About CHRT

Washtenaw County Public Safety and Mental Health Preservation Millage Implementation

Client(s): Washtenaw County Community Mental Health, Washtenaw County Sheriff's Office
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Community partners in public safety seek to reduce the number of low-risk, low-level offenders with moderate to severe mental illness or substance use in jail and to redirect them to a supported and well-resourced path to community-based recovery. Community partners in mental health hope to offer immediate mental health and substance use disorder crisis response; to provide short-term services for adults and youth, regardless of insurance status or ability to pay, who have difficulty securing the services they require; to enhance mental health and substance use disorder assessment and treatment in the jail while supporting diversion options and offering expanded education and support for first responders; and to support education, prevention, and awareness in collaboration with schools, faith communities, health care providers, and other local groups.

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CHRT News: Ninth cohort of CHRT Health Policy Fellows features diverse views, backgrounds, expertise, and more

On January 30, the ninth cohort of CHRT Health Policy Fellows will begin a four-month curriculum designed to build bridges between Michigan’s health researchers and policymakers. The curriculum includes the history of health care in America, Affordable Care Act implementation and impact in Michigan, value-based insurance design, Michigan Department of Health and Human Services priorities, collaborative quality initiatives, health care …

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Evaluating the Shelter Association of Washtenaw County medical recuperative care program

Client(s): Shelter Association of Washtenaw County, Packard Health, St. Joseph Mercy Health System, Michigan Medicine
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The Shelter Association of Washtenaw County (SAWC) works to end homelessness one person at a time. Over the years, it has recognized the strong correlation between poor health and homelessness. To address this, SAWC is partnering with area health providers--Packard Health, St. Joseph Mercy Hospital, and Michigan Medicine--to provide onsite primary and behavioral health services to it clients and to strengthen connections with acute care hospital providers. However, SAWC clients continue to suffer from a gap in the local healthcare system, the need for recuperative care such as wound care, adherence to complicated medication regimens (including those delivered intravenously), and more. While this level of service is available for those with housing, it is not available for the homeless. SAWC believes this gap causes early mortality for its clients, increases the cost of their care for Medicaid and Medicare, and adds to ER and hospital bed congestion.

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Mapping gaps and redundancies in behavioral health care: Community mental health and Medicaid clients

Client(s): Washtenaw County Community Mental Health, Blue Cross Complete
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Many individuals who receive Community Mental Health (CMH) services in Washtenaw County have complex health and social service needs. They may receive a variety of services – physical and behavioral health services, care coordination, care management, and social support services – provided by both their CMH and by their Medicaid health plan (MHP). These services, however, are often not coordinated and may be difficult to navigate.

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CHRT News: CHRT to support grantees of The Kresge Foundation as they advance health and human services integration

The Kresge Foundation has awarded $1.5 million in grants to five organizations across the nation to enhance their efforts to integrate their health and human services systems and create more seamless, person-centered experiences for individuals and families seeking support in cities across the country. The Center for Health and Research Transformation serves as the foundation’s learning partner and technical assistance provider for …

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Michigan Physician Survey – Primary Care Physicians in Michigan

CHRT has been surveying primary care physicians (PCPs) in Michigan since 2012—tracking key trends in practice patterns, capacity, payer mix and care team composition. Our latest survey also asked physicians about care continuity and Medicaid work requirements legislation (a full analysis can be found here). PCPs are a key component of a successful, high quality healthcare system. As the baby-boomer …

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From Healthcare to Health: Our 2018 Annual Report

(Download our 2018 Annual Report) Every day, CHRT works with a dozen community partners, health systems, and health plans to address the social determinants of health in Livingston and Washtenaw Counties. How? By applying and testing evidence-based best practices; by working to integrate health care and social services; and by fostering a culture of continuous improvement. Our 2018 annual report, …

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Michigan at a Crossroads

Michigan’s Key Health Policy Issues, 2018 The Michigan government has jurisdiction over a wide array of health policy issues. From the regulation of insurance products, to oversight of the state’s Medicaid program, to investing in local public health efforts, Michigan policymakers craft policies and budgets that impact the health of millions of Michiganders. This brief will provide an overview of …

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Advancing the Profession and Sustainability of Community Health Workers

  Community Health Workers (CHWs) strive to bridge gaps between traditional healthcare providers and the communities they serve, but the community health worker profession faces several challenges to realizing its full potential. In the fall of 2017, the Center for Healthcare Research and Transformation (CHRT) published an issue brief that focused on the ways State Innovation Model (SIM) grants have …

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Child ADHD in Michigan

            Introduction Attention deficit hyperactivity disorder (ADHD) is the most common neurobiological disorder among children in the U.S.[footnote]Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management, Wolraich M, Brown L, Brown RT, DuPaul G, et al. “ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/ hyperactivity disorder in children and …

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