Michigan Health & Wellness 4×4 Plan

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In June of 2012, the Michigan Department of Health & Human Services launched the Michigan Health and Wellness 4×4 Plan, which contains Michigan’s priorities for obesity prevention over the next five years. The goal of the Michigan Health and Wellness 4 x 4 Plan is for every Michigander to adopt health as a personal core value. The plan describes the approach that the State of Michigan will undertake in addressing wellness and obesity.

Greater Flint Health Coalition is one of five community coalitions charged with implementing the 4 x 4 Plan. The GFHC’s implementation of the 4 x 4 Plan is done in collaboration with Genesee County’s community-wide health behavior improvement strategy, Commit to Fit.

The Michigan Health and Wellness 4 x 4 Plan includes a statewide, multimedia campaign, MI Healthier Tomorrow, to engage overweight and obese adults to pledge to lose 10% of their body weight. Statewide partners from business, education, corporate/trade, healthcare, and community organizations are implementing obesity reduction strategies within their statewide sphere of influence, and departments of state government engaged in effecting policy, system and environmental changes to improve healthy eating and physical activity. 4 x 4 Plan funding seeks to bring together community partners and implement evidence-based solutions to increase opportunities for physical activity and healthy eating. The healthcare community is engaged to promote the 4 x 4 Tool in the clinical setting. The 4 x 4 Tool recommends the practice of four healthy behaviors (healthy diet, exercise, annual exam, avoid tobacco) and managing four health measures (body mass index, blood pressure, cholesterol, blood glucose).

Funding for the GFHC’s 4 x 4 Plan activities in Flint & Genesee County is provided by the Michigan Department of Health & Human Services.

For more on the GFHC’s 4 x 4 Plan strategy and evidence-based interventions in Flint & Genesee County, visit www.commit2fit.com.

Smart Bites

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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 commit2fit.com, 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

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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.

ACTIVITIES & RESOURCES OFFERED BY HEALTH HAPPENS HERE

  • As an online resource, www.h3genesee.org, 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.

Diabetes Group Visit Project

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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.

Community Diabetes Registry

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To assist primary care practices with disease management, patient education, patient centered medical home (PCMH) requirements, meaningful use, and physician incentive payments, the Greater Flint Health Coalition has created the Community Diabetes Registry to track and monitor data to improve the care of patients with diabetes.

The Community Diabetes Registry is a free, HIPAA-compliant, web-based database that captures patient demographic and diabetes care measures. It allows for the identification, tracking, and monitoring of individuals with diabetes at the patient, provider, and practice level. The Community Diabetes Registry produces a number of valuable reports including:

  • Printed point of care patient reports to remind practitioners of needed tests and interventions as well as record keeping responsibilities
  • Printed patient progress reports or report cards to provide information and education about patient improvement or areas of concern
  • Exception reports to identify patients due for care and those whose results are not in acceptable ranges
  • Stratified population reports to look at patient outcomes for a provider or across a practice

Getting started with a registry requires a good amount of data entry. To assist practices in implementing the Community Diabetes Registry, the Greater Flint Health Coalition has secured limited resources to help practices with data entry.

For a demonstration of the Community Diabetes Registry or to learn more about integrating this free tool into your practice, please contact Lori Kunkel, Vice President of Programs at the Greater Flint Health Coalition by phone at (810) 232-2228 or email.

Regional Health Information Exchange (HIE)

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Currently, Genesee, Lapeer, and Shiawassee County hospital, health plan, and physician organization partners are strategically collaborating 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 gfhc@flint.org for more information.

Program History:

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).

Regional Perinatal System Planning Committee 2008-2009

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The Regional Perinatal System Planning Committee’s vision sought to develop a

consensus-based, comprehensive concept and plan for a regional perinatal system including structure, design, and organizational/physician commitment. This plan was to be inclusive of Genesee, Lapeer, and Shiawassee Counties. The desired outcomes included:

  • Develop a comprehensive plan to establish standards of care, levels of care, and standards of practice for transfer and return of patients among the three labor and delivery units in Genesee County;
  • Establish a formal peer review process for morbidity and mortality data review to facilitate quality improvement. This process was to share and report on outcome data for each level of care, diagnosis, gestational age, and birth weight (or any other parameter deemed pertinent by the participants);
  • Assess and determine hospital baseline data in order to determine opportunities for improvement and prioritization of areas where improvement is feasible;
  • Engage an external consultant to assist in planning a system which may have extended beyond the three Genesee County hospitals.

Currently this activity is on hiatus.

Racial and Ethnic Disparities in Health Care

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The Greater Flint Health Coalition is devoted to dealing with racial and ethnic
disparities in health care, especially in those areas in which the Coalition has committees/task forces working on a specific health issues; i.e. diabetes, sedentary lifestyles, and infant mortality.

As a partner in the Racial and Ethnic Approaches to Community Health (R.E.A.C.H.) 2010 grant from 2000 to 2007, the Coalition coordinated “Undoing Racism Workshops” conducted by the People’s Institute for Survival & Beyond, a New Orleans based organization.

Racial and Ethnic Disparities in Health CareThis principle based 2½ day workshop is designed to help participants develop their own analysis of history, culture, and power relationships. While the Institute’s training and mentoring are specific to each community, the process of “Undoing Racism” has consistent principles and practices that make up a model for social transformation through community organizing and leadership development. If racism in our country has been consciously and systematically constructed, it can—and should—be deconstructed and eliminated. That is the goal of Undoing Racism Workshops.

Funding from the Charles Stewart Mott Foundation helped support the workshops from 1997 to 2000, when the now-defunct Community Coalition led the effort. From 2000 to 2007, the Greater Flint Health Coalition organized and sponsored 23 workshops, with $400,000 in funding assistance from the Centers for Disease Control and Prevention as part of the REACH 2010 grant led by the Genesee County Health Department.

Since the workshops began in 1997, almost 1,400 community members have participated. Many of the area’s major organizations encouraged their employees to participate in the project. Those who have participated in the workshop believe it has been inspiring, educational, eye-opening, and effective. An evaluation of the preliminary 12 workshops hosted by the Coalition indicated a number of this area’s leaders intended to move forward with anti-racism efforts within their own organizations. Nonetheless, at an evaluation presentation of the workshops held in 2006, nearly 30% of attendees indicated they believe people in Genesee County are becoming more racist. Clearly, more work needs to be done if we are to reduce racism in our community.

While REACH 2010 has ended, the Coalition remains a dedicated partner committed to addressing Racial Disparities and Anti-Racism Activities.