2. Founded in 1995 by the National Association of Community Health Centers, Community HealthCorps is the largest health-focused, national AmeriCorps program that promotes healthcare for America’s underserved, while developing tomorrow’s healthcare workforce.

3. The mission of Community HealthCorps is to improve healthcare access and enhance workforce development for community health centers through national service programs. The vision of Community HealthCorps is to become a national service pipeline for careers in community health centers that is improving access to necessary primary and preventative care services for the medically underserved.

4. For further information about Community HealthCorps, visit www.communityhealthcorps.org

5. Performance Measurement An Introduction

6. What are the Community HealthCorps® Performance Measures (PMs)? How can PMs guide our impact on those we serve? How do we report our impact? Practice putting it all together! Agenda

7. Member Training What are the Community HealthCorps® Performance Measures?

8. Click here to learn about the Community HealthCorps® Performance Measures.here ACCESS TO CARE: educating economically disadvantaged individuals about health insurance, management of chronic conditions, and navigation of the health care system to help increase proper utilization of preventive and primary care services. FINANCIAL LITERACY: emphasizing economic opportunity with a focus on engaging economically disadvantaged individuals in improving their financial knowledge as it relates to health care. INDEPENDENT LIVING: assisting older adults and individuals with disabilities with receiving food, transportation, or other supportive services that help them to live independently. Performance Measures

9. Member Roles & Related Service Activities

10. 1.What is the difference between an output and an outcome? Performance Measures Quiz 2.What does the Financial Literacy logic model have as activities, output, and outcome? 3.If an adult over 65 is provided with a referral, towards which PM would this individual count? An output counts the number of people served, while the outcome counts the number of people change. Activities = eligibility assistance, financial case management, insurance outreach, financial education Output = number of people who received at least one of the activities Outcome = number from output who increased knowledge Independent Living AND either Access to Care or Financial Literacy (depending on the referral) 4.Under which PM does the “Insurance Submission” service activity fall? Access to Care

11. Member Training How can Performance Measures guide our impact on those we serve?

12. Performance Measures act as a guide for your service! Moving People Towards the Outcome Without PMs, you are providing services without direction or a purpose PMs give you an understanding of why you are providing certain services

13. The outcomes for each of the primary Performance Measures were: ACCESS TO CARE: increasing knowledge about effective utilization of preventive and primary care services. FINANCIAL LITERACY: improving financial knowledge as it relates to health care. INDEPENDENT LIVING: increasing knowledge about community support services and/or programs. Performance Measure Outcomes

14. To improve knowledge, Members need to teach information to each client they serve. Community HealthCorps® has identified 6 important topics relevant to improving clients’ knowledge about their health: – Health insurance – Medications and prescription assistance – Managing your health – Wellness and prevention – Understanding your health – Finding services and resources Overview of Outcomes

15. Access to Care: CMS From Coverage to Care RoadmapCMS From Coverage to Care Roadmap Financial Literacy: CFBP Your Money, Your Goals trainingCFBP Your Money, Your Goals training Independent Living: asset mapping training (1, 2)12 Member Background on Topics

16. Member Training How do we report our impact?

17. The Excel Spreadsheet: Overview Tool and step-by-step instructions on Community HealthCorps® website Toolinstructions Data includes: – Your name – An ID number for the patient – Length of engagement – Service activities performed – Social determinant of health addressed – Special populations served – Outcome pre & post measurement scores

18. The Excel Spreadsheet: Section 1 Type into each field the: Member’s name Client’s unique ID number Length of engagement – in minutes – less than 15 will not count towards PM targets

19. The Excel Spreadsheet: Section 2 Select from the drop down menu in each field the: Service activity performed by the Member – Up to 3 per engagement – Select “N/A” for any fields that do not apply

20. The Excel Spreadsheet: Section 3 Select from the drop down menu in the field the: Social determinant of health addressed by the Member – Select “N/A” if it does not apply

21. The Excel Spreadsheet: Section 4 Select from the drop down menu in each field the: Special population served – Up to 3 per engagement – Select “N/A” if any of the fields do not apply

22. The Excel Spreadsheet: Section 5 Type into each field the: Outcome pre measure score Outcome post measure score – A number = score – R = client refused – N/A = client not able to provide information – U = Member unable to administer pre or post measurement

23. The Excel Spreadsheet: Troubleshooting You must select an option provided in the drop down menu. Each row signifies a separate engagement. – If a client is served more than once, their unique ID number should be on multiple rows in the Excel. – Do not add minutes from separate engagements together. People seen in a group should be reported individually whenever possible.

24. Member Training Practice putting it all together!

25. Write down… 1.Scenario number 2.Service activities performed 3.Social determinants of health addressed 4.Special populations served Practice Scenarios

26. A young adult patient comes into the health center to talk with someone about health insurance coverage. He signed up for coverage through the Marketplace, was enrolled in a plan, and now has no idea what to do next. He doesn’t have a primary care provider. Review various health insurance terms and the services covered by the plan with the patient. Then, explain to him the importance of annual exams and help him make an appointment with a doctor at the health center. – Service Activities = Financial Education, Registration, and Non- Financial Case Management: Facilitation – Social Determinants of Health = N/A – Special Populations = N/A Practice Scenario 1

27. It is your first day of service, and you are working a booth at the Annual Community Health Fair! The first person who comes to your booth is a 72-year-old woman who tells you that she recently went to the ER because she ran out of her diabetes medication and has no transportation to get to a clinic. Explain to her the differences between the services provided by the ER and the community health center, and give her a brochure for Access Ride, a local service that provides transportation to and from medical appointments. – Service Activities = Primary Care Outreach, Non-Financial Case Management: Facilitation – Social Determinants of Health = Transportation Assistance – Special Populations = Older Adults Practice Scenario 2

28. For MLK Jr. Day of Service, you are helping an elementary school class build a vegetable garden. There are 6 children in this class, including one who is in a wheelchair. You begin the day by teaching them about the importance of healthy eating and how their new garden will help them reach the goal of eating 4 servings of vegetables every day. – Service Activities = Nutrition Education – Social Determinants of Health = Food Assistance – Special Populations = Persons with Disabilities, Children Under 18 who are overweight, obese, or at risk of becoming overweight/obese Note: Each child would be reported individually using the Individual Reporting Form. Practice Scenario 3

29. A young mom and her 2 children come into the health center where you’re serving to sign up for health insurance. After finding out some information about her income, it is clear that she is not eligible for Medicaid. Help her sign her children up for CHIP benefits. Explain the services covered and review CHIP terminology. – Service Activities = Insurance Submission, Eligibility Assistance, Financial Case Management: Assessment – Social Determinants of Health = N/A – Special Populations = N/A Note: Only the mother would be reported as being served for this engagement. Practice Scenario 4