Susan Moran MPH Senior Deputy Director

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1 Susan Moran MPH Senior Deputy Director Population Health and Community Services Administration Michigan Department of Health and Human Services Governmental Administration & Finance Seminar Michigan Association for Local Public Health Mt. Pleasant September 10, 2015

2 Health System Transformation The US health system consisting of public health, health care, insurance, and other sectors is undergoing a critical transformation in both financing and service delivery. These changes include improving the efficiency and effectiveness of health organizations and services, as well as increasing connections and collaborations among public health, health care, and other sectors. 2

3 MDHHS Merger and Organizational Changes Population Health Administration Initiatives Michigan s Population Health Status Looking ahead 3

4 MDHHS Merger Our vision for the Michigan Department of Health and Human Services is to promote better health outcomes, reduce health risks, and support stable and safe families while encouraging self-sufficiency. The creation of the new department is a natural next step in our efforts to coordinate our systems, be better aligned internally, and build upon much of the successful partnerships we already have together. 4

5 Population Health and Community Services Administration Susan Moran Senior Deputy Director Bureau of Laboratories Dr. Sandip Shah Local Health & Administrative Services Mikelle Robinson Disease Control, Prevention & EPI Dr. Corinne Miller EMS, Trauma & Preparedness Dr. Jackie Scott Family, Maternal & Child Health Rashmi Travis Community Services Paula Kaiser VanDam 5

6 Our NewBureaus Bureau of Community Services Crime Victims Services Commission Division of Housing and Homeless Services Domestic and Sexual Violence Prevention Treatment Board Bureau of Community Action and Economic Opportunity Michigan Benefits Access Initiative Bureau of EMS, Trauma, and Preparedness Emergency Medical Services & Trauma Emergency Preparedness and Response 6

7 Population Health Updates PHAB accreditation LHD accreditation changes Mini grants for regional collaboration MCH Block grant changes Funding Changes for Hearing and Vision EMS Regional Collaboration Project Special Pathogen Response Network/Ebola Hospital Assessments 7

8 Population Health Status Measure 2014 America s Health Rankings Nutrition - Fruit Consumption 23 Nutrition - Vegetable Consumption Tobacco 37 Immunizations - Adolescents 18 Immunizations - Children Healthy Babies Preterm Births 31 Healthy Babies Infant Mortality 35 Heart Disease 45 Stroke

9 Population Health Priorities Winnable Battles Nutrition, obesity, physical activity Tobacco Immunization Healthy babies Heart disease and stroke 9

10 Looking Ahead. Challenges FY 17 Budget Opportunities State Innovation Model Healthy Michigan Plan Medicaid Focus on Population Management 10

11 SIM Timeline Implementation Year 1: February 2016 January 2017 Quarter 1 (Feb - April) Quarter 2 (May - July) Quarter 3 (Aug - Oct) Quarter 4 (Nov - Jan) MDHHS signs contracts with MHPs, ASCs, and CHIRs to make necessary investments in capacity Collaborative learning networks launch CHIRs undertake strategic planning for population health Ongoing stakeholder engagement ASCs, MHPs, and MDHHS test administrativ e information systems ASCs and MHPs sign contracts to begin October 1, including: Shared savings Pregnancy bundle Partial and global capitation options Michigan completes Population Health Improvement Plan 11

12 Healthy Michigan Plan LANSING, Mich. The Michigan Department of Health and Human Services today submitted the second Healthy Michigan Plan waiver to the Centers for Medicare and Medicaid Services the next step to ensure the Healthy Michigan Plan is aligned with state law and allow for the continuation of the program which currently provides health care coverage for nearly 600,000 previously uninsured residents. 12

13 Michigan Medicaid Vision: Create a Medicaid managed care system that maximizes the health status of population through evidence- and value-based care delivery models. Four Pillars: Population health management Pay for Value Integrated care Structural Transformation 13

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15 Thank you! 15