Ahead of Sunday’s Eagles wild-card playoff game against San Francisco (4:30 p.m., Fox 29), the question of “how good is this 49ers team, really?” is a fair one.
Unless you’re a fan of the team, or really like watching game highlights or have multiple games up on your screen on Sunday, you’re like a lot of Eagles fans wondering the same thing. Sure, the team is coming off a season-ending loss, but the Niners lost to the Seattle Seahawks, the No. 1 team in the NFC this season.
But how effective is Brock Purdy or how elusive is Christian McCaffrey, or how did a 49ers defensive unit get this far, being this banged-up and without one of the best linebackers in the game in Fred Warner? Well, today we’re leading off with the latest from The Inquirer’s Devin Jackson, who for a large part of this season has been analyzing game film on Eagles opponents, pointing out the warning signs alongside the spots the Birds can exploit.
If you’re reading this as early as we’re dropping it, then grab a cup of coffee, tea, or whatever your go-to morning beverage is and breakdown some game film with us.
It should be another nice day across the region, with temperatures in the high 40s under partly sunny skies. Perfect.
Jabari Walker, who previously played on a standard deal in Portland, has outplayed his two-way contract.
The 76ers loaded up their frontcourt in advance of an uncertain Joel Embiid season. He’s been available more than anyone expected, creating a logjam at center and power forward. One major cause of that is the performance of two-way acquisitions Jabari Walker and Dom Barlow, who have performed more like members of the rotation.
Because of that, they’ve spent extended time up with the Sixers and their available days on the roster could be dwindling unless their contracts are converted to standard deals. It’s something Walker tries not to focus on.
“Every now and then, it will pop up in my mind, but just putting my energy toward what I can control right now,” Walker said. “And whatever happens, just knowing that I left an impact on my teammates and left an impact in the game. I think that’s the biggest truth.”
What we’re …
👀 Watching: The status of Flyers Jamie Drysdale and Bobby Brink after sustaining injuries from a pair of blindside hits in Tuesday’s game against the Ducks.
In Don Mattingly, right, Bryce Harper now has a former superstar player on the Phillies coaching staff.
Although Bryce Harper met Don Mattingly only briefly at the 2017 All-Star Game in Miami and may not be able to recite all the pertinent numbers — .307 average, 222 homers, nine Gold Gloves, six All-Star appearances — it’s a safe bet he appreciates his nearly Hall of Fame-level place in the sport.
And it has been years since Harper played for anyone with those credentials as a player.
That wasn’t the primary reason the Phillies this week finalized a two-year contract with Mattingly to be the bench coach. They wanted another voice in the dugout alongside manager Rob Thomson.
But Mattingly’s career gives him instant credibility among players, especially star players. His impact on Harper could be profound.
Trevor Zegras celebrates his first goal of the Flyers’ win over the Anaheim Ducks at Xfinity Mobile Arena.
Hockey is all about the details. So, it should be noted that the Flyers have hit the halfway mark of the NHL season with a 21-12-7 record highlighted by a win against the Anaheim Ducks on Tuesday. Now some believe coach Rick Tocchet has this team looking like one that could crack the NHL playoffs instead of just teasing the notion.
The Inquirer’s Jackie Spiegel takes a look at some of the highlights of the team’s last game and how it reflects a bigger picture.
Next up: The Flyers welcome the Toronto Maple Leafs (20-15-7) tonight (7 p.m., NBCSP).
Former Union standout Mark McKenzie practices in Chester with the U.S. men’s national team ahead of its game against Paraguay in November.
Mark McKenzie is on a roller coaster. In the last six months, the former Union standout has been a regular starter for his new club, Toulouse, in the French first division, has had multiple call-ups with the U.S. men’s national team, and is about three months into fatherhood, welcoming a baby boy in October.
McKenzie is doing all of this under the backdrop of hoping to be on U.S. men’s manager Mauricio Pochettino’s World Cup roster in a few months. It’s a lot to juggle, but he catches up with The Inquirer to explain how he’s keeping “control” of it all.
In the women’s side, The Inquirer’s Jonathan Tannenwald has the details on the U.S. women’s national team convening in north Jersey in March for a game against Colombia as part of the SheBelieves Cup tournament.
On this date
Jan. 8, 1995: Phillies slugger and 12-time All-Star Mike Schmidt gets into the Hall of Fame. How about two more? On this date in 1972, the NCAA allowed freshmen to compete in college athletics. Fast forward 12 years to 1984, and the NCAA Tournament expanded to a 64-team field.
Standings, stats, and more
Looking for detailed stats coming off last night’s Sixers game? Here’s a place to access your favorite Philadelphia teams’ statistics, schedules, and standings in real time.
What you’re saying about the World Cup
We asked: Which matchups are you most looking forward to in the World Cup?
Nothing turns me off more than price gouging. $60,000 for a pair of tickets for a soccer game? Some games are selling for over $100,000 a pair! Seriously now. I could buy two high-end cars and have a little left over for lunch money. — Ronald R.
I’m looking forward to France and Mbappe, England and Harry Kane. But mostly, I’m looking forward to our USA boys, to see if they can stay healthy and live up to their potential as the strongest USA team ever. Go Brenden! — Joel G.
We compiled today’s newsletter using reporting from Devin Jackson, Jackie Spiegel, Gustav Elvin, Keith Pompey, Colin Schofield, Scott Lauber, David Murphy, Katie Lewis, Jonathan Tannenwald, and Kerith Gabriel.
By submitting your written, visual, and/or audio contributions, you agree to The Inquirer’s Terms of Use, including the grant of rights in Section 10.
That’s my time, Philly. Have a good one, we’ll catch you tomorrow.— Kerith
Kyle Schwarber will be in the stands Friday night, allowing his feelings to be controlled by the college football players in front of him the same way he often dictates people’s nights with one swing during the summer. He’ll be a fan, riding the emotional roller coaster with Indiana’s football team in Atlanta as the Hoosiers try to reach the national championship game with a victory over Oregon.
“You’re living and dying with it and you’re like, ‘Man, this is what Phillies fans do for 162 games? That’s impressive,’” said Schwarber, the Phillies slugger who hit 56 home runs last season. “It brings back the super fan in you. It brings back that aspect. You’re in it and now you get to go super fan out on someone else.”
Schwarber, 32, grew up near Cincinnati as an Ohio State fanatic but traded the Buckeyes for the Hoosiers after playing baseball for three seasons at Indiana. The school’s baseball team transformed during that time from an afterthought to a national power. The football team — which until November had the worst winning percentage in college football history — is now doing the same. And it’s allowing Schwarber to know what it feels like to be a fan in South Philly.
“We have people who show up and care,” Schwarber said. “How many times have we gone to a weekend series and it wasn’t sold out for any of those games? A Monday night or Tuesday night or a Wednesday afternoon, we have 40,000-plus. That’s awesome. Now you get to see that for these kids in college. This is so awesome and it’s such an awesome experience for me to be able to fan out.”
Schwarber will be IU’s honorary captain for Friday’s Peach Bowl against Oregon. He narrated the team’s hype video before its Big Ten championship win over Ohio State and sat next to Lee Corso in 2024 when College GameDay came to Indiana. It might be harder to find a bigger IU football fan than the Phillies slugger, who was elected to the school’s Hall of Fame last year.
A linebacker in high school, Schwarber had football tickets as a freshman, but the Hoosiers won just one game. The football program did little while Schwarber was there — “There wasn’t much winning going on,” he said — and it was hard to imagine the sport ever catching on at a basketball school.
“It was like the tailgate fields were filled and then everyone vanished when it was game time,” Schwarber said.
Now he’s wearing Indiana gear on Friday, Saturday, and Sunday — “You have to wear it the day before game day, on game day, the day after they win,” Schwarber said — and texting his old buddies about the football team. Schwarber said people call him a bandwagon fan. Nope, he said. This is his school. Schwarber drove to Notre Dame last winter to tailgate at IU’s playoff game with his old baseball teammates and is flying to Friday’s Peach Bowl.
“It’s so much fun now,” Schwarber said. “Now that they’re good, it takes away that Ohio State in you. You were there. You went to school there. It just revamps you — that’s my team, that’s my school. It brings back the super fan in you.”
The turnaround started in November 2023 with the arrival of head coach Curt Cignetti, who was the quarterbacks coach at Temple under Jerry Berndt from 1989-92 and coached Indiana University of Pennsylvania from 2011-16. The Hoosiers reached the College Football Playoff last season, and became the nation’s No. 1 team in December a week before their quarterback, Fernando Mendoza, won the Heisman Trophy. The doormats rapidly became a powerhouse.
“I need a documentary,” Schwarber said. “I need to meet Cig and see how in the heck does this guy come in from having one of the worst winning percentages in college football history to taking it in two years to a College Football Playoff team and then being No. 1 in the country the next year and being a win away from the national championship. It’s surreal.
Kyle Schwarber played three seasons at Indiana on his way to being a first-round pick by the Cubs in 2014.
“It’s so awesome to watch. It gives you goose bumps when you can sit back and realize that, ‘Man, Indiana is getting some really cool recognition.’ I wish I could go back all the time. It’s such a beautiful campus. It feels like the perfect college town with nothing around it. Just cornfields around it and it’s beautiful. To have a place like that get recognition because our football team is doing amazing things.”
Schwarber started hitting earlier this month as he prepares for the first year of his newly signed five-year, $150 million contract. He could have gone elsewhere in free agency but said he often thought about the atmosphere at Citizens Bank Park on a Tuesday in May or a Friday in October. He knows now how it feels to sit in the stands.
“I’m not the outrageous, screaming, yelling guy,” Schwarber said. “That was the younger me watching the Bengals, screaming at the TV. Now being professional and understanding, you just understand a little more and not screaming, ‘How the hell did that dude not catch the ball?’ No, the guy is trying to catch the ball. He just didn’t. But I’ll be the first one to let you know that Indiana scored or Indiana stopped them on a fourth down or didn’t jump on a fake punt on fourth down. I’ll be the first one to let you know.
“I’m going to be screaming and yelling and losing my mind Friday and then come home the next day and my wife will be like, ‘What the hell happened?’ That’s what this is about. It’s the escape and it brings you back to being the fan.”
The fourth season of The Traitors officially premieres Thursday night on Peacock, and it will feature a few Philly-adjacent stars, including Donna Kelce.
Whether you’re a reality TV aficionado or just hearing about the show for the first time, here’s everything you need to know about the show before you tune in …
What is ‘The Traitors?’
If you’ve never seen The Traitors, it’s basically a big-budget version of the party game “Mafia.” It’s also similar to The Mole, which, like The Traitors, is a spinoff of a Dutch-language show. It’s wildly popular globally, with over two dozen countries having their own version, and nearly a dozen more international spinoffs on the way.
In the American version, host Alan Cumming whisks the cast away to his castle in Scotland, and selects a handful of players to serve as “Traitors,” who then have to “kill” — or eliminate — the other contestants, known as “Faithfuls.” At the end of every episode, there’s a roundtable, where contestants interrogate and confront one another to pick one player to banish, with the goal of eliminating all of the traitors. In the middle, contestants compete in challenges to grow the cash prize pot, which can get up to $250,000. The Faithfuls win if they can eliminate all the Traitors and make it to the end, but if any Traitors make it to the finale, they keep the prize money for themselves.
Past contestants include former Bachelor stars like Gabby Windey and Peter Weber, iconic Survivor contestants like Boston Rob and Parvati Shallow, and members of the Real Housewives franchise like Phaedra Parks and Dolores Catania. Zac Efron’s brother, Dylan, won Season 3 of The Traitors despite no past reality TV experience, so Donna wouldn’t be the first nepo-Traitors winner. There’s also usually a random old British guy.
Host Alan Cumming won an Emmy for outstanding reality competition program for “The Traitors.”
Who is in the Season 4 cast?
For Philadelphians, Kelce might be the biggest name, but Olympic figure skaters with local ties (Johnny Weir, Coatesville, and Tara Lipinski, Sewell, N.J.) will also factor into this season, ahead of the Winter Olympics in February.
“That was so much fun, just being able to do that, especially at my age, it was just a blast,” Kelce told the Kansas City Star. “The [Scottish] Highlands are absolutely gorgeous. The people were so kind. And it just was kind of like a dream to be able to do something like that and to interact with individuals on such a high level.
“And it was a little bit daunting when it comes to some of the missions, but it was fun. It really was. It was a good time.”
Here’s the full cast list:
Donna Kelce
Johnny Weir
Tara Lipinski
Lisa Rinna, Real Housewives
Dorinda Medley, Real Housewives (and Traitors Season 3)
Rob Cesternino, Survivor
Natalie Anderson, Survivor
Tiffany Mitchell, Big Brother
Ian Terry, Big Brother
Yam Yam Arocho, Survivor
Monet X Change, RuPaul’s Drag Race
Colton Underwood, The Bachelor
Mark Ballas, Dancing with the Stars
Porsha Williams, Real Housewives
Candiace Bassett, Real Housewives
Maura Higgins, Love Island
Eric Nam, singer
Ron Funches, comedian
Rob Rausch, Love Island
Kristen Kish, Top Chef
Stephen Colletti, actor
Michael Rapaport, actor
Caroline Stanbury, Real Housewives
Can Donna Kelce win ‘The Traitors?’
“Missions” plural? Could Mama Kelce be sticking around for a while?
Shortly after she was revealed to be a part of the cast, the three Kelce boys — Jason, Travis, and their father, Ed — discussed the matriarch’s chances on the show … but only after the brothers explained to dad what the show was all about. However, once they explained the game, Ed’s response was to snore.
“I haven’t got a [expletive] clue,” he said when asked about Donna’s chances. “I don’t know, I’m not a reality TV show type of person.”
Before their mother joined The Traitors cast, the Kelce brothers revealed they were fans of the show, but neither thought they would do well, especially if picked to be a traitor.
The first three episodes of the show will premiere on Peacock Thursday at 9 p.m. ET (although last season, they usually ended up dropping early, at around 8:30 p.m.). New episodes will premiere each subsequent Thursday at 9 p.m. ET. There will be 12 episodes total, including the reunion show, which is hosted by Andy Cohen.
Here’s a look at the full schedule:
Jan. 8: Episodes 1-3
Jan. 15: Episodes 4-5
Jan. 22: Episode 6
Jan. 29: Episode 7
Feb. 5: Episode 8
Feb. 12: Episode 9
Feb. 19: Episode 10
Feb. 26: Episode 11 (the finale) & Reunion
If you can’t wait, a pair of clips showing the contestants’ arrival at Cumming’s castle were recently unveiled.
LAS VEGAS — In a vision of the near future shared at CES, a girl slides into the back seat of her parents’ car and the cabin instantly comes alive. The vehicle recognizes her, knows it’s her birthday, and cues up her favorite song without a word spoken.
“Think of the car as having a soul and being an extension of your family,” Sri Subramanian, Nvidia’s global head of generative AI for automotive, said Tuesday.
Subramanian’s example, shared with a CES audience on the show’s opening day in Las Vegas, illustrates the growing sophistication of AI-powered in-cabin systems and the expanding scope of personal data that smart vehicles may collect, retain, and use to shape the driving experience.
Across the show floor, the car emerged less as a machine and more as a companion as automakers and tech companies showcased vehicles that can adapt to drivers and passengers in real time — from tracking heart rates and emotions to alerting if a baby or young child is accidentally left in the car.
Bosch debuted its new AI vehicle extension that aims to turn the cabin into a “proactive companion.” Nvidia, the poster child of the AI boom, announced Alpamayo, its new vehicle AI initiative designed to help autonomous cars think through complex driving decisions. CEO Jensen Huang called it a “ChatGPT moment for physical AI.”
But experts say the push toward a more personalized driving experience is intensifying questions about how much driver data is being collected.
“The magic of AI should not just mean all privacy and security protections are off,” said Justin Brookman, director of marketplace policy at Consumer Reports.
Unlike smartphones or online platforms, cars have only recently become major repositories of personal data, Brookman said. As a result, the industry is still trying to establish the “rules of the road” for what automakers and tech companies are allowed to do with driver data.
That uncertainty is compounded by the uniquely personal nature of cars, Brookman said. Many people see their vehicles as an extension of themselves — or even their homes — which he said can make the presence of cameras, microphones, and other monitoring tools feel especially invasive.
“Sometimes privacy issues are difficult for folks to internalize,” he said. “People generally feel they wish they had more privacy but also don’t necessarily know what they can do to address it.”
At the same time, Brookman said, many of these technologies offer real safety benefits for drivers and can be good for the consumer.
On the CES show floor, some of those conveniences were on display at automotive supplier Gentex’s booth, where attendees sat in a mock six-seater van in front of large screens demonstrating how closely the company’s AI-equipped sensors and cameras could monitor a driver and passengers.
“Are they sleepy? Are they drowsy? Are they not seated properly? Are they eating, talking on phones? Are they angry? You name it, we can figure out how to detect that in the cabin,” said Brian Brackenbury, director of product line management at Gentex.
Brackenbury said it’s ultimately up to the car manufacturers to decide how the vehicle reacts to the data that’s collected, which he said is stored in the car and deleted after the video frames, for example, have been processed.
“One of the mantras we have at Gentex is we’re not going to do it just because we can, just because the technology allows it,” Brackenbury said, adding that “data privacy is really important.”
When he returned to the Philly area for the U.S. men’s national team’s penultimate game of 2025 against Paraguay, it was a homecoming that he said grounded him.
He was groomed in the Union’s academy system, having spent three seasons as a homegrown player on the club’s first team, but this marked the first occasion in quite some time that McKenzie, a native of Bear, Del., returned to his old grounds.
Well, they were technically all-new grounds, considering that when he came up the ranks, Subaru Park was named Talen Energy Stadium, and the sprawling expanse that is now the WSFS Sportsplex was still a rendering.
But being back, seeing familiar faces, training with the national team in Chester, and even briefly seeing a few family members brought perspective to what he’s ultimately trying to do: find his name among 25 other hopefuls eager to make the American roster ahead of June’s FIFA men’s World Cup.
At the time, McKenzie, 26, noted that packing in all of that perspective was part of a “business trip,” one that has continued under the watchful eye of U.S. men’s manager Mauricio Pochettino as the starting center back for Toulouse, in France’s first division.
Mark McKenzie (3) has appeared in 17 matches for Toulouse this season, with 16 starts at center back.
“It’s always special coming back to Philly,” McKenzie said following the U.S. win against Paraguay at Subaru Park on Nov. 15. “I saw some old friends, my family came by the hotel, and just that time to take a little stroll and grab a bite to eat reminded me of who’s been behind me on this journey, and who I’m playing for.”
Playing time has been consistent for McKenzie, who has appeared in 17 league matches for Toulouse this season, starting 16 at center back. That bodes well, as Pochettino has repeatedly noted that consistency in match play is a plus in his eyes. And considering there’s not a clear early favorite as the No. 2 center back on the field for the Americans, McKenzie has to know that his chances are as good as anyone’s.
“The biggest thing is controlling what I can control,” McKenzie said. “Sure, I think about that stuff, but ultimately it’s not up to me. That’s my mentality, my attitude going into my performances.”
Defensively, McKenzie is taking control of a Toulouse team that is eighth in the Ligue 1 standings, just two spots outside of qualifying for the UEFA Europa League next season. There’s still plenty of time for McKenzie and the team to climb before the season concludes in May, though it will take a better run than the seven points out of a possible 15 the club has collected in its last five league matches.
“Going back to my [home] club [in Toulouse], that’s where a lot of the hard work is done,” he said. “So I’m just handling myself in those ways, and just not trying to worry about the things outside my control. My job is to keep getting selected for my club, play well, and hope it’s enough to prove that I deserve the opportunity to represent my country.”
Trying to qualify for the second men’s World Cup in the United States isn’t the only thing on McKenzie’s mind. In October he became a dad, and he is trying to find the balance between those early days of fatherhood, his responsibilities to his club, and staying on Pochettino’s radar.
It seemingly worked out as McKenzie was called up for every U.S. camp in the fall cycle in October and November. In October, he told CBS Sports that the birth of his son made him feel like he had “more to play for.”
And even though his baby wasn’t old enough to understand the rigors McKenzie is going through, having his son while going through this process appeared to mean the world to the center back.
“He can’t really hold his head up right now, and he’s not really watching …,” joked McKenzie on CBS Sports’ Morning Footy show in October, “but when we look back on these moments, this is something that I’ll cherish forever; just to say that he’s out there watching his daddy play is something that I’ll hold dear to my heart.”
In just his second game with the national team since becoming a father, Mark McKenzie (left) battles Australia’s Connor Metcalfe in their meeting on Oct. 14, 2025.
If fate has its way, McKenzie would be one of four players in the U.S. player pool who came up in the Union’s academy system or spent time on the club’s first team who could find themselves on the World Cup roster.
That list includes Medford’s Brenden Aaronson, Wayne native Matt Freese, and Media’s Auston Trusty, the latter also vying for a spot along the back line. Each player has been invited to recent camps, and there’s a belief that one, if not all, has a good chance to crack Pochettino’s World Cup squad.
But there’s still time before that happens. Six months, to be exact — meaning all McKenzie can do is focus on the now.
After all, it is the only thing in his control.
“Look, I’m trying to make the decision as difficult as possible [for the U.S. coaching staff],” he said. “I only do that by being at my best when I’m with my club and making the most of my opportunities when I get them. I just plan to do what I do and showcase my talent to the best of my ability, and hope that’s enough.”
The number of federal government employees in the Philadelphia region plunged in October, according to new employment data that appear to reflect the departure of thousands who opted into President Donald Trump’s resignation program.
Trump’s cuts to the federal workforce over his first year in office became clearer Wednesday with the release of new employment data from the U.S. Bureau of Labor Statistics (BLS). Across Pennsylvania and New Jersey, thousands of federal jobs were cut from September to October.
It was the first time the government’s deferred resignation program has been reflected in local employment data. First offered in January 2025, this program allowed federal employees to resign from their jobs while continuing to receive pay. For many, the program ended Sept. 30. While it may have been months since they had completed duties related to their federal jobs, the end of the deferred resignation period is when they officially stopped being employed by the government for purposes of employment data.
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“The federal workforce is …in communities like Philadelphia, and we are part of the economy,” said Philip Glover, a union leader with AFGE District 3, which represents federal workers in Pennsylvania and Delaware. The recent local job loss will have ripple effects, he said. It “affects stores, transit, it affects tax bases, all of those things are affected,” he said.
Federal agencies in the Philadelphia metro area — a region that includes Camden and Wilmington — shed about 2,900 jobs in October, down 5.3% from September. It was the steepest month-over-month decline since July 2010 and the fourth biggest since at least 1990.
Pennsylvania lost overall about 4,800 federal jobs in October, a 4.8% drop and the largest month-over-month decrease since October 2020.
New Jersey lost about 1,200 federal jobs in October.
In nearly five years, employment overall has grown 12.6% in the Philadelphia metro area, but regional gains in federal employment have now been completely wiped out by job losses in the past year.
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The handful of larger prior declines in federal employment for Pennsylvania and Philadelphia came during the recessions of the early 1990s and 2000s, the Great Recession and its aftermath, or the COVID-19 pandemic — periods during which economic activity slowed and the federal government experienced a decline in tax revenue.
The deferred resignation would have been reflected in a November release, but it was delayed because of the federal government shutdown, which stretched through early November.
The federal employment figures include all full- and part-time civilian employees, including those of the Postal Service. But it does not include armed forces and intelligence agencies such as the CIA and NSA.
Why federal workers resigned
Paul Kenney spent almost 30 years at the National Park Service in Philadelphia — more than two decades in the Northeast Regional Office on Market Street in river protection and six years at Independence National Historical Park.
All that came to a halt in March 2025. Kenney decided the Trump administration’s efforts to significantly reduce the federal workforce was too much. He felt demoralized and also concerned that a bill in Congress at the time would impact his pension.
The 59-year-old decided to retire three years early, despite wanting to stay in the workforce. He had just scored some highly coveted grants for restoration efforts in the parks. He remains involved with his union, AFGE Local 2058, as a vice president.
By the end of May, five people from Kenney’s 11-person team at the Northeast Regional Office left; almost all had opted to take an early retirement.
“The pressure really was all DOGE,” Kenney said, referring to the Department of Government Efficiency Trump launched soon after taking office. It was a “grim” experience for those in the federal workforce, he added.
Beyond layoffs earlier in 2025, the Trump administration sent termination notices during the government shutdown that started on Oct. 1. Those firings were ordered to be reversed under the deal to end the shutdown.
Where are federal workers employed?
In Pennsylvania, federal employment represented about 1.52% of all jobs as of November, down from around 1.69% for the same month in 2024, according to the new data.
In New Jersey, federal workers represented about 1.05% of jobs overall as of November, down from around 1.13% in November 2024.
The most recent BLS data are not broken down by agency or department, but data from March 2025 from Pennsylvania’s Department of Labor and Industry indicate that in Southeastern Pennsylvania, the largest employers of federal workers are the U.S. Postal Service, the Department of Defense, and the Department of the Treasury.
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Nationally, the federal government shed about 162,000 jobs in October, down 5.6% from September and 8.7% from the previous October. The government lost a further 6,000 jobs in November.
There were about 2.74 million federal employees nationwide as of November, compared with about 3.02 million at the start of 2025. The country experienced a loss of 271,000 federal jobs from January through November.
That’s not far off the 300,000 federal jobs that the Trump administration had said would be cut by the end of 2025. Data for the remainder of the year will be available later this month.
“What it’s doing is putting a strain on the remainder of the workforce to continue operations,” said Glover. “That increases stress levels, it doesn’t increase efficiency.”
And with that in mind, Glover said, additional federal workers may be thinking about quitting. “I think people are making decisions now whether they’re gonna stay if that happens again.”
Gov. Josh Shapiro officially announced his widely expectedreelection bid for Pennsylvania governor Thursday, as speculation over a 2028 run for president continues to build. The question now: How will the Democrat’s rumored presidential ambitions bolster or detract from his must-win election at home in 2026?
Shapiro will kick off his reelection campaign with not one but two rallies— first stopping in Pittsburgh, then in Philadelphia. In a campaign video posted to social media Thursday morning, he touted his three years of leading a divided legislature and his bipartisan achievements in a politically split state, via a campaign that has already amassed a record $30 million war chest.
He coasted to victory in 2022, elevating his profile within the national Democratic Party, and is not expected to face a primary challenger. In the general election, he will likely face Republican State Treasurer Stacy Garrity, who largely consolidated GOP support early.
But that’s not the only race on the line in November.
As Shapiro looks to potential parallel runs, he’ll need to continue to build a national profile without outwardly focusing too much on the presidential picture.
Gov. Josh Shapiro is interviewed by TV news in the spin room at the Convention Center following the debate between former President Donald Trump and Vice President Kamala Harris Tuesday, Sept. 10, 2024.
“The challenge, of course, is you have to take care of your next election first,” said Christopher Borick, a pollster at Muhlenberg College. “Of anything he does, he knows this is the most important thing for his potential success in 2028 if he was to run.”
In the governor’s race, Shapiro will likely face a more formidable opponent in Garrity than he did in state Sen. Doug Mastriano (R., Franklin) in 2022, but he’ll also be running in a far more favorable political atmosphere for Democrats amid souring attitudes toward President Donald Trump and the GOP. If he can retain the governor’s mansion decisively and bring a ticket of Democrats vying for the statehouse and Congress to victory with him, that’s a narrative that could be strong in a Democratic presidential primary.
“Having a win, and maybe an impressive one in Pennsylvania, the key swing state heading into that cycle, is about as big of a boost as any that you can have,” Borick added.
Running local
The 2028-curious Democrats include several other sitting governors generating buzz: California’s Gavin Newsom, Kentucky’s Andy Beshear, Maryland’s Wes Moore, Michigan’s Gretchen Whitmer, and Illinois’ JB Pritzker. Shapiro has formed alliances with several of them.
But unlike some of his peers, Shapiro hasn’t been a frequent guest on cable news or podcasts with national reach.
On Oct. 4, 2024, nearly a month before Harris lost the presidential election to Trump, Shapiro confidentially requested that the state ethics commission determine whether he would violate any state ethics laws for accepting royalties from a book about his life in public service, according to the filing.
Pennsylvania Gov. Josh Shapiro (right) and Michigan Gov. Gretchen Whitmer before the Eagles played the Detroit Lions at Lincoln Financial Field on Sunday, Nov. 16, 2025, in Philadelphia, PA.
His book, Where We Keep the Light, will publish later this month, recounting his political upbringing, his vice presidential vetting, and the firebombing of his home last year. He’s not alone. Harris published a memoir about the 2024 election last year, and Newsom is due out with Young Man in a Hurry: A Memoir of Discovery in February.
But in the coming months, several Democratic strategists predict Shapiro will be squarely focused on the governor’s race he has to win in Pennsylvania — simultaneously proving he has what it takes to capture the vote of the nation’s most important swing state.
“He’s such a careful politician. He’s not taking anything for granted,” said former Gov. Ed Rendell, a Democrat who also once faced scrutiny for having potential presidential ambitions.
Shapiro is likely to follow the same campaign playbook in Pennsylvania as he did in 2022: Stump in every region of the state, including areas where Democrats don’t usually show up. That helped him run down the margins in longtime GOP strongholds like Lancaster or Schuylkill Counties toward his resounding victory over Mastriano. Those stops in most of Pennsylvania’s 67 countieswon’t give him as much time to visit South Carolina, Iowa, and New Hampshire, as the other Democratic presidential hopefuls start their sojourns.
Pennsylvania Governor Josh Shapiro waves goodbye to the crowd after speaking during graduation ceremonies at Pennsbury High School in Fairless Hills on Thursday, June 12, 2025.
“The No. 1 caveat is stay focused on the race you’re running,” echoed Alan Kessler, a national fundraiser based in Philadelphia who has supported and fundraised for Shapiro.
Still, the campaign is likely to generate attention beyond the Keystone State.
Shapiro will still court donors in blue states as he fundraises for reelection, Kessler added.
Come November, he will be the only governor with rumored 2028 aspirations up for reelection in a swing state. And his brand as a popular, moderate Democratic governor trying to restore trust in government — as well as his potential to help boost Democrats down ballot — will easily capture a wider audience and bring national media into Pennsylvania.
As Democrats seek to flip control of the U.S. House in 2026, targeting several congressional districts in the state, the election may once again come down to Pennsylvania, and in turn, increase the spotlight on Shapiro. The governor is widely seen as someone who can boost the congressional Democratic candidates also on the ballot, having won three of the four districts that Democrats are targeting in the state by double digits in 2022.
Republicans have targeted several weaknesses to try to erode Shapiro’s popularity in Pennsylvania and boost Garrity. They point to a lack of rigorous electoral challengers in his past. They question his record of “getting stuff done” — his oft-repeated motto — including three late state budgets. And they’ve harped on a lack of transparency as governor, including claims he used tax dollars for political benefitas well as a sexual harassment scandal involving a former top aide. They’ve also criticized his support for Minnesota Gov. Tim Walz, who recently dropped his third gubernatorial bid following a fraud scandal among the state’s Somali refugee population totaling $1 billion, according to federal prosecutors.
Among the emerging attacks: Republicans want to highlight Shapiro’s presumed presidential ambitions, as they try to cast him as an opportunist more interested in a future White House bid than the problems of everyday Pennsylvanians.
“Josh Shapiro is more concerned with a promotion to Pennsylvania Avenue than serving hardworking Pennsylvanians,” Garrity said in a statement, noting the state fared poorly in U.S. News and World Report rankings on the economy and education. “In the military, I learned the importance of putting service before self. Pennsylvanians are the hardest-working, most compassionate, strongest people in the nation, and together we will return Pennsylvania to our rightful place as a national and global leader.”
State Treasurer and Republican candidate for governor Stacy Garrity holds a rally in Bucks County Sept. 25, 2025 at the Newtown Sports & Events Center.
Mastriano, the far-right Republican state senator who announced Wednesday he won’t run for governor, said in a statement earlier this week that Shapiro “owes [Pennsylvanians] straight answers” over his use of the state plane, security updates to his personal home in Abington Township, and more.
“Pennsylvanians deserve accountability, not ambition,” he added, making a nod to Shapiro’s potential longer-term plans.
House Speaker Joanna McClinton, back center left, Gov. Josh Shapiro, front center, and State Rep. La’Tasha D. Mayes, right, celebrate the signing of the CROWN Act, which prohibits discrimination based on a person’s hair type, during a press conference at Island Design Natural Hair Studio, in West Philadelphia, November 25, 2025.
Borick, the pollster, was skeptical that attacks on Shapiro’s potential wider ambitions could reverse hislargely positive public sentiment.
“If that’s all they got, they don’t got a lot.”
Republicans insist they see a path to victory for Garrity in a politically divided state with months to go until the election. But behind the scenes, some Republicans are already acknowledging the goal is to lose by less and prevent big losses in state legislature or congressional races.
If Shapiro does look poised to cruise to victory, it might mean less media attention on the race, and it could mean he’s less vetted ahead of a much bigger stage.
“I think Josh is better served if the [Republican Governors Association] puts $100 million into this race because then it’s nationalized,” said a Democratic political strategist based in Pennsylvania who did not want to be named speculating on Shapiro’s presidential run. “If it’s a cakewalk, CNN’s not gonna cover it …If he wants to be governor for another four years, he should pray for a cakewalk. If he wants to be president, he should pray for a difficult campaign.”
Florida Gov. Ron DeSantis, for example, the strategist noted, cleaned up in his 2022 reelection, but failed to gain traction in the GOP presidential primary that Trump dominated.
Beyond 2026
Shapiro speaks Pennsylvanian very well. Raised in Montgomery County, he’s lived here almost all of his life, and has built an image as a popular moderate focused on problem-solving in a purple state. That’s earned him the support of about 30% of Trump voters in the state.
But winning a general election in Pennsylvania is different than winning a Democratic presidential primary.
He’s tried not to alienate the MAGA base, focusing on issues with bipartisan appeal like funding for apprenticeship and vocational-training programs. He’s taken on Trump in court, but has picked his personal battles with the president more carefully.
But being a strategic, self-described “progressive pragmatist” can end up alienating voters on both sides.
Gov. Josh Shapiro leaves after an event at the Port of Philadelphia Thursday, Apr. 10, 2025, the day after President Trump paused some tariffs.
Becky Carroll, a Democratic political consultant in Chicago who has worked with Pritzker, said Shapiro seems less on the radar of voters in the Midwest. As she’s followed Shapiro’s career, she said she sees a “damn fine governor,” but someone who’s taken a more muted approach to Trump than blue state governors like Pritzker and Newsom.
When it comes to a Democratic primary, candidates may be judged in part on their pushback to Trump, she said. “I think we’re in a moment where you can sulk in a corner and hope it’ll all go away or fight …,” Carroll said. “And if you’re gonna put yourself out there for a primary battle, you better show you have battle scars to prove you can fight for the most vulnerable in the country right now.”
Gov. Josh Shapiro is interviewed by TV news in the spin room at the Convention Center following the debate between former President Donald Trump and Vice President Kamala Harris Tuesday, Sept. 10, 2024.
But other national strategists see Shapiro’s moderate appeal as a potential asset in 2028. Jared Goldberg-Leopold, a former communications director for the Democratic Governors Association, thinks Shapiro’s biggest asset is his electoral track record in a state the nation knows is critical on the path to the White House. Primaries have previously been won by moderates whom the party thinks have the best chance at winning the general.
But the first step, Goldberg-Leopold stressed, is the governor’s race ahead.
“It would be easy for the Eagles to look past the 49ers to the next week of playoffs, but they’ve gotta focus on only one thing. And the same is true for the governor,” he said. “You can only prepare for what’s ahead of you, and the way people get in trouble in politics is planning too many steps ahead.”
Staff writer Katie Bernard contributed to this article.
A fascinating chess match should unfold on Sunday when one of the best defensive units in the NFL matches up with one of the league’s brightest offensive minds. Kyle Shanahan’s San Francisco 49ers squad, including stars Christian McCaffrey and George Kittle, will face off against Zack Baun, Quinyon Mitchell, and the rest of a stout Eagles defense.
This will be the best offense the Eagles have faced since the Chicago Bears on Black Friday. Quarterback Brock Purdy, Kittle, and several other key pieces have missed time at various portions of the season, but they will arrive at Lincoln Financial Field with an offense that challenges defenses pre- and post-snap.
From defending McCaffrey’s versatile skill set to exploiting a clear weakness on San Francisco’s defense, here are the keys for the Eagles in Sunday’s NFC wild-card showdown:
Christian McCaffrey will try to make a positive impact on Sunday after losing a key fumble against the Seahawks.
McCaffrey’s dual-threat ability
According to Fantasy Points, McCaffrey had the NFL’s most touches (413) and touches per game (24.3) this season. He had 311 carries, ranking second in the league.
The San Francisco offense depends on him in many ways, and his usage is a reflection of it. Starting in the running game, McCaffrey primarily carries the ball from under-center alignments, with 905 of his 1,202 rushing yards coming from those formations. Of the 27 runs for McCaffrey that have gone for 10-plus yards, 21 have come from under center.
One of the #49ers staples in the running game is the outside zone scheme, but they have been running power with Kyle Juszczyk leading the way for Christian McCaffrey, and with dash motion too at times. pic.twitter.com/NsS1rv0lYb
Under Shanahan, the Niners execute an outside zone scheme, but they mix in gap scheme runs to allow McCaffrey to get downhill as a runner.
The numbers back it up, too. According to Next Gen Stats, McCaffrey has a 50% success rate on runs between the tackles as opposed to a 32.6% success rate outside the tackles. Still, McCaffrey has found daylight outside the tackles, especially on San Francisco’s outside toss play with fullback Kyle Juszczyk leading.
Most of Christian McCaffrey's carries this season has been under-center (226 of 311 carries, 905 of his 1,202 rushing yards) and the #49ers have success down the stretch on their outside toss play as an extension of their OZ scheme (with FB Kyle Juszczyk leading the way). pic.twitter.com/bJ41x8XudN
Even when McCaffrey is not rushing, the Niners and Shanahan are scheming up ways for him to get the football. San Francisco has a dynamic screen passing game, and at the center of it is McCaffrey. The running back often receives screen passes off play-action or on angle screen actions, when the running back fakes going out for a route and comes back toward the middle of the field with blockers in front.
Running screen passes not only slows down a pass rush, it plays to the strengths of McCaffrey, who is dynamic in making defenders miss in the open field. In the regular season, he led all running backs in receptions (102) and receiving yards (924), and ranked third in the NFL in yards after the catch (721).
The #49ers try to get the ball to Christian McCaffrey in several ways in the passing, including screens to get him in space and allow him to take advantage of aggressive front sevens. Play-action screens are a staple of the offense, and so are RB angle screens. pic.twitter.com/isDUW49GDa
McCaffrey aligns all over the formation for San Francisco, from the backfield to the slot and even as an off-ball tight end. Because he’s a dynamic route runner out of the backfield, McCaffrey can present mismatches wherever he’s aligned on the field.
According to Pro Football Focus, McCaffrey has played 86 snaps in the slot, 19 out wide, nine as an in-line tight end, one at fullback, and the remaining 817 in the backfield. While he rarely runs vertical routes, his movement around the formation can cause confusion and has led to big gains in the passing game.
#49ers RB Christian McCaffrey aligns in multiple spots, from slot receiver to a wing alignment and even fast motion him off-center to create confusion for linebackers and slot corners. Defenses have to be aware of where he's aligned presnap. Mainly runs outs, flats, and choice… pic.twitter.com/LVlBZuNDdE
The second-most dangerous player on the Niners offense is Kittle, who missed six games but finished with the second-highest catch rate (82.6%) and ranked third in expected points added (+43.5) among qualified NFL tight ends, according to Next Gen Stats.
Like McCaffrey, Kittle is moved all over the formation, with most of his snaps coming from in-line alignments (397). He also spent a considerable amount of snaps as a slot receiver (115), out wide (26), and in the backfield (16), according to PFF.
Purdy, who played in only nine games this season, has found comfort in the passing game throwing to Kittle over the middle of the field and down the seam. Kittle has caught 14 passes for 202 yards and two touchdowns on 20 targets between 10 and 19 yards, including 5 of 7 contested catch targets, according to PFF.
Brock Purdy has a lot of confidence targeting #49ers TE George Kittle down the seam and vertically down the field and for good reason. Kittle is a mismatch nightmare for most secondary players and LBs. If the #Eagles defend him one-on-one, it could be long day whoever is matched… pic.twitter.com/qnsuu3gW37
Kittle is a matchup nightmare for whoever is defending him. The Niners make a concerted effort to set him up for one-on-one opportunities with smaller secondary players when the 6-foot-4 tight end is aligned in the slot, or out wide with pre-snap motion.
Of Kittle’s 57 catches this season, 20 came from the slot or out wide, and he’s athletic enough to create separation on in- and out-breaking routes facing one-on-one coverage.
20 of George Kittle's 57 receptions this year have come from slot or wide out alignments and the #49ers do a good job of getting him one-on-one against smaller defensive backs on out breaking and in breaking routes, presenting a big target for Brock Purdy. pic.twitter.com/DxjgMU0Q5T
Most of the Niners’ passing game operates in the short and intermediate areas of the field. Purdy has accumulated 1,734 of his 2,167 passing yards on passes between zero and 19 air yards, according to Next Gen Stats.
One of their staple passing game concepts to exploit zone coverage is a Sail concept, which has an outside receiver running a vertical route and the slot receiver running a corner route than can convert to an out route. The passing concept is especially effective facing Cover 2 and Cover 3, as it puts the cornerback on that side of the concept in a bind to either run with the deeper route or try to undercut the outbreaking route.
A lot of the #49ers passing game are hi-lo concepts, and one of their best ways to attack zone coverage is Sail concepts. Both Brock Purdy and Mac Jones have layered throws to the corner route. Involves switch releases, tight ends at times, and is a big part of their intermediate… pic.twitter.com/QR2olFQwiC
Between the numbers, the Niners offense is known to run a lot of deep, in-breaking routes and the Dagger passing concept, which has a clear-out vertical route occupying the deep safeties and the deep dig route coming in behind it. It is where Purdy is the most aggressive in pushing the ball downfield to hit big gains to receivers Ricky Pearsall, Jauan Jennings, and Kendrick Bourne. According to PFF, Purdy has 83 of 107 passes for 788 yards and four touchdowns on passes between the numbers from behind or at the line of scrimmage to 20 yards downfield.
The passing concept is especially effective against one-high safety structures on defense and against zone coverage, often vacating space between the linebackers and safeties. The teams that have defended the play effectively this season have linebackers who have the range to take away the deep in-breaking route window, and the Eagles have Baun, who is capable of doing so.
Dagger concepts and hitting dig routes over the MOF is a big part of the #49ers passing game and exploiting one-high defensive structures and zone defenses. Both Mac Jones and Brock Purdy found success in doing so this year. pic.twitter.com/c1oxDSxslv
While Purdy has played at a high level to close the regular season, he has thrown an interception in six of his nine starts this year, including three against Carolina in November. He has been pressured 34.9% of the time, the fourth-highest rate among qualified quarterbacks this season, according to Next Gen Stats, but has been sacked only 11 times across 312 drop backs because of his mobility to escape the pocket.
Where he struggles, though, is locating the football consistently targeting the middle of the field. Half of his 10 interceptions this season have been due to either throwing the football too high or behind his receivers. With pressure in his face, too, Purdy is susceptible to airmailing a pass.
At least half of Brock Purdy's 10 interceptions this season for the #49ers have come on passes thrown late and/or high across the middle of the field, and defenders getting their eyes to the backside dig route. pic.twitter.com/dTWyeHNILO
San Francisco’s defense ranks third in snaps out of a light box (45%, six or fewer players in the box) in the NFL, with only the Eagles and Patriots playing a higher percentage of snaps with a light box. That, coupled with the injuries piling up at linebacker, could mean a big day for Saquon Barkley and the Eagles running game.
The defense has also been prone to giving up big plays in the passing game. The Niners, according to Next Gen Stats, gave up the seventh-highest total yards per game on throws that traveled 20 or more air yards (49.9) and tied the Bears for the second-highest total of touchdowns allowed on such throws.
Expect Jalen Hurts and the Eagles offense to take their shots downfield, especially if the Niners load up to stop the running game.
As the fog lifted on Jan. 1, 1901, four Fancy Dress Clubsand 16 Comic Clubs gathered at the corner of Broad and Reed Streets for the first ever Mummers Parade.
“Kings, emperors, knights and jesters, clothed in purple royal or tinkling tensel [sic], wended their way up the broad thoroughfare …” reads a front-page story from the Jan. 2, 1901, Philadelphia Inquirer. “In the throng of merry makers, no tribe no nation, scarcely an individual was neglected.”
That inaugural Mummers Parade was America’s first folk parade. It also marks the first time an American city hosted a New Year’s Day procession.
It will be remembered Saturday at the Firstival in the Mummers Museum. Firstivals are the Philadelphia Historic District’s weekly day parties celebrating historic events that happened in Philadelphia before anywhere else in America, and often the world. They are part of a yearlong celebration of America’s 250th birthday.
Artist Anh Ly’s No. 1 highlights the Mummers Parade’s vibrant costumes, instruments and playful traditions.
That first Mummers Parade began 125 years ago at 9 a.m. on a chilly overcast morning, said Mark A. Montanaro, the Mummers Museum’s curator. It took participants just two hours to march up Broad Street and around City Hall to Girard Avenue.
Three hundred dollars — $11,575 in today’s money — was awarded to the parade’s two first-place winners: the Elkton Association, part of the Fancy Dressed Club; and the White Cap Association, belonging to the Comic Club.
Revelers partied all day and into the night.
The boisterousness remains to this day. So much so that the Philadelphia Historic District did not want to start the Firstival celebrations with the parade, even though that was the initial plan. Why? Because they assumed the Mummers would still be recovering from their parade.
The word mummer is derived from Momus, the Greek god of satire and mockery. Mommer is the Old French word for mime.
Philadelphia’s 17th century English and Swedish immigrants dressed in elaborate regalia during the days between Christmas and New Year’s, knocked on their neighbors’ doors, and demanded treats of sweets and nuts. Over the decades, the door-to-door tradition turned into rambunctious neighborhood parties as Dutch, Irish, and Italian immigrants joined in on the fun.
In November of 1900, Philadelphia Evening Bulletin reporter and theatrical promoter H. Bart McHugh and City Councilman John H. Baizley asked Mayor Samuel Ashbridge if the city would consolidate the block parties into one big parade.
Plans were finalized by mid-December.
The Mummers Parade remains one of Philadelphia’s most enduring traditions. It’s only been canceled three times: during the 1919 Spanish Flu, 1934 during the Great Depression, and 2021 during COVID. (This year, the String Band Division called off its competition due to strong winds.)
The Jokers perform during the Fancy Brigade Finale at the Pennsylvania Convention Center during the 2026 Mummers Parade in Philadelphia on Thursday, Jan. 1, 2026.
Parade routes have changed; today it starts at City Hall and ends at Washington Avenue. At times its been fraught with racial controversy, as some members have appeared in blackface as recently as 2020.
That’s all in the past, Montanaro stressed.
“The Mummers are striving for inclusivity,” Montanaro said. “We are a little bit of Mardi Gras, a little bit of Carnival, and a whole lot of Philly.”
This week’s Firstival is Saturday, Jan. 9, 11 a.m. — 1 p.m., at the Mummers Museum, located at 1100 S. 2nd Street. The Inquirer will highlight a “first” from Philadelphia Historic District’s 52 Weeks of Firsts program every week.
Anna Stone was doing the first rounds of her nursing shift at St. Luke’s Upper Bucks Campus when she noticed a patient’s heart rate was elevated, a sign that they could be at risk of a cardiac emergency.
Before she could look into the patient’s chart and decide whether to call for help, a critical care doctor came rushing to the patient’s bedside.
A drop in the patient’s oxygen levels had been detected by a monitor that uses artificial intelligence to continuously evaluate vital signs. This triggered an automatic alert for the hospital’s critical care team to send help.
The AI tool is intended to help doctors and nurses more quickly identify patients whose condition is deteriorating — often before signs of distress are visible to medical staff — and intervene sooner.
The approach contributed to a 34% decline in cardiac arrests, and a 12% drop in patients crashing so hard and fast that they required rapid response transfers to the ICU between 2022 and 2024, according to St. Luke’s.
Survival rates among cardiac arrest patients rose from 24% to 36%.
St. Luke’s experiment with a program called the Deterioration Index, created by healthcare software giant Epic, is among the latest ways hospitals are bringing artificial intelligence into their patients’ rooms.
In other Philadelphia-area initiatives, Jefferson Health and Penn Medicine recently debuted an ambient listening tool that records conversations between doctors and patients, distilling the critical details into a well-organized visit note.
St. Luke’s has been using its AI monitoring system across all 16 of its campuses, including Quakertown, Upper Bucks, and Grand View, which the health system acquired in July.
The health system’s initiative was recognized by The Hospital and Healthsystem Association of Pennsylvania, the region’s largest industry group for hospitals, with an award honoring safety and quality initiatives that improved patient care while reducing hospital costs.
Using AI to predict emergencies
The monitoring device, which attaches to a patient’s finger, records and continuously updates patients’ electronic medical records with vital metrics such as heart rate, blood pressure, and lab work results.
Using this matrix of data points, it assigns each patient a “deterioration index” — a score between 0 and 100 indicating their overall stability — and automatically alerts critical care when the score rises too high.
Matthew Zheng, a doctor at St. Luke’s Upper Bucks, holds the monitoring device used to continuously track patients’ vital signs.
It is not intended to replace in-person monitoring, but serves as an extra set of eyes when nurses are away from their bedside.
What’s more, the sophisticated technology is capable of picking up on nuanced changes in a patient’s status before they show physical signs of distress.
“We would ideally like to intervene on these patients before they reach a point where the intervention isn’t that helpful,” said Matthew Zheng, a critical care doctor at St. Luke’s Hospital — Upper Bucks. “Our nurses work very hard, but they can’t be in the same room all the time.”
When a patient’s “deterioration index” rises above 60, the device sends an alert to the hospital’s virtual response center — a remote hub where a nurse monitors three screens showing the status of all patients.
Alerts may also be sent directly to a patient’s care team or the rapid response unit, if the AI monitoring detects that a patient is quickly deteriorating and needs emergency care.
“What that’s allowed is for us to have a proactive response instead of being reactive to patients,” said Charles Sonday, an associate chief medical information officer at St. Luke’s who leads AI initiatives.
Stone, the Quakertown nurse, said having the tool to constantly watch over patients while she’s out of their room is reassuring.
Doctors like that it enables them to quickly get up to speed on the status of a patient they transferred out of the ICU, and respond more immediately to their new medical needs, said Zheng, the critical care doctor.
St. Luke’s plans to continue fine-tuning the technology, and customize it to meet the unique patient profiles of each of its campuses, which span 11 counties and two states, from the Lehigh Valley to New Jersey.
The social and economic factors that affect patient health, such as pollution, and illness rates, vary significantly across the health system’s sprawling network, Sonday said.
The system will also explore customizing the tool for specialty services, such as pediatrics and behavioral health.