Community Health Worker

What is cHW?

A Community Health Worker is a public health worker who has an expanse knowledge of the community they serve. We build a long lasting relationship with patients to serve as a link/liaison between health and social services. We will facilitate access and make sure all of the patients’ unique needs are addressed. We also work as a wellness mentor to aid in Center for Family Medicine’s patients health goals and care plans.

RESPONSIBILITY TO PATIENTS

  • Provide resources, outside help and educational information. (i.e. support groups, online apps, prescription assistance programs)
  • Be an accountability partner on their health goals. (i.e. lose 5 pounds in 6 weeks)
  • Consult with team; nurses, counselor, doctor, pharmacist, and schedule needed appointments. (i.e. high bps, medication management, other issues)
  • Schedule referrals and outside appointments to facilitate and manage patients’ complete health.
  • Reminder letters, calls and check-ins with patients to help aid continuity.
  • Coordinate home visits to help manage patients’ chronic needs that lack transportation or mobility.

EXAMPLES OF AID OUTSIDE OF THE HEALTHCARE SYSTEM

  • Housing
  • Food
  • State Benefits
  • Medical Equipment
  • Gas
  • Cell Phone Services
  • Daycare
  • Employment

LIFESTYLE AND BEHAVIORAL CHANGES / SERVICES OFFERED

  • Chronic Condition Management
  • Addiction (tobacco, substance abuse, alcohol)
  • Mental Health Management
  • Health Promotion and Coaching
  • Lifestyle and Social Assistance
  • Financial Aid / Assistance Programs (In clinic and outside of Center for Family Medicine for all of their fiscal needs)
  • Referral and Continuity Management
  • Transportation Aid
  • Health Education

For more information about Community Health Worker’s please visit https://chwsd.org/