Editorial Staff

Study Calls for Better Reporting on Impact of COVID-19 in Eldercare Facilities

/in , , , , , , , /by Editorial Staff
Share on Facebook
Share on Twitter
Share on
LinkedIn
+

State has made improvements, but more needed

BOSTON – Over time, the Massachusetts Executive Office of Health and Human Services and Department of Public Health (DPH) have improved reporting about cases and deaths from COVID-19 in state-regulated eldercare facilities, but flaws and omissions remain and should be corrected, according to a new study published by Pioneer Institute.

“High mortality rates in Massachusetts eldercare facilities during the pandemic make the availability of clear and complete information on cases and deaths in each of these facilities vitally important,” said Barbara Anthony, co-author of A Brighter COVID Dashboard: State Should Cut Confusion And Clarify All Eldercare Cases and Deaths.

Failure to include all eldercare facilities

The “interactive data dashboard” published by DPH is the most prominent feature on the COVID-19 Response Reporting page of Mass.gov.  Its “Higher Ed and LTCF” section used to report total cases and deaths for long-term care facilities, which include nursing homes, rest homes and skilled nursing facilities.

Beginning in December 2020, Pioneer pointed out that the section excluded cases and deaths in assisted living facilities (ALFs), and that the dashboard should include those numbers in order to encompass the full range of state-regulated eldercare.  According to an April 2020 WBUR report, the more than 250 ALFs in Massachusetts had 16,500 residents, or around 40 percent of the 38,000 who live in nursing homes and 3,000 in rest homes.

In its April 15 dashboard, DPH continued to exclude ALFs, and in addition stopped including the number of COVID-19 deaths in nursing homes, rest homes and skilled nursing facilities, collectively long-term care facilities (LTCFs).  Instead, it included a reference to a sub-section of the COVID-19 “Response Reporting” page, which in turn contains links to complex spreadsheets with hundreds of rows of data.

Conflicting standards produce differing totals

Immediately before the April 15 change, the dashboard reported more than 9,000 total deaths in LTCFs alone, not including ALFs.  (There have been over 17,000 COVID-19 deaths statewide.)

However, the state recently eliminated that 9,000-plus figure, and a separate state report cites a total of 6,224 eldercare deaths including those in ALFs – a huge reduction.  The state explains that this far lower number is based upon a long-term care-specific Centers for Disease Control and Prevention (CDC) standard that excludes those who recovered from COVID prior to their death (presumably from another cause).

The state should clarify precisely how those many deaths have been excluded from the relevant total, to assure public confidence in the reduction at issue.

Also, the thousands of deaths that have been removed from the calculation of total eldercare deaths appear to remain in the state’s calculation of overall COVID-19 deaths, which – though information is scarce – appears to be based on a more expansive counting methodology.  The state’s presentation of different totals using different methodologies obscures an important metric:  the proportion of eldercare deaths to overall deaths.

“The report identifies information the state should provide to clarify how it is calculating eldercare deaths, and deaths overall, due to COVID-19,” said David Clancy, who co-authored the Pioneer report.  “The public has a right to clear answers about the number of COVID-19 deaths associated with state-regulated eldercare facilities, and how that total relates to the number of overall COVID-19 deaths in the state.”

The COVID-19 Weekly Public Health Report

A section of this DPH report shows the total number of cases and deaths at each LTCF.  Until April 15, the section only reported total cases in opaque ranges.  The highest was “>30,” even though some facilities have had more than 200 cases.

In accordance with Pioneer recommendations, the section now reports the actual number of total cases, and also provides the number of cases and deaths over the last 14 days.

“This change provides information that is helpful to those trying to decide among long-term care facilities for themselves or a family member,” said Pioneer Executive Director Jim Stergios.

The Weekly Public Health Report also has a companion section for ALFs. Unfortunately, DPH did not change that section to include recent case counts and exact total case counts.

In addition, the ALF section reports no information on deaths, even though hundreds have died at these facilities.

The reporting flaws identified in the report can be readily remedied by administrative or legislative action.

About the Authors

Barbara Anthony, lawyer, economist, and public policy expert, is a Senior Fellow in Healthcare Policy at the Pioneer Institute. She was also a former Senior Fellow and Associate at the Harvard Kennedy School’s Center for Business and Government where she researched and wrote about Massachusetts market reform and healthcare cost containment efforts. She served as Massachusetts Undersecretary of the Office of Consumer Affairs and Business Regulation from 2009 to 2015.  Among other positions, Anthony served as the Director of the Northeast Regional Office of the Federal Trade Commission in Manhattan, and was a top deputy to the Massachusetts Attorney General. She began her career as an Antitrust Trial Attorney at the U.S. Justice Department in Washington, D.C. Anthony is a well-known consumer advocate and regularly appears as a media commentator on consumer protection and business regulation issues.

David S. Clancy, a resident of Concord, Massachusetts, is a partner in the law firm Clancy & Shine LLC, which focuses on civil disputes. Mr. Clancy was previously a partner at an international law firm, from which he retired after a 20-year career, also practicing civil litigation. Among other professional activities, Mr. Clancy served three terms on the Board of Editors of the Boston Bar Journal, and has published multiple articles in that and other legal publications.

About Pioneer

Pioneer’s mission is to develop and communicate dynamic ideas that advance prosperity and a vibrant civic life in Massachusetts and beyond.

Pioneer’s vision of success is a state and nation where our people can prosper and our society thrive because we enjoy world-class options in education, healthcare, transportation and economic opportunity, and where our government is limited, accountable and transparent.

Pioneer values an America where our citizenry is well-educated and willing to test our beliefs based on facts and the free exchange of ideas, and committed to liberty, personal responsibility, and free enterprise.

Get Our COVID-19 News, Tips & Resources!

Related Content:

Introducing the Newest Members of Pioneer Institute’s Board of Directors

New Members: Michael Brown Since joining Battery Ventures…

Residents Rescuing Refugees: Welcoming Ukrainians Yearning To Breathe Free

0 Comments
/
Host Joe Selvaggi talks with George Mason Law Professor, author, and immigration expert Ilya Somin about the newly announced Welcome Corps program which empowers Americans to sponsor and help relocate refugees from Ukraine and other places of war and persecution.

Pioneer Institute Mourns the Passing of Tom Birmingham

We at Pioneer Institute mourn the loss of Tom Birmingham even as we are thankful for having had the opportunity to get to know this kind and brilliant man when in office and later, when he spent several years as Pioneer’s distinguished senior fellow in education.

Pulitzer Winner Prof. David Garrow on the Rev. Dr. Martin Luther King, Jr. and the Civil Rights Movement

0 Comments
/
https://www.podtrac.com/pts/redirect.mp3/chtbl.com/track/G45992/mp3.ricochet.com/2023/01/TLC_DavidGarrow.mp3 This…

Sinking U.S. Shipping: Ineffective Law Creates Waves for American Economy

Host Joe Selvaggi talks with Cato Institute research fellow Colin Grabow about the failure of the Jones Act, a law that sought to protect the U.S. shipbuilding and merchant marine capacity. They examine its downstream effects on inflation, supply chain fragility, and energy access that directly affect every American.

First-of-Its-Kind Interactive Mapping Tool Reveals Extent of For-Profit Entities Benefitting from the 340B Drug Pricing Program

Today, Pioneer Institute released a first-of-its-kind, 50-state mapping tool and database highlighting the troubling way in which hospitals and covered entities leverage unlimited pharmacy contracts under the 340B Drug Pricing Program.

Independent Institute’s Dr. Richard Vedder on Higher Education, Skyrocketing Tuitions, & the Student Debt Crisis

This week on “The Learning Curve," co-hosts Cara Candal and Gerard Robinson talk with Dr. Richard Vedder, Senior Fellow at the Independent Institute and Distinguished Emeritus Professor of Economics at Ohio University. He shares analysis on the macro impact of COVID on the U.S. labor market, and the long-term economic prospects of American college students. He reviews insights from his recent book, "Restoring the Promise: Higher Education in America."

Shopping Hospital Value: Price Transparency Mandate Brings Market Forces to Medicine

Hubwonk host Joe Selvaggi talks with Pioneer Institute's senior healthcare fellow Barbara Anthony about her recently released paper, Massachusetts Hospitals: Uneven Compliance with New Federal Price Transparency Law, and how price transparency can empower consumers to shop for better value and encourage hospitals to offer more competitive costs.

Columbia’s Prof. Roosevelt Montás on the Great Books & a Liberal Arts Education

This week on “The Learning Curve," co-hosts Cara Candal and Gerard Robinson talk with Professor Roosevelt Montás, Director of the Freedom and Citizenship Program at Columbia University, and author of the book, Rescuing Socrates: How the Great Books Changed My Life and Why They Matter for a New Generation. Professor Montás shares his background as an immigrant from the Dominican Republic who attended Columbia, and what inspired his appreciation for the Great Books tradition.

Immigration Unbound: After Title 42 Comes the Deluge

Hubwonk host Joe Selvaggi talks with Todd Bensman, senior fellow at the Center For Immigration Studies, about the conditions for aspiring immigrants and border security officials at the U.S.-Mexico border and the likely effects of the expiration of Title 42, a policy that had denied asylum claims during Covid-19.

Happy Holidays

During this festive season, we want to wish you and your loved ones a joyous holiday and happy New Year.

Pioneer Commends MA Governor-elect Healey’s Step Toward Greater Transparency

Pioneer Institute commends Governor-elect Maura Healey for choosing not to claim a public records exemption for the governor’s office. Governor-elect Healey also pledged to support legislation that would curb exemptions claimed by the legislative and judiciary branches of state government.