Milwaukee Journal Sentinel

Evers defends health officials

COVID deaths in nursing homes misclassif­ied

- Molly Beck and Devi Shastri

Governor says response to nursing home deaths would not have changed if they had been accurately classified.

“... it did not impact our outreach or our work ...” Gov. Tony Evers

Gov. Tony Evers on Monday defended health officials who in the last two weeks attributed nearly 1,000 more COVID-19 deaths to long-term care facilities after those people had been marked for months as having died in an “unknown” housing setting.

Evers said the state’s COVID-19 response would not have changed if the deaths had been accurately classified quickly because state and local health officials knew from the start of the pandemic that all Wisconsin residents living in shared housing, like a nursing home, would have been at a higher risk of dying of COVID-19 and all outbreaks including two or more people were investigat­ed promptly.

“Our local folks got lots of death certificates and death investigat­ions that just had a street name on it. How do we know that is a nursing home? We made sure we were on site and helping those nursing homes from the get-go,” Evers told reporters at a new vaccine clinic on the campus of the University of Wisconsin-Milwaukee.

Evers is facing criticism from Republican­s now that the state is now reporting 45% of the people who died from COVID-19 were in long-term care facilities when for months the state had linked only between 26% and 30% of fatalities to long-term care.

Until recently, the state was missing informatio­n in about half of all COVID-19 deaths and could not say whether those people were long-term care residents. They were listed as COVID-19 deaths with an “unknown” housing setting.

Now, many of them have been reclassified as long-term care residents, a category that covers nursing homes and assisted living centers.

“The failure to accurately classify these deaths obscured the truly dire situation in Wisconsin’s long-term care facilities,” Wisconsin Republican members of the U.S. House wrote in a letter to Evers on Monday. “Had this informatio­n been accurately reported in real time, medical personnel could have targeted the limited supply of medical resources available to them toward long-term care facilities.”

Evers’ administra­tion said the change is part of the normal process of updating the state’s health data, including about COVID-19 deaths, and ensuring data quality. They said the state’s

decentrali­zed system — with data gathered at local health department­s — makes data difficult to collect, and said that without an extra step they took, the 1,000 deaths might never have been correctly tied to long-term care facilities.

His administra­tion did not answer questions until Monday about why it took months to update the data and how long ago the reclassified deaths occurred.

Republican state lawmakers are calling for a review or audit of the process to track COVID-19 deaths in light of the reclassification, which was first reported by the Milwaukee Journal Sentinel.

“If more people would have known that almost half the deaths were in nursing homes, we would have (done) a better job prioritizi­ng nursing homes,” Assembly Speaker Robin Vos, R-Rochester, said Friday.

Vos said knowing that data sooner may have prevented restrictiv­e health orders affecting certain industries that had “to be propped up with borrowed money from our grandchild­ren.”

“If the Republican­s want to weaponize the Legislativ­e Audit Bureau, no surprise there,” Evers said on Monday. “But at the end of the day, it did not impact our outreach or our work with those nursing homes.”

Evers attributed the reclassification to the time it takes health officials to resolve missing or unclear informatio­n while also responding to a pandemic.

“You’re in the middle of a pandemic. You’re already working in those nursing homes. To me, it is important to have the right data, but if we had the right data, and we knew who was where, it wouldn’t have made any difference in our outreach because we were already there and working with those nursing homes,” Evers said.

Sarah Volpenhein of the Milwaukee Journal Sentinel contribute­d to this report.

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