Community Based Outreach - DPH

PUBLIC HEALTH

County Spending Category
3.2 Hyperlocal and Community-Based Outreach
Federal Expenditure Category
Other COVID-19 Public Health Expenses (including Communications, Enforcement, Isolation/Quarantine)
Project Launch Date
09/01/2022
Anticipated End Date
08/31/2024
Interpretation Languages
  • Spanish
Written Languages
  • Spanish
  • Armenian
  • Cambodian (Khmer)
  • Korean
  • Russian
  • Tagalog/Filipino
  • Thai
  • Traditional Chinese
  • Simplified Chinese
  • Vietnamese
  • Japanese

Project Contacts

Indicators & Metrics to Date

  • Total Outreaches
    115377
  • Total Vaccination Appointments Scheduled
    4053
  • Referrals to Supportive Services - System Navigation
    52
  • Referrals to Supportive Services - Unemployment Services, Utilities, Assistance, 211
    0
  • Referrals to COVID-19 Services - Testing
    614
  • Referrals to Supportive Services - Social Services (Food & Housing)
    2871
  • Referrals to Supportive Services - Health Care
    1412
  • Referrals to Supportive Services - Mental Health
    567
  • Number of CHWs Each Agency Has Hired
    170
  • Total Number of Training Attendees
    250
  • Total Trainings Offered
    250
  • Total People Reached
    1824694
  • Referrals to Supportive Services - Unemployment Services, Utilities Assistance, 211
    55
  • Total Number of CHWs
    0
  • Number of CHWs that Completed the Mandatory Training Modules
    0

Target Populations

  • Small Businesses
  • People with Disabilities
  • Systems Impacted Individuals
  • Systems Involved Individuals
  • People Experiencing Homelessness

Project Description

The Los Angeles County Department of Public Health (LACDPH) established the Community Health Worker Outreach Initiative (CHWOI) to mobilize grassroots community outreach to ensure that our highest need residents can access accurate, up-to-date information and services needed to mitigate the spread of COVID-19 and reduce barriers to COVID-19 vaccination. LACDPH developed a priority index to help maximize the impact of street-level outreach efforts by locating areas with populations facing the highest combined risk in the following categories: COVID-19 case rates, language isolation, sensitive populations, and the Center for Disease Control’s Social Vulnerability Index (SVI). Data on current vaccination rates as well as priority communities, as classified by LACDPH, are overlaid with the priority index to ensure an equitable distribution of CHW work across areas of LA County with highest risk and at most need of intervention. 84% of outreaches will occur in high to highest priority areas when compared with the equity explorer, which include the larger geographic regions of Antelope Valley, San Fernando Valley, Metro LA, South LA, and East LA. Outreach, as defined by CHWOI, are interactions with members in a target community utilizing a variety of methods including, providing direct in-person outreach in community spaces where people may gather or be in close proximity (e.g., parks); conducting door-to-door outreach and door drop offs in residential areas; leveraging existing community networks in high need areas; outreaching to small businesses, community-based organizations, and faith-based organizations; and conducting virtual outreach (e.g., phone, email, social media, etc.) to provide information and health education about COVID-19 and vaccination and emerging health issues. CHWOI creates a coordinated community-centered system of care that provides targeted outreach and support to communities disproportionately impacted by COVID-19 by hiring approximately 100 full-time CHWs from community-based organizations across LA County. The initiative’s focus is to deliver in-language, culturally appropriate services to communities through the dissemination of health information and education, providing tangible supports such as personal protective equipment (PPE) and hand sanitizer, and connecting residents to COVID-19 related services (e.g., transportation, vaccination appointments, testing, etc.). While LACDPH continues to respond to the COVID-19 pandemic and with recovery in mind, CHWOI will expand its focus to prioritize community resource navigation and tailor strategies to better serve vulnerable communities that will work to address disparities in health outcomes (e.g., chronic disease, etc.) exacerbated by COVID-19. CHWOI Total % Highest 236 465 50.8 High 153 464 33.0 Moderate 58 464 12.5 Low 25 464 5.4 Lowest 6 465 1.3 Total 478 2322. 20.6

Goals & Objectives

Goal Description • By August 31, 2023, increased access to vaccinations to 100 individuals in highly impacted communities.

Objective Description • Reach approximately 300,000 LA County residents through outreaches over the course of the project period (July 2022 – June 2023), as measured by the CHW Outreach data tracker.

Activity Description • Provide CHWs with information about local vaccination sites to be shared with community members and schedule at least 100 vaccination appointments.
Indicators
# Type Name Baseline Target
1 Program Outcome Total Vaccination Appointments Scheduled 100.00 200.00
24 Program Outcome Total Vaccination Appointments Scheduled 25.00 100.00

Outcome Description By August 31, 2023, Community-based outreach will increase vaccination rates among high-impacted community members by scheduling 100 vaccination appointments.

Goal Description • By August 31, 2023, provide at least 3 referrals to resources and supportive services (e.g., medical, mental health, housing, food, etc.) as part of community outreach interactions with 2,500 individuals.

Objective Description • Provide at least 7,500 referrals to LA County residents for needed resources or supportive services over the course of the project period (July 2022 – June 2023), as measured by the CHW Outreach data tracker.

Activity Description • Provide linkages to supportive services and other community-based resources.
Indicators
# Type Name Baseline Target
1 Performance Referrals to Supportive Services - Mental Health 25.00 50.00
1 Performance Referrals to Supportive Services - Unemployment Services, Utilities Assistance, 211 5.00 20.00
1 Performance Referrals to COVID-19 Services - Testing 300.00 500.00
1 Performance Referrals to Supportive Services - Social Services (Food & Housing) 50.00 100.00
1 Performance Referrals to Supportive Services - System Navigation 20.00 50.00
1 Performance Referrals to Supportive Services - Health Care 100.00 150.00
2 Performance Referrals to Supportive Services - System Navigation 5.00 20.00
3 Performance Referrals to Supportive Services - Unemployment Services, Utilities, Assistance, 211 1.00 5.00
4 Performance Referrals to COVID-19 Services - Testing 100.00 300.00
5 Performance Referrals to Supportive Services - Social Services (Food & Housing) 25.00 50.00
6 Performance Referrals to Supportive Services - Health Care 50.00 100.00
7 Performance Referrals to Supportive Services - Mental Health 10.00 25.00

Goal Description • By August 31, 2023, increase the employment of a diverse workforce in highly impacted communities by hiring at least 100 Community Health Workers (CHWs).

Objective Description • Hire a minimum of 100 CHWs from historically underserved communities across LA County, with hiring beginning July 2022 through June 2023.

Activity Description • In collaboration with the lead fiscal agency and CBOs, hire a minimum of 100 CHWs.
Indicators
# Type Name Baseline Target
1 Performance Number of CHWs Each Agency Has Hired 45.00 100.00
1 Performance Total Number of CHWs 45.00 100.00
1 Performance Total Number of CHWs 15.00 45.00
2 Performance Number of CHWs Each Agency Has Hired 15.00 45.00

Goal Description • By August 31, 2023, increase chronic and communicable disease prevention awareness in residents in highly impacted communities by training 100 Community Health Workers (CHWs) to share tailored messaging to community members in assigned areas.

Objective Description • Leverage DPH communications resources to collaborate on the creation of relevant and accurate messaging, tailored to the changing needs of the communities served over the project period (July 2022 – June 2023).

Activity Description • Train a minimum of 100 CHWs using the mandatory DPH training modules, which are administered one time via an online platform and are required for all CHWs to complete before conducting outreach in the community.
Indicators
# Type Name Baseline Target
1 Service Delivery Total Number of Training Attendees 50.00 100.00
1 Service Delivery Number of CHWs that Completed the Mandatory Training Modules 45.00 100.00
1 Service Delivery Number of CHWs that Completed the Mandatory Training Modules 15.00 45.00
3 Service Delivery Total Number of Training Attendees 10.00 50.00

Activity Description • Offer approximately 25-50 training opportunities to CHWs in both English and Spanish over the course of the project period (July 2022 – June 2023) to enhance CHWs work-related skills and better prepare them for working in the field.
Indicators
# Type Name Baseline Target
1 Service Delivery Total Trainings Offered 10.00 30.00
1 Service Delivery Total Trainings Offered 30.00 60.00

Goal Description • By August 31, 2023, provide COVID-19 information to at least 150,000 community members in highly impacted communities throughout Los Angeles.

Objective Description • Conduct at least 150,000 outreaches to LA County residents over the course of the project period (July 2022 – June 2023), as measured by the CHW Outreach data tracker.

Activity Description • In collaboration with the lead fiscal agency, contract with 8-10 community-based organizations to conduct at minimum 150,000 outreaches to at least 300,000 community members in high need communities.
Indicators
# Type Name Baseline Target
1 Performance Total Outreaches 100000.00 300000.00
1 Performance Total Outreaches 300000.00 600000.00
1 Program Outcome Total People Reached 300000.00 600000.00
2 Program Outcome Total People Reached 100000.00 300000.00

Outcome Description By August 31, 2024, Community-based outreach will increase awareness of COVID protection and mitigation strategies among 300,000 community members residing in the most highly impacted communities throughout LA County.