Trump Administration Strips C.D.C. of Control of Coronavirus Data – The New York Times

“Centralizing control of all data under the umbrella of an inherently political apparatus is dangerous and breeds distrust,” said Dr. Nicole Lurie, who served as assistant secretary for preparedness and response under former President Barack Obama. “It appears to cut off the ability of agencies like C.D.C. to do its basic job.”

The shift grew out of a tense conference call several weeks ago between hospital executives and Dr. Deborah L. Birx, the White House coronavirus response coordinator. After Dr. Birx said hospitals were not adequately reporting their data, she convened a working group of government and hospital officials who devised the new plan, according to Dr. Janis Orlowski, the chief health care officer of the Association of American Medical Colleges, who participated in the group’s meetings.

While she said she understood Dr. Lurie’s concern, Dr. Orlowski said the administration had pledged in “a verbal discussion” to make the data public — or at least give hospitals access to it.

“We are comfortable with that as long as they continue to work with us, as long as they continue to make the information public, and as long as we’re able to continue to advise them and look at the data,” she said, calling the switch “a sincere effort to streamline and improve data collection.’’

The change exposes the vast gaps in the government’s ability to collect and manage health data — an antiquated system at best, experts say. The C.D.C. has been collecting coronavirus data through its National Healthcare Safety Network, which was expanded at the outset of the pandemic to track hospital capacity and patient information specific to Covid-19.

In its new guidance, Health and Human Services said that going forward, hospitals should report detailed information on a daily basis directly to the new centralized system, which is managed by TeleTracking, a health data firm with headquarters in Pittsburgh. However, if hospitals were already reporting such information to their states, they could continue to do so if they received a written release saying the state would handle reporting.

Senator Patty Murray of Washington, the top Democrat on the Senate health committee, has raised questions about the TeleTracking contract, calling it a “noncompetitive, multimillion-dollar contract” for a “duplicative health data system.”

Both the C.D.C. network and the TeleTracking system set up by Health and Human Services rely on so-called push data, meaning hospital employees must manually enter data, rather than the government tapping into an electronic system to obtain the information.

“The whole thing needs to be scrapped and started anew,” said Dr. Dan Hanfling, an expert in medical and disaster preparedness and a vice president at In-Q-Tel, a nonprofit strategic investment firm focused on national security. “It is laughable that this administration can’t find the wherewithal to bring 21st-century technologies in data management to the fight.”

Dr. Hanfling and others agree that information does need to be centralized, but they disagree on how that should happen. Dr. Hanfling called for a new “national data coordination center” that would be used for “forecasting, identifying, detecting, tracking and reporting on emerging diseases.”

Representative Donna E. Shalala of Florida, who served as health secretary under former President Bill Clinton, said the C.D.C. was the proper agency to gather health data. If there were flaws in the C.D.C.’s systems, she said, they should be fixed.

“Only the C.D.C. has the expertise to collect data,” Ms. Shalala said. “I think any move to take responsibility away from the people who have the expertise is politicizing.”

Hospitals say the previous reporting requirements were cumbersome, partly because they frequently changed.

“It has been an administrative hassle and confusing to constantly be shifting gears on reporting while hospitals are on the front lines during a pandemic,” Carrie Williams, a spokeswoman for the Texas Hospital Association, wrote in an email.

At Rush University Medical Center in Chicago as the pandemic raged, the hospital had four full-time employees reporting coronavirus data to four different agencies, said Dr. Bala N. Hota, the hospital’s chief analytics officer. Rush collected more than 100 different measures, some of which determined how much money it would receive under different federal programs.

But while Dr. Hota said he supported streamlining the process and the involvement of state and local agencies in reporting, he was also concerned that months into the pandemic, the United States still did not have an established system of collecting the kind of information it needed to seamlessly move patients from a full hospital to one with available beds.

“The C.D.C. is the right agency to be at the forefront of collecting the data,” Dr. Hota said.

The C.D.C. has been criticized for its data collection, however. In May, the agency acknowledged that in tracking the spread of the virus, it had been combining tests that detect active infection with those that detect recovery from Covid-19. That system muddied the picture of the pandemic but raised the percentage of Americans tested as President Trump was boasting about the number of tests the United States was conducting.

Similar complaints about coronavirus data have bubbled up around the country.

In Florida, a former data manager for the Health Department accused one of her superiors of directing her to “manipulate” data used in the state’s plan to lift stay-at-home orders this spring. Ms. Shalala said the mayor of Miami-Dade County “was so concerned about the state data that he has the hospitals reporting their data directly to him as well.”

And Arizona ended its partnership with a university modeling team whose projections showed a rising caseload, prompting pushback from Will Humble, the executive director of the Arizona Public Health Association and a former director of the state’s Health Services Department.

“Trust and accountability and transparency — all three go together,” Mr. Humble said. Of the federal government’s new system, he said: “They’d better keep it transparent, or else people are going to think that it was an ulterior motive.”

Reed Abelson contributed reporting from New York.