The Travis County Commissioners Court last evening voted 5-0 to unanimously approve Commissioner Margaret Gomez’s motion to order that Central Health undergo an independent performance audit and pay for it.
In effect, this will initiate a revolution in financial accountability for an organization that has collected $2 billion from Travis County taxpayers since it was created in 2004. Much of that money has been distributed to a variety of providers through a nonprofit subsidiary whose records are not accessible under the Texas Public Information Act.
Storey Cordelle was appointed chairman of the Travis Appraisal Review Board (ARB) June 1, 2020. After just six months in charge, Cordelle came under heavy criticism from the Travis Central Appraisal District's board of directors at its December 3, 2020, virtual meeting.
The main thrust of the criticism centered on costs that already exceeded the 2020 budget for ARB operations and on top of that Cordelle's request for an additional $88,425.
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Last week, data and analytics firm Unacast launched a social distancing scoreboard using public datasets as well as data from tens of millions of devices. The company, which is based in New York and Oslo, collects cell phone location data and sells its analysis to various industries. (The Washington Post called it "part of a shadowy world of location tracking.")
According to its analysis, Travis County has decreased average mobility—based on distance traveled—by between 55% and 70% and has decreased nonessential visits by more than 70%. As a result, on March 28 the company graded Travis County's response to the pandemic as an A-, second in the state only to Cameron County, and a higher score than Texas' overall C.
However, according to a March 26 pandemic modeling report from researchers at The University of Texas-Austin, nonhousehold contact needs to be reduced by 90% to "flatten the curve"—meaning the rate at which coronavirus cases hit their peak—enough to avoid overwhelming hospitals in Travis, Williamson, Bastrop, Caldwell and Hays counties.
We still don't know to what extent local policies have limited the spread of this pandemic, and the city declined to provide an estimate on Thursday.
The UT report estimates that if schools remain closed and nonhousehold interactions are reduced by 50%, the Austin-Round Rock metro will see more than 1.56 million coronavirus cases—meaning 70% of its total population will contract COVID-19—and 6,317 deaths by Aug. 17 as hospitalizations and ventilator demands far outpace supply.
In contrast, continued school closures coupled with a reduction in nonhousehold interactions by 90% will lead to less than one-tenth the number of total cases—132,415, per the report—and a total death toll of 267 for the metro.
"The real take-home message is that it's going to take the whole community effort to really slow this spread and really prevent our community from having a crisis in health care," said Dr. Lauren Ancel Meyers, a professor of integrative biology, statistics and data sciences who led the team of researchers, at a March 26 virtual press conference.