Michigan Community Health Worker Alliance Annual Meeting. Healthy Communities, Healthy Michigan: Positioning Community Health Workers for the Future

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1 Michigan Community Health Worker Alliance Annual Meeting Healthy Communities, Healthy Michigan: Positioning Community Health Workers for the Future October 8, am to 3:30pm Lansing Community College West Lansing, Michigan

2 Welcome! Welcome to the third annual meeting of the Michigan Community Health Worker Alliance (MiCHWA). Today s objectives focus on positioning the Community Health Worker (CHW) profession for the future of Michigan s health and human service delivery system. We hope that by the end of today, participants will accomplish the following: Assess how CHWs play an integral role in the future of Michigan s health care landscape Identify policy and systems-level issues that impact CHW sustainability in Michigan Discuss progress made by the Michigan Community Health Worker Alliance in the last year and the work still to be done to sustain the CHW profession in Michigan Describe best practices from CHW programs and experts statewide Participate in developing action steps to move the CHW profession forward in Michigan through interactive workshops with leaders in the field At today s meeting, we encourage your questions, your suggestions, and ideas. Most importantly, we invite you to join MiCHWA in its future activites. Your green packets contain materials that will help you learn more. Thank you for supporting CHWs and their programs with your attendance today as we seek to create and sustain healthy communities in a healthy Michigan. Michigan Community Health Worker Alliance October 8, 2014 MiCHWA thanks today s meeting sponsors: The Ecology Center Meridian Health Plan MHP Salud Michigan Early Hearing Detection & Intervention Program Michigan Primary Care Association Molina Healthcare of Michigan Strong Beginnings The University of Michigan - Flint

3 Agenda 9:00 9:15 10:05 10:10 10:20 11:35 11:40 12:45 1:50 3:00 3:30 Welcome & Opening Remarks Facilitator: Bomani Gray, Community Health Worker Speakers: Katie Mitchell, Michigan Community Health Worker Alliance Edie Kieffer, University of Michigan School of Social Work Keynote Panel #1: CHW Programs in Michigan: Best Practices for the Future Presenters: Melissa Freel, Wayne Children s Healthcare Access Program Jose Reyna, Spectrum Health Healthier Communities Jane Sills, Saginaw Pathways to Better Health Community Health Worker Story Presenter: Tressa Crosby, Health Project (Muskegon) BREAK: Networking & Sponsor Tables Keynote Panel #2: CHWs and Michigan s Policy Environment Presenters: Phillip Bergquist, Michigan Primary Care Association Elizabeth Hertel, Michigan Department of Community Health Michelle Maitland, Michigan Public Health Institute Community Health Worker Story Presenter: Octavia Smith, Western Wayne Family Health Centers (Inkster) Lunch, Networking & Sponsor Tables MiCHWA Update: MiCHWA s Year in Review Presenter: Katie Mitchell, Michigan Community Health Worker Alliance Workshops: Learning Opportunity #1 A: Using Data to Make the Case for CHWs B: Michigan s New Standardized CHW Curriculum: An Overview C: CHWs & Health Plans: What opportunities exist in the future? D: Supporting CHWs and Supervisors in the Workplace Workshops: Learning Opportunity #2 Workshop sessions are repeated Call to Action & Closing Remarks Adjourn: Networking & Sponsor Tables

4 Keynote Panel #1 Melissa Freel is the operating director for the Wayne Children s Healthcare Access Program. She joined WCHAP in January Prior to WCHAP, Ms. Freel served as the Health Innovations Director for the Early Childhood Investment Corporation where she caught the CHAP bug and worked to support the emerging effort throughout the state. Ms. Freel s long-term professional experience comes from fifteen years of designing, implementing and managing evidence-based programs for vulnerable children in Oakland County, ten years of which were spent as an administrator of a community benefit program at St. Joseph Mercy Oakland in Pontiac. José Reyna is the Director of Community Health Programs within the Healthier Communities Program at Spectrum Health Systems. In that role, he oversees the Core Health, MOMS, Programa Puente, and Workplace Wellness programs which serve underserved populations. Prior to his service with Spectrum Health, Mr. Reyna worked with the City of Grand Rapids as Fiscal Services Director and Assistant to the City Manager. His background includes extensive experience in change management, community engagement, and leadership development. Mr. Reyna has served on numerous community board and commissions and is dedicated to empowering his team, community, and patients to fulfill their dreams. Jane Sills is Supervisor for Covenant Healthcare VNA/VNSS Saginaw Pathways to Better Health Program (SPBH). She is also Coordinator for Covenant Visiting Nurse Special Services. Prior to joining the Covenant organization, Ms. Sills held a variety of Human Resource positions with the Campbell Soup Company. While at Campbell s, Ms. Sills was fortunate to live in many diverse areas of the country and engage in many community service initiatives in these areas. Ms. Sills is a Master Trainer for the MPBH/SPBH Program and has been involved in this project since October She is also a member of MiCHWA. Meeting Facilitator: Bomani Gray When Bomani Gray was given the name Bomani by his community of elders he knew that he was charged with an awesome responsibility. The Malawi (South Africa) name means Warrior. And as a community warrior, Mr. Gray has dedicated his life to public service as a community and educational advocate. As a product of the Detroit Public School systems himself, Mr. Gray understands the importance of starting early to develop advocacy programs that keep students and parents plugged into the educational process. As a parent, he works tirelessly to help his children at each of their schools become the best students that they can become. He has completed his coursework at education at Central Michigan University Non-Profit Management B.A.

5 Keynote Panel #2 Phillip Bergquist is the Director of Health Center Operations for the Michigan Primary Care Association. He received his Bachelors of Science in Mass Communication and Public Relations from Rochester College and completed his Executive Fellowship through the University of Kansas. Mr. Bergquist has worked principally in policy, program design and management for initiatives focused on improving the operational efficiency, financial management and outreach infrastructures of community-based healthcare providers. Mr. Bergquist has been recognized nationally as a 2011 Centers for Medicare and Medicaid Services (CMS) Excellence in Children s Health Outreach and Enrollment Honoree and 2014 Recipient of the Geiger Gibson Emerging Leader Award. Mr. Bergquist also serves on the CMS Advisory Panel on Outreach and Education. Elizabeth Hertel is the Director of Healthy Policy and Innovation at the Michigan Department of Community Health. Ms. Hertel started with the Department in February of 2013 as the Senior Assistant for Policy and Planning before assuming her role as director. In this position, she works closely with the Governor s office on policy development and is responsible for coordinating and directing policy affecting the Department s programs, including Certificate of Need, workforce development, health disparities reduction and health information technology. She also assisted in developing and implementing Michigan s expanded Medicaid program, the Healthy Michigan Plan. Prior to her time with the Department, Ms. Hertel served as Senior Advisor for Health Policy in the House Republican Policy office and as legislative assistant to Representative Bruce Caswell. In 2010, she spent a year working in the private sector, first as a consultant with Public Sector Consultants and then as a policy analyst at Blue Cross Blue Shield of Michigan. Michelle Maitland is a Nurse Informaticist on the Michigan Pathways to Better Health (MPBH) project at Michigan Public Health Institute. She delivers training of Community Health Workers (CHWs), was part of the design team for the MiPathways electronic health record, and is the consultant for procedural matters for the CHWs and Clinical Supervisors. Ms. Maitland is an experienced home visitor as a Public Health Nurse at Genesee County Health Department in Flint, MI. Ms. Maitland has attended several trainings on the subjects of racism, poverty and social justice and incorporates her training and experience in these issues into the CHW curriculum. She uses her role in Clinical IT to make sure that the EHR meets the requirements of many parties who have different needs. Her specialty is in workflow design that facilitates faster and more accurate charting of the client s needs and the interventions used to meet those needs.

6 Today s Workshops A) Using Data to Make the Case for CHWs Community Health Worker (CHW) programs rely on rigorous evaluation to support their longevity. One of the struggles is identifying the unique contributions of the CHW, especially when working with a team. This workshop will discuss the Common Indicators Project, an upcoming initiative seeking to identify those unique CHW contributions throughout Michigan. This workshop will also discuss follow-up data from the Michigan CHW Program Survey pertaining to evaluation. Leaders in this interactive workshop will challenge participants to provide their insights and experiences toward creating a common evaluation tool or agenda to sustain programs in Michigan. Leaders: Edie Kieffer, Univeristy of Michigan School of Social Work Lee Anne Roman, Michigan State University College of Human Medicine B) Michigan s New Standardized CHW Curriculum: An Overview Community Health Worker education and certification is an essential component to CHW sustainability in Michigan. This session will review the new core competency-based CHW curriculum in Michigan, developed by a team in collaboration with stakeholders from the Grand Rapids and Detroit areas including Spectrum Health, Henry Ford Health System, the Institute for Population Health, Grand Rapids Community College, and Henry Ford Community College. The curriculum is an important step in increasing recognition of the CHW role and promoting the profession statewide. Leaders: Mark Lubberts, Spectrum Health Healthier Communities Linda Witte, Grand Rapids Community College C) CHWs & Health Plans: What opportunities exist in the future? CHW advocates continue to look to health plans for guidance and support in paying for or reimbursing for CHW services. But is this realistic in Michigan? Panelists will share how their health plans are addressing CHWs or the social determinants of health and engage in a facilitated dialogue about how health plans could support CHW work. Panelists will also discuss opportunities they see for CHWs and health plans in the future as health care reform continues to impact our state. Panelists: John Baackes, AmeriHealth Caritas Stephanie Babcock, Molina Healthcare of Michigan Guy Gauthier, Priority Health Cara Rossi, Meridian Health Plan Pam Sanborn, HealthPlus of MIchigan Facilitator: Tressa Crosby, Health Project (Muskegon) D) Supporting CHWs and Supervisors in the Workplace Both community health workers and their supervisors need tools for sustaining healthy workplaces. Mental health is a key concern of CHWs, and supervisors continually state a lack of resources to support their oversight of CHWs. In this session, participants will learn about developing a supportive culture for CHWs and their supervisors. They will also have an opportunity to identify challenges to supporting CHWs in the workplace and address those challenges as a group. Leader: Yolanda Hill-Ashford, WIN Network Detroit, Henry Ford Health System

7 Workshop Leaders John Baackes is President of the VIP Plans Division for Dual Eligibles of AmeriHealth Caritas. He leads AmeriHealth s newest line of business. AmeriHealth is developing plans to serve dual eligible through Dual Special Needs Plans (DSNP) and Medicare Medicaid Plans (MMP) under the Affordable Care Act Financial Alignment Demonstrations. Ameri- Health operates a DSNP in the Philadelphia market and will operate MMPs in Michigan and South Carolina. He retired (2012) as the Chief Executive Officer of Senior Whole Health (SWH), which operated plans for dual-eligible beneficiaries in Massachusetts and New York. Prior to joining SWH, Mr. Baackes was Senior VP at Group Health Incorporated of New York. There he led their for-profit HMO subsidiary and grew it to $130M in revenue and introduced the first Medicare Advantage and Medicaid Managed Care products. Previous to that, he was CEO of Community Health Plan based in Albany, NY from 1989 to Stephanie Babcock graduated from Oakland University in 2007 with a Bachelor degree in Sociology. Ms. Babcock decided to pursue nursing immediately upon graduation and became an LPN. Prior to becoming the Community Connector (CHW) supervisor, Ms. Babcock worked as a nurse on a cardiactelemetry unit. Ms. Babcock began working in managed care in 2011 as an inpatient utilization review nurse. In 2012 she became a licensed foster parent and currently has two foster children she is in the process of adopting. Ms. Babcock is involved with Oakland Family Services and participates on their foster care panels. She enjoys giving back to the community and participating in volunteer work. She also enjoy traveling and reading. Guy Gauthier is the associate vice president of State Programs at Priority Health. He oversees the business operations of Priority Health s Medicaid division, managing consumer experience, ensuring compliance with state and other governmental contracts, and developing the business unit. Mr. Gauthier first joined Priority Health in May 1992, and has served as vice president of special projects, chief operations officer and chief financial officer. Prior to returning to Priority Health in 2011, Mr. Gauthier was the chief financial officer at UnitedHealthcare Great Lakes and UnitedHealthcare Community and State. He was also the director of managed care and financial services at Lincoln National Life Insurance Company, and has held positions with HealthPlus of Michigan and Electronic Data Systems. Mr. Gauthier graduated from Ferris State University with a bachelor s degree in accounting. Yolanda Hill-Ashford has over 22 years in public health with an extensive background in community based participatory research, outreach, education and training. She has built collaboratives for the empowerment, employment and training of community health workers (CHWs) in Detroit. Working collectively with educational institutions, the community, public and private business sectors, Ms. Hill-Ashford chaired the development of a CHW certificate program at Wayne County Community College. Ms. Hill-Ashford has participated in numerous research initiatives on health equity, social determinants of health, health literacy, asthma, diabetes, cardiovascular disease, health promotion, breast and cervical cancer, access to healthy foods and access to health care. Yolanda s goals as a public health social worker are grounded in her desire to ensure a healthy life for all who live, work, visit or play in Detroit.

8 Workshop Leaders Edith C. Kieffer, MPH, PhD, Professor, School of Social Work, University of Michigan conducts research addressing health and health care disparities. Using community-based participatory research (CBPR) approaches, she and collaborators have evaluated the effectiveness of Detroit-based community health worker (CHW) programs in improving the health of pregnant and postpartum women (NIH/NIDDK Healthy Mothers on the Move) and people with, and at risk for, type 2 diabetes (NIH/NIDDK - Community Health Worker Diabetes RCT for Latinos and CDC The REACH Detroit Partnership). Dr. Kieffer is a founding steering committee member and directs grants supporting the Michigan Community Health Worker Alliance. She is co-investigator for the evaluation of the Healthy Michigan Plan Medicaid expansion. She teaches courses in health care policies and services and health ethics. She is affiliated with the Detroit Community Academic Urban Research Center, the University of Michigan Institute for Healthcare Policy & Innovation, and the Michigan Center for Diabetes Translational Research. Mark Lubberts is the director of community health education in Healthier Communities at Spectrum Health in Grand Rapids, Michigan. He received his masters in nursing education from Grand Valley State University and his bachelors in nursing and psychology from Calvin College. His career in nursing has consisted of providing direct nursing care to cardiovascular patients inpatient and outpatient, educating staff in informatics, and management. He is passionate about movement in disease prevention and health promotion for all individuals through intentional individual connections. Lee Anne Roman, PhD, MSN, is an Associate Professor with the Department of Obstetrics, Gynecology, and Reproductive Biology at Michigan State University. Dr. Roman is an evaluator/researcher primarily focused on maternal and child health and health disparities among Medicaid-insured families. She works in collaboration with multiple partners, health systems, health departments, community agencies, and the Michigan Department of Community Health. She has a special interest in Community Health Workers (CHW) and has conducted studies of Nurse/Social Worker-CHW teams. Currently she is conducting an evaluation of the Strong Beginnings program in Grand Rapids, MI. As the Director of Care Coordination, Cara Rossi oversees the Meridian Care Coordination Program across multiple states and lines of business. The program uses interdisciplinary approaches and teams of clinical and non-clinical care resources to focus on members (and their families) that have special health care, community support, facility service, and behavioral health needs. Ms. Rossi provides leadership and direction to Care Coordination staff throughout Meridian s office locations, developing and implementing policies and procedures that improve the care received by high-risk member populations. Her calculated evaluation of staffing needs, business justifications, and cross-departmental strategic development has helped Meridian ensure that Meridian members get the care they need when they need it. Ms. Rossi earned her Bachelor of Arts in Human Development and Social Relations from Kalamazoo College. Ms. Rossi is a Fellow from the Academy for Healthcare Management.

9 Workshop Leaders Pam Sanborn is a skilled strategist who brings cross-functional health care expertise to her role as senior director of clinical operations and performance. Ms. Sanborn works closely with HealthPlus chief medical officer overseeing utilization management and care coordination. As senior director, Ms. Sanborn s goal is to boost quality, improve care and reduce costs through a member-centric team model. Prior to HealthPlus, she was director at the Rybar Group in Fenton, Mich., where she led business development activities and oversaw reimbursement strategies for clients in health care. She has also served as director of finance at Hurley PHO and as a financial analyst at Genesys Regional Medical Center, both located in Flint, Mich. Ms. Sanborn holds a bachelor s degree in financial management from Bob Jones University in Greenville, S.C., and is currently pursuing a master s of business administration at Michigan State University s Eli Broad School of Management. She is a member (and past president of the local chapter) of the Healthcare Financial Management Association. Linda Witte is the Program Developer/Manager for Health Programs in the Workforce Training Department at Grand Rapids Community College. Her responsibilities include partnering with area health employers to design and administer education programs to meet their needs, creating training experiences to address skill gaps in incumbent workers, and working with certification organizations to ensure that programs meet appropriate standards. Ms. Witte is Program Director of GRCC s Medical Assistant Program. She is a Registered Medical Assistant and a Certified Business Solutions Professional for the State of Michigan. Ms. Witte earned her Bachelor s Degree with a major in Psychology and Minor in Social Work from Calvin College. She was awarded a Master of Public Administration degree from Grand Valley State University with an emphasis on Public Management in Ms. Witte has been a member of MiCHWA s Steering Committee and Co-Chair of the Education and Workforce Working Group for three years. CHW Storytellers: Tressa Crosby & Octavia Smith Tressa Crosby is a Community Health Worker at the Health Project, a community benefit ministry of Mercy Health in Muskegon. Currently, Tressa coordinates a program for at-risk pregnant women. Tressa has also worked with programs targeting lead hazard reduction, mentoring children of prisoners, and managing chronic diseases. Tressa began serving as co-chair of the MiCHWA Policy & Finance Working Group in January Octavia Smith is a Community Health Worker at Western Wayne Family Health Centers in Inkster. Currently, Octavia helps patients with insurance enrollment and leads programs in collaboration with the National Kidney Foundation of Michigan, including Personal Action Toward Health (PATH), the Diabetes Prevention Program, and Enhance Fitness. Octavia is an active member of MiCHWA s CHW Network and Communications working groups.

10 MiCHWA s Steering Committee Tressa Crosby Health Project Willie Davis, Jr., Ingham County Community Health Center Guiliana Fuentes Health Net of West Michigan Ann Garvin, Michigan Dept. of Community Health Guy Gauthier, Priority Health Bomani Gray, Institute for Population Health Jennifer Guillen, National Kidney Foundation of Michigan Rebeca Guzmán, Institute for Population Health Edie Kieffer, U-M School of Social Work Anne Lee, MHP Salud Mark Lubberts, Spectrum Health Healthier Communities Marta Lugo-Rodriguez, CHASS Center, Inc. Judi Lyles, Michigan Dept. of Community Health Gloria Palmisano, CHASS Center, Inc. Evie Philippi, Spectrum Health Healthier Communities Tom Rich, American Cancer Society, Inc. Celeste Sanchez Lloyd, Spectrum Health Healthier Communities Mike Spencer, U-M School of Social Work Claireta Thomas, CHASS Center, Inc. Lisa Todd, WSU School of Medicine Peggy Vander Meulen, Strong Beginnings Monica White, Henry Ford Health System Susie Williamson, Spectrum Health Healthier Communities Linda Witte, Grand Rapids Community College Ex-Officio: Katherine Mitchell, MiCHWA Project Coordinator

11 MiCHWA s Partner Organizations

12 Thank you for attending the Michigan Community Health Worker Alliance s Annual Meeting For more information on CHWs, MiCHWA, or how to get involved with MiCHWA s efforts, please visit our Web site Are you tweeting today? MiCHWA is supported by grant and contract funding to the University of Michigan School of Social Work

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