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!

  • This field is for validation purposes and should be left unchanged.

Related Content:

Ascending Justice: Where Judge Ketanji Brown Jackson Will Fit in New Court

Hubwonk host Joe Selvaggi talks with constitutional scholar Ilya Shapiro about Judge Ketanji Brown Jackson’s nomination hearings and what her background and responses reveal about her views on the Constitution, the role of the Supreme Court, and her likely judicial positions relative to her fellow justices.

Roger Magalhaes Goes from Truck Driver to Industry Leader

This week on JobMakers, host Denzil Mohammed talks with Roger Magalhaes, immigrant from Brazil and founder of the firms Shades in Place window treatment installation and Trading Up Consulting, in Franklin, Massachusetts.

Yale’s Pulitzer-Winning Prof. John Lewis Gaddis on Cold War Lessons for Russia’s Hot War in Ukraine

This week on “The Learning Curve," co-host Cara Candal talks with John Lewis Gaddis, the Robert A. Lovett Professor of Military and Naval History at Yale University, and the Pulitzer Prize-winning author of George F. Kennan: An American Life. He shares some of the wider background knowledge, major historical themes, and key events that today's students should know about the Cold War and its impact.

Study Finds Continued Growth in Education Tax-Credit Scholarship Programs

Education tax credits grew increasingly popular in 2021, with four more states enacting programs.  There are now 28 tax-credit scholarship (TCS) programs in 23 states, and they serve more than 325,000 students, according to a new study published by Pioneer Institute.

Exploiting Charity Drugs: Hospital Program Earns Billions But Forgets Mission

Hubwonk host Joe Selvaggi talks with Pioneer Institute’s Dr. Bill Smith about his recently released paper entitled, "340B Drug Discounts, An Increasingly Dysfunctional Federal Program," which analyzes the evolution of a well-intentioned program to offer discounted drugs to the uninsured from a benefit that had helped charitable hospitals to one that has exploded to generate billions in profits while serving fewer uninsured.

Attorney – PioneerLegal

PioneerLegal is hiring an attorney to work on cases at every stage of the litigation process, from trial to appeals in state and federal court, and prepare amicus briefs for the U.S. Supreme Court (where Pioneer Institute already has a winning track record) and the highest appellate courts throughout New England.  This role will perform legal and factual research to identify litigation opportunities that align with our mission, developing case proposals for our litigation intake review process. 

NYU’s Dr. Arthur Levine on Higher Education’s Future & Improving K-12 Teacher Preparation

0 Comments
/
This week on “The Learning Curve," co-hosts Cara Candal and Gerard Robinson talk with Dr. Arthur Levine, a scholar with New York University's Steinhardt Institute for Higher Education Policy, a senior fellow and president emeritus of the Woodrow Wilson National Fellowship Foundation, and president emeritus of Columbia University's Teachers College. He shares the main findings and recommendations of a new book he recently co-authored, The Great Upheaval: Higher Education’s Past, Present, and Uncertain Future.

Rent Control Redux: Mayor’s Committee Likely to Provide Astroturf Over Expertise

Hubwonk host Joe Selvaggi talks with Doug Quatrocchi, executive director of Masslandlords.net about the historical effects of rent control in Boston and Cambridge in the past and discuss the gap between the stated goals and the likely outcome of Boston Mayor Wu’s 25 member Rent Stabilization Advisory Committee.

Massachusetts Hospitals Pull Back on Charity Care as Revenue from Federal 340B Drug Discount Program Explodes

Over the past decade, the revenue for hospitals generated by the federal 340B drug discount program, initially intended to serve low-income, uninsured populations, has exploded even while a number of important Massachusetts hospitals have reduced the level of charity care they provide, according to a new study published by Pioneer Institute. The Pioneer Institute study, “340B Drug Discounts: An Increasingly Dysfunctional Program,” notes that nationwide, 340B drug sales rose from $9 billion in 2014 to $38 billion in 2020.

Avak Kahvejian on How Immigrants Drive Innovation

This week on JobMakers, host Denzil Mohammed talks with Dr. Avak Kahvejian, an inventor, entrepreneur and CEO as well as general partner at Flagship Pioneering, a life sciences venture capital company in Cambridge, Massachusetts.

UK’s Charles Moore on Lady Margaret Thatcher & Cold War Leadership

This week on “The Learning Curve," co-hosts Cara Candal and Gerard Robinson talk with Charles Moore, a columnist for The Daily Telegraph and The Spectator, and the authorized, three-volume biographer of Lady Margaret Thatcher. Lord Moore explains why Lady Thatcher is considered the most important female political figure of the 20th century, and reviews the challenges she faced at home and abroad.

Ich Bin Ukrainer: European Nation Existential Fight Against Aggression

Hubwonk host Joe Selvaggi talks with former CEO of Kyiv Post and senior fellow at the Institute for the Study of War Nataliya Bugayova about her research on the rise of Vladimir Putin and how it can inform understanding of the Russian invasion, particularly when viewed through the eyes of Ukrainians.