Early Childhood Referrals by HealthySteps and Community Health Workers

Miguelina Germán, Jayxa K. Alonzo, BS I.Mihiri Williams, Jessica Bushar, Sydney M. Levine, Kate C. Cuno, Polina Umylny, Rahil D. Briggs

Research output: Contribution to journalArticlepeer-review


This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs.

Original languageEnglish (US)
JournalClinical Pediatrics
StateAccepted/In press - 2022


  • community health worker
  • early childhood
  • HealthySteps
  • integrated primary care
  • social determinants of health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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