Integrating Community Health Workers into Patient-Centered Medical Homes


The Institute of Public Health Innovation provided local health care providers with resources and training to build sustainable Community Health Worker (CHW) models in order to improve clinical care and increase the number of people in Prince George’s County receiving support to prevent and control chronic disease. IPHI not only improved existing CHW models, but assisted providers in building CHW programs from the ground up.  

IPHI worked closely with the County’s two federally qualified health centers to provide training and technical assistance to effectively implement models to improve delivery of clinical preventive services. Specifically, IPHI provided training to the clinics on how to incorporate CHWs into their models of care to help engage and retain individuals in medical care for chronic diseases. Assessments were conducted at both of the county’s federally qualified health centers to determine strengths or gaps in existing CHW models as well as what skills were needed to incorporate new CHWs into the clinics.  In strengthening the ability of the clinics to support well-trained CHWs into communities facing chronic disease, IPHI  improved their long- term health outcomes and quality of life.

For more information on IPHI’s full range of CHW initiatives, see the CHW section of Our Work in Action.