills and the ability to collaborate with a multidisciplinary healthcare team. 5. Identify how healthcare and public/community health structure, design, issues, and technology influence the coordination and management of care and services, and effect quality and safety. CHW Fundamentals Learning Outcomes, Cont. 6. 7. Use appropriate decision making, organization, coordination, and navigation skills to ensure appropriate and timely delivery of resources, services, and care. Integrate into the provision of resources and services, the values and needs of the cultures

and practices of the populations and communities represented. 8. Provide outreach, advocacy, and social support to promote health needs. 9. Implement community/individual education programs to build capacity, promote health and wellness, and bring about change to improve health outcomes. 10. Demonstrate expected CHW skills. CHW Fundamentals

Population Dynamics Cultural Humility Client Safety Wellness Population Health Health Promotion 6 Training Program Themes CHW Fundamentals 9 Core Competencies Professional Skills and Conduct Communication Self-Care Interpersonal Relationships Organization Service Coordination and Navigation Skills

Capacity Building Advocacy and Outreach Teaching CHW CORE COMPETENCY MODULE LOCATION EXPECTED SKILL Professional Skills and Conduct 1 Communication 1

Self-Care 1 Interpersonal Relationships 2 Organization 3 Service Coordination and Navigation Skills 3

Capacity Building 4 Professional Appearance Maintain Legal and Ethical Responsibilities Compassionate Communication Cultural Humility Observation and Reporting Written Skills Documentation Self-Care Management Personal Safety Building Respectful, Trusting Relationships,

Active Listening Interviewing Teamwork Coaching and Support Conflict Management Priority Setti ng and Time Management Problem Solving Developing Work Plans Community Asset Mapping Networking for Resources Making Referrals and Tracking Care Community Scanning Motivational Interviewing Advocacy and Outreach

4 Teaching 4 CHW Supervised Skills Experience 5 Advocacy for Needed Care Outreach/Case-Finding and Follow Up Strengths Based Identification Teaching Strategies

Behavioral Change Facilitation All Expected Skills CHW Fundamentals Delivery Options On-ground Blended Online web based or LMS* Instructor/Preceptor-Guided * Natalie Petersee to discuss RISE CHW Fundamentals 5 Modules 1. Community Health Worker: Role and Responsibilities

2. Communicating and Collaborating with Individuals, Groups, and Communities 3. Delivering Safe Quality Healthcare: Resources, Services, and Care 4. Outreach, Advocacy, and Promoting Healthy Communities 5. Supervised Agency/Facility Experience CHW Fundamentals Module Activities CHW Application (Activities) and Power Points

Self-Assessments and Checklists Video Introduction, CHW Video Interviews, Video Roleplay Vignettes CHW Case Scenario and Questions Mrs. J. (Modules 1-4) CHW Reflective Learning Journal CHW Module Evaluation CHW Fundamentals Videos Introduction Video Focused interviews of 4 working CHWs embedded in the summary of each module. Emphasis on their role at the agencies in which they work and best practice/handy tips on the content of that module. Module Vignettes 3-5 minutes Module 1 - Compassionate Communication. Student views the video and responds by critiquing the communication...what was good, what was not good, and what could be done to improve. Module 2 - Interviewing a client on a first home visit. Student views the video and responds by critiquing the interviewing

skills...what was good, what was not good, and what could be done to improve. Module 3 - Priority Setting and Work Planning - role play between a supervisor and CHW regarding a client referral...client background, needs, and the goals for the care are provided. Student views and then identifies priorities and develops a work plan. Module 4 - Motivational Interviewing - Student views the video and responds by critiquing the motivational interview...what was good, what was not good, and what could be done to improve. Module 1. Community Health Worker: Role and Responsibilities 15 Hours Module 1 Description In this Module, students learn the roles and responsibilities of CHWs which includes positive workplace behaviors and attitudes and personal and professional boundaries. In addition, the Module focuses on legal requirements and ethical guidelines and how to effectively observe, report, and document in a technological environment. Also emphasized is compassionate care, cultural humility, and the importance of self-care and personal safety.

Module 1. Community Health Worker: Role and Responsibilities, Cont. Module 1 Objectives At the end of this Module, students will: 1. Effectively integrate the CHW role and responsibilities into daily work activities. 2. Exhibit positive workplace behaviors and attitudes and self-care and personal safety strategies. 3. Recognize professional, personal, and community boundaries. 4. Display compassionate communication and cultural humility. 5. Explain key legal requirements and ethical guidelines and how they impact the role and responsibilities of the CHW. 6. Demonstrate skill in observing, reporting, and documenting using technology. Module 1. Community Health Worker: Role and Responsibilities, Cont.

Module 1 Units The following are the three Units found in this Module. A. CHW Role, Responsibilities, and Boundaries, Positive Behaviors and Attitudes; SelfCare and Safety B. Compassionate Care and Cultural Humility C. Legal Requirements and Ethical Guidelines: Observation, Reporting, and Documentation Module 2. Communicating and Collaborating with Individuals, Groups, and Communities 15 Hours Module 2 Description In this Module, students learn verbal and nonverbal communication skills and how to develop and maintain positive, respectful, and trusting interpersonal relationships with individuals, groups, populations, and communities. They will also learn active listening, interviewing, coaching and support to promote change. Also emphasized are strategies to collaborate with a

multi-disciplinary healthcare team, and sensitivity and competence to effectively work with a variety of individuals, groups, and communities. Module 2. Communicating and Collaborating with Individuals, Groups, and Communities Module 2 Objectives At the end of this Module, students will: 1. Demonstrate appropriate verbal and nonverbal communication in a variety of CHW situations. 2. Build interpersonal, interviewing, and conflict management skills. 3. Recognize values when working with individuals, groups, and communities. 4. Develop skills in coaching and support to help promote change. 5. Apply strategies to ensure effective teamwork and collaboration with a multidisciplinary healthcare team. Module 2. Communicating and Collaborating with Individuals, Groups, and Communities

Module 2 Units The following are the three Units found in this Module. A. Verbal and Nonverbal Communication, Active Listening, Interviewing, and Conflict Management B. Values and Needs, Interpersonal Skills, and Coaching C. Teamwork and Collaboration with Multi-disciplinary Healthcare Teams Module 3. Delivering Safe Quality Care: Resources, Services, and Care 15 Hours Module 3 Description In this Module, students learn about the structure, function, delivery, and current issues and the technology used in healthcare, public, and community health systems. They also learn about the importance of promoting quality and ensuring safety. Focus is also on problem

solving as a framework for making effective decisions and evaluating a variety of CHW situations. Also emphasized are community assets; networking; navigation skills, making referrals; and organizing and coordinating and resources, services, and care. Module 3. Delivering Safe Quality Care: Resources, Services, and Care Module 3 Objectives At the end of this Module, students will: 1. Explain the structure, function, and delivery of healthcare, public, and community health systems. 2. Explore current political, financial, and environmental issues in healthcare, public, and community health. 3. Describe the role and responsibilities CHWs have in promoting quality and ensuring safety. 4. Use problems solving to make effective decisions. 5. Identify community assets and resources through the use of navigation skills, networking, and referrals. 6. Display knowledge and skills in organizing (priority setting, time management, and work

planning), coordinating, and tracking resources, services, and care. Module 3. Delivering Safe Quality Care: Resources, Services, and Care Module 3 Units The following are the three Units found in this Module. A. Healthcare Systems: Structure, Function, Delivery, and Current Political, Financial, and Environmental Issues. Quality and Safety for CHWs B. Problem Solving and Decision Making, Community Assets, Networking, and Referrals C. Organizing, Coordinating, and Tracking Resources, Services, and Care Module 4. Outreach, Advocacy, and Promoting Healthy Communities 15 Hours Module 4 Description In this Module, students explore the importance of outreach and case finding, their role as an

advocate, and strategies to develop social support. They also learn teaching/learning/change principles to create individual/community education programs that recognizes assets, builds capacity, and promotes health and wellness. Module 4. Outreach, Advocacy, and Promoting Healthy Communities Module 4 Objectives At the end of this Module, students will 1. Develop outreach skills. 2. Identify strategies to advocate and bring about social support. 3. Recognize change as a concept and as an important process. 4. Use teaching/learning principles. 5. Create individual/community education programs that recognize assets, build capacity, and promote health and wellness. Module 4. Outreach, Advocacy, and Promoting Healthy Communities

Module 4 Units The following are the three Units found in this Module. A. Outreach and Advocacy B. Recognizing Strengths, Capacity Building, and Facilitating Change C. Teaching and Learning to Promote Health and Wellness Module 5. Supervised Agency/Facility Experience 20 Hours Module 5 Description In this Module, students are supervised by an instructor or preceptor to complete a 20 hour supervised agency/facility experience which culminates in successful demonstration of CHW skills, completion of a reflective practice journal, and presentation of the case study. Module 5. Supervised Agency/Facility Experience

Module 5 Objectives At the end of this Module, students will 1. Satisfactorily complete the 20 hour supervised experience. 2. Demonstrate the expected CHW skills. 3. Complete the CHW Reflective Practice Journal. 4. Present the selected CHW Case Study. Module 5. Supervised Agency/Facility Experience Module 5 Units The following are the three Units found in this Module. A. Introduction, Expectations, and Reflective Practice Journal B. Skills Performance Assessment C. CHW Case Study Selection, Analysis, and 5 Minute Presentation CHW Fundamentals Supervised Experience

Site Selection Requirements Agency/Facility Expectations Instructor/Preceptor Requirements and Expectations Student Requirements and Expectations CHW Fundamentals CHW core Competency Supervised Experience Skills Performance Expected skill Critical skill Professional Appearance Professional Appearance

Maintain Legal and Ethical Responsibilities Maintain Legal and Ethical Responsibilities Y Professional Skills and Conduct Communication Self-Care Interpersonal Relationships Compassionate Communication Cultural Humility

Cultural Humility Observation and Reporting Observation and Reporting Written Skills Written Skills Documentation Documentation Self-Care Management

Self-Care Management Personal Safety Personal Safety Building Respectful, Trusting Relationships Building Respectful, Trusting Relationships Active Listening Interviewing Interviewing Teamwork

Teamwork Coaching and Support Coaching and Support Conflict Management Organization Priority Setting and Time Management Priority Setting and Time Management Problem Solving Problem Solving

Developing Weekly Work Plans Service Coordination and Navigation Skills Capacity Building Community Asset Mapping Networking for Resources Networking for Resources Making Referrals and Tracking Care Making Referrals and Tracking Care Community Scanning

Community Scanning Motivational Interviewing Advocacy and Outreach Teaching Advocacy for Needed Care Outreach/Case-Finding and Follow-Up Outreach/Case-Finding and Follow-Up Strengths Based Identification Strengths Based Identification

Teaching Strategies Teaching Strategies Behavioral Change Facilitation Assessment N N/O CHW Fundamentals Supervised Experience Reflective Practice Journal 1. Reflect on your supervised experience. What 3 specific areas of knowledge or skills did you learn and were able to apply? 2. Think about one experience you hadmaybe a home visit or providing a resource. What did

you learn about CHW practice from this experience. The learnings can be knowledge, skills, or a feeling. 3. In what 3 ways did the supervised experience prepare you for your role and responsibilities as a CHW? 4. Describe any areas of knowledge or skills you are still unclear or unsure about. Identify how you will obtain or develop these areas of knowledge or skills. 5. As you are completing the CHW Fundamentals Training Program, describe how you feel about practicing as a CHW. CHW Fundamentals Supervised Experience CHW Case Study (3 Hours) Select One Case from Three Case Studies: Elder Mr. and Mrs. R.; son Peter, and Nan, the nurse practitioner Behavioral Health Teresa M. Family Misty S, Ben, and Lotus

Use the answers to the Case Study questions as the foundation for a 5 minute presentation. Presentation Rubric Provided. CHW Fundamentals Supervised Experience Elder Case Study Analysis 1. List and prioritize 3 issues you uncovered during this first visit. 2. Describe how the 6 themes of this Training Program relate to Mr. and Mrs. F.s issues and needs. Include how this understanding will assist you in making decisions about what actions need to be taken to assist them. Population Dynamics Client Safety

Cultural Humility Wellness Population Health Health Promotion 3. Explain what will be important for Peter to know and how should it be communicated. 4. Discuss how you will work with Nan and what information will be useful to both of you.

5. Identify 2 resources that might be helpful to Peter and Mr. and Mrs. F. 6. Develop your goals and action plan for your next visit. CHW Fundamentals Instructors/Preceptors What type, depth, and amount of training should be provided for instructors and preceptors Should instructors and preceptors have to be certified, that is, successfully complete training to be able to teach in the Training Program? How should instructors/preceptors be monitored once the Training Program is implemented? What should be included in an Instructor/Preceptor Manual? CHW Fundamentals Program Implementation Completion of Training Program Final Peer Review

Prep for Implementation LMS, et al. Announcement Ready to Go! CHW Fundamentals Program Sustainability - Strategies CHW Advanced Modules In: Fundamentals of Behavioral Health Available Late September Geriatrics Chronic Disease Dental Maternal-Child Health "This workforce product is 100% funded by a $14.9 million grant Award from the U.S. Department of

Labor and is licensed under a Creative Commons Attribution -No Derivatives 4.0 International License (CCBYND) More information can be found at the following li nk http://www.healthcaremontana.org/disclaimer ."

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