Category: Regulations, Gov’t Oversight
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Virginia Has an Opportunity to Take the Lead in Nursing Home Technology Insertion to Improve Care with Existing Staff
by James C. Sherlock A pending new federal rule defining strong nursing home staffing minimums has finally accomplished something that I thought unlikely in my lifetime. It has in a single stroke aligned the interests of patients and their loved ones, nurses, nursing homes, state and federal governments, and taxpayers in finding ways to make…
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An Overdue New Federal Rule to Improve Nursing Home Staffing
By James C. Sherlock What would happen if the federal government were to propose for the first time specific nursing home staffing minimums? We are about to find out. A new rule. A new federal proposed rule introduced yesterday has already survived fierce opposition from the industry, which tried to kill it in the womb.…
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Politicians Back Interest-Heavy Fuel Debt Payoff
By Steve Haner Several Virginia legislators have encouraged the State Corporation Commission to allow Dominion Energy Virginia to convert a $1.3 billion unpaid fuel debt into a ten-year revenue stream for the utility, adding up to $370 million in additional costs onto its customers. The SCC will open a hearing Tuesday on the utility’s pending…
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Democrats Cannot Hide From Vote to Ban Gas Cars
By Steve Haner Yes, Virginia, the Democrats are coming for your gasoline and diesel powered cars. The only way to decouple Virginia from the California Air Resources Board’s relentless drive toward electric vehicles only on new car lots is to change the political landscape in Richmond and reverse a 2021 bill. A Republican candidate for…
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Dominion Plan to Maintain Gas Attacked at SCC
By Steve Haner First published this morning by the Thomas Jefferson Institute for Public Policy. The front line in the war against fossil fuels in Virginia has now shifted back to the State Corporation Commission, and as usual only one side has fielded an army and brought heavy weapons to the battlefield. Those who might…
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Virginia’s Certificate of Public Need Program – A New Sheriff in Town
by James C. Sherlock Everywhere counterproductive to competition, innovation and cost, Virginia’s Certificate of Public Need (COPN) program also has proven antithetical to quality and safety in nursing homes. A thorough 2022 report by the National Academies of Sciences, Engineering and Medicine on improving nursing home quality had this to say about state Certificate of…
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New Virginia Nursing Home Law Appears to Violate Federal Statute
by James C. Sherlock In addition to the General Assembly embarrassing themselves in the way they passed a law on nursing homes in this year’s session, they did it in an unseemly rush. There was no pre-filing, a near-immediate and disgraceful floor “debate” led by the nursing industry’s lobbyist, and a rushed vote in the…
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Why Dominion Stays Calm in Wind Industry Storm
By Steve Haner First published by Thomas Jefferson Institute for Public Policy. There is some overlap with a post from last week by another author, but with a slightly different focus. With growing turmoil in the offshore wind industry finally being reported, it would be nice to turn the clock back a year and revisit…
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Virginia Beach’s Bad Habit: Reckless Spending on Wasteful Projects
by Kerry Dougherty Feckless leadership, wasteful spending and escalating taxes have plagued Virginia Beach for decades. Despite new faces on city council, the game of spending tax dollars on insane projects that “will pay for themselves” continues. But let’s back up. Here’s one prescient story from The Virginian-Pilot in 2007. The headline: “Virginia Beach Sportsplex…
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Nursing Homes – What Could Go Wrong?
by James C. Sherlock I have written a lot recently about staffing shortages in Virginia nursing homes and the Commonwealth’s national ranking near the bottom of the states for staffing measures. It is appropriate to ask why that matters. Federal analyses of Centers for Medicare & Medicaid Services (CMS) data offer the answer. In proposing…
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Staffing Has Collapsed in Many Virginia Nursing Homes, Creating a Health Crisis for Our Most Vulnerable Citizens
by James C. Sherlock I am seldom surprised by Virginia’s nursing home staffing problems, but new government data show no progress on staffing since October of last year. Data from the Centers for Medicare & Medicaid Services show that the number of significantly understaffed facilities has not budged in seven months. The numbers don’t lie.…
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Slush Funding Housing
by Jon Baliles There has been a lot of talk about the affordable housing crisis in the region in recent years, but it has been constant in 2023. The entire region needs 39,000 units as fast as it can get them; but interest rates are high, the market is stalling — every week there is…
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Understaffed Nursing Homes and the False Claims Act
by James C. Sherlock Nursing home operators, paid by government insurance programs on a per diem basis for caring for their patients, make higher profits if they understaff than otherwise. The less staff they have, the higher their operating margins. The federal government, with much experience in such situations, tries to offset those incentives with…
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An Utter (and Videotaped) Disgrace of the Virginia General Assembly
by James C. Sherlock Whatever the Virginia Health Care Association (VHCA), the state’s nursing home lobbying organization, pays its General Counsel, Scott Johnson, it is not enough. He has been representing them for 20 years, and he owns the General Assembly. This is going to sound boring as I frame the background that is the…
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Corruption, Ignorance Turn Deadly in the General Assembly
by James C. Sherlock Virginia Department of Health inspectors, on page 11 of 66 of a statement of deficiencies dated June 21, 2021, wrote of a gut-wrenching discovery. They found an incontinent patient at Autumn Care of Suffolk, a stroke victim unable to talk, tied to her bed by a staffer. She was terrified and…