Morning Briefing
Summaries of health policy coverage from major news organizations
State Highlights: CEO Of Maryland's Medical System Resigns Amid Baltimore Mayor Scandal; California Turns To Florida For Wildfire Evacuation Ideas
The president and CEO of a major medical system in Maryland resigned Friday following revelations of numerous questionable financial arrangements involving board members, including Baltimore's embattled mayor. Robert Chrencik had led the University of Maryland Medical System since 2008 before being sent on a leave of absence in late March. He departed on the requested leave amid embarrassing allegations of "self-dealing" involving members of the $4 billion hospital system's volunteer board. (4/26)
With Hurricane Michael strengthening as it took aim at Florida鈥檚 Panhandle, Mark Bowen and his employees watched the live footage through tears. They weren鈥檛 looking at increasingly dire storm forecasts last October. They were watching cameras trained on rural Bay County鈥檚 three main evacuation routes leading away from sugar-white beaches. Traffic was flowing smoothly when there should have been gridlock. (Kay and Elias, 4/27)
PG&E Corp. can鈥檛 prevent its power lines from sparking the kinds of wildfires that have killed scores of Californians. So instead, it plans to pull the plug on a giant swath of the state鈥檚 population. No U.S. utility has ever blacked out so many people on purpose. PG&E says it could knock out power to as much as an eighth of the state鈥檚 population for as long as five days when dangerously high winds arise. Communities likely to get shut off worry PG&E will put people in danger, especially the sick and elderly, and cause financial losses with slim hope of compensation. (Gold and Blunt, 4/27)
Hospital officials in New Hampshire are monitoring a drug-resistant species of fungus that has made national headlines recently. Candida auris causes infections that can lead to death, particularly in hospital and nursing home patients with serious medical problems. More than one in three patients with invasive C. auris infections that affect the blood, heart, or brain die. (Haas, 4/28)
A Roman Catholic social services agency that declines to place children with same-sex couples has filed a lawsuit to stop Michigan from penalizing the group if it sticks to its policy on foster care and adoption. Catholic Charities West Michigan in Grand Rapids filed the lawsuit Thursday. The group says Michigan law allows it to practice its religion by turning down same-sex couples. But the group says services will be threatened by a recent change at the Department of Health and Human Services. (4/26)
Kaiser Health News: Will Ties To A Catholic Hospital System Tie Doctors鈥 Hands?
As Catholic health care systems across the country expand, the University of California鈥檚 flagship San Francisco hospital has become the latest arena for an emotional debate: Should the famously progressive medical center increase its treatment space by joining forces with a Catholic-run system that restricts care according to religious doctrine? At issue is a proposal that UCSF Medical Center affiliate with Dignity Health, a massive Catholic health care system that, like other Catholic chains, is bound by ethical and religious directives from the United States Conference of Catholic Bishops. (Gold, 4/29)
PhilaPOSH gets data from the Occupational Safety and Health Administration (OSHA), but the federal agency covers only private-sector employees, leaving out public-sector workers, independent contractors, and anyone else engaged in a more informal work arrangement. That鈥檚 especially concerning in a time when an estimated one in five jobs in the United States is held by a worker under contract. (Feliciano Reyes, 4/26)
As baby boomers age and the workforce shrinks, there may not be enough people or money to care for all our elders, especially those with medical needs. In many ways, that reality has already arrived in Vermont. A small but growing number of Vermont families are easing the burden by opening their homes to elderly strangers who need a lot of care. (Corwin, 4/27)
Co-founded in 2014 by genomics pioneer Leroy Hood, [genetics-focused health-care startup] Arivale was touted as the latest thing in what Hood called 鈥渟cientific wellness鈥: using genetic and other high-tech diagnostics to help patients boost their health and minimize their risk of future disease by making data-driven, personalized adjustments to diets and other lifestyle factors. (Roberts, 4/26)
The Star鈥檚 analysis of Corizon鈥檚 performance documents from July 2015 through December 2018 鈥 hundreds of pages of raw data obtained through open records requests 鈥 found that almost a third of the time the company fell short of contract requirements for treating inmates who said they were sick. (Marso, 4/28)
A lawsuit that argues Arizona's child-welfare system has failed children in foster care will proceed as a class-action matter, the 9th U.S. Circuit Court of Appeals ruled Friday. The decision has major implications for the thousands of children currently in the custody of the state Department of Child Safety, as well as future foster children. (Pitzl, 4/26)
Two members of Washington鈥檚 congressional delegation, along with a Democratic commissioner from the Federal Communications Commission, visited Harborview Medical Center on Friday to demonstrate why having unfettered internet access is as important to doctors as the utilities that make a hospital function. Sen. Maria Cantwell and Rep. Suzan DelBene, both Democrats with backgrounds in the tech industry, were there to advocate for net neutrality 鈥 a set of regulations that requires internet service providers (ISPs) to treat all websites equally rather than creating fast lanes for those that can afford to pay for them. (Blethen, 4/27)
Arizona judges can require parents to provide counseling, therapy and other expert help to children who may be transgender, even if one parent doesn't support treatment, the state's highest court ruled Thursday. But the courts can only intervene when a child would be "at risk for physical danger or significantly impaired emotionally" without access to those services 鈥 a higher standard than the "best interest" test often used in family-court cases. (Polletta, 4/26)
Sacramento County鈥檚 jail is set for a major expansion, as its Elk Grove facility adds an $89.3 million medical and mental health ward to accommodate the increase in inmates diverted from state prisons to county jails in recent years. On Tuesday, the Sacramento County Board of Supervisors authorized the county to start receiving bids for the seven-building, 86,000-square-foot project next to the existing Rio Cosumnes Correctional Center. (Yoon-Hendricks, 4/26)
Kaiser Health News: Hurricane Maria鈥檚 Legacy: Thousands Of Puerto Rican Students Show PTSD Symptoms
Food shortages, damaged homes, fear of death, loved ones leaving. The cumulative stresses of Hurricane Maria contributed to thousands of schoolchildren developing symptoms of post-traumatic stress disorder, or PTSD, in Puerto Rico, according to a study published Friday. The study in JAMA Network Open found that 7.2% of the students reported 鈥渃linically significant鈥 symptoms of PTSD. More girls tended to show signs of PTSD than boys. Researchers surveyed 96,108 public school students five to nine months after the 2017 hurricane. The cohort included youth in third through 12th grades across different regions of the island. (Heredia Rodriguez, 4/26)
A privately run health care company is seeking more than $1 million in state taxpayer money to redevelop a former hospital campus in southern Delaware. The state Council on Development Finance meets Monday to consider a request by Nationwide Healthcare Services for a Strategic Fund grant of about $1.2 million. The grant would be used to build a new 鈥渨ellness village,鈥 including a 150-bed skilled nursing center, on the site of the old Milford Memorial hospital. (4/29)