Research Areas

COMMUNITY HEALTH WORKERS

Community health workers (CHWs) are frontline public health workers who typically live in the communities where they work and understand the social context of community members’ lives. They are uniquely positioned as essential links between individuals, communities, and social and healthcare services.

Community Health Workforce Development Institute (CHWDI)

The Community Health Workforce Development Institute (CHWDI) was created in 2020 by Purdue faculty who recognize the hugely important role of community health workers (CHW) in healthcare delivery, public health and research.

Mission

CHWDI’s overarching goal is to support the expansion and sustainability of the Indiana CHW workforce to increase access to health and social services for vulnerable communities while also increasing employment opportunities for community members. In partnership with the Indiana Community Health Workers Association (INCHWA) and guided by a Steering Committee of statewide thought leaders and key stakeholders, CHWDI is taking a multi-pronged approach toward this goal through the following services for community-based organizations:

  • Designing sustainable CHW programs: working with employer organizations across clinical, community-based, government, and academic sectors to plan and implement CHW programs with evidence-based practices for recruitment, training, evaluation, supervision, retention, and professional development of CHWs.
  • Research and evaluation: designing and conducting evaluation studies to understand the effectiveness and cost-effectiveness of CHW programs concerning organizational metrics (i.e., client/patient enrollment and utilization; return-on-investment) and broader community health metrics (i.e., health outcomes; access to healthcare and social services).
  • Training and capacity-building: providing training and continuing education on ethical research, data collection, and community assessments for CHWs and/or organizations who wish to conduct their own evaluation or research studies (e.g., to understand community health disparities or patient-centered outcomes; to test an intervention or new program).
  • Policy and advocacy: building an evidence base to inform and support policies for improved public and private reimbursement mechanisms for CHW services and expansion of the CHWs workforce in Indiana.

For inquiries or to join our mailing list, please send your name, contact information, the organization you represent, and your role within the organization to CHWDI@purdue.edu

Indiana Health Equity Council Community Health Worker (CHW) Model Program

The Indiana Health Equity Council Community Health Worker Model was established through a partnership with the Indiana Department of Health – Office of Minority Health (OMH) and the Indiana Community Health Workers Association (INCHWA) to:

Mission

  • Identify and address state district needs to address COVID-19-related health disparities.
  • Synergize, evaluate and demonstrate the effectiveness and impact of statewide efforts to address COVID-19-related health disparities through the Indiana Health Equity Council CHW Model.
  • Train 10 Indiana OMH Health Equity CHWs to conduct ethical and equitable research with council member CHWs employed at community-based organizations.

Check out our poster describing our initial findings! COP_Poster_Final.pdf. To learn more about this program, visit our website: www.inhealthequitycouncil.com

 

Pharmacist-Community Health Worker Model

We are teaming up with Gennesaret Free Clinics’ (GFC) to optimize cardiovascular (i.e., hypertension) disease care through the implementation of an innovative pharmacist-community health worker cardiovascular risk reduction (CVRR) clinic model. Specifically, this model incorporates a pharmacist-managed cardiovascular risk reduction clinic with wrap-around support (e.g., screening for social determinant of health (SDOH) barriers, patient navigator and advocate, benefits enrollment, transportation assistance, translation and interpretation services, etc.) provided by a CHW.

GFC currently provides care across multiple sites within Marion County, Indiana. The location specific to this project is housed within the St. Vincent de Paul Food Pantry. This location is nestled in the heart of the Martindale-Brightwood Neighborhood, historically reflecting the highest per capita poverty rates in Marion County and also having the lowest life expectancy (68.0 years old) compared to the state life expectancy of 76.8 years old, which already ranks lower than the national life expectancy of 78.6 years old; a more than 10-year life expectancy gap. All GFC patients are at 200% or below the federal poverty level. The population served is primarily Black (49%), White (20%), and LatinX (20%).

Check out the 1-pager describing our initial results!

CICOA Aging and In-Home Solutions CHW Demonstration Project

In collaboration with the Penn Center for Community Health Workers, we developed a blueprint, drawing on best-practice strategies from the IMPaCT model to plan and implement the first CHW program at CICOA Aging and In-Home Solutions. Our early partnership resulted in CICOA employing six CHWs with hopes of hiring 6 more. Success with this CHW program will build system-wide buy-in for a new standard of care across the organization, one in which CHWs play an integral role in delivering high-quality care. For this next partnership phase, we will provide evaluation services, including database refinement, data collection and management training, descriptive and return on investment analysis and future CHW development, including CHW program quality improvement, expansion and exploration of reimbursement opportunities through Medicaid and Medicare.

Publications

  1. Gonzalvo J, Meredith A, Adeoye-Olatunde OA, et al. A call to action from the Purdue University Center for Health Equity and Innovation (CHEqI). J Am Coll Clin Pharm. 2022; 5(8): 865- 874. doi:10.1002/jac5.1660
  2. Rodriguez NM, Ruiz Y, Meredith AH, Kimiecik C, Adeoye-Olatunde OA, Kimera LF, Gonzalvo JD. Indiana community health workers: Challenges and opportunities for workforce development. BMC Health Serv Res. 2022;22(1):117. doi: 10.1186/s12913-022-07469-6.
  3. Community Health Workforce Development Institute, Purdue University. (2020). Indiana community health worker needs assessment report.

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