Which of the following is NOT a typical CHW collaboration activity with healthcare teams?

• A. Communicate with supervisors and clinicians
• B. Share client progress with the team
• C. Document interventions to the chart
• D. Take independent clinical decisions without consulting the team

Answer: (D)

Working with healthcare teams relies on CHWs staying within their collaborative role and using the team as the source of clinical decisions. In practice, CHWs share client progress with the team so everyone knows how a client is doing and what needs to happen next, and they communicate with supervisors and clinicians to raise concerns, ask for guidance, and align on next steps. They also document interventions to the chart as part of care coordination, creating a record that clinicians can review and act on. Making independent clinical decisions without consulting the team goes beyond a CHW’s scope, since diagnosing, modifying treatment, or prescribing care are responsibilities of licensed clinicians. When a situation involves clinical judgment, CHWs escalate to the team rather than deciding on their own. That’s why taking independent clinical decisions without team consultation is not a typical CHW collaboration activity.