RFGA2024-019 CHW Community-Clinical Linkage Partnership/Program

All work supported under this Grant shall focus on reducing health disparities for the populations across the state impacted by the high prevalence of cardiovascular disease (CVD), exacerbated by health inequities and disparities, social determinants, such as low incomes, poor health care, and unfair opportunity structures.  Financial Notes: National Cardiovascular 2304 Strategy 3B ADHS will identify one (1) Subrecipient to create or expand a (CHW) led community-clinical linkage partnership/program in one of the following counties: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, or Yuma. The Subrecipient shall work with the CCL partnership/program to identify and train a team of CHWs to recruit for and implement the CCL partnership/program, providing a continuum of care and services which extend the benefits of clinical interventions and address social services and support needs leading to optimal health outcomes. Innovative Cardiovascular 2305 Strategies 3A and 3B ADHS will identify one (1) contractor to create or expand a community-clinical linkage partnership/program within Maricopa County. The Subrecipient shall work within a CCL partnerships/programs to identify and train dedicated CHWs (or their equivalents) through a CHW SDOH referral system to create and enhance community clinical links to identify social determinants of health {(SDoH) e.g., housing, transportation, access to care, and community resources} and respond to the individual social services and support needs within each county, providing a continuum of care and services which extend the benefits of clinical interventions and address social services and support needs leading to optimal health outcomes.