Supervision Strategies and Community Health Worker Effectiveness in Health Care Settings
O. Wharton Brown, Shreya Kangovi, Noelle Wiggins, Carla S. Alvarado
Abstract
Community Health Worker IntegrationShifts in health care toward value-based payment (i.e., payment based on outcomes rather than units of service) have drawn increasing attention to health-related social needs and social determinants of health 1 .As trusted community members, Community Health Workers (CHWs) are well positioned to support marginalized patients 2 in addressing unmet social needs, navigating the health care system, informing health behaviors, and supporting communities in addressing the underlying causes of health inequities.The recent changes in the administration of health care services in the United States have also shifted discussions around the CHW workforce from fundamental considerations such as CHW acknowledgment, inclusion, and remuneration 3 to more sophisticated human resource 1 For more information, see Social Determinants of Health 101 for Health Care: Five Plus Five at https://nam.edu/socialdeterminants-of-health-101-for-health-care-five-plus-fi ve 2 The manner in which CHWs refer to individuals with whom they work changes by setting.In the communitybased programs where CHWs have traditionally worked, individuals are referred to as "participants" or "community members"; in the health care fi eld the individuals are referred to as "patients.3 See U.