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2019 FHN Key Resources for Agricultural Health

Key resources for Ag worker health

By Theressa Lyons-Clampitt, Senior Program Manager and Training and Technical Assistance Coordinator, Migrant Clinicians Network

In May, the Farmworker Health Network (FHN) released its updated Key Resources for Agricultural Worker Health, which provide best practices and field-tested models for health center staff and board members serving agricultural workers. The FHN, a coalition of six HRSA-funded National Cooperative Agreement (NCA) organizations, provides training and technical assistance to health centers with a focus specifically designed to enhance care to agricultural workers and their families. The FHN members, comprised of Migrant Clinicians Network, MHP Salud, Farmworker Justice, National Center for Farmworker Health, Health Outreach Partners, and the National Association of Community Health Centers, contribute critical resources on topics relevant to agricultural worker health.

Here are a few topics covered in the new Key Resources list:

  • Health center board membership toolkit;

  • Bilingual digital stories on various health topics, including agricultural worker identification;

  • Health policy bulletin related to recent developments in policy and research;

  • Diabetes materials for agricultural worker patients;

  • Transportation and health access quality improvement toolkit;

  • Outreach reference manual;

  • Guide to develop easy-to understand materials;

  • Community Health Workers and social determinants of health resources;

  • Hypertension and heart health guide for Community Health Workers;

  • Continuity of care services for mobile patients;

  • Clinical education materials.

To access the complete guide, visit


Health Network and PRAPARE
In 2016, just as PRAPARE was set to launch, Migrant Clinicians Network was beginning to develop its new database to better serve patients enrolled in Health Network, MCN’s bridge case management program. Over the course of the following year, MCN configured the new database to allow for the integration of PRAPARE data, in which one health center’s PRAPARE data can be transferred to the next health center, as a mobile patient moves.
“When we started thinking about that data and [Health Network] case management work, so much of case management isn’t just ‘are you taking your medication every day?’ It’s more about, ‘How can I help you access care and manage your health in general?’” explained Anna Gard, RN, who assisted MCN in the development of the new database. “One piece of this is: ‘Let me help you find a health center.’ But the larger pieces around effective case management are, ‘How are you going to get there? Is there public transportation? How are you going to pick up your medications if you live in a hostile community and you’re afraid of leaving the house?’ PRAPARE gives a structured format to capture [these] data, in a form that’s been tested and validated.”
As more health centers provide case management and chronic care management to address the social determinants of health, Gard noted, integration of the PRAPARE data with Health Network, a virtual case management, seemed to make sense. Now, the Health Network team is working to fit PRAPARE into their own workflow.
Saul Delgado, Health Network Data Specialist, who has been integral in building and launching Health Network’s new case management system, notes that asking such personal questions over the phone, when a patient doesn’t have transferrable PRAPARE data from a previous health center, can be challenging. “When we call, the patient doesn’t know you. They’re very scared to answer these kinds of personal questions, whereas when you go the clinic, you at least see the nurse or case worker face-to-face,” he explained. But he recognizes the utility of the data, and has developed the PRAPARE data screens within the database to be easily accessed from the main patient information screen. With drop-down menus, Health Network Associates can populate the information they hear from patients, like how many people live with them in their household, or if they’re worried about losing their home. The information, either attained from a previous health center or inputted by a Health Network Associate, will be transferred when the mobile patient gets to his or her next destination, just as the basic medical records do.
“Health centers are doing more to integrate social and behavioral determinants of health, and we’re recognizing that all of those things have to be integrated with care management. So we’re on the forefront,” Gard concluded.

MCN Streamline Summer 2019

Read this article in the Summer 2019 issue of Streamline here!

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