The Peru Gazette

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Audit Presents Timeline of State Health Department Underreporting of Nursing Home Deaths

The state Department of Health (DOH) was unprepared to respond to infectious disease outbreaks at nursing homes, even before the COVID-19 pandemic hit New York, an audit released today by New York State Comptroller Thomas P. DiNapoli found. DiNapoli said that a persistent lack of funding for public health over the last decade forced DOH to operate without critical information systems and staff that could have identified and helped limit the spread of COVID-19 at nursing homes.

State auditors also found that DOH did not provide the public with accurate COVID-19 death counts and became entangled in the undercounting of those deaths as the Executive took control of information provided to the public. DOH would not provide auditors with a breakdown by name of the nursing home residents who died from COVID-19, and the actual number of nursing home residents who died is still uncertain. The audit revealed that, on many key indicators, New York significantly trailed other states in surveying nursing homes and developing strategies to stop infections from spreading in facilities.

“The pandemic was devastating and deadly for New Yorkers living in nursing homes. Families have a right to know if their loved one’s COVID-19 death was counted, but many still don’t have answers from the state Department of Health,” DiNapoli said. “Our audit findings are extremely troubling. The public was misled by those at the highest level of state government through distortion and suppression of the facts when New Yorkers deserved the truth. The pandemic is not over, and I am hopeful the current administration will make changes to improve accountability and protect lives. An important step would be for DOH to provide the families who lost loved ones with answers as to the actual number of nursing homes residents who died. These families are still grieving, and they deserve no less.”

Key audit findings:

• DOH understated the number of nursing home deaths due to COVID-19 by at least 4,100, and at times during the pandemic by more than 50%. A timeline included in the audit details the inaccurate death counts reported by DOH. When questioned by auditors, DOH officials could not explain the discrepancies. Auditors found the Executive routinely reported incorrect data, inflating the perception of New York’s performance against other states.
• DOH was slow to respond to a federal directive to conduct surveys of nursing homes for infection control problems, surveying just 20% of facilities between March 23 and May 30, 2020, compared with over 90% for some other states. DOH had to hire temporary employees to conduct nursing home surveys during the pandemic because it was understaffed. DOH issued 602 violations from these surveys; however, for 413 (69%) of them there was no indication that the deficiency was corrected.
• While DOH collects data on a range of issues including infections, DOH does not use it broadly to detect breakouts, geographic trends, and emerging infectious diseases or to shape its infection control policies. It also relies heavily on self-reported data from nursing homes. Auditors found that data from one of DOH’s key informational systems was not complete nor reliable, and found that DOH was aware of this problem long before the pandemic and had committed to resolving it. However, DOH never followed through on the corrective actions, which may have limited its ability to respond to the COVID-19 nursing home crisis.
• DOH imposed impediments on the audit, including delaying requested data, limiting auditors’ contact with program staff, not addressing auditors’ questions during meetings, and not providing supporting documentation. These are not routine actions by state agencies undergoing an Office of the State Comptroller audit and raise serious concerns about the control environment at DOH.

DOH’s inadequate nursing home oversight and low standards for compliance have been long-standing issues. Previous reports issued by DiNapoli’s auditors have taken issue with the department for setting minimum standards for compliance and setting a low bar for accountability for nursing homes. As the Centers for Disease Control cites the workforce as a “first line of defense against disease outbreaks and other health threats,” inadequate support led to some of the major problems that arose during the pandemic and delays in setting up infectious disease control procedures at health facilities.

President Biden in February called on Congress to provide additional funding to support health and safety inspections at nursing homes. The Comptroller urges Congressional support for this initiative as these funds could significantly help DOH improve its data systems and examine workforce needs, which have been limited by underinvestment.

The audit recommended:

• The Executive Chamber assess and improve its internal control environment, including improving cooperation with state oversight inquiries, communication with localities, and external reporting.
• DOH expand its use of infection control data to identify patterns, trends, areas of concern or non-compliance that will help create policy recommendations for infection control practices and nursing home surveys; improve quality of public reported data; and strengthen communication and coordination with localities on collection and reporting and use of infection control data.
• DOH collect supplemental data through other sources, such as the CDC, and incorporate it into its current data sets to establish a foundation to adequately address public health emergencies.

DOH agreed with some of the Comptroller’s recommendations but took exception to some statements in the audit. The response is included in the audit.

Audits:
Department of Health: Use, Collection, and Reporting of Infection Control Data

Prior audits:
Nursing Home Surveillance and Follow Up Audit
Oversight of Resident Care-Related Medical Equipment in Nursing Homes

Source: CVPH can’t you see: This is a healthcare emergency | Sun Community News PLATTSBURGH | “It’s more and more frequent that patients are being held in the ER for over 72 hours sometimes waiting for beds upstairs, and most times it’s 15 to 20 patients we’re hol

Safety of patients, staff and visitors prompted lockdown 

PLATTSBURGH, NY (03/15/2022) – Access to the University of Vermont Health Network – Champlain Valley Physician Hospital (CVPH) Main Campus has been restored and Medical Office Buildings at 206, 210 and 214 Cornelia St. reopened after the hospital and office buildings were locked down earlier today.

The decision to limit access while those involved in an incident in our community were cared for in the Emergency Department was made in discussion with law enforcement.

“We implemented our lockdown policy with the safety of our staff, patients and visitors in mind. Our team did an awesome job putting their patients first while supporting their coworkers during this security concern,” said Michelle LeBeau, RN, BS, MHRM, President of Alice Hyde Medical Center and CVPH.

LeBeau also commented on the tremendous support from federal, state and local law enforcement agencies. “We really are fortunate to have such exceptional professionals in our community,” she said.

The CVPH campus was locked down for a little over 2.5 hours.

Father Clyde Lewis of St. Mary’s Church in Champlain, NY announced on Friday that after two years of postponing their annual Bazaar, the event will happen this year on Sunday, May 29, 2022.

“This event has always shown how our neighborhoods come together to support each other. And I believe the community has greatly missed this event over the past two years,” said Father Lewis. “We are greatly looking forward to gathering with the community and celebrating our annual event once again.”

The event will be accompanied by the annual parade. All groups and organizations are welcome to participate. There are cash awards in the categories of themed float, automobile, corporate and band. Entry for organizations is free.

Also set to return this year to the Bazaar is the annual Garden Tractor Pull.

There will also be food booths, games, a country store and inflatable bouncy houses. This is a family-friendly event and St. Mary’s Church looks forward to welcoming families from around the region back to the event this year.

St. Mary’s will continue to post updates on their Facebook event. Please follow along there for the most up to date details: https://fb.me/e/1pDkrqRCM

For questions about the parade, contact Molly Ryan at (518)593-3762 or mfryan01@gmail.com. The entry form for the parade can be found here: https://forms.gle/UAYzQF4DEmma8D8m7.

For more info on the tractor pull, check here: https://fb.me/e/19lBORjHx

Those interested in volunteering for the event or interested in sponsoring the event should contact Kathy Ryan at (518)593-8540.

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Issued at 1:15 p.m. on March 15

PLATTSBURGH, NY (03/15/2022) – The following is a statement from Michelle LeBeau, RN, BS, MHRM, President of Alice Hyde Medical Center and Champlain Valley Physicians Hospital (CVPH) regarding today’s temporary lockdown of the CVPH Main Campus: 

“We are temporarily limiting access into our main campus while we care for those involved in an incident in our community. Only those with emergency medical needs will be admitted. All medical appointments on the Main Campus, including our Medical Office Buildings at 206, 210 and 214 Cornelia St., and the FitzPatrick Cancer Center, will be canceled. Please call to reschedule. Visitors already in our facility are welcome to remain. 

“Employees should report to work as scheduled and should have their CVPH badges. 

“Our goal is to limit the traffic on our Main Campus while we work with law enforcement to assure the safety of our patients and our people.” 

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