Morning Briefing
Summaries of health policy coverage from major news organizations
State Highlights: Patient Deaths Rose In St. Luke鈥檚 Medical Center's Liver, Lung Transplant Programs During Trouble With Heart Program; Calif. Fires Leave Behind Burned Toxic Chemicals
During the summer of 2017, Baylor St. Luke鈥檚 Medical Center posted a banner on its website, celebrating its liver and lung transplant programs as 鈥#1 in Texas.鈥 That declaration was based on the latest publicly available data, which showed stellar one-year survival rates for patients who received liver and lung transplants at St. Luke鈥檚 between 2014 and the middle of 2016. But soon after the hospital published those marketing materials in August 2017, both of those transplant programs began to see increases in patient deaths, an investigation by the Houston Chronicle and ProPublica has found. (Hixenbaugh and Ornstein, 11/30)
The long, laborious process of returning Paradise and neighboring towns to a safe state will begin next month when crews in masks, Tyvek suits and booties begin combing through every last property in this town that was decimated by wildfire. Their targets are things like burned bottles of bleach, melted cans of paint, and corroded car batteries, which will be tagged and removed. Next, they will test the surrounding soil and, if needed, scrape away layers to get to clean earth, free from oil and gasoline. 鈥淵ou鈥檇 be surprised how much of that stuff survives a fire,鈥 said Adam W. Palmer, an environmental scientist with the California Department of Toxic Substances Control who is helping lead the cleanup. (Nir, 11/29)
A cold front that brought wind and heavy rain to California on Thursday unleashed debris flows in fire-ravaged neighborhoods, triggering evacuations and school closures as crews up and down the state rescued people trapped in homes and cars and, in one case, a man clinging to a tree in the Los Angeles River. (Fry and Tchekmedyian, 11/29)
A 26-year-old man from Yuba City, California revealed his new face to the world聽Thursday after undergoing a life-changing facial聽transplant in June 2018.聽Cameron Underwood was injured by a self-inflicted聽gunshot wound on June 27, 2016. Over the next year, he would undergo several "conventional" surgeries to try to reconstruct his face as he hid the damage聽to his cheeks, nose聽and mouth聽behind a medical mask.聽 (Pitofsky, 11/29)
Minneapolis-based insurer Bright Health said Thursday it has raised another $200 million to support ongoing expansion. Bright Health announced plans this summer to expand into portions of New York, Ohio and Tennessee. It already competes in parts of Alabama, Arizona and Colorado. Launched in 2016, Bright Health initially focused on selling individual market health plans that comply with the federal Affordable Care Act (ACA) and has since added Medicare Advantage plans for seniors. (Snowbeck, 11/29)
Some members of the Mitchell family claimed to speak with ghosts, court records say. They were聽shut-ins, they said. The mother, who reported聽hallucinations, was disheveled and mumbled words to herself. When her son was asked if he could brush his teeth, he said he didn't have any. His answer to a question about whether he's ever had surgery was a single word: Pizza. But it was all a ruse, federal agents say, to allow them to keep getting Social Security checks they weren't entitled to. (Krause, 11/29)
If Houston leaders and health advocates get their way, the city鈥檚 beloved Astros will join a growing number of Major League Baseball players barred from dipping and chewing tobacco during games at their home stadium. The Houston City Council is considering a ban on smokeless tobacco during games by 鈥渁ny person employed by a professional baseball team or league鈥 at Minute Maid Park 鈥 including in dugouts, training rooms and locker rooms. (Scherer, 11/29)
People who live on low incomes are among the most vulnerable to climate change. For patients who are susceptible to increasing heat, health care needs 鈥 air conditioning and fans, not just medications 鈥 may not be covered by health care programs like Medicare and Medicaid. (Stein, 11/29)
A new program looks to pair Dartmouth medical students as mentors with LGBTQ youth in the Upper Valley. Qmmunity is a collaboration between the Dartmouth Geisel School of Medicine and the group Rural Outright. (Moon, 11/29)
Eleven months ago, a nurse at Vanderbilt University Medical Center accidentally selected the wrong聽medicine聽while attempting to give a patient a聽routine sedative, injecting the patient with a lethal dose of a paralyzing anesthetic. The error, which caused the death of an otherwise stable patient, briefly jeopardized the聽Medicare reimbursement status of one of Nashville鈥檚 largest and most prestigious hospitals. (Kelman, 11/29)
Vanderbilt University Medical Center is at risk of losing its Medicare reimbursement because federal officials discovered that a patient died last year after they were inadvertently injected with a powerful anesthetic. You can read the details here, but if you don鈥檛 have time for the whole story, here are three key things you should know about Nashville鈥檚 biggest hospital. (Kelman, 11/29)
Austin police officials have formed a task force to address the conclusions of an audit that found that the Police Department could do a better job interacting with people who are mentally ill, City Manager Spencer Cronk wrote in a memo Thursday. The audit found that there are not enough mental health experts to assist police when they interact with people who are mentally ill and that a third of the 24 people killed in Austin police shootings from 2010 through 2016 were having mental health crises. (Hall, 11/29)
The city of St. Louis plans to add more beds to its Biddle homeless shelter, north of downtown, starting on Monday. The shelter currently has room for 100 men to stay overnight. Mayor Lyda Krewson announced Thursday that Biddle House will make space for an additional 50 men until the end of March. (Lippmann, 11/29)
San Francisco is getting an unexpected $415 million windfall, and the mayor and supervisors already have plenty of ideas on how they might use it. More than half the money, which is coming from excess revenue in a county education fund, must go to budget reserves, the Municipal Transportation Agency, public libraries, tree maintenance, public schools and child care and youth services under rules set by the City Charter. (Thadani, 11/29)