About CHRT

Promoting health equity by identifying and addressing the social needs of patients in five Michigan counties

October 2021 – September 2022
Client(s): Michigan Department of Health and Human Services
Funder: U.S. Centers for Medicare and Medicaid Services
Partner(s): Michigan Health Information Network (MiHIN), Michigan Medicine Collaborative Quality Initiatives, Michigan Social Health Interventions to Eliminate Disparities (MSHIELD) CQI, Michigan Data Collaborative (MDC), HealthNet of West Michigan, Jackson Care Hub - Greater Flint Health Coalition, Genesee Community Health Access Program, MI Community Care
Need:

The Promotion of Health Equity Initiative aims to develop a statewide infrastructure for SDOH data collection, analytics, and reporting to better identify and understand disparities and leverage data and community partnerships to help enhance the quality of life and remove barriers to improved health outcomes for residents of the five participating counties.

Each participating region has already done significant work building a consortium of health care and social service organizations that work together to serve their geographic regions. Under the leadership of Michigan Medicine, community regions will work with MSHIELD and other CQIs to build deeper connections across clinical and social care organizations to integrate and coordinate care and services, leveraging technology, information exchange, and available use cases through MiHIN, and to improve the health and wellbeing of program participants by addressing their social needs, while simultaneously addressing community health issues.

CHRT’s role:

CHRT provides backbone support to the four participating regions in the Promotion of Health Equity project, mobilizing and coordinating efforts and helping establish shared communications and reporting. CHRT has financial fiduciary responsibilities to Michigan Medicine for the funding of the participating regions.

CHRT also facilitates a multi-disciplinary Learning Network for sharing lessons learned, piloting new ideas, sharing pandemic response-related roles, mitigating issues, analyzing common metrics, exploring sustainable funding sources, and evaluating impact among other activities.

Topics: Integration