• The Indiana State Department of Health begins a research project to define CHWs in Indiana.  
• The first statewide meeting to develop the CHW workforce is held.

• A CHW Coalition plan is developed. 
• An assessment of the CHW landscape is conducted in both English and Spanish.
• A CHW coalition, literature, website, and Facebook are launched.
• A CHW Symposium is held to share assessment findings. 

• Districts are defined to better organize the CHW movement.
• The CHW Coalition becomes the Indiana Community Health Workers Association (INCHWA).

• Margarita Hart is named INCHWA Interim Coordinator and is tasked with leading the Staging Phase.
• A strategic plan, scope of practice, coordinator job and description are developed.
• ISDH provides INCHWA with seed funding.
• INCHWA incorporates.
• Margarita Hart is appointed President.
• A Board is established to direct INCHWA governance.
• Regional Directors are recruited to offer operational direction.
• ISDH provides funding for the implementation of the strategic plan.
• INCHWA develops a strategy to become the certifying body for CHWs in Indiana. 

• INCHWA places Regional Directors in 9 of 10 regions.
• County Chairs are recruited to help represent each county's workforce.
• An Education Committee is developed to aid in developing a process to certify CHWs. 

• INCHWA is designated as the certifying body for CHWs in Indiana by the ISDH.
• The certification process is piloted. HealthVisions Midwest becomes the first INCHWA-approved Training Vendor of Certified CHW curriculum. 
• A research study is completed to assess employer knowledge of CHWs and to understand barriers to hiring CHWs.
• Indiana’s Governor builds a CHW Taskforce that is charged with defining CHWs and the certification process for the state, including securing reimbursement for CHWs. INCHWA is invited to sit on this Taskforce and share past work.

• HealthVisions Midwest certifies 133 CHWs under the Skill Up grant and places them in jobs statewide.
• The Office of Medicaid Policy and Planning (OMPP) announces reimbursement opportunities for CHWs.
• The CHW Curriculum Certification process is updated to align with national and state core competencies and skills (as defined by the Governor's Taskforce).
• INCHWA works with the APHA CHW Section regarding creating policy to establish a national definition for CHWs and standardize the credentialing and monitoring of CHW work.
• The Governor’s Taskforce causes a temporary hold on various activities, including certification of additional Training Vendors as we wait to see what decisions the state makes in terms of how CHWs will be certified and who will oversee certification.
• A PhotoVoice Project highlighting the everyday work of CHWs and the attitudes of employers, clients, health providers, and payers is completed by PhD student Ryan Logan in collaboration with INCHWA.
• The Skill Up Project ends with 86% of employers reporting that employees who participated in the Skill Up Project performed better or equal to others in their organizations. Ninety-eight (98%) of the participants felt the training and program helped prepare them for their jobs as Certified CHWs. 
• INCHWA resumes the Curriculum Certification process under the direction of ISDH. 
• Manchester University becomes the second INCHWA-approved Training Vendor.

• The COVID-19 pandemic has changed the ways INCHWA supports the workforce.
• Online delivery of CHW foundational and specialty training is encouraged.
• Mind-Body Medicine Groups are offered for CHWs.
• Online meetings (Huddles) are increased to offer CHWs a place for connection.
• Both the state and national recognition the crucial role of CHWs in public health.

• The CDC commits to investing in CHW services to support COVID-19 control and prevention.
• Nationally, additional dollars are committed for training, technical assistance, and evaluation of CHWs.
• The national goal is to increase the CHW workforce by 150,000.
• INCHWA partners with the Office of Minority Health to build a statewide CHW model to address health equity throughout the state.

• Health Enrichment Councils (HECs) are developed in partnership with the Office of Minority Health and Purdue University.
• 10 health equity councils were formed in the state.
• CHWs participate in coalition-building roles around the state.
• CHWs become leaders in their districts.
• CHWs lead research efforts with Purdue University.
• Courses continue to be developed to help CHWs meet new demands and opportunities.

• Rabbi Margarita Hart CCHW, BC Chaplain, PCC, Executive Director

• Carey Frazier CCHW, HCI-CLC, HCI-CHC,
  Assistant Director

Jasmine D. Gonzalvo, PharmD, MPH Candidate, CDCES, FADCES - President

Yumary Ruiz, PhD, MPH - Vice President

Ryan I. Logan, PhD, MPH California State University Stanislaus - Secretary

Lisa K. Staten, PhD, IUPUI Fairbanks School of Public Health

Omolola (Lola) A. Adeoye-Olatunde, PharmD, MS Omolola (Lola)

Ashley H. Meredith, PharmD, MPH, BCACP, BCPS, CDCES, FCCP

January 2023 Report

HealthVisions Midwest

Manchester University

UIndy - MICI-AHEC

IVY Tech Community College

HealthVisions Midwest

UIndy - MICI-AHEC

Indiana Clinical and Translational Sciences Institute