Friday’s CEPAC
meeting centered on the clinical and cost-effectiveness of community
health workers. The meeting was very well-attended with dozens of stakeholders
represented both in the audience, the policymaker panel and in public comment. Community health workers
(CHWs) are trusted members of a community who assist patients in accessing
appropriate care and in keeping themselves healthy. Known by many names, CHWs
are usually non-clinical professionals working in public health settings. The
committee recognized that CHWs can provide value in improving health status,
reducing inappropriate care and those costs, and promoting health equity. There
was general agreement that there is not enough high-quality research to define
best policies and standards for training, certification, types of patient
interaction, specialization, patient matching, and evaluation. But there was
general agreement that CHWs offer a promising opportunity to further the goals
of improving health and controlling costs.