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Spirit of Community Health: Organization and Performance of Tribal Public Health Systems

Spirit of Community Health: Organization and Performance of Tribal Public Health Systems

Spirit of Community Health: Organization and Performance of Tribal Public Health Systems

Centers:

As tribal community health agencies work to strengthen their public health systems, those striving for Public Health Accreditation Board accreditation may encounter challenges due to the unique context in which they operate. Little published research exists on promising practices for tribes in this pursuit. This community-based participatory case study research project was an in-depth exploration of the infrastructure, partnerships, performance, and outcomes of one tribal public health system. The results of the study, funded by the Robert Wood Johnson Foundation, explored the alignment of the 10 Essential Public Health Services (EPHS) and PHAB’s Domains with the services in this community, highlighting areas where the tribal system addressed community health needs and promoted health equity in ways that honor culture.

Other populations impacted.

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State Innovation Model (SIM)

State Innovation Model (SIM)

State Innovation Model (SIM)

Centers:

The Michigan Department of Health and Human Services (MDHHS) has entered into a cooperative agreement with the Centers for Medicare & Medicaid Services (CMS) to reform multi-payer health care payment and delivery systems in Michigan. The Michigan SIM initiative is seeking to achieve better care coordination, lower costs, and improved health outcomes for Medicaid beneficiaries across the state. Core components to SIM include support quality improvement and cost savings in qualified Patient Centered Medical Homes (PCMHS), supporting the development of Community Health Innovation Regions (CHIR) to support partnerships across health and community sectors to address Social Determinants of Health, promoting Alternative Payment Models (APM) to align medical reimbursement with health outcomes instead of services rendered. MPHI supported the state during the extensive stakeholder engagement and planning phase for SIM in 2013. Currently, MPHI is supporting the implementation of SIM through coaching, CMS reporting, and the coordination of the state-led evaluation.

Other populations impacted.

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Public Health Performance Improvement Capacity Building

Public Health Performance Improvement Capacity Building

Public Health Performance Improvement Capacity Building

Centers:

The Office of Accreditation and Quality Improvement within MPHI’s Center for Healthy Communities works closely with the Office of Performance Improvement and Management at MDHHS to provide capacity building assistance to state, local, and tribal public health agencies within and beyond Michigan. The project accomplishes its goals through direct assistance, such as a mini-grant program, by providing free customized technical assistance, and training in quality improvement and performance management. The project also supports development of educational materials to support capacity to meet national standards, including the Embracing Quality in Public Health series which includes a Quality Improvement Guidebook, Performance Management Primer, and Accreditation Readiness Video. This collaborative work between MPHI and MDHHS has reached a national and international public health audience.

Other populations impacted.

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Michigan Local Public Health Accreditation Program

Michigan Local Public Health Accreditation Program

Michigan Local Public Health Accreditation Program

Centers:

The Michigan Local Public Health Accreditation Program seeks to assure and enhance the quality of local public health in Michigan by identifying and promoting the implementation of public health standards for local public health departments, and evaluating and accrediting local health departments on their ability to meet these standards. MPHI has been a partner in this effort since it began in 1998, coordinating reviews and reports and supporting the program with data collection and analysis, technology, and facilitation.

Other populations impacted.

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Tribal Maternal, Infant, and Early Childhood Home Visiting Education

Tribal Maternal, Infant, and Early Childhood Home Visiting Education

Tribal Maternal, Infant, and Early Childhood Home Visiting Education

Centers:

The goals of the Inter-Tribal Council of Michigan’s Tribal Home Visiting project are to support the development of healthy, happy, successful American Indian/Alaska Native (AIAN) children and families through a coordinated, high-quality, evidence-based, home visiting strategy; and to expand the evidence base around home visiting programs for AIAN populations. MPHI's Center for Healthy Communities provides technical consultation and support for a mixed methods evaluation of an enhanced early learning curriculum; provides technical consultation and support on benchmark data collection, analysis, and reporting; and provides support for capacity building and training of staff on evaluation, benchmark data collection, analysis, reporting, data quality assurance, and quality improvement plan implementation.

Other populations impacted.

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Taking Pride in Prevention (TPIP)/Personal Responsibility Education Program (PREP)

Taking Pride in Prevention (TPIP)/Personal Responsibility Education Program (PREP)

Taking Pride in Prevention (TPIP)/Personal Responsibility Education Program (PREP)

Centers:

The Taking Pride in Prevention (TPIP) program at the Michigan Department of Health and Human Services (MDHHS), with the support from ACYF FYSB’s PREP, is funding 10 programs serving 23 communities with a high number of teen births to deliver low-, medium-, and high-dosage evidence-based and evidence-informed prevention models to youth 12 to 19 years of age with fidelity, along with adult preparation content on healthy relationships, adolescent development, and parent-child communication.

Other populations impacted.

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Rape Prevention and Education Evaluation

Rape Prevention and Education Evaluation

Rape Prevention and Education Evaluation

Centers:

The Rape Prevention and Education program promotes primary prevention initiatives and supports local programs to address sexual violence through education, training, community mobilization, coalition building, and policy and social norms change efforts. Michigan’s RPE program funds five local programs through the Michigan Department of Health and Human Services’ Sexual Violence Prevention (SVP) Grants Program. MPHI's Center for Healthy Communities is the program evaluator for RPE. The RPE evaluation examines how sexual violence prevention strategies were implemented across the state, as well as what changes in knowledge, attitudes, behaviors, policies, and practices have happened as a result of implementing these strategies.

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Maternal Child Health Block Grants Needs Assessment Facilitation and Support

Maternal Child Health Block Grants Needs Assessment Facilitation and Support

Maternal Child Health Block Grants Needs Assessment Facilitation and Support

Centers:

MPHI facilitates Michigan’s needs assessment activities under the federal Maternal Child Health Block Grant (Title V). The Title V Block Grant supports states in identifying and addressing the most pressing needs among women, infants, children, and adolescents. In order to guide their efforts, states complete a large needs assessment every five years, as well as annual updates. MPHI’s Center for Healthy Communities (CHC) supports the Michigan Department of Health and Human Services in assessing the state’s Maternal Child Health through designing and facilitating both the five year and annual needs assessment activities. CHC’s approach to needs assessment under the Block Grant is participatory, relies on multiple levels and types of data, and engages partners from across the maternal child health system in interpreting data, identifying needs, and setting priorities. CHC guided the state-level needs assessment in 2015 using this approach, and guided all 45 local health departments through a needs assessment process in 2017. Other assessment activities have included identifying strengths and gaps in consumer engagement and establishing a performance monitoring strategy.

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Contact Info

2436 Woodlake Circle Suite 300 Okemos, MI 48864 Phone: (517) 324-8300 Fax: (517) 381-0260 Email: info@mphi.org