The Data Review Subcommittee supports the efforts of the Cost & Resource Planning Committee through its collaboration to collect and assess data that informs and validates the activities of the GFHC. The Data Review Subcommittee is responsible for monitoring, tracking, and measuring data related to the GFHC’s 2020 Strategic Business Plan and Collective Impact Metrics as well as compiling data for the Community Data Scorecard. Partner organizations that contribute data for integration into the Scorecard include Genesee County’s primary health insurers (Health Alliance Plan, Blue Cross Blue Shield of Michigan, Blue Care Network, and McLaren Health Plan), all three Genesee County hospitals (Ascension Genesys Hospital, 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 allows the Data Review Subcommittee to provide recommendations to the Cost & Resource Planning Committee on areas of opportunity for the GFHC to pursue and serves as an ongoing community health needs assessment for Genesee County.

The Cost & Resource Planning Committee is a leadership committee of the Greater Flint Health Coalition, reporting directly to the Board of Directors.

Within the GFHC, the Cost & Resource Planning Committee’s roles and responsibilities include:

• Continuously monitor and evaluate the status of the measurable health outcomes, objectives, and goals established in the GFHC’s 2020 Strategic Business Plan, including the measurable health outcomes for each GFHC Committee and Task Force. The status of these measurable health outcomes will be regularly reported to the GFHC Board of Directors & Executive Committee.
• Benchmark total community health care costs (both unit cost and utilization); demographically adjusted overall (age, race, gender, and income); and within specific disease categories by provider type/site of service.
• Implement and continue to refine an ongoing benchmarking process for Genesee County health care and prevention service delivery with support of the Data Review Subcommittee, reviewing community resource allocation accordingly.

The Cost & Resource Planning Committee members oversee the Data Review Subcommittee’s annual Community Data Scorecard as well as the Community Health Needs Assessment Project for the Genesee County region. This supports efforts of this leadership body to strategically review, revise, and expand GFHC activities to meet the goals and milestones outlined in the GFHC’s Strategic Business Plan.

For additional information on the Cost & Resource Planning Committee and its members / representative leaders, please contact the GFHC.

The Advance Care Planning Project (led by the GFHC’s Advance Care Planning Task Force) has a vision to create a single, community-wide process of advance care planning in the Genesee County / Flint community that emphasizes the shared practice of comprehensive, effective methods that result in honoring informed healthcare decisions of patients that respect each patient’s wishes and rights while making advance care plans readily available to healthcare providers so that patient decisions can be accurately converted to medical orders when necessary and appropriate.

Genesee County residents are encouraged to seek additional information on advance care planning services available. To learn more, or to schedule a free appointment with a Certified Advance Care Planning Facilitator that can assist you with completing, updating, or reviewing your Advance Directive document, please visit www.yourhealthyourchoice.org or contact any of the following organizations:

• • Ascension Genesys Hospital via phone at (810) 424-2270 or email at YHYC@genesys.org

• • Hurley Medical Center via phone at (810) 262-2770 or email at YHYC@hurleymc.com

• • McLaren-Flint via phone at (810) 342-2546 or email at YHYC@mclaren.org

• Greater Flint Health Coalition via phone at (810) 232-2228 or email at YHYC@flint.org

Launched in 2012, the Advance Care Planning Task Force has the following outcome options:

• • Develop a sustainable, systemic standard of care and culture within Genesee County to implement Advance Care Planning (ACP) and Advance Directives (AD) so that all individuals, especially those with chronic illness, can decide “how they will live” at or near the end of their lives.

• Develop a shared, community-wide process of advance care planning that emphasizes the creation of comprehensive, effective methods that result in honoring informed healthcare decisions of patients that respect each patient’s rights, while:
  • • providing comfort and dignity during end-of-life care;
  • • increasing the patient’s participation in decisions regarding the patient’s care, treatment, or services before and at the end of life;
  • • ensuring a complete patient record reflecting the patient’s care, treatment, or service is available when needed across Genesee County / Flint health systems and provider sites.
  • Complete planning and development of a Genesee County / Flint Advance Care Planning process and micro-system that creates shared standards of:
    • • Advance Care Planning and Advance Directive System Design, which includes a single Advance Directive document used across provider and community settings, a reliable medical record storage and retrieval process, and an integrated Advance Care Planning team and referral protocol;
    • • Advance Care Planning facilitation skills training and curriculum to ensure delivery of a consistent and reliable Advance Care Planning service to residents across provider and community sites;
    • • Advance Care Planning referral processes and timing of planning services to patients and citizens;
    • • Advance Care Planning Community Engagement to ensure residents are provided a consistent, common, and repetitive message to meet the needs of diverse communities about the benefits of advance care planning;
    • Advance Care Planning measurement that focuses on continuous quality improvement and demonstrates evidence that plans were honored.

Greater Flint Health Coalition partners on the Advance Care Planning Task Force include Ascension Genesys Hospital, Hurley Medical Center, McLaren-Flint, Genesee County Medical Society, Genesee County Osteopathic Society, Genesys PHO, McLaren PHO, Professional Medical Corporation (PMC), Hamilton Community Health Network, HealthPlus of Michigan, Blue Cross Blue Shield of Michigan, Blue Care Network, McLaren Health Plan, and the United Auto Workers (UAW) Retiree Medical Benefit Trust (RMBT), among many others.

The Mental Health & Substance Use Task Force integrates mental health & addiction medicine into the vision and activities of the Coalition: quality, access, prevention and cost. The Task Force’s goals include ensuring that every committee/task force/group of the Coalition incorporates into their outcome option attention to mental health and substance abuse issues for that activity, specifically focusing on education, stigma reduction, and improved screening for mental health and substance use disorders. The Task Force undertakes specific projects to address behavioral health needs of the community and through a collaborative effort has previously focused on the following projects:

• Genesee County Screening, Brief Intervention, Referral to Treatment (SBIRT);
• Join Together/DEMAND TREATMENT!; and
• Depression in Primary Care Program.

The Quality & Innovation Task Force works to collaboratively develop and implement evidence-based quality improvement initiatives across health systems, payers, public health, providers, and the Genesee County / Flint community at-large. These initiatives seek to (a) improve the health of the population; (b) enhance the patient experience of care; and (c) reduce, or at least control, the per capita cost of care.

Through its diverse membership including representatives from each of the Genesee County hospitals (Ascension Genesys Hospital, Hurley Medical Center, McLaren Flint), physician organizations (Genesys PHO, McLaren PHO, and Professional Medical Corporation), provider organizations (Genesee County Medical Society and Genesee County Osteopathic Society), safety-net providers (Genesee Health System and Hamilton Community Health Network), insurers (Health Alliance Plan, Blue Cross Blue Shield of Michigan/Blue Care Network, and McLaren Health Plan), and government (Genesee County Health Department), the Task Force collaboratively works to create, address, and respond to opportunities for innovative, collaborative quality improvement efforts, especially those focused on Genesee County’s major mortality, morbidity, and care experience challenges with an emphasis on the top ten major chronic disease areas in the region.

The Mid-Michigan Community Health Access Program (CHAP) Steering Committee seeks to implement a collaborative, community-based medical home model to improve the health outcomes of children as well as adults insured by Medicaid, while raising the quality of care, increasing access to care, better utilizing resources, and decreasing costs. The Steering Committee recognizes that a medical home is primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective.

The CHAP Steering Committee guides the design and implementation of the CHAP process via strategies that transform health service delivery at the patient, provider, and system levels. It develops best practices and the infrastructure needed for Michigan pediatricians and other healthcare providers to implement the CHAP model. It is charged with evaluating the effectiveness of the CHAP model and developing a business plan that will lead to program sustainability and expansion throughout Mid-Michigan’s provider network. The CHAP Steering Committee also advocates for system-level improvements in the delivery of health care in our community.

The CHAP Steering Committee has convened medical provider representatives from pediatric and family medicine practices, private medical practices, federally qualified health centers, and safety-net providers with those from behavioral health, public health, human services, community services, and education in this collaborative effort.

An outgrowth of the Coalition’s Friendly Access Project, the Children’s Oral Health Task Force implements 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 Education 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 Task Force 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.

Building on the GFHC’s five-year strategic goal to achieve 100% universal access to health care coverage of a basic and essential nature, the vision of the Access Committee is to advocate five key principles for health care coverage:

• Universal
• Continuous
• Affordable to individuals and families
• Affordable and sustainable for society
• High quality – effective, efficient, safe, timely, patient-centered and equitable

The Patient Protection and Affordable Care Act, commonly known as the ACA or Obamacare, was signed into law in March, 2010. To aid Genesee County residents with navigating the changes of health reform, the Access Committee has developed a resource for community members that provides valuable information and lists organizations available to assist people with buying insurance on the Health Insurance Marketplace, called the “Healthcare Reform & Me: Community Fact Sheet” (listed in the resources section to the right). In addition, a calendar has been created that lists walk-in hours and appointments available at Genesee County organizations offering assistance with Health Insurance Marketplace enrollment, via www.healthcare.gov. Please use this calendar as a resource in finding the help you may need navigating the Health  Insurance Marketplace.

From late 2008 through mid 2009, the Greater Flint Health Coalition and its Access Committee invited Genesee County to participate in a community-wide dialogue regarding health reform by widely circulating a draft resolution on universal access to health care through local media, newsletters, and presentations. This activity culminated in the Greater Flint Health Coalition Resolution on Universal Access to Health Care. This document reflects the input and deliberations of community members and organizations representing physicians, hospitals, business, organized labor, government, grassroots community organizations, healthcare consumers, educators, insurers, and most importantly – the residents of Genesee County.

The Resolution was adopted by the Board of Directors of the GFHC on June 15, 2009.