🚨 Hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight, my & @By_CJewett investigation found.

A 🧵 for @KHNews @USATODAY

khn.org/news/article/a…
.@CMSGov urged private accreditors — which almost 90% of hospitals pay for oversight — to do targeted infection-control inspections as covid began to sweep the country last March.

They said no.

usatoday.com/story/news/nat…
Government inspectors went into nearly every nursing home last year, @HealthcareSeema told us.

That the same couldn’t be done for hospitals reveals a problem, she said.

“We didn’t have the authority,” @HealthcareSeema said. “This is something to be corrected.”
Meet Judi Evans -- the soap actress was taken to Riverside Community Hospital after a horseback riding accident last May.

She was wheeled around the hospital maskless and placed feet from a screaming covid patient.

A week into her stay, she says she tested positive for covid.
She left the hospital with over $1 million in bills from a month-long stay — and her legs, thankfully, after she was told they may have to be amputated.

She said she still suffers from long-covid symptoms and is haunted by the screams of fellow patients in the covid ward.
Watch Judi detail her covid struggles here, in a video by the fabulous @heidi_demarco who is also behind the beautifully compassionate visuals:

Riverside holds The Gold Seal of Approval from its private accreditor, the Joint Commission, which last inspected the hospital on-site in May 2018 before going in on Nov. 19 this year.

It also is being sued on behalf of some staff, who called it a "public nuisance."
Data analyzed for @KHNews from April through September of last year shows at Riverside Community Hospital, 4% of the covid Medicare patients were diagnosed after admission — more than double the national average.

At 38 other hospitals, that rate was 5% or higher.
Riverside spokesperson David Maxfield said “Based on contact tracing, outlined by the CDC and other infectious disease experts, there is no evidence to suggest the risk of transmission at our hospital is different than what you would find at other hospitals."
.@By_CJewett previously found at least 10,000 people tested positive for covid in the hospital after being admitted for something else last year in the first story of the series:

usatoday.com/story/news/nat…
We dug in, and found that federal inspectors found infection-control issues at 8 of the 38 hospitals with rates of 5% of higher of covid Medicare patients who tested positive after admission.
We found that even when state inspectors in California assessed hospitals with high rates of covid diagnosed after admission, they identified few shortcomings.
“The American public thinks someone is watching over them,” said Lisa McGiffert of the Patient Safety Action Network

“Generally they think someone’s in charge and going to make sure bad things don’t happen. Our oversight system in our country is so broken and so untrustworthy.”
You can read the whole story below.

Our final piece in the series goes live tomorrow.

khn.org/news/article/a…

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More from @LaurenWeberHP

8 Oct
IMPACT: Five New York state and local government agencies agreed to fix covid-19 vaccine websites to make them accessible for blind users following a @TheJusticeDept investigation spurred by our @KHNews story

W/ the relentless @hannah_recht

Our update: khn.org/news/article/n…
As Bryan Bashin told me amid the vaccine race of the winter, he had appointments slip away twice in the same day while he battled inaccessible websites.

"It’s an awful bit of discrimination, one as stinging as anything I’ve experienced,” Bashin, who is blind, said.
.@AccessBoard @sdpavithran said he knew @thejusticedept had investigations in progress in other states

@AndyDRC , a member of the White House’s COVID-19 Health Equity Task Force, said their report will likely call for an outside evaluation of access issues in the covid response
Read 6 tweets
26 Mar
Kyunghee Lee noticed her doctor's office had moved up a floor when she went to get her usual arthritis shots.

It was the same doctor, same shots, same time.

But it cost 10 times more.

Welcome to the "facility fee."

@KHNews @npratc #BilloftheMonth npr.org/sections/healt…
The increasingly controversial charge — basically a room rental fee — comes without warning

“It’s the same physician office it was, operating in exactly the same way, doing exactly the same services — but the hospital chooses to attach a facility fee to it” @TrishRiley207 said
Facility fees are one reason hospital prices are rising faster than physician prices.

There is some state legislation to combat the rising phenomenon, but it’s difficult to fight powerful hospital lobbyists in a pandemic political climate.
Read 6 tweets
26 Mar
Missourians have driven hours to find vaccines in rural counties. Doses are still slowly being rolled out in a federal long-term care program. Black residents are getting left behind.

Here's what went wrong in Missouri's vaccine rollout.
#moleg @KHNews

khn.org/news/article/m…
If Missouri were on par with the national rate of vaccinations, that would be roughly equivalent to more than 162,000 additional people vaccinated, or almost the entire population of the city of Springfield.

Instead, MO is in the bottom of states for its rocky rollout.
The former director of the St. Louis health department put it simply:

“You get what we pay for."

Our 2020 @AP @KHNews #UnderfundedUnderThreat investigation found that Missouri public health staffing at the state level had fallen 8% from 2010 to 2019, a loss of 106 employees.
Read 15 tweets
24 Mar
Dr. Deborah Birx has joined an air-cleaning company that built its business, in part, on technology that is now banned in California due to health hazards.

At stake? Some of the $193 billion in federal funding to schools.

From @By_CJewett and me:

khn.org/news/article/f…
The company’s own studies show that, in its effort to create the “healthiest indoor environments in North America,” it leveraged something less impressive: the disinfecting power of ozone — a molecule considered hazardous and linked to the onset and worsening of asthma.
In an interview with @KHNews , CEO Joe Urso acknowledged that ActivePure's air cleaners that emit ozone account for 5% of sales, even though its marketing repeatedly claims “no chemicals or ozone.”

"It is very confusing,” he said.
Read 11 tweets
25 Feb
INVESTIGATION: Covid vaccination registration websites at the federal, state and local levels violate disability rights laws, hindering the ability of blind people to sign up for lifesaving vaccine.

Even @CDCgov 's embattled VAMS system is inaccessible.

khn.org/news/article/c…
As @hannah_recht and I found:

🚨 In at least 7 states, blind residents were unable to register for the vaccine without help
🚨 94 covid info and vaccine pages from the states had accessibility issues @webaim found
🚨 Phone alternatives were not available or had too long of lines
When blind people use the internet, they have software called screen readers read the text aloud to them.

If websites are not programmed properly, the software cannot read them aloud -- leaving blind people unable to register for #COVID19 vaccines.
Read 13 tweets
16 Jan
🚨🚨🚨 Black Americans are receiving covid vaccinations at dramatically lower rates than white Americans, according to our new @KHNews data analysis on the rollout

“We are missing the boat on equity” @MarcusPlescia @ASTHO said

From @hannah_recht and me: nbcnews.com/health/health-…
If the rollout were reaching people of all races equally, the shares of people vaccinated whose race is known should loosely align with the demographics of health care workers.

But in every state, Black Americans were significantly underrepresented among people vaccinated
Meanwhile, Black, Hispanic and Native Americans are dying from Covid at nearly three times the rate of white Americans, according to @CDCgov .

And Black and Asian health care workers are more likely to contract Covid and to die from it than white workers.
Read 12 tweets

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