CHWs Changing Outcomes in South Carolina (CCOSC)

Over the last decade, the refocusing of healthcare to quality- and outcome-based approaches has demonstrated a myriad of positive outcomes – particularly those related to returns on investment and improvements in patients’ health. Though these types of approaches are becoming more recognized, the transition has been a slow and inconsistent one. In the meantime, healthcare costs continue to rise, and health disparities remain apparent. South Carolina is not excluded from these changes and challenges. While addressing these issues is complex, there are evidence-based approaches that the state is in a prime position to begin implementing. One such approach involves the employment of community health workers (CHWs).

As the evidence demonstrating the impact CHWs have on health outcomes and spending continues to expand, we must intentionally move toward sustainable ways to support this critical workforce. Currently, CHWs in South Carolina are mainly funded by “program” or “project” grants and contracts that are often short term, subject to appropriations or private philanthropic decisions, and focused on specific, time-limited goals.