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Community Benefit: Making It Matter Kimberlydawn Wisdom, MD, MS Sr. Vice President, Community Health & Equity Chief Wellness Officer Improving Health Outcomes through Faith-Based & Community Partnerships – Feb. 16, 2012

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Page 1: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Community Benefit: Making It Matter

Kimberlydawn Wisdom, MD, MS Sr. Vice President, Community Health & Equity

Chief Wellness Officer

Improving Health Outcomes through Faith-Based & Community Partnerships – Feb. 16, 2012

Page 2: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Touchpoints for Discussion About Henry Ford Health System Mission and Vision Metro Detroit’s Health Status Improving Community Health – A Strategic

Framework Essentials Questions and Insights

Page 3: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

MISSION To improve people's lives through excellence in the science and art of

health care and healing.

VISION Transforming lives and communities

through health and wellness - one person at a time.

Page 4: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

About Henry Ford Health System Founded by Henry Ford in 1915 One of nation’s leading comprehensive

integrated health systems with 23,000 employees including 1,300 salaried physicians, 2,200 private practitioners, 1,500 physicians in training

In 2010: – 3.2 million outpatient visits – 99,700 admissions – 88,000 surgical procedures – $200 million in uncompensated care

Page 5: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

About Henry Ford Health System 6 hospitals, 32 ambulatory

centers Community Care Services –

dialysis, home health, skilled nursing facilities, hospice, retail

Health Alliance Plan – health insurance products inc. HMO, PPO, consumer-driven plans, Medicaid health plan; 500,000 members total

More than 1,400 active research studies. Ranks in top 20% of NIH- and USPHS- funded institutions

Health Disparities Research Collaborative

Centers of Clinical Excellence: Heart & Vascular, Josephine Ford Cancer Center, Maplegrove, Neuroscience, Ortho, Transplant, Vattikuti Urology

Office of Community Health, Equity & Wellness – Sr. VP reports directly to CEO

Page 6: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

2011 Malcolm Baldrige National Quality Award Winner One of four organizations in U.S., and only

healthcare organization Highest level of recognition for

performance excellence in the U.S. – Award to be presented in April at the White

House

Page 7: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

A Foundational Commitment

… In conclusion, I will state that it is my intention ...to go forward with plans for a complete and credible hospital for the benefit of Detroit ...

-- Henry Ford, from his letter to the Board of the Detroit General Hospital Association, June 2,1914 The First 75 Years

(emphasis ours)

Page 8: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Community Outreach & Leadership School-Based Health Program (1994) Center for Health Promotion & Disease Prevention

(1995) AIM-HI – African American Initiative for Male Health

Improvement (1998) Home of MI Cover The Uninsured Week (RWJF),

Interfaith Health & Hope Coalition (2003/04) Institute on Multicultural Health (2003) AHA Foster McGaw Prize for exemplary community

service (2004) Your Journey to Wellness Faith-Based Initiative; Health

Kiosks (2005/06)

Page 9: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

CHASS Federally Qualified Health Center, Neighbors Caring for Neighbors, St. Frances Cabrini Clinic, Clinic for the Working Uninsured, Herman Kiefer Clinic

Gail & Lois Warden Endowed Chair in Multicultural Health (2007)

“HANK” (Health Alliance for Neighborhood Kids) – Mobile Medical Clinic, Children’s Health Fund (2010)

HHS Beacon Health IT grant site (2010) RWJF matching grant to “Sew Up the Safety Net for

Women & Children - $1.8 million total (2011) MedTEP (AHRQ), RCMAR (NIH), REACH-Detroit (CDC),

National Campaign to Prevent Teen & Unplanned Pregnancy

Community Outreach & Leadership

Page 10: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Metro Detroit Health Status

Selected Data from 2011 HFHS Community Health Needs

Assessment

Page 11: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Geographic Areas of Need – City of Detroit

– Pockets of need around Tri-County area such as:

• Center Line, Roseville, Warren (Macomb County) • Hazel Park, Madison Heights, Pontiac (Oakland County) • Dearborn, Ecorse, River Rouge, Taylor (Wayne County)

Community Health Areas of Need – Infant mortality (ranges from 6.3 – 14.8 per 1000)

– Obesity (ranges from 26% - 39% of population)

– Access to health care:

• Adults (18-64) with no healthcare access in past 12 months due to cost ranges from 11%-22%.

• Preventable hospitalizations (account for 20-26% of total hospitalizations).

– Specific conditions include Diabetes, CHF, Pneumonia, COPD, Asthma

– Lifestyle factors including smoking, physical activity, and healthy eating

Page 12: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Racial Disparities – Access to health care (No Healthcare coverage 18-64 years)

• 14.5% for White versus 22% for African Americans/29% for Hispanics.

– Infant Mortality • 5-6/1000 for Whites versus 11-17/1000 for African Americans.

– Adult Immunizations (Ever had Pneumonia Vaccine) • 69% for Whites versus 56% for African Americans.

– 1 in 3 families are food-insecure in Detroit • 9 out of 10 meals served by the Detroit Public Schools are free and

reduced-price

Vulnerable Populations – Estimate of nearly 35% of Michigan homeless population resides in Tri-

County area.

– Within the Tri-County area, approximately 79% of homeless population reside in the City of Detroit.

Page 13: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

In Detroit as in other urban environments," Place Matters”

Page 14: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

* % with less than high school education. Source: Thomson Reuters Market Expert Database

Flat Rock

Ferndale WarrenOak Park Hazel Park

DetroitDetroit

Warren

Harrison Tow nship

Bloomfield Hills

Bloomfield HillsWest Bloomfield

Franklin

BerkleySouthfield

Birmingham

FarmingtonMadison Heights

Warren

TroyTroy

Saint Clair Shores

Sterling Heights

Clinton Tow nship

Fraser

Sterling Heights

Saint Clair Shores

Clinton Tow nship

Macomb

Mount Clemens

Detroit

DetroitDetroit

Detroit Detroit

Detroit

Detroit

Wyandotte

Lincoln Park

How ell

Ann Arbor

Romulus

Dearborn Heights

Clarkston

BancroftGaines

Ann Arbor

DavisburgLake Orion

Lake Orion

Auburn Hills

Pontiac

New Baltimore

Columbus Saint Clair

East China

Redford

SouthfieldFarmington

Redford

Northville

Harsens Island

WestlandCanton

Plymouth

Garden City

DetroitDetroit

Dearborn

Dearborn

MelvindaleDetroit

Detroit

Southgate

Fair Haven

Whitmore Lake

Brighton

Byron

Webberville

Gregory

Saline

Ann Arbor

Ypsilanti

Ypsilanti

Detroit

DetroitAllen Park

Royal Oak

Bloomfield Hills

Canton

Milford

Fenton

LeonardOxford

Lake Orion

HighlandWhite Lake

White Lake

Waterford

Pontiac

West Bloomfield

Farmington

New Baltimore

Richmond

Casco

Marine City

Algonac

WAYNE

OAKLAND

SHIAWASSEE GENESEE

MONROE

WASHTENAW

LIVINGSTON

MACOMB

ST. CLAIR

HFKH

HFMH-WC

HFWBH

HFMH

HFH

HFWH

HFCH

Armada

Center Line

Claw son

East DetroitSouthfield

Clinton Tow nship

Macomb

New Haven

New Haven

Romeo

RosevilleRoyal Oak Warren

Washington

Washington

Ray

Troy

Ann Arbor

Belleville

Brighton

Bridgew ater

Carleton

Chelsea

Dearborn

Dearborn HeightsDearborn

Dexter

Grosse Ile

Hamburg

Inkster

Lakeland

Livonia

Livonia

Livonia

Manchester

Milan

New Boston

New Hudson

Pinckney

Rockw ood

Salem

South Lyon

South Rockw ood

Taylor

Trenton

Wayne

Westland

Whittaker

Detroit

DetroitDetroit

Detroit

Detroit Detroit

DetroitDetroit

Detroit

Detroit Detroit

DetroitDetroit

Detroit

Rochester

Rochester

Sterling Heights

Utica

Utica

Utica

West Bloomfield

Waterford

Drayton Plains

Farmington

Pontiac

Clarkston

Hartland

Oakland

LakevilleOxford

NoviNovi

Novi

MilfordMilford

Union Lake

Walled LakeWixom

Holly

Linden

Ortonville

Cohoctah

Fow lerville

rry

yn

Clinton

Grass Lake

Norvell

Stockbridge

% less than H.S by Zip Code

35% to 56%21% to 34%11% to 20%2% to 10%

HFHS Planning Dept.

Education* by Zip Code (Tri-County Area)

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Median HH Income by Zip Code (Tri-County Area)

Source: Thomson Reuters Market Expert Database

Redford

SouthfieldFarmington

Redford

Dearborn Heights

Oak ParkFerndale

Detroit

DetroitDetroit

Detroit

Detroit

Detroit

Detroit

Detroit

DetroitDetroit

East DetroitWarren Saint Clair ShoresCenter Line

Hazel ParkWarren

Roseville

Bloomfield Hills

Bloomfield Hills

West Bloomfield

Farmington Madison HeightsRoyal Oak

Birmingham

Franklin

Claw sonWarren

Sterling Heights Clinton Tow nship

Sterling Heights

Saint Clair Shores

Clinton Tow nship

Saint Clair Shores

Clinton Tow nship

Macomb

Sterling HeightsMount Clemens

Harrison Tow nship

Lincoln Park

Bancroft

Durand

WaterfordWhite Lake

Waterford

CantonDearborn Heights

Ann Arbor

Ann Arbor

Gaines

Pontiac

Auburn Hills

Davisburg

WaterfordWhite Lake

West Bloomfield

New Baltimore

New Haven

Saint Clair

Royal Oak

Flat Rock

Trenton

South Rockw ood

Northville

Westland

Plymouth

Canton Garden CityDearborn

Detroit

Wyandotte

Rochester

Rochester

Farmington

Detroit

Detroit

Saline

Ypsilanti

Ypsilanti

Ann Arbor

Whitmore Lake

Fenton

HighlandHighland

Wixom

Farmington

Bloomfield Hills

OxfordRomeo

New Baltimore

Richmond

Marine CityFair Haven

Casco East China

Harsens Island

Algonac

SHIAWASSEE

OAKLAND

LENAWEE MONROE

WAYNEWASHTENAW

GENESEE

LIVINGSTON

MACOMB

ST. CLAIR

HFH

HFCH

HFKH

HFMH-WC

HFWBH

HFMH

HFWH

Armada

Fraser

Southfield

Macomb

New Haven

Columbus

Southfield

TroyTroy

Warren

Washington

Washington

Ray

Troy

Allen Park

Ann Arbor

Belleville

Belleville

Brighton

Bridgew ater

Brighton

Carleton

Chelsea

Dearborn

DearbornDearborn

Dexter

Gregory

Grosse Ile

Hamburg

Inkster

Lakeland

Livonia

Livonia

Livonia

Manchester

Milan

New Boston

New Hudson

Pinckney

Rockw ood

Romulus

South Lyon

Taylor

Wayne

Westland

Whittaker

Southgate

Detroit

Detroit

Detroit

Detroit

Detroit

Detroit

Detroit Detroit

DetroitDetroit

Detroit

Detroit

DetroitDetroit

Detroit

Rochester

Utica

Utica

Utica

Keego Harbor

West Bloomfield

PontiacPontiac

Clarkston

Clarkston

Hartland

Lake Orion

Lake Orion

Lake OrionOakland

Lakeville

Leonard

Oxford

NoviNovi

Novi

Milford

MilfordMilford

Walled Lake

Byron

Holly

Linden

Ortonville

Fow lerville

How ell

Morrice

Webberville

ss Lake

Norvell

kbridge

Median HH Income by Zip Code

$101k to $140k$76k to $100k$51k to $75k$36k to $50k$13k to $35k

HFHS Planning Dept.

Page 16: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

% Minority by Zip Code (Tri-County Area)

Source: Thomson Reuters Market Expert Database

Lincoln ParkTaylor

Romulus

Dearborn HeightsWayne

Dearborn

Clarkston

White LakeWaterford

Waterford

Davisburg

Auburn Hills

Pontiac

Pontiac

PontiacWaterford

White Lake

Carleton

Ann ArborAnn Arbor

Bancroft

Byron

New Baltimore

Washington

New Haven

New Baltimore

Casco

Saint Clair

Detroit

Detroit

Detroit

DetroitDetroit Detroit

DetroitDetroit

FerndaleEast Detroit

Center Line

Warren Saint Clair ShoresOak Park Hazel Park

Warren

RosevilleSaint Clair Shores

West BloomfieldBloomfield Hills

FarmingtonFranklin

Southfield

Birmingham Claw sonRoyal Oak

Madison HeightsWarren

Sterling HeightsTroy Sterling Heights

Clinton Tow nship

Saint Clair ShoresFraser

Farmington Berkley

Bloomfield Hills Harrison Tow nship

Clinton Tow nship

Sterling HeightsSterling Heights

Mount Clemens

DearbornDearborn Heights

DearbornDearborn

Redford

Garden City

Bloomfield HillsKeego Harbor

West Bloomfield

Redford

Milan

South Rockw ood

Flat Rock

Trenton

Wyandotte

SouthfieldFarmington

DetroitDetroit

Lake Orion

Lake Orion

RochesterRochester

Walled Lake

Milford

Farmington

Royal Oak

Novi

Northville

Westland

Plymouth

Canton

Canton

Detroit

Willis

Saline

Ypsilanti

Ann Arbor

Ypsilanti

Ann Arbor

Whitmore Lake

Brighton

Fenton

Milford

Milford

HighlandHighland

Oxford

Utica

Washington

Romeo Richmond

New Haven

Fair Haven

East China

Marine City

Harsens Island

Algonac

WAYNE

OAKLAND

LENAWEE MONROE

WASHTENAW

SHIAWASSEEGENESEE

LIVINGSTON

MACOMB

ST. CLAIR

HFCH

HFH

HFKH

HFMH-WC

HFWBH

HFMH

HFWH

Armada

Southfield

Macomb

Macomb

Columbus

Troy

Warren

Ray

Troy

Allen Park

Belleville

Belleville

Brighton

Bridgew ater

Chelsea

Melvindale

Dexter

Gregory

Grosse Ile

Hamburg

Inkster

Lakeland

Livonia

Livonia

Livonia

Manchester

New Boston

New Hudson

Pinckney

Rockw ood

South Lyon

Westland

Southgate

Detroit

Detroit

Detroit

Detroit

DetroitDetroit

Detroit Detroit

DetroitDetroit

Detroit

Detroit

Detroit

Detroit

DetroitDetroit

Detroit

Rochester

Utica

Utica

West Bloomfield

Clarkston

Hartland

Lake Orion

Oakland

Lakeville

Leonard

Oxford

Novi

Novi

Union Lake

Wixom

Gaines

Holly

Linden

Ortonville

Fow lerville

How ell

Morrice

Webberville

ss Lake

Norvell

kbridge

% Minority by Zip Code

76% to 99%51% to 75%26% to 50%11% to 25%3% to 10%

HFHS Planning Dept.

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Health Status by Zip Code (Tri-County Area)

Source: Thomson Reuters Market Expert Database

Oak Park

Southfield

Claw son

Berkley

Franklin

Bloomfield Hills

Royal Oak

Hazel Park

Madison HeightsWarren

Warren

Detroit

Warren East DetroitSaint Clair Shores

Clinton Tow nship

Sterling Heights Harrison Tow nshipMount Clemens

Sterling Heights

Macomb

Clinton Tow nshipClinton Tow nship

Sterling HeightsSterling Heights

Ferndale

Detroit Detroit

Saint Clair ShoresRoseville

West Bloomfield

Farmington

West Bloomfield

Saint Clair ShoresFraser

Farmington

BirminghamTroy

Bloomfield Hills

DetroitDetroit

Detroit

Detroit

Detroit

Detroit

Detroit

Detroit

Wyandotte

Waterford

Clarkston Washington

White LakePontiac

Auburn Hills

Davisburg

Pontiac

WaterfordWaterford

White Lake

Bancroft

Grand Blanc

Ann ArborAnn Arbor

Ann Arbor

Dearborn Heights

Romulus

Fow lervilleHow ell

New Baltimore

Saint Clair

East China

UticaRochester

West Bloomfield Bloomfield Hills

Livonia Redford

Farmington Southfield

Dearborn Heights

Redford

Dearborn

DetroitLivonia

Westland

Dearborn

Garden City

Detroit

Detroit

Milford

Milan

Fenton

Byron

Gregory

Pinckney

Saline

Ypsilanti

Ann Arbor

Ypsilanti

NoviNew HudsonWixom

Farmington

Northville

Canton

Plymouth

Canton

South Rockw ood

Trenton

Milford

Lake Orion

RochesterHighland

Holly

Leonard

OxfordRomeo Richmond

New Baltimore

Harsens Island

Fair Haven

Casco

Marine City

Algonac

OAKLAND MACOMB

MONROE

SHIAWASSEEGENESEE

WASHTENAW

WAYNE

LIVINGSTON

ST. CLAIR

HFWBH

HFKH

HFMH-WC

HFMH

HFCH

HFH

HFWH

Armada

Center LineSouthfield

Macomb

New Haven

New Haven

Columbus

Royal Oak

Troy

Warren

Washington

Ray

Troy

Allen Park

Belleville

Brighton

Bridgew ater

Brighton

Carleton

Chelsea

MelvindaleDearborn

Dearborn

Dexter

Flat Rock

Grosse Ile

Hamburg

Inkster

Lakeland

Livonia

Manchester

New Boston

Rockw ood

South Lyon

Taylor

Wayne

Westland

Whitmore Lake

Whittaker

Southgate

Detroit

Detroit

DetroitDetroit

Detroit

Detroit

DetroitDetroit

Detroit

Detroit

Detroit

DetroitDetroit

Detroit

Rochester

Utica

Utica

Pontiac

Clarkston

Hartland

Highland

Lake Orion

Lake Orion

Oakland

LakevilleOxford

NoviNovi

Milford

Walled Lake

Gaines

Linden

Ortonville

Cohoctah

Morrice

ry

Webberville

yn

Clinton

Grass Lake

Norvell

Stockbridge

Tipton

Health Status by Zip Code

ExcellentVery GoodGoodFairPoor

HFHS Planning Dept.

Page 18: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Community Strategies – “Weight-Bearing” & Accountable

Organizational Framework

Internal Strengths

Mission and Vision People Service Quality &

Safety Growth Research & Education Community Finance

The Henry Ford Experience

System Values

Page 19: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Community

Community Pillar Team High-level leaders from all business units of

health system Co-chaired by Dr. Wisdom, Sr. VP Community

Health & Equity, CWO - and Barbara Rossmann, CEO of Henry Ford Macomb Hospitals

Where community health needs assessment meets community benefit planning

Sets health system community goals and metrics, recommends and reports to system Performance Council

Includes Board-reportable goals

Page 20: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Improving Community Health - A Strategic Framework

Page 21: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Community Pillar

BAccess to Healthcare/

Community HealthC

Healthcare Equity

AWellness Center

of Excellence

Underserved Access to Clinical

Care (e.g. FQHCs)

Community Benefit Reporting (inc. charity care)

Formation of Wellness COE

Oversight: Safety Net TeamLeader: P. SzilagyiStaff: S. Alcendor

M. Hussmann

S. Alcendor

D. Clark,D. Murray, J. Leslie

Community Wellness inc

Primary Disease Prevention

B. ThayerS. Millberger

D. White-PerkinsJ. Clement

Stratify and Report Quality/ Service

Measures

Faith Community Nursing

A. BrownD. White-Perkins

Oversight Leader

Oversight: Wellness Comm.Leader: K. Wisdom

Staff: S. Milberger, B. Thayer

Oversight: Community PillarLeaders: B. Rossmann, K. Wisdom

Staff: N. Combs, D. Murray, S. Alcendor

Community Pillar Framework

Childhood Wellness

School Based Health

Community Infrastructure

Leader: D. Clark

Community Health Needs

Assessment

Community Benefit Planning

Collect Race, Ethnicity and

Primary Language Data

D. Clark,D. Murray, N. Combs

D. Clark,D. Murray, E. Farrell,

M. Bekheet

Chronic Disease Management in

Community Settings eg

Diabetes Program

Corporate and Employee Wellness

Leadership Community

Volunteering

R. Glenn

D. White-PerkinsA. Brown

K. Conway

E. BacigalB. Thayer

Medication Assistance Program

S. AlcendorA. Petriches

Clinical Preventive Services

Research Demo Projects

TBD

TBD

Provide Culturally Competent Care

Demonstrate Specifi Culturally Competen

Clinical Programs

competent employee

Develop a culturally competent organizat (e

Charity CareOversight

02/07/12

Community Health

K. Conway

See handout

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Infrastructure Triennial Community Health Needs Assessment

– Includes Stakeholder Input Community Benefit

– Inventory – Planning – Reporting – Strong partnership with Finance leaders

Community Benefit Council Leadership Volunteerism – “Formulary”

approach – CBOs engaged in improving community health

Page 23: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Wellness Center of Excellence

Community Wellness/Disease Prevention

Child Wellness Corporate/Employee Clinical Preventive

Services Research Aligned with National

Prevention Strategy

Page 24: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Access to Care Charity Care Oversight Costs Saved/Costs

Avoided Medical/Rx Assistance

Program Underserved Access to

Care (FQHCs, free clinics)

Faith Community Nursing; other Faith-Based Partnerships

School-Based Health Chronic Disease Mgmt in

Community Settings (e.g., Diabetes, Hypertension, etc.)

Page 25: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Faith-Based Programs/Partnerships (partial)

Screenings and Health Education

Called to Care - Faith Community Nursing

Detroit Neighborhood Reformation

Circles of Care Faith-Based Kiosks Stress & Pain-Free

Living ™

Lay Aside Every Weight ™

Generation With Promise

Interfaith Health & Hope Coalition

Ecumenical Theological Seminary

Your Journey to Wellness ™

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Healthcare Equity

Collect race, ethnicity, primary language data

Stratify, report Quality/Service measures

Provide culturally competent care

Page 27: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

3-Year Campaign:

1. Raise awareness about health and healthcare disparities 2. Implement tools to improve cross-cultural communication and collaboration 3. Integrate into System processes to ensure sustainability and accountability; develop process for continuous monitoring of quality metrics by race/ ethnicity/ language and for intervention

Page 28: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Healthcare Equity Campaign, Phase 1: 230 Ambassadors trained; 6,288 contact hrs in first two years; 1,278 took online course at HFHS University.

Page 29: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Race/Ethnicity/ Language Data

Collection: 175,000 forms

completed in first 2 months

Page 30: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Emerging Programs & Partnerships

Sew Up the Safety Net for Women and Children

Generation With Promise

Community Advancement

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Sew Up the Safety Net for Women and Children

$1.8 million project, funded by Robert Wood Johnson Foundation, The Kresge Foundation, Henry Ford Health System, Detroit Medical Center, Oakwood Healthcare System, St. John Providence Health System, U of Michigan School of Public Health, PNC Foundation

More than 30 community partners 3-yr project to reduce infant mortality in 3 Detroit

neighborhoods Community health workers (Community & Neighborhood

Navigators – “CNNs”), provider education on health equity framework, social marketing, public policy change

Page 33: Community Benefit: Making It Matter - Methodist · PDF fileCommunity Benefit: Making It Matter Kimberlydawn Wisdom, MD, ... Thomson Reuters Market Expert Database South Rockwood

Policy Change: Community Health Worker

Community-based care partner, mentor, navigator (doula, promotora)

Shown to be effective in developing countries; various U.S. demonstration projects

High school diploma w/certificate program Policy goal is to reimburse Community Health

Worker services through Medicaid (Minnesota has precedent)

Groundswell of interest from funders and policymakers

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Generation With Promise Began with $5 million W.K. Kellogg

Foundation grant to Office of the Surgeon General, MI Dept. of Community Health Reached 30,000 students in 30 schools

over 3 years Now funded by USDA to Henry Ford

Health System Faith-based component coming in 2012

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GWP Outcomes & Reach Reach for Program Year 2011

– 5,819 youth, families and adults

Projected Reach for Program Year 2012 – 8,000 youth, families and adults

Outcomes for Cooking Matters Classes – Post Retrospective Survey reports – Positive change on all behaviors assessed – Thinking about healthy food when deciding to feed their

family (improved 38%) – Using Food Labels to make food choices (improved 106%) – Planning (improved 40%) and Preparing (improved 39%)

meals as a family

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Nutrition and Physical Activity

Peer-led assemblies with middle-school aged youth

Endorsed by American Academy of Pediatrics

Syncs with overall Childhood Wellness strategy at HFHS

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Generation With Promise Youth Leadership Development

Goal: To develop student leaders who can research, develop, implement, articulate, and evaluate the affects of projects that impact and influence policies and their environment, through voice & power

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HFHS CEO Nancy Schlichting joins Dr. Kimberlydawn Wisdom and Generation With Promise Youth Leaders after their return from Usher’s New Look Foundation World Leadership Conference in July 2011.

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Usher’s New Look Foundation photo

Partnership with Dr. Toni Yancey for Instant Recess; more than 20 articles and other publications.

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GWP Youth Leaders: published authors, too!

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Making Community Benefit Matter

Selected Metrics

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Sample Infrastructure Metrics

“Community Needs Assessment completed by end of 1Q 2014”

“CBISA inventory software in use across System by end of 3Q 2012”

“Increase leadership volunteerism to 10% over 2010 actual (20,077 hrs)”

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“More favorable charity care/debt ratio”

“Expand costs saved/cost avoided model to one additional business unit”

“100% of patients with a HFHHN or HFWBH visit in 2012 are asked for their race, ethnicity, and language”

Sample Access, Equity Metrics

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“By January 31, 2012, hire/train all program staff; by June 30, 2012, enroll at least 125 pregnant women and 300 non-pregnant women and begin intervention; by July 1, 2012, launch provider training; by July 1, 2012 launch social marketing campaign”

“No preventable infant deaths in target population” (3-Year Project Goal)

Sample Emerging Programs & Partnerships Metrics –

Sew Up the Safety Net

(Year One Goal)

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“Reach 8000 students & adults in schools, churches and community sites”

“By September 30, 2012, 75% of participants will report an increase of their consumption of fresh fruits and vegetables, whole grains, and non-fat/low fat dairy”

Sample Emerging Programs & Partnerships Metrics –

Generation With Promise

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Making Community Benefit Matter

Summary of Essentials Discussion

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Making Community Benefit Matter: Essentials

Leadership from the top, meaningful objectives clear through to the bottom line

Robust, quantifiable goals - broadly embraced as synergistic with organizational mission, vision, values

Leverage key organizational priorities (Quality, Service Excellence, Readmission Reduction, etc.)

Sustainable; fundable over time

Community partnership (sometimes with competitors); public-private partnership; faith-based and neighborhood partnerships – Listening and learning from

wisdom at the grassroots Culturally competent Plan for it: Health Reform;

Medicaid expansion Seek other policy links Consider new models of care,

e.g., Community Health Worker

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For Discussion What current organizational priorities can you leverage

to sharpen the focus on measurably improving community health? Community benefit?

What new partners might you work with? – Internal and external

How might you go about increasing top leadership support, if needed?

How can you leverage Health Reform? Other policy change?

Your other ideas and strategies?

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Looking Ahead to Tomorrow: Costs Saved/Costs Avoided

Thank You!