Community Health Services Annual Report 2020

Community Health ServicesAnnual Report 2020Building BridgesConnecting Communities

From Our LeadershipMichigan Medicine’s last two quarters of FY20 were without a doubt beyond the realmof anyone’s prediction. We experienced all of the effects of a rapid surge of the numberof positive COVID-19 patients in our community, challenging our incredible caregiverteam for many months. The city of Ypsilanti was thrust into the State and nationalspotlights, in stories reporting racial and health disparities in the 48197 and 48198 zipcodes. All the while, as a patient-centered healthcare organization, all worked hard andin creative ways to provide quality care in a time of limited resources and high volumeacross the continuum of care, from emergency room to ambulatory clinics to inpatienthospitalizations, home and in the community.Through our Community Health Services department, the team responded to, engagedwith and supported the needs of our community. The pandemic required us to thinkand act differently to protect staff, provide needed services to the homebound andmaintain the relationships with community agencies that bridge and connect us tothose we serve.As a team-based organization, Michigan Medicine was adaptable, flexible andresponsive to the health, economic and isolation gaps created by COVID-19, many ofwhich we have continued to address in FY 21. We are stronger for how we act as “One”,meeting the needs of the few and the many.Thanks for your teamwork and high commitment to service.Gratitude,Tony Denton, Senior Vice President andChief Operating Officer University of Michigan Health SystemMichigan MedicineMarch 2020. Our world changed. We watched the numbers in our state increase,challenging our hospital emergency departments. People began to stockpilesupplies – toilet paper and cleaning supplies were flying of the shelves. There wasa sense of urgency in trying to gain an understanding of the world around us. “StayHome – Stay Safe” the governor’s order to Michiganders with the aim of slowingthe spread of COVID-19 - the coronavirus. This created additional challenges forCommunity Health Services. The majority of our work is external-facing providingprograms and services directly to community.Through it all, we continued to care for the health our children, promote thehealth of our families, protect the health and quality of life for older adults, providemental health support, and engage learners in our work to support the community,planting a seed for the next generation of healthcare providers. In the followingpages, you will read of how we worked collaboratively with our partners bothinternally, externally and within our department to accomplish our work.To the staff and program leads for the Adolescent Health Initiative, AccommodationsProgram, Ann Arbor Meals on Wheels, Community Benefit/Community HealthNeeds Assessment, Friends Gift Shops, Housing Bureau for Seniors, Program for Multicultural Health, Regional Alliance forHealthy Schools and Volunteer Services, I say “thank you” for being steadfast in your commitment to service community,innovative in finding solutions and continuing to move forward demonstrating our commitment every day. For this, I amtruly grateful.Yours in partnership and service,Alfreda Rooks, Director, Community Health ServicesUniversity of Michigan Health SystemMichigan Medicine1

The CHS initiatives were developed to align the work of our community programs with thehospital segments (Children’s and Women’s Services, University Hospital/CardiovascularCenter and University of Michigan Medical Group). This way we would use not only themission, vision and values of the organization to guide the community work, but alsocomplement and support critical work of the segments in providing care.5 CHS Initiatives Caring for the Health of ChildrenPromoting the Health of FamiliesProtecting the Health and Quality of Life for Older AdultsImproving Mental Health Support and Reducing Substance AbuseDeveloping Future Health LeadersCHS ProgramsAnn Arbor Meals on WheelsFriends Gift ShopAdolescent Health InitiativeHousing Bureau for SeniorsProgram for Multicultural HealthMichigan Medicine LodgingVolunteer ServicesRegional Alliance for Healthy SchoolsCommunity Benefit and CHNAThe stories highlighted on the following pages are just some of the storiesthat speak to the commitment to serving our community wherever they are.2

Caring for the Health of ChildrenProviding clinical services and programs that supporthealthy behaviors of our children and adolescents.Vision for LearningThe American Optometric Associationreports that 5 to 10 percent of preschoolersand 25 percent of school-age children arediagnosed with vision problems. An earlyeye exam and regular eye care for childrencan alleviate potential problems. Identifyingeye problems early is crucial to the child’slearning and development in school. A childwith poor vision may have difficulty with seeing text andcomprehending words causing difficulty in reading.Gabriel Farr, PMCH staff, leading anEmpower U workshop“EmpowerU helps meget my workdone and getmy GPA up.It (EmpowerU) gives meguided timeduring the dayto work onmyself.- PMCH programparticipant3”When the RAHS health centers opened at one of theirlocations in Flint, staff received multiple referrals for studentsneeding eyeglasses. Staff saw students on the RAHS MobileUnit. The Mobile Unit a partnership with the MichiganMedicine Kellogg Eye Center provides screening servicesand glasses for students with limited resources but neededglasses. One student in particular had very poor vision andsensitivity due to albinism; the child said, “I couldn’t even seemy shoelaces.”The nurse practitioner and ancillary care coordinator workedclosely with his parent to obtain consent for RAHS services.The child was seen on the RAHS Mobile Unit by optometrist,Dr. Dewey. After being assessed on the mobile unit, theKellogg Eye Center was not only able to provide him with apair of glasses, but they also provided him with lenses that3,585Youth receivedhealth servicesat a RAHShealth center80Youthengaged inEmpower U(a PMCH Initiative),utilizing culturallyresponsive & interactivelearning to enhancesocial-emotional, career,and college prepknowledge / skills

Promoting the Health of FamiliesSupporting the spectrum of chronic and acute health care in our areaby implementing community health education, promotion, andclinical programs and services.Where They Are That’s Where We’ll BeCHS has a long history of being where people live to build relationships, create connectionsand become a partner in providing access to services, education and information sharing. Welearn from our community residents what they value and where they need help in removingbarriers to health education and access to health care.During FY20, we continued our leadership of the collaborative Health Tent at YpsiFest. Partneringwith a variety of community partners, health system staff and volunteers we screened for highblood pressure, performed Pulmonary Function Test, recruited for important research on women’sreproductive health and demonstrated a variety of ways to be physically active in the community,where they live.In May, as the number of COVID-19 cases continued torise in zip codes 48197 and 48198, CHS once again tookservices directly to the community in neighborhoods wherepeople could drive, ride a bike or walk-up to be tested forthe COVID-19 virus. More than 35 volunteers from the healthsystem, campus and community provided COVID screeningand education to 339 residents of Ypsilanti, YpsilantiTownship, and Ann Arbor.Our goal is to support UMHS service area residents to bettermanage a spectrum of chronic and acute health care. By bringingservices to our neighbors where they live helps begin to breakdown the barriers of SDOH and builds trust.COVID-19 Community testingThe services CHS provides demonstrates this by: Providing access to services not available in their community Eliminating transportation as a barrier, and; Offering education that informs and promotes health and wellbeing.1,671Communitymembersreceived healthscreenings550Communitymembersreceivedflu shots1,850Community membersparticipated at theCommunityHealth Tent.4

Protecting the Health and Quality of Life for Older AdultsAddressing specific needs of our older adults and homeboundresidents to address hunger and food insecurity, health andhousing counseling and assistance.Protecting SeniorsA couple years ago a series of focus groupswere conducted with older adults across thecounty. One of the questions posed to thegroups was “What does health mean to you?”.The responses we expected were access toquality health care or community centers toengage with others socially. When a group ofseniors from the Ann Arbor-Ypsilanti area wereposed this question, the response was “stable housing.” Thefollowing story demonstrates how we work every day to insureour older adults have stable housing.A 63-year-old client started having difficulties with her adultdaughter that she lived with. The client had schizophrenia, andthe daughter was helping the client live more independently.The daughter was also the client’s payee and was taking care ofpaying the bills and other needs the client had. Shortly after adispute, the daughter moved out abruptly. The client knew shewould not be able to pay the rent on her own, and she fearedeviction. Adult Protective Services (APS) contacted the HousingBureau for Seniors (HBS) for assistance with the situation.The HBS Eviction Prevention case manager did a thoroughassessment on the client and offered to help her find affordablehousing. The case manager worked with APS to contact theclient’s son, whom the client hadn’t heard from in a while. Theson became the client’s new payee and assisted her in applyingand becoming accepted at Towne Center. The client avoided140,152Meals delivered tohomebound seniorsin the community byAnn Arbor Meals onWheels5424Homeboundsenior clientsserved in thecommunity byAnn Arbor Mealson WheelsDonated materials from thecommunity that AAMOWdistributed to clients“One day we’llall look back onthis challengingtime and knowwe all got thru ittogether. Here’s to‘Meals on Wheels’and the great staffand members thatbring courage andjoy to so many.- AAMOW client”