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Continuous Health Improvement (CHI) Program

Our health improvement wellness program actively helps individuals achieve and maintain their optimal health. This program favorably impacts cost through health risk management for participants. The CHI process was developed for the C3 Health plan members and is now available to mid-sized employers based in Muskegon County seeking to lower the cost of health care while maintaining health care quality.

The program is based on a 12 month cycle. During the cycle, participants are health coached twice, take two classes and recieving biometric testing once. For a visual representation of our CHI cycle, please click here.

Health coaching and Wellness Programs

Using analytics, health coaches work closely with providers to develop a health improvement plan tailored to individual needs and circumstances. Health coaches work directly with each participant throughout the process to ensure achievement of the member’s optimal health status.

The staff at Access Health has expertise in many areas such as; Exercise Science, Nutrition, Tobacco Cessation Education, Stress Management/Behavioral Health, Diabetes, Asthma, COPD, Cardiovascular Education, Nursing and much more. We will work with each person to create a personalized plan based on their current health status and to reduce health risks in the future.

Population Health Management

Population health management was formulated a decade ago and involves improving health outcomes of the group as a whole by identifying, monitoring and addressing the health need of individuals within the group. Access Health was a pioneer in using population health management for the uninsured residents in Muskegon County, Michigan. This program has helped thousands of individuals, like you, to become healthier by making small, positive health changes that have made a big local health impact.

Population health management in the C3 Plan is known as Continuous Health Improvement (CHI). CHI is the core C3 process driving the Access Health community-based Accountable Care Organization (ACO). It is the Access Health ACO that delivers affordable, quality care across the community’s healthcare continuum. The CHI process integrates the C3 benefit with all healthcare systems to drive behavioral change in health and lifestyle choices, improving the health outcomes for individual members and the community as a whole.

The integrated CHI process begins with data collection

  • Individual data is collected from HRAs, biometric screenings, lab screens and claims.
  • The data is analyzed using the Johns Hopkins health analytic software.
  • Member and group risks are identified and stratified using a predictive modeler.
  • Health coaches connect with high and moderate risk members to help them manage their health risks.
  • Individual health plans are developed for all members in collaboration with their physician providers.
  • All members are engaged in health education and activities that help improve their health outcomes and sustain long-lasting change.

Health Analytics

Access Health uses the Johns Hopkins analytics and predictive modeling software to identify and stratify risks. The data is clustered into Adjusted Diagnostic Groups (ADGs) to determine the health status and risk at both the individual and group levels. Using the ADGs, the analytics software can predict which members are likely to be hospitalized in the coming 12 months, and what the underlying causes will likely be. This enables the care managers to engage these individuals in the CHI program that is designed to reduce the likelihood of hospitalization and improve the individual’s health status. The diagram below illustrates how Access Health employs health analytics. 

For more information about the CHI program and how it works, please click here for our brochure.