Steering Team & Workgroups

Steering Team

Founded in May 2010 and led by the Director of the Bureau of Family, Maternal, and Child Health (BFMCH), this team included other Michigan Department of Community Health Staff; the deputy director of the Public Health Administration and division directors from BFMCH, and staff from the Health Disparities Reduction and Minority Health Section (HDRMHS), and the Division of Genomics, Perinatal Health, and Chronic Disease Epidemiology. The Steering Team's subject matter expert was from Vanderbilt University and the evaluator, and additional staff are from the University of Michigan. Two Health Departments - Ingham County and Wayne County, the Corner Health Center, the Inter-Tribal Council of Michigan and Nimkee Memorial Wellness Center also served on the team.

The role of the Steering Team was to guide the direction of interventions to achieve the goals and objectives of the PRIME Project. The Team developed outcome and process goals, a work plan and logic model to meet the needs of the W.K. Kellogg Foundation Grant Requirements. Through bi-monthly calls and meetings, the Steering Team sought to better understand institutional racism and its historic and contemporary impacts on health through discussion, activities, and video-viewings.

Click here to View Evaluation Report (PDF)

Also available: PRIME Retreat 2013 - Accomplishments and Recommendations for Next Steps (PDF)

At the end of 2015, staff within the Michigan Department of Health & Human Services and partners with the Michigan Public Health Institute engaged in planning sessions to determine next steps for incorporating a health equity framework throughout MDHHS. Click here to review the Strategic Planning Report .


Workgroups

Intervention Workgroup

This work group has focused their attention on understanding the curricula and trainings available, both nationally and locally, that concern racism, health equity, and social justice. Members include staff from the BFMCH, HDRMH, the University of Michigan, Vanderbilt University and Ingham County Health Department.

The Intervention workgroup lead the development a toolkit that will contain resources regarding organizational assessments, workshops/trainings, and ancillary activities (e.g. suggested documentaries). Members of the group authored the Green Paper included in the "Resources" section of the website, composed a map of Native American resources in Michigan, and conducted an organization assessment for the BFMCH, which examined program development, employee engagement, knowledge & skills, cultural competence, and staff development.

Green Paper (PDF)

Bureau of Family, Maternal and Child Health Organizational Assessment

The Practices to Reduce Infant Mortality through Equity (PRIME) organizational assessment is intended to identifying strengths, challenges, and areas for growth related to the capacity of the Michigan Department of Community Health's (MDCH) Bureau of Family, Maternal and Child Health (BFMCH) and its staff to address and eliminate infant mortality disparities in Michigan, specifically focusing on reducing infant mortality rates among African Americans and American Indians.

The WIC Division was the first group to pilot the assessment. All staff were asked to complete a confidential online survey assessing basic demographic data and perceptions of organizational capacity and practices. View the assessment results (PDF).

The Children’s Special Health Care Services (CSHCS) Division completed a shortened organizational assessment. This was done in January and February of 2013 and the results of this assessment will inform the development of the PRIME intervention. View the assessment results (PDF).

The Division of Family and Community Health completed a slightly revised version of the organizational assessment in 2015. View the assessment results (PDF).

Evaluation Workgroup

Led by an evaluator from the University of Michigan, this group also includes staff and management from the Michigan Department of Community Health's Bureau of Family & Maternal Child Health and Epidemiology. The group reviewed infant mortality data from the eleven communities with the highest infant mortality rates in Michigan using the Perinatal Periods of Risk (PPOR) method. Pregnancy Risk Assessment Monitoring System (PRAMS) data was also studied to better understand social determinants of health and barriers to receiving services.

Pretest and posttest surveys were developed to evaluate the impact of the Undoing Racism and Health Equity and Social Justice workshops provided to MDHHS staff, PRIME members, and community members. The primary purpose of the evaluations was to determine what information or considerations were needed in the PRIME intervention.

Reports

Native American Ad-Hoc Data Workgroup

An ad-hoc group, consisting of Michigan Department of Health and Human Services, (Bureau of Family & Maternal Child Health and Epidemiology), Inter–Tribal Council of Michigan (ITCM), and University of Michigan, discusses alternative methods to better describe maternal and child health of the Native community in Michigan. One method includes classifying an infant as Native American if the race of the infant's mother or father is recorded as Native American on the birth certificate. This is a change from the current protocol that uses only the mother's race. A second method is to develop and conduct a Pregnancy Risk Assessment & Monitoring System (PRAMS) survey specific for Native Americans.

Data has been collected for all 2012 births. Click here to view the report. Data was also collected for 2013 births and we are in the process of analyzing the data.

Also, please click here to watch a video describing the process used to develop the Native American PRAMS survey.

For more information about MDHHS's efforts to use data to achieve health equity, please view this video:

Epidemiology - Data Needs

Rebecca Coughlin, Epidemiologist, MDHHS

Also see the Native American Resources Section.