Community Health Workers/Promotores Policy Coalition

The Community Health Workers & Promotores (CHW/P) Policy Coalition

The Community Health Workers & Promotores (CHW/P) Policy Coalition is a statewide grassroots coalition that is comprised of CHW/P individuals and community-based organizations that serve and represent diverse communities of color including Black, Indigenous, and People of Color, immigrant, refugee, youth, LGBTQ+ and persons with disabilities, and other interested stakeholders from across the state. The coalition collaborates together to ensure policies that impact Community Health Workers and Promotores are rooted in CHW/P voice, strengthen health care quality and lead to more equitable health outcomes, are financially sustainable, prioritize workforce diversity, and value community cultural wealth. The coalition holds meetings on a regular basis to discuss and raise awareness of emerging CHW/P policies, practices and proposals, advocacy and mobilization opportunities impacting California’s diverse CHW/P workforce.

Our Steering Committee:

The CHW/P policy coalition is comprised of seven lead entities: the Asian and Pacific Islander Forward Movement, California Consortium for Urban Indian Health (CCUIH), the California Pan-Ethnic Health Network, Latino Coalition for Healthy California, The Children’s Partnership, Transitions Clinic Network and Visión y Compromiso.

Goal and Objectives:

The coalition centers CHW/Ps as the antiracist strategy to achieve our vision of holistic community wellness–the harmonizing of mind, body, and spirit [1].  Our goal is that California will have a sustainable, diverse, coordinated, and impactful coalition of Community Health Workers, Promotores, community members, advocates and stakeholders. We will reach our goal through our three main objectives:

  1. Convene CHW/Ps and advocates for CHW/Ps from diverse communities across the state 
  2. Develop a shared policy agenda to advance the integration and sustainability of CHW/Ps  
  3. Engage stakeholders in public education and policy advocacy  

[1] Based on Community Responsive Wellness, The Promotor Model: A Model for Building Healthy Communities, and Healing Centered Engagement

Coalition Structure

The Coalition is made up of 3 Committees to achieve community wellness by ensuring there are diverse CHW/Ps who are confident to lead their workforce: CHW/P Voice, Public Education, and Policy Committees.

CommitteeCHW/P VoicePolicy CommitteePublic Education Committee
Led ByVisión y CompromisoLatino Coalition for a Healthy CaliforniaThe Children’s Partnership
AboutBuilds a space with diverse CHW/Ps who are confident to lead and make decisions on the CHW/P Workforce. Meets Objectives #1: Convene CHW/Ps and advocates from diverse communities across the state 

Researches and develops policy initiatives related to the key CHW topics. Meets Objective #2: develop a shared policy agenda 

Serves as a megaphone for CHW-related activity, amplifying opportunities to inform Coalition partners and the public about key opportunities to support CHWs, including educational webinars, community events, and news stories.  Meets Objective #3: Engage stakeholders in public education and advocacy 
Key ActivitiesHosts Quarterly virtual meetings and training for CHW/Ps    Hosts 2 webinars in Spanish focused on CHW/Ps  Host 2-3 regional convenings across the state with racially, ethnically and linguistically diverse CHW/PsConducts policy research and analysis in key areas such as workforce development best practices, health systems integration, and sustainability, and other areas that arise from the policy agenda development process) Systematically Reporting Policy Ideas and Further Developing those Policies Develops Policy Agenda 2023 and 2024Conducts basic communications activities to disseminate the policy agenda and share updates about the coalition including email listserv alerts and social media posts  Arranges policy maker education visits to share the policy agenda

Membership/Interested in learning more?

All interested CHW/Ps are invited to become members of our policy coalition. Join our coalition listserv to join a committee, stay connected on different coalition meetings and events and up-to-date on California CHW/P policies.

Join Here: https://www.surveymonkey.com/r/DKGVPDK

Please note: We will NOT ask you to provide any confidential information such as financial and/or tax information or payment of any kind. If you think someone fraudulently represented themselves as part of this coalition, please contact us right away.

The CHW/P Policy Coalition’s Key Principles

The CHW/P Policy Coalition aims to ensure that California’s policies and services center CHW/P values and encourage the participation of culturally and linguistically diverse, community-based CHW/Ps who carry with them a wealth of social, cultural and community knowledge and expertise. To that end, below are some principles we feel are important to integrate into CHW/P workforce policies in California:

  • Strengthen health care quality and lead to more equitable health outcomes: We will work to ensure CHW/P services and supports provided by trusted messengers that come from the communities they serve, improve patient satisfaction and agency in their health by holistically addressing their mental, emotional, spiritual and physical needsWe will work to ensure CHW/Ps are adequately supported by a community transformation model that does not rigidly and medically define their role to just outreach and education, time-limit their activities, and restrict their funding. Rather, we will work to ensure CHW/Ps have an active role throughout healthcare delivery with the resources and networks to achieve upstream structural policy changes to advance health care quality and eliminate disparities.  
  • Prioritize workforce diversity We will work to ensure CHW/P opportunities and roles are accessible to racially/ethnically diverse individuals and those with intersecting identities including LGBTQ+ and persons with disabilities; we will advance inclusionary hiring policies and practices while opposing exclusionary barriers to participation like costly certifications and training, language requirements, immigration status, or educational level and designed to attract and sustain a diverse workforce.
  • Ensure financial stability: We will work to ensure the CHW/P workforce is a thriving workforce whose workers are paid fair wages for their essential services with growth opportunities and a financial package commensurate with the job demands, complexity, and number of hours, training and roles undertaken. This includes advocating for financing mechanisms that are designed to ensure CHW/Ps are widely adopted as a critical equity strategy by all sectors from health to aging to the environment, and by multiple payers including health plans, local health jurisdictions, health systems and providers. We will work to ensure CHW/P programs are able to start, grow, and maintain programming and benefits over time to effectively develop economic and community empowerment and eliminate health disparities. 
  • Value community cultural wealth: We will work to ensure that community health workers/Promotoras, who come from the communities they serve, are valued for the important social, cultural and community wealth they bring, their unique contributions, services and the community trust they engender. We will advance policies that center the voices of diverse CHW/Ps from historically marginalized communities, their aspirations, their languages and communication skills, their social resources and networks, and their wisdom, values, and stories. We will fight to ensure CHW/Ps have decision making powers and leadership roles in policies that impact this precious workforce.  

In the News

California Healthcare Foundation’s CHW/P Coalition blog: https://www.chcf.org/blog/its-time-build-new-opportunities-community-health-workers-promotores/

Resources


Glossary of Terms

Community Health worker

As defined by the Community Health Worker Section of the American Public Health Association:

  • A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. 
  • A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. 
  • For more information, click here.

Promotores

  • Characterized by servicio de corazon (service from the heart), promotores are natural leaders and the “go to” people in their neighborhoods. They share the ethnicity, language, cultural traditions, practices, socioeconomic status and life experiences of the communities they serve” 

Preventive services rule

§ 440.130 Diagnostic, screening, preventive, and rehabilitative services.  

* * * * *  

(c) Preventive services are services recommended by a physician or other licensed practitioner of the healing arts acting within the scope of authorized practice under State law to—  

(1) Prevent disease, disability, and other health conditions or their progression;  

(2) Prolong life; and  

(3) Promote physical and mental health and efficiency.  

42 CFR 440.130(c)