Early Childhood Referrals by HealthySteps and Community Health Workers

Miguelina Germán; Jayxa K. Alonzo; I. Mihiri Williams; Jessica Bushar; Sydney M. Levine; Kate C. Cuno; Polina Umylny; Rahil D. Briggs

doi:10.1177/00099228221120706

Early Childhood Referrals by HealthySteps and Community Health Workers

Miguelina Germán, Jayxa K. Alonzo, I. Mihiri Williams, Jessica Bushar, Sydney M. Levine, Kate C. Cuno, Polina Umylny, Rahil D. Briggs

Pediatrics

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ² = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs.

Original language	English (US)
Pages (from-to)	321-328
Number of pages	8
Journal	Clinical Pediatrics
Volume	62
Issue number	4
DOIs	https://doi.org/10.1177/00099228221120706
State	Published - May 2023

Keywords

HealthySteps
community health worker
early childhood
integrated primary care
social determinants of health

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/00099228221120706

Cite this

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title = "Early Childhood Referrals by HealthySteps and Community Health Workers",

abstract = "This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs.",

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author = "Miguelina Germ{\'a}n and Alonzo, {Jayxa K.} and Williams, {I. Mihiri} and Jessica Bushar and Levine, {Sydney M.} and Cuno, {Kate C.} and Polina Umylny and Briggs, {Rahil D.}",

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AU - Germán, Miguelina

AU - Alonzo, Jayxa K.

AU - Williams, I. Mihiri

AU - Bushar, Jessica

AU - Levine, Sydney M.

AU - Cuno, Kate C.

AU - Umylny, Polina

AU - Briggs, Rahil D.

N1 - Publisher Copyright: © The Author(s) 2022.

PY - 2023/5

Y1 - 2023/5

N2 - This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs.

AB - This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs.

KW - HealthySteps

KW - community health worker

KW - early childhood

KW - integrated primary care

KW - social determinants of health

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Early Childhood Referrals by HealthySteps and Community Health Workers

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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