ORIENTATION for Delrico Loyd

International Representative UAW Region 1-C

October 12, 2010

GR-18V Orientation.loyd.100710ks

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PRESIDENT’S ANNUAL REPORT OF CORPORATION BUSINESS

November 19, 2012

GR-90 PRESIDENTSREPORT.111912KS

• Bylaws Section 6.8: – “…The President shall present at each annual meeting of the Members

a report on the business of the Corporation for the preceding year…”

• Today’s Presentation:

– Year in Review – What’s Ahead – Health of the Community & Future Considerations

• President’s Annual Report is followed by the

Chair’s Comments

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President’s Annual Report

2020 Strategic Business Plan • June 2012 adopted new Strategic Business Plan

• An added emphasis on “Collective Impact” as

our strategy / roadmap to improve the community’s health status: 1) Common Agenda - a shared vision for change among the

participants 2) Shared Measurement Systems - agreement on ways to

measure and report progress 3) Mutually Reinforcing Activities - alignment so different

participants are doing different activities that in sum support the common goals

4) Continuous Communication - regular meetings and conversations are necessary to build trust and understanding

5) Backbone Support Organization - a separate organization and staff to support the collective effort and serve as the backbone for the initiative

President’s Annual Report

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President’s Annual Report

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President’s Annual Report

Focus Area: “Health Improvement”

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County Health Ranking Action Plan • Action Plan remains a driving force and focus of all

GFHC Health Improvement activities through 2020

• “Health behaviors account for approximately 50% of an individual’s health, and this should be the starting point for the GFHC to become a catalyst to improve health outcomes by increasing action on health and health behavior.”

President’s Annual Report – Health Improvement

Improvements in resident “Health Behaviors” presents the area of greatest opportunity to improve Health Status via targeted, community-wide initiatives – a core GFHC focus

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President’s Annual Report – Health Improvement

Commit to Fit! is focused on increasing the practice of healthy behaviors (especially among those with sedentary lifestyles). It is centered on the concept that we must mobilize various sectors and organizations throughout the community to support and utilize a common message in their established communication channels to improve health behavior decisions.

Commit to Fit! provides a significant amount of resources and tools available to all Genesee County residents, employers, and other organizations such as schools and churches to make it easy to share the Commit to Fit! message with employees, members, patients, students, and other key audiences.

COMMIT TO FIT! Our community-wide health behavior improvement campaign

Commit to Fit!’s Goal: To mobilize employers, schools, residents, and community-based organizations to support and utilize a common message focused on health behavior improvement and active lifestyles.

Community Residents

Physicians & Medical Care

Employers & Workplace

Environment Schools &

Youth Faith-based Community

Neighborhood Environment

& Safety

WHO HAS BEEN ENGAGED???

• Over 225 different organizations, businesses, and community groups have been engaged in less than 18 months

• Over 25,000 residents have received Commit to Fit! messaging & materials

• Over 10,000 people have directly participated in Commit to Fit! Wellness Challenges or registered on the www.commit-2-fit.org website

Commit to Fit! Participating

Organizations & Businesses

Community-based

Organizations Senior Centers

Small Businesses

Large Employers

Churches

Schools (K-12)

Colleges Community Residents

Fraternities & Sororities

Physician Offices

Government Entities

Fitness Centers & Gyms

Mothers Groups

Foundations

COMMIT TO FIT!

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FALL 4 FITNESS • 60 businesses & 2.5 million

minutes of physical activity in the 2012 Challenge

Commit to Fit! – Wellness Challenges

6 WEEKS TO WELLNESS 2012

• 47 businesses & wellness activities including physical activity, nutrition, hydration, and free fitness & nutrition classes

ADDITIONAL COMMUNITY CHALLENGES & COMMIT TO FIT! WELLNESS PROGRAMMING

• Incentivized wellness challenges offered throughout the year

• Free fitness & nutrition classes to engage community residents

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SMOKE-FREE BUSINESS TOOLKIT The toolkit and free signage helps businesses to implement smoke-free campus policies in 6 months or less:

• Genesee County Community Mental Health has used the Toolkit to implement the policy in each of its 8 facilities

• Multiple other area businesses have ordered or plan to install signage in the coming months sticking with the common message approach of Commit to Fit!

BUSINESS ENGAGEMENT • Over 100 Businesses have now participated

in Commit to Fit! Challenge programming

• Hosted Workplace Wellness webinars and meetings with the GRCC

• Multiple businesses have created customized

Commit to Fit! challenges, materials, & messaging to engage employees

Commit to Fit! – Workplace Wellness / Business Engagement

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YouthQuest: Nearly 1,000 YouthQuest students participated in Commit to Fit! fitness challenges in the Summer of 2012, using Commit to Fit! pedometers to track their physical activity.

Multiple summer youth program sites competed in the Commit to Fit! Parks & Recreation Physical Activity Challenge, tracking their steps daily to compete for youth-focused incentives and prizes.

Commit to Fit! Has engaged multiple local elementary and middle schools in spreading healthy messages and completing customized health & fitness challenges

Commit to Fit! – School & Youth Engagement

• A middle-school based program (targeting 6th graders) originally created in 2004 at the University of Michigan

o Statewide – 27 participating schools o 16,312 6th graders reached to date

• Designed to increase physical activity and healthier food

choices to reduce childhood obesity and long term cardiovascular disease risk

• PHS uses a three-pronged, evidence-based approach

o Education o Environmental Change o Measurement

PROJECT HEALTHY SCHOOLS IMPLEMENTED IN GENESEE COUNTY

Demonstrated Outcomes (based on all 6th graders who have received

curriculum to date)

• 42.8% eat more fruits and vegetables

• 40.6% eat less fast food • 39.4% are more physically

active • Majority displayed significant

changes in cholesterol, HDL, LDL and Triglyceride levels at time of follow-up evaluation

Community Residents

Physicians & Medical Care

Employers and Workplace Environment

Schools &

Youth Faith-based Community

Neighborhood Environment &

Safety

The Commit to Fit! & PHS Collaboration: Where We’ve Started • PHS and Commit to Fit! implementation began at Grand Blanc West

Middle School in September 2012, reaching 350 sixth graders and 998 total students

• Implementation will take place at Grand Blanc East Middle School in January 2013, reaching 385 sixth graders and 1,097 total students

• Other area schools are currently planning 2013/2014 implementation

PROJECT HEALTHY SCHOOLS

MICHIGAN HEALTH & WELLNESS 4x4 PLAN’S 4 HEALTHY BEHAVIORS

1. Maintain a Healthy Diet

2. Engage in Regular Exercise

3. Get an Annual Physical Examination

4. Avoid all Tobacco Use

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Michigan Health & Wellness 4x4 Plan Grantee

GFHC SELECTED AS PILOT COMMUNITY FOR MICHIGAN HEALTH & WELLNESS PLAN • In partnership and integration with Commit to Fit!, the

GFHC’s 4x4 Plan activities will: – Leverage and activate local providers in order to engage

patients and residents to practice the four measures of the 4x4 Plan

– Implement the 4x4 Plan in partnership with Commit to Fit!

– Expand the existing Commit to Fit! wellness challenge structure and offer weekly fitness / education classes

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HEALTHY WEIGHT COLLABORATIVE PROJECT • GFHC selected as 1 of 50 national teams to work to integrate a “healthy

weight message” throughout primary care and community (achieved via Commit to Fit!)

• Primary care sites at Mott Children’s Health Center & Hamilton Community Health Network are completing patient weight assessments at 97.3% of primary care visits

• GFHC’s Genesee County Team has received national recognition among project teams, selected to present its achievements to other 49 sites last month

GFHC/Commit to Fit! National Recognition & New Projects

GFHC SELECTED FOR INSTITUTE OF MEDICINE’S “SMART BITES” PROGRAM • GFHC is 1 of only 3 organizations in the country to participate in this

IOM Pilot Program – The IOM requested that the GFHC participate in this program

following their review of the accomplishments of Commit to Fit! and the GFHC’s County Health Rankings Action Plan

• “Smart Bites” will be integrated into Commit to Fit! with a focus on incentivizing healthy food choices for youth at local restaurants starting in 2013

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HEALTH & SAFETY MINI-GRANT PROGRAM • Designed to increase community-based safety initiatives that have a positive

impact on the health of local residents

• Kick-off event was attended by over 70 community members representing neighborhood groups, block clubs, local associations, civic groups, and non-profit organizations

New Health & Safety Mini-Grant Program

• Program funded 9 applicants to complete community-based projects that improved lighting, supported neighborhood crime watch groups, aided community beautification projects, created a community garden, and improved neighborhood parks

Focus Area: “Access & Environment”

Access Committee • Developed brief Healthcare Resource

Guide to aid residents in navigating and accessing the local healthcare system – Over 5,000 guides distributed in first

printing

• Worked actively to support the renewal of the Genesee Health Plan millage

• Began exploring potential strategies to address the adult dental care challenges in the community

President’s Annual Report – Access

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Children’s Oral Health

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The Children’s Oral Health Task Force continues to develop and distribute educational resources for families and providers

To date, 83,641 Oral Health Wheels have been ordered/distributed: • 2012 orders included programs in CA, PA, FL, MN and WI • The Early Childhood Investment Corporation ordered 11,000

wheels to distribute to Great Start Collaboratives across Michigan as part of their own children’s oral health initiative

A second printing of the Dentist Referral Guide for Infants and Toddlers is underway: • The first printing distributed 200 posters and

120 tear off pads to Genesee County pediatricians, childcare providers, and partner organizations

• The 2nd edition lists 64 dental practices that include over 75 dentists; up from 43 dentists listed in the 1st edition

Children’s Oral Health

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FACT: Baby Those Baby Teeth is working Data from Delta Dental of Michigan shows utilization of dental

services by children 2-3 years of age is greatest among Genesee County’s Healthy Kids Dental members (Medicaid covered children)

compared to other HKD counties, the MIChild program, and the State’s commercially insured program.

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In 2013 we will begin planning to create the Genesee County’ Children’s Healthcare Access Program (CHAP). CHAP is a collaborative, community-based medical home project to improve underserved, Medicaid-eligible children’s access to quality primary health care.

• Modeled after a successful 3-year pilot in Kent County and Wayne County that is

improving health outcomes, ED utilization, and quality, while creating cost-savings

• Mott Children’s Health Center convened Genesee County’s pediatric leaders, obtaining buy-in and financial commitments: Genesys Health System ($) Hurley Medical Center ($) Mott Children’s Health Center ($)

• GFHC was asked to be neutral convener of the local project’s planning and

participate in the MI-CHAP network

Hamilton Community Health Network HealthPlus of Michigan Private Physician Practices

Access: What’s Ahead…

Focus Area: “Quality & Innovation”

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(Diabetes) Group Visit Project • Developed and released “Medical Group Visits

Implementation Guide” • Expanded chronic disease focus beyond diabetes

– Now providing resources for the utilization of group visits for asthma, heart failure, obesity, chronic pain, and more

• Hosted Physician Education events featuring

national group visit expert Edward Shahady, MD – Shared the group visit model, implementation

strategies, local GFHC Project, and its resources with over 63 providers

– Over 50 providers wished to follow-up and observe a group visit and/or work with the GFHC to pilot group visits in their practice

• Will launch a web-based diabetes registry for any

Genesee County physician to utilize beginning in 2013

President’s Annual Report – Quality & Innovation

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Initial analysis of local Diabetes Group Visit patients is showing positive outcomes…

• Group visit patients showed steady improvements in previously uncontrolled Hemoglobin A1c (blood sugar) levels

• Group visit patients also showed marked improvement over time in LDL (low density lipoprotein) “bad cholesterol” levels.

President’s Annual Report – Quality & Innovation

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Mental Health & Substance Use Task Force • Launched the Screening, Brief Intervention, and

Referral to Treatment (SBIRT) Project this year thanks to a $500,000 grant to Genesee CMH

• SBIRT is an evidence-based best practice delivering early intervention and treatment services for persons with substance use disorders and those at risk for such disorders

• GFHC convening pilot site planning for 4 local sites that go live in 2013: Genesys Family Medicine Residency Program Hurley OB/GYN Clinic McLaren Flint Family Medicine Residency Program UM-Flint Urban Health & Wellness Center

President’s Annual Report – Quality & Innovation

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Health Information Exchange (HIE) Planning Committee • Continuing to work on planning

and initial implementation of the community’s shared HIE strategy via Michigan Health Connect

• HIE elements will likely begin stages of role out in each local health system and other provider settings in 2013 and beyond…

President’s Annual Report – Quality & Innovation

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Pharmacy Task Force – Medication Adherence • “Know Your Meds” Program – a collaborative medication

adherence activity held in October 2011 and September 2012 • Provided community members free, private, personalized, 30 minute

consultations with a licensed pharmacist to evaluate prescription drugs, over-the-counter medications, and supplements taken by the individual

• Hosted at 5 sites throughout Genesee County: • Burton Senior Center • Clio Senior Center • Flushing Senior Center • Genesys Regional Medical Center • Hasselbring Senior Center

• Pharmacists reviews of nearly 400 types of medications found:

• 9.6% of the medications were not being taken according to directions • 8.4% were cost-prohibitive • 7.5% had an issue that required the individual follow-up with a physician • 7.1% resulted in easy to relieve side effects • 5.6% were not being administered properly

President’s Annual Report – Quality & Innovation

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Advance Care Planning • GFHC’s 3-year Advance Care Planning Pilot Project will

launch in December to create a single, community-wide process for advance care planning that will seek to honor the informed healthcare decisions of patients providing comfort and dignity during end-of-life care

• Secured initial three-year funding from member and partner organizations: Genesys Health Foundation (Batdorf Family Fund) Blue Cross Blue Shield of Michigan HealthPlus of Michigan United Automobile Workers (UAW) Retirees Medical Benefits Trust

• Worldwide advanced care planning expert Bernard “Bud” Hammes, PHD, Director of LaCrosse Wisconsin-based Respecting Choices Advance Care Planning Program will consult with GFHC members on this initiative

Quality & Innovation – What’s Ahead…

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Quality & Innovation Task Force

Quality & Innovation – What’s Ahead…

Telemedicine Pilot Project • UAW / General Motors Community Health

Initiative’s will fund a telemedicine pilot project to better manage diabetes outcomes and care quality in local populations while preventing hospital readmissions

• HealthNetConnect equipment allows pilot physicians to remotely examine patients and monitor vitals

• GFHC is the project fiduciary for three sites in Flint, Indiana, and Ohio

Focus Area: “Cost & Resource Planning”

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Community Data Scorecard • GFHC’s Community Data Scorecard collects, organizes, and trends

nearly 300 different metrics and measures related to community health outcomes, healthcare utilization, and social & economic factors compiled through public and private sources

Participating Organizations & Data Collection Sources

Cost & Resource Planning

Blue Care Network

Blue Cross Blue Shield of Michigan

City of Flint

General Motors / UAW

Genesee County Community Mental Health

Genesee County Department of Human Services

Genesee County Health Department

Genesee County Medical Society

Genesee Health Plan

Genesee Intermediate School District

Genesys Health System

Hamilton Community Health Network

HealthPlus of Michigan

Hurley Medical Center

McLaren Flint

McLaren Health Plan

Mott Children’s Health Center

University of Michigan Prevention Research Center

Publicly available data from:

CDC

HRSA

MDCH

US Census

American Community Survey

US Department of Justice

US Department of Labor

MHA

County Health Rankings

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Community Health Needs Assessment Project • As a new component of the Affordable Care Act, all non-profit

hospitals are required to conduct a community health needs assessment (CHNA)

• Genesys Health System, Hurley Medical Center, and

McLaren-Flint have agreed to work collaboratively through the GFHC to complete this CHNA requirement together

• This collaborative work also assists to align community

benefit planning of Genesee County’s three health systems / hospitals, with shared resource planning serving to maximize impact on the health of the community

Cost & Resource Planning

Focus Area: “Sector Workforce

Development”

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Flint Healthcare Employment Opportunities Program

1

35

11

3

1

1

1

1

1

1

2

1

1

2

2

1

Surgical Technician

Certified Nursing Assistant

Pharmacy Technician

Emergency Medical Technician

Medical Office Management (AD)

Pharmacy Technician (AD)

Business Health Informatics (AD)

Patient Care Aide

Esthetician

Health Information Technology

Health Unit Coordinator

Licensed Practical Nurse

Medical Administrative Assistant

Medical Assistant

Phlebotomist

Registered Nurse (BSN)

0 5 10 15 20 25 30 35 40

PY June 2011 –July 2012

65 Total Credentials Obtained

Sector Workforce Development

GFHC as a collaborative, nonprofit business entity

Grants: • GFHC secured $417,854 in funding to continue existing grant programs

during the past year • GFHC secured $760,218 in funding for new grant programs during the past

year • Additionally, a $2.9M “Community Transformation Grant” focused on

community food access, physical activity, school health, and health disparity has been “approved but unfunded” by the Department of Health & Human Services (HHS) meaning we have 12-months for federal dollars to be allocated to the project

New Members & Continued Growth: • Kettering University • Flint Area Reinvestment Office • (Next Year – Michigan State University)

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President’s Annual Report

Health of the Community & Future Observations

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Genesee County Health Rankings

Why our work is so critical now…

*These rankings are out of a total of 82 Michigan Counties ranked in the Robert Wood Johnson Foundation’s “County Health Rankings” Study (2010)

HEALTH INDICATOR 2010 RANKING

2012 RANKING

OVERALL HEALTH OUTCOMES 78 of 82 77 of 82

Morbidity 79 of 82 77 of 82

Mortality 73 of 82 73 of 82

OVERALL HEALTH FACTORS 81 of 82 75 of 82

Health Behaviors 82 of 82 77 of 82

Clinical Care 21 of 82 18 of 82

Social & Economic Factors 78 of 82 75 of 82 Physical Environment 75 of 82 67 of 82

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Environmental Findings

• Decrease in total population for both the City of Flint & Genesee County

POPULATION DECLINE – OUTMIGRATION

124,943 117,068

102,434

436,141 428,790 425,790

2000 2008 2010

Tota

l Popula

tion -

Num

ber

of

Resi

dents

City of Flint Genesee County

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0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

2005 2008 2011

Genesee County Age Ratios: 2005-2011

Age 0-19

Age 20-34

Age 35-49

Age 50-64

Age 65+

POPULATION CHANGE – AGING

• Residents age 50+ represented 29% of the population in 2005

71%

age

0-49 in

2005

65.1%

age

0-49 in

2011

29%

age

50+ in

2005

34.9%

age

50+ in

2011

NOTE: U.S.

Average for

2011 was for

only 32.7% of

population to

be age 50+

• For 2011, age 50+ now makes up 34.9% of the population

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Why our work is so critical now…

Genesee County / Flint, Michigan CY 2009 Data

CY 2010 Data

% Recent Change

Mortality Rates, Total (per 100,000 residents) 905.5 963.1 6.36% Heart Disease 240.0 254.9 6.21% Cancer 206.1 225.9 9.61% Chronic Lower Respiratory Diseases 52.4 56.4 7.63% Stroke 52.0 54.0 3.85% Unintentional Injuries 37.2 42 12.90% Diabetes Mellitus 35.7 38.7 8.40% Alzheimer's Disease 28.3 28.8 1.77% Pneumonia/Influenza 13.6 14.6 7.35% Kidney Disease 22.8 24.1 5.70% Intentional Self-harm (suicide) 10.6 11.6 9.43% All other causes 206.8 212.2 2.61%

Obesity Rate 35.5% 36.5% 2.82% Overweight Rate 31.6% 34.5% 9.18% Diabetes Rate 9.6% 10.6% 10.42%

County Health Status Scorecard Indicators

This means 71% of county residents are now obese or overweight. This issue will cause nearly every chronic condition listed on this page, and more.

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THANK YOU

For more information:

Greater Flint Health Coalition Website: http://www.gfhc.org Email: gfhc@flint.org

Commit to Fit!

Website: http://www.commit-2-fit.org Email: commit2fit@flint.org