Quest reports longer waits for test results

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Quest Diagnostics reports weeklong turnaround times in coronavirus ...

Quest Diagnostics said its average turnaround time for a COVID-19 test is now at “seven or more days,” up from four to five days at the end of June.

  • Its testing backlog is getting worse because of the high demand in parts of the country where infection is spreading, Axios’ Bob Herman writes.

Why it matters: Long backlogs make testing less useful — public health officials need to know what their local situation is like now, not what it was like a week ago. Delays are especially problematic if people who are infected continue to go about their lives while they wait for their results.

Between the lines: Quest told investors Monday that its second-quarter revenue will be down 6%, hovering around $1.83 billion, as coronavirus testing has supplanted other, more lucrative tests that had to be put off.

  • But Quest still expects to register a profit of at least $1.33 per share thanks to $65 million of government bailout funds and high volumes of COVID-19 tests.

 

 

5.4 million Americans lost health insurance

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Medicare for All (@AllOnMedicare) | Twitter

Roughly 5.4 million adults in the U.S. lost their health insurance from February to May after losing their jobs, according to a new estimate from Families USA, a group that favors the Affordable Care Act.

Why it matters: There are more adults under 65 without insurance in Southern states, which are the same states setting new records for single-day coronavirus infections along with rising hospitalizations, Axios’ Orion Rummler writes.

What they found: 3.9 million adults lost health insurance over one year during the Great Recession, per Families USA’s analysis. It only took four months in this current crisis for an estimated 5.4 million Americans to lose health insurance.

  • More than 20% of adults in Georgia, Florida, South Carolina, North Carolina, Mississippi, Oklahoma and Texas were without insurance as of May.
  • All of these states have set new records in the past two weeks for their highest number of coronavirus infections in a single day, per data from the COVID Tracking Project.
  • 46% of adults who lost coverage due to the pandemic came from five states: Florida, New York, Texas, California and North Carolina.

The backdrop: 21 million Americans were unemployed in May, according to the Bureau of Labor Statistics’ nonfarm payrolls report.

 

 

 

 

More Republicans say they’re wearing masks

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Trump dons face mask during Walter Reed visit - Axios

Nearly two-thirds of Americans — and a noticeably increasing number of Republicans — say they’re wearing a face mask whenever they leave the house, according to the Axios-Ipsos Coronavirus Index.

Why it matters: A weakening partisan divide over masks, and a broad-based increase in the number of people wearing them, would be a welcome development as most of the country tries to beat back a rapidly growing outbreak, Axios’ Sam Baker writes.

By the numbers: 62% of those surveyed said they’re wearing a mask “all the time” when they leave the house — up from 53% when we asked the same question two weeks ago.

  • The biggest jump was among Republicans: 45% say they’re wearing a mask all the time, up from 35% at the end of June.
  • Even though it’s narrowing, there’s still a big partisan divide: 95% of Democrats say they wear a mask some or all of the time outside the house, compared with 74% of Republicans.

Between the lines: These numbers may seem high — do two-thirds of the people you pass on the street have a mask on? But the fact that more people are claiming to wear them is at least a sign that masks are increasingly seen as important.

  • Among people who said they wear a mask sometimes, 32% reported that they’ve been denied entry into an establishment because they weren’t wearing one, and 21% said someone else has told them to put one on.
  • 15% said they’ve told someone else to put on a mask.

 

 

 

Despite seeing great risk, Americans slow to make major changes to deal with COVID

https://www.ipsos.com/en-us/news-polls/axios-ipsos-coronavirus-index

Chart

New Axios-Ipsos Coronavirus Index study finds that social distancing continues to decline except for mask use.

Washington DC, July 14, 2020

Fewer Americans report self-quarantining now than any point since the start of the pandemic according to our latest Axios-Ipsos Coronavirus Index. This corresponds with socializing and commercial activity remaining high, if not quite to pre-pandemic levels. However, more Americans see returning to a pre-coronavirus life as a large risk now than at any time since the high-point of the initial wave in mid-April.

Detailed findings:

1. Despite the surge in cases across the South and West, Americans continue to venture out of the home at higher rates and do not re-embrace major social distancing.

  • Fewer than one in five (19%) of Americans report self-quarantining the last week, the lowest level since tracking began at the eve of the outbreak in early March.
  • Just under half of Americans (47%) report visiting friends and relatives in the last week, a third (30%) report going out to eat, and about one in six (16%) visited elderly relatives in the last week – all essentially unchanged from levels in mid-June before the current spike in cases.

2. However, as cases surge, Americans are increasingly seeing normal activities as posing large risks.

  • A third of Americans (33%) see attending in-person gatherings of friends as a large risk to their health. Additionally, over a third (37%) say dining out, just under a third (30%) say going to a salon, and over a quarter (27%) of Americans working remote or temporarily not working say returning to their normal place of employment is a large risk. All are the highest levels since mid to late May.
  • As debate about back-to-school rages, a large majority of parents (71%) say sending their child to school in the fall is a large or moderate risk.

Chart 2

3. Most Americans appear to be embracing mask use as a tool to cope with the coronavirus pandemic.

  • As of July, three in five Americans (62%) report wearing a mask at all times when leaving the home with an additional 23% reporting sometimes wearing a mask (85% total). This is the highest level of mask use since tracking began in April.
  • Among the approximately two in five (38%) Americans who do not wear a mask at all times when out of the home…
    • A third (32%) report not being allowed into an establishment without a mask (about 12% of the total population).
    • One in five (21%) report being told to wear a mask by another person (about 8% of the total population), up from 15% at the end of May.

4. As the pandemic continues, public trust in both the federal government and state governments has fallen to a low in this tracking.

  • A third of Americans (32%) have a fair amount or great deal of trust in the federal government to look out after the best interests of their family. This is down from 53% in mid-March.
  • Just over half (55%) trust their state governments, down from 71% in mid-March. Trust in the state government is lowest in the states currently hit the hardest (47% average cross AZ, FL, GA, and TX).

Washington DC, June 30, 2020

As June ends, the latest wave of the Axios-Ipsos Coronavirus Index finds that American fears of the coronavirus pandemic have resurged to levels last seen during the acute parts of the initial wave. This comes, however, as Americans continue to leave the home more frequently, albeit while taking protective measures.

Detailed Findings:

1. Levels of concerns have returned to levels last seen in early May as the pandemic spreads across the South and West.

  • Almost two-thirds (60%) of Americans are very concerned about the coronavirus outbreak, with an additional quarter (24%) somewhat concerned.
  • Over three quarters (78%) are at least somewhat concerned about the possibility of getting sick, up 9 points from the beginning of June.
  • Three quarters (76%) are concerned about their community re-opening too soon, the highest level in our tracking.

corona concerns

2. Correspondingly, perceptions of risk also continue to increase, particularly views of activities that may bring the respondent into contact with large groups of people.

  • Over two-thirds (70%) currently say that returning to their pre-COVID life is a moderate or large risk.

3. Risk aversion may also put a damper on the upcoming Fourth of July holiday with 78% saying attending celebrations is a large or moderate risk.

Risky Business

4. Americans have started curtailing social engagement, however the number engaging in out of home commercial activities remains stable or continues to increase.

  • Less than half (45%) of Americans say they visited friends and family in the last week, down from the post-COVID high of 49% last week. Additionally, visiting elderly relatives is flat at 14%.
  • However, going out to eat continues to increase, now with 31% of Americans reporting having done so in the last week. Visiting a salon or retail store is flat from last week.

Washington DC, June 23, 2020

Our latest Axios-Ipsos Coronavirus Index finds that Americans are increasingly concerned about coronavirus and seeing ‘regular’ activities as increasingly risky after sentiment moderated earlier in June. This uptick in fears comes as Americans address a possible second wave and reflect on their potential to re-enter social distance quarantines if major warning thresholds are met.

Detailed Findings:

1. American concern with the coronavirus outbreak, while not as widespread as during early April, has increased notably over the past two weeks.

  • Currently, 85% of Americans are at least somewhat concerned with the outbreak, including 56% who are extremely or very concerned. This is up from 80% and 48% respectively in early June.
  • Concern with communities re-opening too soon (to 71% from 64%) and the possibility of getting sick (to 76% from 69%) are also up 7 percentage points over the last two weeks.
  • Eighty-five percent of Americans are concerned about a second wave of the coronavirus, including 59% who are extremely or very concerned.

2. “Normal” activities are seen as increasingly risky by many including doing their job, going to the grocery store, or socializing with friends after multiple weeks of minimizing concerns.

Chart

3. Americans continue to report that if a second wave hits their state, they will substantially withdraw to protect their health. They also express that they are watching for a wide range of signals of a second wave indicating it may not be official announcements that trigger a rebound in behavior.

  • About four in five Americans say they are likely to stay home and avoid others as much as possible if…
    • The CDC issued guidelines for people in their state to stay home.
    • Their state’s governor issued guidelines for people to stay home.
    • There is a new spike in cases in their state.
    • Nearby hospital ICUs report full or near-full capacity.
    • Someone they know tests positive for the virus.
    • Someone they know is dying from the virus.

Chart

4. Social distancing behaviors continue to subside, but geographical differences remain in people’s experiences.

  • Half of Americans (49%) visited friends or relatives in the last week, up from 47% last week and 19% in early April. However, in the states with the greatest increase in cases (AZ, FL, SC) socializing with friends has declined from 52% to 44% in the last two weeks.
  • The number of Americans working remotely has also begun to decline, this week at 37% of all employed persons from 43% last week.

5. One percent of the U.S. population has tested positive for coronavirus at this point.

  • About one in ten Americans have been tested (11%) and about one in ten (9%) of those tested, tested positive, equal to about 1% of the overall population.

Washington DC, June 16, 2020

At the end of our third month of tracking America’s response to the coronavirus pandemic, the Axios-Ipsos Coronavirus Index finds that even while Americans are increasingly engaging with each other outside the home, concerns about a second wave and perceived risks of regular activities mount.

Detailed Findings:

1. More Americans are very concerned about the overall COVID-19 outbreak than last week as a majority express high levels of concern about a second wave of the coronavirus.

  • Fifty-four percent of Americans are extremely or very concerned about the outbreak, up from 48% last week, while 56% report being extremely or very concerned about a second wave.
  • Sixty-four percent view returning to their pre-COVID life as risky right now, up from 57% last week.

2. If there is a second wave, large majorities of Americans report that they are likely to pull back into more socially distancing behaviors.

  • Two-thirds (65%) say they are somewhat or very likely to self-quarantine in the event of a second wave in their state and almost all (85%) report they will take steps to social distance.
  • This extends to social interactions – 79% report they are likely to stop gathering with friends or family – and commercial behavior – 73% report they would stop going to non-grocery retail stores.

3. As discussion of a second wave mounts, Americans report seeing many ‘normal’ activities as being more risky than just a week ago.

  • The number of Americans who report viewing gatherings of friends and family as risky has climbed 5 percentage points from last week (57% moderate or large risk from 52%).
  • Additionally, views of dining in at a restaurant (64% risky from 60%), shopping at a retail store (57% risky from 52%), or going to a barber or salon (58% risky from 54%) have all increased this week.
  • Large gatherings remain highly suspect with 89% viewing attending protests and 74% viewing attending Fourth of July celebrations as a risk to their health or well-being.

Visual

4. Over a third of Americans know someone who has tested positive for coronavirus.

  • While 35% know someone who has tested positive, it remains more prevalent in the Northeast (53%) than other parts of the country.
  • Nine percent of Americans report they have been tested for coronavirus in our latest survey. Of those, 6% say they tested positive. This represents about 0.6% of the U.S. population.

 

Americans aren’t pushing to reopen the schools

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Classroom concerns: WCSD families asked to weigh in on school ...

Most U.S. parents say it would be risky to send their children back to school in the fall — including a slim majority of Republicans and a staggering nine in 10 Black Americans — in this week’s installment of the Axios-Ipsos Coronavirus Index, Axios’ Margaret Talev reports.

Why it matters: President Trump and Education Secretary Betsy DeVos have threatened to withhold federal funds from schools that don’t reopen. The new findings suggest that this pressure campaign could backfire with many of the voters to whom Trump is trying to appeal ahead of the election.

What they’re saying: “Americans at this point, and parents more specifically, can’t be force-fed policies that go against what they think,” says Cliff Young, president of Ipsos U.S. Public Affairs.

  • “You can’t wish away or scare away a virus,” Young says. “And right now, they’re not feeling safe in putting their children back in school.”
  • “There’s political risks as well — serious political risks for Trump and Republicans. Because even the Republican base sees a risk in putting kids back into the school in the fall.”

Driving the news: Officials on Monday began announcing decisions impacting schools in some major metro areas, erring on the side of caution in response to health concerns and parents’ anxieties.

  • In California, school officials announced that public schools in Los Angeles and San Diego will hold online classes only.
  • Gov. Andrew Cuomo said Monday that New York schools will open only if the daily infection rates in their region are below 5% over a 14-day average, and that “we’re not going to use our children as guinea pigs.”

 

 

AdventHealth CEO amid Florida COVID-19 surge: ‘I wouldn’t hesitate to go to Disney’

https://www.beckershospitalreview.com/hospital-management-administration/adventhealth-ceo-amid-florida-covid-19-surge-i-wouldn-t-hesitate-to-go-to-disney.html?utm_medium=email

Record 15,000 new coronavirus cases in Florida as Disney World ...

As Florida recorded more than 15,000 new cases of COVID-19, the CEO of Altamonte Springs, Fla.-based AdventHealth said July 12 he would feel comfortable visiting Walt Disney World Resort, which has opened up two of its parks, according to CBS News.

In an interview on CBS’ “Face the Nation,”  AdventHealth CEO Terry Shaw was asked about the resort’s reopening given that 48 Florida hospitals reached capacity as of July 10.

He told moderator Margaret Brennan: “So as a healthcare provider, my job is to help people do things safely. Whether it’s NASCAR or Disney, we have strategic alliances with those organizations. We work very closely with them to help them determine a way to reopen and do that safely.”

“I will tell you, based upon the way Disney is approaching this — with limiting people in, doing all the screenings that they’re doing, I’m — I personally am a Disney season ticket holder. I wouldn’t hesitate to go to Disney as a healthcare CEO — based on the fact that they’re working extremely hard to keep people safe,” he said.

Mr. Shaw’s interview occurred the same day Florida reported 15,299 new COVID-19 cases, the largest daily case count set by any state since the beginning of the pandemic, according to NPR .

AdventHealth has about 30 hospitals in the state, and its physicians and sports medicine experts provide support to help racers who are part of runDisney races through Disney theme parks, according to the health system website. The organization has been providing this support for runDisney races for more than 25 years.

AdventHealth also confirmed health system employees are taking temperatures at the gates of the theme parks and the entrances to Disney Springs.

Access Mr. Shaw’s full interview here.

 

 

 

Pandemic spurs national union activity among hospital workers

https://www.healthcaredive.com/news/coronavirus-spurs-healthcare-union-activity/581397/

Pandemic spurs national union activity among hospital workers ...

When COVID-19 cases swelled in New York and other northern states this spring, Erik Andrews, a rapid response nurse at Riverside Community Hospital in southern California, thought his hospital should have enough time to prepare for the worst.

Instead, he said his hospital faced staffing cuts and a lack of adequate personal protective equipment that led around 600 of its nurses to strike for 10 days starting in late June, just before negotiating a new contract with the hospital and its owner, Nashville-based HCA Healthcare.

“To feel like you were just put out there on the front lines with as minimal support necessary was incredibly disheartening,” Andrews said. Two employees at RCH have died from COVID-19, according to SEIU Local 121RN, the union representing them.

A spokesperson for HCA told Healthcare Dive the “strike has very little to do with the best interest of their members and everything to do with contract negotiations.”

Across the country, the pandemic is exacerbating labor tensions with nurses and other healthcare workers, leading to a string of disputes around what health systems are doing to keep front-line staff safe. The workers’ main concerns are adequate staffing and PPE. Ongoing or upcoming contract negotiations could boost their leverage.

But many of the systems that employ these workers are themselves stressed in a number of ways, above all financially, after months of delayed elective procedures and depleted volumes. Many have instituted furloughs and layoffs or other workforce reduction measures.

Striking a balance between doing union action at hospitals and continuing care for patients could be an ongoing challenge, Patricia Campos-Medina, co-director of New York State AFL-CIO/Cornell Union Leadership Institute.

“The nurses association has been very active since the beginning of the crisis, demanding PPE and doing internal activities in their hospitals demanding proper procedures,” Campos-Medina said. “They are front-line workers, so they have to be thoughtful in how they continue to provide care but also protect themselves and their patients.”

At Prime Healthcare’s Encino Hospital Medical Center, just outside Los Angeles, medical staff voted to unionize July 5, a week after the hospital laid off about half of its staff, including its entire clinical lab team, according to SEIU Local 121RN, which now represents those workers.

One of the first things the newly formed union will fight is “the unjust layoffs of their colleagues,” it said in a statement.

A Prime Healthcare spokesperson told Healthcare Dive 25 positions were cut. “These Encino positions were not part of front-line care and involved departments such as HR, food services, and lab services,” the system said.

Hospital service workers elsewhere who already have bargaining rights are also bringing attention to what they deem as staffing and safety issues.

In Chicago, workers at Loretto Hospital voted to authorize a strike Thursday. Those workers include patient care technicians, emergency room technicians, mental health staff and dietary and housekeeping staff, according to SEIU Healthcare Illinois, the union that represents them. They’ve been bargaining with hospital management for a new contract since December and plan to go on strike July 20.

Loretto Hospital is a safety-net facility, catering primarily to “Black and Brown West Side communities plagued with disproportionate numbers of COVID illnesses and deaths in recent months,” the union said.

The “Strike For Black Lives” is in response to “management’s failure to bargain in good faith on critical issues impacting the safety and well-being of both workers and patients — including poverty level wages and short staffing,” according to the union.

A Loretto spokesperson told Healthcare Dive the system is hopeful that continuing negotiations will bring an agreement, though it’s “planning as if a strike is eminent and considering the best options to continue to provide healthcare services to our community.”

Meanwhile in Joliet, Illinois, more than 700 nurses at Amita St. Joseph Medical Center went on strike July 4.

The Illinois Nurses Association which represents Amita nurses, cited ongoing concerns about staff and patient safety during the pandemic, namely adequate PPE, nurse-to-patient ratios and sick pay, they want addressed in the next contract. They are currently bargaining for a new one, and said negotiations stalled. The duration of the strike is still unclear.

However, a hospital spokesperson told Healthcare Dive, “Negotiations have been ongoing with proposals and counter proposals exchanged.”

The hospital’s most recent proposal “was not accepted, but negotiations will continue,” the system said.

INA is also upset with Amita’s recruitment of out-of-state nurses to replace striking ones during the COVID-19 pandemic.

It sent a letter to the Illinois Department of Financial and Professional Regulation, asserting the hospital used “emergency permits that are intended only for responding to the pandemic for purposes of aiding the hospital in a labor dispute.”

 

 

 

 

White House goes public with attacks on Fauci

White House goes public with attacks on Fauci

Dr. Anthony Fauci describes his 'very different' relationships ...

Tensions between the White House and Anthony Fauci, the government’s top infectious diseases expert, are spilling into the open as officials openly attack the doctor for his public health advice during the coronavirus pandemic. 

Fauci’s advice has often run contrary to President Trump’s views, and the attacks on Fauci have begun to look like a traditional negative political campaign against an opponent. Yet this time, the opponent is a public health expert and career civil servant working within the administration. 

Dan Scavino, deputy chief of staff for communications, shared a cartoon on his Facebook page late Sunday that depicted Fauci as a faucet flushing the U.S. economy down the drain with overzealous health guidance to slow the spread of the pandemic.

The cartoon, which shows Fauci declaring schools should remain closed and calling for “indefinite lockdowns,” did not accurately portray what Fauci has advised in public.

Adm. Brett Giroir, the administration’s testing czar, downplayed any riff within the White House coronavirus task force before offering some criticism of Fauci.

“I respect Dr. Fauci a lot, but Dr. Fauci is not 100 percent right and he also doesn’t necessarily, and he admits that, have the whole national interest in mind,” Giroir told “Meet the Press” on Sunday. “He looks at it from a very narrow public health point of view.”

There have been tensions between Trump and Fauci throughout the pandemic. The president has repeatedly downplayed the severity of the virus, broken with the advice of his own public health experts and painted rosy but at times misleading pictures of the U.S. response. Fauci, who has served four decades in his current post, has offered blunt talk on the dangers of the pandemic that has directly contradicted the president from time to time.

But the latest criticisms mark a shift as the White House has begun publicly undermining one of the leading public health voices in the administration at a time when multiple states are struggling to get new outbreaks under control.

White House trade adviser Peter Navarro, whom the president tapped to manage the use of the Defense Production Act, said he personally proceeds with caution before heeding Fauci’s advice.

Trump said last week that Fauci is a nice man but that he’s “made a lot of mistakes.”

A White House official this weekend sent media outlets a lengthy list of “mistakes” Fauci has made since the pandemic began, like his comment in March that there is no need for people to wear masks.

That comment came before scientists knew people could spread the virus without showing symptoms, and Fauci, the Centers for Disease Control and Prevention (CDC) and other experts now urge people to use face coverings in public.

Public health experts have leaped to Fauci’s defense on Twitter, noting that Fauci is one of the most respected health experts in the world, having worked for six presidents and researched HIV/AIDS, Ebola, Zika and a variety of other infectious diseases.

“When studies show that, opposite from SARS & MERS, COVID19 is most infectious soon after infection & less infectious later, we recognize asymptomatic transmission and importance of masks,” tweeted Tom Frieden, the former director of the CDC.

“That’s called science, not a mistake. The real, deadly mistake is not listening to science.” 

Ashish Jha, director of the Harvard Global Health Institute, tweeted, “His track record isn’t perfect. It’s just better than anyone else I know. Sidelining Dr. Fauci makes the federal response worse. And it’s the American people who suffer.”

Polls still show the public trusts Fauci more than Trump for accurate information on the virus, with Democrats more likely than Republicans to believe the infectious diseases expert.

White House press secretary Kayleigh McEnany during a “Fox & Friends” interview Monday insisted Fauci’s recommendations were reaching Trump, while saying he represented only “one viewpoint” among many considered by the president.

“The point of the task force is to be a whole of government look at what is best for this country,” McEnany said when asked about the status of the relationship between Trump and Fauci. “Dr. Fauci is one member of a team, but rest assured, his viewpoint is represented and the information gets to the president through the task force.”

Still, Fauci’s public appearances became few and far between as his dire warnings about the state of the pandemic in the U.S. increasingly clashed from more hopeful messages coming from the White House. 

Fauci also told the Financial Times last week that he hadn’t briefed Trump in two months, in which time a growing number of states have experienced significant surges in cases.

Fauci was not present at the White House coronavirus task force media briefing last week, events that have become rarer even as the COVID crisis grows worse.

And while he was a regular on cable news in the early days of the pandemic, his appearances have dwindled, a fact he said last week could be because of his “honesty.” 

While Fauci has warned that the U.S. could hit 100,000 new COVID-19 cases per day if steps aren’t taken to alter the trajectory of the outbreaks, Trump has tied the rise in cases to increased testing. 

While Fauci attributed outbreaks in some states to reopening too quickly after the spring lockdowns, Trump and his top allies have mostly stood by their decision to push governors to jump over checkpoints set by the White House.

Fauci has refuted the president’s claims that the rise in cases is solely tied to increased testing and that 99 percent of cases are “totally harmless.” 

And as Trump touted a falling COVID-19 death rate, which is actually now increasing, Fauci has said the U.S. shouldn’t take comfort in the “false narrative,” noting the disease can cause other severe health outcomes. 

Fauci’s warnings grew more urgent last week when he warned that the U.S. is “facing a serious problem” and the pandemic has become politicized. 

“And you know from experience historically that when you don’t have unanimity in an approach to something, you’re not as effective in how you handle it,” Fauci said in an interview with FiveThirtyEight. “So I think you’d have to make the assumption that if there wasn’t such divisiveness, that we would have a more coordinated approach.”

 

 

 

 

Consumer confidence declines as COVID surges

https://mailchi.mp/86e2f0f0290d/the-weekly-gist-july-10-2020?e=d1e747d2d8

 

Just as consumer confidence was approaching pre-COVID levels in early June, cases began surging in many parts of the country. The graphic below shares highlights from a recent Morning Consult poll, which found reduced consumer confidence in participating in a range of activities, like dining out or going to a mall.

The poll also showed a significant consumer divide based on political affiliation, with Republicans’ confidence levels for many activities being twice that of Democrats. It remains to be seen whether the current surge will result in consumers pulling back on healthcare utilization the way they are beginning to for other activities.

A coalition of healthcare organizations is urging consumers to continue social distancing but “stop medical distancing”—in hopes that the new surge will not lead patients to avoid needed medical care. While cell tower data at thousands of hospital facilities suggest volumes may be stalling again, we anxiously await the latest national data on outpatient visit and elective procedure volumes.

We’d predict the surge will exacerbate consumer discomfort with “waiting” in healthcare settings—urgent care clinics, emergency departments and the like—though we’d expect the reduction in utilization to be less severe and more regionally varied this time around. 

Let us know what you’re seeing!

 

 

 

 

Facing another round of elective surgery shutdowns

https://mailchi.mp/86e2f0f0290d/the-weekly-gist-july-10-2020?e=d1e747d2d8

COVID-19: Hospitals brace for elective surgery shut-downs | New ...

With elective surgery shutdowns hitting health systems in Florida and Texas, providers across the country are thinking through the odds of a second round coming to their markets. While shutting down nonemergent cases in areas truly overwhelmed by the virus may be a necessity, we have been struck by how much better prepared systems are to deal with a second surge.

According to one of our member COOs, the enormous amount that hospitals and doctors have learned about COVID across the past six months, and the operational changes they’ve made to ensure safety (which now feel routine) make systems much better equipped to manage elective cases even if COVID admissions begin to rise.

“We created designated non-COVID facilities, supported by rigorous safety procedures. And we now have a few months of evidence that these changes allow us to manage electives without putting patients or staff at risk,” he said. “Just like none of us are wiping down our groceries with bleach anymore, we’ve learned what is and isn’t essential to create a safe environment in a surgery center.”

But he cautioned that, in their market, supply shortages will likely threaten electives before a local surge of COVID cases. The system recently postponed some procedures when the turnaround time for COVID test results suddenly jumped, and they are once again worried about shortages of PPE.

As we look toward fall, when more surges are likely as kids return to school and the flu season sets in, hospitals must have the resources to manage COVID spikes without shutting down the rest of the system. Many patients with ongoing health needs put their care on hold for much of the spring. If much of healthcare is forced into a second months-long shutdown, the toll from untreated conditions could be enormous.