Institute For Public Health Innovation

COMMUNITY HEALTH WORKERS FOR A HEALTHY VIRGINIA

COMMUNITY HEALTH WORKER TRAINING PROGRAM - ADDRESS: 1250 CONNECTICUT AVENUE, NW, SUITE 601, WASHINGTON, DC 20036 PROJECT DIRECTOR NAME: ABBY CHARLES, MPH CONTACT PHONE NUMBER: (202) 400-3555 EMAIL ADDRESS: ACHARLES@INSTITUTEPHI.ORG WEBSITE ADDRESS: WWW.INSTITUTEPHI.ORG TOTAL FUNDING AMOUNT REQUESTED: $3,000,000 FUNDING PREFERENCE: THE INSTITUTE FOR PUBLIC HEALTH INNOVATION IS REQUESTING TO RECEIVE A FUNDING PREFERENCE. AS REQUIRED, WE WORKED WITH APPROXIMATELY 72% OF CHW TRAINEES FROM DISADVANTAGED BACKGROUNDS FROM 2019 TO 2021, WITH 100% OF CHW TRAINING GRADUATES FROM 2019 TO 2021 SERVING MEDICALLY UNDERSERVED AREAS (SEE ATTACHMENT – REQUEST FOR FUNDING PREFERENCE). ABSTRACT: THE COMMUNITY HEALTH WORKER ACADEMY (CHW ACADEMY) IS A REGIONAL INITIATIVE THAT DEVELOPS THE COMMUNITY HEALTH WORKER (CHW) WORKFORCE TO ADDRESS HEALTH CARE ACCESS AND OTHER SOCIAL/ ECONOMIC DETERMINANTS OF HEALTH (SDOH) AMONG POPULATIONS WITH HIGHEST RISK FOR HEALTH INEQUITIES WITHIN THE WASHINGTON DC METROPOLITAN REGION. THIS INCLUDES DC AND NEIGHBORING COUNTIES OF PRINCE GEORGE’S AND MONTGOMERY, MD AND FAIRFAX AND ARLINGTON, VA. A REGIONAL CHW WORKFORCE DEVELOPMENT APPROACH ALLOWS IPHI AND ITS PARTNERS TO CO-CREATE EFFECTIVE, COMMUNITY-DRIVEN, CULTURALLY APPROPRIATE INTERVENTIONS THAT PROVIDE DIRECT RESOURCES TO THOSE WITH THE HIGHEST SOCIAL, ECONOMIC AND HEALTH MORBIDITY AND MORTALITY BURDENS. IN PARTICULAR OUR PROJECT WILL ADDRESS EQUITY FOR BLACK AND HISPANIC POPULATIONS. THE CHW ACADEMY WILL EXPAND AND DIVERSIFY THE PUBLIC HEALTH WORKFORCE BY ENGAGING CHWS IN INNOVATIVE, EVIDENCE-BASED WORKFORCE DEVELOPMENT ACTIVITIES WITHIN 3 BROAD IMPLEMENTATION STRATEGIES (EXPANSION, EXTENSION/UPSKILLING, EMPLOYMENT). THIS WILL ENHANCE THEIR ABILITY TO ADDRESS THE ROOT CAUSES OF POOR HEALTH OUTCOMES, INCREASE ACCESS TO CARE AND IMPROVE PUBLIC HEALTH EMERGENCY RESPONSE WITHIN UNDERSERVED COMMUNITIES IN THE WASHINGTON, DC METROPOLITAN REGION. EACH SET OF STRATEGIES WILL SEEK TO INCREASE EQUITY; DRAW UPON THE STRENGTHS AND LIVED EXPERIENCES FROM THOSE WITHIN THE COMMUNITIES SERVED; LEVERAGE PARTNERSHIPS TO SUSTAINABLE CHW CAREER PATHS; USE EVIDENCE-BASED AND PROMISING PRACTICES (E.G., APPRENTICESHIPS, FIELD-PLACEMENTS, MENTORING, EMPLOYER COACHING, LEARNING COLLABORATIVES, ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) MODEL; SUSTAINABLE FINANCING EXPLORATION); AND EXPAND THE POOL OF ACCREDITED CHWS. COMBINED, THIS WILL ALLOW THE CHW ACADEMY TO SUCCESSFULLY ACHIEVE THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: EXPAND THE PUBLIC HEALTH WORKFORCE THROUGH NEW & EXISTING CHWS GOAL 2: EXTEND & UPSKILL THE PUBLIC HEALTH WORKFORCE THROUGH NEW & ENHANCED CURRICULUMS TO INCREASE SKILLS & COMPETENCIES GOAL 3: INCREASE CHW EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS & APPRENTICESHIPS GOAL 4: INCREASE THE NUMBER OF EMPLOYED CHWS TO ADVANCE HEALTH EQUITY IN FOCUS COMMUNITIES

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - INSTITUTE FOR PUBLIC HEALTH INNOVATION (IPHI) • 1250 CONNECTICUT AVENUE, NW, SUITE 601, WASHINGTON, DC 20036 • NON-PROFIT • WWW.INSTITUTEPHI.ORG • REBECCA EPSTEIN • SENIOR PROGRAM MANAGER • 804-269-8323 • REPSTEIN@INSTITUTEPHI.ORG NAME OF NETWORK: THE CUMBERLAND PLATEAU PERINATAL RURAL HEALTH NETWORK (CPPRHN) LEGISLATIVE AIMS 1. INCREASE ACCESS TO AND COVERAGE OF COMPREHENSIVE HIGH-QUALITY PERINATAL HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH-AIM 1 & 2 2. STRENGTHEN VIRGINIA’S RURAL PERINATAL HEALTH CARE SYSTEM-AIM 1 & 2 FOCUS AREA/PROPOSED SERVICE REGION: IPHI’S FOCUS AREA IS NETWORK DEVELOPMENT FOR THE CUMBERLAND PLATEAU REGION OF VIRGINIA (BUCHANAN, DICKENSON, RUSSELL AND TAZEWELL COUNTIES). FUNDING REQUESTED: $100,000 POPULATION SERVED THE NETWORK AIMS TO IMPROVE ACCESS TO COORDINATED PERINATAL SERVICES IN THE COUNTIES OF FOCUS, ADDRESSING THE REGION'S ELEVATED RATES OF PRE-TERM BIRTH, SUBSTANCE USE DISORDERS AND CHRONIC HEALTH CONDITIONS AMONG WOMEN. THE REGION FACES CHALLENGES SUCH AS LOW-INCOME LEVELS, HIGH POVERTY AND ELEVATED UNEMPLOYMENT, RANKING AMONG THE LOWEST IN THE NATION. MORTALITY INDICATORS, INCLUDING HEART DISEASE, CANCER, COPD, INJURY, STROKE, DIABETES AND SUDS ARE CONSISTENTLY HIGHER IN THE REGION THAN NATIONAL AVERAGES. NETWORK MEMBERS 1. BALLAD HEALTH SYSTEM (RHC): ASSIGNING A STAFF MEMBER FOR ORGANIZATIONAL REPRESENTATION, ENGAGEMENT IN ASSESSMENTS, BLUEPRINT DEVELOPMENT, COMMUNITY MEMBER RECRUITMENT, INTEGRATING A PERINATAL FOCUS INTO THEIR CHNA AND COLLABORATING ON NETWORK WORKPLAN ACTIVITIES 2. CARILLION TAZEWELL COMMUNITY HOSPITAL (FQHC): ASSIGNING A STAFF MEMBER FOR ORGANIZATIONAL REPRESENTATION, ENGAGEMENT IN ASSESSMENTS, BLUEPRINT DEVELOPMENT, COMMUNITY MEMBER RECRUITMENT, INTEGRATING A PERINATAL FOCUS INTO THEIR CHNA AND COLLABORATING ON NETWORK WORKPLAN ACTIVITIES 3. CUMBERLAND MOUNTAIN COMMUNITY SERVICE BOARD – ASSIGNING A STAFF MEMBER FOR ORGANIZATIONAL REPRESENTATION, ENGAGEMENT IN ASSESSM ENTS, BLUEPRINT DEVELOPMENT, COMMUNITY MEMBER RECRUITMENT, INTEGRATING A PERINATAL FOCUS INTO THEIR CHNA AND COLLABORATING ON NETWORK WORKPLAN ACTIVITIES 4. CUMBERLAND PLATEAU HEALTH DISTRICT (LHD): ASSIGNING A STAFF MEMBER FOR ORGANIZATIONAL REPRESENTATION, ENGAGEMENT IN ASSESSMENTS, BLUEPRINT DEVELOPMENT, COMMUNITY MEMBER RECRUITMENT, INTEGRATING A PERINATAL FOCUS INTO THEIR CHNA AND COLLABORATING ON NETWORK WORKPLAN ACTIVITIES 5. VIRGINIA DEPARTMENT OF HEALTH, DIVISION OF CHILD & FAMILY HEALTH (SHD): VDH WILL PROVIDE, IN-KIND, 1 FTE FOR THE NETWORK DIRECTOR. VDH WILL PARTICIPATE IN THE ASSESSMENT; CO-DEVELOP THE BLUEPRINT; INCLUDE A PERINATAL FOCUS IN VDH’S CHNA; SHARE DATA WITH NETWORK MEMBERS; RECRUIT COMMUNITY MEMBERS; IDENTIFY EFFICIENCIES AND SUSTAINABILITY OPTIONS; DEVELOP AND STAFF WORK GROUPS; COMMUNICATE NETWORK’S FOCUS AND ACTIVITIES TO VDH’S PARTNERS AND CONSTITUENTS. WILL PROVIDE A .15 FTE EVALUATOR EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS IPHI SUPPORTS MANY PROGRAMS SERVING RURAL AND UNDERSERVED VIRGINIA COMMUNITIES. THIS INCLUDES TRAINING AND DEPLOYING COMMUNITY HEALTH WORKERS IN SWVA TO ADDRESS HOUSING, FINANCING, AND FOOD ACCESS. IPHI LEADS A PROGRAM IDENTIFYING NEEDS OF RURAL MS-AFFECTED INDIVIDUALS THROUGH COMMUNITY ASSESSMENTS AND OPTIMIZING NETWORK COLLABORATION FOR IMPROVED PATIENT NAVIGATION. THE CPPRHN AIMS TO ENHANCE ACCESS TO HIGH-QUALITY, CULTURALLY APPROPRIATE PERINATAL HEALTH SERVICES. BY FORTIFYING THE RURAL PERINATAL HEALTH CARE SYSTEM, THE NETWORK SEEKS TO REDUCE NAS, PTBS, OUT-OF-COUNTY BIRTHS AND SUD DIAGNOSES AMONG WOMEN OF CHILD-BEARING AGE. TO IDENTIFY MATERNAL HEALTH NEEDS, THE NETWORK WILL CONDUCT A COMPREHENSIVE GAP ANALYSIS, INCORPORATING KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND COMMUNITY DIALOGUES. FUNDING OPPORTUNITY NOTIFICATION IPHI LEARNED OF THIS FUNDING FROM THE DECEMBER 2023 HRSA NEWS RELEASE. FUNDING PREFERENCE: IPHI IS REQUESTING A FUNDING PREFERENCE. OUR SERVICE AREA IS IN AN OFFICIALLY DES IGNATED HPSA & MUA. SEE ATTACHMENT #8