👀 I’d love to understand why the federal government will no longer require hospitals to report the daily number of #COVID19 deaths as of February 2nd

Cc @HHS_Spox @HHS_ASH @hhs @Cyrusshahpar46
IMHO, in-hospital #COVID19 deaths is “a surveillance indicator for U.S. health care system stress, capacity, capability, and/or patient safety”

But what do I know? I’m just a health data scientist that’s developed national healthcare quality metrics

hhs.gov/sites/default/…
There’s no other source of daily in-hospital #COVID19 deaths at the state/national level. All other data sources are derivatives of *this* specific field. This field is *not* found in any other publicly available dataset. This field is used to estimate total COVID deaths + more
Closed replies because I just realized that I @‘ed the wrong HHS, and now I feel terrible for flooding their mentions with replies to this thread. Sorry!
I, for one, care to know if certain policies— like shorter isolation periods for #COVID19 (+) hospital staff— are associated with higher-than-expected in-hospital deaths.

Without this HHS data, we won't know be able to detect a problem until it's too late (several weeks later)
I, for one, care to have a secondary data source that can be used to double-check #COVID19 deaths reported by states with a 20-month track record of unscrupulous policies and questionable data management
When patients are taken off life support in a hospital, they're reported as an in-hospital death and we learn about it within a few days. After Feb 2, we won't know about it for weeks— if at all b/c cause of death on death certificates are subject to social and political pressure
For those putting their faith in death certificate data but have never filled out a death certificate: "After overwhelming the nation’s health care system, the coronavirus evaded its antiquated, decentralized system of investigating and recording deaths."

usatoday.com/in-depth/news/…

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More from @DataDrivenMD

14 Jan
Maybe it’s because the California press keeps fawning over every politician’s announcement about plans to do something about it instead of holding them accountable for, you know, doing something about it
If I had a dollar for every breathless article about *plans* for testing, vaccinations, masks, vaccination mandates, mask mandates, etc— and another dollar for every time those plans fall through or are modified to the point of being useless— I’d be a millionaire by now
I stopped tuning into press conferences for metro areas in California because they’re all the same: a monologue of political talking points based on cherry-picked data followed by softball questions
Read 5 tweets
13 Jan
SCOTUS agrees with the talking points that @WHCOS keeps pushing via social media
SCOTUS agrees with the facts that doctors and public health experts keep presenting via social media
For those wondering what I mean by SCOTUS agreeing with WHCOS’s talking points: here are a few examples from his timeline. He’s been tweeting COVID-minimizing & economy-hyping tweets for months. (1/2)
Read 6 tweets
12 Jan
I disagree w/ the CDC Director’s upshot because the data doesn’t allow for an apple-to-apples comparison. The study acknowledges this limitation, but the Director seems to have skimmed over the footnotes in the supplementary data ImageImageImage
Cringe #IYKYK Image
Make this make sense: the study is trying to compare clinical severity (e.g. hospitalization rates) of Delta vs. Omicron by using a proxy marker (SGTF)...but SGTF data is collected from hospitalized patients a third as often as it is for non-hospitalized patients 🤦🏻‍♂️ Image
Read 8 tweets
12 Jan
There's a joke about shitty data or polishing a data turd somewhere in here...
If they want to latch onto the one piece of data that reinforces political talking points, by all means: polish that data turd Image
Wastewater and clinical data for the Northeast region (as a whole) is still trending up Image
Read 4 tweets
10 Jan
🧵/ I just spoke with two journalists about data that shows how the U.S. healthcare system is collapsing before our eyes. The million dollar question during both interviews was, “What else could we be doing right now?” The answer: flatten the *hospitalization* curve. Now.
2/ Hospital staffing never fully recovered from the Delta variant surge. We can’t keep cutting bed capacity because we’re now in the Omicron surge.
3/ The CDC’s ill-advised abbreviation of #COVID19 isolation for healthcare workers has done more harm than good

#MedTwitter
Read 11 tweets
10 Jan
🧵/ I really appreciate @caitlinnowens’s summary of the federal COVID response under Pres. Biden. There are a few observations I’d like to highlight in a short thread, here.
2/ Several long-time health policy advisers to the Biden team are distancing themselves from the COVID-19 response. This is a continuation of a trend that began with a series of opinion essays published last week.
3/ Some of the advisers who are distancing themselves from CDC policies are simultaneously defending the CDC Director— this is an untenable position. It will be interesting to see how long these advisers are able to walk that tightrope, and which side they ultimately favor.
Read 10 tweets

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