By Bill Britt
Alabama Political Reporter
HUNTSVILLE—Madison County is the heart of Alabama’s technological center at the heart of the county is Huntsville Hospital Health Systems.
Huntsville Hospital Health Systems is only riveled in size by the UAB Health Systems, leading this massive healthcare provider is CEO David Spillers.
“At our core hospital in Madison we see around, 50,000 in-patients a year and 160,000 in the emergency department,” says Spillers. Of that number, Medicaid recipients account for approximately 30 percent of those patients seen in the ER and around 15 percent of the hospitals in-patients received treatment though Medicaid.
“We are the third largest provider of healthcare to Medicaid patients,” said Spillers. While other hospitals may see a larger percentage of Medicaid recipients, Huntsville Hospital sees more because of the “sheer volume.”
Huntsville Hospital, employs over 10,000 people and is only exceeded in personnel by Redstone Arsenal.
Spillers says that Madison has seen great growth due to BRAC and other industry, “When families are looking to relocate the first thing they want to know is the quality of the schools the second is hospitals.”
Spillers who spent 18 years in healthcare management in Ashville, North Carolina, before choosing to move to Huntsville says he loves Alabama, but wishes it paid better for healthcare services.
It is often pointed out that Alabama hospitals are the most efficiently run in the country, to that Spillers immediately replies, “And the worse paid.” He further explains, “When you are paid the least you have to be efficient if you want to stay in business, you figure out how to get real efficient.”
When Spillers came to Huntsville six years ago he says he did some calculations and found that if Huntsville Hospital were paid according to North Carolina standards under Medicaid, Medicare and private insurers, the hospital would have realized $65 million more in revenue in that one year.
“We are historically a low tax state, states with more money tended to spend more on social services, we don’t have the tax base so the money is not there,” said Spillers. He continues, “Some will tell you that the reason we are consistently ranked at the bottom with regards to the health of our citizens, is because we don’t spend the money on their healthcare.”
Few would question the correlation between money provided for quality care and the health of a population, through access, education and treatment.
This all becomes more ominous with the looming Constitutional Amendment vote on September 18. That vote will determine if the state can fund even its meager Medicaid program and its overcrowded prison system.
“The biggest problem is there is no plan B, there is only one options right now,” says Spillers. “So, if this plan fails and we are looking at a 20 percent across the board proration. In our area, the ones I am responsible for, it means I have to find an additional $15 to $20 million dollars.”
Spillers says the only way to meet the challenges—that would be imposed by not funding Medicaid through the constitutional amendment— is to “look at what programs can be cut and what services will no longer be offered.”
He does not mean services only offered to Medicaid recipients but service offered to all patients.
“There is no way to see 15 or 20 percent taken away and keep doing what we are doing now,” states Spillers. “We already lose money on the services we provide to those on Medicaid.”
Spillers points out that for every dollar they spend on Medicaid patients that the hospital only receives around 75 cents back.
“Some people say, ‘just collect 65 cents and you will be okay,’ that is not possible,” says Spillers.
As the Medicaid story has unfolded it has become clear that the state is currently in the same dire fiscal shape it was ten years ago as to Medicaid and prison funding. Even with ten years to address the problem facing those chronic problems little has been accomplished toward better funding these programs.
Spillers says there comes a point when it is not possible to cut any more and there must be some relief on the revenue side.
“I am a republican and hate taxes,” but he says there may be a reason to look at cigarettes, alcohol, soft drinks, firearms and other things. “Many of which lead to overcrowded emergency departments every weekend.” As a way of putting money back into healthcare.
Spillers says that the Huntsville Hospital Health Systems is currently in a pilot program using “clinical case managers assigned to a Medicaid patients who have a high utilization of Medicaid.”
According to the Alabama’s Medicaid agency the, “new, locally-led approach to how Medicaid recipients receive medical care has produced savings for state taxpayers and improved care for patients.”
In fact the Alabama Medicaid Agency was one of five state and local government organizations honored May 10 as the recipient of a 2012 Innovative Alabama Governments Award from Auburn Montgomery Center for Government and Public Affairs and the Center for Advanced Technologies. The awards honor select recipients for their use of new and innovative methods to help Alabama state, county, and municipal government agencies reach new levels of efficiency and responsiveness.
“This program allows us to focus on the 10 or 20 percent of the population that is using 80 percent of the Medicaid services and significantly reduce their use of health facilities,” said Spillers. “They have better outcomes and it saves money.” But he also warns, “There is only so much money that can be squeezed out of these programs but it is a good start.”
In part two, Mr. Spillers talks about underlying problems and solutions that can lead to better healthcare and savings.
Alabama’s hospitalized COVID-19 patients Sunday at highest number since Sept. 2.
It’s a trend that has public health officials and hospital staff concerned that the state may be headed for another surge.
Alabama hospitals on Sunday were caring for 920 COVID-19 inpatients, the highest number of patients since Sept. 2 and a 23 percent increase from a month ago.
It’s a trend that has public health officials and hospital staff concerned that the state may be headed for another surge just as the regular flu season begins to fill up hospital beds.
Alabama state health officer Dr. Scott Harris by phone Friday called the rising new cases and hospitalizations “worrisome.”
Alabama’s seven-day average of daily hospitalized COVID-19 patients was 864 on Sunday, the highest it’s been since Sept. 8. State hospitals saw a peak of COVID-19 inpatients on Aug. 6, when 1,613 patients were being cared for.
The state added 1,079 new confirmed and probable cases on Sunday, and Alabama’s 14-day average of new daily cases hit 1,358 Sunday, the highest it’s been since Aug. 13. Two “data dumps” to the Alabama Department of Public Health of older confirmed cases Thursday and Friday elevated the daily counts on those days, but after weeks of daily cases hovering around 700 and 800, the state now regularly sees more than 1,000 cases a day.
The older test results skew the state’s percent positivity, but Alabama’s 14-day average of percent positivity on Sunday was 20 percent. Just prior to the addition of those older cases, the 14-day average was 15 percent. Public health officials say it should be at or below five percent or cases are going undetected.
As cases continue to rise, the number of tests being performed statewide continue to decline, which is increasing Alabama’s percent positivity rate. The 14-day average of daily tests was 6,619 on Sunday — a 5 percent decrease from two weeks ago.
There have been 2,866 confirmed and probable COVID-19 deaths statewide. The state’s 14-day average of daily confirmed deaths was 14 on Sunday, up from 12 two weeks ago.
The United States on Saturday recorded its second highest day of new cases since the start of the pandemic, with 83,718 new cases, according to Johns Hopkins University. Saturday’s peak was just 39 cases fewer than the country’s all-time daily high, set on Friday. As of Sunday, 225,061 people have died from COVID-19 in the U.S.
Trump Truck and boat parades this weekend
As Election Day draws near, Alabama Republicans are excited about promoting the re-election of Donald J. Trump as President and the election of Tommy Tuberville for U.S. Senate. This weekend two pro-President Trump events are happening in the state. There will be a truck parade from Ashland to Phenix City on Saturday sponsored by the Clay County Republican Party, while there will also be a boat parade on Wilson Lake in the Shoals sponsored by the Colbert County Republican Party on Sunday.
The pickup trucks will assemble at the Ashland Industrial Park in Clay County, 8240 Hwy 9, Ashland. There is a pre-departure rally at 10:00 a.m. central standard time. The trucks will depart at 11:00 a.m. and then proceed on a parade route that will take them into the bitterly contested swing state of Georgia. The Trump Pickup Parade will wind through east Alabama and West Georgia traveling through LaGrange and Columbus before concluding near the Alabama/Georgia line in Phenix City, 332 Woodland Drive, Phenix City at approximately 2:00 p.m. central time. Speakers will begin at 3:00. Trump flags will be on sale at the event.
The Phenix Motorsports Park will be hosting what sponsor hope could possibly the world’s largest Pickup Tuck parade in U.S. history that is routing over 50 mile through Georgia in effort to “pickup” President Trump’s numbers in GA.
A number dignitaries have been invited to address the Phenix City rally, including Coach Tuberville. Former State Sen. Shadrack McGill, Trump Victory Finance Committee member former State Rep. Perry O. Hooper Jr., and Paul Wellborn, the President and CEO of the largest Family owned Kitchen Cabinet manufacture in the USA are among the featured speakers who have committed to speak at the event.
Entertainment will be provided by: Charity Bowden, an up and coming country music singer who was the runner up on “The Voice”. Charity will sing ‘I am Proud to be an American’ as well as songs from her Voice performances. The McGill Girls will also perform. The three beautiful and talented sisters will be singing patriotic songs in three part harmony. Geoff Carlisle, a professional DJ will be keeping the crowd pumped with music and entertainment.
Following the speakers and the entertainment there will Trump truck-vs- Joe Bidden truck races down the drag strip for the finale.
The Northwest Alabama boat parade will be on Sunday. The boats will gather at 2:00 p.m. near Turtle Point and then the flotilla will parade around the open waters of Wilson Lake til 3_00 p.m.. There will be a contest for best decorated Trump boats.
Trump supporters have held a number of large boat parades across the state to show their support for the re-election of Pres. Trump.
Boat parade sponsors say that this parade will be: pro-American, pro-law enforcement, pro-military.
COVID-19 hospitalizations, new cases continue to rise
The number of rising hospitalized COVID-19 patients in Alabama is a concerning sign of a possible coming surge of the disease, state health experts said Friday. Alabama hospitals were caring for 888 coronavirus patients Friday, the highest number since Sept 9.
UAB Hospital was caring for around 80 COVID-19 inpatients Friday afternoon, said Dr. Rachael Lee, an infectious disease specialist at UAB, speaking to reporters Friday. UAB Hospital hasn’t had that many coronavirus inpatients since Aug. 18, when the disease was surging statewide.
“We have been dealing with this since March, and I think it’s easy for us to drop our guard,” Lee said.
Alabama added 3,852 new coronavirus cases on Friday, but 1,287 of them were older positive antigen tests, conducted in June through October and submitted to ADPH by a facility in Mobile, according to the department. Still, Alabama’s daily case count has been increasing, concerning health officials already worried that as the weather turns colder and the flu season ramps up, Alabama could see a surge like the state had in July.
Alabama’s 14-day average of new daily cases was 1,247 on Friday, the highest it’s been since Sept 4. Over the last 14 days, Alabama has added 17,451 new COVID-19 cases.
Friday’s inclusion of those older positive test results throws off the day’s percent positivity, by Thursday the state’s percent of tests that were positive was nearly 16 percent. Public health officials say it should be at or below five percent or cases are going undetected.
The state added 16 COVID-19 deaths on Friday, bringing to total confirmed deaths statewide to 2,859. Over the last two weeks, 206 deaths were reported in the state. Alabama’s 14-day average of new daily deaths on Friday was 15.
Alabama state health officer Dr. Scott Harris told APR by phone Friday called the rising new cases and hospitalizations “worrisome.”
Harris noted the data dump of older confirmed cases in Friday’s data, but said “but nevertheless, I think it’s clear our numbers are going up.”
Harris said it’s not yet clear what’s causing the continued spread, but said it may be due at least in part to larger private gatherings. ADPH staff has mentioned a few outbreaks association with such gatherings, but Harris said it’s hard to know for certain if that’s the major driver in the state’s rising numbers.
“It’s football season and the holidays are coming up and school is back in session,” Harris said. “I think people are just not being as safe as they were.”
Harris noted that on ADPH’s color-coded, risk indicator dashboard, red counties, which denotes counties with rising cases and percent positivity, the 17 red counties on Friday were distributed across the state.
“So there’s not one event, or even a handful of events. It seems like there’s just a lot of things happening in a lot of places,” Harris said.
Alabama’s rising numbers are mirrored in many states. The U.S. reported more than 71,600 new COVID-19 cases on Thursday, nearing the country’s record highs, set in July.
Birmingham approves $1.3 million contract for real-time crime center technology
Woodfin repeated that facial recognition capabilities will not be used in accordance with the contract.
The Birmingham City Council approved a five-year, $1.3 million contract with Motorola this week to provide new technology for the police department’s real-time crime center amid unease and public concern over the potential use of facial recognition software within the new systems.
Mayor Randall Woodfin insisted in his remarks made before the council that the new technology is meant to integrate existing hardware and technology inside the real-time crime center. “You’re not buying any additional new equipment,” he said, “You’re buying something to integrate all those systems.”
The software suite includes Motorola Solutions’s CommandCentral Aware, a system that aggregates video, image and other data information into one interface, and BriefCam, a “video synopsis” system that will further integrate and analyze information from Birmingham’s ShotSpotter systems, public cameras and police body cameras.
Briefcam offers facial recognition capabilities, which was the main concern of community members speaking before the council, and the risk that use of the technology could disproportionately affect Black people. Facial recognition technology has a record of racial bias and misidentifies Black people at rates five to 10 times higher than white people.
“Despite assurances that there will not be facial recognition implemented at this phase that does not prevent it from being implemented in the future,” said Joseph Baker, Founder of I Believe in Birmingham and one of the Birmingham residents voicing concern on the proposal. “I believe that this software, if fully implemented, can easily lead to violations of unreasonable searches.”
Another resident who spoke against the resolution was Byron Lagrone, director of engineering at medical software solutions company Abel Healthcare Enterprises. Lagrone pointed to IBM and Amazon as examples of companies that have halted or abandoned facial recognition and object tracking software altogether over racial bias concerns.
“The prevailing attitude, among technical people is this technology is not effective, and it causes high amounts of harm for next to no gain,” Lagrone said.
Woodfin repeated that facial recognition capabilities will not be used in accordance with the contract.
“It’s explicit in this contract that facial recognition will not be used,” Woodfin said, “[If] facial recognition wants to be used in the future of this city. It would have to be approved by this body. … The mayor’s office or the police department doesn’t have unilateral power to use facial recognition. That is not part of what our contractual relationship is with Motorola.”
Woodfin also clarified that the total $1.3 million price of the contract will not be paid as a lump sum but spread out over the five-year commitment.
The city council voted 8 to 1 to approve the contract, with District 8 Councilman Steven Hoyt speaking in favor of the use of facial recognition capabilities.
“You can’t say, ‘I’m going to build a house but I’m not going to use the restroom,’” Hoyt said. “If it’s in the house, you’re going to use the restroom. … If it has the capability of facial recognition, guess what’s going to happen? You’re going to use it. I’m going to vote for it because I know we’ve got to have every tool we can garner to fight crime, because it’s out of hand.”
Hoyt also suggested a review of the information collected by the new system apparatus.
“I do think, for the public’s sake, we need to have some way we review that and see how it’s being used,” Hoyt said. “We need that to go along with this.”
District 3 Councilwoman Valerie A. Abbott — who said she was the victim of a burglary the day before the vote — echoed the mayor’s insistence that the facial recognition capabilities would not be deployed unless authorized by the city council, reading a letter from Motorola stating “in order to enable facial recognition, Motorola will require an addendum or change order to the contract,” which would have to come before a public meeting of the city council.
“I too would not want facial recognition,” Abbot said, “I’m voting in favor of this because the majority of my constituents are telling me they want more and better policing, capture of criminals, prevention of crime.”
District 5 Councilman Darrell O’Quinn was the lone no vote among the near-unanimous city council, stating that he had “some reservations about how we’re doing this and will vote my conscience.” Later, O’Quinn was quoted in BirminghamWatch, saying his vote reflected his concerns about “taking on a new debt obligation in the midst of a projected $63 million shortfall in revenue.”