2016 Community Health Action Plan | Page 57

Strategy 2.2 Improve access to home-based support, including tailored patient education, case management, environmental assessment of the home to identify triggers, and resources for remediation. Tactic: CHCO will implement Just Keep Breathing, a program to provide home visits for asthma patients at high risk for exacerbations. If this program is shown to be successful, we will consider adapting to other patients at risk for acute respiratory illness. Setting / Delivery Mechanism Home – Community Health Workers can provide tailored asthma health education information and environmental assessment in the home. Additionally, they will connect families with available resources that exist within CHCO and the community. Internal Resources OO Community OO Social health workers work External Resources Partners will be defined based on targeted communities for intervention. Current partners include but are not limited to: OO Colorado OO Local Department of Public Health & Environment Health Departments OO Denver Environmental Health OO Denver Health Medical Center OO Local non-profit agencies providing social services Community Health Action Plan 57