ACTION PLAN
HFHS Community Health Needs Assessment & Implementation Plan 2026-2028
STRATEGY:
Prevent the incidence of highly prevalent chronic diseases and increase community members' capacity to manage chronic disease.
ISSUE/NEED:
High prevalence of chronic disease and social determinants affecting health outcomes.
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
KEY ACTIVITIES
TIMELINES
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
AIM
We Are Healthy
GOAL
Increase percentage reporting access to quality healthcare
LEADING INDICATOR
Residents Reporting Poor Physical Health
ROOT CAUSE
Community members and providers are not knowledgeable about service systems
STRATEGY:
Improve behavioral health/substance misuse access, follow-up and education to improve mental health and reduce substance use disorder.
ISSUE/NEED:
Limited access to behavioral health care and substance misuse treatment.
MEASUREMENTS:
Community mental health prevention activities
MAT (Medicated Assisted Treatment) provider growth
Human trafficking training implementation
KEY ACTIVITIES
TIMELINES
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
AIM
We Are Healthy
GOAL
Increase percentage reporting access to quality healthcare
LEADING INDICATOR
Residents Reporting Poor Mental Health
ROOT CAUSE
Service systems are not easy to navigate
STRATEGY:
Provide community-based screening, education, resources and/or programmatic interventions to promote maternal-infant health improvements in all Henry Ford markets
ISSUE/NEED:
Maternal and infant morbidity and mortality is high in Jackson County, especially for black infants and moms.
MEASUREMENTS:
Community-connected maternal health activities completed annually
Depression screening increases by 5%
Blood pressure follow-up compliance reaches 80%
KEY ACTIVITIES
TIMELINES
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
AIM
We Are Healthy
GOAL
Increase percentage reporting access to quality healthcare
LEADING INDICATOR
Infant Mortality
ROOT CAUSE
Community members and providers are not knowledgeable about service systems
Partner Wins & Accomplishments
Celebrate meaningful progress made by Network Partners to address community needs, remove barriers, and advance equitable outcomes across Jackson County. Whether connected to the Collective Action Plan or shared independently, each accomplishment demonstrates how collaborative action is creating lasting change within Jackson County.
Don't see any wins here yet? Explore wins and accomplishments from other action plans and Network Partners here or share a win of your own to be featured.
8/18/26
Date Submitted
Micalah Webster
Lead Contact
Henry Ford Jackson Hospital
Organization
Win/Accomplishment
Distributed over 3,300 boxes of two dose naloxone boxes throughout the county.
Issue/Need
Lack of access to overdose reversal medication/overdose deaths.
Impact/Why it Matters
Decreased the number of suspected overdose 396-265 in 2025-26
8/19/26
Date Submitted
Micalah Webster
Lead Contact
Henry Ford Jackson Hospital
Organization
Win/Accomplishment
Increased peer support for people in recovery
Issue/Need
Access to recovery support from people with lived experience.
Impact/Why it Matters
This increased SUD (substance use disorder) referrals by 12.9%.
Shared Measurement System Connections
Aim:
We Are Healthy
Primary Root Cause
Community members are not adequately involved in design and administration of policies and services
Secondary Root Cause
Community members' social networks, relationships, and environment do not meet their needs for social support
8/19/26
Date Submitted
Micalah Webster
Lead Contact
Henry Ford Jackson Hospital
Organization
Win/Accomplishment
HFHS WIN (Women Inspired Network) program kicked off in August 2026.
Issue/Need
High rates of infant mortality and disparities in Jackson County.
Impact/Why it Matters
Women Inspired Network (WIN) at Henry Ford Health is an innovative community-based program designed to support mothers and families during pregnancy, birth, and through the baby’s first year of postpartum life, with the primary goal of improving infant mortality rates and birth equity.