• Months after the pandemic begins, the Trump administration will require labs to submit a much broader range of COVID-19 demographic testing data, including age, race, ethnicity, patient gender, ZIP code, type test performed, and test result in accordance with the new guidelines released Thursday.
• By August 1, all labs should be able to submit new data fields to appropriate state and local health departments within 24 hours of searching for results to facilitate COVID-19 monitoring, research contacts, the assignment of deliveries, and the investigation. Unidentified data is sent daily to the Centers for Disease Control and Prevention. Laboratories do not need to report retrospective data.
The United States currently conducts between 400,000 and 500,000 tests a day, Czar Brett Giroir of the Trump administration told reporters. As of May 31, the United States had conducted nearly 19 million tests, including 12 million in May alone, a big increase from previous levels, but below the government’s target of 12.9 million this month. For the past seven days, the nationwide positive test rate has been less than 6%.
Aggregate data from all public and private sectors is the key to a safe and gradual reopening. All states are in a period of economic recovery despite many unanswered questions about COVID-19, including whether someone who contracted the disease could be re-infected and whether the virus will reappear in the fall.
Congress and epidemiologists have been calling for higher volumes of testing and a broader range of data for months to get a clearer picture of the pandemic, especially racial data, as the coronavirus disproportionately affects African Americans and not African Americans whites, probably due to pre-existing health differences and reduced access to quality health services.
According to Giroir, public health labs, which make up a small portion of all testing, are the only places to report racing data to date. But only a fifth of public lab reports contain such data, and public health labs account for only a tenth of total test results, meaning coverage of the COVID-19 race has been a drop in the ocean so far.
Sen. Patty Murray, D-Wash, and Rep. Frank Pallone, Jr., DN.J, sent a letter to HHS on May 22, asking the Trump administration to release and criticize broader demographic data, such as the CDC.
Democrats proposed a bill earlier this year that would benchmark $50 million to help with the effort.
The directive covers the provisions of the CARES Act, passed at the end of March. Governments want to delay the planning process.
“We did this as quickly as possible,” Giroir said.
HHS staff told reporters some of the surveys were collecting newly requested data for data, but they were not forwarding it to public health officials or the CDC in the process, citing government strives to provide clear definitions of infectious and contagious diseases. Agencies Some companies report that you receive reports about service providers in PDF by email or using even the latest technology.
“There are some labs that are still faxing and having to create workarounds,” CMS Chief Technology Officer Shannon Sartin told reporters.
The scanner can report from three electronic systems: directly at the state and local level from the current channel, that will receive the data specified in the CDC; through a central platform, such as the Association of Public Health Labs ’AIMS platform, which manages data on local government and the CDC; and by changing information about local government.
The American Academy of Pediatrics, which represents the people of LabCorp at Quest Diagnostics, stressed the importance of collecting data and unambiguous statements in the guide but also said that it is difficult for labs can access information from public health facilities if the provider does not provide access to them.
The lab does not usually see the patient right away – samples are collected at a hospital, doctor’s office, or test site — so they say they find it difficult to fill the gaps.
The ACLA said “Repairing the current patchwork media system will require strong governmental planning and control,” the ACLA said.
The FDA will tighten the directive through a number of approvals, from warning letters and regulations to making criminal law worse. While HHS expects the vast majority of labs to be able to meet guidance with little effort and be able to start reporting new data areas before August, the deadline is two months on the road to catch up sure small businesses have a small amount of time to come to the reception, Giroir said.
If possible, the data should arrive in a standardized format using the ONC criteria. However, laboratories are not required to structure data according to USCDI standards or submit data according to HL7 electronic laboratory reporting guidelines. The lack of standardization could place an additional burden on HHS and CDC if they are burdened with more data in unspecified formats.
The lack of a nationwide interoperable reporting system was a black mark against the Trump administration’s pandemic, critics said.
Unclear reporting requirements, overlapping state and local guidelines, and incomplete medical records have made it difficult for health authorities to monitor disease trends, establish contact tracing programs, anticipate supply chain medical requirements and allocate and pay for evidence-based testing resources.
HHS also recommended Thursday that labs send results and patient information to the ordering provider so that the data can be incorporated into the patient’s medical record for tracking and tracking of results and for laboratories to send results directly to patients by mail, email, or a patient portal within 24 hours of the result, rather than waiting days for results. However, none are required.