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Medicine

COVID-19 Hospital Data Is a Hot Mess After Feds Take Control (arstechnica.com) 174

slack_justyb shares a report from Ars Technica: As COVID-19 hospitalizations in the US approach the highest levels seen in the pandemic so far, national efforts to track patients and hospital resources remain in shambles after the federal government abruptly seized control of data collection earlier this month. Watchdogs and public health experts were immediately aghast by the switch to the HHS database, fearing the data would be manipulated for political reasons or hidden from public view all together. However, the real threat so far has been the administrative chaos. The switch took effect July 15, giving hospitals and states just days to adjust to the new data collection and submission process.

As such, hospitals have been struggling with the new data reporting, which involves reporting more types of data than the CDC's previous system. Generally, the data includes stats on admissions, discharges, beds and ventilators in use and in reserve, as well as information on patients. For some hospitals, that data has to be harvested from various sources, such as electronic medical records, lab reports, pharmacy data, and administrative sources. Some larger hospital systems have been working to write new scripts to automate new data mining, while others are relying on staff to compile the data manually into excel spreadsheets, which can take multiple hours each day, according to a report by Healthcare IT News. The task has been particularly onerous for small, rural hospitals and hospitals that are already strained by a crush of COVID-19 patients.
"It seems the obvious of going from a system that is well tested, to something new and alien to everyone is happening exactly as everyone who has ever done these kinds of conversions predicted," adds Slashdot reader slack_justyb.
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COVID-19 Hospital Data Is a Hot Mess After Feds Take Control

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  • by Anonymous Coward on Friday July 31, 2020 @04:46PM (#60353317)

    Ok, that's it.

    I'm tired of winning.

  • by MobyDisk ( 75490 ) on Friday July 31, 2020 @04:47PM (#60353323) Homepage

    "Hot mess" means "sexy but disorganized." There is nothing attractive about this. Stop doing r/mess/hot mess

    • by JGrizz ( 6684828 ) on Friday July 31, 2020 @04:50PM (#60353351)
      Honestly, I thought it just meant diarrhea, which seemed like a pretty good description...
    • Well we could say it's a "train wreck". Everyone knows they're not sexy.

      • by fahrbot-bot ( 874524 ) on Friday July 31, 2020 @05:38PM (#60353521)

        Well we could say it's a "train wreck". Everyone knows they're not sexy.

        I think the approved metaphor for all things Trump is "dumpster fire". :-)

        • by Calydor ( 739835 ) on Friday July 31, 2020 @05:59PM (#60353605)

          But ... dumpsters are messy and fire is hot. So a dumpster fire is a hot mess.

        • by Pascoea ( 968200 )
          Right, but "dumpster fire" is for the usual everyday things that Trump touches. This feels more like a cluster fuck.
        • Incorrect. Dumpster fire is, by definition, contained within said dumpster. This Trump mess spreads beyond the dumpster perimeter to encompass a chaotic, out-of-control, raging-inferno, life-threatening situation. The metaphor must be boundless and unlimited.

          Thus, in this situation, the correct nomencalture would be "Shitstorm".
      • I don't know, trains. That's got a certain mmm. And then wrecks, well, I mean, that's usually the best part of NASCAR, isn't it? What about a "shit show?" Surely nobody is into that kind of stuff.

        Surely.

        I mean, ok, you never know what everyone is into. But shit. Shit is shit, right?

    • refers to poop, which is a hot mess after it comes out of your dog.
      • Yes, that's what it means.

        It can be after it comes out of your ass, instead of out of your dog, though

    • Somehow this stupid catch phrase has made it back into peoples venicular. I think they really meant to say this is a hot mess of fresh diarrhea.
    • False, sexy has nothing to do with it. "hot mess" is a mess so spectacular that it generates its own intrigue.

      The urban dictionary is generally not the best source of definitions in the english language and you are describing a subset of one of the recognized and generally used definitions.

      Mirriam Webster:
      1 informal : something or someone that is emphatically a mess: such as
      a: something in a state of extreme disorder or disarray
      b: a disorganized, disheveled, or self-destructive person
      also : such a person wh

  • by Kaeleku ( 540168 ) on Friday July 31, 2020 @04:48PM (#60353337)
    I think that was the point. No tests, no covid. No accurate counts, no crisis.
    • by leptons ( 891340 ) on Friday July 31, 2020 @07:51PM (#60353903)
      And their fuckery of the data still won't save the economy - nobody with a brain trusts this administration and now we're less likely to trust any numbers, until they are voted out and all their bullshit is reversed and fixed. It's like they're trying to fix a flat tire by setting the car on fire. If people can't trust the numbers they certainly aren't going to pretend that nothing is wrong and start going out to restaurants again.
  • I'm sure hospitals are actually having issues submitting data. Not all hospitals are very good at that sort of thing, but like many news stories, this one reveals that the writer doesn't appear to actually be very familiar with the technology nor topic of the story. That implies they took something a "source" told them and just ran with it without any critical thought at all.

    Some basic facts you may be missing if this is all you've read:

    "The Trump administration issued a directive to hospitals and states [hhs.gov] July 10, instructing them to stop submitting their daily COVID-19 hospital data to the US Centers for Disease Control and Prevention—which has historically handled such public health data—and instead submit it to a new database in the hands of the Department of Health and Human Services."

    If you read the directive they linked, you'll notice a curious thing... it starts with "On March 29, 2020". That's because that's actually when hospitals were notified about this "new" system, which went live in April [magnetmail.net], not on July 10th. At that point they were sending different sets of data to the CMS and the CDC (and also typically their state authorities).

    The July directive, in response to the hospital associations complaining about having to submit data in multiple places, was to stop the CDC submissions because the CMS was (as noted in the story) purpose-built for COVID and collecting more relevant data more often.

    The real pointer that a story on this whole thing is clueless is when they begin talking about the "switch to the HHS database". It's almost as if they don't understand basic facts like the CDC and the CMS [hhs.gov] (which is where the other database actually resides, because they're paying for all the COVID-related stuff for hospitals and testing centers) are both departments of HHS, on the same level in the HHS org chart.

  • Expect anything less (Score:4, Informative)

    by rahvin112 ( 446269 ) on Friday July 31, 2020 @05:15PM (#60353457)

    Did you expect anything other than a hot mess given that it's the Trump admin? Everything Trump or his people touches turns into a huge disaster.

    • by Darinbob ( 1142669 ) on Friday July 31, 2020 @05:36PM (#60353515)

      Trump thinks that when it gets bad enough he'll just declare yet another bankruptcy and walk away.

      • Comment removed based on user account deletion
      • by gweihir ( 88907 )

        Trump thinks that when it gets bad enough he'll just declare yet another bankruptcy and walk away.

        I am absolutely sure he will do that. 100k additional deaths due to his failure are nothing to him. All his lies are nothing to him. The guy is barely human in his complete lack of honor, integrity and compassion.

    • by gweihir ( 88907 )

      Did you expect anything other than a hot mess given that it's the Trump admin? Everything Trump or his people touches turns into a huge disaster.

      Lets just hope that happens to his attempt to get re-elected as well. Because the absolutely only achievement that Trump has in his long history of failure is getting elected POTUS. Sure, that is because of stupid people and corrupt Republicans that cannot admit they screwed up massively, but in the end he got the office.

    • by Livius ( 318358 )

      Everything Trump or his people touches turns into a huge disaster.

      Cuomo and Whitmer and Brown are trying their hardest...

  • To be fair ... (Score:5, Informative)

    by fahrbot-bot ( 874524 ) on Friday July 31, 2020 @05:23PM (#60353477)

    ... after the federal government abruptly seized control of data collection earlier this month.

    The data was previously sent to and collected by the CDC -- a government agency. Now it's being sent to and collected by a private company for HHS -- which is probably a worse situation. The private company, TeleTracking won a no-bid contract, that was changed on paper to a competitive-bid contract *after* being awarded and the Senate and Press noticed, according to NPR [npr.org]):

    Initially, there was confusion about the way HHS awarded the contract to TeleTracking. Public records originally displayed it as a sole-source contract — essentially a no-bid deal.

    But after a Senate inquiry and controversy over the mandatory shift to the TeleTracking system, HHS said that there had been a "coding error" and that it had in fact been awarded after a competitive process.

    "The TeleTracking contract was part of a competitive solicitation process and was not sole source," an HHS spokesperson said. "One of the websites that tracks federal spending contained an error that incorrectly categorized the award as sole source. That coding error is being corrected."

    HHS has said that six companies bid for the contract but declines to say who they were or release the evaluations that the department would have done before awarding the contract to TeleTracking

    But NPR reached out to more than 20 of TeleTracking's competitors in the fields of hospital workflow management and infection control data and was unable to find a single company that said it had bid on this contract.

    One major company told NPR that it hadn't even heard about the HHS announcement.

    Also of interest in that article:

    TeleTracking CEO Michael Zamagias had links to the New York real estate world — and in particular, a firm that financed billions of dollars in projects with the Trump Organization.

  • by rsilvergun ( 571051 ) on Friday July 31, 2020 @05:25PM (#60353481)
    Donald Trump. I mean that. This was clearly intentional to hide the fact that hospitals are full [theguardian.com]. There's the secret police in the streets [thehill.com] and Trump has floated delaying the election [cnn.com], which if you're not a fool you know means cancelling it.

    There have been so many Do Not Pass Go, Do Not Collect $200 Dollars moments in the last 3 1/2 years, and yet his approval with likely voters is still 42% and there's many on this forum (a science and technology forum with an emphasis on free discussion) that still support him (though they're a lot quieter than they were in January.

    What's it going to take? He's shooting over 1000 people a day on mainstreet and that wasn't enough. What's it gonna take? Is there any bridge he can't cross? We've got prison labor all over the country. [businessinsider.com] It wouldn't be a stretch if we stopped feeding those prisoners so much. And if we stop feeding them so much pretty soon they get thin. Weak. Too weak too work. At that point you can talk about the "humane thing to do"...

    But hey, it can't happen here, amiright?
    • by WolfgangVL ( 3494585 ) on Friday July 31, 2020 @05:44PM (#60353545)

      It's a cult. There is no reasoning with them, and they seem to be doubling down as the pendulum swings as hard as it can away from them. In 10-15 years, none of these clowns will even admit to saying the things they say in the open now.

      • I hope so. I'm genuinely worried we're about to become a dictatorship. And not for vague, unsubstantiated reasons, but for the very specific reason I outlined above.
        • by gweihir ( 88907 ) on Friday July 31, 2020 @08:20PM (#60353949)

          I'm genuinely worried we're about to become a dictatorship. And not for vague, unsubstantiated reasons, but for the very specific reason I outlined above.

          That will not happen. The only thing Trump ever accomplished was getting elected. Immediately after that, he continued his otherwise uninterrupted string of failures, cons, borderline (and not borderline) criminal acts, failing business ventures, perpetual lying and utterly stupid statements. He and his followers are not smart enough to stage a successful coup and Trump is incapable of tolerating anybody that could plan and execute such a coup in his team. Hence he may get more people killed, probably a lot more, but he will not establish a dictatorship.

      • This is Slashdot. We never forget. We're still beating up Microsoft years after the fact.

    • Trump has floated delaying the election, which if you're not a fool you know means cancelling it.

      So... maybe that's what Trump wants, but if so, he's an idiot. Okay, so he's an idiot regardless, but the point is that canceling the election would not do him any good, because the Constitution extremely clear about when the presidential term ends. The 20th Amendment says:

      The terms of the President and Vice President shall end at noon on the 20th day of January

      So, without winning an election to authorize a second term, Trump and Pence are done as of noon (presumably Eastern Time, though the Constitution doesn't say) Jan 20, 2021. There is no constitutional way they could stay in office.

      This, of course, raises the question of who would be president on Jan 20, 2021, if there were no election. Well, the next in the line of succession is the Speaker of the House of Representatives, Trump's primary political nemesis, Nancy Pelosi. Yeah, he's not gonna like that.

      But, she's not gonna like it either, because like every member of the House of Representatives, she's up for re-election this year. And the 20th Amendment also says:

      the terms of Senators and Representatives at noon on the 3d day of January

      So, she'd also be out of office by the 20th. Next in line is the President Pro Tempore of the senate, Chuck Grassley, who isn't up for re-election this year and so won't be out of a job. Trump might be happier about that outcome if he were actually a Republican, but he doesn't care about the GOP, he just cares about ruling (not least to let the statute of limitations run out on the crimes Mueller documented).

      But... the senate picks a new President Pro Tempore for each new senate... So Grassley will only hold that position if the Republicans hold a senate majority. I looked at this a while ago and IIRC, removing all of the senators up for re-election would still leave the Republicans in the majority of the reduced Senate.

      But... unlike the House of Representatives, who must be elected, state governors appoint replacement senators when there are vacancies. States are unlikely to leave these positions vacant. And, if I counted right, enough of the states whose senators would be out of a job are led by Democratic governors that if all the governors picked replacements from their own parties, which of course they would do, then the Democrats would actually gain a majority in the senate. The governors in question may also be up for re-election and may be out because they didn't have an election but that doesn't matter because they'd have plenty of time between November and the ends of their terms to appoint replacements.

      So... if all of this happened, Pat Leahy would probably be the ranking member of the majority party in the senate, and therefore the President Pro Tempore, and therefore the next in the line of succession for the presidency of the United States.

      • because the Constitution extremely clear

        Let me stop you there, because the constitution says a lot of things that Trump flat out ignores. Speaking of the constitution you should have seen William Bar answer this question with a (paraphrasing) "No idea I've never been asked the question so I won't comment".

        Let that sink in for a moment. The Attorney General couldn't answer a question that is unambiguously written in the constitution, not some edge case legal document, not some odd case law needing careful study, but the constitution.

        For another la

    • by gweihir ( 88907 ) on Friday July 31, 2020 @07:49PM (#60353897)

      Donald Trump. I mean that.

      I concluded while a while ago that you cannot be a decent human being and a Trump supporter at the same time. I stand by that statement. Anybody supporting him is complicit.

      • And we see people here who seem to be IT literate pivoting at the drop of a hat to justify...well, anything that Trump does. The cognitive dissonance is increasing daily. Eventually they will get so out-of-synch with reality that we all will suffer for it.

        I remember some of the insanity here when Obama was in office (dare I call it ODS?). Remember how we were to fear the unidentified black vans? And not to forget all the FEMA camps for the 2A protesters. Personally, there were some things that I didn't appr

      • Comment removed based on user account deletion
    • by Livius ( 318358 )

      How? The alternative is Pelosi and Biden.

    • And it isn't because they are deplorable or whatever, no it is because US politic FORCE them to support their own party. See if there was 3 parties , there could be compromise, people shifting between parties as their program shift and morph, we see that all over the world. But int he US 2 parties, switched from programs, to single voter issues and an ideological frozen point, where you can't really switch to the other candidate because it would be against your single voter issues. Now there is a part which
    • by dcw3 ( 649211 )

      No bid contracts occur all the time...get over it. Google "Obama no bid contract" and the first result is a WaPo article from 2013...

      "No-bid U.S. government contracts jump 9 percent.."

  • This was not a surprise at all.
  • by quonset ( 4839537 ) on Friday July 31, 2020 @06:48PM (#60353757)

    Sooooo, remember that guy, the one put in charge with coming up some kind of national testing plan? A plan whose function was to have been finding out who was infected and get them to quarantine so they wouldn't infect others?

    It seems the guy in charge shot down any type of planning because it was blue states which were suffering and helping them wouldn't have been good optics, politically [imgur.com].

    This is why the con artist said states were on their own when it came to testing and why the federal government was stealing supplies and equipment from states [nymag.com]. To hurt one political group because helping Americans would have been seen to be weak.

  • Hospital data is always a mess. Getting anything to talk/report to anything else is just a nightmare.

  • by RobinH ( 124750 ) on Friday July 31, 2020 @09:52PM (#60354169) Homepage
    I've been following the curves on the CDC and other countries sites for months now. The problem is that countries like China, their data can't be trusted, but the CDC has a good reputation. Not perfect, but good. Then there's this announcement about moving data collection through HHS and bypassing the CDC. At exactly the same time that they switched, the curve of new cases per day stops rising abruptly, and I don't know of any big policy changes (nationally) that could account for such a change, so I'm immediately suspicious that the data is now being manipulated for political reasons. Great, now the US is pulling a China... Just what we needed.
    • I've been following the curves on the CDC and other countries sites for months now. The problem is that countries like China, their data can't be trusted, but the CDC has a good reputation. Not perfect, but good. Then there's this announcement about moving data collection through HHS and bypassing the CDC. At exactly the same time that they switched, the curve of new cases per day stops rising abruptly, and I don't know of any big policy changes (nationally) that could account for such a change, so I'm immediately suspicious that the data is now being manipulated for political reasons. Great, now the US is pulling a China... Just what we needed.

      There were also some initial delays in reporting that showed that we had suddenly dropped in new cases per day by some 20-30k though the delay was only about 8-12 hours and I think that has been sorted out. Number of cases has stayed almost completely stagnant since this transition, though, which I would not necessarily expect (as a non expert).

  • by dcw3 ( 649211 ) on Saturday August 01, 2020 @07:55AM (#60354955) Journal

    CDC's data collection was far from the gold standard. They still didn't even have a way to electronically collect the data from all of the states, but were said to be working on it. They weren't separating antibody test results from antigen test results, and were heavily criticized for it. So let's not pretend they were doing a good job. I haven't followed what HHS has done with it, but what we should all stop doing is politicizing this...saying that "the Feds" took over is silly. CDC is as much a "Fed" as HHS.

  • This is just another desperate attempt by Trump to retain power by covering up the horrific Covid19 stats.

    It won't work.

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