With a vision for improved quality, the Michigan Department of Health and Human Services (MDHHS), MPHI, and partners began the process of statewide accreditation for Michigan’s local public health departments in 1998. MPHI has played an important role in the Michigan Local Public Health Accreditation Program (MLPHAP) since the beginning, coordinating operations, collecting and analyzing data, and supporting program improvements.
In 2005, MDHHS and MPHI built on the MLPHAP experience through the Robert Wood Johnson Foundation-funded “Multi-State Learning Collaborative” (MLC), continuing to build a culture of quality in Michigan’s public health system and contributing to national public health accreditation efforts. MPHI gained experience and expertise in quality improvement through the MLC, and has built on this work through numerous projects in Michigan and across the nation.
Our aim is to continue to support the use of quality improvement methodology and build greater capacity for public health agencies to meet national accreditation standards for quality. Our trained and experienced staff are dedicated to working with public health agencies and other organizations to help them implement best practices in accreditation and quality improvement, and to translate research into practice through training, technical assistance, coaching, and project consultation and management.
MPHI is currently supporting quality improvement efforts in public health and human service agencies.
“Home visiting” is a prevention strategy that supports effective parenting and the healthy development of children. The federal Health Resources and Services Administration and the Administration for Children and Families developed the “Maternal Infant and Early Childhood Home Visiting Program” in 2010.
All home visiting models connect expectant parents or parents of young children with a professional or paraprofessional home visitor, who provides parents with education, builds family support systems, and creates connections to services. Home visiting can achieve positive outcomes that can impact a child’s life course, including improved health and development, prevention of abuse and neglect, and improved school readiness.
MPHI has supported Michigan’s program in many ways over several years including:
The Home Visiting program reports performance in six benchmark areas.
Benchmark data are used to monitor performance and ensure quality at federal, state, and local levels. MPHI supports this process from the point of defining measures through data collection, analysis, and reporting.
To ensure improvement in each benchmark area, as well as the quality of the program, MPHI developed Michigan’s Continuous Quality Improvement (CQI) plan. Staff provide QI training, coordinate learning collaboratives, host quarterly virtual QI webinars, offer a QI advisor to each local program, generate quarterly CQI data reports for state and local teams, facilitate CQI projects, and support national CQI initiatives.
MPHI designed and implemented two studies of strategies to improve the quality of the program. The first was an evaluation study of the learning collaborative model as a mechanism to improve program implementation. The second, which is currently in progress, is a validation study of Michigan’s Home Visiting Quality Assurance System.
MPHI employees supplement the state’s Home Visiting staff; they provide technical assistance and training across models, create communication networks, and provide updates to the field.
Since September 2014, MPHI has planned and implemented 11 instructor-led trainings and a 600+ person, two-day Home Visiting Conference.
MPHI recorded the Home Visiting Conference and hosts a rich-media webcast recording of the event, which is available on demand, 24-7. MPHI also provides support for virtual meetings to allow those who cannot be present in person to virtually connect to the meeting from their location. Audio and video technology is integrated throughout MPHI’s conference center to replicate meeting dynamics.
MPHI also developed Michigan’s Home Visiting website, www.mihomevisiting.com , which allows families to search for programs and local implementing agencies to maintain information on the site. We also developed the Michigan Home Visiting Provider Portal, https://www.mihomevisiting.org , which provides information for grantees, program and provider information, and “learning communities.”
Since 2006, MPHI has been engaged in a variety of initiatives to support the use of health information technology (HIT) for care coordination in public health. HIT is at the forefront of improving health care delivery and coordination. When physicians and specialists can securely share electronic health records, patients are ensured that providers in their care network have the information they need to deliver the best care possible. Sharing of electronic health records saves providers time and money and results in a smart, efficient system.
MPHI is partnering with the Michigan Department of Health and Human Services to support improvement in the electronic records used by Michigan’s public mental health system and to optimize systems that enable care coordination for specialized patient populations, including individuals who are HIV positive. These and other initiatives are helping to ensure that highly advanced, coordinated care driven by HIT is the standard in Michigan.
MPHI is working with Michigan’s Medicaid program to develop a Consumer Engagement Plan that is focused on increasing consumer involvement in their own health by using health information technology (HIT). Both organizations are collaborating with state and national partners to assess the current consumer engagement landscape, research engagement strategies, and determine consumer attitudes.
When patients have access to treatment plans, tools to help them make better choices, and a strong understanding of their health needs, health outcomes improve and health costs decrease. With the majority of Americans owning smartphones or other Internet-enabled devices, mobile and web-based technology can give health care providers the opportunity to engage patients in a format that is comfortable, efficient, and convenient.
With Michigan’s Medicaid program, MPHI is utilizing multiple strategies to leverage HIT to keep the public informed, engaged, and healthy.
In the future, MPHI will continue to advise partners at the Michigan Department of Health and Human Services on innovative and practical HIT-based consumer engagement strategies. For more information, visit www.MiEngagement.org .
Michigan is receiving $70 million in federal funding from 2015-2019 to support innovative health care system enhancements that benefit families. The U.S. Department of Health and Human Services is funding the testing of Michigan’s “Blueprint for Health Innovation,” a plan that is guiding the state as it pursues better coordination of care, lower costs, and improved health outcomes. Special attention is being paid to building linkages to safety-net settings, integrating primary care and behavioral health, engaging populations, promoting person-centered care, reducing population health risks, and coordinating human services and health care to address social determinants. The blueprint calls for prioritizing improvement efforts for three target populations: at-risk pregnant women, high utilizers of emergency departments, and people with multiple chronic conditions.
The funding supports multi-payer payment and health care delivery system transformation to improve health system performance and reduce costs. The model also recognizes that better health requires a comprehensive approach involving safe and healthy communities, workplaces, homes, and lifestyles. Efforts are concentrated on establishing effective Accountable Systems of Care and Community Health Innovation Regions that advance these goals, as described in the Blueprint.
MPHI previously assisted the state in developing the blueprint by engaging partners, convening workgroups, helping to identify common ground, and supporting drafting of the document. MPHI continues to support the state in project implementation, which includes developing program materials and supporting participating Accountable Systems of Care and Community Health Innovation Regions in achieving success.
MPHI has provided services for the Michigan Department of Health and Human Services’ (MDHHS) “Women, Infants and Children” (WIC) program since 1998. WIC provides nutritional education and counseling, supplemental food, referrals, and breastfeeding promotion to more than 240,000 families each month; 90% of these families live below the 150% federal poverty level.
Every WIC dollar spent on a pregnant woman saves over $3.50 in federal, state, local and private health care costs.
53% of babies born in Michigan are enrolled in WIC
The program has a positive effect on pregnancy outcomes and child growth and development.
It is MPHI’s aim to continue to partner with WIC as they work toward the following goals.