Peer Coach Recruitment Methods Sample Clauses

Peer Coach Recruitment Methods. A key aspect that informs peer coach recruitment is the structure that peer coaching programs are likely to take in the Black Belt region moving forward, as the Affordable Care Act continues to be fully implemented. An important part of this Act is provisions to pay for community health workers, but community health workers are currently not implemented in many practices in the area. In AL, practices are predominately private single or two-physician practices or FQHCs. A community coalition meeting on the topic of peer coach implementation for chronic disease self-management held in Camden, AL in September 2014 engaged over 100 community leaders and revealed that the current fee-for-service model that predominates in AL currently has been a major barrier to implementation of peer coaching programs. This is largely because many of the practices are too small to be able to afford their own peer coach, even in the wake of the January 2015 CMS announcement about the aggressive timeline for transitioning to value-based reimbursement within 2 years. Community members were supportive of a model in which peer coaches worked under community-based organizations (CBO) such as the nonprofit organizations led by our community coordinators rather than in a specific practice. This way, practices (or Regional Care Organizations) could reimburse the CBO for peer coaching services without taking on the human resources management aspects of this type of care extender. Another key insight during the development of the peer coaching intervention was the need to integrate peer coach into the practice. The peer coach stakeholders that are assisting with intervention development recommended we make efforts to recruit coaches from each of the practices, from among their pool of patients. This increases the likelihood of true integration into the care team, since the person being integrated is already well-known to the practice. We estimate that we will need between 3-5 coaches per practice. A peer coaching program in San Francisco reported that recruiting peer coaches from practices was feasible.47 We will therefore make efforts to recruit peer coaches from each practice, drawing on our reserve of 65 trained coaches in AL and 15 in NC should recruitment at the practice prove difficult. In the community capacity building model of community-based participatory research, the Health and Wellness Education Center of Livingston, AL, will be the administrative home for all AL peer coache...
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