The Community Health Representatives (CHR) are paraprofessional indigenous community based
trained health care staff contracted by the Indian Health Service with Tribal governments.
Tribes have the flexibility to hire and design health care programs to meet Tribal members
health needs through coordinated care for community members in their homes. CHRs are full
members of the combined health care team serving each community. The members of the health
team are from the Indian Health Service, State Health Departments, County Health Departments,
the Bureau of Indian Affairs health related projects, special university health activities,
and not-for profit organizations from around the country, among others, that are present in
any given Native American community to provide health services.
Major Accomplishments (past three years):
- With each CHR Program meeting the unique needs of their communities, Area wide statistics
will give a sense of their impact/accomplishments because they are community based health
service providers within the Phoenix Area team of providers.
- Each year over 300,000 individuals are served by CHRs
- Assisted care and Health Promotion are the major health activities
- Direct patient activities are the major services provided ( three times any other activity)
- Every CHR funded position has received update training in the past three years
- Over 80% of the CHRs are utilizing the new RPMS, patient centered electronic CHR PCC
reporting system that immediately places pertinent individual health values/information into
a patient’s chart for the rest of the health care team use.
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Contact Information
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• (602) 364-5191 CHR Program Director
• Each Tribe’s program can be contacted directly through the Tribe’s
Health Director
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Did you know ...
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• there are 180 funded CHR positions, with at least one in each community/tribe
• each reports workload and or patient centered activities
• the Area annual budget is approximately $5.2 million dollars
• each CHR attends a 3 week course emphasizing Public Health and home care concepts and skills
• each CHR maintains a valid first aid and CPR certification
• every three years each CHR attends a “skills” refresher training to continue
honing their health care skills
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