The establishment of the seven agency standards is based on a comprehensive foundation. These standards draw upon the experience and insights of successful American CHW programs, the robust body of academic research affirming the positive influence of CHWs on health outcomes, and input from a broad spectrum of stakeholders in Tennessee. This diverse group includes CHWs, their supervisors, academic contributors, the Tennessee Department of Health, as well as state and private agencies and healthcare providers. These entities have collectively convened through facilitation by the Tennessee Community Health Worker Association and TennCare.