Implementing Seattle-King County Healthy Homes Project

Implementation last updated: 2012

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Prerequisites for implementation

Type of implementing program

The demonstration project was implemented by Public Health - Seattle & King County.

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Staffing requirements

Staff involved in the delivery of the SKC Healthy Homes project included (1) a community asthma nurse who provided clinic-based patient education, training in self-management, the development of a patient-specific asthma action plan, and case management and review, (2) CHWs who provided in-home education and support, (3) a program manager whose duties included CHW supervision, (4) a CHW nurse consultant who provided clinical back up to CHWs and was responsible for quality control, and (5) administrative support staff.

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Staff education and experience

CHWs were required to have a high school degree or equivalent. The program manager was required to have a master’s degree in public health or a related field and prior management experience. The community asthma nurse and CHW nurse consultant were required to be registered nurses (RN) and experience in health education. It was recommended that nurses also have a master’s in public health.

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Supervision requirements

Administrative supervision was provided by the program manager and included daily review of CHWs’ visit schedules, check-ins at the beginning and end of work day, check-ins before and after each home visit by cell phone, weekly team meetings, and monitoring productivity and quality standards. Clinical supervision was provided by the nurses. The nurses reviewed all new clients and action plans, at least 10 percent of all encounter notes, review of 2 to 4 entire clients’ records per month for each CHW. The nurses also conducted observations of two home visits per month for each CHW and reviewed case presentations at bi-weekly team meetings.

Recommended ratios for supervisors included 0.5 FTE program manager per FTE CHW and 0.25 FTE clinical supervisor per FTE CHW.

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Staff ratio requirements

Each CHW had a caseload of 40 to 60 active families.

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Data systems/technology requirements

A customized Access data base was used to track information about families and services.

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Implementation notes

The information contained on this page was last updated in February 2012. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the project director from Public Health-Seattle & King County on February 29, 2012. HomVEE reserves the right to edit the profile for clarity and consistency.

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