Posts Tagged ‘Cook’

Candidates For State Education Board Seat Bring Diverse Backgrounds To Race

By Sean Whaley | 9:21 am May 25th, 2012

CARSON CITY – With education reform a top priority of Gov. Brian Sandoval, the new alignment of the state Board of Education – with four seats up for grabs on the November ballot – is taking on more importance than ever before.

One of the four seats, District 2 which mirrors the new Nevada 2nd Congressional District from Reno and Carson City east across rural Nevada, has attracted five candidates, two of whom are serving now on the 10-member elected board. The race is nonpartisan.

Ray Bacon, executive director of the Nevada Manufacturers Association; Scott Carey, a planner for the Pyramid Lake Paiute Tribe; Donna Clontz, a retired teacher and juvenile justice expert; Dave Cook, a member of the board and charter school math teacher; and Adriana Guzman Fralick, a member of the board and attorney with the Nevada Gaming Control Board, are all on the June 12 primary ballot.

The top two vote getters will move on to the general election in November.

Since taking office in 2011, Sandoval has made education reform a priority of his administration. A number of reforms, including reconstituting the state board, were approved in the 2011 legislative session.

Photo courtesy of FEMA via Wikimedia Commons.

He also recently appointed a new superintendent of public instruction, James Guthrie, who formerly served as the senior fellow and director of education policy studies at the George W. Bush Institute in Dallas.

Sandoval plans in 2013 to pursue a number of additional reforms, including ending social promotion and fostering school choice through charter school expansion and some form of voucher program that is still in development.

The new board will play an expanded role in the reform effort. In addition to four elected candidates, Sandoval will appoint three members, one of his choice and one each nominated by the Senate majority leader and Assembly speaker. There will also be four nonvoting members.

Ray Bacon brings an employer perspective to race

Bacon, who has advocated for education reform for more than 25 years, said he entered the race as a candidate coming from the perspective of the business sector.

“There are two primary focuses in the education picture,” he said. “They (are) the students, which should be first and foremost No.1, and then the second constituency is employers, which are routinely ignored by the education system.”

Employers need a voice on the board, Bacon said.

The key is not job oriented education, but providing students with a strong set of basic skills in writing, reading, math and science, he said. The reality is there will be job opportunities in the future that aren’t even on the radar yet, Bacon said.

“If their basic skills are really solid, and really foundational, and they pay attention, they have the skill set to move into those jobs,” Bacon said. “If they’re lacking in those basics, they can’t make the transition.”

The reforms passed in the last session were a major step forward, but more remains to be done, he said.

Bacon said he has concerns with the use of binding arbitration in school district negotiations with teachers and other employees. A recent arbitration decision in Clark County in favor of teachers could lead to hundreds of teacher layoffs. The arbitrators always seem to be from out of state and lack the knowledge of Nevada’s public education funding scheme, he said. Arbitrators should come from Nevada, he said.

There should also be a requirement that teacher contracts comply with state law, Bacon said. The Clark County layoffs will be based on who was last hired, which conflicts with legislation passed in 2011 making seniority not the only basis for such decisions, he said.

As to school choice, Bacon said he would start with students in under-performing schools, giving them an edge to enroll elsewhere, including charter schools.

Scott Carey says an educated workforce is critical to economic diversification

Carey, who grew up in Sparks and took advantage of the Gov. Kenny Guinn Millennium Scholarship, said he wants to focus on improving public education as a way to help with Nevada’s economic diversification efforts

“I see kind of the biggest thing holding back our state to diversifying our economy is education,” he said. “We’re not going to be able to get jobs to relocate here and open up new operations if our schools continue to be in the condition that they are and our graduation rate remains the way it is.”

Nevada needs a skilled workforce to drive innovation and expand the economy, Carey said.

The new board will play a big role in education reform, he said. The state’s last in the nation graduation rate is unacceptable, he said.

“And I’m willing to look at new ideas that can help improve that graduation rate,” Carey said. “I think a lot of the partisan politics that sometimes get played in Carson City do more harm than they do good. If elected to the Board of Education I would take a look at solutions from both sides of the aisle and see what we can do to help improve education.”

Carey said he supports expanded school choice, including the potential use of vouchers, as long as they don’t take financial resources away from what he said are already “vastly underfunded” public schools.

Donna Clontz says she wants to bring her experiences with childhood issues to bear at the state board

“I decided to run for the State Board of Education because I see it in a very important leadership role for policy for all of our 17 school districts and I don’t believe it really has filled that role in the past,” Clontz said.

The board can and should serve in an outspoken leadership role on behalf of all students to make education and quality schools the state’s number one priority, she said.

Clontz started her career as an elementary school teacher, then went to night law school to become an attorney. She then went to work as a prosecutor in the California juvenile justice system. Her next career was on the staff of the National School Safety Center, getting an education on school safety issues, from bullying to weapons, all of which are still issues today.

Those experiences make her well qualified to serve on the board, she said.

“Everybody who plays a role, I think, could be engaged in a strategic planning process where we would all work together to get that change of attitude that I think it’s going to take in Nevada for all of us to say that schools are the most important thing that we can work on to bring our state back, our economy back, to create the jobs we need, to have young people that are trained and ready to go to work in those jobs,” Clontz said. “We’re perched on the edge of some great things.”

She supports ending social promotion for elementary school students and the development of quality charter schools but opposes vouchers. Vouchers have been tried elsewhere without success and Nevada has too many other education issues to address, Clontz said.

Dave Cook says he will pursue Gov. Sandoval’s reforms if returned to the board

Cook said one of the keys to improving education is to use effective testing to measure progress.

“We need to effectively assess students,” he said. “At the same time, we need to do less testing overall. So we need to do testing that is going to be beneficial for making decisions about students.”

Assessing students at the beginning and end of the school year helps prevent a number of problems and can help determine if a student should be promoted, Cook said.

“And most of our problems happen because language and mathematics aren’t being effectively handled in the elementary grades,” he said. “By the time we discover them in middle school, the damage is already done.”

Such testing also provides the opportunity to measure teacher performance because it assesses how far each student has come during the year, Cook said.

Cook, who previously served on the Carson City School Board before being elected to the state Board of Education, said he is a big supporter of quality charter schools. Between 2008 and now, the attitude toward charter schools has improved dramatically and the schools are playing a big role in education reform, he said.

Cook said he supports the concept of vouchers as well, although full implementation might require an incremental approach. Any voucher program would have to carry an accountability element with it to ensure tax dollars are being spent efficiently, he said.

Cook said being a licensed math teacher gives him an added dimension to serve on the board.

Adriana Fralick says her time on the board gives her the background to move forward on reforms  

Fralick said she is on board with the education reforms already achieved by Sandoval and his plans going forward.

“I believe in charter schools and I think now with the new (Charter School) authority I think there is a chance of expanding that and streamlining it so I think that is going to be something very positive,” she said.

She also supports vouchers, saying parents should be able to choose their child’s school.

“Implementing a fair state-based voucher system will give parents and students a vested interest in the child’s education and stimulate parental involvement – an important factor in student success,” she said on her website.

Fralick said she is concerned about the potential for changes to the Nevada Plan, which outlines how public schools are funded in Nevada. A legislative panel is now reviewing the state’s public education funding plan at the request of the Clark County School District.

Fralick was appointed to the board in November 2010 by then-Gov. Jim Gibbons to fill out the term of Ken McKenna, who resigned. During the past 18 months, Fralick said she was on a learning curve. Now that she has the background, it is time to move forward with policies to improve Nevada’s education system.

“I’ve been on the board, not too long, but long enough to where I see what needs changing or what works,” Fralick said. “So I think that is one of my strengths, I can hit the ground running.”

Another strength Fralick said is her work as a public agency attorney for many years. Regulations sometimes have unintended consequences, so a legal background can help to prevent such occurrences, she said.

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Audio clips

Ray Bacon says employers have been ignored by the education system:

052512Bacon1 :16 the education system.”

Bacon says students need to master the fundamentals:

052512Bacon2 :18 make the transition.”

Scott Carey says a quality educational system is key to economic diversification:

052512Carey1 :22 way it is.”

Carey says he will work with all policy makers to improve the public education system:

052512Carey2 :25 help improve education.”

Donna Clontz says the board can play a major role in education reform:

052512Clontz1 :15 in the past.”

Clontz says Nevada has to focus on a quality public education system:

052512Clontz2 :33 in those jobs.”

Dave Cook says effective testing is needed to measure education reform efforts:

052512Cook1 :29 not be promoted.”

Cook says students need a strong foundation in the early elementary grades to succeed:

052512Cook2 :17 is already done.”

Adriana Fralick says she supports charter school expansion:

052512Fralick1 :14 something very positive.”

Fralick says she can hit the ground running if elected to the board:

052512Fralick2 :15 the ground running.”

 

Proposed Medicaid Cuts To Skilled Nursing Homes Would Require Closures, Layoffs, Industry Officials Say

By Sean Whaley | 6:41 am March 22nd, 2011

CARSON CITY – Representatives of Nevada’s skilled nursing home industry say up to five facilities could close and 700 beds lost if a proposal in Gov. Brian Sandoval’s budget to cut the Medicaid reimbursement rate by $20 a day per patient comes to pass.

The closures would result in well-paid medical professionals being laid off and joining the ranks of Nevada’s already sizable population of unemployed, industry officials say.

It could also cause crowding problems in acute care hospitals because there would be no room in nursing facilities to take the seniors who are ready for release.

The reduction in reimbursement is one of several Medicaid rate decreases proposed for many types of medical providers as a way to help balance Sandoval’s proposed $5.8 billion general fund budget.

The skilled nursing reductions would save nearly $10 million over two years. All the Medicaid rate reductions to all medical providers would save nearly $60 million in total over the same period.

Donna Henderson, regional operations manager for Evergreen Health Care, which has five facilities in Nevada, said she does not expect to close any buildings. But layoffs are likely and Medicaid admissions will have to be capped if the cuts take effect, she said.

“It is better for me to have empty beds than Medicaid patients,” Henderson said. “We have not had a rate increase in Nevada in over nine years. I’ve been in the business for 32 years. These are dark times for long-term care.”

While her two facilities in Carson, one in Gardnerville, one in Ely and one in Pahrump are expected to remain open if the reimbursement rate cut takes effect, Henderson said she does believe there are other facilities in the state that will have to close their doors.

“They just won’t be able to operate under those conditions,” she said.

Daniel Mathis, chief executive officer for the Nevada Health Care Association, said the Medicaid reimbursement rate right now is $12 below cost, on average, for the skilled nursing industry in Nevada. Add another $20 reduction and the industry faces tough choices, he said.

“There is a business decision that has to be made by the providers: do they want to accept that patient,” Mathis said. “Because they are looking at if they do, they are going to lose money and be held accountable for providing care for that patient, and if they don’t their census will drop and their operation will fail that way as well.”

Charles Perry, president and government affairs liaison for the association, which represents Nevada’s long-term care industry, said it is an access to care issue. When hospitals have elderly patients ready for discharge, it is the skilled nursing industry that frequently takes them to provide a lower cost of care as they continue their recovery, he said.

“We are the hospitals’ safety-relief valve,” Perry said. “Now if we can’t take the patient out of the acute care hospital, that creates a problem within the hospital.”

Perry declined to name the facilities he expects will have to close if the rate decrease takes effect, saying to identify them would create panic for residents, their families and staff. The status of the reductions won’t be known until the Legislature finishes the budget in late May, he said.

“I can tell you there will be a large impact, if it comes to pass, in the rural areas,” Perry said.

Mike Willden, director of the Department of Health and Human Services, rejected the idea that rural nursing facilities would be forced to close if the rate reduction is implemented. Those rural facilities that are part of an acute care hospital are not affected by the proposed reduction but are reimbursed for their costs, he said.

The rate reduction would affect the 47 or so free standing skilled nursing facilities operated in urban areas of the state, Willden said. The agency does not have a lot of data on the profitability of the skilled nursing facilities, he said.

“I don’t know if they are making a profit or not,” Willden said. “I assume heretofore they have made a living or there wouldn’t be 47 facilities in business.”

Willden did note that the number of Medicaid recipients receiving care in a skilled nursing facility has remained stable over the past eight years at about 3,100 residents. Much of that has to do with providing less costly care in less restrictive settings, including the use of adult day care and home health care aides, he said.

These efforts are in keeping with a landmark 1999 U.S. Supreme Court decision called Olmstead, which requires minimal use of institutionalization, Willden said. An independent consultant in 2010 found that Nevada has been, “one of the leading states in the country in its commitment to Olmstead.”

Perry said the association is meeting with the hospitals as well to present a united front against the reimbursement rate reductions.

“We don’t want to get into a situation where we’re pitting provider against provider,” Perry said.

Darrin Cook, vice president of clinical and operational services for Fundamental, which has a number of facilities in Nevada, said the payment reduction could create a domino effect from layoffs to decreased quality of care to increased violations identified by state and federal regulators.

Patient care could suffer, and that would not do anyone any good, he said.

“It could mean closures, staff reductions, pay reductions,” Cook said.

Audio clips:

Charles Perry of the Nevada Health Care Association says skilled nursing facilities are the relief valve for hospitals:

032211Perry1 :25 within the hospital.”

Perry says naming the facilities that could close would create unrest:

032211Perry2 :11 unrest and uncertainty.”

Perry says if the rate decrease is approved, it would affect rural areas of the state:

032211Perry3 :09 the rural areas.”

Darrin Cook of Fundamental says the rate decrease could mean staff reductions and pay reductions:

032211Cook1 :11 in the country.”

Daniel Mathis, CEO of the Health Care Association, says the reduction will force providers to make difficult business decisions:

032211Mathis1 :22 as well, so.”

 

Furloughs, Staffing Cuts at State Psychiatric Hospital Prompt Employee Protest

By Sean Whaley | 10:23 am October 21st, 2009

CARSON CITY – Staffing cuts, furloughs and a mandated eight-hour work schedule all contributed to a state employee protest outside a Las Vegas mental health facility on Saturday, a state official said.

Harold Cook, administrator of the Nevada Division of Mental Health and Developmental Services, said in an interview Monday he appreciates the concerns of employees who work at the agency’s psychiatric hospital facilities. But suggestions that patient or employee safety have been jeopardized because of staffing reductions and furloughs are not borne out by the evidence, he said.

The protest was organized by the American Federation of State, County and Municipal Employees union Local 4041 and drew more than 100 demonstrators and was directed at staffing issues at facilities where mentally ill adults receive treatment. There are 234 beds in three buildings, including 190 beds at the new Rawson-Neal Psychiatric Hospital at Jones and Oakey boulevards.

“We’ve been working on a reduced staffing level for nine months at least, and I can say at this point I’ve seen no effect on the number or types of incidents regarding injuries to staff or patients,” Cook said.

Dennis Mallory, chief of staff for the union, disagreed with Cook, saying today he believes incidents of patient-on-patient and patient-on-staff violence have increased since staffing levels were reduced last year and that staffing levels are a factor in the incidents.

“We understand the funding shortfall, that we won’t see any pay increases, no step increases, no longevity pay,” he said. “But at what point do we accept a compromise in pubic safety and security.”

The hospital employees believe Health and Human Services Department Director Mike Willden should seek an exemption from the mandatory one-day-a-month furlough for the hospital staff, which would be a first step to dealing with the problem, Mallory said.

Cook said an exemption from the furloughs is not an option the agency is willing to pursue because it would result in cuts to client services. The savings from furloughs are built into the budget and if there are exemptions, the money must be made up elsewhere, he said.

Cook said the hospital, which cares for mentally ill adults who have been found to be a danger to themselves or others, lost 81 in-patient positions due to required spending reductions. Those positions included nurses, administrators and housekeeping employees. The mandatory furloughs have had the effect of reducing staffing by another 4.6 percent.

The 2009 Legislature approved 10 certified nursing assistant contract positions to assist in covering the furlough absences reducing the total eliminated positions to 71 in the current budget.

The staffing ratio now is 2.1 full-time-equivalent positions per bed compared to 2.4 prior to the changes, Cook said. The staffing ratio is still higher than many private facilities, he said.

“We’re not operating this facility at any staffing level considered to be unsafe,” Cook said. “But the nature of this business is there is always risk.”

Mallory said the CNAs are not trained to deal with mentally ill patients. The money for the positions should be freed up to hire trained staff, he said.

“I’d rather have one psychiatric nurse than three CNAs,” Mallory said.

Cook said the reduced staffing has also necessitated a decision to require all employees to work eight-hour shifts. Up to now, some employees have worked 10- or 12-hour shifts instead but there aren’t enough positions to allow for flexible working schedules at this time.

“At this point we’re all kind of stuck with a situation that is to nobody’s liking and we’re trying to maintain the operation as effectively as possible,” Cook said. “That means not cutting client services and maintaining the health and safety of our patients and employees.”

Mallory said the employees would like to be part of the decision-making process. More than 100 have signed a grievance regarding the staffing levels, a demonstration of the depth of the concerns, he said.