Community Health Workers as an Extension of Care Coordination in Primary Care: A Community-Based Cosupervisory Model

J Ambul Care Manage. 2018 Oct/Dec;41(4):333-340. doi: 10.1097/JAC.0000000000000255.


Community health workers (CHWs) bring their unique capacity as liaisons for patients, communities, and health care systems to health care teams. We describe the collaborative development of a community-based CHW program to address the social determinants of health that affect patients. This cosupervisory, generalist CHW model provides an innovative template for cocreation of patient-centered infrastructure and resourcing within an evolving and replicable holistic care continuum across patient ages, diagnoses, health care payers, and communities to promote health equity. The program has been effective in decreasing health care utilization and cost.

MeSH terms

  • Community Health Workers*
  • Continuity of Patient Care*
  • Health Services Accessibility
  • Health Services Research
  • Humans
  • Minnesota
  • Primary Health Care / organization & administration*
  • Professional Role
  • Referral and Consultation
  • Social Determinants of Health