Measuring return on investment of outreach by community health workers

Journal of Health Care for the Poor and Underserved

Volumn 17, Issue 1 SUPPL., 2006, Pages 6-15

  Whitley, Elizabeth M ^a   Everhart, Rachel M ^a   Wright, Richard A ^a  

^a DENVER HEALTH AND HOSPITAL AUTHORITY   (United States)

Author keywords

Community health worker; Cost effectiveness; Outreach; Return on investment

Indexed keywords

ARTICLE; COMMUNITY CARE; COST BENEFIT ANALYSIS; COST CONTROL; ECONOMICS; ETHNOLOGY; HEALTH AUXILIARY; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH STATUS; HUMAN; INVESTMENT; MALE; MANPOWER; PATIENT; PROSPECTIVE STUDY; PUBLIC RELATIONS; UNITED STATES; VULNERABLE POPULATION;

COLORADO; COMMUNITY HEALTH AIDES; COMMUNITY HEALTH PLANNING; COMMUNITY HEALTH SERVICES; COMMUNITY-INSTITUTIONAL RELATIONS; COST SAVINGS; COST-BENEFIT ANALYSIS; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; INVESTMENTS; MALE; MEDICALLY UNINSURED; PROGRAM EVALUATION; PROSPECTIVE STUDIES; VULNERABLE POPULATIONS;

EID: 33644749239     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2006.0015     Document Type: Article

References (25)

1. Centers for Disease Control and Prevention (CDC). Community health advisors: models, research, and practice, selected annotations-United States, Vols. 1, 2. Atlanta, GA: CDC, 1994.
2. Rosenthal EL, Wiggins N, Brownstein N, et al. The final report of the National Community Health Advisor Survey. Tucson, AZ: University of Arizona, 1998.
3. Whitley EM, Ro MJ, Treadwell HM. Maximizing community health workers' contributions to health systems and communities. Education for Health (In review.)
4. Zuvekas A, Nolan L, Tumayll C, et al. Impact of community health workers on access, use of services, and patient knowledge and behavior. Journal of Ambulatory Care Management. 1999; 22(4):33-44.
5. Swider SM. Outcome effectiveness of community health workers: an integrative literature review. Public Health Nurs. 2002 Jan-Feb;19(1):11-20.
6. Hunter JB, de Zapien JG, Papenfuss M, et al. The impact of promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. Health Educ Behav. 2004 Aug;31(4 Suppl):18S-28S.
7. Krieger J, Collier C, Song L, et al. Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers. Am J Public Health. 1999 Jun;89(6):856-61.
8. Cooke J, Finneran KA. A clearing in the crowd: innovations in emergency services. New York, NY: United Hospital Fund of New York, 1994; 11-2.
9. Thomas JC, Earp JA, Eng E. Evaluation and lessons learned from a lay health advisor programme to prevent sexually transmitted diseases. Int J STD AIDS. 2000 Dec;11(12):812-8.
10. Lacey L, Tukes S, Manfredi C, et al. Use of lay health educators for smoking cessation in a hard-to-reach urban community. J Community Health. 1991 Oct;16(5):269-82.
11. Levine DM, Becker DM, Bone LR. Narrowing the gap in health status of minority populations: a community-academic medical center partnership. Am J Prev Med. 1992 Sep-Oct;8(5):319-23.
12. Brownstein N. The challenge of evaluating CHA services. In: Rosenthal EL, Wiggins N, Brownstein N, et al. The final report of the National Community Health Advisor Survey. Tucson, AZ: University of Arizona, 1998.
13. Witmer A, Seifer SD, Finocchio L, et al. Community health workers: integral members of the health care work force. Am J Public Health. 1995 Aug;85(8):1055-8.
14. Gold MR, Siegel JE, Russell LB, et al, eds. Cost-effectiveness in health and medicine. New York: Oxford University Press, 1996.
15. rd Ed. Upper Saddle River: Prentice Hall, 2001.
16. Agency for Healthcare Research and Quality (AHRQ). Focus on cost-effectiveness analysis at the AHRQ. AHRQ Publication No. 01-P023. Rockville, MD: AHRQ, 2001 Aug.
17. Elixhauser A, Luce BR, Taylor WR, et al. Health care CBA/CEA: an update on the growth and composition of the literature. Med Care. 1993 Jul;31(7 Suppl):JSI-11, JS18-149.
18. Stone RE. Playing disease management numbers games. Disease Management & Health Outcomes. 1999 Dec;6(6):343-48.
19. Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Boston: Houghton Mifflin, 1963.
20. Zablocki E. Condition characteristics denote methodology for measuring ROI. Managed Healthcare Executive. 2004 Apr:38-40.
21. Fetterolf D, Wennberg D, Devries A. Estimating the return on investment in disease management programs using a pre-post analysis. Dis Manag. 2004 Spring;7(1):5-23.
22. Johnson A. Measuring DM's net effect is harder than you might think. Manag Care. 2003 Jun;12(6):28-32. Available at http://www.managedcaremag.com/ archives/0306/0306. dm_milliman.html.
23. Krieger JW, Takaro TK, Song L. The Seattle-King County Healthy Homes Project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health. 2005 Apr;95(4):652-9.
24. Fedder DO, Chang RJ, Curry S, et al. The effectiveness of a community health worker outreach program in healthcare utilization of west Baltimore City Medicaid patients with diabetes, with or without hypertension. Ethn Dis. 2003 Winter;13(1):22-7.
25. Rogoff DP. Measuring the return on a community's investment (ROCI) resulting from providing access to affordable health coverage. Presented at: Health Communities Access Program Meeting, Colorado Springs (CO), Jul 2003.