Duke-Margolis Newsletter: April 2020
COVID-19 RESPONSE:
HEALTH POLICY IN ACTION
NATIONAL
Duke-Margolis published a new report t hat outlines features and capabilities of a national surveillance system to mitigate the current COVID-19 pandemic wave and to limit and suppress future outbreaks.

FEDERAL
Center Director Mark McClellan is one of the 16 bipartisan signatories of the letter to Congress calling for $46 billion for tracing, isolating COVID-19.

CITY/MUNICIPALITY
Director of Duke-Margolis Mark McClellan, together with Los Angeles Mayor Eric Garcetti and Oklahoma City Mayor David Holt, outline a path forward f or cities to reopen.

STATE
North Carolina’s early start in addressing COVID-19 aggressively is paying off. Instituting policies to increase social distancing have likely helped the state avoid a more dire outlook that was possible had the state chosen a different path. However, COVID-19 remains a serious threat to North Carolina. Read more about the work of Core Faculty Member Aaron McKethan, Duke-Margolis researcher Hilary Campbell, and their colleagues at UNC-Chapel Hill and RTI International here.

Mark McClellan, Dale Jenkins, former chair of the N.C. Chamber of Commerce and CEO of Curi, and Dave King, executive chairman of the board and former CEO of LabCorp and Duke-Margolis Advisory Board Member, map a path to reopen North Carolina in an opinion piece published by WRAL-North Carolina on Thursday, April 16, 2020. Dr. McClellan comments here.

On April 7, Director Mark McClellan participated in a State Coronavirus Action Network call hosted by the National Governors Association with governors’ staffs and senior state officials on the topic of Mitigating Community Spread through Social Distancing.
DUKE-MARGOLIS COVID-19 THERAPEUTICS WEBINAR

On April 20, Duke-Margolis and the Alexandria Summit hosted a webinar for more than 800 attendees on “Developing a Therapeutic Response to COVID-19,” with Former FDA Commissioner Scott Gottlieb, NIH Director Francis Collins, and FDA Principal Deputy Commissioner Amy Abernethy.

On Monday, April 13, Duke Science & Society hosted a webinar on Coronavirus Conversations: Rationing, Shortages, and Triage: Pandemics And Medical Decision Making featuring Core Faculty members Monica Lemmon, Peter Ubel, and Buz Waitzkin.

Senior Policy Fellow Susan Dentzer has been moderating a webinar series hosted by PCORI for the past two weeks, helping hospitals and health systems respond to COVID-19. She was also quoted in a couple of pieces by  Morning Consult and Vox . On Tuesday, April 21, she moderated a session on Nurse Staffing and COVID-19 .
Healthcare Worker Exposure Response and Outcomes (HERO) registry of healthcare workers opened on April 13 and is led by Core Faculty Member Emily O'Brien .
PUBLICATIONS

Duke-Margolis researchers found that accountable care organizations, the nation’s biggest health care payment reform program, need additional financial support and policy flexibility to survive the financial and other certainties brought by COVID-19. Health Affairs published a two-part blog post on this work:


NEWS

Core Faculty Member Don Taylor, in conjunction with Duke Forge and Duke SSRI, released the findings of Week 2 of the North Carolina Social Distancing sur vey.

Duke Internal Medicine Advocacy in Clinical Leadership Track residents published an op-ed in The Hill on The Troubling Realities of Slow COVID-19 Testing.

Core Faculty Members Courtney Van Houtven and Nathan Boucher outline the impact of COVID-19 on long-term care in the United States. Read more here.

Core Faculty Member Courtney Van Houtven has a new  Health Affairs  blog on re-imagining post-acute care as a predominately home-based service. Read more   here.
Andrea Thoumi, Research Director, Global Health, co-authored a Brookings Futures Development blog with Bass Connections students on strategies to advance cervical cancer prevention and treatment in Peru. Based on in-country interviews conducted in March 2020, the authors propose three pathways that result from technology-enabled community health: empowering through awareness, investing in financial autonomy, and plugging health system gaps that matter most. This work is part of the Women-Inspired Strategies for Healthcare, led by Nimmi Ramanujam, and in collaboration with HOPE Peru Project.
Core Faculty Member Charlene Wong had a piece published in Pediatrics Journal about mitigating the impact of the COVID-19 pandemic on children.
Managing Associate Monika Schneider published an article on improved use of the NTAP for antibiotics for Contagion Live.
Core Faculty Member Gavin Yamey has a new blog from the Brookings Institution on the funding requirements for a COVID-19 vaccine.
C ore Faculty Member Courtney Van Houtven and Rachel Werner outline a reimagined and better home based post-acute care paradigm for both the COVID-19 pandemic and afterwards in a new Health Affairs blog.
Core Faculty Member Yousuf Zafar conducted a systematic review to summarize the currently published literature and to determine the effects of Medicaid expansion on outcomes during points along the cancer care continuum. This review highlights important gaps in the existing oncology literature, including a lack of studies evaluating changes in treatment and access to end-of-life care following implementation of expansion. Read more here .
Core Faculty Member Nathan Boucher is co-author with other Duke Faculty on “Why Palliative Care is the Answer to the Serious Illness Question in Payment Reform” in the American Journal of Managed Care . They explain that through enlisting primary care providers in palliative approaches to care, building a palliative care champion workforce, and employing more palliative care specialists we can transform healthcare quality for patients and families dealing with serious illness. Read more here.

Nathan Boucher also writes about the need to focus on nursing homes as critical population for COVID-19 in this piece published on WRAL Opinion.
Submissions Welcome!
Interesting Project? Funding Opportunities? News and Events? Awards and Honors? 
Policy Impact? Op Eds? 

We're looking for ways to highlight your accomplishments and share information.
Email submissions to dukemargolis@duke.edu.