Below find on-the-ground perspectives or experiences in implementing CHW programs in primary care and community settings. Case studies outline details that may be useful for organizations interested in implementing these interventions.
Empowering Transitions from Jail to Community Health: The Point of Reentry and Transition Program
The Point of Reentry and Transition program connects adults leaving NYC's Rikers Island jail to trauma-informed, patient-centered primary care and other essential health and social services.
Pathways Community HUB Institute Model: A Regional Approach for Supporting Community Health Worker Interventions
Highlights how community HUBs support community health workers in addressing individuals’ health and social needs through a standardized approach and outcomes-based payment to foster community-level change.
Implementing and Monitoring High-Quality Community Health Worker Care in Adult Primary Care at New York City Health + Hospitals
This study offers a standardized approach for embedding community health workers into primary care, providing a valuable framework for health systems aiming to integrate this workforce.
Advancing Social Care Integration in Health Systems with Community Health Workers: An Implementation Evaluation Based in Bronx, New York
A community health worker initiative embedded in an urban health system led to a significant number of primary care patients receiving services to address their health-related social needs.
Using Primary Care-Based Community Health Workers to Support Individuals with a History of Incarceration: Transitions Clinic Network
Highlights a national network of primary care clinics that offer comprehensive health care and social supports to people released from incarceration.
Rhode Island Community Health Teams: Coordinating with Primary Care to Address Social and Behavioral Health Needs
Describes how provider organizations in Rhode Island employ multidisciplinary teams, including community health workers and behavioral health clinicians, to collaborate with primary care practices in providing whole-person care.
Diffusion of Community Health Workers Within Medicaid Managed Care: A Strategy to Address Social Determinants of Health
New Mexico’s model to deploy community health workers is now replicated in 12 states.
