Evaluation of a Community Health Worker Program Targeting Medicaid Recipients in an Orthopedic Clinic
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Date
2018-06
Authors
Johnson, Magnus Barlow
Journal Title
Journal ISSN
Volume Title
Publisher
University of Oregon
Abstract
Introduction: In Oregon, Medicaid benefits are managed by Coordinated Care Organizations (CCOs) that assist Medicaid members in navigating the healthcare system. A common form of assistance provided by CCOs is a Community Health Worker (CHW) program. There is a growing body of evidence that suggests CHW programs improve appointment-keeping behaviors, patient engagement, patient-provider communication, and health outcomes in a wide variety of clinics. However, this has yet to be examined in an orthopedic setting. The current study evaluates the effectiveness of a CHW program implemented by a CCO at an orthopedic clinic and surgical center. The study aims (1) to determine whether CHW outreach effectively reduced no-show rates among the CCO-member patient population and (2) to better understand the characteristics of CCO-member patients who are more likely to miss appointments as well as the characteristics of appointments that are more likely to be missed by CCO-member patients.
Description
88 pages. Presented to the Department of Biology and the Robert D. Clark Honors College in partial fulfillment of the requirements for the degree of Bachelor of Science June 2018
Keywords
Biology, Orthopedic Medicaid, Medicaid, Orthopedic, Health Worker, Patients, Appointment Keeping, No-show