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Overview

• Background

• Key Findings

• Dying Before Their Time Campaign

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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.

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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).

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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

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Focus of Research

Examined Demographic Trends

Mortality

Hospital Use

Preventable Hospitalizations

Morbidity

Access to Care From 1999 - 2009

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Key Findings

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DBTT I & DBTT II: A Comparison1999 - 2001 2007-2009

• 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.

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Age-Specific Mortality Trend1999-2009

0

500

1,000

1,500

2,000

2,500

3,000

3,500

1999-01 2001-03 2003-05 2005-07 2007-09

The age-specific mortality trend in Michigan was similar to that in the United StatesSimilar 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

Ages 55-64Benton Harbor 3.5Highland Park 2.5Saginaw 2.4Detroit 2.3Pontiac 2.2Flint 2.0Port Huron 2.0Bay City 1.9Battle Creek 1.8Muskegon 1.8Hamtramck 1.7

Ages 55 - 64

Muskegon 2.22

Benton Harbor 2.21

Highland Park 2.19

Battle Creek 2.18

Detroit 2.17

Flint 2.05

Saginaw 1.93

Kalamazoo 1.77

Pontiac 1.61

Lansing 1.32

Grand Rapids 1.23

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Mortality in Urban Communities(Cities Ranked By Descending Ratios within Ages 55-64 Years)

1999-2001 2007 - 2009

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131% higher

60% higher

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43% increase

19% increase

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Medically Underserved Area: A Comparison

2004 2011• 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.

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Dying Before Their Time Campaign

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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.

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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.

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Key StakeholdersSeniors, Caregivers and Adults with Disabilities

Local, regional, state and national media.

Government Officials/Policymakers

Hospitals, physicians and healthcare organizations

Senior, Health and Trade Publications

Internet sites – health and senior issues

General public – local, state and national

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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

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How You Can Get Engaged

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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

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Detroit Area Agency on Aging1333 Brewery Park Boulevard

Suite 200Detroit, MI 48207-4544

Tel: (313) 446-4444 Fax: (313) 446-4445

www.daaa1a.org