Purpose

Michigan Medicine is committed to excellence not only within the exam room and the operating room, but also within the communities we serve. We recognize that healthy patients start with healthy communities, and we are dedicated to understanding the health of our community and working to address the community's health needs.

Community Benefit

Every tax-exempt hospital is federally required to prepare a Community Benefit report to justify their tax-exempt status. Additionally, the Patient Protection and Affordable Care Act of 2010 (ACA) requires tax-exempt hospitals to conduct and publicly report a Community Health Needs Assessment (CHNA) and Implementation Plan every three (3) years.

Community Health Needs Assessment and Implementation Plan

The CHNA Requirements are designed to ensure that community benefit activities are responsive to community health needs identified, and are both measurable and transparent. Failure to comply with these requirements could lead to a $50,000 excise tax and possible loss of tax-exempt status.

The first UMHS CHNA and Implementation Plan was published in June 2013. In 2016, the hospitals, Saint Joseph Mercy Ann Arbor, Saint Joseph Mercy Chelsea, and Michigan Medicine, conducted a collaborative community health data collection and assessment process in partnership with Washtenaw County Public Health and area health coalitions; the process was facilitated by the Washtenaw Health Initiative. This collaborative team was named the Unified Needs Assessment Implementation Plan Team Engagement (UNITE).

In 2019, the 2nd Joint CHNA was completed by the three hospitals.

The three priority areas from the 2016 Needs Assessment were maintained in the 2019 Needs Assessment.

  1. Mental Health and Substance Use Disorder
  2. Obesity and Related Illnesses
  3. Preconceptual and Perinatal Health

For the 2019 Implementation Plan, as with the 2016 Implementation Plan, UNITE focused on health equity and the social determinants of health (SDOH) due to their extensive influence on the three identified health priorities. While in 2016 all SDOH were considered, for the 2019 cycle we focused in on six specific SDOH:

  1. Climate Change
  2. Housing/Homelessness
  3. Incarceration
  4. Medical Debt
  5. Poverty
  6. Social Isolation