Apprenticeship

About CHW Apprenticeship

  • Apprenticeships represent a successful approach  to training front-line Community Health Workers (CHWs) to fulfill a growing need for supportive community outreach and addressing Social Determinants of Health (SDoH) among minority and underserved populations.
  • Health Care Nonprofits are required to assess for and support community needs in order to maintain their Nonprofit status. Trained CHWs supporting health care providers and health systems in this important undertaking is considered to be a “best practice”.
  • An apprenticeship is a system where participants learn a trade or profession through on-the-job/Virtual Training. Job Training is incorporated with classroom and or online training to reinforce concepts while the participant gains hands on: experience while working with an employer. 

 

CHW Training and Apprenticeship Program

  • This Apprenticeship Program Registration # 2022-CA-112319

  • Was developed in cooperation with the U.S. Department of Labor Office of Apprenticeship, and

  • Approved by the U.S. Department of Labor, Office of Apprenticeship. 

 

 

Sponsored by/ Provider

  • International Pre-Diabetes Center; D/B/A Pre-Diabetes Professional Training Center

Department
  • CHW Resource Center

 

PARTICIPANT ELIGIBILITY CRITERIA:

  • Must be at least 18 years old.
  • Must have at least a high school diploma or GED.
  • Must have a personal email address (a computer and internet access is required). Request support for unmet requirements (including computers, computer training and access to internet).

 

  • All these types of CHWs carry out one or more functions related to health care delivery and are trained in some way for the interventions they are expected to perform

CURRICULA:

  • The curricula targets individuals seeking paid employment.
  • Policies relating to participant selection, certification achievement, and retention are embedded within the program.
  • Funding combinations from state CHW certification programs and DOL grants provides a unique model for CHW training and implementation.
  • Reimbursement for CHW services have been implemented at the state level, so those wishing to replicate this model should work closely with state Medicaid offices to assist with policy development and implementation.

 

PROGRAM DESCRIPTION:

  • Upon completion of the 156-hour online training, hands on Apprenticeship Training and passing a final examination, each participant will be certified as a Community Health Worker in a Training Model and will be eligible for work relevant to experience and training model.
  • Eligibility for employment includes: employment in organizations serving families, the elderly, children and youth including outpatient medical / behavioral providers, hospitals, medical clinics, schools, churches and community centers.
  • This CHW model for MDPP is reimbursed by CMS.

 

Services Offered:

CHW Resource Center: provides 3 training levels.

Level One:

  • Is a state-approved vendor for online and face-to-face CHW training.

 Level Two:

  • Is CHW/Navigator training.

 Level Three:

  •  Includes training on chronic care conditions and some on-the-job experience.

Course Section

Curriculum Outline

LEVEL I # 101

Screening and Health Education Model

 

 

 

1.    Introduction to Community Health Worker

2.    Introduction to Core CHW Skills

3.    Scope of practice and responsibilities

4.    Communication and Customer Service for CHW

5.    Communication skills and strategies

6.    Communication Barriers

7.    Types of Communication

8.    Peer Support

9.    Motivational Interviewing

10. Ethics and CHW

11. HIPAA and CHW

12. Patient Safety

13. Emergency Preparedness

14. Personal Safety

15. Personal Boundaries and Limitations

16. Conflict Management for CHW

17. Cultural Competency

18. Keys to Effective Relationships

19. Building Trust

20. Technology and the CHW

a.    Digital Literacy

21. Knowledge Base – Healthy Behaviors

a.    Chronic disease prevention

b.    Nutrition

c.    Physical activity

d.    Smoking cessation

e.    Stress management

f.     Health screenings (Depression Screening (PHQ-9)

22. Community Outreach for Unmet social needs

23. Emergency Services

 

 

24. Outreach – COVID-19 and Vaccination Uptake among high

       risk populations

25. Organization strategies

26. Time Management

27. Organizational Skills

28. Advocacy

29. Data collection methods

30. Diversity and Cultural Competency in the Workplace

31. Securing Employment as a CHW

 

 

LEVEL II #202

Advanced Screening and Health Education

 

 

 

Classroom Instruction Topics:

1.    Physical Health

2.    Chronic Disease Overview

3.    Nationally Accredited Programs

4.    CDC National Diabetes Prevention Program

5.    Role of CDC Certified Coach:

6.    CDC Approved Curriculum

  •                National Diabetes Prevention Program
  •                Medicare Diabetes Prevention Program

7.    Medicare Approved: Disease Management Support Services

8.    Diabetes Self-Management Education Program

9.    Psychosocial support

10. Group Facilitation and Wellness Coach Certification

11. Principles of Motivation

12. Goal Setting

13. Problem Solving

14. Coping Skills

 

Hands on Training:

  • Support National Disease Management and Prevention Programs in Federally Qualified Community Health Centers

 Classroom Instruction Topics:

1.    Service Coordination Definition

2.    Identifying Needs

 

3.    Screening for unmet social needs

4.    Assessing Needs

5.    Educating about the health care system

6.    Finding community resources

7.    Coordinating Resources

8.    Accessing information

9.    Insurance 101

 

 

Classroom Instruction Topics:

1.    Communicating with Healthcare Providers/ professionals

2.    Electronic communication

 

Hands on Training:

1.    Deliver psychosocial support

2.    Engage individuals and families in healthcare and supportive

       services

3.    Provide education

4.    Conduct environmental health and home assessments

5.    Offer peer-support (lived experience) chronic disease self-

       care and management

6.    Provide navigation services

7.    Make referrals

LEVEL III # 303

Level Three CHW/ Chronic Care training provides:

Self-study and online testing for a chronic care program certification

Job shadowing at a primary care FQHC Peer support group

Chronic Care Training

 Classroom Instruction Topics:

1.    Disease- specific education (Diabetes,

       Heart Failure, Asthma, Opioid Addiction,

       etc.)

2.    Behavioral Health

3.    Substance Use Chronic Disease Approach

        to Management

4.    Health Information Technology

5.    Integrated Care Models

6.    Coaching for Positive Health Outcomes and

       Wellness

7.    Quit Smoking

8.    Review of Motivational Interviewing

9.    Sustainable/Reimbursable Programs Hands

       on:

 

  • Support Chronic Disease Management and Prevention Programs in Federally Qualified Community Health Centers

Work Process Schedule

Community Health Worker

Job Description:

Promote health within a community by assisting individuals to adopt healthy behaviors. Serve as an advocate for the health needs of individuals by assisting community residents in effectively communicating with healthcare providers or social service agencies. Act as liaison or advocate and implement programs that promote, maintain, and improve individual and overall community health. May deliver health-related preventive services such as blood pressure, glaucoma, and hearing screenings. May collect data to help identify community health needs.

 

 

On-the-Job Learning Outline

 

Minimum Hours

Maximum Hours

A. Provide basic health care    services.

  • Administer immunizations or other basic preventive treatments.

 

  • Perform basic procedures, such as blood pressure screening, breast cancer screening, or communicable disease screening.

 

  • Provide basic health services, such as first aid.

               40

             80

B. Maintain client records.

  • Maintain updated client records with plans, notes, appropriate forms, or related information.

           120

      160

 

C. Advise clients or community groups on health issues.

  • Advise clients or community groups on issues related to diagnostic screenings, such as breast cancer screening, pap smears, glaucoma tests, or diabetes screenings.

 

  •  Advise clients or community groups on issues related to improving general health, such as diet or exercise.

 

  • Advise clients or community groups on issues related to risk or prevention of conditions, such as lead poisoning, human immunodeficiency virus (HIV), prenatal substance abuse, or domestic violence.

 

  • Advise clients or community groups on issues related to sanitation or hygiene, such as flossing or hand washing.

 

  •  Advise clients or community groups on issues related to self-care, such as diabetes management.

 

  • Advise clients or community groups to ensure parental understanding of the importance of childhood immunizations and how to access immunization services.

              240

            280

D. Assess individual or community needs for educational or social services.

               240

       280

 

  • Identify the particular health care needs of individuals in a community or target area.

 

  •  Screen for Social Determinants of Health (SDOH) (housing, food insecurity) among patients impacted by COVID-19 and other public health emergencies, and located in underserved communities

 

 

  • E. Visit individuals in their homes to provide support or information.

  • Conduct home visits for pregnant women, newborn infants, or other high-risk individuals to monitor their progress or assess their needs.

               24

             40

F. Transport clients to    appointments.

  •  Transport or accompany clients to scheduled health appointments or referral sites.  

 

 

 

            24

 

 

 

            40

G. Provide educational materials to community members.

 

  • Distribute flyers, brochures, or other informational or educational documents to inform members of a targeted community.

 

  • Teach classes or otherwise disseminate medical or dental health information to school groups, community groups, or targeted families or individuals, in a manner 

                 200

            280

 

 

consistent with cultural norms.

 

 

 

 

H. Confer with clients to discuss treatment plans or progress.

 

 

  • Contact clients in person, by phone, or in writing to ensure they have completed required or recommended actions.

 

 

 

 

                 200

 

 

 

          280

I. Monitor clients to evaluate treatment progress.

  •  Contact clients in person, by one, or in writing to ensure they have completed required or recommended actions.

 

 

200                      280                                               

 

 

 

 

 

 

J. Refer clients to community or social service programs.

  • Refer community members to needed health services.

 

200 – 280                       

 

 

 

 

  • K. Advocate for individual or community needs.

120

160

L. Recommend legal actions.

  • Report incidences of child or elder abuse, neglect, or threats of harm to authorities, as required.

24

120

M. Teach life skills or strategies to clients or their families.

  • Teach appropriate parenting behaviors to individuals or

24

120

 

 

families.

 

 

N. Collect information about community health needs.

  • Collect information from individuals to compile vital statistics about the general health of community members.

24

80

  • O. Lead classes or community events.

  • Teach classes or otherwise disseminate medical or dental health information to school groups, community groups, or targeted families or individuals, in a manner consistent with cultural norms.

24

40

P. Advise others on social or educational issues.

  •  Advise clients or community groups on issues related to social or intellectual development, such as education, childcare, or problem solving.

24

40

Q. Help clients get needed services or resources.

  • Assist families to apply for social services, including Medicaid or Women, Infants, and Children (WIC).

24

40

R. Develop working relationships with others to facilitate program activities.

  •  Attend community meetings or health fairs to understand community issues or build relationships with community members.

24

40

 

 

 

S. Interpret cultural or religious information for others.

  •  Interpret, translate, or provide cultural mediation related to health services or information for community members.

24

40

T.  Monitor nutrition related activities of individuals or groups.

  •  Monitor nutrition of children, elderly, or other high-risk groups.

200

200

U. Plan programs to address community health issues.

 

  •  Develop plans or formal contracts for individuals, families, or community groups to improve overall health.

160

200

Total Hours

2160

3080