CCOSC - the approach

Requirements

For each funding year to date, partner organizations have submitted an online proposal detailing their scope of work, reporting capabilities, and other program-related details.

  • In alignment with efforts to support and advance the CHW workforce, CCHA requires that CHWs Changing Outcomes in SC partners provide a payment rate equivalent to at least $20/hour with benefits (or support for marketplace benefits) for all participating CHWs. CCHA encourages partners to establish equitable pay for CHWs and to support CHW certification  and CHW career growth. Accordingly, CCHA’s training opportunities in CHW Core Competencies and CHW Specialty Tracks are currently offered free of charge to participating CHWs.

    Partners must also submit quarterly reports with requested data. As needed, technical assistance (TA) around data and reporting, as well as other topics related to recognized best practices for CHWs, is provided by CCHA.

    Additionally, PASOs and the South Carolina Hospital Association also serve as TA providers for participating PASOs affiliates and AccessHealth Networks, respectively.

Evaluation

Quantitative evaluation of partner-submitted quarterly reports is conducted by USC’s Center for Research and Evaluation (CARE).

  • A qualitative evaluation and study, which includes processes such as in-depth interviews with CHWs, photovoice, sharing of success stories, and other approaches, is conducted by CCHA. Both quantitative and qualitative evaluation findings are compiled to illustrate not only the resulting impact of CHWs, but also the unique skills, characteristics, and context—the “how”—behind that impact. 

General Indicators

For each funding year to date, partner organizations have submitted an online proposal detailing their scope of work, reporting capabilities, and other program-related details.

  • Data to be collected across sites as appropriate include, but are not limited to:

    • Number of individuals reached

    • Zip code of individuals’ residence

    • Needs identified in screening

    • Needs addressed

    • Core roles/services provided by CHWs per patient encounter

    • Patient demographics

    • Referrals to health and social resources

    • Medicaid claims data

    Additional data specific to each selected health topic is also being collected.

Priority Health Topics

At the start of the Year 2, participating organizations chose to focus on one or more of the following priority health topics…

  • most relevant to the needs of the communities they serve:

    • Diabetes (Type II)

    • High Need/High-Cost Service Use

    • Perinatal Health

    • Sickle Cell Disease

    Organizations were encouraged to select topics that aligned with their existing CHW workflows. Thanks to continued pilot funding, the Perinatal Health topic was included beginning in the Year 2 project scope.

Expected Outcomes

    • Increased number of individuals served in underserved areas of the state

    • Increased access to social and health resources through community referrals and follow-up

    • Increased access to care for individuals with Sickle Cell Disease

    • Increased utilization of primary and preventive services by individuals with Type II diabetes and high need/high-cost healthcare utilization

    • Increased access to perinatal health services and resources