Call to Action for an Aging Michigan: Increased Demand for Health Services and Innovation
November 19, 2019
As baby boomers continue to expand as a percent of Michigan’s population, new demands will be placed on our health and healthcare delivery systems. Innovative new programs will be required to continue to meet these growing demands. This forum featured a panel of experts who described how an aging Michigan will create new stresses on the health and healthcare delivery systems, and to discuss innovations that are emerging to meet the growing need.
- Taking the Pulse of Older Adults: Policy Insights from the National Poll on Healthy Aging – Jeffrey T. Kullgren, MD, MS, MPH
- Disrupting Disparities: The Continuum of Care for Michiganders 50 and Older – Paula D. Cunningham
- Aging Matters: The Aging Network – Alexis Travis, PhD
- Critical Lifelines: The Caregiving Challenge that Impacts Us All – Clare Luz, PhD
- The Age Friendly Health System – Michelle Moccia, DNP, ANP-BC, CCRN, GS-C; References
Randolph Rasch, PhD, RN, FAANP
Dean, MSU College of Nursing
Dr. Randolph Rasch is Dean and Professor of the Michigan State University College of Nursing. He has been the Director/Coordinator of two well-known family nurse practitioner (FNP) programs. Dr. Rasch has over twenty-five years of experience teaching in BSN, MSN, DNP and PhD programs in nursing. He has published and presented in the areas of primary care, HIV risk reduction, and diversity in health care education and clinical practice. Prior to his appointment as Dean, Dr. Rasch served as Chair of the Department of Community Practice Nursing in the School of Nursing at The University of North Carolina at Greensboro, and as the Director of two well-known family nurse practitioner programs in the Vanderbilt University School of Nursing and the School of Nursing at the University of North Carolina at Chapel Hill.
Dr. Rasch was the first State-wide Director of Nursing Services/Programs Director in the Tennessee Department of Correction (TDOC), where he provided leadership and direction for nursing services, and assisted the Director of Health Services with the overall development, management, and operation of Health Services in the TDOC. As part of a three-member management team, Dr. Rasch was responsible for designing and implementing a system of health care for the TDOC, and as Programs Director, leading the development and facilitating the implementation of the Quality Assurance Program for Health Services in the TDOC.
Dr. Rasch has consulted on a multitude of projects including analysis of nursing productivity and workload, and process improvement. Notably, his expertise is in the area of primary care and community health, particularly the roles, functions and appropriate skill mix for all levels of nursing; licensed practical nurses, registered nurses, advanced practice nurses/nurse practitioners, and cultural diversity in healthcare services.
Dr. Rasch’s clinical experiences as a registered nurse include charge nurse on a surgical unit in a community hospital and public health nurse (PHN) and PHN Team Leader and home health nurse in a county health department. As a FNP, he has provided care in a prison system; a corporate health care center; and a nurse managed clinic recognized as a clinical agency by the NC Board of Nursing.
A Fellow in the American Association of Nurse Practitioners (FAANP) and a Distinguished Scholar and Fellow in the National Academies of Practice (DS&FNAP), Dr. Rasch holds the distinction of being the first African American male graduate of the nursing program at Andrews University, and the first African American male Masters-prepared FNP (a graduate of the FNP program at Vanderbilt School of Nursing). He is the first African American male to hold a PhD in nursing, and was the first African American male public health nurse in the State of Michigan.
Jeffrey Kullgren, MD, MS, MPH
Associate Director of the National Poll on Health Aging, University of Michigan Institute for Healthcare Policy and Innovation
Jeffrey Kullgren, MD, MS, MPH, is a Research Scientist in the VA Health Services Research & Development Center for Clinical Management Research at the VA Ann Arbor Healthcare System and an Assistant Professor in the Department of Internal Medicine at the University of Michigan Medical School. Dr. Kullgren holds undergraduate and medical degrees from Michigan State University and a master of public health degree from the University of Michigan. He completed his internal medicine residency at Brigham and Women's Hospital and was a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania. Dr. Kullgren's research aims to improve patient decisions about preventive behaviors and utilization of health care services. The main focus of his work is identifying effective and scalable approaches to promote modification of behavioral risk factors among patients at high risk for developing chronic diseases. Dr. Kullgren's Health Services Research & Development Career Development Award is focused on identifying new opportunities to improve Veteran engagement in evidence-based ways to prevent type 2 diabetes mellitus. (Source)
Rep. Angela Witwer
Michigan House of Representatives District 71
State Rep. Angela Witwer is serving her first term representing the 71st House District, which includes much of Eaton County and the cities of the cities of Charlotte, Olivet, Potterville, Grand Ledge, parts of Lansing, as well as the townships of Bellevue, Benton, Carmel, Chester, Delta Charter Eaton Rapids, Kalamo, Oneida Charter, Roxand, Sunfield, Vermontville, Walton, and Windsor Charter. An alumnus of Waverly Community Schools, Witwer went on to receive her bachelor’s degree in business and marketing from Northwood University.
Witwer began her professional career in clinical health care, working first in Sparrow Hospital’s burn unit and later as the manager of pediatric rehabilitation. This desire to help others, coupled with her clinical expertise, propelled her to become manager of Sparrow’s community relations and marketing department.
After 22 years working in health care, Witwer left Sparrow in 2007 to co-found Edge Partnerships, an award-winning public relations, marketing and advocacy group. During this time, she was a strong advocate for quality public education and community engagement, serving as the vice president of Waverly Community Schools’ Board of Education and was an active member of the Lansing Regional Chamber of Commerce Economic Club committee, and the Wharton Center for Performing Arts Advisory Council and the McLaren Greater Lansing Foundation Board of Directors. (Source)
Paula Cunningham, MLIR
Director, AARP Michigan
Paula D. Cunningham is the State Director for AARP Michigan which has more than 1.4 million members. AARP is a nonprofit, nonpartisan, social welfare organization with a membership of nearly 38 million. They work to lead positive change and deliver value to all people 50+.
Prior to joining AARP Michigan, Paula D. Cunningham was the CEO of Capitol National Bank (CNB). CNB has been in the community for more than 32 years. She was the only African American woman in the country to be president of a majority owned bank.
Prior to joining Capitol National Bank Ms. Cunningham was the first woman to be President of Lansing Community College. Lansing Community College has more than 30,000 students and is the State’s 3rd largest community college. As President of Lansing Community College, she successfully led a community millage campaign to generate an additional $9 million for the institution into perpetuity. Under her leadership, the college implemented a strategic planning process that resulted in five new buildings. The main building on the LCC campus was officially named the Paula D. Cunningham Administration Building in 2006. This is the only building named after a woman in downtown Lansing.
President Cunningham has also been a small business owner. She and her husband owned and managed an 18-hole golf course and she was the founder of an entrepreneurial academy for young people.
Paula Diane Cunningham’s dedication to education, small business and community has been recognized by many organizations. She has received numerous awards and recognition throughout her career, including the 2016 Michigan Black Caucus Trailblazer Award, being inducted in to the Michigan Women’s Hall of Fame, a former recipient of the prestigious Athena Award, featured in Ebony Magazine as a “Woman on the Move” and featured in Bridge Magazine as a woman who “Breaks Barriers”, as well as other featured articles.
Paula serves on numerous boards including, but not limited to Davenport University, McLaren Health Systems – Lansing, and she was the first African American female to Chair the Lansing Regional Chamber of Commerce Board.
Alexis Travis, PhD
MDHHS Senior Deputy Director of Aging and Adult Services
Dr. Alexis Travis is senior deputy director of MDHHS’s Aging & Adult Services Agency, where she oversees an agency that provides statewide leadership, direction and resources to support Michigan’s aging, adult services and disability networks.
Dr. Travis previously served as director of MDHHS’s Bureau of Health and Wellness within its Population Health Administration, where she managed the Division of Chronic Disease and Injury Control and the Division of HIV and STD Programs. In that role, she collaborated with internal and external stakeholders to develop a state dementia plan and established a state-level public health workgroup on healthy aging.
Prior to her work at MDHHS, she worked as chief of community health for the Worcester Department of Health and Human Services in Massachusetts, where she managed the Community Health Improvement Plan and was a champion of health equity while working effectively with diverse community stakeholders – including older adults and people with disabilities. Earlier in her career, she was a payer operations manager for Athena Health and chapter director of program services and state director of program services for March of Dimes New England.
Dr. Travis holds a doctorate in public health from Walden University in Minnesota, a master’s degree of pharmacy with honors from the University of Bradford in the United Kingdom and was a participant in the Socrates/Erasmus Student Exchange Program at the University of Salamanca in Spain. (Source)
Clare Luz, PhD
Director of Research, Associate Professor, Department of Family and Community Medicine, College of Osteopathic Medicine; Director, IMPART Alliance
Dr. Clare Luz is a gerontologist, Associate Professor in Family and Community Medicine, and founding Director of AgeAlive, a program to foster age-related networking, information exchange and partnerships across Michigan State University. Her commitment to work on behalf of older adults spans 40 years. Prior to joining MSU in 1998, Dr. Luz worked for 15 years as a geriatric social worker in long-term care settings and six years as a consultant with nursing homes for staff development and case management.
Dr. Luz’s research addresses aspects of health and long-term care that have an impact on optimal aging and quality of life for frail and vulnerable older adults and those who care for them. The majority has focused on the eldercare workforce, particularly the direct care workers. She is currently the PI on a 2-year project titled IMPART Alliance, funded by the Michigan Health Endowment Fund, aimed at building an infrastructure in Michigan for developing and supporting the personal care aide workforce.
Michelle Moccia, DNP, ANP-BC, CCRN
Program Director Level One Senior ER, St. Mary Mercy Livonia
Dr. Michelle Moccia is the Program Director of Michigan’s first-ever Senior ER Center, which opened in July 2010 at St. Mary Mercy Hospital in Michigan. Besides working in the Emergency Department, she also performs comprehensive gero assessments in the Senior Wellness Clinic. Michelle has been a Registered Nurse since 1975. She has devoted more than three decades of her life to emergency room nursing, nurse training, and partnering with EMS agencies, community groups, and senior care centers to promote the wellness and special care needs of seniors.
- National Poll on Healthy Aging
- National Poll on Healthy Aging Reports
- Making a Difference for Aging Populations and the People Who Help Them – Research@MSU
- Stateside: Rep. Tlaib visits border; preparing for the “silver tsunami”; buying insulin in Canada – Michigan Radio
- Expert: Michigan Needs 32,000 Home Health Care Workers By 2020 – WKAR
- MHA Keystone Center to Launch Initiative to Support Needs of Older Adults – Michigan Health & Hospital Association
- Michigan is No. 1! At getting old. That’s not good news. – Bridge Magazine
- Michigan superintendent: Need more career tech, teachers, mental health care – Bridge Magazine
- Alzheimer’s in Michigan: The coming storm – Bridge Magazine
- Michigan’s elderly support services buckle as residents age – Cheboygan Daily Tribune
- Cargill: Help seniors remain healthy and independent with home health payment innovation – Lansing State Journal
- Homelessness increases across the state, especially for senior citizens, families – Michigan Advance
- On-site health care could help seniors stay at home – Michigan Advance
- As the fastest-aging state in nation, Michigan joins national AARP effort – Michigan Advance
- Podcast: Immigrants A Large Share Of Community-Based Health Care Workers - Health Affairs
- Historical Mismatch Between Home-Based Care Policies And Laws Governing Home Care Workers – Health Affairs
- The Forgotten Middle: Many Middle-Income Seniors Will Have Insufficient Resources For Housing And Health Care – Health Affairs
- Cross-Sector Collaborations To Decrease Loneliness And Social Isolation In Older Adults – Health Affairs
- Care For America’s Elderly And Disabled People Relies On Immigrant Labor – Health Affairs
- The Ethics Of Population Aging: Precarity, Justice, And Choice – Health Affairs
- Work-Related Opportunity Costs Of Providing Unpaid Family Care In 2013 And 2050 – Health Affairs
- Community Care For High-Need Patients – Health Affairs
- Mobilizing Public Health To Support Elders’ Longevity And Thriving – Health Affairs
- Challenges For Middle-Income Elders In An Aging Society – Health Affairs
- Violence In Older Adults: Scope, Impact, Challenges, And Strategies For Prevention – Health Affairs
- Dedicated Teams Keep Seniors Out of Hospital – Medscape
- In Support of Family Caregivers: A Snapshot of Five States – Milbank Memorial Fund
- Nursing home staffing levels often fall below CMS expectations – Modern Healthcare
- The Forgotten Middle: Middle Market Seniors Housing Study – National Investment Center
- Feeling Lonely? Perhaps You’d Like to Talk to Some Strangers – New York Times
- ‘I Put My Own Life on Hold’: The Pain and Joy of Caring for Parents – The New York Times
- 'This will be catastrophic': Maine families face elder boom, worker shortage in preview of nation's future – MSN
- California needs master plan for aging – San Francisco Chronicle
- Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas – The John A. Hartford Foundation
- Article: Chairman’s File - Creating Age-Friendly Health Systems - The John A. Hartford Foundation
- Report: Preparing the Current and Future Health Care Workforce for Interprofessional Practice in Sustainable, Age-Friendly Health Systems – The John A. Hartford Foundation
- On-Site Health Care Could Help Seniors Stay at Home – PEW
- Medicare Beneficiaries with Serious Illnesses Report Problems Paying Bills – The Commonwealth Fund
- Older Adults, Not Yet Eligible for Medicare, Most Likely to Struggle with Premiums and Deductibles – Kaiser Family Foundation
- Why So Many Older Americans Rate Their Health As Good Or Even Excellent – Kaiser Health News
- In Search Of Age-Friendly Health Care, Finding Room For Improvement – Kaiser Health News
- Starving Seniors: How America Fails To Feed Its Aging – Kaiser Health News
- ‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed – Kaiser Health News
- More Seniors Are Dying In Falls. Doctors Could Do More To Reduce The Risk. – Kaiser Health News
- In Secret, Seniors Discuss ‘Rational Suicide’ – Kaiser Health News
- In 10 Years, Half Of Middle-Income Elders Won’t Be Able To Afford Housing, Medical Care – Kaiser Health News
- Short-Staffed Nursing Homes See Drop In Medicare Ratings – Kaiser Health News
- Drumbeat Builds For A Peace Corps Of Caregivers – Kaiser Health News
- Voices: How Should California Address The Needs Of Its Aging Population? – Kaiser Health News
- In Search Of Age-Friendly Health Care, Finding Room For Improvement – Kaiser Health News
- State Policy Innovations to Support Family Caregivers – National Academy for State Health Policy
- More than 1 in 10 U.S. elderly are binge drinkers – Reuters
- Caregiver depression tied to more ER visits for dementia patients – Reuters
- The health care system isn't ready to replace aging caregivers – Politico
- Why Medicare Is Focused On Food Insecurity – Forbes
- Humana: ‘Unhealthy Days’ For Seniors Drop As Social Determinants Screened – Forbes
- Risk Factors Associated With Food Insecurity in the Medicare Population – JAMA Internal Medicine
- Stop Me if You've Heard This One: A Robot and a Team of Irish Scientists Walk Into a Senior Living Home – TIME
- U.S. wages lost to unpaid family care to hit $147 billion by 2050 – Business Insider
- State Advisory Council on Aging 2019 Report
- Disrupting Disparities: The Continuum of Care for Michiganders 50 and Older – AARP Michigan
- The Age Friendly Health System: Transforming Practice: The 4M’s – Joanne Grosh, Michelle Moccia; St. Joseph Mercy Health System
- The IHI Age-Friendly Health Systems Action Community: An Invitation to Join Us – Institute for Healthcare Improvement
- The MHA Keystone Center Age-Friendly Health Systems Action Community: An Invitation to Join Us
- Aging-related Resources (February 2019)
- Capacity-Building Toolkit for including Aging & Disability Networks in Emergency Planning – NACCHO
- National Support for Aging Well: How Organizations are Adapting Evidence-Based Programs to Include Persons with Disabilities – NACCHO
- Critical Lifelines: Portraits and Stories of Home Care Workers – Exhibit Booklet
- Impact of Integrated Plans Fact Sheet (June 2019) – National MLTSS Health Plan Association
- The Direct Care Workforce Shortage: Key Points – IMPART Alliance
- Personal Care Aide Training Reduces Turnover Costs and Can Increase Wages – IMPART Alliance
- The Older Michiganians Act and Michigan’s Aging Network – Michigan Commission on Services to the Aging
- Michigan’s Direct-Care Workforce: A Smart Target for Creating Better Opportunities, Better Jobs – PHI Michigan