From Health Affairs Today <[email protected]>
Subject COVID-19: Addressing Barriers To Care, Infection Fatality Rate, Lives Saved By Interstate Ventilator Exchange, Disparities In Outcomes, Impact Of Social Distancing; ACA Round-Up
Date July 29, 2020 8:01 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, July 29, 2020**

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Health Affairs Online Briefing

The Care We Need: NQF and 20 Years of Quality

Thursday, July 30, 2020

In 1999, at the urging of President Clinton's Advisory Commission on
Consumer Protection and Quality in the Health Care Industry, the
National Quality Forum was formed to promote health care quality through
measurement and public reporting.

Twenty years later, with America in the grips of COVID-19, the work of
NQF continues and is more important than ever. A new report from the
National Quality Task Force entitled The Care We Need: Driving Better
Health Outcomes for People and Communities provides a roadmap to
consistent and predictable high-quality care for every person by 2030.
The Task Force consists of nearly 100 leaders and diverse stakeholders
from across the health care system.

At an online forum on July 30, Health Affairs Editor-in-Chief Alan Weil
(who was a member of the Advisory Commission) will host leaders of the
quality movement for a discussion of the report and its recommendations
for improving the health and safety of all Americans.

Date: Thursday, July 30, 2020
Time: 2:00 p.m. - 3:15 p.m. (Eastern)
Place: Online details to come after you've registered

Speakers to include:

* Shantanu Agrawal, President and CEO, National Quality Forum

* Carolyn Clancy, Deputy Under Secretary for Discovery, Education and
Affiliate Networks, Veterans Health Administration, US Department of
Veterans Affairs; Former Director, Agency for Healthcare Research and
Quality

* Kenneth W. Kizer, Chief Healthcare Transformation Officer and Senior
Executive Vice President, Atlas Research; Founding President and CEO,
National Quality Forum

* Mary Wakefield, Visiting Distinguished Professor, Practice of Health
Care, Georgetown University; Member, President Clinton's Advisory
Commission on Consumer Protection and Quality in the Health Care
Industry

* Alan Weil, Editor-in-Chief, Health Affairs

RSVP TO ATTEND

TODAY ON THE BLOG
COVID-19

Addressing Barriers To Care For Patients With Limited English
Proficiency During The COVID-19 Pandemic

By Lala Tanmoy Das, Eric J. Kutscher, and Christopher J. Gonzalez

Language barriers to COVID-19 care, exacerbated by HHS relaxing language
access regulations, illustrate how much more work is necessary in this
domain. Implementing changes in medical education, as well as adopting
language accessibility-focused technology solutions, may help to lessen
these disparities in the long term. Read More >>

Following The ACA

ACA Round-Up: Pennsylvania Waiver Approved, DE Guidance, And More

By Katie Keith

On July 24, Pennsylvania became the thirteenth state to be approved for
a state-based reinsurance program under Section 1332 of the Affordable
Care Act (ACA). This post also summarizes a recent Centers for Medicare
and Medicaid Services (CMS) report on state-based reinsurance programs,
the newest waiver proposal in Georgia, and other recent federal guidance
on direct enrollment (DE), COVID-19, and more. Read More >>

AcademyHealth ARM

The AcademyHealth Annual Research Meeting continues today! Meet our
editors at the Health Affairs exhibit booth
.

Congratulate Shreya Kangovi, a 2020 HSR Award winner, during
Presidential Session: Rock Stars of HSR

on Thursday, July 30, 3:15-4:15 PM. She won the award for her Health
Affairs article, "Evidence-Based Community Health Worker Program
Addresses Unmet Social Needs And Generates Positive Return On Investment
."

Listen to Health Affairs Editor-in-Chief Alan Weil, who joins a panel to
talk about structural racism during a live plenary on Thursday, August
6, 3:30-4:30 PM: Structural Racism in HSR: Honest Reflections on Our
Role and the Path Forward
.

IN THE JOURNAL

COVID-19
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Estimating The Infection Fatality Rate Among Symptomatic COVID-19 Cases
In The United States

By Anirban Basu

Ascertaining the infection fatality rate (IFR) of COVID-19 infections is
essential in combating this pandemic. Anirban Basu selected 116
counties, spanning 33 states, with a total of 40,835 confirmed cases and
1,620 confirmed deaths through April 20, 2020, to calculate that the IFR
in the US is 1.3 percent, with significant variations across counties.
Read More >>

Thousands Of Lives Could Be Saved In The US During The COVID-19 Pandemic
If States Exchanged Ventilators

By Daniel Adelman

During the current COVID-19 pandemic, concerns have been raised about a
nationwide shortage of mechanical ventilators, a necessary element in
saving lives. With the peak number of COVID-19 cases varying by state,
there have already been voluntary exchange efforts to make ventilators
available when and where they are needed most. Daniel Adelman assesses
the benefits of a potential nationwide logistical operation, to be
organized and administered by the US military.Read More >>

Disparities In Outcomes Among COVID-19 Patients In A Large Health Care
System In California

By Kristen M. J. Azar, Zijun Shen, Robert J. Romanelli, Stephen H.
Lockhart, Kelly Smits, Sarah Robinson, Stephanie Brown, and Alice R.
Pressman

As the COVID-19 pandemic spreads throughout the United States, there is
growing evidence that racial and ethnic minorities and socioeconomically
disadvantaged groups bear a disproportionate burden of illness and
death. Kristen Azar and coauthors analyzed the medical records of
COVID-19 patients at Sutter Health, a large integrated health network in
Northern California, to measure potential disparities. After analyzing
1,052 confirmed COVID-19 cases from January 1 to April 8, 2020, the
authors observed that, compared with non-Hispanic white patients,
African Americans had 2.7 times the odds of hospitalization, after
adjusting for age, gender, comorbidities, and income.Read More >>

Strong Social Distancing Measures In The United States Reduced The
COVID-19 Growth Rate

By Charles Courtemanche, Joseph Garuccio, Anh Le, Joshua Pinkston, and
Aaron Yelowitz

To minimize the spread of COVID-19 during March and April 2020, US state
and local governments joined worldwide efforts to impose social
distancing measures. They have included bans on large social gatherings,
public school closures, the shuttering of entertainment-related
businesses, and shelter-in-place orders. Charles Courtemanche and
coauthors examined the impact of these four measures, separately and
collectively, and found that these policies reduced the daily COVID-19
growth rate by 5.4 percentage points after 1-5 days, 6.8 percentage
points after 6-10 days, 8.2 percentage points after 11-15 days, and
9.1 percentage points after 16-20 days.Read More >>

Read the July 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**- History of Vaccines
Researchers worldwide are working to find a vaccine against SARS-CoV-2,
the virus causing the COVID-19 pandemic. As clinical trials designed to
evaluate if an experimental COVID-19 vaccine can prevent the disease
continue, we're taking a closer look at thehistory of vaccines and
immunization
. This
Health Affairs journal article by Alexandra Minna Stern and Howard
Markel covers how historical awareness can help inform viable long-term
solutions to contemporary problems with vaccine research, production,
and supply.

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