TIER ONE: CORE REQUIREMENTS

The AKHCAN CHW Training Model is based on a tiered training process.   The “Core Requirements” tier is intended to be delivered to new CHWs as their first entry into the training process and covers material essential to all CHWs, regardless of their place of employment.  The Core Requirements provide 98 hours of training: 88 hours of which are in the classroom and 10 hours of online training.  To prioritize information and allow trainings to build upon one another, tier one is designed to be completed in a specific sequence.

Public Health Concepts and Approaches
The knowledge base for CHW practice is strongly influenced by the field of public health. Public health is a science-based discipline that focuses on protecting and promotion population health, preventing illness and injury, eliminating health inequities, and working to improve the health of vulnerable communities and populations. CHWs, like other public health practitioners, understand that individual health is shaped by family, community, neighborhood and wider social conditions. These conditions, include education, poverty, housing, safety, transportation and other “social determinants of health.” Areas of common focus may include maternal and child health, prevention of injuries, infectious diseases, chronic diseases, and mental and behavioral health problems.

CHWs: Who We Are, What We Do, & Why We Do It
This course provides a comprehensive overview of the role of CHW programming from a historical and modern perspective and demonstrates how the CHW workforce contributes to improved health outcomes. It includes information and tools essential to the occupation, including, CHW definition; code of ethics; core competencies; scope of practice; CHW role in the community; and CHW limitations and boundaries.
3 hours in classroom – Provided by AKHCAN

Centers for Disease Control and Prevention (CDC) E-Learner
The CDC provides a national perspective regarding the following topics: Introduction to CHWs, current Issues for the CHW Workforce, workforce development, occupational definition, research and evaluation standards, sustainable funding for CHW Positions and moving policy and systems change forward.
6 hours online – Provided by CDC

Promoting Good Health
CHWs are promoters of good health. This training includes elements of health and healthy lifestyles, including: physical activity; nutrition; mental health; injury & violence; clinical preventive services; and infectious disease prevention.
1 hour in classroom – Provided by AKHCAN

Mental Health First Aid
CHWs may interact with individuals confronting mental health issues. This training teaches risk factors and warning signs of mental health problems and provides information on depression, anxiety, trauma, psychosis, and addiction disorders. Additionally, it teaches a five-step action plan to help someone developing a mental health problem or in crisis. It explores professional, peer, and self-help resources.
8 hours in classroom – Provided by Mental Health First Aid Master Trainers. Available through AKHCAN and many local organizations

Documentation, Reporting & Outcomes Management
CHWs help promote coordinated and effective services by documenting their work activities, including writing summaries of client and community assessments. They often present data outcomes, and other relative information to agency, community partners, local, state and federal stakeholders about their clients and issues they face. When available, CHWs use computer technology and communicate in English: however, alternative arrangements may be made in order to utilize valuable linguistic capacities, cultural experience, and community relationships that individual CHWs may bring to their work.

Documentation and Data Matter
This course provides an overview of CHW forms, how they are used and why they are critical to CHW programming. A connection will be made between documentation and service delivery. Effective and efficient writing skills will be discussed, as will consequences, related to poor or lacking documentation. Additionally, course will discuss strategies to address literacy barriers.

2.5 in classroom – Provided by AKHCAN

Communication
Effective and purposeful communication is listening carefully and communicating respectfully in ways that help build trust and rapport with clients, community members, colleagues and other professionals. Effective communication includes a mix of listening, speaking, gathering and sharing information, and resolving conflict. CHWs are open about their roles, responsibilities and limits. CHWs protect client privacy and confidentiality. They convey knowledge accurately, clearly and in culturally aware and responsive ways. They are able to use language and behavior that is responsive to the diversity by ethnicity-race, culture, geographic location, physical or mental disabilities and sexual ordination they encounter in their work.

Home Visiting 101
Explores the unique experience of home visiting, including, how we enter, greet and respect someone’s home; conducting a risk and safety checklist; assessing fall prevention needs; addressing insect infestation and maintaining personal safety during home visits. Guest speakers may include local law enforcement or other home visitors.
2.0 hours in classroom – Provided by AKHCAN

Providing and understanding information: The connection
Overview of effective and ineffective use of verbal and non-verbal communication; understanding cues; active listening skills; and the “how to” of constructing contracts, agreements, and other plans with clients. Address the different ways adults learn and information delivery methods to help clients not only receive, but also understand what is given to them. Provides strategies for reaching visual, audio and kinesthetic learners and real-life examples of how to use written and visual aids when working with program participants.
2.0 hours in classroom (Provided by AKHCAN)

The Interactive Teach-back Learning Module
This module has two parts: It describes teach-back and demonstrates its effectiveness as a health literacy intervention to improve patient-provider communication. Video and interactive self-assessment questions enhance, confirm, and reinforce your ability to use teach-back and integrate it into your clinical practice.
1.0 hour online at teachbacktraining.org

Health Literacy for Public Health Professionals
The purpose of this public health literacy web-based training is to educate public health professionals about public health literacy and their role in providing health information and services and promoting public health literacy. This web-based course uses a 508-compliant template, knowledge checks, evaluation, CE and other credits, include glossary and resources tabs, scenario-based interactions and video clips.
1.0 hour online at www.train.org

Legal, Ethical & Professional Conduct
CHWs know how to handle ethical challenges as they address legal and social challenges facing clients and communities they serve. Client confidentiality and privacy rights must be protected in the context of employer and legal reporting requirements. Care for clients must be balanced with care for self. CHWs must act decisively in complex circumstances but also utilize supervision and professional collaboration. They must observe agency rules and the regulations governing public and private resources while exercising creativity in helping community members meet their individual and family needs.

Laws that Protect
People have rights and many of them are protected by law. CHWs need to understand these rights and help those with whom they work understand them as well. Participants will be provided an overview of HIPAA, American with Disabilities Act, reporting laws, guardianship, power of attorney, and Living Wills – including, advanced directives and health care surrogacy.
2 hours in classrooms – Provided by AKHCAN

Recognizing & Reporting Maltreatment
Community Health Workers visit people in their homes. When working, they may encounter situations of abuse, neglect and other forms of violence. CHWs will learn the warning signs of various types of abuse; reporting requirements and resources available to individuals and families confronted with maltreatment or violence
2 hours in classroom – Provided by AKHCAN

Organizational & Community Outreach
Outreach is the process of contacting, engaging with, and helping people to learn about and use resources to improve their health and well-being. Outreach may be conducted with individuals, groups, organizations, and at the community level. In outreach, CHWs “meet people where they are,” building relationships based on listening, trust, and respect. This can take place in diverse settings, including where people live, work, learn, worship, socialize, play, exercise, and conduct business. There are a variety of outreach methods, such as phone calls, in person conversations, group presentations, distribution of print and electronic information, mass media and social media. Effective outreach is based on learning about community needs and strengths, knowledge about available resources, and sensitivity to personal and cultural dynamics that affect behavior and relationships.

Reaching Out
Outreach is the process of contacting, engaging with, and helping people to learn about and use resources to improve their health and well-being. This training provides an overview of the who, where and how of effective outreach and utilization of outreach strategies.
1 hour in classroom provided by AKHCAN

Knowing Appalachia
Rural Kentucky is known for beautiful landscape, horse racing, tobacco farms and southern hospitality. Unfortunately, it is also known for high chronic disease rates. Most rural areas of Kentucky are designated as health professional shortage areas, and/or medically underserved community/population. CHW programming is effective in addressing the barriers to quality health care in Appalachia. This training provides an overview of the Appalachian region and culture.
1 hour – Provided by AKHCAN

How Can We Know our Clients? Understanding the Impact of Poverty on Public Health Service Delivery
Explores poverty issues and the relationship to healthcare service delivery.
1 hour Online #1005361

Cultural Competency & Health Equity
Outreach is helping people to learn about and use resources. Cultural competence and sensitivity to personal and cultural dynamics that affect behavior and relationship are critical components of effective outreach. This training explores the importance of understanding culture; prejudice and bias; stereotyping; discrimination and cultural influence on decision making. Health literacy, ongoing self – assessment and ongoing education are discussed as important strategies for achieving cultural competency.
4 hours in classroom and 1 hour online – provided by AKHCAN

Advocacy & Community Capacity Building
Advocacy is working with or on behalf of people to understand their rights and gain access to resources. Capacity building is empowering people to develop the confidence and ability to assume increasing control over decisions and resources that affect their health and well-being. Community capacity building involves promoting individual and collective empowerment through education, skill development, networking, organizing, and strategic partnerships. Advocacy and capacity building go hand-in-hand and can help create conditions and build relationships that lead to better health. Capacity building requires planning, cooperation, and commitment, and it may involve working to change public awareness, organizational rules, institutional practices, or public policy.

ABCs of Assistance Programs & Building Your Binder
Reviews SNAP, KTAP, WIC, KPAP, KPC, DCBS and other financial assistance and social programs. Explores the ever-changing nature of community resources; how to build a resource directory specific to your community; how to keep information current; and what information and materials to keep with you when making home visits or meeting with clients. Additionally, this course takes a hands-on approach to learning about, accessing and providing health information in the areas of women’s health, men’s health, child development and oral health. Activities will include gathering information and resource material regarding overall health, preventative screenings, and more.
3.5 hours in classroom – Provided by AKHCAN

Addressing Substance Abuse
An overview of substances commonly abused, including, alcohol; marijuana; synthetics; opiates; prescription medication and other non-consumable substance abuse. Discusses behavioral and environmental warning signs CHWs may recognize and resources for those experiencing substance abuse issues.
1.0 hours in classroom – Provided by AKHCAN in with local or state experts

CHWs and Suicide Prevention
An overview of suicide, risk factors, warning signs and information CHWs need when confronted with a potential suicide risk.
2.0 hours in classroom – Provided by AKHCAN with local or state experts

Health Coaching
Promotes education for healthy behavior change by providing people with information, tools and encouragement to empower them to improve their health and stay healthy over time. CHWs “meet people where they are,” respecting their experience and their abilities to learn, take advantage of resources, and set priorities and goals for changing their own behavior. CHWs work with clients, family or community members, and with providers to identify strategies to develop solutions to increase opportunities for healthy behavior. The CHW acts as an educator and health coach, using a variety of techniques to motivate and support behavior change to improve health.

Stanford Disease Self-Management Program
Material includes, techniques to deal with problems such as frustration, fatigue, pain and isolation; appropriate exercise for maintaining and improving strength, flexibility, and endurance; appropriate use of medications; communicating effectively; nutrition; decision making; and, how to evaluate new treatments.
32 hours in classroom

Kentucky CARE Collaborative
Information regarding heart disease and stroke recognition and prevention.
3 hours in classroom – Provided by Department for Public Health

Stanford Diabetes Self-Management Program
Subjects covered include: 1) techniques to deal with the symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress, and emotional problems such as depression, anger, fear and frustration; 2) appropriate exercise for maintaining and improving strength and endurance; 3) healthy eating 4) appropriate use of medication; and 5) working more effectively with health care providers.
15 hours in classroom – Provided by AKHCAN or external trainer

Care Coordination & System Navigation
coordination of care and system navigation for individuals and families means that CHWs help people understand and use the services of health and service provider organizations. They also help address practical problems that may interfere with people’s abilities to follow provider instructions and advice. CHWs help bridge cultural, linguistic, knowledge and health literacy differences and improve communications involving community members and agency or institutional professionals. They understand and share information about available resources and support planning and evaluation to improve health services.

Navigating Health Care Coverage
Teaches the various coverage options, including, Medicare; Medicaid; private insurance. Addresses issues such as finding a medical home and the federal poverty guidelines and reviews terms and conditions such as prescription formularies, in and out of network, and covered services.

NOTE: The content and delivery of this training will be determined by the current status of Medicare, Medicaid, Affordable Care Act, etc. at the time it is given and will be provided by AKHCAN in partnership with the Department for Public Health, MCOs and others as appropriate

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