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Integrating and Paying for CHWs in Emerging Models of Care Health System Model Perspective The HIV Experience.

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Presentation on theme: "Integrating and Paying for CHWs in Emerging Models of Care Health System Model Perspective The HIV Experience."— Presentation transcript:

1 Integrating and Paying for CHWs in Emerging Models of Care Health System Model Perspective The HIV Experience

2 Ruth M. Rothstein CORE Center: Chicago, Illinois Cook County Bureau of Health Services Facility – Public “Safety-Net” > 5,500 patients, 30,000 primary care visits annually Primarily a minority population >80% have incomes less than 200% FPL Frequent history of drug use, incarceration

3 The Evolution of HIV From a death sentence to chronic disease 1995: The Year Everything Changed A recently published study contains some very good news for people living with HIV. It suggests that the life expectancy for a person newly diagnosed with HIV, with no symptoms, has jumped from seven years to 24.

4 Community Response Care Givers (Buddies) Health Literacy and Education Outreach Navigation Advocacy

5 Federal Response Ryan White Care Act (Care, Treatment) Center’s for Disease Control (Prevention) SAMSHA (Substance Abuse Mental Health) NIH (Research)  Consumer/Community Engagement  National HIV/AIDS Strategy (NHAS)  Affordable Care Act (ACA)

6 Ryan White Programs  Request for Proposals (RFP) How are clients engaged?  Consumer Advisory Boards (CAB)  Quality Improvement Committees  Workforce opportunities, Peer Educators, Patient Navigators, Outreach workers, Health Educators…

7 CORE Center Model Peer Educators (Clinical settings) Patient Navigators (In-patient and outpatient) Community Outreach Workers (Seek, Link and Retain) Multiple federal payer sources (All time limited) All reduce barriers to care, support early and sustained treatment. (HIV Viral Suppression, Advocacy, Health Literacy)

8 Emerging Opportunities Eliminates pre-existing conditions barriers (Increased access to Health Services) Increasing Value of CHW Experience Workforce development (Redeployment of Peers as CHW’s) Exploring partnerships with community colleges ( MXC and SSC Peer cohorts) Advocacy/ Education to CCHHS Address billing challenges (Coding- Reimbursement rates)

9 Thanks! Peter McLoyd Ruth M. Rothstein CORE Center Consumer Development and Advocacy Coordinator 312-572-4649 pmcloyd@cookcountyhhs.org


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