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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Community health representative: The first tribally contracted program, since 1968 - American indian paraprofessional healthcare providers

Program Management and Guidance

The Role of a CHR

CHRs are important because they are completely familiar with the dialects and the unique cultural aspects of their patient’s lives. CHRs are a role model for the community they serve; they are the ones people can go to when they need someone to advocate their needs, guidance and help. The roles of CHR differ from day to day and from which clients are served here are some typical duties a CHR might perform.

  • Visiting clients in the home and referring people in need of care to the proper facility.
  • Explaining the available health programs, the health policies and procedures that the community members must abide by when seeking health care.
  • Organize community health promotion and disease prevention events and facilitate the learning. Events can include.
    • Immunizations
    • Well baby clinics
    • Safety in the home
    • Use of machinery/automotive vehicles
    • Medication/ Drug storage
    • Proper sanitation and maintenance of the community/personal buildings and grounds
  • Educate people of the health hazards of behaviors such as:
    • alcohol use
    • cigarette smoking
    • poor eating habits
    • poor hygiene
  • Offer transportation to health promotion facilities for those in need.
  • Enter diagnostic patient specific data into official patient medical record through the use of the CHR component of the RPMS (Resource and Patient Management System).
  • Arrange for police/ambulance transport in accident or emergency situations.
  • Attend staff meetings
  • Maintain standards and Ethics.
  • Report to the service unit director the overall impact and effectiveness of the program.
  • Advocate for the health needs of the community and programs to the service unit director.