In The Media Archive

In the news: Maximizing opioid settlement funds for substance use recovery

A Healthcare professional talking about opioid use recovery

A new article, Michigan needs coordination, collaboration spending opioid funds, highlights CHRT’s mixed methods research on opportunities to speed substance use recovery through opioid settlement fund investments.

In Gaps and opportunities for substance use recovery: Considerations for spending opioid settlement funds, CHRT highlights guidance from the state’s recovery support providers, including many with lived substance use recovery experience, about ways state and local leaders could invest opioid settlement funds to address gaps in the state’s substance use disorder recovery care system.

Bridge Michigan health reporter Robin Erb writes, “Reversing an overdose — yanking someone back from the brink of death — can take minutes. Recovery takes years.” Substance use addiction isn’t easy to “cure.” It’s best to look at it as a chronic condition, one that requires ongoing treatment and support.

Melissa Riba, CHRT’s research and evaluation director and lead author of the report, says people in recovery need wraparound support to be successful. Sometimes this means transportation to group meetings, or supportive housing environments, or medication.

And just because someone isn’t ready to quit right now doesn’t mean they don’t need services. In fact, the evidence says that syringe exchanges, naloxone distribution, and other harm reduction efforts are a great way to build trust and dialogue with substance users so when they’re ready to quit, they already have a network to support them.

CHRT begins four new projects

Developing Community Paramedicine programs in underserved regions across Michigan

The Center for Health & Research Transformation (CHRT) is pleased to announce four new projects.

Expanding community paramedicine and mobile integrated health in mid-Michigan

This project, a collaborative initiative with Mobile Medical Response (MMR), aims to launch a community paramedicine program to address gaps in medical and social care within mid-Michigan communities. CHRT’s role includes conducting environmental scans and needs analyses, developing a sustainable funding model for the community paramedicine program, identifying care disparities, and providing technical assistance to ensure the program’s effectiveness.

Non-emergency medical transportation (NEMT) needs and recommendations for older adults

Both Medicaid recipients and non-recipients use NEMT for essential medical and behavioral health visits. CHRT will conduct a comprehensive review of the literature and data, alongside stakeholder interviews, to identify transportation needs, barriers, and successful models from other communities. The findings will be compiled into a policy brief to guide transportation providers, healthcare entities, health payers, and policymakers.

Lessons learned from the Pfizer Foundation’s Community Health Innovation Grant Program

Running from December 2023 to December 2025, this project aims to enhance infectious disease control in underserved U.S. communities. CHRT collaborates with Direct Relief to monitor and analyze grantees’ progress. Activities include reviewing goals and metrics, attending meetings, analyzing grantee reports, and conducting interviews. The project will culminate in a comprehensive report detailing key strategies, findings, and an implementation guide for future programs.

Health education opportunities for Michigan legislators and legislative staffers

Funded by the Michigan Health Endowment Fund, this project aims to enhance the knowledge of legislators and legislative staff on policy-relevant health topics. Due to term limits and turnover in the Michigan House and Senate, there’s a need to refresh health issue expertise regularly. CHRT collaborates with the Institute for Public Policy and Social Research and other partners to develop primers, conduct round-table discussions, and implement forums focused on behavioral health, workforce health, Medicaid, and public health.

These projects embody CHRT’s commitment to health transformation through research, policy, and practice. We look forward to the positive impacts these initiatives will have on our communities and the broader health care landscape.

CHRT is pleased to welcome the 2024 Health Policy Fellowship cohort

Instructor speaking to a class of fellowship students

The Center for Health and Research Transformation (CHRT) at the University of Michigan is pleased to announce its 2024 Health Policy Fellowship cohort.

More than 125 health researchers, policymakers, and nonprofit leaders have completed the fellowship since its launch in 2012. Many fellowship alumni occupy influential roles as policymakers and leaders across Michigan.

The 2024 fellowship cohort will include:

Chelsea Alcock, Legislative Assistant, 52nd District, Michigan House of Representatives
Dr. Frank Conyers, Clinical Assistant Professor, Department of Neurology, Michigan Medicine
Samantha Cornell, Director of Community Based Services, Access Health
Elizabeth Crenshaw, Director of District and Constituent Services, 7th District, Michigan Senate
Jennifer Day, Community Building Manager, Michigan Breastfeeding Network
Thye Fischman, Manager of Government Relations, Department of Government Relations, Michigan Medicine
Morgan Foreman, Director of Constituent Services, 55th District, Michigan House of Representatives
Shannon Jackson, Program Manager, Residents in Action
Stephen Jackson, Policy Advisor, Michigan Senate Democrats
Dr. Patrick Johnson, Resident, Department of General Surgery, Michigan Medicine
Dr. Beth Kuzma, Clinical Associate Professor, Department of Nursing, Michigan Medicine
Kristina Leonardi, Director of Aging and Community Services Division, Michigan Department of Health and Human Services
Kelsey Ostergren, Director of Health Policy Initiatives, Michigan Health and Hospital Association
Beverly Ryskamp, Chief Operating Officer, Network 180

The program is an immersive four-month experience that brings together a diverse group of professionals to foster collaboration among policymakers, researchers, and nonprofit professionals.

“The CHRT Fellowship enhanced my ability to think about policy—from the formulation of the research questions to the translation of the research findings to inform policy in real- time,” says Dr. Renuka Tipirneni, Assistant Professor of Internal Medicine, University of Michigan Medical School and Institute for Healthcare Policy & Innovation. “I valued going through the experience with an incredible cohort of both policymakers and researchers. This inter-sectoral peer mentorship enhanced my training and helped me build connections that I hope will last for my entire career.”

The 2024 cohort of Health Policy Fellows will engage in interactive workshops and learning sessions in Ann Arbor, Detroit, Lansing, and Washington, DC. These sessions are designed to provide fellows with opportunities to gain insights into local, state, and federal health policy landscapes. Orientation briefings will cover essential topics such as the legislative process, Michigan state government structure, strategies to effectively communicate with legislators, and the challenges in building sustainability for nonprofit organizations.

For further information about the CHRT Health Policy Fellowship and to apply for the 2025 cohort, please contact Holly Quivera Teague, Fellowship Program Manager, at hquivera@med.umich.edu.

CHRT is grateful for the generous support of our 2024 fellowship sponsors: Blue Cross Blue Shield of Michigan, the Michigan Health Endowment Fund, Michigan Medicine, and the Michigan State Medical Society.

Joshua Traylor named executive director of the Center for Health and Research Transformation

Joshua Traylor, MPH, senior director at the Health Care Transformation Task Force in Washington, DC, has been named executive director of the Center for Health and Research Transformation (CHRT), an independent nonprofit policy center at the University of Michigan. Traylor will take the helm on November 1.

“The board was unanimous and enthusiastic about selecting Joshua Traylor for the role of executive director,” says Tony Denton, CHRT board chair and senior vice president and chief operating officer of the University of Michigan Health System – Michigan Medicine. “Traylor’s work with diverse stakeholders, his systemic approach to complex challenges, and his commitment to health equity will advance CHRT’s mission to inform and support policies and practices that improve population health.”

Throughout his career, Traylor has developed deep expertise in health care reform strategies and has led cross-sector work to extend care to the uninsured and to address barriers to successful reform efforts in Medicare, Medicare Advantage, Medicaid, state employee, and privately insured populations.

As a senior director of the DC-based Health Care Transformation Task Force, Traylor has worked with health care providers, purchasers, patient advocates, policymakers, and regulators to develop recommendations and resources for public and private sector payment and care delivery improvements. He has also worked with federal agencies and stakeholders and collaborated on a series of grants aimed at enhancing health equity, improving maternal health, involving patients and communities in health care decision-making, and addressing health-related psychosocial needs.

Prior to his role at the Task Force, Traylor was a member of the Prevention and Population Health Group and the State Innovations Group at the U.S. Center for Medicare and Medicaid Innovation. At the Innovation Center, Traylor worked on the design of the Integrated Care for Kids Model, developed financial models to forecast the impact of proposed care delivery and payment reforms, identified strategies and recommendations for Medicaid care delivery and alternative payment reforms, and worked with State Innovation Model awardees to implement Medicaid reforms.

“My first position after graduate school was as an early career fellow at CHRT working on data analytics and the Washtenaw Health Initiative. The fellowship experience was invaluable for me and continued to inform my work at CMMI and HCTTF,” says Traylor. “I am thrilled to have the opportunity to work with the talented CHRT staff, board members, and partners to further CHRT’s mission of improving the health of people and communities and to continue to develop future leaders in this space.”

“The board is deeply grateful to Robyn Rontal for her willingness to serve as interim director of CHRT, maintaining CHRT’s mission, vision, and values during this transition,” says Denton. “Her steady leadership has kept CHRT on course while improving its fiscal and operational position in important ways.”

CHRT’s 2021 impact report highlights the organization’s local, state, and national work to inspire evidence-informed policies and practices that improve the health of people and communities.

Introducing CHRT’s 2023 Rebecca Copeland Interns: Jennie Scheerer and Ashya Smith

We are pleased to announce that Jennie Scheerer and Ashya Smith have been chosen to serve as CHRT’s 2023 Rebecca Copeland Interns.

Jennie Scheerer will primarily work with CHRT’s health policy and research and evaluation teams. She is interested in the intersection between maternal and reproductive health, anti-racism, and U.S. domestic policy.

“Everyone with a uterus should have access to safe and equitable healthcare,” says Scheerer.

Before joining CHRT, Scheerer interned with the department of obstetrics and gynecology and the University of Michigan Institute for Healthcare Policy and Innovation (IHPI). As a research assistant, Scheerer helped manage research projects on abortion access and Title X family planning programs in Michigan.

Scheerer is a 2024 dual master’s candidate in public health and public policy at the University of Michigan. She holds a bachelor’s degree in human development and social relations from Kalamazoo College.

Ashya Smith is interested in Black maternal health care, health equity, reducing health disparities, and improving healthcare access. She graduated from the University of North Carolina – Chapel Hill’s Gillings School of Global Public Health, with a master’s in health policy in 2023.

While at the University of North Carolina, Smith interned for Birth Detroit and the United States of Care. In these roles, she learned how to use policy to advocate for marginalized communities. Smith also spent two years working on kidney policy research projects as a policy associate at the Arbor Research Collaborative for Health.

In 2019 Smith earned a bachelor’s degree from the University of Michigan in international studies, with a focus on global health and environment. During her undergraduate career, she interned at the Black Aids Institute as a UCLA Public Health Scholar, worked in sickle cell research in Ghana, and assisted in diabetes and food insecurity research at the University of Michigan School of Public Health.

About the Rebecca Copeland Memorial Internship

Rebecca Copeland was a dual degree student in public health and public policy at the University of Michigan, and graduated with an MPP and MPH in the spring of 2021.

“Rebecca was deeply committed to improving health, health care, and social justice,” says Terrisca Des Jardins, one of Copeland’s mentors and former executive director of CHRT. “She brought enthusiasm and excellence to analysis of important health policy issues and inspired those alongside whom she worked.”

Des Jardins describes Copeland as “a wonderful human being who brought excellence and critical thinking to everything she did. She was demanding of herself and others, and of society and health care delivery. She was thoughtful, kind and caring. She also had a wicked sense of humor.”

Copeland interned with Nancy Baum, CHRT’s health policy director, working on projects related to improving the public mental health system.

“Her energy was amazing,” says Baum. “Rebecca showed us just how valuable interns can be in an organization like ours. When an intern is both smart and dedicated to making systems better to improve health, as Rebecca was, they can move mountains,” says Baum.

Rebecca Copeland passed away in July 2021. CHRT and the RAC Fund for Social Justice honor her memory by offering the Rebecca Copeland Internship to graduate students at the Gerald R. Ford School of Public Policy.

CHRT welcomes four new team members

Since our last newsletter, CHRT has welcomed four new team members.

Jadrienne Horton

Jadrienne Horton is a project manager for CHRT’s research and evaluation team. Horton previously interned with the team through the American Evaluation Association’s 2022-2023 Graduate Education Diversity Internship program, assisting with the Year 1 Evaluation Report for the Washtenaw County Law Enforcement Assisted Diversion and Deflection (LEADD) pilot. Horton recently graduated with a dual master’s degree in public health and social work from the University of Michigan. She has interests in working with marginalized racial and ethnic minority groups and underserved populations to raise awareness about environmental and social injustices impacting their communities. She is also passionate about incorporating race equity into evaluation and research practices.

Abdullah Hashsham

Abdullah Hashsham is an associate analyst on the health policy and health and social equity teams at CHRT. He assists with the Washtenaw Health Initiative and works with the health policy team on Medicare, Medicaid, and long-term services and supports projects. Before joining CHRT, Hashsham was a research lab technician in the Affinati lab at the University of Michigan, studying diabetes from a neuroscience lens. Additionally, he interned at the Center for Healthcare Innovation, a Chicago-based non-profit, where he supported health equity initiatives on clinical trial diversity, affordable care, and children’s mental health. Hashsham earned his bachelor’s degree in public health from the University of Michigan.

Janan Saba Landsiedel

Janan Saba Landsiedel is a senior project manager at CHRT, supporting the objectives of the health and social equity team. She currently serves as the project manager for the Promotion of Health Equity initiative partnering with regional health organizations, Michigan Medicine, and the Michigan Department of Health and Human Services. Prior to joining CHRT, Saba Landsiedel supported quality improvement initiatives at Henry Ford Health. Additionally, she served as chair of the Michigan State Advocacy Committee for the American Heart Association. She holds a Master of Public Health with a concentration in global health from George Washington University, a bachelor’s degree in psychology from Albion College, and a professional certificate in project management.

Nailah Henry

Nailah Henry is an analyst on the health policy team at CHRT. She is committed to public health education, community health engagement, and advancing the understanding of health disparities. Henry has worked as an associate clinical research coordinator at Michigan Medicine and as a research assistant at Wayne State University and the University of Michigan. She holds a master’s degree and bachelor’s degree in public health from Wayne State University.

Regional Health Collaboratives work to improve behavioral healthcare

AI diagram of interconnected health images

The Promotion of Health Equity Project engages six Regional Health Collaboratives — care coordination programs designed to improve a region’s wellbeing – to address health-related social needs and establish a framework for statewide expansion.

A recent MI Mental Health Series article by Estelle Slootmaker, “Regional Health Collaboratives improving access to behavioral health services,” discusses the goals of these six collaboratives and specifically highlights MI Community Care (MiCC), the collaborative serving Livingston and Washtenaw Counties.

CHRT provides the administrative backbone for MiCC, and is also evaluating the progress of all six collaboratives. The article interviews two CHRT staff members: Ayşe Büyüktür, MiCC program manager, and Jonathan Tsao, senior project manager on CHRT’s research and evaluation team.

While the Regional Health Collaboratives help patients with a wide range of health and social needs — including housing, medication management, transportation to and from medical appointments, and food security — one of the collaboratives’ key objectives is to improve access to behavioral health care. To do so, each collaborative works with local partners to make behavioral health referrals.

Behavioral health is still stigmatized, Büyüktür says: “Not everyone is comfortable asking for help or knows how to access services … If someone is struggling with behavioral health needs, expecting them to navigate complex systems of care … places extra burden on them.”

“Most of the residents who come to their region’s programs have complex medical, behavioral health, and social needs,” says Tsao. “[Regional Health Collaborative] programs are designed to address all of those needs through care coordination.”

MiCC partners with Washtenaw County Community Mental Health (WCCMH) and Livingston County Community Mental Health.

To coordinate behavioral health care for a MiCC participant, the lead care coordinator arranges care and resources for patients, and community health workers (CHWs) and peer support specialists help patients access these resources.

CHWs and peer support specialists “meet participants where they are,” says Buyuktur. “They see their living situations. They have the expertise to recognize needs and problems … They are incredibly knowledgeable about community resources. And because they build strong, trusted working relationships with community members based on those individuals’ personal goals, they help to de-stigmatize behavioral health at the individual level.”

MI Mental Health interviews Ayse Buyuktur about the importance of community health workers

Female health care worker filling out chart of adjacent older female

CHRT’s Ayse Büyüktür, program manager for the MI Community Care (MiCC) program, recently spoke with MI Mental Health about the extensive work community health workers do to support the behavioral health needs of residents.

Across the state, community mental health agencies enlist community health workers to extend their reach, writes reporter Rylee Barnsdale in “Community health workers bring mental health home.”

Washtenaw County Community Mental Health, for example, partners with MI Community Care to provide CHW services.

MI Community Care works in both Washtenaw and Livingston counties, providing cross-sector care to support the needs of residents with complex lives and conditions. The story outlines how MiCC CHWs–centered at the Washtenaw Health Plan and the Livingston County Community Mental Health agency, support MiCC participants under challenging situations, helping them get the care and support they need.

One role of a CHW is performing home visits to patients to “meet them where they are,” Büyüktür explains. Home visits go beyond “simply helping to make appointments and phone calls,” she continues. During home visits, CHWs also can analyze what state an individual and their home are in and find community resources to improve their conditions, and to lessen feelings of social isolation.

When asked, “Are there changes for CHWs and how health care systems recognize them?” Büyüktür says Michigan “is working out how to pay CHWs who service people on Medicaid,” which is something she and others across the state are really excited about. To appropriately compensate CHWs for their work, though, requires understanding their value.

“[CHWs] do so much for us. It’s hard in some ways to describe it because they are changing lives. That’s not a cliche in this situation. It’s reality.”

CHRT explores the individual and environmental factors linked to healthy aging for people with long-term disabilities

An older person in a wheelchair touching tall grass

Since 2018, CHRT has worked closely with one of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDLRR) rehabilitation research and training centers (RRTC). The project, Investigating Disability factors and promoting Environmental Access for Healthy Living (IDEAL), aims to promote healthy aging for people with long-term physical disabilities.

What we’ve done

For the IDEAL RRTC, housed within the University of Michigan’s Center for Disability Health and Wellness, CHRT has produced multiple articles and policy briefs that elevate challenges and solutions for individuals aging with long-term disabilities.

In a brief titled Housing crisis is magnified for people with physical disabilities. Here’s how we can help, CHRT describes how individuals with physical disabilities are impacted by the U.S. housing crisis and shares ways to make housing more accessible and affordable.

In another brief titled Telehealth for people with disabilities, CHRT recommends national and state policies to make telehealth more accessible, functional, and supportive for people with disabilities, such as incorporating closed captioning during appointments.

In a third brief, CHRT investigates policy and programmatic solutions for supporting family caregivers, and in a fourth, CHRT explores the additional stress COVID-19 has caused for unpaid caregivers, and why that matters.

And in a 2021 issue of the Annals of Family Medicine, CHRT staff Robyn Rontal, Jaque King, and IDEAL RRTC colleagues describe annual wellness visit (AWV) use among persons with physical disabilities from 2008 to 2016–before, during, and after the rollout of the ACA.

The Annals article, Annual wellness visits for persons with physical disabilities before and after ACA implementation, reports that while the rate of annual wellness visit use was decreasing before the inception of the ACA, that trend reversed when the ACA rolled out and the use of AWVs among persons with disabilities has continued to increase.

The analysis, however, also found stark differences in AWV use based on gender, race, and other factors.

In 2016, for example, commercially insured women with congenital disabilities had the highest rates of AWV use at almost 50 percent. However, Black and Hispanic men with congenital disabilities (commercially insured or Medicare Advantage members) had AWV utilization rates around half that. In addition, people with disabilities were 15 percent less likely overall to use annual wellness visits.

Recent accomplishments

More recently, CHRT fielded a national survey of disability and aging services organizations and shared findings in a webinar titled, Serving those aging with a long-term physical disability during the COVID-19 pandemic: Challenges, successes, and innovations.

Among the 138 organizations surveyed, close to half (48 percent) changed or cut services during the pandemic, and 85 percent reported that the success of their programs was challenged by financial constraints.

“Organizations play an important role to ensure people with disabilities can age successfully,” says Marissa Rurka. “It’s important to uplift their strategies and share what they did during COVID-19 and how they adapted to unprecedented times.”

During the webinar, Riba and Rurka facilitated a panel of representatives from four organizations. The Arc Detroit in Michigan, the Ability Center in Ohio, The League in Indiana, and the Thompson Senior Center in Vermont each discussed challenges that their organizations faced as a result of the pandemic.

Panelists discussed how they adapted to those challenges. They also shared opportunities to better serve those aging with physical disabilities.

In April 2023, findings from this survey were published in the peer-reviewed journal, Disabilities, in a special issue of the journal titled: Aging with disabilities.

The article, Organizations’ Perspectives on Successful Aging with Long-Term Physical Disability, describes the researchers’ methodology and results. Authors define successful aging for this population and which strategies and programs work well.

What we plan to do

CHRT policy staff are now conducting an analysis of dually-eligible (Medicare and Medicaid) members with a physical disability and tracking their utilization of annual wellness visits from 2007-2016.

“We will compare members from a sample of Medicaid expansion states to a sample of states that did not expand Medicaid in order to test the impact of Medicaid expansion,” says Jaque King, associate director of health policy at CHRT.

The team will look at other measures too, such as hospital admissions and emergency department visits pre and post-Medicaid expansion, to test the impact of Medicaid expansion.

Beyond this project, CHRT has also begun working with UM’s Center for Disability Health and Wellness, led by Michelle Meade, an associate professor in the University of Michigan Department of Physical Medicine and Rehabilitation, to launch an RRTC Equity Center.

The new equity center will foster collaboration between organizations and investigators. Participating investigators hail from organizations dedicated to enhancing the health and functioning of individuals with disabilities–particularly those from marginalized and underserved communities.

Collaborating organizations and researchers will analyze existing data, and will develop and evaluate new interventions to change the behaviors of health care providers and systems. CHRT will help center participants learn how to share their findings through policy engagement and advocacy.

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The project is funded through a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RTHF0001). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS).

CHRT’s Interim Executive Director Robyn Rontal is one of the co-PIs.

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