We’ve reported our local food banks getting low, and it turns out fewer donations aren’t the only driver. This last year, the search for “food pantries near me” has increased by 70% in Oregon, according to Google.
The Oregon Food Bank reports 1.5 million people sought food assistance over the last year – and that’s double what the figure was before the pandemic.
If you can help, please consider learning about donating at the Linn-Benton Food Share.
Corvallis Public Schools Foundation: The foundation announced $84,000 in grants to fund various programs throughout the District. These IMAGINE grants — an acronym of Innovation, comMunity, Action, chanGe, Inclusivity, collaboratioN, Engagement — are available to any Corvallis School District staff member.
This year, 29 grants were funded, including a district-wide student art exhibit, a multicultural environmental education program, instrument supplies to promote equitable access to music, and coding robots for STEAM-based learning, among other initiatives.
Letitia Carson Elementary kindergarten teacher Kara Olson received a grant to support “Letitia’s Garden Club,” an after-school program integrating art, science, wellness, and community. “My students have benefitted so much throughout the years from Corvallis Public Schools Foundation funds,” says Olson. “I am so grateful, and of course full of more creative ideas for the future, thanks to CPSF.”
Since 2008, the Foundation has provided more than $800,000 through this grant program. “We are so proud of the work our educators are doing to inspire and engage students,” says Emily Barton, co-chair of the Grants and Scholarship Committee. “It is our privilege and honor to award these grants that are made possible by the generosity, commitment, and responsiveness of our donors.”
Angela Hibbard, the Foundation’s interim executive director, echoed Barton’s thanks to the community and added that “budget limitations often mean that educators do not have the resources needed to implement their innovative ideas. Now more than ever, students need creative ways to engage with their school community and enhance their learning.”
For a complete list of all the IMAGINE grants awarded this year, click here.
Grants Your Student Can Apply For: The Foundation also offers innovation grants to district students, and they’re accepting applications now. According to the foundation, these Youth Empowerment and Action, or YEA!, grants fund innovative, student-driven projects.
509J students can find more information and apply at cpsfoundation.org.
Santa at The Whiteside: Starting at noon on Saturday, it’s a chance to visit with Santa, and then at 3 p.m., this historic gem of a theatre will be screening Disney’s 1991 classic, “Beauty and the Beast”. General admission is $5, and kids aged 12 and under can watch the movie for free. For tickets, click here.
Oregon Winter Favorite Ranks Nationally: Of every winter resort across the country, Trips to Discover only found 14 worthy of ranking as family friendly, and Sunriver over in Bend made the cut. They gushed quite positively.
“Sunriver Resort is renowned for its abundant, dry powdery snow, located just 20 minutes from Mount Bachelor with a shuttle that will take you to the slopes for epic skiing and snowboarding. At the resort itself, there’s a covered ice skating rink and guests can also embark on a Victorian-style horse-drawn sleigh ride through a snowy meadow. Cross-country skiing and snowshoeing are ideal right on the property, while the Cove Aquatic Center offers indoor pools and water slides. After dark, enjoy some of the best stargazing from the observatory at the nature center. Accommodations include a mix of lodge rooms, condos, cabins, and spacious townhouses.”
If you’re new to Oregon, check it out. If you’ve been here awhile, you probably have already.
Behind Oregon’s Shortage of Pediatric Hospital Beds: The current tri-demic crisis impacting pediatric care is not just isolated to Oregon, it’s nationwide, and it’s been coming for some time now. This week, we publish a highly worthwhile deep dive report from Kaiser Health News, or KHN.
Financial Decision Play Role in Pediatric Bed Shortage: The dire shortage of pediatric hospital beds plaguing the nation this fall is a byproduct of financial decisions made by hospitals over the past decade, as they shuttered children’s wards, which often operate in the red, and expanded the number of beds available for more profitable endeavors like joint replacements and cancer care.
To cope with the flood of young patients sickened by a sweeping convergence of nasty bugs — especially respiratory syncytial virus, influenza, and coronavirus — medical centers nationwide have deployed triage tents, delayed elective surgeries, and transferred critically ill children out of state.
A major factor in the bed shortage is a years-long trend among hospitals of eliminating pediatric units, which tend to be less profitable than adult units, said Mark Wietecha, CEO of the Children’s Hospital Association. Hospitals optimize revenue by striving to keep their beds 100% full — and filled with patients whose conditions command generous insurance reimbursements.
“It really has to do with dollars,” said Dr. Scott Krugman, vice chair of pediatrics at the Herman and Walter Samuelson Children’s Hospital at Sinai in Baltimore. “Hospitals rely on high-volume, high-reimbursement procedures from good payers to make money. There’s no incentive for hospitals to provide money-losing services.”
The number of pediatric inpatient units in hospitals fell 19% from 2008 to 2018, according to a study published in 2021 in the journal Pediatrics. Just this year, hospitals have closed pediatric units in Boston and Springfield, Massachusetts; Richmond, Virginia; and Tulsa, Oklahoma.
Bottom of Form
The current surge in dangerous respiratory illnesses among children is yet another example of how covid-19 has upended the health care system. The lockdowns and isolation that marked the first years of the pandemic left kids largely unexposed — and still vulnerable — to viruses other than covid for two winters, and doctors are now essentially treating multiple years’ worth of respiratory ailments.
The pandemic also accelerated changes in the health care industry that have left many communities with fewer hospital beds available for children who are acutely ill, along with fewer doctors and nurses to care for them.
When intensive care units were flooded with older covid patients in 2020, some hospitals began using children’s beds to treat adults. Many of those pediatric beds haven’t been restored, said Dr. Daniel Rauch, chair of the American Academy of Pediatrics’ committee on hospital care.
In addition, the relentless pace of the pandemic has spurred more than 230,000 health care providers — including doctors, nurses, and physician assistants — to quit. Before the pandemic, about 10% of nurses left their jobs every year; the rate has risen to about 20%, Wietecha said. He estimates that pediatric hospitals are unable to maintain as many as 10% of their beds because of staffing shortages.
“There is just not enough space for all the kids who need beds,” said Dr. Megan Ranney, who works in several emergency departments in Providence, Rhode Island, including Hasbro Children’s Hospital. The number of children seeking emergency care in recent weeks was 25% higher than the hospital’s previous record.
“We have doctors who are cleaning beds so we can get children into them faster,” said Ranney, a deputy dean at Brown University’s School of Public Health.
There’s not great money in treating kids. About 40% of U.S. children are covered by Medicaid, a joint federal-state program for low-income patients and people with disabilities. Base Medicaid rates are typically more than 20% below those paid by Medicare, the government insurance program for older adults, and are even lower when compared with private insurance. While specialty care for a range of common adult procedures, from knee and hip replacements to heart surgeries and cancer treatments, generates major profits for medical centers, hospitals complain they typically lose money on inpatient pediatric care.
When Tufts Children’s Hospital closed 41 pediatric beds this summer, hospital officials assured residents that young patients could receive care at nearby Boston Children’s Hospital. Now, Boston Children’s is delaying some elective surgeries to make room for kids who are acutely ill.
Rauch noted that children’s hospitals, which specialize in treating rare and serious conditions such as pediatric cancer, cystic fibrosis, and heart defects, simply aren’t designed to handle this season’s crush of kids acutely ill with respiratory bugs.
Even before the autumn’s viral trifecta, pediatric units were straining to absorb rising numbers of young people in acute mental distress. Stories abound of children in mental crises being marooned for weeks in emergency departments while awaiting transfer to a pediatric psychiatric unit. On a good day, Ranney said, 20% of pediatric emergency room beds at Hasbro Children’s Hospital are occupied by children experiencing mental health issues.
In hopes of adding pediatric capacity, the American Academy of Pediatrics joined the Children’s Hospital Association last month in calling on the White House to declare a national emergency due to child respiratory infections and provide additional resources to help cover the costs of care. The Biden administration has said that the flexibility hospital systems and providers have been given during the pandemic to sidestep certain staffing requirements also applies to RSV and flu.
Doernbecher Children’s Hospital at Oregon Health & Science University has shifted to “crisis standards of care,” enabling intensive care nurses to treat more patients than they’re usually assigned. Hospitals in Atlanta, Pittsburgh, and Aurora, Colorado, meanwhile, have resorted to treating young patients in overflow tents in parking lots.
Dr. Alex Kon, a pediatric critical care physician at Community Medical Center in Missoula, Montana, said providers there have made plans to care for older kids in the adult intensive care unit, and to divert ambulances to other facilities when necessary. With only three pediatric ICUs in the state, that means young patients may be flown as far as Seattle or Spokane, Washington, or Idaho.
Hollis Lillard took her 1-year-old son, Calder, to an Army hospital in Northern Virginia last month after he experienced several days of fever, coughing, and labored breathing. They spent seven anguished hours in the emergency room before the hospital found an open bed and transferred them by ambulance to Walter Reed National Military Medical Center in Maryland.
With proper therapy and instructions for home care, Calder’s virus was readily treatable: He recovered after he was given oxygen and treated with steroids, which fight inflammation, and albuterol, which counteracts bronchospasms. He was discharged the next day.
Although hospitalizations for RSV are falling, rates remain well above the norm for this time of year. And hospitals may not get much relief.
People can be infected with RSV more than once a year, and Krugman worries about a resurgence in the months to come. Because of the coronavirus, which competes with other viruses, “the usual seasonal pattern of viruses has gone out the window,” he said.
Like RSV, influenza arrived early this season. Both viruses usually peak around January. Three strains of flu are circulating and have caused an estimated 8.7 million illnesses, 78,000 hospitalizations, and 4,500 deaths, according to the Centers for Disease Control and Prevention.
Krugman doubts the health care industry will learn any quick lessons from the current crisis. “Unless there is a radical change in how we pay for pediatric hospital care,” Krugman said, “the bed shortage is only going to get worse.”
Do you have a story for The Advocate? Email editor@corvallisadvocate.com