Healthy People in Equitable Communities
Building a Culture of Health with a Shared Vision

No individual, community group, hospital, agency, or governmental body can be entirely responsible for the status of our community or our community’s health. No organization can address the multitude of issues alone. We believe uniting around a common purpose, vision, and a shared outcomes framework, the MiThrive Framework, will create systemic change and shift population outcomes. Together, we have the power to build a thriving region where everyone, despite differences, can thrive.

MiThrive Outcomes Framework for the Northwest Michigan CHIR

What is it?

Over 100 cross-sector community partners have come together to unite around a shared vision for Northwest Michigan where everyone has equitable opportunities to live healthy and thriving lives.

It takes all of us working together across sectors to improve community conditions that impact health across Northwest Michigan. A Shared Outcomes Framework is a best practice tool to communicate our shared community priorities and to track our progress toward our goals, allowing for continuous improvement in the pursuit of equity. The framework includes time-bound targets for six priority areas, themed within three system elements, and specifies metrics we can use to determine whether we’re on track for meeting our goals. These six priority areas emerged from numerous community datasets, including a shared data collection process that elevated the voice of thousands of residents and service providers in the 10-county region (dark blue on the map). This region includes Manistee, Wexford, Missaukee, Kalkaska, Grand Traverse, Benzie, Leelanau, Charlevoix, Emmet, and Antrim counties. By clarifying our shared priorities and desired outcomes in this framework, we aim to help answer the questions: what are we collectively working toward as a Northwest Michigan community, and how will we know if we’re making progress?

  • Healthy Eating

    Vision:

    Every person consumes healthful food and beverages

    Vision:

    Every person consumes healthful food and beverages

    2030 Target

    Increase youth population consuming at least 5 servings of vegetables and fruits per day

    Decrease population who has low access to food stores

    WHY IS THIS IMPORTANT?

    Diet and body weight are related to health status. Good nutrition is important to the growth and development of children. A healthful diet also helps Americans reduce their risks for many health conditions such as obesity, malnutrition, heart disease, and Type 2 diabetes.

    BASELINE

    25.93%

    REGION

    10 county average (Benzie,Missaukee,Wexford data unavailable)

    SOURCE

    Michigan Profile for Healthy Youth

    LAST UPDATE

    2017/2018

    BASELINE

    10.31%

    REGION

    10 county average (Benzie data unavailable)

    SOURCE

    USDA Food Environment Atlas

    LAST UPDATE

    2015

    Access To Healthful Food

    2025 TARGETS

    Decrease in population reporting difficulty finding high quality fruits and vegetables where they live

    Increase in population reporting consumption of 1 fruit a day

    Increase in population reporting consumption of 1 vegetable a day

    2023 Key Indicators

    Under Development

    WHY IS THIS IMPORTANT?

    Access to and availability of healthier foods can help people follow healthful diets. Interventions addressing these factors can improve healthful food accessibility.

    BASELINE

    59%

    REGION

    statewide

    SOURCE

    Michigan Behavioral Risk Factor Survey

    LAST UPDATE

    2017

    BASELINE

    74.3%

    REGION

    statewide

    SOURCE

    Michigan Behavioral Risk Factor Survey

    LAST UPDATE

    2017

    Healthful Food Environment and Policies

    2025 TARGET

    Under Development

    2023 Key Indicators

    Increase number of organizations/institutions implementing a wellness policy

    Increase number of food stores and farmers markets using DUFB-SNAP-Project Fresh and Senior Fresh

    WHY IS THIS IMPORTANT?

    Diet reflects the variety of foods and beverages consumed over time and in settings such as worksites, schools, restaurants, and the home. Interventions at various levels can support a healthier diet.

    Healthful Food Culture

    2025 TARGETS

    Increase percentage of population reporting positive attitudes, perceptions, and beliefs about healthful food

    Increase percentage of population having the skills and tools to cook healthy food

    Increase number of fruit and veggie prescriptions being written and filled

    2023 Key Indicators

    Under Development

    WHY IS THIS IMPORTANT?

    Social factors influence diet and can include knowledge and attitudes, skills, social support, societal and cultural norms, as well as policies, programs, and systems. Interventions addressing these factors can support a healthful food culture.
  • Community Mobility

    Vision:

    Every person has equitable and reliable transportation to live, work and play

    Vision:

    Every person has equitable and reliable transportation to live, work and play

    2030 Target

    Increase in percentage of population reporting reliable transportation options that get them where they want to go.

    Increase public transit use by 50% over ten years

    Increase percentage of population walking to work or school

    WHY IS THIS IMPORTANT?

    Increase use of public transit has a positive impact on carbon emissions, and it will require public infrastructure improvements - things like sidewalks, bus shelters and other amenities that connect with transit stops.

    BASELINE

    2.6%

    REGION

    10 county region

    SOURCE

    CHIR Community Connections, United Way 211, MDOT

    MDOT

    American Community Survey

    LAST UPDATE

    2014-2018

    Access to Reliable Transportation

    2025 TARGETS

    Increase percentage of workers commuting with public transit

    90% satisfied+ from customer satisfaction surveys

    2023 Key Indicators

    Increase number of communities prioritizing available public transit

    WHY IS THIS IMPORTANT?

    Access to reliable transportation such as a personal vehicle or public transportation options can support financial stability and overall quality of life.

    BASELINE

    0.79%

    REGION

    10 county average

    SOURCE

    American Community Survey

    LAST UPDATE

    2014-2018

    Healthy Built Environment

    2025 TARGETS

    Increase number of workers not driving to work alone

    Increase percentage of population reporting ease in getting places without using a car or bus

    2023 Key Indicators

    Increase internal school promotion of Safe Routes to School Program-as identified within the Safe Routes to School Initiative

    Increase number of students arriving to school via non-motorized modes of transportation

    WHY IS THIS IMPORTANT?

    Healthy built environments are communities designed to support good health for all. Active transportation yields many community benefits such as improved air quality, increase physical activity opportunities, and reduced contributions to climate change.

    BASELINE

    10.3%

    REGION

    10 county average

    SOURCE

    American Community Survey

    LAST UPDATE

    2014-2018

    Affordable & Reliable Transportation Options

    2025 TARGETS

    Increase percentage of 10 county region reporting inclusive outreach efforts with stakeholders and constituents resulting in design and implementation of relevant community based mobility options

    Increase percentage of county transits reporting inclusive efforts are underway to expand and improve multi-modal collaboration

    2023 Key Indicators

    Increase number of communities expanding affordable/reliable transportation options

    WHY IS THIS IMPORTANT?

    Affordable and reliable transportation options provide a platform for improved outcomes around employment, health, and economic stability.
  • Affordable Housing

    Vision:

    Every person has safe, affordable, and accessible housing that enables them to thrive

    Vision:

    Every person has safe, affordable, and accessible housing that enables them to thrive

    2030 Target

    Decrease percentage of overburdened households- those spending more than 45% of income on housing and transportation

    Decrease percentage of population reporting severe housing quality issues

    Decrease # of people reporting homelessness

    WHY IS THIS IMPORTANT?

    Our health is determined in part by our social and physical environments. Safe, affordable, and accessible housing are important factors that enable people and communities to thrive.

    BASELINE

    Renting: 33.3% & Mortgage: 23.3%

    REGION

    10 county average

    SOURCE

    American Community Survey

    LAST UPDATE

    2014-2018

    BASELINE

    26%

    REGION

    10 county average

    SOURCE

    Housing North

    Networks Northwest

    LAST UPDATE

    2012-2016

    Available Housing at All Levels

    2023 Key Indicators

    Increase number of affordable housing units

    Housing Connected to Community and Basic Needs

    2025 TARGET

    Increase percentage of population reporting housing location enables connection to people, jobs, and resources

    2023 Key Indicators

    Increase number of communities adopting built environment policies that promote accessible, connected housing

    Increase number of new affordable housing with access to community assets

    WHY IS THIS IMPORTANT?

    Connected communities ensure that housing and housing units are conveniently linked to basic needs and community resources.

    Quality Housing Standards

    2025 TARGET

    Increase percentage of rental properties meeting quality standards

    2023 Key Indicators

    Increase number of communities enacting quality standards for rental housing

    WHY IS THIS IMPORTANT?

    A safe and stable home provides a platform for improved outcomes around employment, health, and education.
  • Economic Stability

    Vision:

    Every household is economically self-sufficient

    Vision:

    Every household is economically self-sufficient

    2030 Target

    Increase in percentage of households above ALICE* threshold

    Key Indicators

    Decrease percentage of population in poverty

    Increase percentage of population reporting ability to meet basic needs

    Increase percentage of working families

    WHY IS THIS IMPORTANT?

    Economic and social factors such as income and employment can significantly affect how well and how long we live. These factors affect our ability to manage stress, make healthy choices, and afford medical care and housing.

    BASELINE

    60.3%

    REGION

    10 county average

    SOURCE

    ALICE /United Way

    LAST UPDATE

    2017

    BASELINE

    11.5%

    REGION

    10 county average

    SOURCE

    American Community Survey

    LAST UPDATE

    2014-2018

    BASELINE

    17.5%

    REGION

    20 county Northern Lower Peninsula Region (Manistee not included)

    SOURCE

    MSU-State of the State Survey

    LAST UPDATE

    2019

    Access to Needed Social Service Supports

    2025 TARGETs

    Increase percentage of population reporting they accessed services, when needed

    Increase percentage of population moving out of ALICE*

    WHY IS THIS IMPORTANT?

    Poor health is tied to unmet social needs. Access to needed social service supports can improve health outcomes.

    BASELINE

    7.6%

    REGION

    20 county Northern Lower Peninsula Region (Manistee not included)

    SOURCE

    MSU-State of the State Survey

    LAST UPDATE

    2019

    Empathic Community

    2023 Key Indicators

    Increase percentage of health and social sector settings screening for and referring to social determinants of health supports

    WHY IS THIS IMPORTANT?

    Poor health is tied to unmet social needs. Interventions improving the number of social determinants of health screenings and referrals can improve health outcomes and quality of life.

    Livable Wage

    2025 TARGET

    Decrease percentage of underemployed/unemployed individuals having skills for available livable wage jobs

    2023 Key Indicators

    Increase percentage of employers paying livable wages to their lowest paid employee

    Decrease percentage of unfilled jobs paying livable wages

    WHY IS THIS IMPORTANT?

    Expanding livable wage opportunities provides a platform for improved outcomes around employment, health, and economic stability.
  • Mental Well-Being

    Vision:

    Every person experiences mental well-being

    Vision:

    Every person experiences mental well-being

    2030 Target

    Decrease percentage of population reporting poor adult mental health days and youth depressive episodes per month

    Key Indicators

    Decrease number of suicides in adults and youths

    Decrease percentage of students who felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months

    Decrease percentage of students who seriously considered attempting suicide during the past 12 months

    WHY IS THIS IMPORTANT?

    Mental health and physical health are closely connected. Mental health plays a major role in people’s ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people’s ability to participate in health-promoting behaviors.

    BASELINE

    4.21

    REGION

    10 county average

    SOURCE

    County Health Rankings

    LAST UPDATE

    2017

    BASELINE

    Under 25: 30, Above 25: 234

    REGION

    10 county total

    SOURCE

    Michigan Department of Community Health

    LAST UPDATE

    2014-2018

    BASELINE

    38.2%

    REGION

    10 county average (Data unavailable for Benzie, Missaukee, and Wexford)

    SOURCE

    Michigan Profile for Healthy Youth

    LAST UPDATE

    2017-2018

    BASELINE

    21.5%

    REGION

    10 county average (Data unavailable for Benzie, Missaukee, and Wexford)

    SOURCE

    Michigan Profile for Healthy Youth

    LAST UPDATE

    2017-2018

    Access to Mental Care

    2025 TARGET

    Increase percentage of adults & youth reporting they receive mental health care when needed

    2023 Key Indicators

    Increase amount of new dollars available for mental health services and supports in the region

    Increase ratio of mental health providers per population

    Increase number of integrated specialty health providers

    WHY IS THIS IMPORTANT?

    Access to comprehensive, quality mental health services is important for promoting and maintaining mental well being.

    BASELINE

    1542:1

    REGION

    10 county average

    SOURCE

    County Health Rankings

    LAST UPDATE

    2019

    Supportive Connected Community

    2025 TARGET

    Increase percentage of community members reporting a trusted support person

    2023 Key Indicator

    Increase percentage of residents reporting a strong sense of community

    WHY IS THIS IMPORTANT?

    Trusted relationships and protective social networks strengthen a community’s support system and connection.

    BASELINE

    47.4%

    REGION

    10 county average (Data unavailable for Benzie, Missaukee, and Wexford)

    LAST UPDATE

    2017-2018

    Trauma Informed Culture

    2025 TARGET

    Decrease percentage of population with 2+ ACEs* exposure

    2023 Key Indicator

    Increase number of institutions emphasizing resilience

    WHY IS THIS IMPORTANT?

    Trauma informed cultures recognize the role trauma may play in an individual’s life and promotes interactions, services, and environments of healing and recovery.

    BASELINE

    38.9%

    REGION

    10 county average (Data unavailable for Benzie, Missaukee, and Wexford)

    SOURCE

    Michigan Profile for Healthy Youth

  • Substance Abuse

    Vision:

    Every person is free from harm from substance use

    Vision:

    Every person is free from harm from substance use

    2030 Target

    Decrease percentage of individuals (ages 12+) with alcohol use disorder in the past year

    Decrease number of overdose deaths

    Key Indicators

    Decrease percentage of youth initiated substance use within the past 30 days

    Decrease percentage of families reporting substance use impacts quality of life

    Decrease number of deaths due to other substances

    WHY IS THIS IMPORTANT?

    Substance abuse has a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems.

    BASELINE

    4.6%

    REGION

    21-county region

    SOURCE

    National Survey on Drug Use and Health

    LAST UPDATE

    2016-2018

    BASELINE

    21.4

    REGION

    10 county average (Data unavailable for Antrim, Charlevoix, Kalkaska, Leelenau, and Missaukee)

    SOURCE

    County Health Rankings

    LAST UPDATE

    2016-2018

    BASELINE

    54

    REGION

    10 county total

    SOURCE

    Michigan Department of Community Health

    LAST UPDATE

    2018

    Access to Continuum of Substance Use Disorder Services

    2025 TARGET

    Decrease percentage of population reporting they have a Substance Use Disorder and are not receiving care

    2023 Key Indicators

    Increase rate of providers and treatment slots within a county

    Increase number of settings in the community with overdoses prevention drugs

    WHY IS THIS IMPORTANT?

    Access to comprehensive, quality substance use disorder services is important for promoting the health, safety, and quality of life for all.

    Connection Objective

    2025 TARGET

    Reduce Neonatal Abstinence Syndrome at birth

    2023 Key Indicator

    Increase percentage of pregnant women offered and completed a Substance Use Disorder screening at their first prenatal visit

    Alignment Objective: Safe and Responsible Use

    2025 TARGET

    Increase percentage of population having knowledge of SUD* risk factors

    2023 Key Indicators

    Increase percentage of youth and families/peers discouraging substance use

    Increase number of stores no longer selling to minors

    Increase number of communities adopting an ordinance limiting/prohibiting ad space

    WHY IS THIS IMPORTANT?

    Environmental and social factors contribute to the initiation and abuse of alcohol and illicit drugs. Interventions addressing these factors can support a culture of safe and responsible substance use.

    BASELINE

    71.4%

    REGION

    10 county average (Benzie, Missaukee, Wexford data missing)

    SOURCE

    Michigan Profile for Healthy Youth

    LAST UPDATE

    2017-2018

Read the 2019 Community Health Assessment Report

Download

Do you know of any additional outcomes or place-based metrics that will help to track our progress?

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