The issue in this blog post came up at Hochul's briefing yesterday and it was interesting what she said, and did not say, about the various parts of Monday's emergency order. ... empirecenter.org/publications/h…
First, she framed temporarily suspending insurance review of hospital claims as a way of freeing up personnel to pitch in during a staffing shortage, but then says there has been no major shortage so far.
Most of the order focused on easing licensing rules so providers could use practitioners from other states and countries, along with retirees and student nurses.

She did not say that any of those people are being use as of yet ...
On student nurses, for example, she said they "easily could have been and still can be" put to work, suggesting that none has been up to now. ...
She also said that calling up the National Guard, a possibility she floated over the weekend, turned out not to be necessary. ... reuters.com/world/us/new-y…
So how tight is staffing in the state's hospitals and nursing homes? From the data being shared by the state, it's hard to say.

Hochul said 92% of hospital workers statewide had complied with mandate by taking at least one shot, which seemed to leave a 8% shortfall.
But the facility-specific numbers available for hospitals show only the rate of staff who are fully vaccinated, with two shots, making it hard to tell where shortages are most severe. ...
Hochul also could not say how many workers have quit or been fired or suspended because of the mandate.

Not could she say how many workers have been granted religious exemptions, which could be revoked depending on the outcome of a lawsuit. ... bloomberg.com/news/articles/…
The one hard number Hochul did provide seems to have come from GNYHA: that the suspension of insurance utilization review freed up 3,000 workers in downstate hospitals.
That's also the one part of the executive order that has definitely been been put into effect.

Under the order, hospitals can certify that suspending utilization review is necessary to free up staff.

Many (including some with high vax rates) have already done just that.
So it appears that the one concrete thing that came out of Hochul's executive order is this:

Hospitals' billing practices will be exempt from routine oversight for the next 30 days whether or not they actually have a shortage of staff.

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More from @NYHammond

29 Sep
A few points about this accentuate-the-positive update about NY's vaccine mandate:

1) It's good the numbers have improved since the mandate was enacted, but 8% to 11% of staff is a lot of people to lose, especially when staffing was already shorter than normal. (1/x)
2) Statewide averages give the big picture, but of course the rates in individual hospitals and nursing homes vary, meaning that many institutions have lost *more* than 8 to 11% of staff. (2/x)
3) It's hard to identify the most affected institutions because for some reason the state has withheld facility-specific data on staffers with only one dose. Instead, it shows the % of staffers who are fully vaccinated. (3/x)
Read 7 tweets
26 Aug
Team Cuomo had a knack for issuing statements that sounded like they set things straight when actually they further muddied the waters. This is a fine example. ...
Because New York's extraordinarily bad first wave hit before the testing was widely available, the state has an unusually large number of deaths that were not lab-confirmed.

Omitting those thousands of victims made the state's death toll *less* accurate, not more accurate. ...
The proper way to deal with this issue is to report deaths in two categories, which is what NYC has done from the beginning. Team Cuomo has never adequately explained why it did not do that. ...
Read 7 tweets
25 Aug
Good news on the transparency front:

@GovKathyHochul_ added the more complete total of COVID deaths to her daily update — an increase of almost 12,000.

Bad news:

Just today, DOH denied my FOIL for details on this data, including dates and locations. governor.ny.gov/news/governor-…
I should have been more specific in my @nydailynews op-ed. nydailynews.com/opinion/ny-ope…
Correction: @GovKathyHochul
Read 4 tweets
24 Aug
Hochul said two things about FOIL, both of which are weak tea.

No. 1: "I will direct state entities to review their compliance with state transparency laws and provide a public report on their findings."

Huh? ...
She's depending on FOIL-flouting agencies to assess their own conduct?

The real bottleneck in many cases has been the governor's office, which reserved the power to block politically sensitive FOILs. An agency self-assessment can't fix that. ...
No. 2: "I have instructed my counsel to come up with an expedited process to fulfill all FOIL requests as fast as possible and post the completed requests publicly on line."

The problem was not slow-turning wheels. It was Zucker, Cuomo, etc., hitting the brakes. ...
Read 4 tweets
17 Aug
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
Read 11 tweets
17 Aug
Spin and deception are nothing new in Albany, or in politics generally.

In this case, though, the stakes were especially high – involving the deaths of thousands of nursing home residents and an ongoing threat to tens of thousands more. (1/?) empirecenter.org/publications/l…
Team Cuomo not only spread misinformation, but they concealed the readily available data that would have corrected the record.

The effort went on for months. It made broad use of state resources in the governor’s office, the Health Department and elsewhere. ... (2/x)
It enlisted a raft of high-ranking personnel, including the heads of DOH, DFS and SUNY.

It denied the Legislature facts needed to fulfill its constitutional role.

It violated the law, as confirmed by the judge in the Empire Center’s FOIL suit. (3/x) empirecenter.org/nursinghomes/
Read 6 tweets

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