About CHRT

Expansion of Home Nutrition+ integrated network infrastructure

March 2021 – December 2021
Client(s): Vital Seniors Initiative Grantees, Ann Arbor Area Community Foundation
Funder: Michigan Health Endowment Fund
Staff: Deana Smith
Partner(s): Area Agency on Aging 1B, Catholic Social Services of Washtenaw County, Chelsea Senior Center, Jewish Family Services of Washtenaw County, Priority Health, Ypsilanti Meals on Wheels
Need:

Several national studies have demonstrated a return on investment for nutrition programs. Specifically, a Commonwealth Fund review identified multiple papers that provide strong evidence that medically tailored meals (MTM) improve outcomes and have a positive return on investment. Furthermore, the Commonwealth Fund found that a community-based care transition program, provided to older adults as part of a combined MTM intervention, saved $3.87 for every $1.00 spent, likely driven by a significant decrease in the 30-day readmission rate in the intervention group. The Vital Seniors Initiative grantees--five social service agencies for which CHRT provides backbone support--is forming a community integrated network with the goal of delivering MTM and coordinated service delivery to clients. The end goal: To more effectively and efficiently serve older adults and individuals with disabilities so they can remain in their community and home of choice. To do this, the network needs to develop a hub model structure, governance, and operations as well as new partnerships to expand the Home Nutrition+ program.

CHRT’s role:

CHRT will provide backbone support to the community integrated network, helping network members develop strategic objectives with existing partners, develop the governance structure to support expansion, set up the appropriate legal agreements, engage with community-based organizations beyond Washtenaw County, and develop the framework to offer Home Nutrition+ based on the "Food is Medicine" model. During the first quarter, CHRT will identify potential geographic regions for expansion, conduct an analysis of services and gaps of MTM offerings in those regions, engage with a health plan to support the operational objectives for expansion, and conduct visioning sessions to define mission and execute delivery. During the second quarter of the grant period, CHRT will facilitate governance and geographic expansion decision making, set up legal structure and applicable agreements, and more.