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The Latest Research, Commentary, and News from Health Affairs

Wednesday, July 29, 2020
HA Event: NQF & 20 Years of Quality


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


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 >>

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

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 >>


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 the history 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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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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