This has turned into an unfunded regulatory mandate. The Trump Administration is threatening to cut off Medicare funding to hospitals that don't comply on a daily basis.
The federal government is preparing to crack down aggressively on hospitals for not reporting complete COVID-19 data daily into a federal data system, according to internal documents obtained by NPR.
If the draft enforcement guidance went into effect today, around three-quarters of hospitals could be subject to receiving a warning. Just 24% of America's hospitals met the HHS reporting requirements for the week of Sept. 14, according to an internal CDC presentation given at a daily pandemic response meeting on Wednesday, obtained by NPR. No state was in full compliance.
The July change to data reporting created a large and costly administrative burden for hospitals without providing funding to help them fulfill it. The new draft guidance would further expand the scope.
The data hospitals were asked to provide as of July is complicated and time-consuming to gather, says Carrie Kroll of the Texas Hospital Association. "This required multiple people in different parts of the hospital — we were talking about bedside nursing-type statistics in terms of COVID patients versus adult versus child. Then you're talking about pharmaceuticals, so that's going to come from the pharmacy."
...the newest guidelines would add several questions about influenza patients such as the number admitted to the hospital with flu, the number of flu patients in intensive care unit beds and the number of patients confirmed to have both flu and COVID-19. This information may be required to be reported daily from late October, according to a draft document.
The added burden and stress could incentivize hospital staff to report inaccurate information, so as not to lose funding, says
Lisa M. Lee, former chief science officer for public health surveillance at the CDC, who now works at Virginia Tech.
"I am afraid this will make the data much less accurate and reliable, and that is only going to hurt the American public," Lee says.