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.
Regional Health Information Exchange (HIE) Steering Committee
In November 2005, the GFHC and its broad‐based member organizations began evaluating opportunities and community interest in exploring the potential to develop a regional health information exchange (HIE). As GFHC partner discussions continued, members of the GFHC participated in the development of the Michigan Health Information Network’s (MiHIN) Conduit to Care Report and in February 2007, the GFHC applied for and received a regional HIE planning grant from the Michigan Department of Community Health. The objective of the 18-month planning project was to develop a feasible plan for the implementation, operation, and sustainability of a regional HIE in the state-designated Genesee Medical Trading Area of Genesee, Lapeer, and Shiawassee Counties that will follow adopted standards and demonstrate how quality of care will be improved in the communities involved.
Specific activities of the regional HIE Planning Project include:
To identify among regional healthcare stakeholders interest, capabilities, and support for a HIE;
To create a sustainable business plan for the HIE that includes sources for future funding;
To identify the types of information initially and in the long-term that will be shared through the HIE;
To educate the community, healthcare providers, and other pertinent stakeholders on the purpose and benefits of the HIE;
To develop solutions that 1.) facilitate the identification, correlation, linking, searching, and access to patient-centric information; 2.) accommodate the sharing of information originating from numerous disparate systems, in multiple formats, and via a variety of technologies; 3.) account for scalability of the HIE as new providers, systems, and geographic areas are broadened; and 4.) ensure the most stringent privacy and security controls are in place to protect consumer privacy;
To design the HIE for interaction with public health reporting; and
To provide for interfacing with other HIEs in other Michigan regions.
While the GFHC’s 18-month regional HIE planning grant from the Michigan Department of Community Health ended in December 2008, Coalition leadership continues to evaluate opportunities to move into the implementation phase locally while collaborating with the Michigan Department of Community Health as it refines its statewide approach to implementing sustainable health information exchange(s).
In the Fall of 2011, the three Genesee County health systems – Genesys Health System, McLaren Flint, and Hurley Medical Center made a joint announcement of a shared regional health information exchange strategy in partnership with Michigan Health Connect (now Great Lakes Health Connect).
Currently, hospital, health plan, and physician organization partners from the Genesee County area and surrounding regions collaborate to improve health information exchange functionality and adoption in partnership with Great Lakes Health Connect, now the largest HIE in Michigan and one of the largest HIEs in the nation.
Interested partners or providers who want to learn more can contact the GFHC by email at email@example.com for more information.
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
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);
The Diabetes Group Visit Project Workgroup seeks to reduce the morbidity and mortality experienced by Genesee County residents who have diabetes or another chronic disease while improving their quality of life with regards to their medical condition. The Workgroup promotes the utilization of clinical best practices such as the group visit model of care and chronic disease registries as strategies to improve patient education, access to care, disease self-management, and patient outcomes as well as to lower the costs of care and increase provider productivity.
The Workgroup has created a variety of resources to assist healthcare providers in implementing group visits with an emphasis on the treatment of diabetes and obesity. The Workgroup has also designed a HIPAA-compliant web-based diabetes registry that is available at no-cost to Genesee County providers.
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.
Genesee County Community Health Access Program (CHAP) Steering Committee
The Genesee County Community Health Access Program (CHAP) Steering Committee seeks to implement a collaborative, community-based medical home model in the Flint/Genesee County community 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 CHAP processes via strategies that transform health service delivery at the patient, provider, and system levels. It develops best practices and the infrastructure needed for Genesee County 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 Genesee County’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 medicine and family medicine (Hurley Medical Center, Ascension Genesys Hospital, and McLaren Flint). a private medical practice (Apkinar Children’s Clinic), federally qualified health center (Hamilton Community Health Network), and safety-net provider (Mott Children’s Health Center) with those from behavioral health (Genesee Health System), public health (Genesee County Health Department), human services (Genesee County Human Services), community services (Genesee County United Way), and education (Genesee Intermediate School District) in this collaborative effort.