Northern Michigan CHIR

The Northern Michigan Community Health Innovation Region (NMCHIR) is a partnership of health and community providers that serve the health needs of individuals across 10 counties in northwest Michigan: Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, and Wexford.

The backbone organization of NMCHIR is the Northern Michigan Public Health Alliance (NMPHA), made up of 7 local health departments covering 31 counties. NMPHA provides leadership and facilitates the development of a common agenda, shared measurement, mutually-reinforcing activities, and continuous communication.

How Do We Rank?

CHIRs across the state are focused on improving the social determinants of health.
Here’s how NMCHIR ranks out of 83 counties in Michigan.

The Area We Cover

Square Miles
People/Square Mile

Collaborating with Partners

to address social determinants of health

The NMCHIR has engaged health care providers, insurers, community organizations, and local government agencies to come together to identify and implement strategies that address community health priorities. In addition to members of the steering committee, the backbone organization, and work groups, the charts below highlight the breadth of NMCHIRs partnerships.

Simply hover over each color in the pie charts to see partner categories and numbers.

2017 Partners

2018 Partners


The NMCHIR utilizes two primary work groups in order to carry out its work.

  1. The Clinical Community Linkages work group oversees a screening tool administered at patient-centered medical homes and community services across the region. It identifies individuals’ needs for accessing medical care, housing, transportation, healthy food, and other social determinants of health, and then generates a referral to one of three Community Connections HUBs.
  2. The Community Health Assessment and Improvement work group oversees several specialized Action Teams. Four of them focus on the top-ranked barriers to health and quality of life. Additional Action Teams plan and implement initiatives to reduce preventable/avoidable Emergency Department visits and launch Health in All Policies regionally. Plus, the NMCHIR is a member and funding partner of the MiThrive community health assessment.

Michigan’s State Innovation Model

Michigan is part of a State Innovation Model (SIM) initiative launched by the Centers for Medicare & Medicaid Services (CMS).  The objective of the SIM is to help states advance multi-payer health care payment and delivery system reform models with the aim of achieving better quality of care, lower costs, and improved health for each participating state’s population. The SIM initiative is testing the capacity for states to employ regulatory and policy strategies to expedite health system transformation to accomplish these aims.

Awarded $70 million over 4 years to test and implement an innovation model for delivering and paying for health care in the state, the Michigan Department of Health and Human Services (MDHHS) has organized its SIM initiative under three main umbrellas:

    Community Health Innovation Regions (CHIRs) make up the foundation of this component, and are intended to build community capacity to drive improvements in population health.

    The Patient-Centered Medical Home (PCMH) initiative and the promotion of alternative payment models make up this component.

    This component is where Michigan leverages its statewide infrastructure and related health information exchange (HIE) initiatives to enable and support advances in population health and payment and care delivery strategies.

Learn More

CHIRs fall under the POPULATION HEALTH component of the State Innovation Model

The State has selected five Michigan regions to test the CHIR model:

  1. Genesee County
  2. Jackson County
  3. Livingston and Washtenaw Counties
  4. Muskegon County
  5. Northern Michigan (including Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, and Wexford counties)

Each of the five SIM CHIRs are supported by a backbone organization that serves as a fiduciary and acts as a neutral convener for the CHIR’s governing body.