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Delaware hospitals ratings trending downward

From: The Center Square

 Delaware dropped from 29th to 49th in the fall 2021 Leapfrog Safety Grades report as two of the state’s major hospitals went from an “A” to a “C.”

The Leapfrog Group assesses how well hospitals in the 50 states and the District of Columbia prevent medical errors, falls, infections and accidents, according to a news release from the nonprofit organization. The hospitals are given a letter grade and the states are ranked according to the grade. The safety reports are released in the fall and spring of each year.

Only one other state, North Dakota, and the District of Columbia had no hospitals with an “A” score.

The Christiana Care Health System’s two hospitals received “A” grades in the spring but they were dropped to “Cs” in the latest report. The health care system’s hospital in Christiana received low marks for problems with surgery and harmful events afterward.

The Christiana hospital received high grades in a new safety measure evaluated by Leapfrog, “sepsis infection after surgery.” Sepsis is responsible for the deaths of 270,000 people a year with 160,000 of them attributed to postoperative sepsis, according to Leapfrog.

The Christiana Care Health System’s Wilmington location also received low marks for problems with surgery and complications after the surgery including kidney injuries. The hospital received high marks for infection control with the exception of surgical site infections that occur after colon surgeries.

Two other state hospitals, Bayhealth Kent Campus in Dover and Wilmington’s Saint Francis Hospital, also received “C” grades. Beebe Healthcare in Lewes and Tidal Health Nanticoke in Dover received “B” grades.

The fall 2021 safety survey is Leapfrog’s largest, with 2,901 hospitals receiving grades, according to the organization. The grades are compiled by leading safety experts with guidance from the Johns Hopkins Armstrong Institute for Patient Safety and Quality.

“As the pandemic continues, we all have heightened awareness of the importance of hospitals in our communities and in our lives,” said Leah Binder, president & CEO of The Leapfrog Group. “It is critical that all hospitals put patient safety first. Now we have more information on more hospitals than ever before, so people can protect themselves and their families.”

Less than 1% of the hospitals received an “F” and 32% received an “A,” according to Leapfrog. Virginia, North Carolina, Idaho, Massachusetts and Colorado have the highest number of hospitals with “A” grades.

Federal unemployment insurance benefit slowed employment growth

From: Badger Institute 

“Unemployment rate fell faster in 22 states that eliminated supplemental benefits early.”

   Shortly after the advent of the COVID-19 pandemic, Congress passed the CARES Act, a $2.2 trillion bill designed to alleviate the negative economic consequences of government-mandated shutdowns. Included in the bill was a $600 weekly federal unemployment bonus payment on top of the state benefits that unemployed workers already could receive.

Since the combined federal/state unemployment insurance benefit was greater than the weekly wages of many employees, some economists worried that it might depress employment growth. We decided to examine whether the federal bonus payments served as a disincentive to workers returning to jobs once the economy rebounded.

During the throes of the crisis, when many restaurants, retail establishments and other businesses were closed, the boost helped people weather job losses. But to prevent the supplemental benefits from discouraging a return to the workforce, lawmakers set them to expire after six months.

That changed in August 2020 when the Trump administration, via executive order, extended the benefit at half of the original $600 rate. The American Rescue Plan, which passed in March 2021, extended this $300 weekly benefit until Sept. 6, 2021 — although states had the discretion to end it earlier, and many did.

Wisconsin, under Gov. Tony Evers, continued paying the federal benefit as long as possible, right up through early September.

The fact that the U.S. economy has been plagued with unfilled jobs in the past six months as the shutdowns were lifted Read more.

The Significance of Workforce Development: How States are Helping Businesses and Individuals Succeed

From: Expansion Solutions Magazine. Communities, states and regions work with economic development agencies along with businesses as well as universities, tech schools, and companies to support their workforce needs with appropriate education and training, incentives and grants available to businesses and/or hired workers. 

It is crucial for companies, states and communities to identify high-demand occupations, the process used to identify the occupations, and if a state publicly displays required training or credentials. Business and economic development leaders identify high-demand occupations and the required training to enter the skilled occupations. High-demand professions are defined as those acknowledged in the state as being in need within the state economy or where employee shortages exist. 

In compliance with the Workforce Innovation and Opportunity Act (WIOA), all states have a statewide workforce development board or council, and these groups of community leaders appointed by local elected officials and charged with planning and oversight responsibilities for workforce programs and services in their area. However, some states have gone beyond the requirements in federal policy to expand the board’s membership to include additional members within the education system, such as state superintendents of education and chancellors of postsecondary institutions. 

Additionally, some states have developed policies that expand the responsibilities or charges of the board to include explicit connections to education in both K-12 and postsecondary settings. Let’s look at some outstanding state programs outlined. Read more.

States Must Use Caution When Spending ARPA Funds to Avoid Waste

From: Citizens Against Government Waste

The American Recovery Plan Act (ARPA) included $350 billion in the State and Local Fiscal Recovery Fund, $195.3 billion of which was given to the states, with the remaining $154.7 billion divided among local governments, tribal governments, and territories.  Because states are not required to obligate their share of the funds until December 31, 2024, or spend them until December 31, 2026, several states have elected to take a patient approach to distribution.  The National Council of State Legislatures reported that 13 states have yet to allocate any funds sent to them by the Department of the Treasury, while the most of the others have allocated only a fraction of the funds given to them.

Thus far, local governments have used their portion of the grants on a wide array of projects ranging from the expansion of broadband access and infrastructure repair to the promotion of green energy and the development of athletic fields.  In Alabama, the state’s only use of APRA funds has been the allocation of $400 million for the construction of two prisons.  Hawaii’s legislature designated $1 million for a Sea Urchin Hatchery in addition to $300,000 for an engineering assessment of Aloha Stadium.  Use of grant money designed to provide relief from the COVID-19 pandemic for these and similar projects takes a page from Sen. Kirsten Gillibrand’s (D-N.Y.) infrastructure playbook, when she claimed that paid leave, child care, and caregiving are all infrastructure.  Just as everything fits under infrastructure, so too can anything be sold as COVID relief, sea urchins included.

As state and local governments prepare to appropriate their remaining ARPA funds in their upcoming 2022 legislative sessions, governors and legislators must allocate the money with caution to avoid funding wasteful projects unrelated to COVID relief or creating unsustainable programs that will be unaffordable when the federal well runs dry. Read more.

Kent County approves $5 million in grants for small businesses, hotels

From: Delaware Live 

Kent County Levy Court has approved a $5 million grant program for small businesses and hospitality companies affected by the pandemic.

The measure, which passed unanimously during a Nov. 9 meeting, is Kent County’s first use of the $35.5 million it received in American Rescue Plan Act funds.

The grant program includes $3 million in grants for businesses with less than 100 employees to pay for employee wages and other business expenses and $2 million for hotels, event venues and other tourism hospitality industry companies.

Judy Diogo, president of the Central Delaware Chamber of Commerce, said it’s important to remember that many small businesses had to close during the pandemic by no choice of their own.

She doesn’t know exactly how many small businesses were forced to close permanently because not all of Kent County’s businesses are members of the chamber, but she is aware of 58 member businesses having closed because of COVID-related impacts.

“Small businesses are desperately trying to come back now,” Diogo said. “They’re desperately trying to get themselves back up and running, and they’re having a difficult time getting employees. For many of them, they have used all of their capital to keep themselves open through this time.”

Under the program, at least 633 small businesses would be able to qualify for aid, Diogo said.

County administrator Michael Petit de Mange said grants can be used for any type of business expense that would otherwise be paid for with the revenue that has been lost.

“It’s going to be spelled out in the grant application, but it could be paying bills, it could be covering payroll or business supplies or other expenses related to the business utility expenses,” he said.

Grant applications will be processed by Dover accounting firm Faw Casson to check for compliance and eligibility.

They will then be reviewed by the Central Delaware Chamber of Commerce and Kent County Tourism Corporation, who will send their final recommendations to the Levy Court for approval.

Once the applications are determined to be accurate and complete, they will be referred to the Levy Court, which will vote on their approval. Payment will be issued directly by the county. Read more.

State to invest $2 million in farmers, local food supply chain

From: Delaware Live

Delaware will spend $2 million in federal COVID-19 relief funds to establish a seed fund aimed at stabilizing and strengthening small and mid-sized farmers and local food supply chain operations.

The First State Integrated Food System Program, announced Thursday by Gov. John Carney, will be paid for using funds the state received from the American Rescue Plan Act.

Delaware received $925 million from the federal stimulus bill, which is designed to hasten the economic recovery from the pandemic.

In a press release announcing the investment, Gov. John Carney said the seed fund will provide a “coordinated approach” to improving local access to affordable and nutritious Delaware-produced foods while supporting Delaware farmers.

“We know the COVID-19 pandemic has impacted small-scale food businesses and Delaware families’ access to food,” Carney said. “That’s why the Council on Farm and Food Policy will work with partners to develop and administer a diverse portfolio of grants and loans to improve the availability and accessibility of local produce, animal protein, value-added products, and other foods, promoting overall economic growth here in Delaware.” Read more.

NEW STUDY: Pandemic Response Grew Government ‘Barriers to Opportunity’ for Entrepreneurs

From: Pacific Research Institute

Government actions to “help” small businesses in the wake of the COVID-19 pandemic have worsened pre-pandemic government-imposed burdens to entrepreneurship, finds the final paper in the Breaking Down Barriers to Opportunity series released today by the nonpartisan Pacific Research Institute, a California-based, free-market think tank.

“The federal government’s economic pandemic response was wasteful and ineffective, worsening the government-created obstacles to prosperity entrepreneurs faced before the pandemic – such as taxes, regulations and lack of access to credit,” said Dr. Wayne Winegarden, Pacific Research Institute senior fellow in business and economics.

“Promoting Economic Recovery Through Entrepreneurship Not Government” analyzes the impact of the federal government’s COVID-19 relief effort on small businesses.

Winegarden makes the case that the historic increase in the government’s burden on the private sector economy – including $5.9 trillion in newly-authorized federal spending – paves the way for higher future taxes that will diminish the after-tax returns and incentives to start or expand new businesses. Read more.

Delaware’s Workforce Development Plan Needs More Work

From: Kathleen Rutherford, Executive Director, A Better Delaware

Of the $1.9 trillion American Rescue Plan Act (ARPA) signed by President Biden on March 11, Delaware received $925 million to invest in one-time projects. One of the three largest projects in Delaware is a $50 million dollar investment in workforce development with a focus on job training.

While investing in jobs training seems like a noble and smart one, it leaves many questions unanswered. The primary issue with Delaware’s workforce development plan is that there is no information about how the money will be spent. Governor Carney stated of the allocations that “we’re focused on investments that will build on the strengths of Delaware’s world-class workforce and support Delaware families and businesses who were most affected by the COVID-19 pandemic. These workforce development programs will help Delawareans develop the skills they need to succeed in a 21st century economy.”

The goals Carney provides of “building on strengths” and “developing skills” are ones that cannot be measured, and we don’t know what time frame it should be measured over, as neither program has a specified end date.

The jobs training program will be broken into two primary components – the expansion of the Pathways Program and Forward Delaware. The Pathways Program focuses exclusively on students and is receiving one-third of this allotment – an investment in Delaware’s future that does not help the approximately 26,000 unemployed adults who are struggling to pay their bills right now.

Pathways began in 2015 serving about 20,000 high school students and with this funding will grow to serving 32,000 middle through high school students. An additional $8.3 million will be added to the program through the state budget.

Forward Delaware was founded in August 2020 and is managed by the Delaware Prosperity Partnership. It provides 20-week certification courses (directed toward those who became unemployed due to the pandemic) in the fields of healthcare, construction/trades, hospitality/food service, logistics and transportation, and computers/IT. In its first year, about 3,000 Delawareans took advantage of its offerings but only 1,476 – less than 50 percent – completed a training course. The initial investment in the program was more than $15 million. The certifications that can be acquired through Forward Delaware will make workers eligible for higher-paying, more specialized professions, but it’s a large investment few individuals have used and the Prosperity Partnership openly admits it has not tracked hiring details, and simply reports that “the fact that Forward Delaware exists is a good thing.

A lack of alignment between workforce development and the training itself are one of the five major pitfalls of workforce development success – and the above statement proves it’s at least one of the reasons this initiative in Delaware is likely to fail.

A Workforce Innovation and Opportunity analysis has evaluated Delaware’s workforce development programs and noted one of its top weaknesses as providing skills and training for professions that may not lead to self-sufficiency.

According to the Education Commission of the States, Delaware does not have a policy or process in place to identify high-demand occupations. Without any data to support which industries need skilled workers, Forward Delaware may be missing out on training workers for areas employers need the most – and those that may produce the best outcomes for trainees.

Several other states have dedicated workforce training programs that put Delaware to shame. South Carolina’s Department of Employment and Workforce utilizes several different programs that give individuals the choice to find a specific program that works well for them. With so many different options, there are ample opportunities to get individuals back into the labor force once they have been properly trained. On the other side of the spectrum, there is Georgia QuickStart. This company has a single training program that can provide customized job training, which makes it easier to implement on a state-wide level. The program receives 44 percent of its funding from the state and has managed to create over one million jobs since its founding in 1967

In a more recent report, Delaware was ranked seventh out of eight states  in the mid-Atlantic region in the 2021 Regional Workforce Development Rankings – showing it’s one of the worst at providing a strong workforce development ecosystem. With a new failing job training program, it doesn’t seem like Delaware’s on track to move up the ladder.

Delaware must move from a patchwork of semi-connected programs and services to building out the components of an integrated ecosystem which includes statistical evidence to support investments its workforce system and analysis of workforce training effectiveness, and outcomes. Only then will Delaware improve its standing in business competitiveness and economic growth.

 

 

 

 

 

Commentary: Accountability, transparency reform needed to rebuild public trust

From: Bay to Bay News ,By Rep. Bryan Shupe

The debate over whether indicted State Auditor Kathleen McGuiness should resign or take a leave of absence from her post highlights a larger systematic failure on the issue of government accountability and transparency in Delaware.

Over the last 18 months, we have seen five Delaware elected officials accused of misconduct. While every citizen should find this disturbing, almost as troubling is that each case has been treated differently. As it stands, legislators pick and choose which colleagues will be held accountable and which ones will be subject to a lesser standard.

I do not believe justice is something that should be decided on an arbitrary sliding scale, based on the personal whims of legislators or the political affiliation of the accused. There should be clear protocols for handling all cases of official misconduct involving elected officials in an equitable fashion. Without a systematic approach written into law, legislators cannot expect to retain the public’s trust, which is the foundation of our republic. Read more.

Legislators eye ‘Ready in 6’ bills next year

From: Delaware Business Times

DOVER  — With the business in Delaware stabilizing in a new normal, legislators are reportedly drafting bills to expedite development in the First State.

Rep. Bill Bush (D-Dover) told Dover business leaders last week that he was working on bills that will move the needle on the state permitting process and ideally land regional development projects as a result. Bush is the chair of the Economic Development Committee and also sits on the board of the Delaware Propensity Partnership, the state’s public-private economic development agency.

“It’s been talked about for years, but it seems like stakeholders are really on board with this,” Bush told the Downtown Dover Partnership executive committee during its October meeting. “I’m looking forward to next year, and hopefully the governor will have it on his agenda for the State of the State [address], but we will see.” Read more.