Community Data Scorecard

The Community Data Scorecard, conducted by the Data Review Subcommittee, focuses on the collection and assessment Genesee County data to both inform and validate the activities of the Greater Flint Health Coalition as well as assist with the identification of community health needs. A major activity of the Subcommittee is to compile data from federal, state, and local resources including the voluntary sharing of data from its insurance, purchaser, provider, and government representatives into its Community Data Scorecard, which measures ongoing changes and impacts on the healthcare delivery system and health status in the Genesee County community. Partner organizations that contribute data for integration into the Scorecard include Genesee County’s primary health insurers (HealthPlus of Michigan, Blue Cross Blue Shield of Michigan, Blue Care Network, and McLaren Health Plan), all three Genesee County hospitals (Genesys Health System, McLaren Flint, and Hurley Medical Center), safety-net providers (Hamilton Community Health Network, Mott Children’s Health Center, and Genesee Health System), the City of Flint, Genesee County Health Department, Genesee County Medical Society, Genesee Health Plan, Genesee Intermediate School District, and Genesee County Department of Human Services.

The Scorecard incorporates a wide range of data components to effectively monitor and analyze health trends occurring Genesee County, including data related to:

  • Population, socio-economic, and economic Status;
  • Physician capacity and access;
  • Health plan utilization;
  • County health status;
  • Health care economic impact;
  • Child and birth measures; and
  • Collective impact measures.

The Scorecard serves as a useful tool in guiding areas of joint opportunity throughout the community.

Children’s Oral Health Baby Those Baby Teeth Campaign

The Children’s Oral Health Baby Those Baby Teeth Campaign seeks to implement interventions to eliminate the access barriers to dental services for children ages zero through five years.

After assessment of the current system of children’s dental care and existing barriers to dental services, the Children’s Oral Health Task Force focused on oral health education as its central activity. The Children’s Oral Health Baby Those Baby Teeth Campaign seeks to increase parents’ and caregivers’ recognition of the importance of oral health, educate them on good oral health behaviors to practice with their children, and raise providers’ awareness of children’s oral health issues while promoting best-practice related prevention.

The Baby Those Baby Teeth Campaign places a special emphasis on strategies for the population most at risk for developing tooth decay – low income children covered by Medicaid insurance. Successful strategies that have been adopted by other communities include the Children’s Oral Health Education Wheel (of which over 100,000 have been distributed) and Dentist Referral Guide for Infants & Toddlers.

Project Healthy Schools

Project Healthy Schools is a middle-school based program (originally developed by the University of Michigan in 2004) that is designed to reduce childhood obesity and its long-term consequences. The program encourages life-long healthy habits through education, environment change, and measurement. Commit to Fit, a community-wide health behavior improvement program that isPHS and C2F combined logo now being utilized by over 340 different organizations in Genesee County, has created a new partnership program with Project Healthy Schools. Together, the GFHC’s Commit to Fit! Project Healthy Schools Program provides middle-school focused education and environmental change that is evidence-based, while offering health resources, incentives an interactive behavior tracking website, and much more to middle schools.

Commit to Fit! Project Healthy School Goals:

  • Eat more fruits and vegetables
  • Be physically active at least 150 minutes each week
  • Eat less fast and fatty foods
  • Choose better beverages
  • Spend less mindless time in front of a screen

As a part of Project Healthy Schools implementation in Genesee County/Flint, students are able to monitor their health behaviors via the Commit to Fit! website,

Goals emphasized are:

  • Hands-on learning activities for 6th and 7th graders
  • A Healthy Habits Commit to Fit! Challenge to encourage achievement of healthy goals and earn healthy incentives through a fun competition between classes
  • School-wide wellness activities and events
  • An end of year event with a focus on physical activity
  • Healthier food service and beverage options
  • Bulletin board displays promoting wellness
  • Communication with staff and families
  • Formation of a school wellness team

Project Healthy Schools was originally developed by the University of Michigan Health System. In Genesee County/Flint, the Great Flint Health Coalition has launched Project Healthy Schools in partnership with Commit to Fit at Grand Blanc West Middle School, Grand Blanc East Middle School, and Carman Ainsworth Middle School. Currently, Grand Blanc West and East Middle have completed three years of PHS and will be continuing into year four. Carman Ainsworth Middle School has recently completed their second year with the program. Multiple local partners have also assisted with implementation.

If your school district is interested in implementing Project Healthy Schools, please contact the GFHC today via email at, subject Project Healthy Schools.

Community Health Needs Assessment Project

As part of the Affordable Care Act, all non-profit hospitals are required to conduct an annual community health needs assessment (CHNA) – an ongoing process to evaluate the health needs of the community, prioritize the needs identified, and develop/implement strategies to address them. Genesee County’s three hospitals (Genesys Health System, Hurley Medical Center, and McLaren Flint) have agreed to work together and have the GFHC facilitate a joint CHNA for their organizations as well as coordinate implementation plans for meeting community needs. The initial joint Community Health Needs Assessment for Flint & Genesee County was completed in October, 2012.

To assist with this process, the GFHC utilizes its existing Community Data Scorecard and partner relationships.

Smart Bites

The Commit to Fit! Smart Bites program is a new community- based project created to help local residents, families, and children make healthy decisions when they dine out. Commit to Fit! Smart bites and restaurants work together to identify and promote healthy foods and beverages and reward residents when they make smart menu choices.

Healthy Menu Options

A Commit to Fit! Smart Bites program representative from our community will work with restaurants to review menus and identity healthy options. Once these options are selected, participating restaurants will be provided with marketing materials to promote healthy menu items.

Community Rewards

When a community member visits a Commit to Fit! Smart Bites program restaurant and selects a healthy menu option, they will be rewarded with a discount determined by each restaurant. Community members will also be eligible for incentives by participating in the program.

Commit to Fit! Smart Bites Cards

Community members can pick up a Commit to Fit! Smart Bites card at participating restaurants and Flint Farmers’ Market cooking demonstrations. When a resident selects a Smart Bites program new item at a participating restaurant, they receive one sticker per visit regardless of the number of items selected. Each restaurant receives a unique Smart Bites sticker that helps track residents and restaurant participation.

Promoting the Program

The Commit to Fit! Smart Bites program will be showcased throughout our community, in the press, and on, among other places. Restaurants will receive Commit to Fit! Smart Bites program marketing materials for in-house display, and Commit to Fit! Smart Bites program restaurants will be regularly promoted within the community- reaching thousands of potential patrons.

Perks for your Restaurant

The Smart Bites program creates business and expands your customer base and builds your reputation as a business that cares about its community and its residents. YOU will have a dramatic impact by helping families choose healthy and eat smart.

Get Started Today

Our community has the opportunity to shape the future of the Smart Bites program, potentially impacting the healthy of people nationwide. Contact the Smart Bites program representative from your community to join the program!

Health Happens Here

Health Happens Here – Genesee County & Flint is a social marketing campaign that aims to improve health by bringing awareness to residents of all communities in Genesee County and Flint regarding the following:

1. How social determinants of health in one’s community can impact their health and well-being.

2. What resources are available for residents to take advantage of in their neighborhood or community.

3. How they can take action to improve social determinants (where we live, learn, work and play) of health in their respective neighborhood or community.

Health Happens Here – Genesee County & Flint is based on a best practices model previously implemented through the California Endowment which informs residents of differences in average life expectancy in various local zip codes as one tool to engage residents in action. Community-based marketing provides powerful messaging to raise awareness of the social determinants (where we live, learn, work and play) of health and the resources available to improve health in the community.

The Health Happens Here program supports local residents in improving health behaviors by encouraging participation in existing health-related resources, programs, events, and other activities that support individual and community well-being.


  • As an online resource,, is linked to a community calendar to include health and community-related activities, and includes a link to the “Health Happens Here Genesee County & Flint” Facebook page.
  • The website also contains information on how residents can take action to improve health in their community (for example, an “Advocacy & Action” document is available to specifically outline ways that residents can contact legislators on health-related issues).
  • Fact Sheets for all communities/zip codes in Genesee County & Flint are offered as resources to residents, highlighting health-related statistics as well as resources related to each specific community where residents live, learn, work, and play.

Advance Care Planning – Your Health Your Choice

In life, we plan for many things. We prepare for our retirement, plan trips, and save money for our children’s education. Yet, we often forget to plan for our future healthcare treatment. No one can predict when a sudden illness or accident may occur, leaving a person unable to make personal healthcare decisions. Advance care planning is about ensuring that the healthcare treatment you receive is consistent with your wishes and preferences. It’s a gift to you and your family that promotes peace of mind.

Advance care planning is the process of coming to understand, reflect on, discuss, and plan for a time when you cannot make your own medical decisions. Effective planning is the best way to make sure your views are respected by your loved ones and health providers. This process provides great comfort to those who may make end-of-life decisions for you.

Your Health Your Choice is provided as a free service to the residents of Genesee County. First Steps® certified advance care planning facilitators are available at no cost to meet with individuals and guide them through the ACP process. ACP facilitators help you to reflect on and document your end-of-life healthcare wishes and preferences. They help make sure that those wishes are shared with your family, loved ones, and healthcare professionals to ensure that they are honored when you can no longer speak for yourself. To find out additional information or schedule an appointment to complete an advance directive or review your existing advance directive, please visit

Diabetes Group Visit Project

The Group Visit Project is available to assist healthcare providers in implementing the best practice of medical group visits. Group visits, also known as shared medical appointments, are commonly used to treat diabetes, asthma, heart failure, chronic pain, and obesity/overweight. They have been demonstrated to improve the quality of care and patient outcomes, increase patient satisfaction, enhance the engagement of patients as partners in the management of their health, increase physician productivity and practice efficiency, increase provider satisfaction rates and reduce emergency department visits and hospitalization rates.

Group visits support the patient centered medical home (PCMH) model and are reimbursed utilizing the same evaluation and management (E & M) codes as traditional office visits. Group visits support the attainment of additional reimbursement through quality incentive programs, pay for performance programs and PCMH payment for added value.

The Group Visit Project has assembled a number of resources to assist physicians and their staffs in implementing group visits including: the Medical Group Visit Implementation Guide, a diabetes group visit progress note template, a rack card for patient recruitment, and a sample curriculum for obesity group visits. The Group Visit Project can arrange for interested healthcare providers to observe a group visit and its physician experts are available to assist with the design, implementation, and initial facilitation of group visits within any Genesee County medical practice. The Group Visit Project Workgroup, composed of hospital, physician, and health insurer representatives, meets regularly to support the adoption of group visits by offering guest presenters to provide patient education during a group visit and problem solving capabilities to eliminate any challenges or barriers to group visit implementation. For additional information contact the Greater Flint Health Coalition.