Community Health Worker Programs

Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.

Collection

April 2023

Trends in Health Service Utilization After Enrollment in an Interdisciplinary Primary Care Clinic for Veterans with Addiction, Social Determinants of Health, or Other Vulnerabilities

Interdisciplinary primary care models can help reduce acute care use for individuals with histories of high emergency department use, homelessness, or substance use disorder.

Peer-Reviewed Article

February 2022

Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review

Systematic review of programs to improve care for patients with complex needs details evidence base across multiple settings.

Brief/Report

October 2021

A Systematic Review of Primary Care and Payment Models on Emergency Department Use in Patients Classified as High Need, High Cost

Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.

Peer-Reviewed Article

March 2021

Medical Care at Home Comes of Age

Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Brief/Report

January 2021

Rural Community Paramedicine Toolkit

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

Implementation Tool

June 2020

Health Care Hotspotting — A Randomized, Controlled Trial

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Peer-Reviewed Article

January 2020

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Peer-Reviewed Article

January 2020

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Peer-Reviewed Article

January 2020

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Supplementing primary care with team-based management.

Peer-Reviewed Article

June 2019

Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

The psychological benefits of case management.

Peer-Reviewed Article

May 2018

Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization

The case conference approach to caring for complex patients.

Peer-Reviewed Article

May 2018

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost

Case Example

October 2016

The Health Resilience Program: A Program Assessment

Health Resilience Specialists work with the patients to meet their personal health needs

Case Example

January 2016

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Community Health Worker Programs

Trends in Health Service Utilization After Enrollment in an Interdisciplinary Primary Care Clinic for Veterans with Addiction, Social Determinants of Health, or Other Vulnerabilities

Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review

A Systematic Review of Primary Care and Payment Models on Emergency Department Use in Patients Classified as High Need, High Cost

Medical Care at Home Comes of Age

Rural Community Paramedicine Toolkit

Health Care Hotspotting — A Randomized, Controlled Trial

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

The Health Resilience Program: A Program Assessment