Founder, Aledade. Former National Coordinator for Health IT. Views my own, not official
Great piece feat @dc_cavanaugh on how policymakers can protect primary care: “we need to do something specific for primary care -- cut some of the red tape, make it easier for small practices, and support them so they're there when we need them.”
"We have to maintain the primary care first line of defense. When the CDC says if you're having symptoms, call your doctor, someone has to pick up the phone at the other end." Else we risk "a lack of choice, a lack of competition, and a lack of access"
3/ there's a false dichotomy between save the economy vs protect public health. Yogi Berra asked, “If people don’t want to come to the ballpark, how are you going to stop them?” Unless people feel safer working, dining, or shopping, they won’t venture out for those activities.
1/ I'm very worried that we don't have a clear strategy for #COVID19 response We need to clearly define when the public health goal is containment-trying to keep the virus from circulating- and when the goal shifts to mitigation-working to reduce the peak impact of the outbreak
6/ Trying to do containment when there is exponential community spread is like focusing on putting out sparks when the house is on fire. when that happens, we need to switch strategies to mitigation- taking protective measures to slow spread & reduce peak impact on healthcare
New York City Emergency Room visits continued the downward trajectory through the weekend! I'm hoping we see a blunting of the hospitalization rate soon. We may have turned the corner on infections, though ICU admissions and deaths will not peak for 1-2 weeks.
1/ This is what has been worrying epidemiologists about #COVID19- if asymptomatic/pre-symptomatic individuals are driving the outbreak, then coming out of lockdown will be exceedingly difficult here's what it might take
9/ I can't tell you how many people have asked me if they should travel to certain cities- we are left to our own devices to figure out where there is sustained community transmission. I can find no official webpage that updates this key status for the US. @CDCgov must do better