Case Study

The Community Health Access Project (CHAP) – Richland County, Ohio

The Community Health Access Project (CHAP), in Richland, Ohio, implemented the Pathways approach to delivering care in 2001, using Community Health Workers to connect at-risk individuals to evidence-based protocols. The Pathways became useful tools to track each issue that an individual faced to a confirmed outcome.

Success with the Pathways approach led to the development of the full Pathways Community HUB Model in 2005. CHAP’s mission of reducing health disparities needed the engagement of the entire community – not one agency acting as a silo. The Community HUB Model developed into a regional point of client registration and coordination of services for families most likely to experience poor health outcomes. Immediate benefits of the Model included decreases in service duplication, improved outreach to families at risk, and county-wide improvement in birth outcomes.

What they did.

CHAP researchers identified the census tracts in Richland County, Ohio with the highest rates of low birth weight births in 1999. They then used local churches and community-based organizations to identify women living in at-risk communities who could be trained as Community Health Workers.

CHAP developed a 12-credit hour training program implemented through the local community college in a culturally and educationally appropriate manner. In addition, CHAP worked with others in Ohio to establish certification for Community Health Workers under the Ohio Board of Nursing.

How it worked.

CHAP’s initial implementation of Pathways, in Richland, Ohio, resulted in increased services to at-risk women, leading to a significant reduction in the rate of low birth weight infants:

  • The incidence of low birth weight reduced from 9.7% in 2005 to 8% in 2008 – providing significant cost savings and an overall healthier population.
  • The most recent analysis of CHAP data shows a continued low birth weight rate of 6-7% percent for women enrolled in the program.
  • In addition, the risk of having a low birth weight baby for women enrolled in CHAP was 6.1% compared to 13% in a matched control group.

These results were confirmed through collaboration with the Ohio Department of Health and the Ohio State University Department of Biostatistics.

Contact CCS today to start building a comprehensive, coordinated, economically sustainable Pathways Community HUB that suits your region’s specific needs.


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