WASHINGTON STATE DEPARTMENT OF HEALTH

Community Health Worker Training System Data for Regional Accountable Communities of Health DECEMBER 2012 – OCTOBER 2020

DOH 349-003 May 2021 For people with disabilities, this document is available on request in other formats. To submit a request, please call 1-800-525-0127 (TDD/TTY 711). How to Use / Interpret This Document Table of Contents The Washington State Department of Health’s (DOH) Community 1 How to Use / Interpret Health Workers (CHW) Training System focuses on relationship This Document building, communication, collaboration and coordination among multiple sectors and partners to provide innovative training 2 DOH CHW Training System strategies to the community-based workforce. This work aligns CHW Background with the department’s Outward Mindset core culture and 3 Better Health Together performance strategy and Washington State’s One Health initiative. 4 Cascade Pacific Action Over 2200 participants have completed the CHW core Alliance competency training since it began in 2012. (Detailed participant 5 Greater Columbia records allow us to track information regarding geographic location, CHW roles, employer contact information, and other 6 King related information, using a simple database). 7 North Central The following fact sheets provide a breakout of CHW training 8 North Sound graduates by corresponding Accountable Community of Health (ACH) Regions. Data include a general overview of the number 9 Olympic of DOH CHW training graduates by county, self-identified CHW 10 Pierce role, list of participating agencies, percentage of graduates by sector and reported language capabilities. Evaluation efforts 11 Southwest Washington conducted in 2015 indicate most training participants attend at Regional Health Alliance the request of their employer/supervisor.

ACCOUNTABLE COMMUNITIES OF HEALTH REGIONS

Whatcom

Okanogan* San Juan Skagit Pend Ferry Stevens Oreille NORTH Island SOUND

Clallam Snohomish NORTH OLYMPIC CENTRAL BETTER Chelan HEALTH Jefferson TOGETHER Douglas Kitsap KING Lincoln Spokane King

Grays Mason Harbor Grant Kittitas PIERCE Adams Whitman Thurston Pierce CASCADE PACIFIC ACTION ALLIANCE

Pacific Lewis Franklin Garfield

Yakima GREATER COLUMBIA Columbia Wahkiakum Cowlitz Skamania Walla Walla Asotin Benton

SW WA REGIONAL Klickitat* HEALTH Clark ALLIANCE * Okanogan and Klickitat are transitional counties based on Medicaid regional service areas.

Community Health Worker Training System Data | December 2012 – October 2020 1 DOH CHW Training System The CHW Training System sponsored by WA DOH offers standardized training to support community-based workers in clinical and non- clinical settings throughout state. Trainings are offered across the state on a quarterly basis with a capacity to provide training to up to 500 CHWs annually. The 30-hour core curriculum training series is spread out over eight weeks. The core sessions address CHW roles and boundaries; communication skills; outreach and engagement, health disparities, cultural competency; organization skills; documentation skills; assessment skills; service coordination skills; and case study skills during the final in-person session of the class. An expanding list of online health-specific continuing education modules (many are available in Spanish) with an additional 100+ hours of curriculum is available to participants who successfully complete the core training.

CHW Background Community health workers are frontline public health workers who apply their unique understanding of the experiences, language, and culture of the populations they serve in order to carry out some of the following roles: >> Ensure people have access to needed health and social services they need through service coordination, referral, and follow-up. >> Provide health coaching or social support to people. CHWs may serve under a variety >> Provide culturally appropriate health education and information. of titles in Washington including: >> Provide basic services and screening tests (such as support >> Community Health Worker with blood pressure monitoring). >> Community Health Advisor >> Provide a cultural link between organizations and communities. >> Community Health Advocate >> Advocate for the needs and perspectives of the community. >> Community Health Promoter >> Help community members increase health knowledge and be >> Outreach Worker self-sufficient. >> Outreach Advocate >> Advocate for the needs and perspectives of the community members served. >> Community Health Representative >> Help community members increase health knowledge and be self-sufficient. >> Patient Navigator >> Promotora/Promotores de Salud >> Please visit the following webpages for more information: >> Peer Health Advisor Washington State Department of Health Community Health Worker Training System: www.doh.wa.gov/chwts >> Peer Counselor Washington State Health Care Authority plan for a >> Lay Health Advisor Healthier Washington: >> Peer Leader www.hca.wa.gov/about-hca/healthier-washington >> And many more >> Questions relating to this document can be forwarded to: [email protected]

Community Health Worker Training System Data | December 2012 – October 2020 2 Better Health Together Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Amerigroup RealSolutions: 4 Ferry...... 7 >> CHAS Health: 33 Lincoln...... 1 >> Confluence Health: 3 Okanogan...... 21 >> Family Health Centers: 6 Pend Oreille...... 8 >> House of Charity: 3 Spokane...... 253 >> Molina Healthcare: 4 Stevens...... 12 >> NATIVE Project: 5 >> Pioneer Human Services: 8 Identified Roles of Graduates >> Planned Parenthood: 4 >> Providence Sacred Heart Medical Center: 4 >> >> Care Coordinator Rural Resources Community Action: 4 >> >> Community Health Worker SNAP: 6 >> 20 >> Community Support Worker Volunteers of America E. Washington and N. Idaho: >> Yakima Valley Farm Workers Clinic: 2 >> Community Resource Specialist >> Family Advocate PUBLIC HEALTH PARTNERS >> Health Educator >> Northeast Tri County Health District: 8 >> Medical Assistant >> Okanogan County Public Health: 1

>> Outreach Worker >> Spokane Regional Health District: 48 >> Patient Advocate COMMUNITY-BASED ORGANIZATIONS >> Patient Navigator >> Better Health Together: 17 >> Promotoras >> Catholic Charities Spokane: 14 >> WIC Certifier >> Community-Minded Enterprises: 3 >> Program Manager >> Lutheran Community Services Northwest: 2 >> Peer Advocate >> YMCA: 11 >> Program Coordinator TRIBAL PARTICIPANTS >> Medical Social Worker >> Confederated Tribes of the Colville Reservation: 5 >> Health Coach >> Indian Health Service: 1 >> In-Person Assistor >> Kalispel Tribe: 3 >> Financial Counselor >> Spokane Tribe: 2 >> Program Assistant EDUCATION PARTNERS >> Washington State University: 5 Reported Language Capabilities OTHER PARTNERS of Graduates >> Neighborhood Networks: 2 >> Susan G. Komen: 2 >> 30 CHW Training System graduates reported bilingual capabilities (11% Sectors where graduates are working: of total graduates for this region). These data are self-reported by CHW Training System graduates during the training >> 24% of bilingual CHW Training registration process. All CHW registrants are asked to identify sectors they work System Graduates report being with. Graduates were able to select multiple sectors during the registration process and may work in one or more sectors. Total percentage may not add to 100%. fluent in Spanish. Community Based Organization 47% >> Ukrainian and German are the 2nd Church and 3rd most common languages 8% Housing CHWs report being fluent in. 31% Community Community Organizations Schools >> CHWs also report being fluent 15% in Azeri, Mandarin Chinese, Community Health Center 15% Marshallese, Punjabi, Romanian, Clinic 34% Russian, Swahili, Swiss, and Urdu. Medical Providers Hospital 13%

Community Health Worker Training System Data | December 2012 – October 2020 3 Cascade Pacific Action Alliance Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Cowlitz Family Health Center: 5 Cowlitz ...... 33 >> Kaiser Permanente: 4 Grays Harbor...... 4 >> Mason General Hospital: 4 Lewis...... 4 >> Molina Healthcare: 2

Mason...... 9 >> PeaceHealth Southwest Medical Center: 8 >> 2 Pacific...... 0 Physicians of Southwest Washington: >> Providence St. Peter Hospital: 1 Thurston...... 39 >> Sea Mar Community Health Centers: 2 Wahkiakum...... 1 >> UnitedHealthcare Community Plan: 2 PUBLIC HEALTH PARTNERS Identified Roles of Graduates >> Cowlitz County Health & Human Services: 5 >> Grays Harbor Public Health: 1 >> Thurston County Health & Human Services: 2 >> Community Health Worker >> Wahkiakum County Public Health: 1 >> Care Coordinator >> Outreach Worker COMMUNITY-BASED ORGANIZATIONS >> Patient Navigator >> Cowlitz AmeriCorps Network: 5 >> Patient Care Coordinator >> Korean Women’s Association: 1 >> Program Coordinator >> Lower Columbia CAP: 4 >> Promotoras EDUCATION PARTNERS >> Public Health Nurse >> Lower Columbia College: 4 >> School Staff >> ESD 113: 1 >> Caregiver TRIBAL PARTICIPANTS >> Confederated Tribes of the Chehalis Reservation: 1 >> South Puget Intertribal Planning Agency: 1 Reported Language Capabilities >> Squaxin Island Tribe: 1 of Graduates >> Cowlitz Indian Tribe: 1 OTHER PARTNERS >> 11 CHW Training System graduates >> Evergreen Vista Apartments: 3 reported bilingual capabilities >> Legacy Salmon Creek Medical Center: 1 (8.3% of total graduates for this region). >> 66% of bilingual CHW Training Sectors where graduates are working: System Graduates report being These data are self-reported by CHW Training System graduates during the training fluent in Spanish. registration process. All CHW registrants are asked to identify sectors they work with. Graduates were able to select multiple sectors during the registration process >> CHWs also report being fluent in and may work in one or more sectors. Total percentage may not add to 100%. ASL, Dutch, French, and Creole. Community Based Organization 53% Church 6% Housing 9% Community Community

Organizations Schools 11% Community Health Center 11% Clinic 26% Medical Providers Hospital 22%

Community Health Worker Training System Data | December 2012 – October 2020 4 Greater Columbia Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Aging and Disability Services: 7 Asotin...... 2 >> Alliance Consistent Care Program: 3 Benton ...... 105 >> Columbia Basin Health Association: 13 Columbia ...... 4 >> Community Health of Central Washington: 9 Franklin...... 53 >> Fred Hutchinson Cancer Research Center: 4 Garfield...... 2 >> HopeSource: 15 Kittitas...... 47 >> Kadlec Regional Medical Center: 4

Klickitat...... 4 >> Planned Parenthood: 8 >> Walla Walla...... 10 Southeast Washington Aging and Long Term Care Council of Governments: 32 Whitman...... 2 >> Tri-Cities Community Health: 4 Yakima...... 121 >> Tri-State Memorial Hospital: 3 >> UnitedHealthcare Community Plan: 2 >> Yakima Valley Farm Workers Clinic: 45 Identified Roles of Graduates >> Yakima Valley Memorial Hospital: 5 PUBLIC HEALTH PARTNERS >> Community Health Worker >> Benton-Franklin Health District: 7 >> Health Educator >> Garfield Public Health: 1 >> Outreach Worker >> Kittitas County Public Health: 6 >> Patient Navigator >> Klickitat County Public Health: 3 >> Health Promotion Specialist >> Public Health Foundation of Columbia County: 3 >> Care Coordinator >> Yakima County Health District: 5 >> Case Manager >> Caregiver EDUCATION PARTNERS >> Community Support Worker >> Central Washington University: 10 >> Patient Advocate >> Columbia Basin College: 32 >> AmeriCorps Member >> Domestic Violence Services of Benton & Franklin >> Medical Assistant Student Counties: 1 >> Promotoras >> Northwest Community Action Center: 1 >> Washington State University: 4

Reported Language Capabilities of Graduates Sectors where graduates are working: This data is self-reported by CHW Training System graduates during the training registration process. All CHW registrants are asked to identify sectors they work with. Graduates were able to select multiple sectors during the registration process >> 99 CHW Training System and may work in one or more sectors. Total percentage may not add to 100%. graduates reported bilingual Community Based Organization capabilities (25% of total graduates 50% Church for this region). 4% Housing >> 91% of bilingual CHW Training 9% Community Community

Organizations Schools System Graduates report being 12% fluent in Spanish. Community Health Center 10% >> CHWs also report being fluent in Clinic 43%

ASL, Burmese, Filipino, Korean, Medical Providers Hospital 12% and Serbian.

Community Health Worker Training System Data | December 2012 – October 2020 5 King Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> American Lung Association: 2 King...... 377 >> Amerigroup RealSolutions: 5 >> Concerto Health: 4 >> Identified Roles of Graduates International Community Health Services: 16 >> Kaiser Permanente: 10 >> Lutheran Community Services Northwest: 3 >> Care Coordinator >> Molina Healthcare: 2 >> Community Health Worker >> MultiCare Health Systems: 7 >> Community Support Worker >> Neighborcare Health: 4 >> Family Advocate >> Sea Mar Community Health Centers: 36 >> Health Educator >> Seattle Cancer Care Alliance: 3 >> Medical Assistant >> Swedish Medical Center: 3 >> Outreach Worker >> UnitedHealthcare Community Plan: 10 >> Patient Advocate PUBLIC HEALTH PARTNERS >> Patient Navigator >> Public Health — Seattle & King County: 19 >> Promotoras COMMUNITY-BASED ORGANIZATIONS

>> WIC Certifier >> BABES Network: 2 >> Program Manager >> Center for Multicultural Health: 3 >> Peer Advocate >> Global to Local: 3 >> Program Coordinator >> HealthPoint: 8 >> Health Coach >> Neighborhood House: 4 >> Medical Social Worker >> YMCA: 8 >> In-Person Assistor >> YWCA: 7 >> Financial Counselor EDUCATION PARTNERS >> LPN >> University of Washington: 9 >> Program Assistant TRIBAL PARTICIPANTS >> Seattle Indian Health Board: 3 Reported Language Capabilities >> Snoqualmie Indian Tribe: 1 of Graduates >> Tulalip Tribe: 1 OTHER PARTNERS >> 91 CHW Training System graduates >> Harborview Medical Center: 2 reported bilingual capabilities (36% >> Jewish Family Service of Seattle: 2 of total graduates for this region). >> Mercy Housing: 12 >> Seattle Children’s Hospital: 4 >> 44% of bilingual CHW Training System Graduates report being fluent in Spanish. Sectors where graduates are working: >> Amharic, Somali, Tigrinya are the This data is self-reported by CHW Training System graduates during the training 2nd, 3rd and 4th most common registration process. All CHW registrants are asked to identify sectors they work languages CHWs report being with. Graduates were able to select multiple sectors during the registration process fluent in. and may work in one or more sectors. Total percentage may not add to 100%. Community Based Organization 56% >> CHWs also report being fluent Church in ASL, Bosnian, Cambodian, 5% Congolese, Croatian, Dari, Farsi, Housing 10%

Finnish, French, German, Hader, Community Organizations Schools Hawaiian, Hindi, Italian, Mandarin 13% Chinese, Nepali, Portuguese, Community Health Center 11% Punjabi, Romanian, Russian, Swahili, Clinic and Tagalog. 48% Medical Providers Hospital 13%

Community Health Worker Training System Data | December 2012 – October 2020 6 North Central Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Amerigroup RealSolutions: 2 Chelan...... 67 >> Cascade Medical Center: 4 Douglas...... 14 >> Catholic Family and Child Services: 3 Grant...... 28 >> Chelan Douglas Child Service Association: 5

Okanogan...... 19 >> Columbia Basin Hospital: 2 >> Columbia Valley Community Health Center: 10 >> Community Health of Central Washington: 1 Identified Roles of Graduates >> Comprehensive Family Care: 1 >> Confluence Health: 13 >> Coulee Medical Center: 4 >> Care Coordinator >> Family Health Centers: 2 >> Community Health Worker >> Lake Chelan Community Hospital EMS: 17 >> Community Support Worker >> Molina Healthcare: 1 >> Family Advocate >> Moses Lake Clinic: 1 >> Health Educator >> Moses Lake Community Health Center: 3 >> Medical Assistant >> Quincy Community Health Center: 1 >> Outreach Worker >> Quincy Valley Medical Center: 2 >> Patient Advocate >> Wahluke Family Clinic: 1 >> Patient Navigator >> Promotoras PUBLIC HEALTH PARTNERS >> >> WIC Certifier Chelan-Douglas Health District: 1 >> >> Program Manager Okanogan County Public Health: 1 >> Peer Advocate TRIBAL PARTICIPANTS >> Program Coordinator >> Confederated Tribes of the Colville Reservation: 8 >> Medical Social Worker OTHER PARTNERS >> Health Coach >> EPIC: 4 >> In-Person Assistor >> Financial Counselor >> LPN >> Program Assistant Sectors where graduates are working: This data is self-reported by CHW Training System graduates during the training Reported Language Capabilities registration process. All CHW registrants are asked to identify sectors they work of Graduates with. Graduates were able to select multiple sectors during the registration process and may work in one or more sectors. Total percentage may not add to 100%.

Community Based Organization

32% >> 34 CHW Training System graduates Church reported bilingual capabilities (32% 11% Housing of total graduates for this region). 7% Community Community

Organizations Schools >> 91% of bilingual CHW Training 32% Community Health Center System Graduates report being 19% fluent in Spanish. Clinic 36% Medical >> CHWs also report being fluent in Providers Hospital 35% French, Thai, Arabic, Kuku, and Luganda.

Community Health Worker Training System Data | December 2012 – October 2020 7 North Sound Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Citrine Health: 9 >> Skagit ...... 15 Community Health Center of Snohomish County: 4 >> Everett Clinic: 1 Snohomish ...... 150 >> Evergreen Health: 1 Whatcom...... 52 >> Island Hospital: 2 Island...... 2 >> Kaiser Permanente: 1 >> Molina Healthcare: 1 >> Mt. Baker Planned Parenthood: 7 Identified Roles of Graduates >> Northwest Integrated Health: 1 >> Sea Mar Community Health Centers: 1 >> Swedish Medical Center: 2 >> Community Health Worker >> Unity Care NW: 5 >> Health Educator PUBLIC HEALTH PARTNERS >> Outreach Worker >> Island County Public Health: 1 >> Patient Navigator >> Skagit County Public Health: 1 >> Health Promotion Specialist >> Snohomish Health District: 1 >> Care Coordinator COMMUNITY-BASED ORGANIZATIONS >> Case Manager >> BABES Network: 1 >> Community Support Worker >> Homage Senior Services: 1 >> Caregiver >> Lutheran Community Services Northwest/Familias Unidas: 26 >> >> Americorp Member North American Syringe Exchange Network: 1 >> 2 >> YMCA: Patient Advocate >> YWCA: 1 >> Medical Assistant >> Student EDUCATION PARTNERS >> 2 >> Trinity Lutheran College: Promotoras >> Whatcom Community College: 2 >> Peer Counselor >> Parish Nurse TRIBAL PARTICIPANTS >> 3 >> Lummi Nation: Paramedic >> Sauk-Suiattle Indian Tribe: 1 >> Registered Nurse >> Stillaguamish Tribe of Indians: 6 >> Tulalip Tribes of Washington: 6 >> Upper Skagit Indian Tribe: 1 Reported Language Capabilities of Graduates OTHER PARTNERS >> Denney Juvenile Justice Center: 1 >> North Sound Accountable Community of Health: 1 >> Camano Island Fire and Rescue: 1 >> 60 CHW Training System graduates >> Whatcom Alliance for Health Advancement: 1 reported bilingual capabilities (27% of total graduates for this region). Sectors where graduates are working: >> 82% of bilingual CHW Training This data is self-reported by CHW Training System graduates during the training System Graduates report being registration process. All CHW registrants are asked to identify sectors they work fluent in Spanish. with. Graduates were able to select multiple sectors during the registration process and may work in one or more sectors. Total percentage may not add to 100%. >> Arabic and Russian are the 2nd Community Based Organization and 3rd most common languages 43% Church CHWs report being fluent in. 6% Housing >> CHWs also report being fluent in 6% Community Community

Organizations Schools French, Dutch, Marshallese, Urdu, 37% and Filipino. Community Health Center 31% Clinic 27% Medical Providers Hospital 12%

Community Health Worker Training System Data | December 2012 – October 2020 8 Olympic Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Family First Adult Family Homes: 1 Clallam ...... 32 >> Forks Community Hospital: 1 Jefferson...... 6 >> Harrison Medical Center: 1 Kitsap...... 33 >> Jefferson Healthcare: 1 >> Kitsap Eye Physicians: 1 >> Olympic Medical Center: 3 Identified Roles of Graduates >> Peninsula Community Health Services: 12 >> Quileute Health Center: 2 >> Community Health Worker PUBLIC HEALTH PARTNERS >> Medical Assistant >> Clallam County Health and Human Services: >> Outreach Worker >> Jefferson County Public Health: 1 >> Patient Navigator >> Kitsap Public Health District: 2 >> Program Coordinator COMMUNITY-BASED ORGANIZATIONS >> Medical Coordinator >> YWCA: 2 >> Public Health Nurse >> Caregiver EDUCATION PARTNERS >> Community Support Worker >> Head Start Sequim: 1 >> AmeriCorps Member >> Peninsula College Medical Assistant Students: 13 TRIBAL PARTICIPANTS Reported Language Capabilities >> Jamestown S’Klallam Tribe: 1 of Graduates >> Lower Elwha Klallam Tribe: 1 >> Port Gamble S’Klallam Tribe: 1 >> Quileute Tribe: 1 >> 8 CHW Training System graduates OTHER PARTNERS reported bilingual capabilities (9% of >> Bremerton Housing Authority: 1 total graduates for this region). >> 44% of bilingual CHW Training System Graduates report being fluent in Spanish. Sectors where graduates are working: >> CHWs also report being fluent in This data is self-reported by CHW Training System graduates during the training Danish, German, Korean, Setswana, registration process. All CHW registrants are asked to identify sectors they work and Tagalog. with. Graduates were able to select multiple sectors during the registration process and may work in one or more sectors. Total percentage may not add to 100%.

Community Based Organization 37% Church 4% Housing 10% Community Community

Organizations Schools 17% Community Health Center 30% Clinic 60% Medical Providers Hospital 19%

Community Health Worker Training System Data | December 2012 – October 2020 9 Pierce Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Catholic Community Services: 2 Pierce ...... 254 >> CHI Franciscan Health: 1 >> Community Health Care: 10 >> Coordinated Care: 3 >> Identified Roles of Graduates Healthcare for the Homeless: 1 >> HealthPoint: 1 >> International Community Health Services: 1 >> Care Coordinator >> Kaiser Permanente: 9 >> Community Health Worker >> MultiCare Tacoma General Hospital: 5 >> >> Community Support Worker Northwest Integrated Health: 6 >> 1 >> Family Advocate PAVE: >> Sea Mar Community Health Centers: 20 >> Health Educator >> Summit View Clinic: 2 >> Medical Assistant >> UnitedHealthcare Community Plan: 3 >> Outreach Worker >> Valley Medical Center: 2 >> Patient Advocate >> Patient Navigator PUBLIC HEALTH PARTNERS >> 18 >> Promotoras Tacoma-Pierce County Health Department: >> WIC Certifier COMMUNITY-BASED ORGANIZATIONS >> Program Manager >> Centro Latino: 2 >> Peer Advocate >> Community Change: 2 >> Program Coordinator >> Elevate Health: 1 >> >> Medical Social Worker Foundation for Healthy Generations: 1 >> 1 >> Health Coach HopeSparks: >> Korean Women’s Association: 5 >> In-Person Assistor >> North American Syringe Exchange Network: 3 >> Financial Counselor >> Peninsula Community Services: 6 >> LPN >> Point Defiance AIDS Projects: 1 >> Program Assistant >> Samoan National Nurses Association: 3 >> Solutions for Humanity, Community, and the Environment: 2 Reported Language Capabilities OTHER PARTNERS of Graduates >> Mercy Housing: 8 >> Salishan: 2 >> The Villages Assisted Living: 2 >> 63 CHW Training System >> Volunteers of America: 10 graduates reported bilingual capabilities (21% of total Sectors where graduates are working: graduates for this region). This data is self-reported by CHW Training System graduates during the training >> 68% of bilingual CHW Training registration process. All CHW registrants are asked to identify sectors they work System Graduates report being with. Graduates were able to select multiple sectors during the registration process fluent in Spanish. and may work in one or more sectors. Total percentage may not add to 100%. Community Based Organization 57% >> CHWs also report being fluent Church in Albanian, Amharic, Arabic, 15% Housing ASL, French, Garifuna, Kiswahili, 19% Community Community Khmer, Korean, Laotian, Mandigo, Organizations Schools 10% Oromo, Romanian, Russian, Community Health Center 23% Samoan, and Ukrainian. Clinic 27% Medical Providers Hospital 17%

Community Health Worker Training System Data | December 2012 – October 2020 10 Southwest Washington Regional Health Alliance Community Health Worker Training System Graduate Data

What agencies are graduates working at? Number of Graduates by County HEALTH CARE PARTNERS >> Aging and Disability Services: 2 Clark...... 143 >> Angel MedFlight: 1 Skamania...... 0 >> Cascade Women’s Clinic: 1 >> Columbia River Mental Health Services: 1 >> Community Health Alliance: 1 >> Free Clinic of Southwest Washington: 5 Identified Roles of Graduates >> Indian Health Service: 1 >> Kaiser Permanente: 5 >> >> Community Health Worker Legacy Salmon Creek Medical Center: 1 >> Lifeline Connection: 2 >> Health Educator >> Lifestyle Health Management: 1 >> Outreach Worker >> Lutheran Community Services Northwest: 6 >> Patient Navigator >> New Day Dental Clinic: 1 >> Health Promotion Specialist >> New Heights Clinic: 1 >> Care Coordinator >> PeaceHealth Southwest Medical Center: 11 >> Case Manager >> Sea Mar Community Health Centers: 17 >> Caregiver PUBLIC HEALTH PARTNERS >> Community Support Worker >> Clark County Public Health: 12 >> AmeriCorps Member >> Patient Advocate COMMUNITY-BASED ORGANIZATIONS >> Medical Assistant Student >> Chesterfield Services: 1 >> Promotoras >> PACT Coalition: 1 >> >> Peer Counselor YWCA: 1 >> >> Parish Nurse Southwest Washington ACH: 1 >> Paramedic EDUCATION PARTNERS >> Registered Nurse >> Evergreen Public Schools: 1 OTHER PARTNERS Reported Language Capabilities >> Brain Injury Alliance of Washington: 1 >> 1 of Graduates Columbia River Community Services Office: >> Gaffney Counseling & Consulting: 1 >> Reside Residential Care: 1 >> Second Step Housing: 1 >> 21 CHW Training System >> Vancouver Housing Authority: 3 graduates reported bilingual capabilities (15% of total graduates for this region). >> 71% of bilingual CHW Training Sectors where graduates are working: System Graduates report being This data is self-reported by CHW Training System graduates during the training fluent in Spanish. registration process. All CHW registrants are asked to identify sectors they work with. Graduates were able to select multiple sectors during the registration process >> CHWs also report being fluent in and may work in one or more sectors. Total percentage may not add to 100%.

ASL, Illocano, Guarani, Mandarin Community Based Organization

49% Chinese, Micronesian Pacific Church Islander, Russian, and Tagalog. 3% Housing 5% Community Community

Organizations Schools 7% Community Health Center 23% Clinic 14% Medical Providers Hospital 15%

Community Health Worker Training System Data | December 2012 – October 2020 11