Showing posts with label Patients. Show all posts
Showing posts with label Patients. Show all posts

Wednesday, May 27, 2020

Fire through dry grass; Governor Cuomo's directive sent 4,500 coronavirus patients to nursing homes and gave immunity to them stemming from the industriy's donations to his last re-election campaign

 AP

 More than 4,500 recovering coronavirus patients were sent to New York’s already vulnerable nursing homes under a controversial state directive that was ultimately scrapped amid criticisms it was accelerating the nation’s deadliest outbreaks, according to a count by The Associated Press.

AP compiled its own tally to find out how many COVID-19 patients were discharged from hospitals to nursing homes under the March 25 directive after New York’s Health Department declined to release its internal survey conducted two weeks ago. It says it is still verifying data that was incomplete.

Whatever the full number, nursing home administrators, residents’ advocates and relatives say it has added up to a big and indefensible problem for facilities that even Gov. Andrew Cuomo — the main proponent of the policy — called “the optimum feeding ground for this virus.” 

“It was the single dumbest decision anyone could make if they wanted to kill people,” Daniel Arbeeny said of the directive, which prompted him to pull his 88-year-old father out of a Brooklyn nursing home where more than 50 people have died. His father later died of COVID-19 at home.

“This isn’t rocket science,” Arbeeny said. “We knew the most vulnerable -- the elderly and compromised -- are in nursing homes and rehab centers.”

Told of the AP’s tally, the Health Department said late Thursday it “can’t comment on data we haven’t had a chance to review, particularly while we’re still validating our own comprehensive survey of nursing homes admission and re-admission data in the middle of responding to this global pandemic.”

Cuomo, a Democrat, on May 10 reversed the directive, which had been intended to help free up hospital beds for the sickest patients as cases surged. But he continued to defend it this week, saying he didn’t believe it contributed to the more than 5,800 nursing and adult care facility deaths in New York — more than in any other state — and that homes should have spoken up if it was a problem.

“Any nursing home could just say, ‘I can’t handle a COVID person in my facility,’” he said, although the March 25 order didn’t specify how homes could refuse, saying that ”no resident shall be denied re-admission or admission to the (nursing home) solely based” on confirmed or suspected COVID-19.

Over a month later, on April 29, the Health Department clarified that homes should not take any new residents if they were unable to meet their needs, including a checklist of standards for coronavirus care and prevention. 

Remember, Andrew Cuomo named this directive after his mother.

A directive influenced by a profit-driven health and hospice care industrial consortium that gave Cuomo millions to his last re-election campaign:

TMI

As Governor Andrew Cuomo faced a spirited challenge in his bid to win New York’s 2018 Democratic primary, his political apparatus got a last-minute boost: a powerful health care industry group suddenly poured more than $1 million into a Democratic committee backing his campaign. 

Less than two years after that flood of cash from the Greater New York Hospital Association (GNYHA), Cuomo signed legislation last month quietly shielding hospital and nursing-home executives from the threat of lawsuits stemming from the coronavirus outbreak. The provision, inserted into an annual budget bill by Cuomo’s aides, created one of the nation’s most explicit immunity protections for health care industry officials, according to legal experts. 

Critics say Cuomo removed a key deterrent against nursing home and hospital corporations cutting corners in ways that jeopardize lives. As those critics now try to repeal the provision during this final week of Albany’s legislative session, they assert that data prove such immunity is correlating to higher nursing-home death rates during the pandemic — both in New York and in other states enacting similar immunity policies.

New York has become one of the globe’s major pandemic hot spots — and the epicenter of the state’s outbreak has been nursing homes, where more than five thousand New Yorkers have died, according to Associated Press data. 

Those deaths have occurred as Cuomo’s critics say he has taken a hands-off approach to regulating the health care industry interests that helped bankroll his election campaign. In March, Cuomo’s administration issued an order that allowed nursing homes to readmit sick patients without testing them for COVID-19. Amid allegations of undercounted casualties, the governor also pushed back against pressure to have state regulators more stringently record and report death rates in nursing homes. 

And then came Cuomo’s annual budget — which included a little-noticed passage shielding corporate officials who run New York hospitals, nursing homes, and other health care facilities from liability for COVID-related deaths and injuries. 

GNYHA — a lobbying group for hospital systems, including some that own nursing homes — said it “drafted and aggressively advocated for” the immunity provision. The new law declares that top officials at hospital and nursing-home companies “shall have immunity from any liability, civil or criminal, for any harm or damages alleged to have been sustained as a result of an act or omission in the course of arranging for or providing health care services” to address the COVID outbreak. 

Prior to the budget language, Cuomo had already temporarily granted limited legal immunity to doctors and nurses serving on the medical front lines. But the carefully sculpted passage buried in the state’s annual spending bill expanded that by offering extensive immunity to any “health care facility administrator, executive, supervisor, board member, trustee or other person responsible for directing, supervising or managing a health care facility and its personnel or other individual in a comparable role.”

New York is now one of just two states to shield those corporate officials from both civil lawsuits and some forms of criminal prosecution by the government, according to an analysis by Syracuse University law professor Nina Kohn and the University of Houston’s Jessica L. Roberts. 

“New York is an outlier and has the most explicit and sweeping immunity language,” Kohn said.

Saturday, April 25, 2020

The U.S. Comfort and Jacob Javits triage hospital went to waste


 https://navylive.dodlive.mil/files/2020/03/Comfort2.jpg

NY Post

New York health officials were warned in writing that a Brooklyn nursing home where 55 patients have died of coronavirus was overwhelmed — weeks before it began topping the state’s official list of resident COVID-19 deaths, damning emails show.


Cobble Hill Health Center CEO Donny Tuchman sent a desperate email to state Health Department officials on April 9, asking if there was “a way for us to send our suspected covid patients” to the hospital built inside the Javits Convention Center or the US Naval hospital ship Comfort — the under-utilized federal medical facilities on Manhattan’s West Side.


“We don’t have the ability to cohort right now based on staffing and we really want to protect our other patients,” Tuchman wrote in a chain of the emails reviewed by The Post.
 
He was denied.

“I was told those facilities were only for hospitals” to send their overflow patients, Tuchman said.
At the time Tuchman sent his plea, only 134 of the 1,000 beds at the Javits Center were full and the Comfort — which had just been reconfigured to treat up to 500 COVID-19 patients — had a mere 62 on board.

Adding insult to injury, the Navy hospital ship wound up treating just 179 patients before Gov. Cuomo on Tuesday said it was no longer needed.

So I ask again, but to #PresidentCuomo and the New York State Dept. Of Health and not when but why haven't they. Although Javits was available and had plenty of beds.


https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAm-07LG3splEbon0EPw88omcQN1lIuYlpxwUEu70gfELU-JLzx23spvQdU9Mt9aUQJNHIL3hOobIIOkjhfzub2DYyUsFKixSb0hVd5fhyNH5vrJqlyX9gnpK-fPTOwotEqbqHj7jGOrs/s640/Screenshot_2020-04-16+JQ+LLC+Impunity+City+on+Twitter+When+the+fuck+is+the+city+going+to+open+these+other+triaged+hospitals%255B...%255D.png

Update: We should all ask FEMA, the Department of Defense and the President too, looks like Javits went to waste as well.

Gothamist

The federal government is moving forward with plans to shutter the little-used field hospital inside the Javits Center, as the rate of COVID-19 hospitalizations in New York continues to decline. The USNS Comfort, also practically empty, is expected to soon depart as well, President Donald Trump announced earlier this week.

"We are encouraged by the data which suggest the curve is flattening in New York and we are working with the city and state to begin the strategic drawdown of resources," a spokesperson for the Federal Emergency Management Agency told Gothamist on Friday.

The spokesperson said there was no set date for either closure. But according to a FEMA official who spoke with ABC News, the Navy ship will leave New York as soon as April 30th. The Javits Center is slated to close on April 30th, according to the unnamed official.


The two facilities have treated 1,100 patients in total, and never came close to approaching their full capacity. As of Friday, just 32 patients were receiving care aboard the Comfort, which has space for 1,000 people, the FEMA spokesperson said. Of the 2,500 beds inside the Javits Center reserved for COVID-19 patients, only 141 were full.

Hospital workers have previously complained about the strict intake procedures at the two Department of Defense facilities, pointing to a 25-point checklist that excluded many would-be patients from being transferred from overrun hospitals, according to the Post.




Saturday, April 11, 2020

Nursing home patients are gravely forgotten as the coronavirus curve "flattens"


https://www.fairviewrehab.com/wp-content/uploads/2017/06/Fairview-Rehab-and-Nursing-Home-aerial1-e1500310350589.jpg

Gothamist

On Monday morning, at a private nursing home in Queens, a registered nurse arrived for what she thought would be a job interview. She found more than a dozen prospective applicants, all of them responding to the same urgent, unsolicited text message from the Fairview Rehab & Nursing Home. 

They were whisked through a brief training session and hired on the spot.

The nurse leading the orientation, who’d started at the facility only three days earlier, explained that much of Fairview’s regular staff and management are out sick with COVID-19. There are more than forty residents for every nurse, she said, before asking who in the group could begin a double shift immediately.

The situation inside disturbed even battle-hardened medical professionals. According to multiple healthcare workers who spoke to Gothamist this week, a majority of the 200 residents at Fairview are suffering from acute pressure ulcers — gaping sores on their shoulders or elbows or pelvic bones, indicating they haven’t been turned over in days.

One nurse was so horrified by what she saw she began taking detailed notes of her shifts, which she shared with Gothamist. Her accounts, relayed here, were confirmed by multiple staff members at Fairview. (We’ve agreed to withhold the names of some of the healthcare workers, because they were not authorized to speak to the press.)

“They’re slumped over in bed, just laying there rotting,” said one nurse. Another staff member, reached by phone mid-shift, said she wasn’t sure who was in charge at Fairview anymore. “It’s crazy in here right now,” she said. “Everything you’re hearing is true.”

Left unsupervised, some of the new personnel roamed the five-story building, finding shortages of gloves, hand sanitizer, stethoscopes and, most concerningly, medication. When they can’t locate a certain pill, they’re told to note that a resident refused it, rather than record it as out of stock, according to two of the employees.

Tests for COVID-19 are hard to come by at nursing homes across New York, and while nurses say they were told of at least one positive patient at Fairview, it’s not clear who else may be infected. Many of Fairview’s residents are in need of medical care typically offered at hospitals, employees said.

Some nursing assistants, newly out of school and certified through an emergency federal waiver, are given high-level tasks. One of them is observed inserting a nasal oxygen cannula upside down. The potentially deadly error is caught in time, but not before sending the elderly resident into a gasping fit of hypoxia.

By the end of their first shift, multiple newly-hired workers had quit, citing fear of being named in an inevitable malpractice suit.

“I don't think anyone is going in there and getting better,” said one nurse. “They’re in there getting worse.”

Repeated inquires to Fairview were not returned.

Press Republican 

New York's biggest concentration of COVID-19 deaths has come at state-licensed nursing homes — though the state has so far opted to keep a lid on the identity of the specific facilities.

A total of 860 New Yorkers have died from the virus at nursing homes since the pandemic reached the state five weeks ago, according to new state data.

And while the Cuomo administration in recent days enhanced the amount of data it makes available to the public regarding virus infections, the state Department of Health is so refraining from identifying the specific nursing homes where the contagion has taken lives.

The tally of infections at nursing homes and prisons — both representing places where scores of people live in close quarters — is growing daily, just as the state's overall death toll is also mounting.

Total statewide deaths so far stood at 5,489 Tuesday, April 8, up 731 in one day — the highest number of fatalities since the first death last month.

However, late Tuesday, New York City officials said it counted 806 fatalities alone in the city's five boroughs over the previous 24 hours, portending another alarming increase in deaths when the statewide data is updated Wednesday.

Though state officials imposed bans on visits to nursing home patients to curb the spread, patient deaths have now been recorded at nearly 300 facilities across the state. State Health Department officials say they are not revealing the locations of the homes because to do so could violate patient privacy rights.

This might be the tally of all those buried at Hart Island recently, which I believe also includes the under tallied homeless population

Friday, March 27, 2020

The five borough map of COVID-19 positive patients is out, and it's still hazardously vague






































Patch

 Residents of United Hospital Fund Neighborhood zone 408 who tested positive for COVID-19 make up between 51.26 and 65.41 percent of the region's population to receive tests.
Get it? Yeah, neither do we.

The Health Department released Friday a difficult-to-interpret map of novel coronavirus cases in New York City, one day after a Wall Street Journal reporter called out Mayor Bill de Blasio for a lack of transparency.

"You have to release more detailed data on cases and deaths," Katie Honan told de Blasio. "It's negligent that you're not ... please, everyone has to get this data."

De Blasio lashed back at Honan, "If you believe it's your role to editorialize in the middle of your question, that's your right as an American."

"I don't believe that not only is it not negligent," he said. "I would say to you it's the exact opposite."

Yet less than 24 hours later, a new map appeared on the Department of Health's COVID-19 that tracks the percentage of patients testing positive by neighborhood.

Neighborhoods are designated by numbers instead of name — 408 is Jamaica, Queens, by the way — and the percentages are not connected to population data but to those tested.

The number of people tested per zone? Not included.

The population for zone? Not included.

Some New Yorkers were baffled.

"Anyone from NYC area who can parse this heat map of Covid-19?" asked Twitter user @_mzishi_.
Others were not.

"Map is pretty clear," tweeted Devin Balkind. "It's showing that the administration has no interest in transparency."

Since my role is also to editorialize, as an American I would like to say again that Bill de Blasio is a bastard. 

Thursday, March 26, 2020

Governor Cuomo ejects students from CUNY and SUNY dorm rooms to be triaged for COVD-19 patients

CUNY students booted from dorms to make room for coronavirus hospitals

NY Post

Students who reside at CUNY and SUNY colleges have been kicked out of their dorms as Gov. Andrew Cuomo and health authorities eye the campuses as sites for make-shift emergency medical centers to help treat a wave of coronavirus patients, officials said.

“New York State is sending its CUNY and SUNY students out into pandemic through dorm closures,” fumed Petra Gregory, a student government representative at the College of Staten Island.

Dorm students at CUNY’s Hunter and City College campuses were also ordered to vacate as were resident-students at several SUNY campuses — including Stony Brook, which the Army Corps. of 
 Engineers has chosen as one of Long Island’s emergency medical sites.

Stony Brook already has a hospital on campus and already serves as a Suffolk County COVID-19 drive-thru testing center.

Gregory said dorms residents at CUNY’s Staten Island campus were abruptly told that they were getting the boot Monday night when a resident assistant knocked on their doors.

“I am currently being unfairly evicted out of my dorms, and I have a mother who is immunocompromised and a 6-month-old baby sister. My family is unable to pick me up, and I have to travel with my support animal and pack for him on this short notice as well,” one of the college’s resident-students, Jasmine Shaikh, said.

A CSI official sent an email to students on Tuesday confirming the state ordered the students booted to make room.

“Governor Cuomo has asked private and public universities across New York State to be ready for the possibility that dormitories might need to be converted into temporary emergency medical centers,” said Jennifer Borrero, CSI’s vice president of student affairs.

Wonder if there has been any discussion about triaging empty condos that haven't been sold or that are being used as pie-e-terre's in all those luxury towers and empty "affordable" apartments in mixed use buildings that the state and city gave tax breaks to.