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Community Health Worker

Published
Hybrid Apprenticeship
Sponsoring Company:
Care New England Health System
O*Net Code
21-1094.00 
Rapids Code
2002HY
Req. Hours
1590
State
RI
Created
Aug 27, 2021
Updated
Aug 27, 2021

Time-Based Skills

9 skill sets | 90 total skills
Introduction to the Community Health Worker Role and Orientation to the Work Environment - 340 req. hrs
Orientation to the role of the Community Health Worker - Job description and requirements / Apprenticeship requirements
Orientation to the role of the Community Health Worker - CHW values, scope of work, and inter-professional relationships
Orientation to the role of the Community Health Worker - Specific employer history/mission & fulfillment of employer's philosophy; policy and procedures
Orientation to the role of the Community Health Worker - Co-worker, mentor and supervisory relationships, and support structures such as employee assistance programs, benefits, etc.
Orientation to the role of the Community Health Worker - Overview of upcoming regular and specialized social and other employer events
Orientation to the role of the Community Health Worker - Overview of the philosophy and definition of patient care models (including coordinated care)
Orientation to the role of the Community Health Worker - Understand the application of "Do no Harm" from the perspective of the CHW
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Familiarity with characteristics of the individual(s) served including socio-economic characteristics, culture, health and medical concerns
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Demonstrates adequate familiarity with activities, programs, workflows, culture and staff of CNE operating unit(s) where CHW is based.
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Uses and understands medical and technical terminology sufficient for efficient and effective communication in the work environment, and appropriate to the CHW role
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Lists, briefly explains and demonstrates working familiarity with the most common health and medical concerns addressed by their operating unit
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Integrates efficiently, safely, respectfully and unobtrusively into busy clinical delivery environments
Overview of Specialized and Technical Knowledge Unique to the Work Environment - Clearly explains CHW role to staff members of all professions
Cultural Competence - Explains the meaning and importance of cultural competence, cultural sensitivity, and cultural humility in own words
Cultural Competence - Carries out culturally appropriate interventions that enhance the functioning of patient/constituent systems
Cultural Competence - Consistently demonstrates reflective practice, particularly regarding his/her own pre-conceptions, in order to support patients/clients from different cultures and communities.
Technical & Organizational Skills - 160 req. hrs
Technology & Documentation - Demonstrates general familiarity with mechanisms of data collection and documentation that are used in clinical delivery setting
Technology & Documentation - Completes required client documentation, including entering case notes and completing patient action plans
Technology & Documentation - Utilizes applicable electronic client record system(s) for managing client health-related and/or social needs information
Technology & Documentation - Creates and uses action plans, and closes cases according to protocols
Technology & Documentation - Operates and maintains computer and telecommunications equipment in accordance with work requirements
Technology & Documentation - May receive training to utilize electronic Health Record System and Health Information Exchange systems, per policy and procedure
Organizational Skills - Understands and meets expectations for communicating with supervisor by in-person meeting, text messaging, telephone call, email, etc. as applicable.
Organizational Skills - Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures
Organizational Skills - Ensures the timely completion of all required tasks related to screening, referral, navigation, and community access according to program plans, policies, and guidelines
Organizational Skills - Utilizes appropriate technology for reporting and communication
Organizational Skills - Uses reflection to support ongoing organizational learning
Organizational Skills - Complies with all relevant federal, state, local, and internal rules, regulations, reporting requirements and the like
Organizational Skills - Completes job responsibilities within required timeframe, according to established schedules or workflow requirements
Organizational Skills - Displays an ability to evaluate areas in need of improvement and provides input in order to improve current methods, services, programs or technology
Organizational Skills - Reviews and assesses information before making decisions and solving problems
Organizational Skills - Uses proper judgment and knowledge of established practices and procedures when addressing problems or issues
Safety in Medical/Community Environment - 130 req. hrs
Demonstrates understanding of blood borne pathogens and consistently performs universal precautions, infection control and hand washing to standards
Demonstrates ability to perform CPR/Basic First Aid
Demonstrates situational awareness, assesses community safety, and engages in practices that ensure employee and client safety, and minimize risk
Recognizes and corrects hazards in the workplace and knowledge of protocols for reporting hazards
Demonstrates knowledge of strategies to detect and respond appropriately to intimate partner violence (IPV), and applies them as needed
Demonstrates the ability to respond appropriately to emergencies
Consistently assesses reasonable risk and applies common sense
Takes effective safety precautions for home and community visits, and demonstrates ability to politely request modifications or terminate an encounter if safety expectations are not met
May provide transportation between client's homes and medical or social service settings, and meet with patients in their homes and communities
Ethical Professional Practice - 130 req. hrs
Demonstrates ability to put CHW code of ethics into practice, particularly in difficult or ambiguous situations
Functions as a culturally competent practitioner, by understanding the culture of patients, recognizing own biases, and working mindfully and reflectively with this knowledge and insight
Protects patients and communities by understanding and consistently applying rules of confidentiality including HIPAA
Explains the Patient Bill of Rights and applies it in practice
Works effectively and collaboratively in inter-professional contexts or teams
Makes decisions and solves problems consistent with the CHW scope of practice
Sets and abides by professional boundaries, and seeks guidance and support in ambiguous or complex situations
Demonstrates familiarity with available career and educational paths
Consistently applies effective stress management and self-care skills
Communication & Outreach - 190 req. hrs
Uses effective and culturally appropriate communication skills including various communication techniques (e.g. teach back) and devices (e.g. apps, smart phones, etc.) and to communicate in person, by phone, and electronically
Demonstrates basic group communication and facilitation skills including the ability to make presentations to groups
Effectively engages clients and builds healing, trusting relationships
Demonstrates effective, efficient and timely documentation
Anticipates client needs and proactively suggests strategies to address them
Applies knowledge on when to obtain and utilize interpreters
Direct Supervision in Community Practice - 50 req. hrs
Listens to patients actively and without judgement
Applies conflict resolution techniques
Provides positive support to patients and co-workers
Provides effective, positive support for behavior change
Utilizes Motivational Interviewing effectively with individual patients, incorporating and applying behavioral change mechanisms and theory
Community-based Networking & Advocacy - 190 req. hrs
Community Networking - Demonstrates mastery of community resource asset mapping - identification and understanding of individual and institutional resources and when to make referrals
Community Networking - Uses individualized strategies to help community members navigate social service systems and secure the supports they need
Community Networking - Helps patients/community members create and maintain social support systems both formal and informal
Community Networking - Explains the importance and relationship of care coordination and transitions of care in own words
Community Networking - Elicits, respects, and actively supports participant choices and preferences
Community Networking - Establish, build, and enhance effective communication and working relationships with a wide variety of community service providers
Community Networking - Establish, build, and enhance effective communication and working relationships with staff at clinical delivery sites, including nurses, social workers, patient registrars, screening specialists, etc.
Advocacy, Supporting Empowerment - Shows the ability to assess needs of the community
Advocacy, Supporting Empowerment - Promotes empowerment and self-confidence and education of individuals/community for self-advocacy
Advocacy, Supporting Empowerment - Identifies issues related to the population served, particularly upstream factors influencing health and illness
Advocacy, Supporting Empowerment - Helps individuals and communities to act collaboratively
Advocacy, Supporting Empowerment - Uses knowledge of common challenges to human, civil and legal rights to benefit the community
Advocacy, Supporting Empowerment - Understands and may apply principles of health coaching
Health Literacy & Health Promotion - 200 req. hrs
Knows and communicates principles of preventive health and dentistry in using language and concepts patients can understand and respond to
Communicates characteristics of a healthy lifestyle in a manner respecting patient's culture, preferences and strengths
Demonstrates basic knowledge of chronic diseases and their relationship to the healthcare system which- according to operating unit - may include diabetes, hypertension, heart disease, stroke, HIV/AIDS, asthma, mental illness, substance abuse, and other health concerns
Responds effectively to common health concerns
Is able to support individuals in understanding and participating in routine and special health care screening and treatment
Communicates principles of safety including - as appropriate- environmental, personal, and driving
Identifies health resources, judges quality, coordinates and communicates with coworkers
Recognizes health issues, particularly those relevant to the local community and its social determinants of health
May use individualized strategies to help community members manage chronic conditions, including support for medication compliance
May perform SBIRT with patients, according to expectations set by program administrators
Teaching & Supporting Others - 200 req. hrs
Implements adult learning principles and effective teaching strategies, including ability to customize instructional strategies to meet individual needs
Develops mentorship of patients/clients
Provides constructive feedback
Demonstrates teaching and coaching skills customized to individuals
Develops and refines presentation skills
Utilizes common A/V equipment and organize materials for presentations

Technical Instruction

Community Health Worker (CHW) State of RI Approved Training Topics - 72 req. hrs
Introduction to the Community Health Worker
Introduction to Public Health/Community Health Concepts and Approaches
Introduction to Behavioral Health
Health Literacy
Practice and Philosophy of Care
Ethics and Professionalism
Safety and Self-Care
Engagement with Clients
Promoting Health and Well-Being
Care Coordination and System Navigation
Advocacy and Leadership
Cultural Humility: Appropriate Responsiveness
United Way of Rhode Island Social Service Navigation Training - 40 req. hrs
Poverty in RI
Basic Navigator Skills
Confidentiality (Not HIPAA)
Commonsense Safety
Compassion Fatigue
Cultural Competency
Basics of 2-1-1
Introduction to the Point, Caregivers Alliance
Specifics for Community Compass RI access to 2-1-1 service/consultation
Basics of Outreach
Health of populations: Homeless, Veterans, Addiction, Post-incarceration
Medicare 101
Basics of Medicaid
Overview of Private Insurance
Food Insecurity
Housing Insecurity
Lead
Interpersonal Violence
Utility Insecurity
Transportation
Overview of Integra
Overview of Community Compass RI (Accountable Health Communities)
Confidentiality and Privacy: Consents, Release of Information, Privacy Notice
Review of Best Practices – Client Engagement
Screening, Referral and Navigation Workflows
Use of Screening Tool, and Screening Manual
REACH training-Screening only/Creation of CRS
Mental Health 101
Handling IPV
REACH Training
Navigation
REACH practice and simulations
Personal Interview
Creating and Use of Action Plan
Closing Cases
RIC SBIRT Training - 3 req. hrs
Introduction to Screening, Brief Intervention, Referral to Treatment in clinical and community settings. This classroom training will be held at Rhode Island College, and taught by their SIBRT Training and Resource Center in Providence, RI.
Health in Context - 12 req. hrs
CHW apprentices will participate in monthly 1-hour interactive presentations with CNE clinical staff as part of the “Health in Context” series. Each session will focus on a common chronic condition or health concern, begin with a brief case presentation, and cover key terms, prevention, treatment, and behavioral, interpersonal & environmental factors that affect the condition. Participants will share their knowledge and insight on how different patients experience the condition, including in different cultural and linguistic contexts. The sessions will conclude with a brief assessment of learning, an open “Ask the Clinician” Q&A designed to address health-related questions that have arisen in professional practice. Topics covered will likely include diabetes, depression & anxiety, substance use, dementia & geriatric care, HIV/AIDS, asthma & COPD, palliative and hospice care, pregnancy, stroke, cancer, etc.
Practice Seminar and Capstone Project - 12 req. hrs
CHW apprentices will engage in monthly 1-hour practice seminars onsite at CNE facilities for 12 months of the apprenticeship facilitated by an experienced CHW, LICSW or similarly trained professional. The intent of the Practice Seminar is to reflect on their professional development, solve problems in a collaborative way, share knowledge and insight from their practice, consolidate lessons learned, and process difficult situations. CHW apprentices will design and complete a capstone project during the course of their final 1-2 months of apprenticeship, designed to integrate and showcase their learning, and reflect on the value of their work to patients and communities. Projects may include a poster session, PowerPoint presentation, narrative project, written product, or similar, and will be presented by CHWs to other staff members Care New England.
Certificate/Portfolio Preparation - 2 req. hrs
CHW apprentices will prepare materials for their certification applications to the RI Certification Board (RICB). Upon conclusion of this activity, they will submit successful applications to RICB and become certified CHWs.

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