Publications

Publications

Integration framework

EVOLVE, CHRT’s integration framework, featured in American Public Human Services Association journal

Across the United States and around the world, many organizations are attempting to integrate their once siloed health and human services and systems, due to the multiple benefits integration provides. However, many integration efforts have stalled, and some have failed–because the work is challenging and some partners do not fully reflect on the aspects and processes essential to successful integration.  …

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New CHRT survey analyzes who in Michigan isn’t getting vaccinated against COVID-19 and why with policy, practice recommendations

Between March 19, 2021 and April 1, 2021, CHRT fielded a supplement to its regular Cover Michigan Survey—a representative survey of Michigan adults—to better understand who isn’t getting vaccinated against COVID-19 and the reasons for their vaccine hesitancy, delay, and avoidance. Who isn’t getting vaccinated against COVID-19? Only 20 percent of Latinx/Hispanic residents reported having received at least one dose …

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The hidden cost of unpaid caregiving: The case for supporting unpaid caregivers across the state of Michigan

There are 1.4 million unpaid caregivers across Michigan. The work they do keeps residents from needing more costly forms of health care. But Michigan’s unpaid caregivers often do not receive the support they need. Unpaid caregivers help friends, family members, and neighbors in many ways, including activities that allow individuals to maintain their independence, like household chores, managing finances, and …

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The advantages of becoming a federally Certified Community Behavioral Health Clinic (CCBHC)–for organizations, communities

The federal application process to become a Certified Community Behavioral Health Clinic (CCBHC) in Michigan opened on December 29, 2020 and closed on March 1, 2021. Becoming a CCBHC offers many advantages to organizations and the communities they serve.  The bipartisan Excellence in Mental Health Act of 2009, which was introduced by U.S. Senator Debbie Stabenow (MI), increased federal and financial …

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Learn how states are combatting social isolation and loneliness in adults with disabilities during the COVID-19 pandemic

Forty percent of adults with a debilitating disability or chronic condition report feelings of loneliness or being socially isolated. The significant risk factors for social isolation include living alone, mobility disabilities, major life transitions, and emerging health problems – all which become more prevalent in older age. The health risks associated with social isolation and loneliness are troubling, and include …

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affordable health care sign

Rate Analysis: 2021 ACA Health Insurance Marketplace for Michigan

In 2021, monthly ACA health insurance rates for Michigan’s lowest cost plans on the federal Health Insurance Marketplace decreased, on average. These decreases occurred despite the many uncertainties associated with the coronavirus disease of 2019 (COVID-19). 2021 ACA Health Insurance Marketplace plan options are robust for communities across Michigan. In many counties, rates have declined considerably. These 2021 Marketplace changes …

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Veteran health care

Michigan health care and mental health care providers need more training, support to serve the state’s aging veterans

Only 6.7 percent of Michigan health care and mental health providers are fully prepared to serve Michigan’s aging veteran population according to a new report by the Center for Health and Research Transformation (CHRT) at the University of Michigan. This finding is based on CHRT’s statewide assessment of the readiness and capacity of Michigan health care providers to serve older …

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Designing integrated behavioral health services for Medicaid enrollees, background and case studies

A growing number of states are implementing new strategies to better integrate health services and provide holistic care–particularly for Medicaid beneficiaries–with the ultimate goals of improving care coordination and patient outcomes and, in some cases, lowering health care expenses as well. For decades, physical and behavioral health care–including both mental health and substance use disorder treatment–have operated in silos. Too …

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CHRT report evaluates Michigan’s COVID-19 nursing home strategy and provides recommendations for future approaches

The Center for Health and Research Transformation (CHRT) is releasing its summary analysis of the state of Michigan’s nursing home hub strategy along with evidence-based recommendations to help improve the care and safety of residents and staff in the state’s long term care system during the COVID-19 pandemic. Findings support state’s initial strategy and identify additional approaches that can be …

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CHRT’s 2019 impact report: Improving the health of people and communities and charting a course for the future

The Center for Health and Research Transformation (CHRT) has published its 2019 impact report. The annual report summarizes how CHRT focused on impact, growth, and strategy in 2019. At any given moment, the CHRT is likely to be managing two-dozen or more client projects–from analyzing the effects of a recent state policy to designing capacity-building learning communities for health leaders.  …

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