In previous years, across our 14 county region, there were over a dozen different data-collection efforts, utilizing different methodologies to assess community needs, health outcomes, and barriers to creating healthy communities. 2016 cost estimates provided from eight of the 14 counties indicate the region is spending upwards of $216,000 to complete individual Community Health Needs Assessments (CHNA). MiHIA recognized the duplication of efforts at an individual level and spending thousands of dollars more than necessary when we could be collaborating more efficiently as a region. Additionally, MiHIA commonly heard requests from the very entities currently seeking data that MiHIA needed to convene and orchestrate a regional CHNA, with a coordinating improvement plan, outlining the information and actions that each organization can take to have a positive impact in our communities.
As such, MiHIA’s Population Health Strategy Team prioritized the development of a comprehensive 14-county regional Community Health Needs Assessments (RCHNA) and a three-year regional Community Health Improvement Plan (RCHIP).
Regional Community Health Needs Assessment (RCHNA)
Work began on the RCHNA in August 2017 and was made possible by MiHIA’s newly enhanced Dashboard 4.0, allowing for standardized formatting of individual county health assessments and improvement plans. The RCHNA contains a consistent methodology and standardized process. Stakeholder engagement and commitment were included in the development of the core set of needs assessment elements.
Regional Community Health Improvement Plan (RCHIP)
Following the completion of the RCHNA in September 2018, the Team developed goals and strategies for the three-year RCHIP and set forth a 2019 Action Plan with MiHIA serving as the vital backbone organization. Throughout the duration of the 2019-2021 plan, MiHIA will partner with stakeholders and community sectors to share the responsibility for improving the health status within the region, and includes both evidence-based and innovative practices that have demonstrated success in improving health outcomes in other communities. Performance measures are standardized, follow population health best practices, tracked publicly on Dashboard 4.0 and are utilized throughout the region
MiHIA’s implementation and collaborative efforts will be both a powerful enabler and a foundation to advancing population health management and improved health outcomes.
RCHIP VISION STATEMENT: Reduce chronic disease rates with an emphasis on reducing obesity and addressing health conditions related to Adverse Childhood Experiences (ACEs) in order to enhance and sustain improved health and well-being throughout the region.
FOCUS AREA #1: OBESITY-RELATED ADVERSE HEALTH CONDITIONS (AHCS)
Goal 1: Reduce the adult (20 years and older) obesity rates (BMI>=30) in the MiHIA region to 33% by December 31, 2021.
The rationale: If we can have an impact on the obesity rates, we will impact the diabetes, and heart disease rates as well as potentially have an impact on chronic pain, and physical inactivity.
Strategies to Achieve Goal 1:
- Deliver educational, behavioral, environmental and other obesity prevention efforts in schools for both students and adults.
- Support the modification of local environments and worksites to promote physical activity such as advocating for safe bike and pedestrian master plans and increasing access to new or existing facilities for physical activity.
- Promote and support social networks that provide positive behavior change through walking groups, multi-generational activity and wellness programs, and other community-based interventions.
- Promote and support community gardens and farmers’ markets to encourage both healthy eating and physical activity through gardening.
- Promote and support opportunities that increase breastfeeding initiation and continuation.
FOCUS AREA #2: ADVERSE CHILDHOOD EXPERIENCES (ACEs)
Goal 2: Build the capacity within the MiHIA region to create a trauma-sensitive region by December 31, 2021.
The rationale: If we can have an impact on ACEs, we can further improve the substance use/abuse rates and suicide rates as well as to potentially have an impact on teen pregnancies and obesity.
Strategies to Achieve Goal 2:
- Provide Trauma Informed Care Awareness, Education & Training Opportunities: to a variety of sections: Providers, Business, Faith-based, etc.
- Identify, support and replicate emergent and trauma-informed initiatives within the region
- Provide the school districts (staff and parents) with opportunities to increase awareness in ACEs
- Through the MiHIA Speaker Circuit, provide the Michigan ACE Community Champion Training