Hospitals Help: Henry Ford Health’s Hospital-Based Doula Program

To help address the alarming rate of maternal and infant mortality, Detroit-based Henry Ford Health established a hospital-based doula program in 2024 that makes a trained professional available to provide emotional, physical and educational support before, during and after pregnancy to patients with Medicaid Health Plans. The program is believed to be the first of its kind in the country.

Members of the Henry Ford Health Doula Program team.
Members of the Henry Ford Health doula program team.

Studies suggest that care from a doula can make labor and delivery safer for pregnant people and babies. Through the program, eligible patients can request a doula at any time during their pregnancy. If an individual arrives at the hospital to deliver a baby and staff learn they’ve had little or no prenatal care, they can offer the services of an on-call doula, who provides an added layer of care during and after delivery. In its first year, nearly 200 pregnant people enrolled in the doula program.

Research conducted at Henry Ford Health after the implementation of the doula program found that those with greater social risk were more likely to engage in doula care when services were integrated and accessible, underscoring the importance of tailoring programs and outreach.

“Far too often individuals arrive at the hospital to give birth having had no prenatal care,” said Dr. D’Angela Pitts, maternal fetal medicine, Henry Ford Health. “These patients are most at-risk for complications during and after birth. That’s why we took the extra step of having doulas on call in the hospitals.”

For more information and hospital stories, check out the 2025 Community Impact Report. Members with questions may contact Lucy Ciaramitaro at the MHA.

MHA Supports Expanded Medicaid Coverage for Postpartum Mental Health Screenings

The MHA recently submitted comments to the Michigan Department of Health and Human Services in support of the proposal to expand Medicaid coverage for maternal mental health screenings up to 12 months postpartum.

Postpartum depression affects one in eight individuals, with symptoms often appearing months after childbirth. At nine to 10 months postpartum, 7.2% of individuals report depressive symptoms, many for the first time, highlighting the need for extended screening.

The MHA noted the importance of using validated tools like the Edinburgh Postnatal Depression Scale and aligning with recommendations from national medical organizations will help identify and treat more cases of postpartum depression. Extending coverage will close care gaps, improve outcomes for families and strengthen maternal and infant health statewide.

Members with questions may contact Lenise Freeman at the MHA.

MHA Monday Report Oct. 13, 2025

Healthcare Funding Protected in New State Budget Signed by Gov. Whitmer

The Michigan Legislature’s newly passed state budget, which protects all existing healthcare funding, was signed into law Oct. 7 by Gov. Whitmer. Public Act 22 of 2025, sponsored by Rep. Ann Bollin (R-Brighton), passed by both …


Community Benefit Collaborative Members Gather for Kickoff Event

The MHA brought together the Community Benefit Collaborative members for a daylong kickoff event on Oct. 2 to network and learn from peers across the state conducting community benefit work in chronic disease, behavioral health …


CDC Updates Guidance for COVID-19 and Chickenpox Vaccines

The Centers for Disease Control and Prevention (CDC) recently updated its guidance for the COVID-19 and varicella (chickenpox) vaccines. The CDC’s decision uses an individual-based decision-making framework, referring to vaccination decisions made through shared clinical …


Strengthening Rural Healthcare Through Smarter Physician Recruitment

MHA Endorsed Business Partner AMN Healthcare recently released the Rural Physician Recruiting Challenges and Solutions white paper, produced by its Physician Solutions division (formerly Merritt Hawkins). The resource identifies several approaches to address these challenges: Recruiting physicians …


Investing in Rural Hospitals Means Investing in Rural Michigan

When the One Big Beautiful Bill Act was signed into law in July, it created the Rural Health Transformation Program, a five-year, $50 billion investment in rural healthcare. The MHA Board of Trustees took swift action empowering an MHA board-appointed task force charged with creating …


Keckley Report

Shutdown Impact: The Affordable Care Act 2.0 Takes Center Stage

“In 2009, I facilitated discussions with key health industry trade associations and the White House Office of Health Reform focused on reforms to reduce costs, increase insurance coverage and improve quality by 2019. It was the Obama administration’s aim to use the health system’s bulk as a lever to stimulate recovery from the 2008-2009 recession and simultaneously increase coverage through Medicaid expansion and marketplace subsidies that for lower-income households. …

The current federal government shutdown is a tipping point for healthcare in the U.S. It’s about more than extended subsidies per Dem’s and holding the line on spending per Republicans. It’s about a growing sense of helplessness among the majority and resentment among many that institutions like the federal government, higher education, big business and healthcare are no longer motivated to serve interests beyond themselves. …

Some will harken back to the Affordable Care Act in 2010 when coverage was also the issue. We’re there again. But the bigger issue is this: extending subsidies and maintaining coverage will not lower spending or transform U.S. healthcare to an affordable, accessible, appropriately structured system of health.

The moral high ground for healthcare is in jeopardy and its direction unclear. Perhaps PPACA 2.0 is an answer. Doing nothing isn’t.”

Paul Keckley, Oct. 5, 2025

MHA Monday Report Oct. 6, 2025

Michigan Legislature Passes State Budget, Preserves Healthcare Funding

The Michigan House of Representatives and Michigan Senate passed a state budget protecting all existing healthcare funding on Oct. 3. House Bill 4706, sponsored by Rep. Ann Bollin (R-Brighton), passed by both chambers, includes …


CMS Shares Updates for Medicare Operations During Federal Shutdown

The Centers for Medicare and Medicaid Services (CMS) recently directed Medicare Administrative Contractors to hold Medicare fee-for-service claims for ten business days due to the expiration of several Medicare payment provisions and the Oct. …


Hospital Communicators Gather at MHA Communications Retreat

The 2025 MHA Communications Retreat brought together about 100 communications, marketing and public relations professionals from MHA-member facilities Oct. 1 to network and learn from peers across the state. The agenda featured sessions on reputation management …


CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules. The approximately three-hour series consists of the following modules: MI AIM …


MDHHS Introduces New Provider Updates Under Michigan’s Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently introduced new requirements under the state’s Mental Health Framework to strengthen assessments, referrals and care coordination for Medicaid enrollees. These changes take effect beginning October …


MHA Rounds image of Brian PetersMHA CEO Report — Launching Collaboratives to Improve Community Health

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with …


Keckley Report

Who Owns the Public’s Health?

“September 2025 marks a significant shift in U.S. health policy, especially its approach to the public’s health. …

Public health is a vital part of the U.S. health system but a stepchild to its major players. In reality, the U.S. operates a dual system: one that serves those with insurance (public and private) and another for those without. Public health programs like SNAP, HeadStart, Federally Qualified Health Centers et. al., serve lower income and under-insured populations and integrate with local delivery systems emergency services and during mass-events like pandemics, mass-casualties and disease outbreaks. Funding for public health programs is 2-5% of total health spending shared between local, state and federal governments.

Studies show food, housing and income insecurity—areas targeted by public health– correlate to chronic disease prevalence and health costs. Unlike most developed systems of the world which operate at a lower cost and produce better population-health outcomes, our system perpetuates a structural divide between healthcare and public health. Integrating the two is a necessary strategy for system transformation, but a difficult task given entrenched animosity toward “the system” held by public health leaders and funding pressures.  The bridge between public health and the healthcare delivery systems is a two-lane road with lots of potholes at the federal level, and sometimes better in local communities. But funding seems to be an afterthought unless local communities deem it vital.”

Paul Keckley, Sept. 28, 2025


New to Know

News to Know

  • MHA Endorsed Business Partner (EBP) SunRx is hosting a 340B Regulatory Brief webinar Nov. 4 at 2 p.m. EDT with Bharath Krishnamurthy, health policy & analytics, American Hospital Association.
  • The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.

 

CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules.

The approximately three-hour series consists of the following modules:

MI AIM Collaborative Orientation

Focuses on criteria for each program year by highlighting requirements for birthing hospital participation, data collection and reporting, and quality improvement implementation.

MI AIM Data Overview

Walks through the KeyMetrics system, how to navigate the pages within the dashboard, filter between hospital, region and state data, and interpret data and graphs.

Fundamentals of Quality Improvement

Provides an exploration of the Quality Improvement Model, the Plan, Do, Study, Act cycle, instructions on conducting a GAP analysis and for crafting SMART goals.

MI AIM designed these modules for data personnel, quality improvement practitioners and program managers responsible for tracking hospital participation in MI AIM. The National Alliance for Innovation on Maternal Health (AIM) created modules specifically for clinical teams implementing AIM patient safety bundles.

Staff at birthing hospitals in Prosperity Region 10 are eligible to receive $25 gift cards for completing one of the courses. Participants must fill out an attestation survey to receive a gift card. Members with questions about the modules or CE credits may reach out to Naomi Rosner at the MHA Keystone Center.

MHA CEO Report — Launching Collaboratives to Improve Community Health

MHA Rounds graphic of Brian Peters

MHA Rounds image of Brian Peters“Coming together is a beginning, staying together is progress and working together is success.” — Henry Ford

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with this in mind and to improve outcomes in three critical areas: maternal health, behavioral health and chronic disease.

More than 50 of our member hospitals across Michigan are participating, with a focus on enhancing group prenatal care, improving perinatal mood disorder screening and support, preventing postpartum depression, and increasing food access and nutrition education.

The primary goal of the collaboratives is to create cross-sector and -system networks that advance the health and well-being of all Michiganders. These focus areas were carefully chosen after reviewing Community Health Needs Assessments and modeled after programs that are already making an impact in Michigan communities.

By scaling these proven efforts, we can help reduce barriers to care and improve health outcomes statewide.

Michigan hospitals serve rural, suburban and urban communities alike — and each system tailors care to the unique needs of its patients. The collaboratives were designed with flexibility in mind, offering components that can be adapted based on a hospital’s size, resources and populations served.

We’re excited to launch these collaboratives because they represent what our hospitals do best: caring for Michiganders — not just when they are in a hospital bed, but every day. By working in tandem with each other and with community partners, we can turn local success stories into a statewide movement for better health.

As always, I welcome your thoughts.

Michigan Hospital Collaboratives Launch to Improve Community Health

More than 50 Michigan hospitals are coming together to improve outcomes in maternal health, behavioral health and chronic disease across the state through new community benefit collaboratives launched by the Michigan Health & Hospital Association (MHA). The goal is to leverage community impact programming to maximize statewide improvements in these three areas.

The MHA will lead participating hospitals in implementing multi-year, scalable projects focused on enhancing group prenatal care, improving perinatal mood disorder screening and support, preventing postpartum depression and expanding food access and nutrition education. The collaborative topics were selected based on a review of all Community Health Needs Assessments completed by Michigan hospitals. Each collaborative is modeled after existing programs at Michigan hospitals and healthcare organizations designed to address healthcare barriers and improve health outcomes.

“This work reflects Michigan hospitals’ commitment to investing in their communities far beyond their four walls to improve population health,” said MHA CEO Brian Peters. “These collaboratives are designed to scale local success into making a statewide impact that advances the health and well-being of Michiganders where they live, work and grow.”

Each collaborative has various components that can be tailored to meet the unique needs of a hospital, depending on size, available resources and patient populations. The implementation of the collaboratives is supported by funding from the Michigan Health Endowment Fund. Public Policy Associates will facilitate program evaluations.

The list of participating hospitals for each collaborative is available below.

Behavioral Health Collaborative  

  • Henry Ford Health
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • ProMedica Monroe Regional Hospital
  • ProMedica Charles and Virginia Hickman Hospital
  • Trinity Health Ann Arbor
  • University of Michigan Health-Sparrow Lansing
  • University of Michigan Health-West

Chronic Disease Collaborative

  • Aspirus Iron River Hospital & Clinics
  • Aspirus Keweenaw Hospital & Clinics
  • Aspire Rural Health System Deckerville Community Hospital
  • Aspire Rural Health System Hills & Dales Healthcare
  • Aspire Rural Health System
  • Beacon Kalamazoo (formerly Borgess Hospital)
  • Bronson Battle Creek Hospital
  • Henry Ford Health
  • Kalkaska Memorial Health Center
  • Munson Medical Center
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • Scheurer Health
  • Schoolcraft Memorial Hospital

Maternal Health Collaborative  

  • Bronson Methodist Hospital
  • Corewell Health Lakeland Hospitals – St. Joseph Hospital
  • Henry Ford Health
  • MyMichigan Medical Center Alma
  • MyMichigan Medical Center Clare
  • MyMichigan Medical Center Gladwin
  • MyMichigan Medical Center Midland
  • MyMichigan Medical Center Mt. Pleasant
  • MyMichigan Medical Center Saginaw
  • MyMichigan Medical Center Sault
  • MyMichigan Medical Center Standish
  • MyMichigan Medical Center Tawas
  • MyMichigan Medical Center West Branch
  • Three Rivers Health Hospital (Beacon Health System)

To learn more about community benefit efforts across the state, visit the MHA Community Benefit webpage.

Based in Greater Lansing, the MHA is the statewide leader representing all community hospitals in Michigan. Established in 1919, the MHA represents the interests of its member hospitals and health systems in both the legislative and regulatory arenas on key issues and supports their efforts to provide quality, cost-effective and accessible care. The MHA’s mission is to advance the health of individuals and communities.

Virtual Maternal Health Quality Improvement Courses Available

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering virtual modules to support maternal health quality improvement efforts. All obstetric team members at MI AIM participating birthing hospitals are encouraged to complete the courses.

This approximately three-hour series consists of the following three modules:

MI AIM Collaborative Orientation

Focuses on criteria for each program year by highlighting requirements for birthing hospital participation, data collection and reporting, and quality improvement implementation.

MI AIM Data Overview

Walks through the KeyMetrics system, learning how to navigate the pages within the dashboard, filter between hospital, region and state data, and interpret data and graphs.

Fundamentals of Quality Improvement

Provides an exploration of the Quality Improvement Model, the Plan, Do, Study, Act cycle, instructions on conducting a GAP analysis and for crafting SMART goals.

Members with questions may visit the KeyLearnings FAQ page, or contact the MHA Keystone Center.

*Please note: Continuing education credits are not currently available. Participants requiring a certificate of completion should contact the MHA Keystone Center.

Registration Now Open for MHA Annual Membership Meeting

Registration is now open for the MHA Annual Membership Meeting June 25 through 27 at the Grand Hotel on Mackinac Island.

The annual meeting will feature an outstanding lineup of speakers, including Geeta Nayyar, MD, MBA, a globally recognized chief medical officer, technologist and bestselling author. She will decode AI hype versus reality and provide examples of promising partnerships between healthcare and technology organizations. She will also expand on how AI can build patient engagement and trust in today’s misinformation society.

A panel will feature statewide leaders in maternal health, who will explore the treatment of maternal health risks that result in healthier moms and babies, and solutions within individual communities, led by local agencies that can provide social services and other support systems for women.

The MHA Annual Membership Meeting also includes the popular lawn party, with games and entertainment, an ice cream social and many more relationship-building opportunities. New this year is a Sip N’ Sail cruise, which underwrites the health improvement programs recognized by the MHA Health Foundation Ludwig Community Benefits Award.

Members are encouraged to register by May 23 to attend this memorable event. Opportunities for sponsorship of the annual meeting are available through May 5. Members with questions should contact the MHA Field Engagement team or call (517) 323-3443.

Fall MI AIM Regional Training Events

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering training events across Michigan for inpatient maternal healthcare providers. The events, scheduled from late October to November, will focus on using quality improvement techniques for MI AIM safety bundle implementation.

The in-person events are free of charge, open to nurses, physicians and hospital maternal health teams. The trainings will run from 9 a.m. to 3 p.m. and include breakfast and lunch. Time for discussion and collaboration among regional hospital teams will be provided. An overview agenda is available for attendees to view prior to the event.

MI AIM Regional Training Dates

For questions, please reach out to Dominique Abram and Meagan Chuey from the Michigan Department of Health & Human Services Division of Maternal & Infant Health. Members may also reach out to the MHA Keystone Center for assistance.