Bill Hammond Profile picture
Aug 17, 2021 11 tweets 4 min read Read on X
The NYS Health Dept's July 2020 report on COVID in nursing homes was already discredited for understating the number of resident deaths.

But it includes another error I hadn't noticed or heard about before, and it's kind of a big deal.🧵empirecenter.org/publications/l…
As you can in the two screen shots below, the text of the report says the *number of staff* reporting symptoms peaked on 3/16/20.

But the accompanying chart says something different -- that what peaked on 3/16 was the *number of homes* reporting a 1st symptomatic staff member. Image
A separate chart shows that about 2X more staff infections were reported in April than in March. It doesn't give an exact date for the peak, but it's seems likely that it's in April. empirecenter.org/wp-content/upl… Image
Why is this big deal? Because the report's central argument is based on the timing of three trends -- in staff infections, residents deaths, and transfers of COVID-positive patients from hospitals.
Because the peak in COVID-positive transfers (4/14) came after the peak in resident deaths (4/8), DOH asserts that transfers *could not be* the explanation for resident deaths. Image
On the other hand, what it describes as the peak in staff illness (3/16) comes 23 days before the peak in residents deaths (4/8) -- which it notes is consistent with how long it typically takes for COVID to become fatal. Image
But Figure 4 does not actually show that the number of staff infections peaked on 3/16. That's the peak of something else entirely: the number of facilities reporting a first infection. Image
Meanwhile, the report does not share enough data to know precisely when staff infections really did peak, but does make clear that they probably peaked in April and possibly after the peak of resident deaths on April 8. Image
By the report's own logic, then, this would seem to *rule out* staff infections as an explanation for resident deaths.

That's an absurd conclusion -- but so, too, is the report's argument for ruling out hospital transfers.
One of the @empirecenter's 62 FOIL requests for pandemic data seeks the details that would clarify the precise peak of nursing home staff illness.

DOH recently delayed responding because it was conducting a "diligent search" for the data. empirecenter.org/publications/e…
The DOH also low-balled the number of resident deaths, which was bad faith, but did affect its conclusions.

Basing an argument on misrepresented evidence, while withholding what the evidence actually says, is the bigger deal.

Read more here: empirecenter.org/publications/l…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Bill Hammond

Bill Hammond Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @NYHammond

May 10, 2022
Setting aside the merits of these actions, why is Hochul bypassing constitutional procedures for spending the public's money? You know, like in Schoolhouse Rock?

governor.ny.gov/news/governor-…
Article VII, Section 7: "No money shall ever be paid out of the state treasury or any of its funds, or any of the funds under its management, except in pursuance of an
appropriation by law." nysenate.gov/sites/default/…
Hochul said she's drawing from an "emergency fund" at the Health Department. Allowing the commissioner to flex emergency power based on a court ruling that may or may not be issued at some future date is quite a stretch.
Read 9 tweets
Apr 12, 2022
This story, which will surely spark a bunch of debate, leaves big questions unaddressed.

1. Is either of them infertile in the medical sense?

Presumably not, or IVF wouldn't help. So they're asking the health plan to cover a non-medical issue.

nytimes.com/2022/04/12/nyr…
2. Where is the egg coming from?

Presumably an unrelated donor. So they're asking for coverage of a procedure involving someone who is not on their policy.
3. If they have a donor, why not use artificial insemination, which is less risky and expensive?

My understanding is that gay couples avoid this, because the biological mother would retain parental rights that can't be signed away by contract.
Read 9 tweets
Apr 7, 2022
Two years into the pandemic, there is still no evident correlation between staffing levels and COVID mortality rates in NY nursing homes.

A link identified by the AG's office in January 2021 disappeared when more complete data became available. empirecenter.org/publications/p… Image
Homes with the worst CMS staff rating of one star also saw the lowest death rate, while three-star homes have the highest.

Richer staffing may improve care in other ways, but it has not seemed to affect COVID risk.
The relationship between COVID risk and nursing home ownership was also inconsistent.

Downstate mortality rates:
For-profit, 15.3%
Government-owned, 14.6%
Not-for-profit, 16.5%

Upstate mortality rates:
For-profit, 15.7%
Government-owned, 6.0%
Not-for-profit, 12.2%
Read 4 tweets
Mar 31, 2022
This @nytopinion essay repeats a lot of misinformation about the home health workforce in New York. Here are five examples. 🧵nytimes.com/2022/03/30/opi…
"Many of us want to age at home. But that option is fading fast."

Home care is more common than ever in New York and growing at an explosive rate. empirecenter.org/publications/t…
"But New York’s home care labor shortage, currently the worst in the nation, has made it hard for her to get help."

This claim comes from a 4-year-old study about a *projected* shortage, not a current one. ...
Read 8 tweets
Mar 19, 2022
Some quibbles with this timeline.

First, it seems to be based on what was known at the time rather than the historic record.

For example, nursing home mortality data obtained by the @empirecenter shows 11 COVID deaths before March 10 (one confirmed, 10 presumed).
The first known COVID death in a New York nursing home (and possible in the whole state) was a resident of the Island Nursing and Rehab Center in Holstville, L.I., on March 2, 2020.
The first confirmed nursing home death was a resident of the Harbor View Home for Adults in Brooklyn on March 4.
Read 8 tweets
Mar 16, 2022
From the DOH response:

"The scope of health data that was released to the public by the prior Administration was determined by that Executive Chamber, not Department personnel, and any Department-issued data was accurately described."

Not so fast. osc.state.ny.us/files/state-ag…
Among the officials who inaccurately described COVID data and spread other misinformation was former former Commissioner Howard Zucker.
empirecenter.org/publications/l…
Meanwhile, the infamous July 2020 report on the nursing home outbreak, which is replete with inaccurate data, is still posted on the DOH website. health.ny.gov/press/releases…
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(