HPAC Scholar's Day 2019 CHW_Assessment_Key_Findings | Page 23

To understand more broadly how CHWs are currently being trained and utilized in Ohio, key informant interviews were conducted with key stakeholders across a variety of domains. Key informant interviews are useful in capacity assessments to help frame and identify key areas of need to further guide the overall assessment (Gilmore, 2012). Specifically, the purpose of these interviews was to obtain key informant perspectives on CHW utilization, how CHWs fit into the current health system, how CHWs are being trained, CHW certification, CHW employment, CHW supervision, CHW roles, funding, sustainability, general successes and challenges for this profession, and where employers and certified/non-certified CHWs can be found in Ohio. Sample Characteristics The 11 key informants interviewed included the following types of professionals: CHW, physician, public health nurse, public health practitioner, agency/program directors, state agency employees, CHW employers, and CHW funders. The 11 key informants represented the following stakeholder perspectives for certified and non-certified CHWs: ■ ■ Asian American community-based organizations ■ ■ CHW training programs ■ ■ Free clinics ■ ■ Local health departments ■ ■ Hospitals ■ ■ Latino community-based organizations ■ ■ Pathways Community HUBs ■ ■ Ohio Association of Community Health Centers (OACHC) ■ ■ OBN ■ ■ OCHWA ■ ■ Ohio Department of Medicaid (ODM) and 272 codes) that are on the minds of key stakeholders from across a variety of domains in Ohio. These themes were (in order of discussion frequency): ■ ■ Wide variety in CHW roles, supervision, and the settings, populations, and conditions they serve in Ohio ■ ■ While there is support for CHWs in Ohio, a solid and sustainable infrastructure does not exist ■ ■ Training is valuable but needs improvement ■ ■ What employers and stakeholders value in CHWs ■ ■ CHW programs and outcomes in Ohio are important but not widely known and shared freely across the state ■ ■ The profession is not well understood by other professionals in Ohio and thus CHWs are not being utilized to their full potential ■ ■ Certification is valuable but barriers exist to achieve certification in Ohio ■ ■ The CHW profession is not clearly defined and established in Ohio Discussion of Key Informant Interview Findings Funding The key informant interviews revealed eight major themes (derived from 51 categories As a result of the findings that emerged in the codes, categories, and themes, Key Informant Interviews 17