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Making the System Work for Everyone

The Business Case for CHWs

CT AHEC. 2014. The Business Case for Community Health Workers in Connecticut.

Felix, H. C., Mays, G. P., Stewart, M. K., Cottoms, N., & Olson, M. 2011. THE CARE SPAN: Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care. Health Affairs (Project Hope); 30(7), 1366–1374.

Jack, H. E, Arabadjis S.D., Sun L., Sullivan E., and Phillips R.S. 2016. “Impact of Community Health Workers on Use of Healthcare Services in the United States A Systematic Review.Journal of General Internal Medicine; 32(3): 325–44.

Johnson D, Saavedra, P, Sun E, Stageman A., Grovet D., Alfero C., Maynes C., Skipper B., Powell W. and Kaufman A. 2011. Community health workers and Medicaid managed care in New Mexico. J Community Health.

Krieger JW, Takaro TK, Song L, Weaver M. 2005. The Seattle-King County Healthy Homes Project: A Randomized, Controlled Trial of a Community Health Worker Intervention to Decrease Exposure to Indoor Asthma Triggers. Am J Public Health; 95:652–659.

London, Katharine, Kelly Love, and Roosa Tikkanen. 2017.  Hartford: Connecticut Health Foundation.

Miller A. 2011. Georgia firm’s blueprint for taming health costs.  Georgia Health News.

MPH Salud. n.d. ROI Tool Kit: A Guide for Conducting a Return on Investment Analysis for a Community Health Worker Program. Ypsilanti, MI: MPH Salud.

Redding, S., Conrey, E., Porter, K., Paulson, J., Hughes, K., & Redding, M. 2015. Pathways Community Care Coordination in Low Birth Weight Prevention. Maternal and Child Health Journal, 19(3), 643–650.

Rush, Carl H. 2012. “Return on Investment From Employment of Community Health Workers.” Journal of Ambulatory Care Management, 35(2): 133–137.


Career Ladder

Career advancement for Community Health Workers (CHW) is important to consider when expanding an organization’s workforce to include CHWs.  As the CHW workforce grows and becomes more accepted within Connecticut’s State Innovation Model Community and Clinical Integration Program (CCIP) within the Advanced Networks and the Patient Centered Medical Home Plus program, job security and advancement must be incorporated into the organization’s plans.

As an employer begins to incorporate CHWs into their practice, it is important to look ahead at how the CHW can move up in the organization as they master their position and look to expand the horizon of their work. As the CHW gets acclimated to their position and becomes a valued member of the team, it is important to recognize their contributions to the organization. This can be accomplished by providing opportunities for CHWs to grow through continuing education, specialization, and expansion of duties, which may include supervisory roles, and providing training for other CHWs. The agency/organization may plan for the CHW to grow further within the agency though possible career ladders.



Successful Integrations of CHWs

Minnesota Department of Health, Office of Rural and Primary Care’s Community Health Worker (CHW) Toolkit – A Guide For Employers


Best Practices

Bovbjerg, Randall R., Lauren Eyster, Barbara A. Ormond, Theresa Anderson, and Elizabeth Richardson. 2013. Integrating Community Health Workers into a Reformed Health Care System. Washington, DC: Urban Institute.

Brownstein, J. Nell, and Catlin Allen. 2015. Addressing Chronic Disease through Community Health Workers: A Policy and Systems-Level Approach. Atlanta: CDC Division for Heart Disease and Stroke Prevention.

CHWA. 2013. Taking Innovation to Scale: Community Health Workers, Promotores, and the Triple Aim. Oakland, CA: California Health Workforce Alliance.

Cook, Scott C. and Nicole M. Keesecker. n.d. Integrating Community Health Workers into Health Care Teams to Improve Equity and Quality of Care. Chicago: Finding Answers: Disparities Research for Change.

Findley, Sally, Sergio Matos, April Hicks, Ji Chang, and Douglas Reich. 2014. “Community Health Worker Integration Into the Health Care Team Accomplishes the Triple Aim in a Patient-Centered Medical Home: A Bronx Tale.” Journal of Ambulatory Care Management 37(1): 82–91.

Fisher, Edwin B., Tara Hacker, Manuela McDonough, Marci Nielsen, Patric Yao Yang. 2015. Peer Support in the PCMH and Primary Care: Conference Report. Chapel Hill: Peers for Progress.

Gutierrez Kapheim, Melissa and Jamie Campbell. 2014. Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings. Chicago: Sinai Urban Health Institute.

ICER. 2014. Community Health Workers: A Review of Program Evolution, Evidence on Effectiveness and Value, and Status of Workforce Development in New England. Boston: Institute for Clinical and Economic Review.

MA DPH. 2015. Achieving the Triple Aim: Success with Community Health Workers. Boston: Massachusetts Department of Public Health.

MiCHWA. n.d. CHWs & the Triple Aim. Ann Arbor, MI: Michigan Community Health Worker Alliance.

Mitchell, Katie. 2016. “Community Health Workers: Supporting Diabetes Prevention in Michigan.” Presentation. Ann Arbor, MI: Michigan Community Health Worker Alliance.