Michigan

Congressional Profiles

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MICHIGAN 2020 STATE POLICY PRIORITIES

Build a Dementia-Capable Workforce

Strengthen Michigan’s Direct Care Workforce

Individuals with Alzheimer’s or other dementias have needs that often make care delivery challenging and demanding. Direct care workers often do not have sufficient dementia-specific knowledge to effectively support those with Alzheimer’s and other dementias. To ensure all Michiganders with dementia have access to high quality care, the Alzheimer’s Association is working with state partners toward recommendations that require dementia training for direct care workers.

Build a Dementia-Capable Workforce

Dementia Training for First Responders

Adult Protective Services, law enforcement and first responders are critical toward ensuring the safety and wellbeing of individuals with dementia. First responders often interact with people who have dementia and are among the first to observe instances of abuse and neglect. However, without dementia training, situations may escalate quickly. The Alzheimer’s Association is working to establish dementia training requirements or Adult Protective Services and law enforcement/first responders through the Attorney General’s elder abuse task force where increased training is a priority.

Increase Access to Home and Community-Based Services

My Home MI Choice

While many people with dementia seek to remain in their homes and communities, the lack of sufficient services makes this harder. The MI Choice Medicaid Waiver program currently serves approximately 16,000 adults with disabilities, older adults and individuals with dementia. The Program is cost-effective and produces savings of more than 58% over alternative publicly funded long-term care options, like nursing home care. However, the current wait list prevents access to the MI Choice Waiver services leading many people with dementia to require care in a nursing home. Michigan currently has over 190,000 people living with Alzheimer’s or another form of dementia - a figure expected to rise to 220,000 by 2025. With a current waiting list and a growing dementia population, the Alzheimer’s Association supports increased funding to the MI Choice Medicaid Waiver program.

Advance Alzheimer's Policy

Support a Dementia Coordinator Position in the Department of Health and Human Services

As the number of people with dementia continues to grow in Michigan, the impact reaches all areas of State government. While a public health crisis and the sixth leading cause of death in the state, Michigan currently does not prioritize Alzheimer’s like it does other leading chronic diseases such as cancer and heart disease. The Alzheimer’s Association supports elevating the issue of dementia through a new dementia unit led by a full-time Dementia Coordinator within the Michigan Department of Health and Human Services. This position is critical to ensure a clear, unified response to address dementia. The Coordinator would work with stakeholders in and out of state government to effectively streamline programs and services and oversee the updates and implementation of the State Alzheimer’s Plan.



Michigan State Plan Overview

Created by the Michigan Dementia Coalition, Michigan Dementia Plan Update: 2009-2011 was published in January 2009. The Coalition is comprised of community agencies, universities, dementia caregivers, and state government officials.



ADVOCACY EVENTS

Michigan State Advocacy Day

April 28, 2020

The Alzheimer's Association was forced to postpone Advocacy Day in the wake of the statewide shelter-in-place order issued by the governor. However, in an effort to engage our volunteer advocates and to capitalize on the preparations that had been made in advance of the scheduled meeting, staff and advocates conducted virtual meetings in lieu of in-person meetings. Our advocates were able to meet with nearly all of the members of the Senate Committees responsible for our legislative priorities on April 28, despite the pandemic. Efforts to engage our volunteer advocates with key members of the House Committees responsible for our priorities have been ongoing throughout the summer on an individualized basis to accomplish the necessary outreach to accomplish our legislative objectives. Lastly, the State CEO, Public Policy Director, Public Policy Manager, and volunteer committee continue to prepare contingency plans should the opportunity arise to plan and offer an advocacy day in Michigan prior to the end of our legislative deliberations for the year.


Sign Up to Learn More About Advocacy Opportunities in Michigan


Sign me up to participate in the upcoming State Advocacy Day!

State Affairs Contact Colin Ford | 5174201060 | [email protected]



Alzheimer's Facts and Figures in Michigan

Number of People Aged 65 and Older With Alzheimer's by Age

Year 65-74 75-84 85+ TOTAL
* Totals may not add due to rounding
2020 30,000 82,000 80,000 190,000
2025 34,000 100,000 85,000 220,000

Percentage change from 2020

Medicaid

$1,487

MILLION

Medicaid costs of caring for people with Alzheimer's (2020)

16.9%

change in costs from 2020 to 2025


Medicare

$28,325

per capita Medicare spending on people with dementia (in 2019 dollars)


HOSPICE (2017)

9,001

#

of people in hospice have a primary diagnosis of dementia


16%

of people in hospice with a primary diagnosis of dementia

Geriatricians

169

Number of geriatricians in 2019


175%

increase needed to meet Alzheimer's population needs in 2050

Hospitals (2017)

1,712

#

of emergency department visits per 1,000 people with dementia


24.1%

dementia patient hospital readmission rate


25.4%

increase in emergency deparment visits since 2007

Caregiving

518 Thousand

Number of Caregivers



590 Million

Total Hours of Unpaid Care



$7.73 Billion

Total Value of Unpaid Care


Number of Deaths from Alzheimer's Disease (2018)

4,474 total deaths in Michigan
6th leading cause of death in Michigan
172% increase in Alzheimer's deaths since 2000

For more information, view the 2020 Alzheimer's Disease Facts and Figures report at alz.org/facts.

U.S. Statistics

Over 5 million Americans are living with Alzheimer's, and as many as 13.8 million will have the disease in 2050. The cost of caring for those with Alzheimer's and other dementias is estimated to total $305 billion in 2020, increasing to $1.1 trillion (in today's dollars) by mid-century. Nearly 1 in 3 seniors who dies each year has Alzheimer's or another dementia.



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