2016 KS CHW Symposium 1
Event Report May 2016
Prepared by:
2016 KS CHW Symposium 2
2016 CHW Symposium
Executive Summary
The first statewide Kansas Community Health Worker Symposium was held on Wednesday,
May 11, 2016, at the Wichita Marriott. Among the 173 participants – representing public and private
healthcare, local and state government, non-profit organizations, and other sectors – 40% (n=68)
identified themselves as Community Health Workers (CHWs). The American Public Health
Association definition of a CHW includes: “a community health worker is a frontline public health
worker who is a trusted member of and/or has an unusually close understanding of the community
served.”
This Symposium happened thanks to funding support from the Kansas Health Foundation
and the Kansas Department of Health and Environment. The Community Engagement Institute’s
Center for Public Health Initiatives at Wichita State University convened a design team of twenty-
five representatives from across the state.
Keynote speakers, Carl Rush and Fernando Pineda-Reyes, inspired the audience by sharing
what’s working nationally – connecting to passion and purpose. Keynote speaker, Dennis Dunmyer,
shared best practices based on the Kansas City Regional CHW Collaborative. Twenty-two Kansas
CHW experts shared lessons learned from their work and experience. One of the benefits of the
conference was a chance for participants to learn from their peers as well as network with those who
have a shared interest in developing the Kansas Community Health Worker system.
Initial themes from group discussions at the end of the day included a need to
clarify CHW roles,
identify sustainable funding models,
increase integration of CHWs into health care teams,
develop of a statewide coalition and,
provide CHW training.
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Table of Contents
Executive Summary ........................................................................................................................................... 2
Background ......................................................................................................................................................... 4
CHW Definition ................................................................................................................................................ 4
Design Team ....................................................................................................................................................... 4
Participants .......................................................................................................................................................... 5
Symposium Agenda ........................................................................................................................................... 6
CHW Poetry Wall .............................................................................................................................................. 7
Next Steps: Planning Our Way Forward ...................................................................................................... 10
Event Evaluation ............................................................................................................................................. 11
Appendix A: Symposium Design Team ....................................................................................................... 13
Appendix B: Symposium Participants & Organizations ............................................................................ 14
Appendix C: Flash Drive Materials & Resources........................................................................................ 18
Appendix D: Symposium Agenda ................................................................................................................. 19
Appendix E: Next Steps Brainstorming Session Notes ............................................................................. 21
Appendix F: Keynote Speaker Biographies ................................................................................................. 27
Appendix G: Breakout and Panel Speakers’ Information ......................................................................... 28
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Kansas Community Health Worker Symposium
Background
The Kansas Health Foundation (KHF) and the Kansas Department of Health and Environment Bureau of Health Promotion (KDHE) sponsored the first statewide, Kansas Community Health Worker Symposium on Wednesday, May 11, 2016. The purpose of the Kansas Community Health Worker (CHW) Symposium was to advance the development of a CHW system in Kansas. Ultimately the aim of the symposium was to develop a better understanding about CHW activity in Kansas. Additionally, the event hoped to identify strengths and challenges in services, resources, and educational opportunities available. Overall, the hope was to provide a venue where all stakeholders could better understand the progress and barriers associated with CHWs specific to Kansas. An additional benefit was an opportunity for networking among the CHWs and their organizations across the state. The long-term goal strengthening the CHW workforce is to help reduce health disparities and increase access to care in Kansas.
CHW Definition
There is currently no agreed upon definition for CHWs in Kansas. The American Public Health Association definition was provided to participants in the event brochure and during the symposium:
A community health worker is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the worker to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A community health worker also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.
Source: http://www.apha.org/apha-communities/member-sections/community-health-workers
Design Team
A design team of 25 members from across the state was convened to plan the CHW Symposium. The group represented many sectors including higher education, volunteer organizations, healthcare organizations, the Kansas Department of Health & Environment and others. See Appendix A for the list of design team members.
2016 KS CHW Symposium 5
This group actively participated in 4 general meetings and 3 CHW Stipend Review Team meetings via Adobe Connect and conference call to plan all aspects of the Symposium. Design Team members were instrumental in defining the purpose of the event, selecting the date and determining the location for the event. Design Team members nominated panelists and helped select keynote speakers. The group designed the format of the event, including the CHW stipend process. In addition, the Design Team members supported recruitment for participation in the event.
Participants
Among the 173 participants-- representing public and private healthcare, local and state government, non-profit organizations, and other sectors-- 40% (n=68) identified themselves as Community Health Workers. In efforts to accommodate and actively engage all participants, interpretation services were provided for a dozen participants who were primarily Spanish speakers. To encourage CHW participation and eliminate cost barriers, travel stipends were offered through an application process to 30 CHW participants. Event evaluations show that this was very beneficial to participants. The full CHW Symposium participant list is available in Appendix B. Multiple sectors were represented as shown in Graph 1.
The term “Community Health Worker” has not been adopted as a well-defined job title in Kansas thus far. Therefore, during the registration process, each CHW was asked to select all of the titles that best represented their work. Respondents could select multiple options. Better understanding the names by which CHWs are associated can assist system developers. Graph 2 captures these names and frequencies.
5%
15%
13%
4%
14%
39%
11%
Graph 1. KS CHW Symposium Participants' Work Sector
Local Government
State Government
Higher Education
Private Health Care
Public Health Care
Non-Profit/Not-For-Profit
Other
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Symposium Agenda
Keynote speakers, Carl Rush and Fernando Pineda-Reyes, inspired the audience by sharing what is happening nationally related to the system of support for CHWs. Rush spoke about core competencies for CHWs and the national movement surrounding the workforce. Pineda-Reyes shared both enthusiasm and expertise about how to grow a grassroots movement. The co-chair from the Kansas City Regional CHW Collaborative, Dennis Dunmyer, shared the development process and lessons learned from developing a regional CHW Collaborative. All three keynote speakers were motivational and evaluation results show that many participants were encouraged by what is happening on these levels.
In addition to the keynotes, twenty-two Kansas CHW leaders presented during breakout sessions and panel discussions. They shared what a CHW’s day looks like in both volunteer and paid workforces. A session was held outlining the educational and training opportunities already established in Kansas. Researchers presented their process and findings related to the CHW workforce and impact of CHWs in Kansas. The final session was designed as a facilitated discussion for all Symposium participants to share their ideas about how to move forward in Kansas. More information about this session is available on page 10 and the full notes are found in Appendix E. The full agenda of the event can be found in Appendix D.
44
311
5 711
4 612
18
0
5
10
15
20
25
30
35
40
45
50
Graph 2. Number of CHWs and Self-Identified Role(s)
Community Health Worker Community Health Navigator Promotor(a) de Salud
Community Health Representative Community Health Advisor Outreach Worker
Care Guide Peer Educator Community Liaison
Other
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CHW Poetry Wall
Participants were invited to create a poem to capture their experience. Instructions were provided for writing a Haiku or Limerick. Then, participants were encouraged to post their work on the poetry wall, pictured here. This section includes all poems and submissions from the Symposium. Passion Resolution Opportunity Motivation Organization Thankful Orientation Resolution Assistance Socialization
Norma Loya CHWs are like snowflakes Each one is unique and Makes a difference in lives! When snowflakes bond together Look at the impact they have on everyone.
Barbara Wiman B.E. Education Group, LLC
Status Quo? Whoa! CHW is where you start To help people learn how is your part. So if you believe Then they will receive. The link to care you give from your heart!
CB
CHWs help one another Treat each like sisters or brothers They find a way To get you through the day They will also help your mother! Anonymous
There was a health worker from Kansas Who treated sugars with molasses The glucose went up So he studied up And now he’s caring for the masses. Anonymous Like a rocket launching into space, CHWs is the vehicle for our communities. To become a healthier place. The meteoroids CHWs face daily can be challenging. But we can overcome it all with our stars of knowledge and hope DAZZLING* with joined alliances… CHWs is a force to be reckoned with!!!
By Carissa Redmond CHW KC CARE Clinic Wyandotte County, KCK
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A Plea Money is welcome Budgets are mission statements Sustainable Love
Sandy Snook Haiku Impact We are life changers We meet people where they are, We don’t leave them there!
Beth, In Honor of CREA
Haiku for Health Mu-tu-al-i-ty Nothing ‘bout’ us w/o us Shaping Kansan’s Health
Beth from Lawrence Anticipation Learning from experts & friends Healthier Kansas Anonymous (Song to tune of: I am woman hear me roar!) We’re CHWs, hear us roar In numbers too big to ignore And we know too much to go back and pretend. More determined than before We’re going to finally reach that door! CHWs front and center forevermore! “The Fight” Haiku Centuries of tears The light shone, the path made clear Demand Equity Anonymous
Futures Haiku Where are we going? Follow me I know the way Sharing a Journey
Beth from Lawrence Speak the Vision Beloved Kansas Community Health Workers Build Capacity Sandy Snook I often wonder If my dog could conversate Would we still be friends? Anonymous A Great Day Fernando and Rush Celebrate KDHE! Lived experience Sandy Snook Community Health Regardless of Wealth Commit from the heart and soul Anonymous We weather the storm Adapt, bend, and transform Equity is the ultimate goal Anonymous Beloved, It is the deep love for my community that fuels a fiery, electric, and violent driving force that keeps my heart beating. I’ve never felt so alive!
Hannayd Ruiz, KC CARE Clinic
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Moving Ahead with Intention This is Amazing! Not About Us without Us! Inclusive Answers! Sandy Snook Community Health Worker (CHW) Full of compassion, On a mission, Help a needy, Take care of them speedy, Help in their paperwork; Neat and tidy. Poem by Roshni D. Biswa KC CARE Clinic What makes you the authority? To define my priority CBPR It’s not that hard Shut up and listen to the minority
Cuando mi promotora me ayuda Voy caminanda hacia el futuro, Siempre mirando a la meta. Estoy cansado del camino, Pero sé que tengo que llegar. Realizo que alguien me toma de la mano, Y todos mis sueños se van a realizar. Porque JUNTOS todo lo podemos lograr.
Dedicated to all the hardworking CHWs, Promotres(as) de Salud
THIS IS NOT A POEM…. Instead a thank you to the gentleman with a suit and beard that put his CHW worker on without hesitation today. He sat down and helped the Spanish speaking CHWs that were having problems with their headsets. Thank you! A silent observer (or not so silent)
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Next Steps: Planning Our Way Forward
In an effort to gather information and form a collective look forward, 3 questions were presented to participants:
1. What do we still need to learn? 2. What challenges might come our way? Who might not be excited? 3. What opportunities should we pursue going forward?
Prominent themes were drawn from the “Next Steps: Planning Our Way Forward” facilitated discussion session:
There is a need for sustainable funding for the CHW workforce. Grant funding alone is not sufficient to maintain the work that CHWs are doing.
Most tables captured a need for an alliance or coalition to be formed to support partnership development and facilitate sharing of ideas, resources, and education.
Participants expressed a general perception of a misunderstanding of the CHW role and scope of practice. There is a desire to have these defined in Kansas.
An opportunity exists to promote the CHW role and to demonstrate value for healthcare and community settings.
Several comments captured a need for a better understanding of where CHWs are and what they do in Kansas. This might be met through a workforce assessment.
Barriers to CHW success include acceptance by healthcare professionals and social workers.
The group would like more education and training opportunities for CHWs.
All notes captured on the flip charts by participants are included in Appendix E.
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Event Evaluation
At the close of the Symposium, participants were encouraged to turn in their event evaluation in exchange for a flash drive that included presenters’ materials and research from across the nation and region. Highlights from the event evaluation are provided here as direct quotes from the participants. The full evaluation results are available upon request.
Keep the momentum going! Don’t leave the for-profits out or insurance companies. They may be the funders. Consider one and a half days.
It was really productive at the end of the day to know that we are not alone in helping the community.
It is important to build statewide partnerships.
THANKS to all the planners for an amazing job of organizing this conference!
It was hard to see the screens/information from the back of the rooms. I liked the exchange in the next steps.
Aprendí mucho de esta reunión y me gustaría seguir teniendo más información. También gracias por poner los intérpretes. Ya quede ese manera pudimos estar bien informados del evento. ¡Gracias!
Excellent symposium! I appreciated the provision of the line interpretation for the Spanish-speaking CHWs.
Too many speakers!
I feel the symposium was great being that it was the first one, but I would suggest adding more interactive activities for the different groups.
I am so overjoyed to be part of this great acknowledgement as a CHW and in getting a better understanding of what’s going on and what to do next. Thank you! CHWs…a force to be reckoned with! Please allow for more time for CHWs to speak and questions. Thank you!
I liked the audience participation.
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Appendices Appendix A: Symposium Design Team ................................................................................ Page 13 Appendix B: Symposium Participants & Organizations ..................................................... Page 14 Appendix C: Contents of Flash Drive ................................................................................... Page 18 Appendix D: Symposium Agenda .......................................................................................... Page 19 Appendix E: Next Steps Brainstorming Session Notes ...................................................... Page 21 Appendix F: Keynote Speaker Biographies .......................................................................... Page 27 Appendix G: Breakout and Panel Speakers’ Information .................................................. Page 28
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Appendix A: Symposium Design Team
Community Engagement Institute – Wichita State University
Dr. Scott Wituk, Executive Director Sonja Armbruster, Center for Public Health Initiatives Director Katie Mahuron, Center for Public Health Initiatives VISTA Fellow Alissa Rankin, Center of Public Health Initiatives Project Manager
Kansas Department of Health & Environment
Cristi Cain, Director of Local Public Health Program Alexis Barnett-Sherrill, Community-Clinical Linkages Health Educator Rick Hoffmeister, Health Homes Manager Kendra Baldridge, Director of Kansas Statewide Farmworker Program Rebecca Ross, Medicaid Initiatives Coordinator, Division of Health Care Finance Brandon Skidmore, Director of Bureau of Health Promotion
Johnson County Community College
Dr. Lenora Cook, Dean of Healthcare Professions and Wellness Joe Weis, Director of Health, Physical Education, Recreation & Wellness Health ICT & Kansas Public Health Association Becky Tuttle, Project Manager (HealthICT) & Community Health Section Chair (KPHA)
KC CARE Clinic
Dennis Dunmyer, Vice President of Behavioral Health & Community Programs & Co-Chair of KC Regional CHW Collaborative Rebecca Anderson, Manager of Care Coordination
NBC Community Development Corporation
Broderick Crawford, Community Health Director Genesis Family Health
Irma Robbins, Community Health Worker Community Health Council of Wyandotte County
Lucia Jones, Project Director University of Kansas Medical Center
Todd Moore, Project Director, Community Partnership for Health Dr. Paula Cupertino, Associate Professor and Director of Juntos Mariana Ramirez Mantilla, Juntos Project Manager
Mid-American Regional Council KC Regional CHW Collaborative
Erika Saleski, ES Advisors El Centro, Inc.
Cielo Fernandez, Chief Program Officer & Co-Chair of KC Regional CHW Collaborative LiveWell Finney County/Finney County Health Coalition
Lee Ann Schrader, Executive Director Blue Cross and Blue Shield of Kansas
Virginia Barnes, Director, Blue Health Initiatives
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Appendix B: Symposium Participants & Organizations
B.E. Education Group, LLC Barbara Wiman, President Eric Wiman, Executive Vice President
Central Plains Health Care Partnership Anne Nelson, Executive Director
Community Engagement Institute – Wichita State University Sonja Armbruster, Director, Center for Public
Health Initiatives Lamin Barrow, VISTA Fellow, Prevention
Initiative Kevin Bomhoff, Director, Strategic
Development Amy Delamaide, Director, Center for
Organizational Development & Collaboration
Sarah Jolley, Research Scientist, Center for Applied Research & Evaluation
Katie Mahuron, VISTA Fellow, Center for Public Health Initiatives
Kristina Helmer, Project Facilitator, Center for Public Health Initiatives
Alissa Rankin, Project Manager, Center for Public Health Initiatives
Scott Wituk, Executive Director
Community Health Council of Wyandotte County Lucia Jones, Project Director Molly Moffett, Program Manager Stephanie Moss, Registered Nurse Donna Young, Project Manager
CoxHealth Branson Shyra Bilyeu, Community Health Care worker Ann Hall, Community Health Worker Debbie Kirkey, RN Care Manager Sarah Vale, Director of Care Management Bre Watson-Hill, Community Health Aide
Crawford County Health Department Maria Las Kares
Derby Recreation Commission – Derby Health Collaborative Debbie Williams, Community Wellness
Coordinator
El Centro, Inc. Lizbeth De Jesus, Promotora’s Coordinator Cielo Fernandez, Chief Program Officer Ester Hurtado, Promotora de Salud
Comunitaria Claudia Jimenez, Promotra de Salud
Comunitaria Norma Loya, Promotora de Salud
Comunitaria Elizabeth Reynoso, Promotora’s Manager
ES Advisors, LLC Erika Saleski
Finney County Health Coalition Diane Garvey, CHW Program Director
2016 KS CHW Symposium 15
Freedom Healthy Choices Community Development Corporation Minister Derick Magee, Community Health
Worker/Healthy Homes Practitioner
Genesis Family Health Claudia Alfaro, Promotora de Salud Gloria Bracamonte, Promotra de Salud Maria Gutierrez, Promotora de Salud Dora Ponce, Community Developer &
Community Health Worker Claudia Reyes, Promotra de Salud Irma Robbins, Community Health Worker Patricia Rodriguez, Promotora de Salud Maria Norma Rodriguez-Camarillo,
Promotora de Salud
Health Care Access Beth Llewellyn, Chief Executive Officer
Health ICT Phil Montgomery, Project Coordinator Justin Moore, Project Coordinator Becky Tuttle, Project Director
Humana, Inc. Laurence Franken, Population Health
Director
Johnson County Community College Lenora Cook, Dean, Healthcare Professions
& Wellness Joe Weis, Professor/Director
Johnson County Department of Health & Environment Abby Crow, Health Educator Ashley Follett, Health Educator
JUNTOS Center for Advancing Latino Health Cynthia Jurado, Metropolitan Community
College Instructor Lucia Martinez, Community Health Worker Norma Molina, Research Technician Catalina Reyes Hernandez, Promotra de Salud Karen Yepez, Community Health Worker
Kansas Association of Local Health Departments Michelle Ponce, Executive Director
Kansas City CARE Clinic Yesenia Aguirre, Community Health Worker Rebecca Anderson, Manager of Care
Coordination Eyra Bentacourt, Community Health Worker Carolina Biagi, Community Health Worker Za Ceu Lian, Community Health Worker Roshni Diyali, Community Health Worker Dennis Dunmyer, Vice President of
Behavioral Health & Community Programs Diana Gandara, Community Health Worker Rachel Graham, Community Health Worker Mahasin Hamilton, Community Health
Worker Dominique Lucas, Community Health
Worker Antionio Miras Neira, Community Health
Worker Supervisor Abdimalik Mohamud, Community Health
Worker Carissa Redmond, Community Health Worker Claudia Rodriguez Rios, Community Health
Worker Nichole Sierra, Community Health Worker Guadalupe Tredway, Community Health
Worker
Kansas City University’s Score 1 for Health Alexandro Martinez, Community Health
Worker
Kansas Department of Health & Environment Kendra Baldridge, Section Chief, Special
Population Health Alexis Barnett-Sherrill, Health Educator Cindy Bevert, Public Health Educator Amanda Bridges, Kansas Arthritis Program
Manager Cristi Cain, Director, Local Public Health
Program Marcela Cousens, Education Information
Officer
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Kansas Department of Health & Environment Patricia Fernandez, Regional Case Manager,
KS Statewide Farmworker Health Program Mario Gonzalez, Regional Case Manager, KS
Statewide Farmworker Health Program Ashley Goss, Director, Community Health
Systems Diana Lady, Health Promoter, Kansas
Statewide Farmworker Health Program Maryoskar Marquez, Case Manager, Kansas
Statewide Farmworker Health Program Beth Nech, Community Health Specialist Audrey Nguyen, Education Information
Officer Ginger Park, Communications Officer Ghazala Perveen, Health Officer/Director of
Science and Surveillance Vi Pham, Chronic Disease Epidemiologist Jordan Roberts, Community Health Specialist Julie Sergeant, Program Director Cynthia Snyder, Data Manager Ruth Werner, Quality of Clinical Manager
Kansas Eye Bank & Cornea Research Center Jason Verbeckmoes, President & Chief
Executive Officer
Kansas Health Foundation Elina Alterman, Program Officer Chan Brown, Program Officer Nadine Long, Program Officer Deanna Van Hersch, Associate Vice President
for Programs Jeff Willett, Vice President for Programs &
Policy Carolyn Williams, Senior Program Officer
Kansas State Department of Education Mark Thompson, Project Director, Health
Kansas Schools
Kansas State University Brandon Irwin, Assistant Professor of
Kinesiology
Kansas State University’s Research & Extension Elaine Johannes, Associate Professor &
Extension Specialist Bertha Mendoza, Expanded Food &
Nutrition Education/Family Nutrition Agent
Yadira Soltero, Volunteer
Lawrence-Douglas County Health Department Kim Ens, Director of Clinical Services
LiveWell Finney County/Finney County Health Coalition Donna Gerstner, Chronic Disease Risk
Reduction Coordinator Lee Ann Shrader, Executive Director
Medical Service Bureau Jean Hogan, Executive Director
Metropolitan Community College Sandy Snook, Community Health Worker
Program Specialist Kordie Marsenburg, Community Health
Worker
Mother & Child Health Coalition Jean Craig, Project Director Shannon Williams, Education & Health
Promotion Coordinator
NBC Community Development Corporation Broderick Crawford, Community Health
Director Murdice Sims, Community Health Worker
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Optum (UnitedHealth Group) Cynthia Ball, Manager, Medical Clinical
Operations Mary Bailey, Community Health Worker
Reno County Health Department Nick Baldetti, Director/Health Officer Ivonne Rivera-Newberry, Assistant Director
Sedgwick County Department on Aging Trista Clevenger, Administrative Specialist Anita Nance, Director of Assessment & In
Home Services
Silver City Health Center Mary Icenogle, RN Clinic Manager
SOCO Consulting Shirley Orr, Public Health Consultant
Swope Health Center Treva Smith, Community Health Worker
Thrive Allen County Bobbi Bonds, Community Health Educator Nicole Likes, Administrative Assistant
United Healthcare Kyle Casey, Community Health Worker Joy Hanna, Community Health Worker Jennifer McConico, Community Health
Worker Angela Paschall, Community Health Worker Celia Ruiz, Community Outreach Daniel Safariz, Community Health Worker LaPorscha Vaughn, Community Health
Worker
University of Kansas Medical Center Allen Greiner, Professor Todd Moore, Project Director Arturo Ponce, Affordable Care Act Navigator Mariana Ramirez Mantilla, Project Manager
University of Kansas School of Medicine – Wichita Molly Brown, Program Director, Baby Talk Sapphire Garcia, Site Coordinator Judy Johnston, Research Instructor,
Department of Preventive Medicine Nicole Pickens, Site Coordinator Leona Wuensch, Site Coordinator
University of Missouri – Kansas City School of Medicine Lakshmi Venkitachalam, Assistant Professor
Wichita Medical Research & Education Foundation Joy Miller, Research Administrative Manager
Wilson County Health Department Destany Wheeler, Office Manager Public
Health Emergency Preparedness Coordinator
Witness Project of Kansas Gayle Thomas, Executive Director
World Refuge Ministries, Inc. Ron Burns, Pastor
YMCA Rubi Lopez, Lifestyle Coach
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Appendix C: Flash Drive Materials & Resources
The resources were divided into five folders. A brief outline of the content within each folder is listed
below.
1. Table of Contents This folder contains the Table of Contents and an electronic copy of the brochure from the event. 2. Speakers’ Slides & Handouts
Breakout A: Core Competencies (Carl Rush) o Slides: Carl Rush KS Symposium C3 5-11-16 o Handout: Carl Rush C3 RS Handout
Breakout C: CHW Certification & Training in Kansas o Metropolitan Community College’s Presentation
Breakout D: CHWs in the Volunteer Workforce o El Centro’s Presentation o NBC Community Development Corporation’s Presentation o Sedgwick County Health Department’s Community Health Advocates’ Presentation
Breakout E: CHW Research in Kansas o Garden City Promotores & Mammography Project (Dr. Allen Greiner) o Qualitative CHW Research in Sedgwick & Wyandotte Counties (Judy Johnston)
KC Regional CHW Collaborative Plenary Session (Dennis Dunmyer) o May 2016 KS CHW Symposium Presentation
3. KC Regional CHW Collaborative Resource
A Study of the CHW in the KC Region & Beyond: CHW White Paper for Mid-America Regional Council
4. Resources Recommended by Carl Rush This folder contains thirty-five documents provided by the keynote speaker, Carl H. Rush. A list outlining the included documents is first in the folder (available under the title “00 List of Documents on This Folder”). 5. Resources Recommended by the Center for Public Health Initiatives
State Models o Nebraska Resources
NE Video Links – Links for videos shown during breakfast.
Nebraska CHW Policy Paper – February 2015 o ASTHO 2015 State Legislative Status Update: CHW Training/Certification
Standards o CDC Technical Assistance Guide: States Implementing CHW Strategies (2014) o NASHP/State ReForum’s State Community Health Worker Models
CDC Training Resource for CHWs: Preventing Heart Disease and Stroke (2015)
CPHI Annotated Bibliography 2015 – An annotated bibliography of CHW research.
Progress Report on the C3 Project – April 2016
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Appendix D: Symposium Agenda
8:00 am
Registration & Breakfast
9:00 am Welcome & Purpose
Brandon Skidmore, Director, Bureau of Health Promotion Kansas Department of Health & Environment
9:10 am Opening Plenary
Fernando Pineda-Reyes, BS, CEO & Co-Founder, CREA Results Carl Rush, MRP, Research Affiliate, University of Texas Institute for Health Policy
Fernando Pineda-Reyes and Carl Rush have received national acclaim for their work to support the advancement of the Community Health Worker workforce. In addition to their work on the national level, they have been involved in CHW workforce advocacy efforts in their own states and cities. The session will provide a national perspective regarding CHW roles and responsibilities, funding and policy changes, and infrastructure models used to support the CHW workforce.
10:45 am Break
11:00 am Breakout Session A: Core Competencies for CHWs: C3 Project
Carl Rush
To help advance consensus in the U.S. Community Health Worker field, recommendations have been developed for common elements of CHW Scope of Practice and Core Competencies. Explore how these competencies can support designing job descriptions, training curricula and CHW practice guidelines for use at the local, state, and national levels.
Breakout Session B: Network & Alliance Development
Fernando Pineda-Reyes
Explore building, maintaining, supporting, and participating in CHW networks and alliances.
12:00 pm Lunch
12:30 pm Kansas City Regional Community Health Worker Collaborative
Dennis Dunmyer, BBA, MSW, JD, Co-Chair of Collaborative Vice President of Behavioral Health & Community Programs at KC CARE Clinic
The focus in this session will be on the development of a CHW Collaborative and CHW Forum in the Greater Kansas City Region and lessons that can be shared statewide.
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1:00 pm Panel Discussion: CHWs at Work in Kansas
KC CARE Clinic, Kansas City Genesis Family Medicine, Garden City & Southwest Kansas Kansas Statewide Farmworker Health Program, Statewide
CHWs and administrators from three organizations will share their experiences on developing and maintaining a CHW program and the community impact they have witnessed as a result of the programs.
1:55 pm Break & Snack
2:10 pm Breakout Session C: CHW Certification & Training in Kansas
Metropolitan Community College Johnson County Community College Juntos
Presenters will share about existing and developing CHW training and certification programs in Kansas.
Breakout Session D: CHWs in the Volunteer Workforce
El Centro, Kansas City NBC Community Development Corporation Sedgwick County Health Department’s Community Health Advocates
Volunteer CHWs and CHW program managers will share their experiences with recruitment, retention and CHW roles in the volunteer workforce.
Breakout Session E: CHW Research in Kansas
Judy Johnston, MS, RD/LD, University of Kansas School of Medicine - Wichita Ana-Paula Cupertino, PhD, University of Kansas School of Medicine Allen Greiner, MD, MPH, University of Kansas School of Medicine Presenters will share recent research conducted across Kansas related to the work of CHWs and roles that CHWs can play in this research.
3:00 pm Break
3:10 pm Next Steps: Planning Our Way Forward
Where do we go from here? What’s the future of CHWs in Kansas? Share your ideas and concerns, and provide your insight about next steps for the CHW workforce in Kansas. We need your voice in this discussion.
4:00 pm Closing
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Appendix E: Next Steps Brainstorming Session Notes
Question 1: What do we still need to learn?
Learn more about the other cultures in our communities
Sustainable funding – MORE money
How to establish relationships/partnerships
How to promote CHWs in the community and their roles
Need input form Sedgwick County CHWs (Where are they? List of Organizations.)
More education of limitations of CHWs (What can they and can’t they do?)
Definition of CHW duties/boundaries
What access does CHW have Patient Health Information? What are they required to document? What liabilities apply to a CHW?
Lines that define our roles
Community agencies need to see the need for CHWs
How do we connect or refer to other CHWs from other communities?
Learn to know limits as CHWs
How can I transition from volunteer to compensated CHW?
Where are the educational opportunities for CHWs and further training and education?
How to mobilize with the community
Work with each other – among other organizations, partner and avoid competition and duplication of efforts
Create a state alliance for CHW efforts
Overcome state barriers
Communication, cultural and linguistic
To develop methods of sustainability for CHWs (NOT grant funded)
There needs to be greater communication across the state within current agencies about different programs.
Awareness and education about CHWs role
How to better collaborate
What is the goal (among CHWs) and direction for the CHW profession in KS?
What CHW activities are more/most effective?
How to better link clinical care and promotoras
Barriers in the workplace
There’s people willing to give their time but needs more training in order to have a better reach within their communities
How to pay people
So much!
Statewide inventory – workforce assessment
What does it mean to be a CHW? Who they are, what they do.
How can we support the CHW?
Let’s really define CHW. What is the threshold?
More info about policies to support CHW work
More about impact of CHWs
How many CHWs are working on their won not represented today?
How do we measure the impact of CHWs?
How communication is passed along effectively
How to get everyone involved
Specific roles: responsibilities x2
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Boundaries/perimeters/liabilities
Future direction
Who else is doing this?
Connect, be the link for the resources to increate motivation for members
Networking
Ability to articulate
Help clients/members develop life skills
Is it CHW role to teach life skills?
Connection of CHW to state
Educate general population on CHW roles
Need for organization of Kansas Association CHWs? Is there a group?
Where are the gaps?
How are they paid?
Knowing more opportunities with non-clinical side.
What are the benefits for each community?
Strong leadership
Everything – we’re like infants
Where to go to continue learning
If we educate and professionalize the individual, do we create a gap, distancing the educated individual from their community?
How to better retain CHWs
How to have more CHWs who are paid
Training for CHWs
CHWs promoting classes outside their expertise
More resources to send people
Connecting CHW systems (list of CHWs) sharing resources
Education about CHWs to organizations who aren’t here today
Directory of CHWs (state and regional)
Understanding categorization of similarities/differences between CHW models
Best training for different setting
How are contributions documented?
How they fit in the team
How does supervision work? What’s required?
What extra roles can CHWs play to impact and empower people (e.g. civic engagement)?
What are best funding streams?
How can more training resources be mobilized?
How can CHWs work with kids on dental and obesity issues?
More resources
More trainings
Learn about CHW work on the national level
Learn more about sustainability for CHWs
Learn about different communities all throughout Kansas
Learn more about different entities in Kansas and what they provide
Scope/boundaries of CHW work
More CHW input
Who is our Champion?
Needs of communities
Professional education of health professionals
Political environment – education of lawmakers
Who is the education/advocacy body?
How to coalesce?
DATA on community IMPACT
Question 2 (part 1 of 2): What challenges might come our way?
Misunderstanding CHWs roles
CHWs being underestimated
Running out of funding for CHWs
Funding
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CHWs having access to PHI
Time constraints
Eventually require certification/license
Overlapping roles (others feel threatened, competing) – social workers, nurses, providers
Funding – not enough money
Policies limit our work
Budget cuts by board of directors
Board of directors not excited about CHWs
If CHW are cut/done away with, clients will not be excited/happy.
Intro of a new CHW program/model to a new provider might be a challenge and not received well.
Language barrier
Funding
Recognition
Certification
Documentation status
Education
Rally health providers
Lack of funding
Running out of funding
Higher education
Home health organizations
Retention
Recognition as a profession
Divergent opinions regarding professionalization of the role
Opposition from other health care professionals
Cultural or religious groups
Patient assumptions about CHW ability
Defining scope of practice for each model
Lack of services
Language barrier
The lack of certification of the CHW vs. people with certification or
credentials but without the experience and abilities to reach certain community members
How to fund?
Sustainability? Organization/individual providers
Getting on the “same page” when community needs are so diverse
How to get them integrated into the team based care
Training
Who owns it? Statewide efforts?
Flexibility and challenge
People who work long hours with may not have time to focus on health.
People who want a magic bullet.
Over regulation of CHW scope
Burnout, especially for volunteers
If federal funds become available for CHWs will state/local government accept funds?
Regional issues with too many CHWs
Fear of the unknown
Inconsistent
All associations in Health (e.g. competition, funding, time)
Where’s the baseline structure? Foundation of the object?
Connections and relations
Limitations/complications
Financing – volunteers
Finding community member – community buy in of key people to breach target communities, overcoming cultural barriers, trust factor
Not excited – conflicting organizational views – funder vs. grassroots organization
Conservative environment were feeling/view is “that is not the role or service or need”
Responsibility of individual
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Agency not able to provide full CHW services – viewed as neglecting or bad provider to community (community view)
Cost
Recruitment – finding CHWs
Creating awareness and buy-in from organizations that aren’t involved
Time – one more task on list
Understanding of different CHW models and how they work together instead of competing
Retention of CHWs – especially volunteer
Sustainability
Keeping motivation and momentum
Billing/reimbursement codes and policies
Challenge of connectedness across state of KS (coalition, annual meeting, means to communicate)
Challenge of cultural competence (in medicine where the culture competence is not a priority)
Challenge of awareness and understanding – how to widen acceptance
Being integrated into healthcare systems
We are not here to take jobs away from nurses or other healthcare providers
Letting other providers know the definition/description of a CHW
FUNDING
Overlapping scopes of practice (e.g. nurses, social workers, public health, home health agencies, physicians, politicians, legislators, etc.)
People in power aren’t of the communities who need help
Education regarding the CHW role – Kansas board of nursing
Inviting the right people to the table Question 2 (Part 2 of 2): Who might not be excited?
Nurses, social workers
Case Managers
Thought of CHWs will take their jobs
Other medical professionals
Certain patient populations not accepting of CHWs
Legislators/government
Nurses, social workers, and providers feeling threatened
Social workers, nurses
Providers may not embrace this (doctors, social workers, mental health providers, nurses, etc.)
Finance department
Insurers – one more thing to reimburse
Clinics that see CHWs as competition or not valued (because not clinical work)
Delineating roles of CHWs and nurse patient navigators – competition
Nurses, doctors, social workers
Providers with professional certifications
Health care money people
Question 3: What opportunities should we pursue going forward?
Sustainability (job security)
Competitive salaries
Training on-going (various)
Attending meetings, forums, conferences
Creating CHW database (state-to-state)
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Creating patient database for CHWs (state-to-state)
CHW Retreats (relax & learn) – regrouping, reenergizing, refocusing
More education locally
Solicit local and state officials for funding because of return on investment (ROI)
Data collection to support ROI
Affordable education
Local networking opportunities (collaboration) – so services aren’t’ duplicated
Education and training for CHWs
Connections and networking of other CHW programs.
Certification???
Sustainable funding
Better training and recognition from health providers
Keep the connection with other CHW/Promotores (APHA)
Apply for research based grants
Training for supervisors and supervising agencies to train and support CHWs
Partnering with insurance companies
Use data to leverage funding
Partnering with national associations (i.e. social work, public health) to promote CHWs
Collaborating with health care systems and payers
Partnering with other community government (state and local) for health education
Employers for health navigation services
Prepare community to receive CHW services
Leverage all voices here today to build a campaign/coalition
Education and training
Working with others
Listen and learn from others
Lead by example
1422 Funding/1305 to lead the work
Link to the PTN
Engage payers in a more meaningful way.
Develop a professional association
Begin to explore policy work (e.g. training, certification, reimbursement, health information, etc.)
Role of CHW in Medical Health Homes
Training towards accreditation and certification – we should strike a balance between accreditation and certification.
Cross-training among cultures
Cross-training and collaboration and payment between academic and community
Education, Certification, Networking
Training and awareness
Benefit or problem with a Health Kansas group
More education?
Loan forgiveness
Funding opportunities
Service/support deserts – result in increased health costs, decreased life span
Community transformation
Health and wellness is the priority – improving overall health – better community
Have many health facility/service options
Encourage training and placement of CHWs – job opportunities
Community – organization/regional/agency/ charities/faith based – buy-in/involvement – make it happen
Number of CHWs increased
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We (attendees) need to know all agencies/individuals/groups present today – may be an opportunity for networking – expanding/connecting resources may benefit others
Leverage existing resources – networking to expand
Strategizing collectively
Learn from CHWs in other regions and states
Federal programs interest – grants and sustainability
Understanding what it takes to reach hart-to-reach populations – partner with active community volunteers
CHW annual conferences to share experience and knowledge and plan for future steps
Health care systems changing to value-based – providers realizing benefit of community resources
Getting clinicians to provide service outside of clinic – take services to patient (ex. Mobile breast exam/mammography)
To develop digital resources – training, tools (learning collaborative, sharing, network to ask questions and bounce ideas off of)
To get patient input, feed-back look (payment reform may help this)
Education
More forums to bring ideas together (regionally/nationally)
Offer more outreach about CHWs to communities (don’t wait until too late)
CHW facilities?
More job growth for CHWs (supervisors/managers)
Legislation that leads to funding
Developing Core Competencies and scope of practice
Look at what’s out there – data, research, ROI
CHWs develop relationships with hospitals
Focus groups – Case studies – have CHWs present
State coalition or forum
Share best practices and programs across Kansas
Continue bringing people together – listen to CHWs doing the work
Collect and share success stories regarding persons served
Social services and providers need to be at the table
Look at the language – we’re speaking and adapting to audiences
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Appendix F: Keynote Speaker Biographies
Fernando Pineda-Reyes, BS
CEO & Co-Founder CREA Results, Denver, CO Community + Research + Education + Awareness A native of Mexico and founder of CREA Results (Community + Research + Education + Awareness), Fernando has more than 15 years of experience in community development. He founded CREA Results in 2006 to focus on Community Health Workers/Promotores de Salud in leading public health campaigns and projects focusing on community development, community education, organizing and community assets integration and mobilization to address community health issues including social and environmental justice and health disparities. Fernando has extensive experience working with federal and state agencies, foundations and organizations providing cultural proficiency consulting on community engagement and outreach strategies. His work has focused on a variety of initiatives, including cardio-vascular disease risks, tobacco health disparities, breast and cervical cancer awareness, immunizations, obesity prevention and oral health among others.
Carl H. Rush, MRP
Research Affiliate Project on Community Health Worker Policy & Practice University of Texas, Institute for Health Policy Carl H. Rush has worked full time for and with community health workers (CHWs) for nearly 20 years. He serves as a core team member of a policy center on CHWs at the University of Texas – Houston School of Public Health, and has supported studies on CHW employment policy for the states of Arizona, Texas and Indiana, and for Public Health Seattle/King County. He recently finished revising a national e-learning series for the CDC on policy and systems change to promote employment of CHWs, and is about to begin a national policy study for the CDC on CHW certification. He has advised CHW policy initiatives in more than 20 individual states, and groups of state officials for the Milbank Memorial Fund, the National Academy for State Health Policy, the National Conference of State Legislatures, the Association of State and Territorial Health Officials, and the National Governors Association. He is co-convener (with the Trust for America’s Health) of an informal group of national public-sector interest groups and federal agencies on Medicaid preventive services. He is a national advisor to the Transition Clinics Network, the Commonwealth Fund demonstration of the Ambulatory Integration of Medical and Social (AIMS) model, and the CHW Knowledge Exchange Project at Johns Hopkins University.
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Appendix G: Breakout and Panel Speakers’ Information
Breakout Session A: Core Competencies for CHWs: C3 Project
Carl H. Rush, MRP
See Appendix E for speaker information.
Breakout Session B: Network & Alliance Development
Fernando Pineda-Reyes, BS
See Appendix E for speaker information.
Lunch Plenary
Dennis Dunmyer, BBA, MSW, JD
Mid-American Regional Council KC Regional CHW Collaborative KC CARE Clinic Vice President of Behavioral Health and Community Programs
Dennis Dunmyer is the Vice President of Behavioral Health and Community Programs at the Kansas City CARE Clinic, overseeing four Clinic departments. He is the co-chair of the Kansas City Regional Community Health Worker Collaboration, sits on the Community Health Worker Advisory Committee to the Missouri Department of Health and Senior Services and is a licensed clinical social worker in Kansas and Missouri. During the last five years, Mr. Dunmyer built and implemented the Community Health Worker Program at the Kansas City CARE Clinic while dedicating time and effort to developing community-wide infrastructure for the program, such as training and education, state-wide advocacy, and community awareness.
Panel Discussion: CHWs at Work in Kansas
KC CARE Clinic (Kansas City)
Rebecca Anderson, MSW, Manager of Care Coordination Rebecca Anderson, LMSW, graduated from Washburn University in 2005 with a Master’s degree in Social Work. Rebecca started her career in social work at the Kansas City CARE Clinic in 2005 as an HIV case manager. In 2008, Rebecca started managing the CHW program at the clinic. Rebecca is a part time adjunct professor for the CHW curriculum at MCC and was one of the original developers of the CHW curriculum in 2011. Rebecca’s passion is all things CHW.
Dominique Lucas, Community Health Worker Dominique Lucas graduated from Avila University with a degree in Social Work in 2014 and completed the Community Health Worker course at Metropolitan Community College in 2015. Dominque is a Community Health Worker at the Kansas City CARE Clinic and has been serving underserved and uninsured patients from the Saint Luke’s Health System since 2014. Dominique assists patients from both Kansas and Missouri that are seen at Emergency Department or Inpatient Care at Saint Luke’s Health System to establish primary care, overcome barriers to medical and social services, and improve their overall health.
Genesis Family Medicine (Garden City)
Irma Robbins, Community Health Worker
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Irma Robbins is a Community Health Worker for Cancer Health Disparities. She has been serving in this role since 2011. Irma graduated from Fort Hays State University.
Gloria Bracamonte, Promotora Gloria Bracamonte is a Promotora with Genesis Family Medicine in Western Kansas.
Kansas Statewide Farmworker Health Program (Statewide)
Kendra Baldridge, LMSW, Section Chief for Special Population Health/State Refugee Health Coordinator Kendra Baldridge began working at the Kansas Department of Health and Environment in 2007. She had been the Eastern Region Case Manager and then Lead Case Manager for the Kansas Statewide Farmworker Health Program (KSFHP). In 2015, she was promoted to be the new Section Chief for Special Population Health which includes being the KSFHP Program Director and the State Refugee Health Coordinator. She has a BA in Sociology and a Masters of Social Work, both from the University of Kansas. Prior to her time at KDHE, Ms. Baldridge lived in El Salvador for two years as a Peace Corps volunteer, working with a health promoter and on various other community projects. Upon returning to the United States she worked in various positions at El Centro Inc. in Kansas City, and as a Case Manager at Centro Hispano Resource Center in Lawrence.
Diana Lady, Health Promoter Diana Lady is a Health Promoter with the Kansas Statewide Farmworker Health Program. She primarily works with clients in Eastern and Central Kansas.
Breakout Session C: CHW Certification & Training in Kansas
Metropolitan Community College
Sandy Snook, MSW, Social Policy Lecturer Sandy Snook, MSW has over 20 years of unique experience developing and facilitating community learning. Sandy currently recruits students and instructors for Metropolitan Community College’s Community Health Worker program where she also develops curriculum and delivers training. Sandy also teaches Social Policy and Program Development for the University of Kansas, School of Social Welfare.
Johnson County Community College
Dr. Lenora Cook, Dean of Healthcare Professions and Wellness Dr. Lenora Cook is the Dean of Health Care Professions and Wellness at Johnson County Community College providing leadership for nursing, practical nursing, health care occupations, emergency medical science, dental hygiene, respiratory care, neurodiagnostic, physical education and wellness programs. Dr. Cook is responsible for promoting student success, facilitating academic and administrative effectiveness, ensuring fiscal accountability, engaging advisory committees, and reviewing and revising curriculum to ensure a positive learning environment. Her nursing background coupled with her doctorate in community college leadership proved valuable in researching and developing JCCC’s proposed Associate of Arts degree with a focus in Public Health.
Juntos
Mariana Ramírez Mantilla, MSW, Juntos Project Manager Mariana Ramírez works in research, service, and education-oriented programs addressing health disparities. Ms. Ramírez embraces Community Based Participatory Research principles
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in her work and has collaboratively developed a culturally relevant community health worker model for Latinas in the Kansas City Metro area. As Juntos Project Manager, she provides direct coordination for the Promotora de Salud workforce at Juntos Center for Advancing Latino Health.
Breakout Session D: CHWs in the Volunteer Workforce
Sedgwick County Community Health Advocates
Pamaline King-Burns, MPA, Project Manager, Sedgwick County Health Department Pamaline King-Burns has managed the Community Health Advocates program for the Health Department since 2009. All of her adult life; Ms. King-Burns has worked in the Wichita community, mentoring students of all ages and fostering cross-sectoral relationships. She believes that by forming collaborative partnerships and engaging all stakeholders’ voices, communities are able to achieve equal and equitable access to quality health care for all. Pamaline currently serves as a member of the Child Start Board of Directors, the Greater Wichita Ministerial League, and is an Elder with the African American Council of Elders of Wichita/Sedgwick County.
Columbine “Jo” Schwanke, Community Health Advocate Columbine Schwanke is a Community Health Advocate with the Sedgwick County Health Department Community Health Advocate program.
Pastor Ron Burns, Community Health Advocate Pastor Ron Burns is a Community Health Advocate with the Sedgwick County Health Department Community Health Advocate program.
El Centro, Inc.
Cielo Fernandez, Chief Program Officer & Co-Chair of KC Regional CHW Collaborative Cielo Fernandez has been the Chief Program Officer at El Centro since 2014. Before her role as the Chief Program Officer, Cielo was a Project Director from 2007-2014. Before her time at El Centro she served as a Project Director for Mattie Rhodes Center. Ms. Fernandez also serves as the Co-Chair for the KC Regional CHW Collaborative.
Elizabeth Reynoso, Promotora de Salud Elizabeth Reynoso has over 13 years of experience in Spanish mass media communication in both Mexico and the United States. For the past nine years Ms. Reynoso has been involved in several community-based projects focused on Latino health working with Promotoras de Salud, including the development and implementation of the "Radionovela de Salud ". Since 2010, Ms. Reynoso and Promotoras are empowering the Latino population, increasing knowledge about healthy food choices and conscious shopping strategies.
NBC Community Development Corporation
Broderick Crawford, Community Health Director, NBC Community Development Corporation Broderick Crawford is a consummate community volunteer, dedicated to assisting and improving the lives of those who are less fortunate. Broderick has over 30 years of experience in the Health Care industry. Broderick currently serves as the Executive Director of the NBC Community Development Corporation in Kansas City, Kansas.
Carissa Redmond, Community Health Worker Carissa Redmond completed the Community Healthcare Worker course in November of 2015 and currently works as a CHW for the KC CARE Clinic, NBC Community
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Development Corporation and has served as secretary for 3 years in the Women's Department at the New Bethel Church Ministries in Kansas City, KS, Wyandotte County. She has operated in the various tasks of a CHW for the Wyandotte County community during the years of 1998-2000 for the Kansas City Healthy Start Program as well as for the YWCA of Greater Kansas City during the years of 2000-2006.
Murdice Sims-Watson, Community Health Worker Murdice Sims-Watson is a Community Health Worker with NBC Community Development Corporation in Kansas City, Kansas.
Breakout Session E: CHW Research in Kansas
Judy Johnston, MS, RD/LD, Research Instructor
Preventive Medicine and Public Health, University of Kansas School of Medicine – Wichita Judy A. Johnston is a Registered and Licensed Dietitian with more than 16 years of experience in management and clinical hospital dietetics and over 25 years of public health practice and research. She has been nationally recognized for her pioneering work with Kansas LEAN (Leadership to Encourage Activity and Nutrition) and 5-A-Day for Better Health where she created a statewide partnership of over 700 partners. Her current work includes guiding communities with needs assessments, oral health in underserved populations, faith-based health ministry, and cancer survivorship.
Paula Cupertino, PhD, Associate Professor
Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS Paula Cupertino has strived to initiate a new line of health disparities research in the Latino community in Kansas tied to binational initiatives in Mexico and Brazil. As a social behavioral scientist, her tobacco control research has focused on smoking cessation and access to cessation treatments among underserved and understudied populations with a primary focus on Latinos. Ms. Cupertino also has experience in the development and implementation of research projects incorporating cultural factors and principles of community-based participatory research. Her teaching activities represent a direct expansion of her research as a social behavioral scientist focused on health disparities among racial/ethnic groups, culturally competent health intervention, and social determinants of health, and community-based participatory approaches that enhance health equity.
Allen Greiner, MD, MPH, Professor and Associate Chair of Research
Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS K. Allen Greiner, MD, MPH is Professor and Associate Chair of Research in the Department of Family Medicine at the University of Kansas Medical Center (KUMC) in Kansas City, Kansas. He is a practicing family physician and is the Medical Officer for the Kansas City, Kansas, Wyandotte County Unified Government Health Department. He directs the Kansas Patients and Providers Engaged in Prevention Research (KPPEPR) Network.