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New Hampshire: Which COVID-19 statistics are right?

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A press release sent Thursday from the state Department of Health and Human Services said there are 376 new COVID-19 test results and 17 people hospitalized. But the New Hampshire Hospital Association site shows a much higher number for hospitalizations.....

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Hi Folks,

I’m happy to take questions on this, but the short answer is that they are both correct.  The state number is a subset of the NHHA number.  The state made the change to only count patients who are being actively treated with modalities
for COVID.  NHHA counts all patients who have COVID and are in a hospital.  The difference between the two is largely patients who were picked up through required testing as part of their hospital admission.  So, if you want to count apples to apples to see
where we are relative to the past, use the NHHA number.  Having a patient with a diagnosis of COVID in a hospital still takes extra resources and they are on all the mitigation protocols for COVID, regardless if they are being medically treated for the disease.

-Peter

 

Peter T. Ames, MPH

Executive Director

Foundation for Healthy Communities

125 Airport Road

Concord, NH 03301

(603) 415-4270 direct

(603) 491-8045 cell

@healthynh;
healthynh.org

fhc_horiz_cmyk_tagline_italics

 

 

 

 

From: noreply@m.resiliencesystem.org <noreply@m.resiliencesystem.org>

Sent: Monday, April 25, 2022 1:14 PM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: [newhampshire-rac-et] New Hampshire: Which COVID-19 statistics are right?

 

This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

A press release sent Thursday from the state Department of Health and Human Services said there are 376 new COVID-19 test results and 17 people hospitalized. But the New Hampshire Hospital Association site shows a much higher number for hospitalizations.....

--

Full post:
https://resiliencesystem.org/new-hampshire-which-covid-19-statistics-are-right

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Stop emails for this post:
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Thanks, Peter, 


This is helpful.

Mike

Michael D. McDonald, Dr.P.H. 

 

Chairman 
Oviar Global Resilience Systems, Inc. 

Coordinator
Alliance for Global Resilience and Regeneration 
Resilient American Communities (RAC) COVID-19 Initiative
Global Health Response and Resilience Initiative 

Executive Director 
Health Initiatives Foundation, Inc.

 

Cell: 202-468-7899

- Show quoted text -



What would be interesting to know is vaccine status plus and minus at the hospital level.

What percent in the hospital for COVID and incidental COVID are vaccinated.

 

 

ACHS hands ACHS 150_greent

 

Be Mindful, Be Active and Be Well!

Ed

 

Edward D Shanshala II, MSHSA, MSEd

Chief Executive Officer

Ammonoosuc Community Health Services, Inc.

Your Community Health Partner for Life

 

25 Mt. Eustis Road

Littleton, NH 03561

 

603-991-7756 (cell 24/7)

 

https://ammonoosuc.org/

ACHS YouTube channel

 

From: noreply@m.resiliencesystem.org <noreply@m.resiliencesystem.org>

Sent: Wednesday, April 27, 2022 11:25 AM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: [EXTERNAL] - Re: [newhampshire-rac-et] New Hampshire: Which COVID-19 statistics are right?

 

 

Hi Folks,

I’m happy to take questions on this, but the short answer is that they are both correct.  The state number is a subset of the NHHA number.  The state made the change to only count patients who are being actively treated with modalities

for COVID.  NHHA counts all patients who have COVID and are in a hospital.  The difference between the two is largely patients who were picked up through required testing as part of their hospital admission.  So, if you want to count apples to apples to see

where we are relative to the past, use the NHHA number.  Having a patient with a diagnosis of COVID in a hospital still takes extra resources and they are on all the mitigation protocols for COVID, regardless if they are being medically treated for the disease.

-Peter

 

Peter T. Ames, MPH

Executive Director

Foundation for Healthy Communities

125 Airport Road

Concord, NH 03301

(603) 415-4270 direct

(603) 491-8045 cell

@healthynh;

healthynh.org

fhc_horiz_cmyk_tagline_italics

 

 

 

 

From:
noreply@m.resiliencesystem.org
<noreply@m.resiliencesystem.org>

Sent: Monday, April 25, 2022 1:14 PM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: [newhampshire-rac-et] New Hampshire: Which COVID-19 statistics are right?

 

This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

A press release sent Thursday from the state Department of Health and Human Services said there are 376 new COVID-19 test results and 17 people hospitalized. But the New Hampshire Hospital Association site shows a much higher number for hospitalizations.....

--

Full post:

https://resiliencesystem.org/new-hampshire-which-covid-19-statistics-are-right

Manage my subscriptions:
https://resiliencesystem.org/mailinglist

Stop emails for this post:

https://resiliencesystem.org/mailinglist/unsubscribe/22064

 

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you have received this e-mail in error, we respectfully ask that you please contact the sender and delete the original message.

I am agree.  This is rapidly changing,


Mike

Michael D. McDonald, Dr.P.H. 

 

Chairman 
Oviar Global Resilience Systems, Inc. 

Coordinator
Alliance for Global Resilience and Regeneration 
Resilient American Communities (RAC) COVID-19 Initiative
Global Health Response and Resilience Initiative 

Executive Director 
Health Initiatives Foundation, Inc.

 

Cell: 202-468-7899

- Show quoted text -



Hi Folks,

Regrettably, don’t have figures for vaccination for the subset of those “treated for COVID.”  We’re hearing that comorbidities are driving the most severe cases and that while the COVID infection may be secondary, it’s exacerbating underlying
health conditions.

Also, we have a new staff member dedicated to COVID vaccination efforts working through hospital systems and I would like to ask if we could add her to the group.  I know she would benefit from the RAC data as she supports hospital systems’
outreach into the community.

Thanks,

Peter

 

Peter T. Ames, MPH

Executive Director

Foundation for Healthy Communities

125 Airport Road

Concord, NH 03301

(603) 415-4270 direct

(603) 491-8045 cell

@healthynh;
healthynh.org

fhc_horiz_cmyk_tagline_italics

 

 

 

 

From: noreply@m.resiliencesystem.org <noreply@m.resiliencesystem.org>

Sent: Thursday, April 28, 2022 1:48 PM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: Re: [newhampshire-rac-et] - Re: [newhampshire-rac-et] New Hampshire: Which COVID-19...

 

This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

 

What would be interesting to know is vaccine status plus and minus at the hospital level.

What percent in the hospital for COVID and incidental COVID are vaccinated.

 

 

ACHS hands ACHS 150_greent

 

Be Mindful, Be Active and Be Well!

Ed

 

Edward D Shanshala II, MSHSA, MSEd

Chief Executive Officer

Ammonoosuc Community Health Services, Inc.

Your Community Health Partner for Life

 

25 Mt. Eustis Road

Littleton, NH 03561

 

603-991-7756 (cell 24/7)

 

https://ammonoosuc.org/

ACHS YouTube channel

 

From:
noreply@m.resiliencesystem.org
<noreply@m.resiliencesystem.org>

Sent: Wednesday, April 27, 2022 11:25 AM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: [EXTERNAL] - Re: [newhampshire-rac-et] New Hampshire: Which COVID-19 statistics are right?

 

 

Hi Folks,

I’m happy to take questions on this, but the short answer is that they are both correct.  The state number is a subset of the NHHA number.  The state made the change to only count patients who are being actively treated with modalities

for COVID.  NHHA counts all patients who have COVID and are in a hospital.  The difference between the two is largely patients who were picked up through required testing as part of their hospital admission.  So, if you want to count apples to apples to see

where we are relative to the past, use the NHHA number.  Having a patient with a diagnosis of COVID in a hospital still takes extra resources and they are on all the mitigation protocols for COVID, regardless if they are being medically treated for the disease.

-Peter

 

Peter T. Ames, MPH

Executive Director

Foundation for Healthy Communities

125 Airport Road

Concord, NH 03301

(603) 415-4270 direct

(603) 491-8045 cell

@healthynh;

healthynh.org

fhc_horiz_cmyk_tagline_italics

 

 

 

 

From:

noreply@m.resiliencesystem.org <noreply@m.resiliencesystem.org>

Sent: Monday, April 25, 2022 1:14 PM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Subject: [newhampshire-rac-et] New Hampshire: Which COVID-19 statistics are right?

 

This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

A press release sent Thursday from the state Department of Health and Human Services said there are 376 new COVID-19 test results and 17 people hospitalized. But the New Hampshire Hospital Association site shows a much higher number for hospitalizations.....

--

Full post:

https://resiliencesystem.org/new-hampshire-which-covid-19-statistics-are-right

Manage my subscriptions:

https://resiliencesystem.org/mailinglist

Stop emails for this post:

https://resiliencesystem.org/mailinglist/unsubscribe/22064

 

ATTENTION! The above email is from an external source. Please do not open attachments or click links from an unknown sender or of those with a suspicious origin.

Not sure? Reach out to IT (x8238) before you click the link.

Confidentiality Notice: Information received in this e-mail is intended only for the use of the addressee (s) listed above. Any attachment (s) or links provided are privileged and confidential and may contain information
that is protected by law. If

you have received this e-mail in error, we respectfully ask that you please contact the sender and delete the original message.

Peter (and NH RAC colleagues), 


When appropriate send us your new RAC-related staff members' contact information and we will start incorporating them into the New Hampshire RAC meetings and communications.  There will be a New Hampshire RAC Zoom Phase I, Stage 1 meeting at 12 noon EDT this Thursday, May 5.  

Mike McDonald is inviting you to a scheduled Zoom meeting.

Topic: New Hampshire RAC Meeting 
Time: May 5, 2022 12:00 PM Eastern Time (US and Canada)

Join Zoom Meeting

Meeting ID: 849 3295 9996
One tap mobile
+19292056099,,84932959996# US (New York)
+13017158592,,84932959996# US (Washington DC)

Dial by your location
        +1 929 205 6099 US (New York)
        +1 301 715 8592 US (Washington DC)
        +1 312 626 6799 US (Chicago)
        +1 669 900 6833 US (San Jose)
        +1 253 215 8782 US (Tacoma)
        +1 346 248 7799 US (Houston)
Meeting ID: 849 3295 9996
Find your local number: https://us02web.zoom.us/u/koeGrSrBC

Please provide them with this RAC Zoom access information.

It is clear that there are new COVID challenges ahead for New Hampshire, especially for Grafton County, as depicted below.  


Proposed Agenda

1) Spring and Summer COVID Concerns (Omicron sub-variants) 

Case Increases

Hospitalization Increases

2)  Anticipated Fall COVID Concerns (especially if there is a more virulent variant with immune escape arising)

3) Approaches to Improve COVID and Continuity of Care Outcomes in Spring, Summer and Fall 2022
COVID Testing 
Anti-viral Treatments

Public Health Measures
Masks
Vaccine-induced Immunity
Lockdowns

Prevention Strategies 

Those Oppositional and Defiant to Public Health Measures

The Pandemic Fatigued

4)  Preparations Now for Next Fall


5) RAC Points of Intervention 
Libraries 

Churches 

Political Organizations

Civic Organizations
Boys and Girls Club 

6) RAC Hyper-local data 

7) RAC Trainings

8)   Home and Community Telehealth and Telemetry 

9)  Transitioning from Pandemic Conditions to Endemic Conditions? 

10)  Geiger-Gibson 2.0 Interventions 

11)  Community Health Clinic Interventions

12) Hospital Interventions

For more on this, see below my signature block. 

Other suggestions for topics and priorities? 

Mike

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Michael D. McDonald, Dr.P.H. 

Coordinator
Resilient American Communities (RAC) Initiative 

Executive Director
Health Initiatives Foundation, Inc.

Cell: 202-468-7899


More on Hospitals Losing Pandemic Aid

...the infusion of aid is ending at a time when hospitalizations from COVID-19 are receding but as safety-net providers are facing tremendous unmet needs from patients who have delayed care for chronic conditions and other health problems even more than usual during the pandemic.

“Their margins are slim to begin with,” Beth Feldpush, senior vice president for policy and advocacy at America’s Essential Hospitals, which represents safety-net hospitals, said of the institutions. She added that some were already having a “more difficult time bouncing back operationally and financially.”

Nashville General has seen an average of just one COVID-19 patient a week recently. But its doctors and nurses say that a wide range of health problems that worsened during the pandemic are now overwhelming the hospital. ...y, a surge in diabetic wounds.

Dr. Eric Neff, an orthopedic surgeon, said patients were afraid to visit the hospital during much of the pandemic and often had trouble finding transportation when they did. The consequences were dire: People waited six months to seek care for a broken wrist or ignored a torn rotator cuff, making it harder for him to fix their injuries.

“It’s horrible,” he said.

Dr. Philip Elizondo, his orthopedic colleague, said the hospital had to cancel minor surgeries for health problems that subsequently ballooned. One uninsured woman he treated had torn her meniscus, lost her job and lost her house. Elizondo said he could have performed a 20-minute surgery if the patient had been able to seek care immediately but instead her injury went untreated and got worse.

Dr. Richard Fremont, a pulmonologist, said that he had treated dozens of COVID-19 patients over the past two years, but that patients with other health conditions, such as chronic asthma, had more often needed oxygen. Because uninsured patients cannot get short-term home oxygen therapy, he sometimes keeps those who need it in the hospital for days or weeks.

The crisis of the uninsured is especially acute in Tennessee, which has one of the highest rates of hospital closures in the country and is among a dozen states that have chosen not to expand Medicaid to cover more low-income adults under the Affordable Care Act. Roughly 300,000 people in the state fall in the so-called coverage gap, meaning they are ineligible for either Medicaid or discounted health insurance under the Affordable Care Act despite having little to no income.

John Graves, a health policy professor at Vanderbilt University School of Medicine, said the influx of relief funds during the pandemic had allowed something akin to a “universal coverage system within a system,” granting coverage to everyone who got COVID-19. Now, he said, hospitals and patients are back to facing pre-pandemic pressures — and will face even more once the federal government ends the public health emergency, which has temporarily increased Medicaid and Medicare reimbursements.

...

--
Full post: https://resiliencesystem.org/ending-federal-pandemic-aid-stresses-hospitals-treat-uninsured
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- Show quoted text -



Thanks Mike,

Our new staff member is Chris Symolon (csymolon@healthynh.org).  I’m unable to make the 1:30 today, but will send the information to her.  However, I know she has a hard stop at 2:00, but I’d
love to get her connected with the program.

Thanks,

Peter

 

Peter T. Ames, MPH

Executive Director

Foundation for Healthy Communities

125 Airport Road

Concord, NH 03301

(603) 415-4270 direct

(603) 491-8045 cell

@healthynh;
healthynh.org

fhc_horiz_cmyk_tagline_italics

 

 

 

 

From: noreply@m.resiliencesystem.org <noreply@m.resiliencesystem.org>

Sent: Tuesday, May 3, 2022 9:10 AM

To: New Hampshire RAC Executive Team <newhampshire-rac-et@m.resiliencesystem.org>

Cc: Lindsay Swain Hunt <Lindsay_Hunt@hms.harvard.edu>; David Price <davidalexanderprice@gmail.com>

Subject: Re: [newhampshire-rac-et] - Re: [newhampshire-rac-et] New Hampshire: Which COVID-19...

 

This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

Peter (and NH RAC colleagues), 

 

When appropriate send us your new RAC-related staff members' contact information and we will start incorporating them into the New Hampshire RAC meetings and communications.  There will be a New Hampshire RAC Zoom Phase I, Stage 1 meeting
at 12 noon EDT this Thursday, May 5.  

 

Mike McDonald is inviting you to a scheduled Zoom meeting.

 

Topic: New Hampshire RAC Meeting 

Time: May 5, 2022 12:00 PM Eastern Time (US and Canada)

 

Join Zoom Meeting

 

Meeting ID: 849 3295 9996

One tap mobile

+19292056099,,84932959996# US (New York)

+13017158592,,84932959996# US (Washington DC)

 

Dial by your location

        +1 929 205 6099 US (New York)

        +1 301 715 8592 US (Washington DC)

        +1 312 626 6799 US (Chicago)

        +1 669 900 6833 US (San Jose)

        +1 253 215 8782 US (Tacoma)

        +1 346 248 7799 US (Houston)

Meeting ID: 849 3295 9996

Find your local number:
https://us02web.zoom.us/u/koeGrSrBC

 

Please provide them with this RAC Zoom access information.

 

It is clear that there are new COVID challenges ahead for New Hampshire, especially for Grafton County, as depicted below.  

 

 

Proposed Agenda

 

1) Spring and Summer COVID Concerns (Omicron sub-variants) 

 

Case Increases

 

Hospitalization Increases

 

2)  Anticipated Fall COVID Concerns (especially if there is a more virulent variant with immune escape arising)

 

3) Approaches to Improve COVID and Continuity of Care Outcomes in Spring, Summer and Fall 2022

COVID Testing 

Anti-viral Treatments

 

Public Health Measures

Masks

Vaccine-induced Immunity

Lockdowns

 

Prevention Strategies 

 

Those Oppositional and Defiant to Public Health Measures

 

The Pandemic Fatigued

 

4)  Preparations Now for Next Fall

 

 

5) RAC Points of Intervention 

Libraries 

 

Churches 

 

Political Organizations

 

Civic Organizations

Boys and Girls Club 

 

6) RAC Hyper-local data 

 

7) RAC Trainings

 

8)   Home and Community Telehealth and Telemetry 

 

9)  Transitioning from Pandemic Conditions to Endemic Conditions? 

 

10)  Geiger-Gibson 2.0 Interventions 

 

11)  Community Health Clinic Interventions

 

12) Hospital Interventions

 

For more on this, see below my signature block. 

Other suggestions for topics and priorities? 

 

Mike

 

                                                                                                                                                                                                             
                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                               
                                                                                                                                                                     
Michael D. McDonald,
Dr.P.H. 

 

Coordinator

Resilient American Communities (RAC) Initiative 

 

Executive Director

Health Initiatives Foundation, Inc.

 

Cell: 202-468-7899

 

 

More on Hospitals Losing Pandemic Aid

...the infusion of aid is ending at a time when hospitalizations from COVID-19 are receding but as safety-net providers are facing tremendous unmet needs from patients who have
delayed care for chronic conditions and other health problems even more than usual during the pandemic.

“Their margins are slim to begin with,” Beth Feldpush, senior vice president for policy and advocacy at America’s Essential Hospitals, which represents safety-net hospitals, said
of the institutions. She added that some were already having a “more difficult time bouncing back operationally and financially.”

Nashville General has seen an average of just one COVID-19 patient a week recently. But its doctors and nurses say that a wide range of health problems that worsened during the
pandemic are now overwhelming the hospital. ...y, a surge in diabetic wounds.

Dr. Eric Neff, an orthopedic surgeon, said patients were afraid to visit the hospital during much of the pandemic and often had trouble finding transportation when they did. The
consequences were dire: People waited six months to seek care for a broken wrist or ignored a torn rotator cuff, making it harder for him to fix their injuries.

“It’s horrible,” he said.

Dr. Philip Elizondo, his orthopedic colleague, said the hospital had to cancel minor surgeries for health problems that subsequently ballooned. One uninsured woman he treated had
torn her meniscus, lost her job and lost her house. Elizondo said he could have performed a 20-minute surgery if the patient had been able to seek care immediately but instead her injury went untreated and got worse.

Dr. Richard Fremont, a pulmonologist, said that he had treated dozens of COVID-19 patients over the past two years, but that patients with other health conditions, such as chronic
asthma, had more often needed oxygen. Because uninsured patients cannot get short-term home oxygen therapy, he sometimes keeps those who need it in the hospital for days or weeks.

The crisis of the uninsured is especially acute in Tennessee, which has one of the highest rates of hospital closures in the country and is among a dozen states that have chosen
not to expand Medicaid to cover more low-income adults under the Affordable Care Act. Roughly 300,000 people in the state fall in the so-called coverage gap, meaning they are ineligible for either Medicaid or discounted health insurance under the Affordable
Care Act despite having little to no income.

John Graves, a health policy professor at Vanderbilt University School of Medicine, said the influx of relief funds during the pandemic had allowed something akin to a “universal
coverage system within a system,” granting coverage to everyone who got COVID-19. Now, he said, hospitals and patients are back to facing pre-pandemic pressures — and will face even more once the federal government ends the public health emergency, which has
temporarily increased Medicaid and Medicare reimbursements.

...

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Full post: https://resiliencesystem.org/ending-federal-pandemic-aid-stresses-hospitals-treat-uninsured

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Peter, 


Sorry to miss you today.  We look forward to meeting Chris Symolon.

Mike

Michael D. McDonald, Dr.P.H. 

 

Chairman 
Oviar Global Resilience Systems, Inc. 

Coordinator
Alliance for Global Resilience and Regeneration 
Resilient American Communities (RAC) COVID-19 Initiative
Global Health Response and Resilience Initiative 

Executive Director 
Health Initiatives Foundation, Inc.

 

Cell: 202-468-7899

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howdy folks