Prepared by - Community Engagement Institutecommunityengagementinstitute.org/Documents/CHW_Symposium... · 2020-02-27 · 2016 KS CHW Symposium 6 Symposium Agenda Keynote speakers,

2016 KS CHW Symposium 1

Event Report May 2016

Prepared by:


2016 CHW Symposium

Executive Summary

The first statewide Kansas Community Health Worker Symposium was held on Wednesday,

May 11, 2016, at the Wichita Marriott. Among the 173 participants – representing public and private

healthcare, local and state government, non-profit organizations, and other sectors – 40% (n=68)

identified themselves as Community Health Workers (CHWs). The American Public Health

Association definition of a CHW includes: “a community health worker is a frontline public health

worker who is a trusted member of and/or has an unusually close understanding of the community

served.”

This Symposium happened thanks to funding support from the Kansas Health Foundation

and the Kansas Department of Health and Environment. The Community Engagement Institute’s

Center for Public Health Initiatives at Wichita State University convened a design team of twenty-

five representatives from across the state.

Keynote speakers, Carl Rush and Fernando Pineda-Reyes, inspired the audience by sharing

what’s working nationally – connecting to passion and purpose. Keynote speaker, Dennis Dunmyer,

shared best practices based on the Kansas City Regional CHW Collaborative. Twenty-two Kansas

CHW experts shared lessons learned from their work and experience. One of the benefits of the

conference was a chance for participants to learn from their peers as well as network with those who

have a shared interest in developing the Kansas Community Health Worker system.

Initial themes from group discussions at the end of the day included a need to

clarify CHW roles,

identify sustainable funding models,

increase integration of CHWs into health care teams,

develop of a statewide coalition and,

provide CHW training.


Table of Contents

Executive Summary ........................................................................................................................................... 2

Background ......................................................................................................................................................... 4

CHW Definition ................................................................................................................................................ 4

Design Team ....................................................................................................................................................... 4

Participants .......................................................................................................................................................... 5

Symposium Agenda ........................................................................................................................................... 6

CHW Poetry Wall .............................................................................................................................................. 7

Next Steps: Planning Our Way Forward ...................................................................................................... 10

Event Evaluation ............................................................................................................................................. 11

Appendix A: Symposium Design Team ....................................................................................................... 13

Appendix B: Symposium Participants & Organizations ............................................................................ 14

Appendix C: Flash Drive Materials & Resources........................................................................................ 18

Appendix D: Symposium Agenda ................................................................................................................. 19

Appendix E: Next Steps Brainstorming Session Notes ............................................................................. 21

Appendix F: Keynote Speaker Biographies ................................................................................................. 27

Appendix G: Breakout and Panel Speakers’ Information ......................................................................... 28


Kansas Community Health Worker Symposium

Background

The Kansas Health Foundation (KHF) and the Kansas Department of Health and Environment Bureau of Health Promotion (KDHE) sponsored the first statewide, Kansas Community Health Worker Symposium on Wednesday, May 11, 2016. The purpose of the Kansas Community Health Worker (CHW) Symposium was to advance the development of a CHW system in Kansas. Ultimately the aim of the symposium was to develop a better understanding about CHW activity in Kansas. Additionally, the event hoped to identify strengths and challenges in services, resources, and educational opportunities available. Overall, the hope was to provide a venue where all stakeholders could better understand the progress and barriers associated with CHWs specific to Kansas. An additional benefit was an opportunity for networking among the CHWs and their organizations across the state. The long-term goal strengthening the CHW workforce is to help reduce health disparities and increase access to care in Kansas.

CHW Definition

There is currently no agreed upon definition for CHWs in Kansas. The American Public Health Association definition was provided to participants in the event brochure and during the symposium:

A community health worker 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 worker 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 community health worker 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.

Source: http://www.apha.org/apha-communities/member-sections/community-health-workers

Design Team

A design team of 25 members from across the state was convened to plan the CHW Symposium. The group represented many sectors including higher education, volunteer organizations, healthcare organizations, the Kansas Department of Health & Environment and others. See Appendix A for the list of design team members.

http://www.apha.org/apha-communities/member-sections/community-health-workers


This group actively participated in 4 general meetings and 3 CHW Stipend Review Team meetings via Adobe Connect and conference call to plan all aspects of the Symposium. Design Team members were instrumental in defining the purpose of the event, selecting the date and determining the location for the event. Design Team members nominated panelists and helped select keynote speakers. The group designed the format of the event, including the CHW stipend process. In addition, the Design Team members supported recruitment for participation in the event.

Participants

Among the 173 participants-- representing public and private healthcare, local and state government, non-profit organizations, and other sectors-- 40% (n=68) identified themselves as Community Health Workers. In efforts to accommodate and actively engage all participants, interpretation services were provided for a dozen participants who were primarily Spanish speakers. To encourage CHW participation and eliminate cost barriers, travel stipends were offered through an application process to 30 CHW participants. Event evaluations show that this was very beneficial to participants. The full CHW Symposium participant list is available in Appendix B. Multiple sectors were represented as shown in Graph 1.

The term “Community Health Worker” has not been adopted as a well-defined job title in Kansas thus far. Therefore, during the registration process, each CHW was asked to select all of the titles that best represented their work. Respondents could select multiple options. Better understanding the names by which CHWs are associated can assist system developers. Graph 2 captures these names and frequencies.

5%

15%

13%

4%

14%

39%

11%

Graph 1. KS CHW Symposium Participants' Work Sector

Local Government

State Government

Higher Education

Private Health Care

Public Health Care

Non-Profit/Not-For-Profit

Other


Symposium Agenda

Keynote speakers, Carl Rush and Fernando Pineda-Reyes, inspired the audience by sharing what is happening nationally related to the system of support for CHWs. Rush spoke about core competencies for CHWs and the national movement surrounding the workforce. Pineda-Reyes shared both enthusiasm and expertise about how to grow a grassroots movement. The co-chair from the Kansas City Regional CHW Collaborative, Dennis Dunmyer, shared the development process and lessons learned from developing a regional CHW Collaborative. All three keynote speakers were motivational and evaluation results show that many participants were encouraged by what is happening on these levels.

In addition to the keynotes, twenty-two Kansas CHW leaders presented during breakout sessions and panel discussions. They shared what a CHW’s day looks like in both volunteer and paid workforces. A session was held outlining the educational and training opportunities already established in Kansas. Researchers presented their process and findings related to the CHW workforce and impact of CHWs in Kansas. The final session was designed as a facilitated discussion for all Symposium participants to share their ideas about how to move forward in Kansas. More information about this session is available on page 10 and the full notes are found in Appendix E. The full agenda of the event can be found in Appendix D.

44

311

5 711

4 612

18

0

5

10

15

20

25

30

35

40

45

50

Graph 2. Number of CHWs and Self-Identified Role(s)

Community Health Worker Community Health Navigator Promotor(a) de Salud

Community Health Representative Community Health Advisor Outreach Worker

Care Guide Peer Educator Community Liaison

Other


CHW Poetry Wall

Participants were invited to create a poem to capture their experience. Instructions were provided for writing a Haiku or Limerick. Then, participants were encouraged to post their work on the poetry wall, pictured here. This section includes all poems and submissions from the Symposium. Passion Resolution Opportunity Motivation Organization Thankful Orientation Resolution Assistance Socialization

Norma Loya CHWs are like snowflakes Each one is unique and Makes a difference in lives! When snowflakes bond together Look at the impact they have on everyone.

Barbara Wiman B.E. Education Group, LLC

Status Quo? Whoa! CHW is where you start To help people learn how is your part. So if you believe Then they will receive. The link to care you give from your heart!

CB

CHWs help one another Treat each like sisters or brothers They find a way To get you through the day They will also help your mother! Anonymous

There was a health worker from Kansas Who treated sugars with molasses The glucose went up So he studied up And now he’s caring for the masses. Anonymous Like a rocket launching into space, CHWs is the vehicle for our communities. To become a healthier place. The meteoroids CHWs face daily can be challenging. But we can overcome it all with our stars of knowledge and hope DAZZLING* with joined alliances… CHWs is a force to be reckoned with!!!

By Carissa Redmond CHW KC CARE Clinic Wyandotte County, KCK


A Plea Money is welcome Budgets are mission statements Sustainable Love

Sandy Snook Haiku Impact We are life changers We meet people where they are, We don’t leave them there!

Beth, In Honor of CREA

Haiku for Health Mu-tu-al-i-ty Nothing ‘bout’ us w/o us Shaping Kansan’s Health

Beth from Lawrence Anticipation Learning from experts & friends Healthier Kansas Anonymous (Song to tune of: I am woman hear me roar!) We’re CHWs, hear us roar In numbers too big to ignore And we know too much to go back and pretend. More determined than before We’re going to finally reach that door! CHWs front and center forevermore! “The Fight” Haiku Centuries of tears The light shone, the path made clear Demand Equity Anonymous

Futures Haiku Where are we going? Follow me I know the way Sharing a Journey

Beth from Lawrence Speak the Vision Beloved Kansas Community Health Workers Build Capacity Sandy Snook I often wonder If my dog could conversate Would we still be friends? Anonymous A Great Day Fernando and Rush Celebrate KDHE! Lived experience Sandy Snook Community Health Regardless of Wealth Commit from the heart and soul Anonymous We weather the storm Adapt, bend, and transform Equity is the ultimate goal Anonymous Beloved, It is the deep love for my community that fuels a fiery, electric, and violent driving force that keeps my heart beating. I’ve never felt so alive!

Hannayd Ruiz, KC CARE Clinic


Moving Ahead with Intention This is Amazing! Not About Us without Us! Inclusive Answers! Sandy Snook Community Health Worker (CHW) Full of compassion, On a mission, Help a needy, Take care of them speedy, Help in their paperwork; Neat and tidy. Poem by Roshni D. Biswa KC CARE Clinic What makes you the authority? To define my priority CBPR It’s not that hard Shut up and listen to the minority

Cuando mi promotora me ayuda Voy caminanda hacia el futuro, Siempre mirando a la meta. Estoy cansado del camino, Pero sé que tengo que llegar. Realizo que alguien me toma de la mano, Y todos mis sueños se van a realizar. Porque JUNTOS todo lo podemos lograr.

Dedicated to all the hardworking CHWs, Promotres(as) de Salud

THIS IS NOT A POEM…. Instead a thank you to the gentleman with a suit and beard that put his CHW worker on without hesitation today. He sat down and helped the Spanish speaking CHWs that were having problems with their headsets. Thank you! A silent observer (or not so silent)


Next Steps: Planning Our Way Forward

In an effort to gather information and form a collective look forward, 3 questions were presented to participants:

1. What do we still need to learn? 2. What challenges might come our way? Who might not be excited? 3. What opportunities should we pursue going forward?

Prominent themes were drawn from the “Next Steps: Planning Our Way Forward” facilitated discussion session:

There is a need for sustainable funding for the CHW workforce. Grant funding alone is not sufficient to maintain the work that CHWs are doing.

Most tables captured a need for an alliance or coalition to be formed to support partnership development and facilitate sharing of ideas, resources, and education.

Participants expressed a general perception of a misunderstanding of the CHW role and scope of practice. There is a desire to have these defined in Kansas.

An opportunity exists to promote the CHW role and to demonstrate value for healthcare and community settings.

Several comments captured a need for a better understanding of where CHWs are and what they do in Kansas. This might be met through a workforce assessment.

Barriers to CHW success include acceptance by healthcare professionals and social workers.

The group would like more education and training opportunities for CHWs.

All notes captured on the flip charts by participants are included in Appendix E.


Event Evaluation

At the close of the Symposium, participants were encouraged to turn in their event evaluation in exchange for a flash drive that included presenters’ materials and research from across the nation and region. Highlights from the event evaluation are provided here as direct quotes from the participants. The full evaluation results are available upon request.

Keep the momentum going! Don’t leave the for-profits out or insurance companies. They may be the funders. Consider one and a half days.

It was really productive at the end of the day to know that we are not alone in helping the community.

It is important to build statewide partnerships.

THANKS to all the planners for an amazing job of organizing this conference!

It was hard to see the screens/information from the back of the rooms. I liked the exchange in the next steps.

Aprendí mucho de esta reunión y me gustaría seguir teniendo más información. También gracias por poner los intérpretes. Ya quede ese manera pudimos estar bien informados del evento. ¡Gracias!

Excellent symposium! I appreciated the provision of the line interpretation for the Spanish-speaking CHWs.

Too many speakers!

I feel the symposium was great being that it was the first one, but I would suggest adding more interactive activities for the different groups.

I am so overjoyed to be part of this great acknowledgement as a CHW and in getting a better understanding of what’s going on and what to do next. Thank you! CHWs…a force to be reckoned with! Please allow for more time for CHWs to speak and questions. Thank you!

I liked the audience participation.


Appendices Appendix A: Symposium Design Team ................................................................................ Page 13 Appendix B: Symposium Participants & Organizations ..................................................... Page 14 Appendix C: Contents of Flash Drive ................................................................................... Page 18 Appendix D: Symposium Agenda .......................................................................................... Page 19 Appendix E: Next Steps Brainstorming Session Notes ...................................................... Page 21 Appendix F: Keynote Speaker Biographies .......................................................................... Page 27 Appendix G: Breakout and Panel Speakers’ Information .................................................. Page 28


Appendix A: Symposium Design Team

Community Engagement Institute – Wichita State University

Dr. Scott Wituk, Executive Director Sonja Armbruster, Center for Public Health Initiatives Director Katie Mahuron, Center for Public Health Initiatives VISTA Fellow Alissa Rankin, Center of Public Health Initiatives Project Manager

Kansas Department of Health & Environment

Cristi Cain, Director of Local Public Health Program Alexis Barnett-Sherrill, Community-Clinical Linkages Health Educator Rick Hoffmeister, Health Homes Manager Kendra Baldridge, Director of Kansas Statewide Farmworker Program Rebecca Ross, Medicaid Initiatives Coordinator, Division of Health Care Finance Brandon Skidmore, Director of Bureau of Health Promotion

Johnson County Community College

Dr. Lenora Cook, Dean of Healthcare Professions and Wellness Joe Weis, Director of Health, Physical Education, Recreation & Wellness Health ICT & Kansas Public Health Association Becky Tuttle, Project Manager (HealthICT) & Community Health Section Chair (KPHA)

KC CARE Clinic

Dennis Dunmyer, Vice President of Behavioral Health & Community Programs & Co-Chair of KC Regional CHW Collaborative Rebecca Anderson, Manager of Care Coordination

NBC Community Development Corporation

Broderick Crawford, Community Health Director Genesis Family Health

Irma Robbins, Community Health Worker Community Health Council of Wyandotte County

Lucia Jones, Project Director University of Kansas Medical Center

Todd Moore, Project Director, Community Partnership for Health Dr. Paula Cupertino, Associate Professor and Director of Juntos Mariana Ramirez Mantilla, Juntos Project Manager

Mid-American Regional Council KC Regional CHW Collaborative

Erika Saleski, ES Advisors El Centro, Inc.

Cielo Fernandez, Chief Program Officer & Co-Chair of KC Regional CHW Collaborative LiveWell Finney County/Finney County Health Coalition

Lee Ann Schrader, Executive Director Blue Cross and Blue Shield of Kansas

Virginia Barnes, Director, Blue Health Initiatives


Appendix B: Symposium Participants & Organizations

B.E. Education Group, LLC Barbara Wiman, President Eric Wiman, Executive Vice President

Central Plains Health Care Partnership Anne Nelson, Executive Director

Community Engagement Institute – Wichita State University Sonja Armbruster, Director, Center for Public

Health Initiatives Lamin Barrow, VISTA Fellow, Prevention

Initiative Kevin Bomhoff, Director, Strategic

Development Amy Delamaide, Director, Center for

Organizational Development & Collaboration

Sarah Jolley, Research Scientist, Center for Applied Research & Evaluation

Katie Mahuron, VISTA Fellow, Center for Public Health Initiatives

Kristina Helmer, Project Facilitator, Center for Public Health Initiatives

Alissa Rankin, Project Manager, Center for Public Health Initiatives

Scott Wituk, Executive Director

Community Health Council of Wyandotte County Lucia Jones, Project Director Molly Moffett, Program Manager Stephanie Moss, Registered Nurse Donna Young, Project Manager

CoxHealth Branson Shyra Bilyeu, Community Health Care worker Ann Hall, Community Health Worker Debbie Kirkey, RN Care Manager Sarah Vale, Director of Care Management Bre Watson-Hill, Community Health Aide

Crawford County Health Department Maria Las Kares

Derby Recreation Commission – Derby Health Collaborative Debbie Williams, Community Wellness

Coordinator

El Centro, Inc. Lizbeth De Jesus, Promotora’s Coordinator Cielo Fernandez, Chief Program Officer Ester Hurtado, Promotora de Salud

Comunitaria Claudia Jimenez, Promotra de Salud

Comunitaria Norma Loya, Promotora de Salud

Comunitaria Elizabeth Reynoso, Promotora’s Manager

ES Advisors, LLC Erika Saleski

Finney County Health Coalition Diane Garvey, CHW Program Director


Freedom Healthy Choices Community Development Corporation Minister Derick Magee, Community Health

Worker/Healthy Homes Practitioner

Genesis Family Health Claudia Alfaro, Promotora de Salud Gloria Bracamonte, Promotra de Salud Maria Gutierrez, Promotora de Salud Dora Ponce, Community Developer &

Community Health Worker Claudia Reyes, Promotra de Salud Irma Robbins, Community Health Worker Patricia Rodriguez, Promotora de Salud Maria Norma Rodriguez-Camarillo,

Promotora de Salud

Health Care Access Beth Llewellyn, Chief Executive Officer

Health ICT Phil Montgomery, Project Coordinator Justin Moore, Project Coordinator Becky Tuttle, Project Director

Humana, Inc. Laurence Franken, Population Health

Director

Johnson County Community College Lenora Cook, Dean, Healthcare Professions

& Wellness Joe Weis, Professor/Director

Johnson County Department of Health & Environment Abby Crow, Health Educator Ashley Follett, Health Educator

JUNTOS Center for Advancing Latino Health Cynthia Jurado, Metropolitan Community

College Instructor Lucia Martinez, Community Health Worker Norma Molina, Research Technician Catalina Reyes Hernandez, Promotra de Salud Karen Yepez, Community Health Worker

Kansas Association of Local Health Departments Michelle Ponce, Executive Director

Kansas City CARE Clinic Yesenia Aguirre, Community Health Worker Rebecca Anderson, Manager of Care

Coordination Eyra Bentacourt, Community Health Worker Carolina Biagi, Community Health Worker Za Ceu Lian, Community Health Worker Roshni Diyali, Community Health Worker Dennis Dunmyer, Vice President of

Behavioral Health & Community Programs Diana Gandara, Community Health Worker Rachel Graham, Community Health Worker Mahasin Hamilton, Community Health

Worker Dominique Lucas, Community Health

Worker Antionio Miras Neira, Community Health

Worker Supervisor Abdimalik Mohamud, Community Health

Worker Carissa Redmond, Community Health Worker Claudia Rodriguez Rios, Community Health

Worker Nichole Sierra, Community Health Worker Guadalupe Tredway, Community Health

Worker

Kansas City University’s Score 1 for Health Alexandro Martinez, Community Health

Worker

Kansas Department of Health & Environment Kendra Baldridge, Section Chief, Special

Population Health Alexis Barnett-Sherrill, Health Educator Cindy Bevert, Public Health Educator Amanda Bridges, Kansas Arthritis Program

Manager Cristi Cain, Director, Local Public Health

Program Marcela Cousens, Education Information

Officer


Kansas Department of Health & Environment Patricia Fernandez, Regional Case Manager,

KS Statewide Farmworker Health Program Mario Gonzalez, Regional Case Manager, KS

Statewide Farmworker Health Program Ashley Goss, Director, Community Health

Systems Diana Lady, Health Promoter, Kansas

Statewide Farmworker Health Program Maryoskar Marquez, Case Manager, Kansas

Statewide Farmworker Health Program Beth Nech, Community Health Specialist Audrey Nguyen, Education Information

Officer Ginger Park, Communications Officer Ghazala Perveen, Health Officer/Director of

Science and Surveillance Vi Pham, Chronic Disease Epidemiologist Jordan Roberts, Community Health Specialist Julie Sergeant, Program Director Cynthia Snyder, Data Manager Ruth Werner, Quality of Clinical Manager

Kansas Eye Bank & Cornea Research Center Jason Verbeckmoes, President & Chief

Executive Officer

Kansas Health Foundation Elina Alterman, Program Officer Chan Brown, Program Officer Nadine Long, Program Officer Deanna Van Hersch, Associate Vice President

for Programs Jeff Willett, Vice President for Programs &

Policy Carolyn Williams, Senior Program Officer

Kansas State Department of Education Mark Thompson, Project Director, Health

Kansas Schools

Kansas State University Brandon Irwin, Assistant Professor of

Kinesiology

Kansas State University’s Research & Extension Elaine Johannes, Associate Professor &

Extension Specialist Bertha Mendoza, Expanded Food &

Nutrition Education/Family Nutrition Agent

Yadira Soltero, Volunteer

Lawrence-Douglas County Health Department Kim Ens, Director of Clinical Services

LiveWell Finney County/Finney County Health Coalition Donna Gerstner, Chronic Disease Risk

Reduction Coordinator Lee Ann Shrader, Executive Director

Medical Service Bureau Jean Hogan, Executive Director

Metropolitan Community College Sandy Snook, Community Health Worker

Program Specialist Kordie Marsenburg, Community Health

Worker

Mother & Child Health Coalition Jean Craig, Project Director Shannon Williams, Education & Health

Promotion Coordinator

NBC Community Development Corporation Broderick Crawford, Community Health

Director Murdice Sims, Community Health Worker


Optum (UnitedHealth Group) Cynthia Ball, Manager, Medical Clinical

Operations Mary Bailey, Community Health Worker

Reno County Health Department Nick Baldetti, Director/Health Officer Ivonne Rivera-Newberry, Assistant Director

Sedgwick County Department on Aging Trista Clevenger, Administrative Specialist Anita Nance, Director of Assessment & In

Home Services

Silver City Health Center Mary Icenogle, RN Clinic Manager

SOCO Consulting Shirley Orr, Public Health Consultant

Swope Health Center Treva Smith, Community Health Worker

Thrive Allen County Bobbi Bonds, Community Health Educator Nicole Likes, Administrative Assistant

United Healthcare Kyle Casey, Community Health Worker Joy Hanna, Community Health Worker Jennifer McConico, Community Health

Worker Angela Paschall, Community Health Worker Celia Ruiz, Community Outreach Daniel Safariz, Community Health Worker LaPorscha Vaughn, Community Health

Worker

University of Kansas Medical Center Allen Greiner, Professor Todd Moore, Project Director Arturo Ponce, Affordable Care Act Navigator Mariana Ramirez Mantilla, Project Manager

University of Kansas School of Medicine – Wichita Molly Brown, Program Director, Baby Talk Sapphire Garcia, Site Coordinator Judy Johnston, Research Instructor,

Department of Preventive Medicine Nicole Pickens, Site Coordinator Leona Wuensch, Site Coordinator

University of Missouri – Kansas City School of Medicine Lakshmi Venkitachalam, Assistant Professor

Wichita Medical Research & Education Foundation Joy Miller, Research Administrative Manager

Wilson County Health Department Destany Wheeler, Office Manager Public

Health Emergency Preparedness Coordinator

Witness Project of Kansas Gayle Thomas, Executive Director

World Refuge Ministries, Inc. Ron Burns, Pastor

YMCA Rubi Lopez, Lifestyle Coach


Appendix C: Flash Drive Materials & Resources

The resources were divided into five folders. A brief outline of the content within each folder is listed

below.

1. Table of Contents This folder contains the Table of Contents and an electronic copy of the brochure from the event. 2. Speakers’ Slides & Handouts

Breakout A: Core Competencies (Carl Rush) o Slides: Carl Rush KS Symposium C3 5-11-16 o Handout: Carl Rush C3 RS Handout

Breakout C: CHW Certification & Training in Kansas o Metropolitan Community College’s Presentation

Breakout D: CHWs in the Volunteer Workforce o El Centro’s Presentation o NBC Community Development Corporation’s Presentation o Sedgwick County Health Department’s Community Health Advocates’ Presentation

Breakout E: CHW Research in Kansas o Garden City Promotores & Mammography Project (Dr. Allen Greiner) o Qualitative CHW Research in Sedgwick & Wyandotte Counties (Judy Johnston)

KC Regional CHW Collaborative Plenary Session (Dennis Dunmyer) o May 2016 KS CHW Symposium Presentation

3. KC Regional CHW Collaborative Resource

A Study of the CHW in the KC Region & Beyond: CHW White Paper for Mid-America Regional Council

4. Resources Recommended by Carl Rush This folder contains thirty-five documents provided by the keynote speaker, Carl H. Rush. A list outlining the included documents is first in the folder (available under the title “00 List of Documents on This Folder”). 5. Resources Recommended by the Center for Public Health Initiatives

State Models o Nebraska Resources

NE Video Links – Links for videos shown during breakfast.

Nebraska CHW Policy Paper – February 2015 o ASTHO 2015 State Legislative Status Update: CHW Training/Certification

Standards o CDC Technical Assistance Guide: States Implementing CHW Strategies (2014) o NASHP/State ReForum’s State Community Health Worker Models

CDC Training Resource for CHWs: Preventing Heart Disease and Stroke (2015)

CPHI Annotated Bibliography 2015 – An annotated bibliography of CHW research.

Progress Report on the C3 Project – April 2016


Appendix D: Symposium Agenda

8:00 am

Registration & Breakfast

9:00 am Welcome & Purpose

Brandon Skidmore, Director, Bureau of Health Promotion Kansas Department of Health & Environment

9:10 am Opening Plenary

Fernando Pineda-Reyes, BS, CEO & Co-Founder, CREA Results Carl Rush, MRP, Research Affiliate, University of Texas Institute for Health Policy

Fernando Pineda-Reyes and Carl Rush have received national acclaim for their work to support the advancement of the Community Health Worker workforce. In addition to their work on the national level, they have been involved in CHW workforce advocacy efforts in their own states and cities. The session will provide a national perspective regarding CHW roles and responsibilities, funding and policy changes, and infrastructure models used to support the CHW workforce.

10:45 am Break

11:00 am Breakout Session A: Core Competencies for CHWs: C3 Project

Carl Rush

To help advance consensus in the U.S. Community Health Worker field, recommendations have been developed for common elements of CHW Scope of Practice and Core Competencies. Explore how these competencies can support designing job descriptions, training curricula and CHW practice guidelines for use at the local, state, and national levels.

Breakout Session B: Network & Alliance Development

Fernando Pineda-Reyes

Explore building, maintaining, supporting, and participating in CHW networks and alliances.

12:00 pm Lunch

12:30 pm Kansas City Regional Community Health Worker Collaborative

Dennis Dunmyer, BBA, MSW, JD, Co-Chair of Collaborative Vice President of Behavioral Health & Community Programs at KC CARE Clinic

The focus in this session will be on the development of a CHW Collaborative and CHW Forum in the Greater Kansas City Region and lessons that can be shared statewide.


1:00 pm Panel Discussion: CHWs at Work in Kansas

KC CARE Clinic, Kansas City Genesis Family Medicine, Garden City & Southwest Kansas Kansas Statewide Farmworker Health Program, Statewide

CHWs and administrators from three organizations will share their experiences on developing and maintaining a CHW program and the community impact they have witnessed as a result of the programs.

1:55 pm Break & Snack

2:10 pm Breakout Session C: CHW Certification & Training in Kansas

Metropolitan Community College Johnson County Community College Juntos

Presenters will share about existing and developing CHW training and certification programs in Kansas.

Breakout Session D: CHWs in the Volunteer Workforce

El Centro, Kansas City NBC Community Development Corporation Sedgwick County Health Department’s Community Health Advocates

Volunteer CHWs and CHW program managers will share their experiences with recruitment, retention and CHW roles in the volunteer workforce.

Breakout Session E: CHW Research in Kansas

Judy Johnston, MS, RD/LD, University of Kansas School of Medicine - Wichita Ana-Paula Cupertino, PhD, University of Kansas School of Medicine Allen Greiner, MD, MPH, University of Kansas School of Medicine Presenters will share recent research conducted across Kansas related to the work of CHWs and roles that CHWs can play in this research.

3:00 pm Break

3:10 pm Next Steps: Planning Our Way Forward

Where do we go from here? What’s the future of CHWs in Kansas? Share your ideas and concerns, and provide your insight about next steps for the CHW workforce in Kansas. We need your voice in this discussion.

4:00 pm Closing


Appendix E: Next Steps Brainstorming Session Notes

Question 1: What do we still need to learn?

Learn more about the other cultures in our communities

Sustainable funding – MORE money

How to establish relationships/partnerships

How to promote CHWs in the community and their roles

Need input form Sedgwick County CHWs (Where are they? List of Organizations.)

More education of limitations of CHWs (What can they and can’t they do?)

Definition of CHW duties/boundaries

What access does CHW have Patient Health Information? What are they required to document? What liabilities apply to a CHW?

Lines that define our roles

Community agencies need to see the need for CHWs

How do we connect or refer to other CHWs from other communities?

Learn to know limits as CHWs

How can I transition from volunteer to compensated CHW?

Where are the educational opportunities for CHWs and further training and education?

How to mobilize with the community

Work with each other – among other organizations, partner and avoid competition and duplication of efforts

Create a state alliance for CHW efforts

Overcome state barriers

Communication, cultural and linguistic

To develop methods of sustainability for CHWs (NOT grant funded)

There needs to be greater communication across the state within current agencies about different programs.

Awareness and education about CHWs role

How to better collaborate

What is the goal (among CHWs) and direction for the CHW profession in KS?

What CHW activities are more/most effective?

How to better link clinical care and promotoras

Barriers in the workplace

There’s people willing to give their time but needs more training in order to have a better reach within their communities

How to pay people

So much!

Statewide inventory – workforce assessment

What does it mean to be a CHW? Who they are, what they do.

How can we support the CHW?

Let’s really define CHW. What is the threshold?

More info about policies to support CHW work

More about impact of CHWs

How many CHWs are working on their won not represented today?

How do we measure the impact of CHWs?

How communication is passed along effectively

How to get everyone involved

Specific roles: responsibilities x2


Boundaries/perimeters/liabilities

Future direction

Who else is doing this?

Connect, be the link for the resources to increate motivation for members

Networking

Ability to articulate

Help clients/members develop life skills

Is it CHW role to teach life skills?

Connection of CHW to state

Educate general population on CHW roles

Need for organization of Kansas Association CHWs? Is there a group?

Where are the gaps?

How are they paid?

Knowing more opportunities with non-clinical side.

What are the benefits for each community?

Strong leadership

Everything – we’re like infants

Where to go to continue learning

If we educate and professionalize the individual, do we create a gap, distancing the educated individual from their community?

How to better retain CHWs

How to have more CHWs who are paid

Training for CHWs

CHWs promoting classes outside their expertise

More resources to send people

Connecting CHW systems (list of CHWs) sharing resources

Education about CHWs to organizations who aren’t here today

Directory of CHWs (state and regional)

Understanding categorization of similarities/differences between CHW models

Best training for different setting

How are contributions documented?

How they fit in the team

How does supervision work? What’s required?

What extra roles can CHWs play to impact and empower people (e.g. civic engagement)?

What are best funding streams?

How can more training resources be mobilized?

How can CHWs work with kids on dental and obesity issues?

More resources

More trainings

Learn about CHW work on the national level

Learn more about sustainability for CHWs

Learn about different communities all throughout Kansas

Learn more about different entities in Kansas and what they provide

Scope/boundaries of CHW work

More CHW input

Who is our Champion?

Needs of communities

Professional education of health professionals

Political environment – education of lawmakers

Who is the education/advocacy body?

How to coalesce?

DATA on community IMPACT

Question 2 (part 1 of 2): What challenges might come our way?

Misunderstanding CHWs roles

CHWs being underestimated

Running out of funding for CHWs

Funding


CHWs having access to PHI

Time constraints

Eventually require certification/license

Overlapping roles (others feel threatened, competing) – social workers, nurses, providers

Funding – not enough money

Policies limit our work

Budget cuts by board of directors

Board of directors not excited about CHWs

If CHW are cut/done away with, clients will not be excited/happy.

Intro of a new CHW program/model to a new provider might be a challenge and not received well.

Language barrier

Funding

Recognition

Certification

Documentation status

Education

Rally health providers

Lack of funding

Running out of funding

Higher education

Home health organizations

Retention

Recognition as a profession

Divergent opinions regarding professionalization of the role

Opposition from other health care professionals

Cultural or religious groups

Patient assumptions about CHW ability

Defining scope of practice for each model

Lack of services

Language barrier

The lack of certification of the CHW vs. people with certification or

credentials but without the experience and abilities to reach certain community members

How to fund?

Sustainability? Organization/individual providers

Getting on the “same page” when community needs are so diverse

How to get them integrated into the team based care

Training

Who owns it? Statewide efforts?

Flexibility and challenge

People who work long hours with may not have time to focus on health.

People who want a magic bullet.

Over regulation of CHW scope

Burnout, especially for volunteers

If federal funds become available for CHWs will state/local government accept funds?

Regional issues with too many CHWs

Fear of the unknown

Inconsistent

All associations in Health (e.g. competition, funding, time)

Where’s the baseline structure? Foundation of the object?

Connections and relations

Limitations/complications

Financing – volunteers

Finding community member – community buy in of key people to breach target communities, overcoming cultural barriers, trust factor

Not excited – conflicting organizational views – funder vs. grassroots organization

Conservative environment were feeling/view is “that is not the role or service or need”

Responsibility of individual


Agency not able to provide full CHW services – viewed as neglecting or bad provider to community (community view)

Cost

Recruitment – finding CHWs

Creating awareness and buy-in from organizations that aren’t involved

Time – one more task on list

Understanding of different CHW models and how they work together instead of competing

Retention of CHWs – especially volunteer

Sustainability

Keeping motivation and momentum

Billing/reimbursement codes and policies

Challenge of connectedness across state of KS (coalition, annual meeting, means to communicate)

Challenge of cultural competence (in medicine where the culture competence is not a priority)

Challenge of awareness and understanding – how to widen acceptance

Being integrated into healthcare systems

We are not here to take jobs away from nurses or other healthcare providers

Letting other providers know the definition/description of a CHW

FUNDING

Overlapping scopes of practice (e.g. nurses, social workers, public health, home health agencies, physicians, politicians, legislators, etc.)

People in power aren’t of the communities who need help

Education regarding the CHW role – Kansas board of nursing

Inviting the right people to the table Question 2 (Part 2 of 2): Who might not be excited?

Nurses, social workers

Case Managers

Thought of CHWs will take their jobs

Other medical professionals

Certain patient populations not accepting of CHWs

Legislators/government

Nurses, social workers, and providers feeling threatened

Social workers, nurses

Providers may not embrace this (doctors, social workers, mental health providers, nurses, etc.)

Finance department

Insurers – one more thing to reimburse

Clinics that see CHWs as competition or not valued (because not clinical work)

Delineating roles of CHWs and nurse patient navigators – competition

Nurses, doctors, social workers

Providers with professional certifications

Health care money people

Question 3: What opportunities should we pursue going forward?

Sustainability (job security)

Competitive salaries

Training on-going (various)

Attending meetings, forums, conferences

Creating CHW database (state-to-state)


Creating patient database for CHWs (state-to-state)

CHW Retreats (relax & learn) – regrouping, reenergizing, refocusing

More education locally

Solicit local and state officials for funding because of return on investment (ROI)

Data collection to support ROI

Affordable education

Local networking opportunities (collaboration) – so services aren’t’ duplicated

Education and training for CHWs

Connections and networking of other CHW programs.

Certification???

Sustainable funding

Better training and recognition from health providers

Keep the connection with other CHW/Promotores (APHA)

Apply for research based grants

Training for supervisors and supervising agencies to train and support CHWs

Partnering with insurance companies

Use data to leverage funding

Partnering with national associations (i.e. social work, public health) to promote CHWs

Collaborating with health care systems and payers

Partnering with other community government (state and local) for health education

Employers for health navigation services

Prepare community to receive CHW services

Leverage all voices here today to build a campaign/coalition

Education and training

Working with others

Listen and learn from others

Lead by example

1422 Funding/1305 to lead the work

Link to the PTN

Engage payers in a more meaningful way.

Develop a professional association

Begin to explore policy work (e.g. training, certification, reimbursement, health information, etc.)

Role of CHW in Medical Health Homes

Training towards accreditation and certification – we should strike a balance between accreditation and certification.

Cross-training among cultures

Cross-training and collaboration and payment between academic and community

Education, Certification, Networking

Training and awareness

Benefit or problem with a Health Kansas group

More education?

Loan forgiveness

Funding opportunities

Service/support deserts – result in increased health costs, decreased life span

Community transformation

Health and wellness is the priority – improving overall health – better community

Have many health facility/service options

Encourage training and placement of CHWs – job opportunities

Community – organization/regional/agency/ charities/faith based – buy-in/involvement – make it happen

Number of CHWs increased


We (attendees) need to know all agencies/individuals/groups present today – may be an opportunity for networking – expanding/connecting resources may benefit others

Leverage existing resources – networking to expand

Strategizing collectively

Learn from CHWs in other regions and states

Federal programs interest – grants and sustainability

Understanding what it takes to reach hart-to-reach populations – partner with active community volunteers

CHW annual conferences to share experience and knowledge and plan for future steps

Health care systems changing to value-based – providers realizing benefit of community resources

Getting clinicians to provide service outside of clinic – take services to patient (ex. Mobile breast exam/mammography)

To develop digital resources – training, tools (learning collaborative, sharing, network to ask questions and bounce ideas off of)

To get patient input, feed-back look (payment reform may help this)

Education

More forums to bring ideas together (regionally/nationally)

Offer more outreach about CHWs to communities (don’t wait until too late)

CHW facilities?

More job growth for CHWs (supervisors/managers)

Legislation that leads to funding

Developing Core Competencies and scope of practice

Look at what’s out there – data, research, ROI

CHWs develop relationships with hospitals

Focus groups – Case studies – have CHWs present

State coalition or forum

Share best practices and programs across Kansas

Continue bringing people together – listen to CHWs doing the work

Collect and share success stories regarding persons served

Social services and providers need to be at the table

Look at the language – we’re speaking and adapting to audiences


Appendix F: Keynote Speaker Biographies

Fernando Pineda-Reyes, BS

CEO & Co-Founder CREA Results, Denver, CO Community + Research + Education + Awareness A native of Mexico and founder of CREA Results (Community + Research + Education + Awareness), Fernando has more than 15 years of experience in community development. He founded CREA Results in 2006 to focus on Community Health Workers/Promotores de Salud in leading public health campaigns and projects focusing on community development, community education, organizing and community assets integration and mobilization to address community health issues including social and environmental justice and health disparities. Fernando has extensive experience working with federal and state agencies, foundations and organizations providing cultural proficiency consulting on community engagement and outreach strategies. His work has focused on a variety of initiatives, including cardio-vascular disease risks, tobacco health disparities, breast and cervical cancer awareness, immunizations, obesity prevention and oral health among others.

Carl H. Rush, MRP

Research Affiliate Project on Community Health Worker Policy & Practice University of Texas, Institute for Health Policy Carl H. Rush has worked full time for and with community health workers (CHWs) for nearly 20 years. He serves as a core team member of a policy center on CHWs at the University of Texas – Houston School of Public Health, and has supported studies on CHW employment policy for the states of Arizona, Texas and Indiana, and for Public Health Seattle/King County. He recently finished revising a national e-learning series for the CDC on policy and systems change to promote employment of CHWs, and is about to begin a national policy study for the CDC on CHW certification. He has advised CHW policy initiatives in more than 20 individual states, and groups of state officials for the Milbank Memorial Fund, the National Academy for State Health Policy, the National Conference of State Legislatures, the Association of State and Territorial Health Officials, and the National Governors Association. He is co-convener (with the Trust for America’s Health) of an informal group of national public-sector interest groups and federal agencies on Medicaid preventive services. He is a national advisor to the Transition Clinics Network, the Commonwealth Fund demonstration of the Ambulatory Integration of Medical and Social (AIMS) model, and the CHW Knowledge Exchange Project at Johns Hopkins University.


Appendix G: Breakout and Panel Speakers’ Information

Breakout Session A: Core Competencies for CHWs: C3 Project

Carl H. Rush, MRP

See Appendix E for speaker information.

Breakout Session B: Network & Alliance Development

Fernando Pineda-Reyes, BS

See Appendix E for speaker information.

Lunch Plenary

Dennis Dunmyer, BBA, MSW, JD

Mid-American Regional Council KC Regional CHW Collaborative KC CARE Clinic Vice President of Behavioral Health and Community Programs

Dennis Dunmyer is the Vice President of Behavioral Health and Community Programs at the Kansas City CARE Clinic, overseeing four Clinic departments. He is the co-chair of the Kansas City Regional Community Health Worker Collaboration, sits on the Community Health Worker Advisory Committee to the Missouri Department of Health and Senior Services and is a licensed clinical social worker in Kansas and Missouri. During the last five years, Mr. Dunmyer built and implemented the Community Health Worker Program at the Kansas City CARE Clinic while dedicating time and effort to developing community-wide infrastructure for the program, such as training and education, state-wide advocacy, and community awareness.

Panel Discussion: CHWs at Work in Kansas

KC CARE Clinic (Kansas City)

Rebecca Anderson, MSW, Manager of Care Coordination Rebecca Anderson, LMSW, graduated from Washburn University in 2005 with a Master’s degree in Social Work. Rebecca started her career in social work at the Kansas City CARE Clinic in 2005 as an HIV case manager. In 2008, Rebecca started managing the CHW program at the clinic. Rebecca is a part time adjunct professor for the CHW curriculum at MCC and was one of the original developers of the CHW curriculum in 2011. Rebecca’s passion is all things CHW.

Dominique Lucas, Community Health Worker Dominique Lucas graduated from Avila University with a degree in Social Work in 2014 and completed the Community Health Worker course at Metropolitan Community College in 2015. Dominque is a Community Health Worker at the Kansas City CARE Clinic and has been serving underserved and uninsured patients from the Saint Luke’s Health System since 2014. Dominique assists patients from both Kansas and Missouri that are seen at Emergency Department or Inpatient Care at Saint Luke’s Health System to establish primary care, overcome barriers to medical and social services, and improve their overall health.

Genesis Family Medicine (Garden City)

Irma Robbins, Community Health Worker


Irma Robbins is a Community Health Worker for Cancer Health Disparities. She has been serving in this role since 2011. Irma graduated from Fort Hays State University.

Gloria Bracamonte, Promotora Gloria Bracamonte is a Promotora with Genesis Family Medicine in Western Kansas.

Kansas Statewide Farmworker Health Program (Statewide)

Kendra Baldridge, LMSW, Section Chief for Special Population Health/State Refugee Health Coordinator Kendra Baldridge began working at the Kansas Department of Health and Environment in 2007. She had been the Eastern Region Case Manager and then Lead Case Manager for the Kansas Statewide Farmworker Health Program (KSFHP). In 2015, she was promoted to be the new Section Chief for Special Population Health which includes being the KSFHP Program Director and the State Refugee Health Coordinator. She has a BA in Sociology and a Masters of Social Work, both from the University of Kansas. Prior to her time at KDHE, Ms. Baldridge lived in El Salvador for two years as a Peace Corps volunteer, working with a health promoter and on various other community projects. Upon returning to the United States she worked in various positions at El Centro Inc. in Kansas City, and as a Case Manager at Centro Hispano Resource Center in Lawrence.

Diana Lady, Health Promoter Diana Lady is a Health Promoter with the Kansas Statewide Farmworker Health Program. She primarily works with clients in Eastern and Central Kansas.

Breakout Session C: CHW Certification & Training in Kansas

Metropolitan Community College

Sandy Snook, MSW, Social Policy Lecturer Sandy Snook, MSW has over 20 years of unique experience developing and facilitating community learning. Sandy currently recruits students and instructors for Metropolitan Community College’s Community Health Worker program where she also develops curriculum and delivers training. Sandy also teaches Social Policy and Program Development for the University of Kansas, School of Social Welfare.

Johnson County Community College

Dr. Lenora Cook, Dean of Healthcare Professions and Wellness Dr. Lenora Cook is the Dean of Health Care Professions and Wellness at Johnson County Community College providing leadership for nursing, practical nursing, health care occupations, emergency medical science, dental hygiene, respiratory care, neurodiagnostic, physical education and wellness programs. Dr. Cook is responsible for promoting student success, facilitating academic and administrative effectiveness, ensuring fiscal accountability, engaging advisory committees, and reviewing and revising curriculum to ensure a positive learning environment. Her nursing background coupled with her doctorate in community college leadership proved valuable in researching and developing JCCC’s proposed Associate of Arts degree with a focus in Public Health.

Juntos

Mariana Ramírez Mantilla, MSW, Juntos Project Manager Mariana Ramírez works in research, service, and education-oriented programs addressing health disparities. Ms. Ramírez embraces Community Based Participatory Research principles


in her work and has collaboratively developed a culturally relevant community health worker model for Latinas in the Kansas City Metro area. As Juntos Project Manager, she provides direct coordination for the Promotora de Salud workforce at Juntos Center for Advancing Latino Health.

Breakout Session D: CHWs in the Volunteer Workforce

Sedgwick County Community Health Advocates

Pamaline King-Burns, MPA, Project Manager, Sedgwick County Health Department Pamaline King-Burns has managed the Community Health Advocates program for the Health Department since 2009. All of her adult life; Ms. King-Burns has worked in the Wichita community, mentoring students of all ages and fostering cross-sectoral relationships. She believes that by forming collaborative partnerships and engaging all stakeholders’ voices, communities are able to achieve equal and equitable access to quality health care for all. Pamaline currently serves as a member of the Child Start Board of Directors, the Greater Wichita Ministerial League, and is an Elder with the African American Council of Elders of Wichita/Sedgwick County.

Columbine “Jo” Schwanke, Community Health Advocate Columbine Schwanke is a Community Health Advocate with the Sedgwick County Health Department Community Health Advocate program.

Pastor Ron Burns, Community Health Advocate Pastor Ron Burns is a Community Health Advocate with the Sedgwick County Health Department Community Health Advocate program.

El Centro, Inc.

Cielo Fernandez, Chief Program Officer & Co-Chair of KC Regional CHW Collaborative Cielo Fernandez has been the Chief Program Officer at El Centro since 2014. Before her role as the Chief Program Officer, Cielo was a Project Director from 2007-2014. Before her time at El Centro she served as a Project Director for Mattie Rhodes Center. Ms. Fernandez also serves as the Co-Chair for the KC Regional CHW Collaborative.

Elizabeth Reynoso, Promotora de Salud Elizabeth Reynoso has over 13 years of experience in Spanish mass media communication in both Mexico and the United States. For the past nine years Ms. Reynoso has been involved in several community-based projects focused on Latino health working with Promotoras de Salud, including the development and implementation of the "Radionovela de Salud ". Since 2010, Ms. Reynoso and Promotoras are empowering the Latino population, increasing knowledge about healthy food choices and conscious shopping strategies.

NBC Community Development Corporation

Broderick Crawford, Community Health Director, NBC Community Development Corporation Broderick Crawford is a consummate community volunteer, dedicated to assisting and improving the lives of those who are less fortunate. Broderick has over 30 years of experience in the Health Care industry. Broderick currently serves as the Executive Director of the NBC Community Development Corporation in Kansas City, Kansas.

Carissa Redmond, Community Health Worker Carissa Redmond completed the Community Healthcare Worker course in November of 2015 and currently works as a CHW for the KC CARE Clinic, NBC Community


Development Corporation and has served as secretary for 3 years in the Women's Department at the New Bethel Church Ministries in Kansas City, KS, Wyandotte County. She has operated in the various tasks of a CHW for the Wyandotte County community during the years of 1998-2000 for the Kansas City Healthy Start Program as well as for the YWCA of Greater Kansas City during the years of 2000-2006.

Murdice Sims-Watson, Community Health Worker Murdice Sims-Watson is a Community Health Worker with NBC Community Development Corporation in Kansas City, Kansas.

Breakout Session E: CHW Research in Kansas

Judy Johnston, MS, RD/LD, Research Instructor

Preventive Medicine and Public Health, University of Kansas School of Medicine – Wichita Judy A. Johnston is a Registered and Licensed Dietitian with more than 16 years of experience in management and clinical hospital dietetics and over 25 years of public health practice and research. She has been nationally recognized for her pioneering work with Kansas LEAN (Leadership to Encourage Activity and Nutrition) and 5-A-Day for Better Health where she created a statewide partnership of over 700 partners. Her current work includes guiding communities with needs assessments, oral health in underserved populations, faith-based health ministry, and cancer survivorship.

Paula Cupertino, PhD, Associate Professor

Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS Paula Cupertino has strived to initiate a new line of health disparities research in the Latino community in Kansas tied to binational initiatives in Mexico and Brazil. As a social behavioral scientist, her tobacco control research has focused on smoking cessation and access to cessation treatments among underserved and understudied populations with a primary focus on Latinos. Ms. Cupertino also has experience in the development and implementation of research projects incorporating cultural factors and principles of community-based participatory research. Her teaching activities represent a direct expansion of her research as a social behavioral scientist focused on health disparities among racial/ethnic groups, culturally competent health intervention, and social determinants of health, and community-based participatory approaches that enhance health equity.

Allen Greiner, MD, MPH, Professor and Associate Chair of Research

Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS K. Allen Greiner, MD, MPH is Professor and Associate Chair of Research in the Department of Family Medicine at the University of Kansas Medical Center (KUMC) in Kansas City, Kansas. He is a practicing family physician and is the Medical Officer for the Kansas City, Kansas, Wyandotte County Unified Government Health Department. He directs the Kansas Patients and Providers Engaged in Prevention Research (KPPEPR) Network.