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This facility is located in a designated community and is the most peripheral of a network of health and social services
(Level 1). It is staffed by individuals who live in the community and receive special training and certification as Community
Health Workers (CHW). They conduct health risk assessments, organize early prenatal care, conduct home visits and facilitate
family planning. The CHW also conducts screening and referral for hypertension, diabetes and other conditions prevalent among
community residents.
 Additional CHW duties include:
Assure proper preparation of home environment prior
to patient discharge from hospital
Provide education and counseling related to asthma, sickle
disease, HIV and other problems
Conduct assessments to identify social determinants of health
disparities and participate in intervention strategies
Tract teen pregnancies, Birth
Weight, ER utilization, etc
Monitor Medicaid/CHIP annual eligibility recertification
Foot
screening for community residents who have diabetes
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