To improve the health of people within our region through effective use of information and collaboration to establish our region as a community of health excellence through a comprehensive focus on population health, patient experience, cost of care, and provider well-being


The Michigan Health Improvement Alliance, Inc. (MiHIA)  is a formal, multi-stakeholder, community collaboration working to achieve a community of health excellence for the 14-county region it serves. This initiative is based on a core belief that solutions to our health and health care problems can be found and designed at a regional level, accelerating regional competitive advantage and sustainability.

Functionally and operationally, MiHIA works at many levels. In some cases, MiHIA acts as the convener for multiple parties, establishing shared goals and objectives, setting collective targets, or aligning business plans. In other cases, MiHIA is an assessor, evaluating processes and offerings to reduce redundancies, conducting environmental scans, or providing health data. MiHIA also seeks funding to bring resources to our area, and facilitates or supports projects or initiatives that will impact better health and health care in our region.


MiHIA has been involved in leading complex change since it was founded in 2007. The concept of creating a multi-stakeholder collaborative was a novel one for the region and required building goodwill, gaining trust, articulating the value proposition and establishing a unifying process for all stakeholders.

In our early years, MiHIA was awarded and completed a planning grant to be a regional component of the State Health Information Exchange plan. MiHIA’s plan and their request for an implementation grant were approved but unfortunately could not be funded due to budget shortfalls at the state and a new direction for Michigan Health Information Network. 

The geographic area served by MiHIA is comprised of 14 counties in the central Michigan region. They include Arenac, Bay, Clare, Gladwin, Gratiot, Huron, Iosco, Isabella, Midland, Ogemaw, Roscommon, Saginaw, Sanilac and Tuscola counties. This region is one of nine medical trading areas defined by the State of Michigan Department of Community Health. The geography includes a population of about 800,000 people.

The MiHIA region is centrally located in Michigan’s Lower Peninsula, and consists mainly of farmland, with a few moderately-sized cities in Midland, Bay and Saginaw counties. The economy is primarily agricultural, with the vast majority of its area consisting of the fertile Saginaw Valley. The largest company headquartered in the area is The Dow Chemical Company in Midland. In Saginaw, the company with the largest number of employees is Covenant Healthcare.

The region also is home to several institutions of higher learning including Central Michigan University, Saginaw Valley State University, Delta Community College and Northwood University. Another unique feature is the inclusion of an Indian Reservation as well as distributed members of the Saginaw Chippewa Indian Tribe throughout the other counties. While the region includes state-of-the-art health care facilities and global corporations, its urban and rural areas also include sizeable economically depressed and medically underserved populations.


The Quadruple Aim framework is the compass to optimize health and health care. MiHIA’s regional approach is based on a core belief that solutions to national problems – like healthcare – can be found and designed at local levels.  Achieving the quadruple aim in healthcare is no easy task. It takes high levels of regional coordination and commitment across sectors. By implementing initiatives, programs, and technology aimed at improving each domain, our region can expect to see positive impact – improvements in staff engagement, cost efficiencies, and higher levels of patient satisfaction.


MiHIA committees, workgroups, and project teams to ensure success. At every level, each is committed to fully support the vision and mission of MiHIA with a dedication to its success.

  • Sue Forbes
    Sue Forbes
    Executive Assistant
  • Beth Roszatycki
    Beth Roszatycki
    Chief Executive Officer


The MiHIA Board of Directors is composed of a group of individuals who are committed to fully support the vision and mission of MiHIA with dedication to its success. This senior level Board of Directors serves as the primary authority of MiHIA, and represents a broad spectrum of stakeholders, including hospital systems, independent providers, universities, public and mental health organizations, consumers, health plans and employers This group of 15-21 individuals is responsible for the management oversight of affairs and business of the organization. The Board is also responsible for ensuring progress and achievement of the mission, assuring effective oversight of the Chief Executive Officer, staff, contracts, budget and operations of the organization. The Board may also adopt rules and regulations for the conduct of their meetings and the management of the organization as they may deem proper, consistent with organizational by-laws and the laws of the state of Michigan.

Sue Forbes
Executive Assistant

Sue Forbes is the Executive Assistant of the Michigan Heath Improvement Alliance, Inc. (MiHIA), a formal, multi-stakeholder, community collaboration working to achieve a community of health excellence for the 14-county region of central Michigan. In this role, Forbes leads the daily business operations of the MiHIA organization, oversees contractor and vendors, and supports the Chief Executive Officer (CEO).

Before joining MiHIA, Forbes worked for Dow Chemical, where she recently retired after 30+ years of service. Sue spent the last 9 years supporting the Chief Health Officer in the Health Services department. She also worked in EHS&S, Supply Chain and Packaging & Design.

Forbes is a native of Midland and has been married for 30 years. She and Dave have two grown children; Tyler & Janae. In her spare time, Sue is an assistant softball coach for Midland High School and enjoys playing softball herself.

Beth Roszatycki
Chief Executive Officer

Beth Roszatycki is the Chief Executive Officer of Michigan Health Improvement Alliance Inc. (MiHIA), a formal, multi-stakeholder, community collaboration working to achieve a community of health excellence for the 14-county region of central Michigan. MiHIA’s work varies, but it all falls under what is known as “The Quadruple Aim”, which targets health and systems broadly at the regional level. The Quadruple Aim focuses on four facets of health delivery – population health, patient experience, cost of care, and provider well-being. At the individual level, this translates to good or better health, high quality care, and good value.

Prior to Roszatycki joining MiHIA in 2014, Roszatycki served as the Administrative Services Supervisor for Bay Arenac Behavioral Health. During her tenure at Bay Arenac Behavioral Health, she led a variety of performance improvement projects, provided management and oversight of agency accreditations, developed and implemented policy and procedures, completed compliance reviews, worked extensively with providers through the contract development process, and most recently was the agency project manager for an electronic health record implementation.

Prior to her role with Bay Arenac Behavioral Health Roszatycki was the Clinic Services Area Manager for a behavioral health care provider in central and southeast Michigan. While there she took an active role in program development, budget management, as well as the ongoing oversight of 6 clinical programs serving over 2,000 individuals throughout Genesee and Macomb County. In addition, Roszatycki has been an adjunct faculty member at Delta College since 2009, instructing a variety of courses within the Business and Information Technology division.

Ms. Roszatycki earned a Bachelor of Science degree in Merchandise Management from Michigan State University and a Masters of Business Administration degree from Saginaw Valley State University.