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Center for Health and Research Transformation names Terrisca Des Jardins as incoming executive director

Photo of Terrisca Des Jardins

Photo of Terrisca Des JardinsTerrisca Des Jardins, MHSA, currently the chief operating officer for the Physician Organization of Michigan ACO (POM ACO), has been selected to become the next executive director of the Center for Health and Research Transformation (CHRT), an independent nonprofit at the University of Michigan. Marianne Udow-Phillips, the founding executive director of CHRT, will retire at the end of the calendar year, allowing for seamless transition planning as Des Jardins will begin her appointment on October 1st.

“Des Jardins is an accomplished health administrator–one who has worked with teams to produce very positive results for the organizations she has served–and has proven leadership in building coalitions and improving health outcomes,” says Tony Denton, CHRT board chair and senior vice president and chief operating officer of the University of Michigan Health System – Michigan Medicine.

“Des Jardins brings significant expertise in collaborating with diverse stakeholders to meet common objectives while improving outcomes for underserved populations, government and nonprofit entities, and communities,” says Denton. “The Board of Directors and I believe that her leadership, collaborative approach to solving complex issues, creative spirit, and cross-disciplinary experience are important traits that will help advance CHRT’s legacy of providing evidence-based information to inform health policies and trends that improve population health across communities.”

As chief operating officer of POM ACO, an accountable care organization with 4,500 Michigan providers who participate in the Medicare Shared Savings Program, Terrisca Des Jardins’ efforts have helped achieve tens of millions of dollars in savings for the federal government, taxpayers, and the ACO, while improving the quality of care for Medicare enrollees.

Des Jardins also developed and implemented nationally-recognized engagement opportunities at POM ACO, establishing an advisory committee of Michigan Medicare beneficiaries who provided input to the U.S. Centers for Medicare and Medicaid services on a number of policy and operational concerns, including how to tackle social isolation and loneliness in the Medicare population.

“I’ve always been an admirer of CHRT’s policy work, research, and innovative demonstration projects and the holistic way CHRT works to advance the health of communities,” says Des Jardins. “I look forward to building on that legacy through cross-disciplinary and cross-stakeholder collaborations, and finding the best ways to do that in these challenging times.”

Marianne Udow-Phillips served as director of Michigan’s Department of Human Services under the Granholm Administration and as a senior executive at Blue Cross Blue Shield of Michigan for over 20 years before becoming the founding executive director of CHRT in 2007. She will continue to serve as an advisor to CHRT and support the success of a number of current projects after she retires from the executive director role at the end of December.

“We are deeply grateful to Marianne, as she has led the implementation of CHRT’s mission, vision and values, leading to sustained success,” says Denton. “Her leadership and vision to advance non-partisan, evidence-based policy and assure access to care for all, improve population health, and advance social justice have had an enormous impact in Michigan and beyond.”

CHRT’s 2019 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.

Also see CHRT’s impact report for the Washtenaw Health Initiative (WHI), a voluntary collaborative sponsored by Michigan Medicine and the St. Joseph Mercy Health System to improve health, health equity, and health care for Washtenaw County residents, with a special focus on the county’s low-income, uninsured, and underinsured populations.

 

CHRT on WJR’s Guy Gordon Show: Findings from a study of Michigan’s COVID-19 nursing home policy  

Vintage car radio

Image of an old car radioDuring the September 9 Guy Gordon Show on WJR Radio, CHRT Founding Executive Director Marianne Udow-Phillips shared findings from the new CHRT report, Keeping nursing home residents safe and advancing health in light of COVID-19

In his introduction, Gordon recognizes CHRT’s emphasis on evidence-based findings in the report. “There’s a new study by the Center for Health and Research Transformation that took a very analytical approach to data,” Gordon noted.

Gordon was also interested in legislative concern about the state’s early policy of sending some recovered COVID-19 patients back to nursing homes, and whether that practice had then contributed to the spread of COVID-19 among non-hospitalized nursing home residents.  “We don’t have any evidence right now in the data we’ve looked at that there in fact was spread within nursing homes themselves,” said Udow-Phillips.

Udow-Phillips went on to point out that the CHRT report did find room for improvement. “We think the whole system can be made better, certainly in Michigan and nationally as well, and we’ve made 50 recommendations going forward for things that we think can be improved.”

The research emphasizes the necessity for continuing support and monitoring, in order to give nursing facilities the tools they need to effectively manage the pandemic. It also suggests that while creating regulations and processes for monitoring visitors, staffing, and PPE in nursing homes, the state should take into account the experiences of other states.

LISTEN TO THE ENTIRE WJR RADIO CONVERSATION HERE

Michigan Advance features CHRT interim report on Michigan’s COVID-19 nursing home hub strategy

Magnifying glass and a stack of graph reports

Image of magnifying glass and a graph reportIn Michigan’s handling of COVID-19 in nursing homes fares better than national average, Michigan Advance writer Allison Donahue covers a recent CHRT study which found that the state is reporting fewer COVID-19-related deaths in nursing homes than the national average and that the state’s “hub” strategy has been effective.

The CHRT report  — Keeping nursing home residents safe and advancing health in light of COVID-19 — was written after extensive data analysis, a comprehensive exploration of peer-reviewed literature, and numerous interviews with national policy experts, state administrators, and nursing home leaders, along with hospital and clinical leaders.

Donahue notes that “Michigan’s handling of the COVID-19 crisis in nursing homes has been under scrutiny from the GOP-led Legislature. The U.S. Department of Justice (DOJ) requested that Gov. Gretchen Whitmer submit data related to nursing homes and COVID-19 deaths last month along with other Democratic governors.”

The article goes on to point out that at the press conference detailing CHRT’s summary report, Michigan Department of Health and Human Services Director Robert Gordon said “If you look at the evidence together, it says the opposite of the criticisms.”

According to CHRT’s analysis, the percentage of deaths among nursing home residents with COVID-19 was considerably lower in Michigan’s nursing home hubs than in the state’s non-hub nursing homes — 17.4%  in hubs compared to 26% in non-hubs.

READ THE ENTIRE MICHIGAN ADVANCE ARTICLE HERE

In Crain’s Detroit: CHRT’s examination of Michigan’s nursing home hub strategy in response to the COVID-19 crisis

Small pegs with lines drawn demonstrating interconnection

Image of connectionsIn a September 8 article Report: Smaller percentage of nursing home residents died of COVID-19 in Michigan than national average, Crain’s healthcare writer Jay Greene talks with CHRT Founding Executive Director Marianne Udow-Phillips about CHRT’s examination of the state of Michigan’s nursing home hub strategy in response to the COVID-19 crisis.

“We collectively believe that the state’s strategy was appropriate when taken during the peak of the surge to establish nursing home hubs and transfer patients from hospitals (when patients) were no longer in need of hospital-level care,” Udow-Phillips tells Crains.

Greene also notes that the CHRT report — funded by the Michigan Health Endowment Fund – was the product of data analysis and numerous interviews with national policy experts, state administrators, and nursing home leaders, along with hospital and clinical leaders to identify best practices.

The article goes on to point out that the CHRT report also focuses on improvements going forward. 

“Overall, CHRT issued 50 recommendations for improvement, covering structural, process, access, and operational improvements, to help Michigan and other states prepare long-term care facilities, including nursing homes, for a potential resurgence.”

The report emphasizes the significance of communication and cooperation between nursing facilities, state agencies, and public health officials as well as the necessity of proper staffing, testing, and personal protective equipment. The report also emphasizes the need to prioritize the mental health and social needs of nursing home residents during the pandemic. 

READ THE REPORT

CHRT on Michigan Radio: More changes needed for Michigan’s COVID-19 response in nursing homes

On Air sign with a mic

Radio microphoneIn a New report suggests more changes needed for Michigan’s COVID-19 response in nursing homes, Michigan Radio journalist Will Callan talks with CHRT Founding Executive Director Marianne Udow-Phillips about a CHRT report published in September, 2020 that examines “how Michigan’s health department could better manage COVID-19 in nursing homes.”

The report, Keeping nursing home residents safe and advancing health in light of COVID-19, compares Michigan’s COVID-19 response to similar efforts in other states, and makes a number of recommendations, including providing additional support for nursing home staff with more training resources and extra pay.

Callan’s discussion with Udow-Phillips also focuses on the report’s finding that nursing homes that had strong relationships with local hospitals did a better job of controlling infections. “But not all nursing homes have that,” said Udow-Phillips. “So we are recommending strengthening and formalizing those relationships.”

READ THE ARTICLE

MDHHS shares CHRT’s key analytic findings, recommendations for keeping nursing home residents safe in light of COVID-19

Sticky note that reads"Key Takeaways"

Image of a sticky note with text "Key Takeaways"In response to the COVID-19 pandemic, the Michigan Department of Health and Human Services (MDHHS) created regional nursing home hubs with the goal of more safely handling COVID-19 patient discharges from hospitals. MDHHS asked CHRT to evaluate the regional nursing home hub approach and to recommend additional strategies to prepare for a potential second wave of COVID-19.

A September 1 press release from MDHHS shares key preliminary findings and recommendations for keeping nursing home residents safe and advancing health in light of COVID-19.

CHRT’s full preliminary findings and recommendations are outlined in the September 1 presentation, Keeping nursing home residents safe and advancing health in light of COVID-19. According to CHRT’s report, the regional hub approach was implemented in a crisis situation, and it was a rational and suitable response to the influx. Even though additional information is required to make firm conclusions, preliminary data reveals the following:

  • There is little to no proof that COVID-19 is transmitted from hospital patients to nursing home residents in hub institutions.
  • Both hub and non-hub nursing institutions’ COVID-19 prevalence rates showed a positive correlation with county COVID-19 prevalence rates.
  • The community prevalence of COVID-19 was consistent with the correlation between staff infection rates and COVID-19 infection rates in nursing homes.

The presentation places special emphasis on practice and policy recommendations to guide future COVID-19 nursing home responses including process, policy, structural, and administrative practices.

Review the project description for additional details about the analytic team, scope, and methodology. Review the MDHHS press release for key findings from the CHRT analysis and recommendations from the state’s nursing home preparedness task force.

Use local doctors to promote mask use says Marianne Udow-Phillips in WLNS interview with Tim Skubick

Health professionals wearing masks

Image of health professionals wearing masks

Gov. Gretchen Whitmer is being advised by the former director of the state welfare department to use someone else to promote the mask use, instead of choosing sports icons.

Tim Skubick of WLNS interviewed Marianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation (CHRT), for a segment about the recently released mask pitch by Michigan-based sports coaches. 

“It was quite a coup for the [Michigan] governor to sign up well-known sports personalities like Michigan State University basketball coaches Tom Izzo and Suzy Merchant to encourage the use of masks,” said Skubick. “If it was up to Marianne Udow-Phillips, the former state welfare director during the Granholm administration, she would advise the governor to use local doctors.” 

Skubick is referring to a recent study done by CHRT and the University of Michigan Department of Learning Health Sciences, which discovered that the people Michiganders trust most for COVID-19 information are their local doctors. 

“I think that would be a great idea,” says Dr. Marianne Udow-Phillips. “I think if people heard from their own personal physicians, people they know and trust, that they have confidence in, that these health care persons would save lives and it would have a huge impact.”

 

READ THE ARTICLE

About half of Michiganders trust Whitmer, Faucic; 27 percent trust Trump reports Michigan Radio

Vector art of a politician

Vector art of a politicianKate Wells, reporting for Michigan Radio, interviews Marianne Udow-Phillips for a segment on where Michiganders get COVID-19 information and which sources they trust most and least.

“I think the experience we’re seeing in the field, where people aren’t always wearing masks or where you see gatherings–is reflected in this data,” says Udow-Phillips, founding executive director of the Center for Health and Research Transformation. “I do believe a lot of it has to do with the conflicting information people are getting.” 

Healthcare providers have been deemed the most trustworthy sources of COVID-19 information, says Wells, reporting on the survey results. Udow-Phillips says that’s an opportunity for public health officials to use providers as messengers. 

“They could mobilize our health care providers to be giving more direct messages to their patients,” says Udow-Phillips. “I think that there’s a good reason why health care providers are more trusted. It’s because they have a personal relationship with their patients. And yet they’re not doing the outreach in terms of helping patients follow public health guidance. And so I think this survey really speaks to engaging our frontline health care providers, primary care physicians in particular, to be giving the public health messages.” 

LISTEN TO THE SEGMENT

Coronavirus contact tracing faces increasing challenges as some Michigan residents are reluctant to participate

Cartoon of cell phone with finger pointing to red, End Call button

“Almost a third of Michigan residents would not be comfortable participating in contact tracing linked to cases of coronavirus, according to a new survey released this week by the University of Michigan,” writes Julie Mack for MLive. Mack is referring to a new report that shares findings from the latest Cover Michigan Survey by CHRT and the University of Michigan Department of Learning Health Sciences.

“Two-thirds being willing to engage is good, but not enough because contact tracing is very important to our ability to really mitigate the spread of the disease,” says Marianne Udow-Phillips, founding executive director of CHRT, who provided the background for the story. 

“About 33% of survey respondents said they were not comfortable with using a phone or computer app to share symptoms with a local or state health department official; 27% said they were uncomfortable with sharing additional personal information to limit the spread of coronavirus, and 23% said they were uncomfortable with providing officials with names of “close contacts” who the patient may have infected,” reports Mack.

Mack notes the many challenges Michigan’s local public health departments have been facing with contact tracing, in spite of the fact that the Michigan Department of Health and Human Services now has 422 trained volunteers making calls for 16 of the state’s 45 local public health departments. “At this time we are attempting to contact 90% of all contacts within 24 hours and are reaching 60%,” says Lynn Sutfin, a spokesperson for the Michigan Department of Health and Human Services. 

Mack spoke with several local public health officers, as well, including those who are using the state contact tracing volunteers and those who are doing their own contact tracing. “Just having tracers isn’t enough,” said Mark Cheatham, health officer for the Mid-Michigan District Health Department. “Because of COVID denial, we increasingly run into people who won’t talk to us, won’t tell us who they have had contact with. So because of the hostility, we’re getting bogged down.”

Case investigations also are getting more complicated, said Lisa Peacock, a 2020 CHRT Health Policy Fellow and public health officer for the the Benzie-Leelanau District Health Department and the Health Department of Northwest Michigan. Peacock told MLive that her department “recently had 14 cases that involved 80 close contacts between them — all people that need to be notified of their potential exposure.”

READ THE ARTICLE

Cover Michigan Survey featured in MLive: Whitmer, Fauci among Michigan’s most-trusted sources on coronavirus

Lawn sign reading, Whitmer

“Dr. Anthony Fauci and Michigan Gov. Gretchen Whitmer are the biggest sources of coronavirus information for Michigan residents and also among the most-trusted sources, according to a new survey released today by University of Michigan,” writes Julie Mack for MLive.

Mack is referring to a new brief, published by CHRT and the Department of Learning Health Sciences at the University of Michigan, that shares result from a representative survey of more than 1,000 Michiganders. The survey asked about where Michiganders acquire information about COVID-19, and how much they trust those sources of information. 

Eighty percent of respondents stated that their healthcare professionals are the most-trusted sources, yet they do not receive information from them, according to Marianne Udow-Phillips, director of CHRT.

Marianne Udow-Phillips, who provided the background for the story, says several things are at work in Governor Whitmer’s high trust rating.

“[The governor] is very visible, and also very empathetic and her messages have been consistent. She has repeatedly emphasized that she is guided by science,” says Udow-Phillips. “I think what we’re seeing are governors in our country who are aligning with public health professionals are more trusted. People trust science. They do trust the professionals.”

READ THE FULL STORY HERE