- • of regulation or certification of training services: will you be certifying training • of regulation or certification of training services: will you be certifying training organizations, individual trainers/facilitators, curricula? All of the above?
- • you require that training providers employ current/former CHWs to serve as • you require that training providers employ current/former CHWs to serve as instructors or co-trainers?
- • you impose standards of fiscal, management, and legal integrity for training • you impose standards of fiscal, management, and legal integrity for training organizations?
- • training organization be required to show prior connection to community and • training organization be required to show prior connection to community and familiarity with CHWs?
- • will you assess the quality of curriculum and program design? • will you assess the quality of curriculum and program design?
- • will you assess the qualifications, background and capacities of faculty and program • will you assess the qualifications, background and capacities of faculty and program administrators
- • methods will you use to evaluate the quality and effectiveness of training programs • methods will you use to evaluate the quality and effectiveness of training programs in operation?
- • accountability (including reporting) will you require from approved training • accountability (including reporting) will you require from approved training programs?

Finally, the following are key considerations in designing the administrative structure for a certification program:

- • will be the issuing authority? There are pros and cons for multiple options here, but • will be the issuing authority? There are pros and cons for multiple options here, but a key point is again that it is not necessary that state government administer the issuance of individual certifications. At this writing several states have opted for ”outside” bodies to administer
- • of CHWs in ongoing operation and monitoring of the certification program • of CHWs in ongoing operation and monitoring of the certification program – what will be their role(s) and their level of authority?
- • of other stakeholders – what will be the balance of participation with CHWs, • of other stakeholders – what will be the balance of participation with CHWs, and which stakeholders need to be included on an ongoing basis—employers, payers, trainers, other professions?
- • the state (especially the health department) is involved administratively, what will be • the state (especially the health department) is involved administratively, what will be the internal lines of communication between operational program units employing CHWs (e.g., Medicaid office, chronic disease programs) and the unit responsible for certification
- • for assessing individual and training program qualifications: what resources will • for assessing individual and training program qualifications: what resources will be required to actually administer the certification program?
- § Capacity for administering continuing education and renewals: what resources will be required to promote and assure participation in continuing education for CHWs? What will be required not just to process renewals but to remind and encourage CHWs to renew?
- § Streamlining application processes: how will you balance the need for quality assurance and accountability with the need for timely handling of applications?

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