Sew Up the Safety Net for Women & Children A program of the Detroit Regional Infant Mortality Reduction Task Force

Sew Up the Safety Net for Women & Children A program of the Detroit Regional Infant Mortality Reduction Task Force Health Systems Learning Group Regional Meeting October 10, 2012 Henry Ford Health System Detroit, MI

Today s Focus Project Overview Task Force Background Sustainability Plans

Opportunity RWJF Local Funding Partnership Seeking new, innovative, and community-based programs focused on vulnerable populations Required nomination by a local funding partner and support of multiple matching partners Up to $500,000 from RWJF in matching money over 3-years 178 Brief Proposal Submitted; Only 41 invited for Full Proposal; 14 received a site visit; 10 selected for funding

Conceptual Framework

Sew Up the Safety Net for Women & Children A coordinated system of care for Detroit at-risk neighborhoods Targeted in Brightmoor, Osborn and Chadsey-Condon Detroit neighborhoods $2.6 million secured over four years Built on successful model of using Community Health Workers Focused on addressing the social determinants of health Clear methods for measuring impact

Let s Hear From a CNN! Yvette Harris, Osborn Community & Neighborhood Navigator

Task Force Background Formed April 2008 after the CEOs of the four major health systems serving Detroit decided to collaborate on infant mortality reduction Nancy Schlichting asked Dr. Kimberlydawn Wisdom to chair and convene The call for public-private partnership to reduce infant mortality could not be clearer or more compelling: At 6.1 infant deaths per 1000 live births, the U.S. ranks near the bottom among developed nations for infant mortality Michigan s infant mortality rate is 7.1 per 1000 live births Detroit s infant mortality rate is 14.4 per 1000 live births The IMR for black babies is 15.9 versus 5.6 for white babies

Task Force Partners Detroit Medical Center Henry Ford Health System Oakwood Healthcare System St. John Providence Health System Greater Detroit Area Health Council Michigan Association of Health Plans Michigan Department of Community Health University of Michigan School of Public Health Wayne County Health Department Institute for Population Health (formerly the Detroit Department of Health & Wellness Promotion)

Community Partners All Task Force Members Assurance Wireless Black Family Development Black Mother s Breast Feeding Association Brightmoor Alliance Chadsey-Condon Community Organization Detroit Wayne County Health Authority Interfaith Health & Hope Coalition Matrix Human Services Michigan Roundtable for Diversity & Inclusion MichUHCAN Osborne Neighborhood Alliance Tomorrow s Child United Way 2-1-1 Voices of Detroit Initiative (VODI) Wayne County Child Healthcare Access Program Wayne County Medical Society of Southeast Michigan Wayne State University

Funding Partners to Date Detroit Medical Center-Children s Hospital of MI Henry Ford Health System Kresge Foundation Oakwood Healthcare System PNC Bank Foundation Robert Wood Johnson Foundation St. John Providence Health System U of M School of Public Health W. K. Kellogg Foundation

A Standout Collaboration Landmark collaboration between competing health systems Holistic approach to addressing social determinants of health Personal interactions with CNNs to serve as guides and offer support Clearly defined and focused mission Strong need for the project and motivated community partners Comprehensive shared expertise and information to build on and leverage

Partner Involvement Grant Preparation Data collection and analysis Participant Recruitment Project Promotion Links to Neighborhood Resources Media Involvement Expert Talks Troubleshooting/Problem Solving Community Issues

Policy & Systems Level Change Agenda Community Health Workers as a reimbursable service of Medicaid Professional career trajectories for CHWs Assuring pre- and interconception care as an integral component of primary care Equipping providers to assure that mothers and babies receive appropriate follow-up Improved delivery of safe sleep and other pertinent health messages

Plans for the Future Replicating throughout Detroit, and with different ethnic groups Sharing success stories and replicating nationally Applying program model (focused on CHWs to address social determinants of health) to different focus areas