Arkansas CHW Program Information

Arkansas Navigator Coalition

Description: The goal of this statewide project is to assist people who were previously uninsured to purchase insurance through the Arkansas Health Connector, the Insurance Marketplace in Arkansas. Partners for Inclusive Communities are the lead agency on this project and are working with 17 other agencies and associations to accomplish the task. 

Funders: Centers for Medicare and Medicaid Services/Center for Consumer Information and Insurance Oversight. 

Service Area: Statewide

CHW Role: Health Insurance Enrollment

Patient Population: Uninsured Arkansans

Number of CHWs Employed: 

Arkansas Human Development Corporation

Description: The Arkansas Human Development Corporation developed the Promotoras de Salud Project (Health Promoters program) in 1998. The Promotoras de Salud program currently has five Health Promoters that provide bilingual health education and prevention information to members of the Hispanic and Latin-American communities in Center Arkansas. 

Funders: State and non-profit organizations

Service Area: Garland, Hot Spring, Lonoke, Pulaski, and Saline counties. 

CHW Role: Health care system navigation, cultural mediation, building community capacity, community advocacy, translation & interpretation, and direct services (lab tests)

Patient Population: Immigrants, Hispanic community, homeless, uninsured, low-income

Number of CHWs Employed: 5

Arkansas promise

Description: Arkansas PROMISE is a research project open to youth ages 14 to 16 who currently receive SSI benefits. Participants must enroll before their 17th birthday. Once enrolled, PROMISE will provide services through September 2018. PROMISE will only enroll 2000 youth. For 1000 youth, PROMISE will provide additional services to youth and their families to support their education and career goals. Services include: intensive case management, two paid competitive work experiences, education and employment training and support for youth and families, benefits counseling, health and wellness training, and money to address emergency financial needs. 

Funders: U.S. Department of Education and the Social Security Administration

Service Area: Benton, Chicot, Columbia, Craighead, Crawford, Crittenden, Desha, Drew, Faulkner, Garland, Greene, Jefferson, Lonoke, Miller, Mississippi, Ouachita, Phillips, Poinsett, Pulaski, Saline, Sebastian, St. Francis, Union, Washington, and White counties

CHW Role: Patient navigation, home visiting, referral to health care and social services, client advocacy

Patient Population: Youth ages 14-16 who currently receive SSI benefits

Number of CHWs Employed: 4

enroll the ridge!

Description: The Mission of Enroll the Ridge! is to greatly minimize thee number of uninsured northeast Arkansans through the use of In-Person Assisters (IPAs). 

Funders: Federal Agency 

Service Area: Craighead, Mississippi, and Poinsett counties

CHW Role: Health insurance enrollment assistance, assistance in gaining access to medical services or programs, health care system navigation

Patient Population: Low-income, uninsured

Number of CHWs Employed: 

UAMS Little Rock Transitions Program

Description: The Little Rock Transitions (LRT) Program, based at the UAMS Family Medicine Center in partnership with CARE Coalition member organizations, provides a patient-centered primary care medical home for chronically-ill returning prisoners. The program is staffed by a CHW with a history of incarceration. They are a vital member of the health care team, connecting patients with health and social services through outreach, educational, and advocacy efforts. 

Funders: UAMS

Service Area: Pulaski County (Little Rock) 

CHW Role: System navigation, community resource and healthcare referrals, care coordination, and health education

Patient Population: Chronically ill criminal justice-involved individuals

Number of CHWs Employed: 

Mercy breast center-health outreach

Description: Norma Nelson is a CHW who works with the Mercy Breast Center in Fort Smith. She is the Outreach Coordinator for the Hispanic community. Her job consists of educating the public on breast health and the benefits of mammography as well as navigating women without insurance to services. 

Funders: Grant-funded

Service Area: Sebastian County (Fort Smith)

CHW Role: System navigation, outreach, and health education 

Patient Population: Hispanic women, low-income

Number of CHWs Employed: 1

Mid-delta community consortium

Description: Mid-Delta Community Consortium's (MDCC) mission is to increase resources and understanding of partnerships to enhance and promote community-driven health improvement. MDCC is focusing on prescription/medicine assistance across it's target counties. Through Community Health Advocates (CHAs), stationed throughout the targeted Delta counties, residents are connected to prescription/medication assistance and other benefit programs. In operation for over 10 years, starting in 2002-2003 alone, this program saved residents over $1 million in prescription costs. 

Funders: State agency

Service Area: Arkansas, Ashley, Crittenden, Desha, Jefferson, Lee, Monroe, Phillips, and St. Francis counties

CHW Role: Assistance in gaining access to medical services or programs, gaining access to non-medical social services or programs, and prescription assistance

Patient Population: Isolated rural residents, low-income, older adults

Number of CHWs Employed: 4

Community Connector Program, Tri-County Rural Health Network

Description: Tri-County Rural Health Network's (TRHN) mission is to improve access to health care. THRN's primary initiative is the Community Connector Program (CCP). CCP deploys trusted community members called "community connectors" to link those needing long-term care to home and community-based services by addressing socio-cultural barriers and system navigation. Because CCP saves cost by reducing unnecessary institutionalizations, Medicaid now funds the CCP in 15 Arkansas Delta Counties. 

Funders: Medicaid Administrative Funds

Service Area: Arkansas, Ashley, Chicot, Crittenden, Cross, Desha, Drew, Jefferson, Lee, Lincoln, Lonoke, Mississippi, Monroe, Phillips, Pulaski, St. Francis, and Woodruff counties

CHW Role: Assistance in gaining access to medical services and programs, gaining access to non-medical social service programs, building community capacity, case management, community advocacy, counseling, cultural mediation, interpretation, mentoring, health care system navigation, providing culturally appropriate health promotion/education, risk identification, social support, and translation. 

Patient Population: Elderly and adults with physical disabilities

Number of CHWs Employed: 37

Patients advancing their health (path) in the delta, tri-county rural health network

Description: A pilot intervention in which community health workers called "community health connectors" will work on multidisciplinary, complex care management teams to coordinate care for the most complex, highest-cost Medicaid, dual-eligible, or Private Option Patients in two primary care practices in the Delta. 

Funders: Grant-supported

Service Area: Phillips County

CHW Role: Assistance in gaining access to medical services and programs, gaining access to non-medical social service programs, building community capacity, case management, and health education

Patient Population: High-cost, high-need, chronically-ill patients

Number of CHWs Employed: 3

STAR.Health, Arkansas department of health

Description: Key to the success of the STAR.Health initiative is the role of the community health workers (CHWs). There are nine CHWs - three for each county - especially trained for STAR.Health. These women, ages 35 to 55, know about the communities where they work because those communities are also where they live. Following a successful first year of work, the program was consolidated and upgraded. Rather than the part-time staffing necessary at first to limit costs, CHWs now work full-time to promote health in three fields: maternal-child health, oral health, and chronic disease management. They are based in the local health units and are supervised by public health nurses. Their core work is to contact and interest those who are at the greatest risk for poor health or educational results and then link them to the health professionals they need, as well as an array of local and state public health service agencies.  

Funders: Arkansas Department of Health

Service Area: Chicot, Desha, and Lincoln counties

CHW Role: Maternal-child health, oral health and chronic disease management

Patient Population: High-risk, low-income residents of the program's 3 target counties

Number of CHWs Employed: 

nurse-family partnership program, arkansas department of health

Description: The Nurse-Family Partnership (NFP) is a free, voluntary program that partners first-time moms with registered nurses. NFP is available to any first-time mom who is under her 28th week of pregnancy and who is below 200% of the Federal Poverty Level.

Funders: Grant-supported

Service Area: Crittenden, Jefferson, Lee, Mississippi, Monroe, Phillips, and St. Francis counties

CHW Role: Assistance in gaining access to medical and non-medical social services, case management, community advocacy, cultural mediation, health promotion/education, health care system navigation, and home visiting. 

Patient Population: First-time mothers, low-income

Number of CHWs Employed: 10

UAMS Northwest office of community health & research (OCHAR) and north street clinic

Description: The North Street Clinic employs 2 part-time CHWs in an effort to provide culturally appropriate care to Marshallese patients in Northwest Arkansas. In conjunction, the nurse manager of the clinic does outreach to local clinics and hospitals to promote the utilization of Marshallese and Hispanic CHWs as a part of the clinical care team. OCHAR recruits CHW trainees from Marshallese and Hispanic churches, as well as directly from within health care organizations, with a goal of maintaining a running list of trained CHWs to share with area health care providers and organizations wishing to utilize CHWs. 

Funders: AmeriCorps, Centers for Disease Control and Prevention

Service Area: Benton and Washington counties

CHW Role: North Street Clinic CHWs work alongside medical providers in the North Street Clinic, serving as interpreters, patient navigators, and care coordinators for the large population or uninsured Marshallese living in the Northwest Arkansas area. 

Patient Population: Marshallese and Hispanic patients

Number of CHWs Employed: 2

uams prevention research center-hypertension study

Description: The Arkansas Prevention Research Center (ARPRC) is based at the UAMS Fay W. Boozman College of Public Health and is dedicated to better health for all Arkansans. The ARPRC is funded by the Centers for Disease Control and Prevention and tries to find and promote better ways to keep people from getting chronic disease such as heart disease and diabetes, especially in the rural areas of Arkansas where there are fewer resources and less access to health care. The ARPRC is currently running a program in Desha County called Take Control that focuses on helping people take control of their high blood pressure. There are 5 CHWs involved in the program now, with the expectation to add 3 or 4 additional CHWs within the next year. 

Funders: The Centers for Disease Control and Prevention

Service Area: Desha County

CHW Role: Provide culturally appropriate health promotion/education, risk identification, and direct services (hypertension measurement)

Patient Population: Adult, hypertensive patients enrolled in the study intervention. 

Number of CHWs Employed: 5 

uams emergency department

Description: The UAMS Arkansas Center for Health Disparities Community Engagement Core is partnering with the UAMS Department of Emergency Medicine to employ a CHW through the hospital Emergency Department. The CHW is a member of the health care team and works one-on-one with patients who frequently visit the Emergency Department. With the goal of reducing medically unnecessary Emergency Department visits, the CHW provides patients with information about and navigation assistance to primary and specialty care services as well as social services and community-based resource. 

Funders: Grant-supported

Service Area: Pulaski County 

CHW Role: System navigation, community resource and health care referrals, and care coordination

Patient Population: Pulaski County residents who frequently visit the UAMS Emergency Department

Number of CHWs Employed: 1

uams southwest

Description: UAMS Southwest in Texarkana is one of eight Regional Centers across the state. Serving as an Area Health Education Center, the campus is home to three UAMS colleges, two primary care clinics, a family medicine residency program, a regional cancer registry, community education programs, and a comprehensive medical library. 

Funders: UAMS

Service Area: Clark, Hempstead, Howard, Lafayette, Little River, Miller, Nevada, Pike, and Sevier counties 

CHW Role: Health care system navigation, assistance in gaining access to medical services or programs

Patient Population: No special populations targeted

Number of CHWs Employed: 1

Community clinic - a healthcare ministry of st. francis house nwa

Description: Community Clinic was founded as St. Francis House NWA, Inc. in 1989 by faith-based community members who began providing ministries of food, clothing, and shelter to those in need. By 1994, the focus moved to health in response to the overwhelming need to care for the uninsured. In 2004, Community Clinic became a Federally Qualified Health Center (FQHC). As a Community Health Center we offer convenient locations and hours as well as affordable, high-quality primary and preventive care to patients in Benton and Washington Counties. 

Funders: Combination of foundation support as well as federal, state, and local government support

Service Area: Benton and Washington counties

CHW Role: Assistance in gaining access to medical services or programs, gaining access to non-medical social services or programs, building community capacity, cultural mediation, interpretation, health care system navigation, health promotion/education, and translation. 

Patient Population: Hispanic/Latino, Pacific Islander (Marshallese), Immigrants, Uninsured

Number of CHWs Employed: 20 

hope, restoration & wellness learning center

Description: Promoting healthy and temperate lifestyle by providing relevant health information and health education. We also promote an ongoing resource in the community concerning the destructive effects of tobacco, alcohol, drugs, and other unhealthy lifestyle choices. 

Funders: Grant-supported

Service Area: Jefferson and Pulaski counties

CHW Role: Building community capacity, assistance in gaining access to medical services or programs, case management, community advocacy, counseling, health care system navigation, health education, and health insurance enrollment assistance.

Patient Population: Uninsured

Number of CHWs Employed: 4

southeast arkansas behavioral healthcare system, inc. 

Description: Southeast Arkansas Behavioral Healthcare System, Inc. is a private, not-for-profit, community mental health center, serving Arkansas, Cleveland, Grant, Jefferson, and Lincoln counties. 

Funders: Federal block grants, state per capita funds, The United Way, Medicaid/Medicare, Title XX contracts, private donations, individual collections, and private insurance. 

Service Area: Arkansas, Cleveland, Grant, Jefferson, and Lincoln counties

CHW Role: Direct services (vitals, height/weight measurement), case management, and counseling

Patient Population: People with disabilities, patients with mental health conditions

Number of CHWs Employed: 27 

future builders, Inc.

Description: Future Builders, Inc., is a non-profit community-based organization located in Southeast Pulaski County. The organization is a rural, multi-service grassroots initiative, which focuses on using human potential to empower community residents to become self-sufficient through resource mobilization, education, and training. Future Builders employs 1 full-time CHW to support health insurance enrollment activities. 

Funders: Grant-supported

Service Area: Arkansas, Garland, Grant, Jefferson, Lonoke, Monroe, Prairie, Pulaski, and Saline counties

CHW Role: Health Insurance Enrollment

Patient Population: Uninsured

Number of CHWs Employed: 1 

TB Outreach clinic

Description: The TB Outreach Clinic is associated with the Washington County Health Unit and the clinic's primary purpose is to identify and manage TB in Washington County. 

Funders: State and Federal 

Service Area: Washington County

CHW Role: The Disease Intervention Specialists provide Direct Observation Therapy for TB in patient home settings. Primarily, they are tasked with identifying, treating, and following-up with Marshallese and Hispanic TB patients, though they do work with other TB populations as well.

Patient Population: Marshallese and Hispanic populations

Number of CHWs Employed: 6