News

CHRT and DHLS in Crain’s: The public trusts health care providers, but they aren’t getting enough information from them

Drawing of a girl wearing a mask

Drawing of a girl wearing a mask“People trust health care providers, public health officials, and Governor (Gretchen) Whitmer more than many other sources when it comes to communicating important messages about COVID-19,” says Melissa Riba, CHRT’s director of research and evaluation, in a new Crain’s Detroit Business article by senior health care journalist Jay Greene. “But an overwhelming majority (74 percent) of respondents to the survey also said they are worried that Michiganders are less safe because of misinformation being spread about COVID-19,” reports Greene, sharing findings from CHRT’s most recent Cover Michigan Survey.

Some 80 percent of survey respondents reported that the COVID-19 information source they trust in their own healthcare provider, but less than half of the respondents reported receiving COVID-19 information from their healthcare provider.

“The public trusts health care providers, but they aren’t getting enough information from them,” Marianne Udow-Phillips told Crain’s. “That is an opportunity for health care providers to become a leading source of trusted information.”

The problem reports Greene, is that doctors and other healthcare providers don’t often provide direct information to their patients, a practice that Udow-Phillips says should change. Doctors could speak authoritatively of the benefits of wearing masks in public, a practice that all experts now agree can contribute to reducing community spread, Udow-Phillips told Crain’s. “My own health care provider hasn’t contacted me, saying, ‘You should be wearing a mask,'” she said. ‘It could help if they heard from their own doctor.”

Researchers concluded that to combat COVID-19 it is critical for the public to trust the information they receive. “But the disconnect between high trust and simultaneous low use of information sources will challenge public policymakers and health practitioners, requiring diligence in selecting the messengers, channels, and platforms that resonate best with Michigan residents as the state moves into the next phase of pandemic response,” researchers said.

READ THE FULL CRAIN’S DETROIT BUSINESS STORY HERE

CHRT and DHLS in Crain’s Detroit: Two-thirds of Michiganders support contact tracing, cite privacy concerns

Contact tracing depicted

Image of contact tracing“More than two-thirds of Michiganders in a new survey said they would be willing to participate in COVID-19 contact tracing activities that include sharing personal information, people they came into contact with, or reporting symptoms to state or local health departments,” writes Jay Greene for Crain’s Detroit. “But about half of respondents expressed concerns about the privacy of their personal health information, with 37 percent saying they would not participate in a contact tracing effort because of it.” 

Greene is referring to the recently published Cover Michigan Survey reports on trust in COVID-19 information sources and willingness to participate in contact tracing.  Both reports are a collaboration between staff at CHRT and faculty and graduate students at the University of Michigan Department of Learning Health Sciences.

This survey emphasizes the significance of combining individual privacy concerns with public health requirements for developing efficient contact tracing programs. The report also discusses the importance of contact tracing in controlling the pandemic and the value of open communication regarding contact tracing to boost participation and foster trust. 

Overall, the survey results provide useful information for public health experts and politicians to create contact tracing programs that are efficient and respect privacy.

READ THE ARTICLE

Iovan in Lansing State Journal: Lost health insurance during the coronavirus pandemic? Here are your options

"uninsured" circled in red

The words "insured" and "uninsured", with "uninsured" circled in red.“You’re living during an unprecedented coronavirus pandemic, and you just lost your employer-sponsored health insurance. What do you do?” writes Kristan Obeng in today’s Lansing State Journal. Obeng quotes Samantha Iovan, a senior analyst at CHRT, in her guidance for Michiganders.

“We are fortunate we have expanded Medicaid coverage in our state,” says Iovan, who believes many Michiganders who lose their jobs will be eligible. After a job loss, Michiganders have 60 days to apply for Medicaid health insurance coverage through Healthcare.gov. If they miss that window, they may have to wait until open enrollment begins on November 1, 2020.

READ THE STORY

Udow-Phillips in Bridge Magazine: Here’s what Michigan nursing homes that escaped coronavirus did right

nursing home nurse holding a thermometer

nursing home nurse holding a thermometerNursing homes that escaped the virus “took COVID-19 very seriously from day one,” Marianne Udow-Phillips, CHRT’s founding executive director, tells Patricia Anstett in “Here’s what Michigan nursing homes that escaped coronavirus did right.” Anstett’s Bridge Magazine story focuses on the practices these facilities employed to protect their residents from the pandemic.

“Consumers and their families need to ask assisted living facilities about the volume of COVID-19 cases and deaths; how often residents and staff are tested; whether a facility has adequate PPE, and their policies for visitation and delivery, “especially going into the fall’’ when the virus may resurge again,” Udow-Phillips says in the piece.

Another important practice, she says, is collecting data that will help us understand “whether the nursing home quality metrics measured by Medicare or others are sufficient to judge which homes have good track records for staying infection-free. Current yardsticks tend to identify “process measures, not outcomes, in healthcare,” she said, tallying things like adherence to medication administration, or the use of restraints.”

READ HERE’S WHAT MICHIGAN NURSING HOMES THAT ESCAPED CORONAVIRUS DID RIGHT

“They care for Michigan’s most vulnerable; we should care for them” writes 2020 policy fellow Michelle Meade in Bridge

Michelle Meade

Image of Michelle MeadeMichelle Meade, co-director of the Center for Disability Health and Wellness at U-M and one of CHRT’s 2020 health policy fellows, is in Bridge Magazine. “They care for Michigan’s most vulnerable; we should care for them,” writes Meade, referring to the caregivers who have shown up to support “the lives, health, and functioning of others” during the coronavirus pandemic and, in the process, “put their own health and lives at risk.”

“Quality caregiving can allow [Michiganders] to obtain and maintain employment, to manage health and secondary conditions, and to stay out of hospitals and nursing homes,” writes Meade. But in Michigan, she says, unpaid caregivers put their own health, employment and income at risk and paid caregivers can typically make more working at McDonalds where they may also qualify for medical insurance and other benefits.

“While the low wages of these essential workers may be unlikely to change any time soon – particularly in light of the economic recession we expect to result from the COVID-19 pandemic,” writes Meade, “there are other steps that local and state players can take to support this class of essential workers.” Meade’s top three ideas include tax credits and deductions, subsidized health insurance, and strengthened transportation options.

“We know that permanently increasing wages for caregivers may seem overwhelming and infeasible; however, we cannot allow the perceived inability to do that thing prevent us from doing anything,” writes Meade.

READ THE FULL OP-ED

U-M awards grants to six projects, including one from CHRT, that address poverty, impact of COVID-19 across Midwest

Map of midwest US states

Image of a map of the MidwestThe Midwest Mobility from Poverty Network, led by Poverty Solutions at the University of Michigan, awarded six grants totaling $150,000 for projects to improve economic mobility and address the impact of COVID-19 throughout the Midwest. The grant program aims to accelerate collaborative community-university projects that will leverage data and apply research to have real-world impact on economic mobility. 

The Center for Health and Research Transformation (CHRT) is one of the six grantees. CHRT’s grant supports ongoing COVID-19 response analysis for the Michigan Department of Health and Human Services and Council of Michigan Foundations, as well as other health-related organizations.

“We know that improving economic mobility requires action-based partnerships across the nonprofit and for-profit sectors, government and universities,” said H. Luke Shaefer, director of Poverty Solutions and the Hermann and Amalie Kohn Professor of Social Justice and Social Policy at the University of Michigan. “The COVID-19 pandemic has shone a bright spotlight on economic inequality, and we need to support these strategic partnerships to improve economic mobility more than ever.”

The Midwest Mobility from Poverty Network, funded by the Bill and Melinda Gates Foundation, is a collaboration of universities that uses data and analysis to promote economic mobility and reduce poverty in the Midwest region.

READ THE PRESS RELEASE

What the potential Beaumont-Advocate Aurora merger could mean for Detroit patients, employees

Black and White merging arrows

Picture of merging arrowsBeaumont announced it is in merger talks with Advocate Aurora Health, a major healthcare system in other parts of the Midwest says Hank Winchester, reporting for Click on Detroit. 

The largest healthcare system in Michigan is Beaumont Health, and one of the top employers in the Midwest is Advocate Aurora Health, one of the ten largest non-profit, integrated health systems in the country.

John Fox, president and CEO of Beaumont Health, said, “We are excited to explore this option with an organization as highly regarded as Advocate Aurora Health known for their track record in health outcomes, population health, and consumer experience. The potential opportunity to leverage the strength and scale of a regional organization while maintaining a local focus and strong presence in Michigan as a leader and major employer is important to us.” 

In the segment, Winchester interviews Marianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation. Udow-Phillips describes how the merger could impact patient care and quality in Detroit. 

WATCH THE FULL INTERVIEW

Why is Michigan’s coronavirus death rate so high? Udow-Phillips explains in MLive

high covid death rate

High covid death rate newspaper clippings“By multiple measures, coronavirus COVID-19 has been particularly deadly in Michigan” reports Julie Mack in a recent MLive story. “Michigan’s high covid death rate equates to almost 10 percent of the state’s confirmed cases,” writes Mack. “That’s the highest percentage in the country.”

Mack interviewed Marianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation, for perspective. 

It’s likely the sociodemographic factors that made metro Detroit a U.S. epicenter for coronavirus also are contributing to the high covid death rate, said Marianne Udow-Phillips, head of the Center for Health and Research Transformation at the University of Michigan.

Outside of nursing homes, “we know where COVID-19 has been most deadly, and that’s been in the African-American population,” for a variety of reasons, Udow-Phillips said. She also said, “I don’t think it’s in any way that our healthcare system wasn’t as prepared as elsewhere.” 

“A large percentage of deaths are in congregate living settings such as nursing homes and a large percentage are occurring in African-American populations,” Udow-Phillips said. “That informs us on where we need to take interventions; we need to do more to protect those populations, in particular.”

READ THE FULL MLIVE STORY

Udow-Phillips in MLive: Where we need to take COVID-19 interventions to protect vulnerable populations

Covid-19 headstone

Headstone with "COVID-19" written on it, representing the need for interventionsMarianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation (CHRT), spoke with Julie Mack at MLive about where we need to create COVID-19 interventions to protect vulnerable populations.

“By multiple measures, COVID-19 has been particularly deadly in Michigan,” writes Mack in an MLive story that examines the causes. Mack reports that “Michigan’s death count equates to almost 10% of the state’s confirmed cases. That’s the highest percentage in the country.”

Looking at why Michigan has such a high coronavirus death rate is “really quite important, so we can have the best-informed strategy” going forward, Udow-Phillips tells Mack, though she cautions that “there’s a problem with some comparisons between states because some states are not reporting accurately” or in a timely manner.

“A large percentage of deaths are in congregate living settings such as nursing homes and a large percentage are occurring in African-American populations,” Udow-Phillips says. “That informs us on where we need to take interventions; we need to do more to protect those populations, in particular.”

READ THE FULL STORY

Marianne Udow-Phillips in Bridge Magazine on ways to battle COVID-19 in our state’s vulnerable nursing homes

Elderly wearing mask to battle covid 19

Elderly wearing mask to battle covid 19In “Michigan nursing homes linked to 1 in 4 coronavirus deaths. Tally will grow,” a Bridge Magazine story, Marianne Udow-Phillips describes one practice that Michigan could employ to battle COVID-19 in our state’s highly vulnerable nursing homes.

State Rep. Peter Lucido, R-Shelby Township, in Michigan, has argued the state can’t protect nursing home residents with limited information. He has asked both state Attorney General Dana Nessel and federal prosecutors to investigate the state’s nursing home policies.

The disclosure of death counts by nursing homes should be a trigger for further action, Udow-Phillips told Bridge reporters.

She went on to describe nursing home “strike teams” other states have been using since early April. Maryland, for example, has sent teams composed of hospital healthcare workers, National Guard members, and state and local healthcare workers to nursing homes with COVID-19 outbreaks. The teams assist with testing and provide on-site medical support.

“The state could be deploying these teams to battle with infection control. It’s something the state could be working with the nursing home, to have these traveling teams be available,” she said. 

People worry that their loved ones might contract the virus but are unaware of what is happening inside because they are not permitted to visit, said Alison Hirschel, managing attorney, of The Michigan Elder Justice Initiative.

 

READ THE FULL STORY

 

Related content

COVID-19 rapid response brief: Best practices for protecting populations in nursing homes, long-term care settings