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Eastern CT AHEC, Inc.“Conectando la Communidad” (Connecting Communities)
Initiative
Denise O. Smith, BHCA, CHW, PN Conectando la Comunidad Project Manager
Initiative Approach
• Analyze literature on health literacy gaps• Survey Certified Application Counselors• Develop and implement training • Recommend Coverage to Care
implementation strategies• Provide technical assistance
Health Literacy Problem Analysis Mistrust of the medical system Low health and health insurance literacy Cultural and linguistic barriers High rates of chronic disease Delegated decision making
Rising premiums, deductibles and copaysPoor translation and language assistanceComplex terms, activities and decisionsIncreased individual responsibilityConstant change
Hispanic Persons of Color Literacy Gaps
Importance of health insurance
Importance of a healthy lifestyle
Importance of primary care
When to use ER or primary care
How to choose a provider
0 10 20 30 40 50 60 70 80
Graph 1: CACs Rate the Lack of Health Literacy among Hispanic Persons of Color
CAC Workforce Services Gaps
Graph 2: Health Literacy Education Not Provided by CACs or other Respondents
CMS Coverage to Care Roadmap• Why health and health
insurance is important
• Using health insurance to
access primary care
• Using primary care or
emergency room
• Choosing a provider
Conectando la Comunidad Training1. Health Literacy Exploration (knowledge / skills
gaps of Hispanic Persons of Color and workforce 2. Coverage to Care (strategies to address cultural,
linguistic and implementation barriers)3. Teach Back Method (improve education,
communication and engagement)4. Health Literacy Study Circle (discussions to adapt
Coverage to Care)
Post Training Evaluation90% or more of all training participants agreed:
• Relevant to the needs of Hispanic clients and families• Effective in preparing CACs to assist Hispanic Persons
of Color to understand and navigate health systems• Coverage to Care will improve health care literacy among
Hispanic Persons of Color• Teach Back is an effective strategy to improve
engagement & increase health literacy
Next Steps• Recruit CACs, CHWs
and others for Coverage to Care implementation
• Offer strategies for implementation
• Monitor and provide technical assistance
Thank you!Free Coverage to Care Resources and
Focus Groups Registration atthe Eastern CT AHEC table.
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