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A National <strong>Community</strong> of Practiceo The CHW-NEC project was designed to offer the most promisingpractices from lessons learned across the country for the entry-levelcore competency-based development of community health workers.o The project continues today as a nationally-based participatoryresearch and dissemination model. It followed the precepts of theCBPR model.o Recommendations of this project are published as KeyConsiderations for Opening Doors: Developing <strong>Community</strong> HealthWorker Education Programs. Proulx, DE, Rosenthal,EL, andcontributors, The University of Arizona AHEC Program (2008). Thispublication is available and can be downloaded from the projectwebsite www.chw-nec.orgo Technical Assistance Workshops (6) were provided across the U.S.over the funded life of the project (2004-2008), and these events arecaptured on DVDs. Workshop related educational materials andPowerPoint presentations used in these TA events are available onthe project website.
Credentialing CHWsooTexas: The Texas legislature (2001) mandated all promotores or CHWswho receive compensation for their services be certified…and trainingprograms needed to be state approved and must use a standardizedcurriculum in 8 core areas of competence: advocacy, interpersonalrelations, capacity building, communication, knowledge, organization,teaching, and service coordination (right out of the CHA National Study—Rosenthal et al.) The Texas Dept. of Health administers the program. (SeeCDC, Preventing Chronic Disease: Special Issue, November 2005:05_0059) http://www.cdc.gov/pcd/issues/2005/nov/05_0059.htmOhio (2003) adopted a certification which is regulated by the state Board ofNursingo Minnesota passed de facto certification for Medicaid reimbursement (2008)CHW must be under medical supervision, must complete standardtraining, CHW services for patients in “self-management educationand training”…cannot bill state directly; employers bill state.ooLimited certification programs in Indians and Alaska; two states with majorstate-funded programs, KY and NM, do not have credentialingThere are CHW credentialing bills being introduced in CA,MA, NM, OR,PA…and in TX there are two new bills HB 2610 (navigators) and 2244updating state certification.
Page 1 and 2: Community Health Workers: Historica
Page 3 and 4: o History in the U.S.o 1950s: saw t
Page 5 and 6: History in the U.S.o The National C
Page 7 and 8: CHW Definition and Core RolesooooTh
Page 9 and 10: Education and Competence8 Skill Com
Page 11: Curriculum Developmentso Then came
Page 15 and 16: Some Cautionso CHWs need to know th

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