Diabetes and Kidney Disease The HMF supports Diabetes Outreach Networks (DONs) that build local partnerships in 2006 on quality diabetes management. …

What has the Healthy Michigan Fund accomplished
over the past 12 years?

Cardiovascular Disease[1]
Cardiovascular disease CVD continues to be
Michigans number one killer, but death rates are
declining Fifteen years ago, Michigan was ranked
3rd worst in the nation; today our rank is
11th The economic burden of cardiovascular disease
in Michigan is 14 billion/year

The Healthy Michigan Fund HMF supports community campaigns to increase
awareness of warning signs for stroke and the importance of calling 911
immediately If people get to an Emergency Department quickly when a
stroke occurs, medication may save their lives and prevent costly
disabilities State studies show that the public is increasingly aware of
warning signs of stroke In 1999, 31 of respondents could not identify a
single warning sign of stroke; in 2004, 83 of respondents could

The HMF supports programs in hospitals and health plans to encourage use of
improved protocols and tools Result: improvements in adherence to
treatment guidelines translate annually into 2,300 lives saved related to
stroke and 2,713 lives saved related to heart disease

The HMF supports community organizations and
worksites to educate, screen
and refer high risk populations for control of hypertension - the leading
risk factor for stroke More than 70,000 individuals annually receive
education and blood pressure testing A modest decrease in blood pressure
can lower the risk of CVD disability and/or death by more than 25

The HMF helps schools and communities More than 500,000 students now
attend schools that have improved school meals, removed junk foods from
vending machines, and increased minutes of physical activity and physical
education State studies show that over the past decade, more Michigan
adults are eating healthier foods and increasing their physical activity

The HMF leverages resources from the Federal
government and from private partners In 2006,
state matching funds brought to Michigan an
additional 15 million Federal funds, and private
partners provided an additional 500,000 for public
health programs to combat CVD Federal
grants for public health programs often require state
matching funds If state funds are lost,
federal funds also are lost

Dementia
The HMF supports the Michigan Dementia Network that serves 20,000
caregivers and professionals each year Services
have helped increase
early diagnosis and treatment, and
have helped delay institutionalization Nursing home costs prevented are
estimated at 302 million/year

Tobacco Reduction[2]
Tobacco use is the 1 cause of preventable death in Michigan-17,000
annually Smoking significantly increases the risk of heart disease,
cancer, stroke, chronic lower respiratory disease and diabetes Tobacco
use dramatically increases the use of and the cost of healthcare, making it
bad for the Michigans economy

HMF programs have decreased adult smoking by 14 and 36 among pregnant
women These programs save 61 million per year 83 million over 5
years from reductions in heart attacks and stroke Programs targeting
pregnant women save an additional 56 million per year by reducing smoking-
related birth complications

Over the past 12 years, HMF programs have decreased smoking among high
school students by 56, and among middle school students by 23 HMF
programs have reduced the illegal sale of tobacco to minors by 76

The HMF supports the Michigan Tobacco Quit Line This service has assisted
26,300 callers since 2003 Approximately 17 of enrollees are tobacco-free
after 12 months

The HMF brings in
Federal matching dollars of 19 million Communities
provide 415,000 in
local dollars to match their HMF awards

Osteoporosis
The HMF is the only source of support for the MI Osteoporosis Program An
estimated 15 million Michigan residents over 50 have either osteoporosis
or osteopenia Unless treated, the financial consequences can be 40,000
per hip fracture in 2001 dollars Since the programs start in 1999, hip
fractures prevented represent an estimated savings of 177 million

Every person diagnosed with osteoporosis who obtains timely treatment will
reduce their fracture risk at a savings of 3,468 per person In 2006, HMF
supported projects that directly resulted in 117 individuals diagnosed and
treated at an estimated savings of 406,000

Arthritis
Michigan has the sixth highest rate of arthritis in the nation 31 of all
adults More than 850,000 MI adults report activity limitations due to
arthritis The estimated direct and indirect cost of arthritis and other
rheumatic conditions in Michigan in 2003 was 56 billion

The HMF supports the Michigan Arthritis Program to provide and promote
evidence-based programs to reduce pain and physician visits, and to improve
ability to
perform activities of daily living More than 5,400 people with
arthritis participated in these programs in 2006

Diabetes and Kidney Disease
Michigan has more than 880,000 citizens with diabetes, costing the public
and private sectors more than 6 billion per year

The HMF increased the number of Diabetes Self-Management Training Programs
in the state from only three in 1986 to 91 in 2006 Every dollar invested
in such programs will save at least 30 in health care costs averted

The HMF supports Diabetes Outreach Networks DONs that build local
partnerships across MI to strengthen services for diabetes prevention,
detection and treatment The DONs trained more than 2,100 health care
professionals in 2006 on quality diabetes management The DONs also make
sure that high risk populations and medically underserved areas have access
to diabetes resources that help prevent kidney failure, blindness, and
amputations

The HMF reached more than 20,000 African Americans in 2006 through trained
hair stylists and barbers, 50 of whom subsequently made at least one major
healthy lifestyle change to reduce their risk of developing diabetes and
kidney disease

The HMF provides team-based
specialty care to nearly 500 geographically
underserved children with type 1 and 2 diabetes annually, delivering
services that would otherwise not be accessible

For every 4 of HMF support, Michigan receives 1 in Federal funds For
every dollar spent on kidney disease prevention programs, 54 cents is added
from local matching funds

Cancer Control[3]
The early detection of four cancers-breast, cervical, colorectal and
prostate-saves lives and reduces costs Over the past decade, 722 fewer MI
citizens lost their lives to these cancers than would have occurred had not
HMF supported cancer programs coordinated by public health agencies been in
place Data from the MI Cancer Registry show significant increases for the
majority of counties in the percentage of early-stage cancers of the
breast, cervix and colon/rectum, providing these citizens with the best
chance for longer and productive lives As much as 20,000 is saved in
initial treatment costs for each breast cancer case that is detected early

The HMF supports breast cancer screening services for low income uninsured
women aged
40-49; approximately 8,300 women receive mammograms and any necessary
follow up care annually through
the statewide program

Since 1991, 2046 low-income women enrolled in Michigans Breast and
Cervical Cancer Control Program have been diagnosed with breast cancer and
received treatment Another 1,100 enrolled women were diagnosed with
invasive or pre-invasive cervical cancer through the program and received
treatment

Cancer Control continued

The HMF supports public education about colorectal cancer screening,
resulting in Michigan screening rates higher than the national average
304 vs 265

The HMF supports the Colorectal Cancer Early Detection Screening Pilot
Program in three Michigan counties where colorectal cancer death rates
among the highest in the state In 2006,
191 uninsured men and women received screening and diagnostic services
through this program In-kind contributions from community partners totaled
more than 121,000 As much as 17,000 is saved per person if precancerous
polyps are detected and removed during colorectal cancer screening,
avoiding all the costs and burdens of cancer care

The HMF supports the Michigan Cancer Consortium MCC which received the
first-ever Comprehensive Cancer Control Implementation Award from C-Change
in 2006 C-Change is the national
organization chaired by former President
George Bush and California Senator Dianne Feinstein, and comprised of more
than 100 leaders from the public, private and non-profit sectors
nationally, all concerned about winning the war on cancer The MCC, whose
membership consists of 88 Michigan organizations, was recognized for its
exemplary demonstration of the value of statewide collaboration to improve
cancer survival through early detection MCC members work together to pool
and conserve existing resources and also to leverage new resources for
cancer prevention and control

The Michigan Wisewoman Program is a healthy lifestyles program that serves
low income women ages 50-64 in 28 counties This program continues to
document improvements in nutrition, physical activity and smoking cessation
among enrolled women, and also is showing lower levels of blood pressure,
lower blood lipids, and reduction of cancer risk HMF matching funds are
required to retain this Federally funded program in Michigan

This page and the ones that follow depict progress made through the efforts
of public health and community agencies supported by the Healthy Michigan
Fund to reduce
the human and economic burden of chronic diseases in
Michigan

Tobacco - Figure 1
High School Youth Smoking Rate

Tobacco - Figure 2
Illegal Sales to Minors

Tobacco - Figure 3
Secondhand Smoke Exposure Protection

Tobacco - Figure 4
Adult Smoking Rate

Tobacco - Figure 5
Prenatal smoking in Michigan

Tobacco - Figure 6
Medicaids Tobacco Burden in Michigan

Cancer Control - Figure 1
Time Trend in Colorectal Cancer Screening and Mortality, Michigan 1995-2004

Cancer Control - Figure 2
Time Trend in Appropriate Breast Cancer Screening, Michigan 1994-2004

Cancer Control - Figure 3
Male Cancer Mortality Rates, Michigan 1990-2004Cancer Control - Figure
4
Age Adjusted Mortality Rate for Cervical Cancer, Michigan 1994-2004
Cancer Control - Figure 5

Cancer Control - Figure 6

Cancer Control - Figure 7

Cancer Control - Figure 8

———————–
[1] The two graphs on page 5 reflect trends in cardiovascular disease
mortality in Michigan
[2] The several graphs on pages 6-7 reflect the trends in tobacco use and
the cost impact in Michigan
[3] The graphs on pages 8-11illustrate improving trends in cancer control
over the past decade in Michigan

———————–
18 Decline in
Colorectal Cancer Mortality

54 Increase in Colorectal Cancer Screening

16 Increase in Appropriate Breast Cancer Screening

415 Decline in Cervical Cancer Deaths

366

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