2. 2 Overview Background Key Findings Dying Before Their Time Campaign

3. 3 Background Dying Before Their Time I study found that PSA 1-A’s loss of 23% of its senior population between 1990 and 2000 was tied to premature death. About 33% of the senior population loss between 1990 and 2000 was attributed to premature death. DAAA’s PSA loss over 43,000 seniors during this decade.

4. 3 Background Pre-Seniors aged 50 – 59 died at a 122% higher rate than other pre-seniors in the remainder of the state. 60 – 74 year olds died at a 48% higher death rate. 45 – 59 year olds died at a 148% higher death rate. PSA 1-A seniors had multiple chronic illnesses, excessive hospitalizations and poor access to healthcare. Over half (54.5%) lived in Medically Underserved Areas (MUA).

5. 5 Principal Investigators – Health Status Report Lee Kallenbach, Ph.D., Independent Health Epidemiologist (Formerly with Wayne State University/Community Health Institute) Herbert Smitherman, MD, Wayne State University/Detroit Medical Center Background - Researchers

6. 6 Focus of Research Examined Demographic TrendsMortalityHospital UsePreventable HospitalizationsMorbidityAccess to Care From 1999 - 2009

7. 7 Key Findings

8. 8 DBTT I & DBTT II: A Comparison 1999 - 20012007-2009 Pre- seniors age 50 – 59 died at a 122% higher rate than other pre- seniors in the remainder of the state. 60 – 74 year olds died at a rate 48% higher than rest of state. PSA 1-A seniors had multiple chronic illnesses, excessive hospitalizations and poor access to healthcare. Over half (54.5%) lived in Medically Underserved Areas. Pre- seniors age 50 – 59 died at a 131% higher rate than other pre- seniors in the remainder of the state. 60 – 74 year olds died at a rate 60% higher than the rest of state. PSA 1-A seniors had multiple chronic illnesses, excessive hospitalizations and poor access to healthcare. Over half (64.6%) lived in Medically Underserved Areas.

9. 9 Age-Specific Mortality Trend 1999-2009 The age-specific mortality trend in Michigan was similar to that in the United States Similar to the U.S., Mortality rates in those 60-74 declined over the decade (Solid) Also similar to the U.S., Mortality rates in those 50-59 were unchanged over the decade (Dash) Data Source: MDCH Death Statistical Files 1999-2009, US Census 2000 & 2010

10. Ages 55-64 Benton Harbor3.5 Highland Park2.5 Saginaw2.4 Detroit2.3 Pontiac2.2 Flint2.0 Port Huron2.0 Bay City1.9 Battle Creek1.8 Muskegon1.8 Hamtramck1.7 Ages 55 - 64 Muskegon2.22 Benton Harbor2.21 Highland Park2.19 Battle Creek2.18 Detroit2.17 Flint2.05 Saginaw1.93 Kalamazoo1.77 Pontiac1.61 Lansing1.32 Grand Rapids1.23 10 Mortality in Urban Communities (Cities Ranked By Descending Ratios within Ages 55-64 Years) 1999-2001 2007 - 2009

11. 11 131% higher 60% higher

12. 12 43% increase 19% increase

13. 13

14. 14 Medically Underserved Area: A Comparison 20042011 PSA 1-A MUA Population: 80,611 54.5% of 60+ in PSA 1-A lived in MUA 16.5% of 60+ lived in rest of Michigan’s MUA outside PSA 1-A PSA 1-A MUA Population: 87,803 64.6% of 60+ in PSA 1-A live in MUA 27.3% of 60+ live in rest of Michigan’s MUA outside PSA 1-A Number of 60-plus seniors living in the MUA in PSA 1-A increased while its percentage of the population living in the State’s overall Medically Underserved Area decreased from 25.3% to 15.3% from 2004- 2011.

15. 15

16. 16 Dying Before Their Time Campaign

17. 17 Key Messages for Advocacy Health disparities still exist between older adults in PSA 1-A and other seniors in remainder of the state. This high mortality is mirrored in other urban communities. Those 50 – 59 year olds in the Detroit area are at risk and not making it to the golden years.

18. 18 Key Messages for Advocacy Excess hospitalizations cost over $175 million per year based upon recent data. This figure consists of multiplying all excess hospitalizations annualized by $9,600 - average cost of a hospital stay for the 50 – 74 year olds. The MUA expanded in PSA 1-A because of poor access to healthcare and other barriers. More resources are needed and interventions need to start earlier. The Affordable Care Act of 2010 can address many problems associated with under insured and uninsured.

19. 19 Key Stakeholders Seniors, Caregivers and Adults with DisabilitiesLocal, regional, state and national media.Government Officials/PolicymakersHospitals, physicians and healthcare organizationsSenior, Health and Trade PublicationsInternet sites – health and senior issuesGeneral public – local, state and national

20. 20 Planned Activities Campaign Branding Press Announcement & Editorial Boards Press Briefing Detroit Free Press Columnist National Media Outreach Morning Local Television Shows Healthcare Reporters Health Systems Leadership Breakfast Mackinac Regional Chamber Policy Conference Other Activities

21. 21 How You Can Get Engaged

22. 22 Rules of Engagement Share findings with consumers to engage them in healthy aging practices and activities Use fact sheets to educate policymakers Advocate for additional resources Create programs and services to address chronic disease, health promotion and independent living Educate consumers about the Affordable Care Act

23. 23 Detroit Area Agency on Aging 1333 Brewery Park Boulevard Suite 200 Detroit, MI 48207-4544 Tel: (313) 446-4444 Fax: (313) 446-4445 www.daaa1a.org