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 Michigan SIM Purpose Statement

The overall purpose of the SIM Project is:
To develop a plan, with broad stakeholder participation, for a community integrated  health system and a sustainable way to pay for it.

In Michigan, key elements of this plan will include: 

  • Increased accountability for specified outcomes that include per capita cost, quality, equity, and the health of all Michigan residents  
  • Person and family-centered care that engages individuals in care that meets their needs and reflects their values
  • Attention to development, health, and wellness over the lifespan of individuals
  • Linkages between and among healthcare, behavioral health, public health, and community resources to address physical, behavioral and socioeconomic needs of the population 
  • An open and flexible model, creating a framework that supports integration and widespread adoption, and can be adapted within local communities 
  • Identification of critical success factors and promising practices drawn from the evolving body of knowledge on community integrated health systems
  • A learning system at the state and local levels that promotes continuous quality improvement and dissemination of lessons learned in an agile framework
  • A robust data system to drive strategic decision making
  • Global policies, incentives, and penalties to drive implementation of a high-performance community integrated health system
  • Aligned payment policies among multiple payers 





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