Maine State Innovation Model (SIM) Grant – Community Health Workers Pilot & National Diabetes Prevention Program Implementation

State: Maine

Client(s): Maine CDC-Divsion of Population Health

Service: Applied Research & Evaluation

Technical Expertise: Chronic Disease Management, Health Care Reform, Health Disparities, Population Health

As chronic disease continues to burden health systems nationwide, additional approaches are needed to reduce the cost and improve the quality of care. One of these approaches involves greater use of community health workers (CHWs), defined by the American Public Health Association as “a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.”

The Maine Department of Health and Human Services was awarded a multi-year State Model Innovation (SIM) grant from the Centers for Medicaid and Medicare Services, major components of which are to further integrate CHWs into health care settings and to support the deployment of the National Diabetes Prevention Program (NDPP) throughout the state.

JSI has contracted with Division of Population Health within the Maine CDC to provide evaluation services for the SIM’s CHW and NDPP components. JSI is assisting the Maine CDC SIM Workgroup in developing an overall strategic evaluation plan, involving detailed analyses of best practices and interventions involving CHWs and diabetes management. JSI is also monitoring the activities of key partners in implementing CHWs and NDPP components into their operations and will report back to Maine CDC with comprehensive findings.

JSI and Maine CDC’s goal throughout this evaluation is to understand and implement best practices in implementing new chronic disease management infrastructure.