Tag Archives: Carol J. Bova

A Malicious Prosecution

Posted on September 22, 2021 by | 28 comments

by Carol J. Bova

During the Bob McDonnell administration, the Commonwealth of Virginia preserved 232,000 acres through conservation easements or donations, falling short of the governor’s 400,000-acre goal because of the tight economy. Seizing on the deficit in his 2013 gubernatorial campaign, Terry McAuliffe promised that he would “preserve at least 400,000 acres of open space.” He repeated the number in his first speech to the General Assembly after taking office in 2014.

By 2015, it became obvious McAuliffe could not meet his goal. Scrambling to save face, he announced in April 2015 the launch of “Virginia Treasures,” a strategy for conserving land and expanding access to public outdoor recreation. The goal was to identify, conserve, and protect at least 1,000 “treasures” by the end of his term.

It soon became apparent to many residents of Mathews County that their property and their homes fell within the pale, blue-coded areas of the map where McAuliffe hoped to find his Virginia Treasures. And so began a seven-year nightmare for the Eubank family as the local government tried to bully them, in what they saw as a grotesque abuse of bureaucratic power, to diminish the value of their private land so that it could be acquired for a public access site. Continue reading →

28 Comments

Posted in Land use & development, Regulation, Uncategorized

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VDH Still Can’t Count

Posted on September 17, 2021 by | 12 comments

by Carol J. Bova

In a blog post published yesterday, I noted that the Virginia Department of Health (VDH) COVID-19 dashboard breaks down vaccination status by racial/ethnic group and by age, but not by racial/ethnic groups and age.

Thinking that VDH might possess the data, even if it had chosen not to publish it, I submitted a Freedom of Information Act request. The answer can be seen in the screen grab above: “The record does not exist.” Continue reading →

12 Comments

Posted in Public safety & health, Race and race relations

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VDH Should Show Vaccinations for Age and Race Together

Posted on September 16, 2021 by | 8 comments

by Carol J. Bova

Jim Bacon used an infographic from the Virginia Department of Health (VDH) in his recent post, God, COVID and the Rage Against the Unvaccinated showing the percent of the eligible population in Virginia with at least one dose.

What the infographic doesn’t say is the numbers are based on Virginians age 12 and up. When you look at another VDH chart by age, you see some pretty impressive numbers from age 35 and up, ranging from 71.0 to 89.9 percent. Continue reading →

8 Comments

Posted in Race and race relations

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Gloucester School Board Nixes CRT

Posted on August 13, 2021 by | 5 comments

CRT in Gloucester County Schools? No thanks.

by Carol J. Bova

The Gloucester County Public School Board spelled out its opposition to indoctrination or teaching that encourages hate and division in Gloucester public schools in its Tuesday meeting. The Board voted 6 to 0 for a resolution opposing Critical Race Theory in their school district’s curriculum.

The resolution printed in the Mathews Gloucester Gazette Journal said:

Gloucester County Public Schools (in alignment with the mission, vision and core values of the school district) will not teach or embed material designed to indoctrinate students to specific beliefs, teach or encourage in any matter hate or division based on race, creed, color or religion, and confirm that topics such as, but not limited to, Critical Race Theory and The 1619 Project, are not, and will not be, part of the GCPS curriculum.

Continue reading →

5 Comments

Posted in Culture wars, Education (K-12), Race and race relations

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Making Money from Cultural Cleansing

Posted on July 26, 2021 by | 39 comments

This imagery was in preparation of the $430,000 contract with the University of Virginia to remove the George Rogers Clark bronze sculpture located at the UVa Corner Park.

by Carol J. Bova

Richmond business owner Devon Henry is best known for his role as owner of NAH, LLC, for procuring a $1.8 million contract from Richmond Mayor Levar Stoney to take down Richmond’s Confederate statues. While Stoney’s handling of the contract outside the normal procurement process became a political liability — a special prosecutor and the Virginia State Police are still investigating the deal — Henry has become the go-to guy for taking down monuments to Confederate generals and other symbols out of fashion with Virginia’s political class.

Henry built a construction company, Team Henry Enterprises, winning bids as a minority contractor, primarily from the federal government. In 2018, Team Henry broke into the state/local contracting business with a contract to erect the Memorial to Enslaved Laborers at the University of Virginia, which after eleven revisions totaled $5.5 million. Continue reading →

39 Comments

Posted in Culture wars

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Equity Innuendo

Posted on July 20, 2021 by | 13 comments

Where’s the beef?

by Carol J. Bova

In 1984 the Wendy’s fast food chain launched an advertising campaign in which the catchphrase was, “Where’s the beef?” The phrase entered the popular lexicon as a way to question the substance of an idea or claim. The time has come to dust off the phrase in this age of fast, loose and often-baseless charges of systemic racism.

In a July 8 article in the Gazette Journal, “Let’s talk about Diversity, Equity and Inclusion,” Mathews County Supervisor Melissa Mason slammed the county and its school system. “In our small, rural utopia of Mathews County, due to location, declining population and demographics,” she wrote, “we must be intentional with how we address ‘D-E-I”.’ We lack in these areas in our public school system and in our government.”

Oh, yeah? Anyone can say anything. What, specifically, is lacking? Where’s the beef to this accusation? Continue reading →

13 Comments

Posted in Education (K-12), Race and race relations

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Fear and Loathing in Mathews County

Posted on June 24, 2021 by | 11 comments

Menacing

by Carol J. Bova

When Mathews County Supervisor Amy Dubois offered a resolution on June 22 that the Board of Supervisors meet at the high school auditorium instead of the Historic Courthouse, surprised members of the public attending called out, “Why?”

At the meeting, all Dubois said was, “We were urged by an organization within the county to move to the high school.” Although it was not audible on a citizen’s recording, the Mathews Gloucester Gazette Journal added that she said “for safety reasons.” (County staff failed to broadcast or record audio for the meeting.)

Supervisor Paul Hudgins was not pleased about the resolution and clearly said on the citizen recording, “We voted on this last month, to go back to the old courthouse. We keep changing these meeting schedules like some people do their clothes.” Supervisor Jackie Ingram also objected, and she and Hudgins voted against the change, which passed 3-2. Continue reading →

11 Comments

Posted in Culture wars, Transparency

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The Ballad Merger V: the Pandemic

Posted on May 10, 2021 by | 24 comments

Ballad Health nursing promotion

by Carol J. Bova

The nursing shortage was a top issue for Ballad Health from the moment the health system was created in 2018 from a merger of Mountain States Health Alliance and Wellmont Health System. The new health system, which served far Southwest Virginia and neighboring parts of Tennessee, laid out a plan in its first annual report to tackle the burgeoning workforce crisis that was afflicting much of rural and small-town America.

The annual report noted the following initiatives:

  • Putting $10 million annually into increasing nursing wages which affects one-third of [the] work force. The first two classes of the ETSU/Holston Valley accelerated BSN program graduated in May and August, 2018, producing a net gain of 34 additional nurse graduates above previous program capacity.
  • Contracting with Northeast State Community College (NESCC) for admission of 20 additional associate degree nursing students each spring semester starting January, 2019. … This provides an additional 20 new graduate nurses annually above current capacity at NESCC program.”

These measures were clearly stop-gap. First, while the $10 million annual increase to nursing wages might have helped retain nurses, it did nothing to train or recruit new nurses. Second, educating 52 new nurses (only 34 in Virginia) over two years was a positive but only a fraction of the number needed— even assuming they all wound up working for Ballad. Continue reading →

24 Comments

Posted in Health Care

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Ballad Merger IV: Has Quality Improved?

Posted on May 9, 2021 by | 2 comments

Ballad Health signage at Lonesome Pine Hospital. Photo credit: WCB

by Carol J. Bova

As a condition of the merger between Mountain States Health Alliance and Wellmont Health System in 2018, the combined entity, Ballad Health System is required to periodically update Virginia regulators on health metrics for its far Southwest Virginia service territory. Those quality measures and actual performance must be accessible to the public on the Ballad website as well.

The reporting was suspended during the COVID-19 emergency before year-to-year comparisons for Fiscal Year 2020 were available. But Ballad did publish an Annual Report for Fiscal Year 2020 that contained partial data through February 2020.

The bottom line: Quality measures have been a mixed bag. Some measures have improved; a few have declined. As detailed in Parts II and III of this series, Ballad met expectations for cost cutting and restructuring. What isn’t clear from the limited data available is why there is “slippage” in some numbers from one year to the next. Important questions arise. Continue reading →

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Posted in Health Care

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The Ballad Merger III: Reshuffling, Reconstruction and Repurposing

Posted on May 8, 2021 by | 2 comments

Norton Community Hospital

by  Carol J. Bova

When Mountain States Health Alliance and Wellmont Health System merged to create Ballad Health in 2018, the healthcare companies justified the consolidation with the argument that the ability to cut costs and rationalize delivery of health services would yield tangible benefits to patients in Southwest Virginia and Northeastern Tennessee.

The previous article in this series, “Cuts and Consolidations,” detailed how  Ballad Health bolstered finances through shared value-based payment savings, bond refinancing, staff reductions and closures of off-site facilities. This article, Part III, shows how the company acted to lower costs and enhance revenue by consolidating medical services, repurposing hospitals, introducing telemedicine, and implementing a new IT system.

The Virginia Cooperative Agreement, which outlined the requirements of Virginia regulators, allowed repurposing as long as certain “essential services” were retained. Deploying telemedicine and rotating specialty clinics in rural hospitals would help it meet the requirement. Continue reading →

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Posted in Health Care, Regulation

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The Ballad Merger II: Cuts and Consolidations

Posted on May 7, 2021 by | 7 comments

by Carol J. Bova

Upon the merger of Mountain States Health Alliance and Wellmont Health System in 2018, the first order of business for the newly created Ballad Health was shoring up its finances. If Ballad wasn’t successful at this, it would not have the resources to invest in the new services, facilities, programs, and equipment to improve community health it had promised as a condition of the merger.

Not all of Ballad’s actions were well-received. Some changes triggered community protests and county objections in its Tennessee and Virginia service territories. But the company did achieve its aim of bolstering cash flow. Here’s how Ballad went about it.

Job cuts. Financial conditions were adverse from the beginning. In an April 16, 2018 letter to the Tennessee Commissioner of Health, ten weeks into the merger, Ballad wrote that “due to the increased cost of labor, pharmaceuticals and supplies, and the continued shift to the outpatient setting from inpatient, operating income of the combined systems has declined by 123% since the same time in the prior year.” Continue reading →

7 Comments

Posted in Business and Economy, Health Care, Public safety & health

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The Ballad Merger — A Leap of Faith by Two States

Posted on May 6, 2021 by | 4 comments

Ballad Health hospital market area in Tennessee and Virginia

by Carol J. Bova

In April, 2015, two Tennessee-based not-for-profit hospital organizations with a 75% market share in Southwest Virginia said a merger would allow them “to address the serious health issues affecting the region and to be among the best in the nation in terms of quality, affordability and patient satisfaction.” The merger  would involve 21 hospitals in 21 counties in two states, and about 960,000 people.

The FTC opposed the merger. The commission said that courts and antitrust agencies view an increase of more than 200 points on a standard measure of market concentration — the Herfindahl-Hirschman Index (HHI) — as likely to be anticompetitive. The new company’s post-merger score would increase 2,441 points.

In the hope that this merged company might solve overwhelming regional health disparities, Virginia and Tennessee ignored the FTC and took a leap of faith. Both states passed legislation to allow cooperative agreements for a merger of the two systems. To confer immunity from federal and state antitrust laws, the legislation provided for state regulation and active supervision to ensure that the benefits would outweigh any disadvantages. Continue reading →

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Posted in Health Care, Regulation

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Northam’s Vaccine Quotas

Posted on April 3, 2021 by | 27 comments

by Carol J. Bova

Reporter Sabrina Moreno asked Dr. Danny Avula at a Virginia Department of Health (VDH) teleconference on March 26 if Virginia planned to do what Maryland’s governor had done a few weeks previously in reserving a portion of doses at each of its COVID-19 vaccination sites “for priority populations, you know, Black and Latino populations, lower income areas, to kind of help with that equitable distribution.”

Dr. Avula, who is state vaccine coordinator, said:

We’ve been doing a lot of that in a lot of our mass vaccination events… We do a combination of weighting our pre-registration… Say for example, if we have a 2,000-person event in Richmond, we would set a certain number of those slots for people that are on the wait list, and then a certain number of those slots for people on the wait list who are African-Americans, so that we can more mirror the demographics of the population.

He went on to say that different health districts might vary in their weighting methodology, “but we definitely have been weighting the preregistration lists for African-American and Latino communities. And I think it’s made a difference.” Continue reading →

27 Comments

Posted in Public safety & health, Race and race relations, Uncategorized

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Shhh! Don’t Ask! COVID-19 Equity Analysis Is for Governor’s Eyes Only

Posted on March 30, 2021 by | 11 comments

by Carol J. Bova

The Virginia Department of Health (VDH) blog posted March 16 that the department and the Virginia Department of Emergency Management (VDEM) would open community vaccination centers in Danville, Portsmouth, Petersburg and Prince William. “The sites were selected after the Virginia Department of Emergency Management conducted an equity analysis to determine the communities with the largest number of vulnerable populations and communities with the largest percentage of vulnerable population and greatest COVID-19 impact.” (See Steve Haner on March 26.) I sent a FOIA request to VDEM for a copy of the equity analysis.

While waiting for the VDEM reply, I wrote on Bacon’s Rebellion March 17 that VDH should target vaccination efforts to neighborhoods with high rates of poverty where COVID-19 risk factors were most likely to be found rather than basing the sites on VDH’s flawed virus statistics of racial demographics.

I received a response from VDEM denying my request. Continue reading →

11 Comments

Posted in Public safety & health, Transparency

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VDH Cleans Up COVID Deaths Stats

Posted on March 20, 2021 by | 10 comments

by Carol J. Bova

Anecdotes and social media comments have insisted that the Virginia Department of Health (VDH) has counted deaths from suicide, gunshot or motor vehicle accidents as COVID-19 deaths.

On March 19, VDH announced on its COVID-19 Dashboard that it had reviewed more than 10,000 reported COVID-19 deaths using the Virginia Case Definition for COVID-19 Associated Mortality. The announcement said of the reviewed deaths:

Among these, less than 1% (99 deaths) were determined to not qualify as “COVID-19 associated” deaths per the case definition and [were] re-classified to be a COVID-19 case that did not result in death. Today (3/19/21), a decrease in total net number of COVID-19 deaths is being reported on the VDH COVID-19 dashboard (more COVID-19 deaths were removed than added on 3/19/21).

Since the net change was -90, that would mean only 9 deaths were recorded on March 18.

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Posted in Public safety & health

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