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