About Paul Natinsky

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So far Paul Natinsky has created 175 blog entries.

Detroit’s COVID-19 Numbers ‘Coming Down Extremely Fast’

(This story presented as part of a cooperative effort between Healthcare Michigan and MIRS, a Lansing-based news and information service.)

Detroit reported that the city’s COVID-19 related deaths continues to decline, with nine additional deaths reported May 1, bringing the city’s total to 1,045.
Mayor Mike Duggan said in his daily press briefing that the number of deaths at nursing homes, however, continues to grow. By May 1, 233 nursing home residents and three staff had died after testing positive for COVID-19, he said.

“The numbers are coming down extremely fast,” he said. “What we’re doing is continuing to work … Before this is over, we’re going to find a quarter to [Read More]

Detroit’s COVID-19 Numbers ‘Coming Down Extremely Fast’2020-05-11T16:59:52+00:00

Always The Bridesmaid, Public Health Rarely Spotlighted Until It’s Too Late

The United States is in the midst of both a public health crisis and a health care crisis. Yet most people are not aware these are two distinct things. Further, the response for each is going to be crucial.

If you are not a health professional of some stripe, you might not realize that the nation’s public health system operates in large part separately from the system that provides most people’s medical care.

Dr. Joshua Sharfstein, a former deputy commissioner for the Food and Drug Administration and now vice dean at the school of public health at Johns Hopkins in Baltimore, distinguishes the health care system from the public health [Read More]

Always The Bridesmaid, Public Health Rarely Spotlighted Until It’s Too Late2020-05-11T16:57:31+00:00

Healthcare In A Post-COVID-19 ERA: What Will Stay, What Will Go

Will healthcare be forever changed in a post-COVID-19 world? Hopefully yes and hopefully no. We must of course hang on to what is good about our healthcare system. Primary care physicians and nurse practitioners affirming the care model of the patient-centered medical home. Fearless leaders such as Dr. Kimberly Farrow, CEO of Central City Integrated Health, and Dr. Anthony Clarke of Health Centers of Detroit, who toiled away in the heart of the city, the epicenter of Michigan’s pandemic, to treat, comfort, educate and encourage our state’s neediest patients. In the meantime, minutes and hours away, family medicine physicians, internal medicine docs, pediatricians and other Michigan providers also [Read More]

Healthcare In A Post-COVID-19 ERA: What Will Stay, What Will Go2020-05-11T16:54:56+00:00

Analysis: Is Sweden Different?

(EDITOR’S NOTE: The opinions expressed below are those of the author and not necessarily those of Healthcare Michigan or its publisher.)

One nation in the developed world stands out for its exceptional approach to the coronavirus pandemic – Sweden. While most Americans were locked down, we looked with jealousy at pictures of Swedes walking on the streets, seemingly unconcerned, living normal lives. How could they do that, and has it worked?

First, it is a myth that the Swedes have had no restrictions, but their rules certainly have been more relaxed than those in most of Europe or in the United States. While their schools remained open for younger [Read More]

Analysis: Is Sweden Different?2020-05-11T16:46:34+00:00

LEGAL LEANINGS: Telehealth – Healthcare At A Social Distance

In this new normal we are experiencing as a result of the COVID-19 pandemic, social distancing and telehealth go hand in hand. Telehealth includes a range of technology, for example, the use of real-time video interaction, “store and forward” technology, remote patient monitoring or online chat groups.

Telehealth is particularly well suited for initial screening of patients and providing quicker and safer access to providers now, and also once we are safely beyond the current health crisis. As a result, this is a critical time for healthcare providers to encourage their patients to make use of this valuable tool and to implement or improve processes and systems already [Read More]

LEGAL LEANINGS: Telehealth – Healthcare At A Social Distance2020-05-11T16:43:53+00:00

COMPLIANCE CORNER: Relief And Compliance Challenges

The outbreak of COVID-19 sent shockwaves through the healthcare industry. Drastic declines in the hospital and healthcare provider revenue have hamstrung their ability to response to the outbreak and, in some cases, caused providers to shut down entirely. In response, Congress passed the Coronavirus Aid, Relief and Economic Security (CARES) Act, which included the creation of the Provider Relief Fund. The fund’s goal is to provide direct financial relief to hospitals and healthcare providers. The Department of Health and Human Services (HHS) has been charged with distributing the fund’s $175 billion war chest.

The fund’s distributions have been divided into general allocations, to be distributed to a wide [Read More]

COMPLIANCE CORNER: Relief And Compliance Challenges2020-05-11T16:50:05+00:00

IN MY OPINION: The Blurring Of Science And Politics

(EDITOR’S NOTE: Opinions expressed here are those of the author and not necessarily those of Healthcare Michigan or its publisher)

The reaction to the COVID-19 virus hysteria is financially devastating to Michigan’s hospitals and many others throughout the country and world. The burning question is whether all of this is necessary. Hospitals have been devastated by erroneous assumptions based on incomplete, premature and error-laden data. This has led to flawed models, given credence from a consensus of two physicians. Finally, politics has warped clear analysis and solutions. The idea that there might be a middle ground regarding hospitals’ economic vulnerabilities and that of the livelihoods of millions of [Read More]

IN MY OPINION: The Blurring Of Science And Politics2020-05-11T16:48:40+00:00

Officials Warned About Safety Gear Shortfall Early, Emails Show

A high-ranking federal official in late February warned that the United States needed to plan for not having enough personal protective equipment for medical workers as they began to battle the novel coronavirus, according to internal emails obtained by Kaiser Health News.

The messages provide a sharp contrast to President Donald Trump’s statements at the time that the threat the coronavirus posed to the American public remained “very low.” In fact, concerns were already mounting, the emails show, that medical workers and first responders would not have enough masks, gloves, face shields and other supplies, known as PPE, to protect themselves against infection when treating COVID-19 [Read More]

Officials Warned About Safety Gear Shortfall Early, Emails Show2020-04-07T16:11:47+00:00

Everything Old Is New Again: Telehealth Takes Center Stage In Pandemic

Despite its high-tech sounding name and implications, telehealth is not new. Our own organization was using it years ago for a very challenged subset of society—teems who had urgent and ongoing mental health needs living in rural areas underserved by behavior health specialists.The grant-funded program was offered with the assistance of Michigan Medicine and I strongly believe it was a lifesaver for some teens. Despite relatively early adoption in this and other select cases, though, I certainly can’t brag that all of our practices were using—or even remotely interested (pun intended) in—telehealth. It was a continuum from zero awareness to occasional use. What a difference a pandemic makes!

Interestingly, [Read More]

Everything Old Is New Again: Telehealth Takes Center Stage In Pandemic2020-04-07T16:06:14+00:00

Hospitals To Hit Capaicity, TCF Center Becomes Field Hospital

(This story presented in cooperation with MIRS, a Lansing-based news and information service)

Multiple southeast Michigan hospitals are at capacity with COVID-19 patients and several more expect to hit capacity the first week of April as the number of patients continues to climb, according to the president and CEO of the Michigan Health and Hospital Association.

Michigan’s COVID-19 cases jumped to 6,498 by 3 p.m. March 30 with 81 percent still in the three-county region of Macomb, Oakland, and Wayne counties. Detroit continues to be the epicenter with 1,801 cases and 52 deaths.

With 134 hospitals statewide and roughly half in Southeast Michigan, Gov. Gretchen Whitmer is accepting the U.S. Army Corps [Read More]

Hospitals To Hit Capaicity, TCF Center Becomes Field Hospital2020-04-07T16:00:52+00:00