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WE ARE HEALTHY
Decrease Years of Potential Life Lost

People have access to high-quality, responsive care that support physical and mental well-being.

View Partner Strategies by Goal: 

HFHS Community Health Needs Assessment & Implementation Plan 2026-2028

ACTION PLAN

Organization:

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Henry Ford Jackson Hospital

Lead Contact:

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Micalah Webster

STRATEGY

Prevent the incidence of highly prevalent chronic diseases and increase community members' capacity to manage chronic disease.

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ISSUE/NEED

According to the Community Health Needs Assessment, Jackson struggles in the areas of maternal health, mental health/substance misuse, chronic disease prevention, access to care, and social determinants of health.

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MEASUREMENTS

  • Non-medical needs intervention rate reaches 45%

  • Diabetes prevention enrollment increases by 10%

  • DSMES (diabetes self management & support) enrollment increases

  • Tobacco cessation participation increases

MEASUREMENTS

KEY ACTIVITES

Establish adherence with the standardized enterprise-wide Non-Medical Driver of Health Policy to ensure that patients who have a Non-Medical Driver of Health needs receive a successful intervention.

2027-2028

Provide community-based screening, education, resources and/or programmatic interventions to promote healthy lifestyles and disease prevention.

ongoing

Improve access to no-cost, evidence-based diabetes prevention programing as well as access to effective Diabetes Self-Management Education Programing.

2026-2028

Provide no-cost Tobacco Treatment Cessation Counseling Services to patients.

2026-2028

Shared Measurement System Connections
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AIM

We Are Healthy

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GOAL

Increase percentage reporting access to quality healthcare

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LEADING INDICATOR

Residents Reporting Poor Physical Health

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ROOT CAUSE

Community members and providers are not knowledgeable about service systems

HFHS Community Health Needs Assessment & Implementation Plan 2026-2028

ACTION PLAN

Organization:

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Henry Ford Jackson Hospital

Lead Contact:

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Micalah Webster

STRATEGY

Improve behavioral health/substance misuse access, follow-up and education to improve mental health and reduce substance use disorder.

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ISSUE/NEED

According to the Community Health Needs Assessment, Jackson struggles in the areas of maternal health, mental health/substance misuse, chronic disease prevention, access to care, and social determinants of health.

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MEASUREMENTS

  • Community mental health prevention activities

  • MAT (Medicated Assisted Treatment) provider growth

  • Human trafficking training implementation

MEASUREMENTS

KEY ACTIVITES

Provide timely access to behavioral health care for community members.

2023-ongoing

Provide community-based screening, education, recourses and/or programmatic interventions to promote mental health and substance misuse prevention.

2018-ongoing

Increase access to Medication Assisted Treatment (MAT) certified providers.

2022-ongoing

Increase the identification and appropriate response to individuals at risk for or experiencing human trafficking across Henry Ford Health by implementing staff training, standardized screening, and/or closed-loop referral pathways in priority clinical and community facing settings.

2027

Shared Measurement System Connections
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AIM

We Are Healthy

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GOAL

Increase percentage reporting access to quality healthcare

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LEADING INDICATOR

Residents Reporting Poor Mental Health

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ROOT CAUSE

Service systems are not easy to navigate

HFHS Community Health Needs Assessment & Implementation Plan 2026-2028

ACTION PLAN

Organization:

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Henry Ford Jackson Hospital

Lead Contact:

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Micalah Webster

STRATEGY

Provide community-based screening, education, resources and/or programmatic interventions to promote maternal-infant health improvements in all Henry Ford markets

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ISSUE/NEED

According to the Community Health Needs Assessment, Jackson struggles in the areas of maternal health, mental health/substance misuse, chronic disease prevention, access to care, and social determinants of health.

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MEASUREMENTS

  • Community-connected maternal health activities completed annually

  • Depression screening increases by 5%

  • Blood pressure follow-up compliance reaches 80%

MEASUREMENTS

KEY ACTIVITES

WIN (Women-Inspired Neighborhood) Model Group Prenatal Care Expansion.

8/2026 -8/27

Increasing awareness and participation with Rx Kids through our patient population.

6/2026-6/2029

"I Just Delivered" bracelet initiative -Allows EMS and hospital are aware of post partum moms

2026 -ongoing

Community Engagement led baby showers.

4/25-ongoing

Shared Measurement System Connections
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AIM

We Are Healthy

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GOAL

Increase percentage reporting access to quality healthcare

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LEADING INDICATOR

Infant Mortality

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ROOT CAUSE

Community members and providers are not knowledgeable about service systems

TEST Resident-Led Strategies to address basic needs, exposed, and exacerbated by Covid-Related Inequities

ACTION PLAN

Organization:

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Henry Ford Jackson Hospital

Lead Contact:

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Alexa Scott

STRATEGY

Just needing a test care

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ISSUE/NEED

  • Putting things in here just in case things run a little longer.

  • Also, putting things in here in case things run a little longer 

  • Putting things in here just in case things run a little longer.

  • Also, putting things in here in case things run a little longer 

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MEASUREMENTS

  • So many things 

  • Another measurement here 

  • Another one there

MEASUREMENTS

KEY ACTIVITES

Testing 1

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Testing 2

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Testing 3

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Testing 4

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Shared Measurement System Connections
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AIM

Our Basic Needs Are Met

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GOAL

Increase percentage reporting access to quality healthcare

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LEADING INDICATOR

Residents Reporting Care Meets Their Needs

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ROOT CAUSE

Existing services are not affordable to community members that need them

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