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Commonly-Used Metrics

Specific goals of a community health worker (CHW) program should be considered when determining metrics for program evaluation. Programs should consider using metrics that allow for comparison with other similar CHW programs.

  • Patient demographic information
    • Gender
    • Age
    • Language
    • Health status (e.g., diabetes, arthritis, etc.)
    • Access to healthcare with specific source
    • Access/type of health insurance
    • Access to healthcare in other countries (e.g., migrant workers)
    • Physical activity and nutrition information
  • Program process measures
    • Number of consumers who receive education
    • Number of CHW program activities consumers engage in
    • Number of CHWs involved in community activities
    • Number of referrals made by CHWs
    • Number of education programs facilitated by CHWs
    • Number of people screened
  • Consumer behaviors
    • Reasons consumers use CHW services
    • How patient learned of CHW services
    • Patient perception of access (access to healthcare or social services)
    • Presence/types of compliance and self-management issues
  • Patient outcomes
    • Health outcomes such as blood glucose level, blood pressure, etc.
    • Healthcare utilization (frequency of primary care or emergency department visits)
    • Chronic disease (number of newly diagnosed patients)
    • Self-reported health
    • Consumer satisfaction
    • Improvements in knowledge about or awareness of health issues
    • Cost savings (e.g., fewer emergency department visits)
  • Costs of CHW interventions
    • Staff salaries
    • Start-up costs
    • Training costs

Resource to Learn More

A Cost Analysis of a Rural Community Health Worker Program
Document
Describes the study intent and methodology in performing a cost analysis of a rural community health worker program. Information was derived from a comprehensive evaluation of a rural Vermont CHW program.
Organization(s): Centers for Disease Control and Prevention (CDC)
Date: 2013

Evaluation of a Community Health Worker Training Program in Rural Appalachia, USA
Document
Describes an evaluation conducted to assess the curriculum, materials, and testing procedures for a CHW training program, and discusses advantages of CHW programs in rural communities.
Author(s): Miller, W.C.
Citation: International Journal of Medicine, 3(1): 33-37
Date: 2015

Massachusetts Community Health Worker Survey Report
Document
Provides two survey tools – one to collect information from CHWs, and one to collect information from the supervisors of CHWs.
Organization(s): Massachusetts Department of Public Health
Date: 2005

National Community Health Advisor Study Evaluation Framework for Community Health Advisor Programs
Document
Identifies process measures and data sources to be used during the evaluation process for community Health advisory programs. Appendix C of Handbook for Enhancing Community Health Worker Programs.
Organization(s): Centers for Disease Control and Prevention (CDC)
Date: 2010