Article | May 26, 2021
The COVID-19 virus (C19) pandemic is turning out to be the event of the century. Even World War seems timid in comparison. We are in the 4th month of the virus (in non-China countries) and have gone past the lockdown in many places. Isn’t it time we re-think the approach? What if there is another wave of C19 coming soon? What if C19 is the first of many such events in the future?
Before we get into analysis and solution design, summarizing the C19 quirks:
While a large section of the affected population is asymptomatic, for some it can be lethal
There isn’t clarity on all the ways C19 spreads
It’s known to affect the lungs, heart, and kidneys in patients with weak immunity
It has been hard to identify a definitive pattern of the virus. Some observations in managing the C19 situation are:
With no vaccine in sight, the end of this epidemic looks months or years away
Health care personnel in hospitals need additional protection to treat patients
Lockdowns lead to severe economic hardship and its repeated application can be damaging
Quarantining people has an economic cost, especially in the weaker sections of society
If one takes a step back to re-think about this, we are primarily solving 2 problems:
Minimise deaths: Minimise the death of C19 and non-C19 patients in this period
Maximise economic growth: The GDP output/growth should equal or higher than pre-C19 levels
One needs to achieve the 2 goals in an environment of rising number of C19 cases.
Minimise deaths
An approach that can be applied to achieve this is:
Data driven health care capacity planning
Build a health repository of all the citizens with details like pre-existing diseases, comorbidity, health status, etc. The repository needs to be updated quarterly to account for patient data changes
This health repository data is combined with the C19 profile (disease susceptibility) and/or other seasonal diseases to determine the healthcare capacity (medicines, doctors, etc.) needed
The healthcare capacity deficit/excess needs to be analysed in categories (beds, equipment, medicine, personnel, etc.) and regions (city, state, etc.) and actions taken accordingly
Regular capacity management will ensure patients aren’t deprived of timely treatment. In addition, such planning helps in the equitable distribution of healthcare across regions and optimising health care costs. Healthcare sector is better prepared to scale-up/down their operations
Based on the analysis citizens can be informed about their probability of needing hospitalisation on contracting C19. Citizens with a higher health risk on C19 infection should be personally trained on prevention and tips to manage the disease on occurrence
The diagram below explains the process
Mechanism to increase hospital capacity without cost escalation
Due to the nature of C19, health personnel are prone to infection and their safety is a big issue. There is also a shortage of hospitable beds available. Even non-C19 patients aren’t getting the required treatment because health personnel seek it as a risk. This resulted in, healthcare costs going up and availability reducing.
To mitigate such issues, hospital layouts may need to be altered (as shown in the diagram below). The altered layout improves hospital capacity and availability of health care personnel. It also reduces the need for the arduous C19 protection procedures. Such procedures reduce the patient treatment capacity and puts a toll on hospital management.
Over a period, the number of recovered C19 persons are going to increase significantly. We need to start tapping into their services to reduce the burden on the system. The hospitals need to be divided into 3 zones. The hospital zoning illustration shown below explains how this could be done. In the diagram, patients are shown in green and health care personnel are in light red.
**Assumption: Infected and recovered C19 patients are immune to the disease. This is not clearly established
Better enforcement of social factors
The other reason for high number of infections in countries like India is a glaring disregard in following C19 rules in public places and the laxity in enforcement. Enforcement covers 2 parts, tracking incidents of violation and penalising the behaviour. Government should use modern mechanisms like crowd sourcing to track incidents and ride on the growing public fear to ensure penalty enforcement succeeds. The C19 pandemic has exposed governance limitations in not just following C19 rules, but also in other areas of public safety like road travel, sanitation, dietary habits, etc.
Maximise economic growth
The earlier lockdown has strained the economy. Adequate measures need to be taken to get the economy back on track. Some of the areas that need to be addressed are:
One needs to evaluate the development needs of the country in different categories like growth impetus factors (e.g. building roads, electricity capacity increase), social factors (e.g. waste water treatment plants, health care capacity), and environmental factors (e.g. solar energy generation, EV charging stations). Governments need to accelerate funding in such projects so that that large numbers of unemployed people are hired and trained. Besides giving an immediate boost to the ailing economy such projects have a future payback. The governments should not get bogged down by the huge fiscal deficit such measures can create. Such a mechanism to get money out in the economy is far than better measures like QE (Quantitative Easing) or free money transfer into people’s bank accounts
Certain items like smartphone, internet, masks, etc. have become critical (for work, education, critical government announcements). It’s essential to subsidise or reduce taxes so that these items are affordable and accessible to everyone without a financial impact
The government shouldn’t put too many C19 related controls on service offerings (e.g. shops, schools, restaurants, cabs). Putting many controls increases the cost of the service which neither the seller not buyer is willing or able to pay. Where controls are put, the Govt should bear the costs or reduce taxes or figure out a mechanism so that the cost can be absorbed.
An event like the C19 pandemic is a great opportunity to rationalise development imbalances in the country. Government funding should be channelized more to under-developed regions. This drives growth in regions that need it most. It also prevents excess migration that has resulted in uncontrolled and bad urbanisation that has made C19 management hard (guidelines like social distance are impossible to follow)
Post-C19 lockdown, the business environment (need for sanitizers, masks, home furniture) has changed. To make people employable in new flourishing businesses there could be a need to re-skill people. Such an initiative can be taken up by the public/private sector
The number of C19 infected asymptomatic patients is going to keep increasing. Building an economy around them (existing, recovered C19 patients) may not be a far-fetched idea. E.g. jobs for C19 infected daily wage earners, C19 infected taxi drivers to transport C19 patients, etc.
In the last 100 years, mankind has conquered the destructive aspects of many a disease and natural mishap (hurricanes, floods, etc.). Human lives lost in such events has dramatically dropped over the years and our preparedness has never been this good. Nature seems to have caught up with mankind’s big strides in science and technology. C19 has been hard to reign in with no breakthrough yet. The C19 pandemic is here to stay for the near future. The more we accept this reality and change ourselves to live with it amidst us, the faster we can return to a new normal. A quote from Edward Jenner (inventor of Small Pox) seems apt in the situation – “The deviation of man from the state in which he was originally placed by nature seems to have proved to him a prolific source of diseases”.
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Emerging Technology
Article | July 13, 2022
Bridges, a critical part of America’s infrastructure, need immediate attention. The U.S. Department of Transportation’s 2019 National Bridge Inventory database shows that 81,000 bridges should be replaced and more than 46,000 are structurally deficient. In spite of the data, millions of motorists cross these structurally deficient bridges every day.
The American Road & Transportation Builders Association estimates that the cost to repair the country’s bridges is approximately $164 billion. If that statistic appears startling, consider this - at the current pace of repair, construction could easily take more than a half-century.
Rhode Island currently has the highest percentage of structurally deficient bridges in the nation. Other bridges in disrepair include New York City’s Brooklyn Bridge, Washington, D.C.’s Theodore Roosevelt Bridge, and the San Mateo-Hayward Bridge that crosses San Francisco Bay.
Time and the environment will continue to play a huge role in the deterioration of America’s bridges. Repair and reconstruction needs will only become greater. Hundreds of immediate projects are available for construction and engineering firms that perform bridge work.
Illinois
The Illinois Department of Transportation approved a $21.3 billion highway program this month to improve 8 million square feet of bridges and more than 3,300 miles of roads over the next six years. Of this amount, $3.15 billion has been allocated for the current fiscal year. An Interstate 80 project, with a cost projection of $1.1 billion to replace two bridges, will have funding disbursements that span from 2021 to 2026. In 2021, $74.5 million is allocated for replacements, superstructures, widening, reconstruction, new construction engineering, and utility adjustments. Many additional projects are outlined in the state’s transportation plan.
North Carolina
Beaufort County will receive $120 million from the state to fund what is referred to as the U.S. 278 corridor project. This project will overhaul the only connection between Hilton Head Island and the mainland. Cost projections exceed $272 million. Components of the project include widening the entire corridor to six lanes, adding right-turn only exits off U.S. 278, and building an underpass on Pinckney Island. Another part of the project involves the construction of a multi-use pathway over the bridge.
Maryland
Prince George’s County has released its 2021-2026 Proposed Capital Improvement Program and Budget for the Department of Public Works and Transportation. One project is the replacement of a 30-foot concrete bridge in Clinton over Piscataway Creek at a cost of $5.7 million. Design of the bridge is scheduled for 2021, and construction will begin in 2022. The Livingston Road Bridge, another structure that crosses the Piscataway Creek, will be replaced at a cost of $8.4 million. A total of $29.6 million will be dispersed from 2021-2026 to fund the replacements or rehabilitation of county bridges in the state.
Maine
This state currently has 314 bridges in poor condition, the seventh-highest percentage in the country. Bridges in Maine are inspected every two years and receive posted warnings or become closed when there is danger to the public. Many of the state’s bridges are more than 90 years old. Approximately $38.1 million in federal funding has been secured, and seven bridges have been selected for repair as part of the National Highway Freight System program. The Maine Department of Transportation will contribute another $14 million and construction is expected to begin 2022. The bridges include Interstate 95 over Webb Road in Waterville, I-95 over Broadway in Bangor, Main Street Bridge in Solon, Red Bridge in Rumford, and the double bridge on Stillwater Avenue in Old Town.
Arkansas
The Fort Smith Board of Directors, Arkansas & Missouri Railroad, and the Western Arkansas Planning and Development District agreed July 21 to facilitate a $15 million project to repair a railroad line. The district will manage the procurement of engineering services, as well as procurement and supervision of the construction contract for the renovation of the Arkansas River railroad lift bridge and wooden trestles from Fort Smith to Missouri. The district also will manage other procurement responsibilities for two railroad bridges in Crawford County.
Louisiana
Funding has been approved through an agreement with the Louisiana Department of Transportation and Development (LDOTD) for the replacement of the Cheniere spillway and bridge. In 2019, the LDOTD announced it would contribute $4 million to replace the bridge and substitute a fix-crested weir for the parish-owned spillway. A weir is a low dam built across a river to raise the level of water upstream or regulate its flow. The bridge and spillway were damaged by floods and the LDOTD agreed to fund the repair. Procurements for the project will begin soon as construction is also slated for 2020.
In the city of Baton Rouge, planning will begin soon on a new Mississippi River bridge after LDOTD finalized an agreement July 7 with an engineering firm on a $5 million planning and advisory contract. The contractor will be responsible for developing a purpose and need statement, producing a navigational analysis, and analyzing various traffic models for this more than $1 billion project. The state has a backlog of road and bridge projects that totals more than $14 billion. The Capital Area Road and Bridge District will consider alternative funding methods for the new bridge, including tolls, public-private partnerships, and state funds. The project is moving rather rapidly.
There will be no shortage of opportunities for companies interested in bridge construction and repairs throughout the country.
Mary Scott Nabers is president and CEO of Strategic Partnerships Inc., a business development company specializing in government contracting and procurement consulting throughout the U.S. Her recently released book, Inside the Infrastructure Revolution: A Roadmap for Building America, is a handbook for contractors, investors and the public at large seeking to explore how public-private partnerships or joint ventures can help finance their infrastructure projects.
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Emerging Technology, Government Business
Article | October 7, 2022
A new report offers a five-point framework government agencies can use to maximize the benefits of artificial intelligence while minimizing the risks. “Risk Management in the AI Era,” released by the IBM Center for the Business of Government April 16, proposes a risk management framework that can help agencies use AI to best suit their needs. “Public managers must carefully consider both potential positive and negative outcomes, opportunities, and challenges associated with the use of these tools,” the report states, as well as the relative likelihood of positive or negative outcomes.
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Article | September 18, 2020
Taxpayers, citizens, and industry leaders may not be totally familiar with Public Facility Corporations (PFCs), but that should change, especially now since public funding for critical projects is at an all-time low. PFCs are becoming somewhat common in many regions of the country.
If the legal entity (PFC) is not familiar, here’s a bit of background. A PFC is a nonprofit corporation created by a sponsoring governmental entity — a city, county, school district, housing authority, or special district. PFCs have broad powers over public facilities, including financing, acquisition, construction, rehabilitation, renovation and repair. A PFC, once created, has the authority to issue bonds on behalf of its sponsoring public entity and once the bonds are funded, the money can be used in numerous ways. This type of legal entity has gained attention because public officials with critical projects are being forced to seek alternative funding sources.
In Texas, public facility corporations are allowed the broadest possible powers to finance or provide for the acquisition, construction and rehabilitation of public facilities at the lowest possible borrowing cost. A sponsor — such as a municipality, county, school district or housing authority — may create one or more of nonprofit public facility corporations. Then, the PFC can issue bonds for the construction of public facilities or finance public facilities or even loan the proceeds of the revenue to other entities for specific purposes.
A report that was released by The University of Texas School of Law found that a house bill approved during the 2015 legislative session “expands the authority of public facility corporations and allows the corporation to exercise any power that a nonprofit corporation might exercise and/or grant a leasehold or other possessory interest in a public facility owned by the PFC.” Here’s a bit more background of what is happening in Texas and there are numerous similar examples throughout the country.
The El Paso Independent School District (EPISD) several years ago created the EPISD Public Facility Corporation to fund construction of central offices through non-voter approved bonds. The corporation issued more than $29 million in bonds. The plan called for the EPISD to repay the bonds with general fund dollars from the district's general fund.
The 2019 Texas Legislative Session ended with a $4 million rider added to the state appropriations budget. The money was provided to the city of Port Aransas to build a $36 million apartment complex for affordable housing. Plans call for the 200-unit complex to be operated by the Port Aransas Public Facility Corporation. The corporation will work in partnership with a private company to develop and manage the property. An investment of approximately $14 million came from the private sector partner, and the Texas Department of Housing and Community Affairs provided an additional $18 million in funding. Site work on the project began in July 2020.
Many school districts have created public facility corporations for construction projects for schools, and many municipalities have also used PFCs. The revenue from these types of bonds is sometimes called lease-revenue bonds. They do not require voter approval. Public facility corporations do not have the authority to raise tax rates, but it is possible for a school board to approve a property tax increase to make payments on the bonds sold by a PFC.
The city of Tioga, located in the Sherman/Dennison region of Texas, constructed a new high school with funding from a public facility corporation. A collaborative initiative was launched with a lease-purchase agreement which allowed the PFC to hold title to the land and facility until the investment was repaid. At that time, the agreement calls for everything to transfer back to the district. Because the current campus was reaching its maximum capacity, a new high school campus had been a priority for the district and this was the funding mechanism selected.
The city of Fate in Rockwell County recently embarked on a public-private partnership to develop an affordable seniors housing community. The projected cost is approximately $30 million. To fund the project, the city created a PFC. Plans are for the city to handle the design, construction, and management of the project in collaboration with the PFC. City leaders will appoint board members to the funding corporation which will then operate the development as a nonprofit. The project is anticipated for completion in January 2022.
There are similar types of alternative types of funding options in other parts of the U.S. In Utah, for instance, the Park City Board of Education approved a PFC which will allow the district to secure revenue for a number of master plan projects. The projects have a combined projected cost of $122 million. The school district had considered the funding option of general obligation bonds, which would require voter approval, but elected to create a Local Building Authority (LBA). This funding option will allow them to fund an expansion of a high school facility to accommodate ninth-graders and expand another campus to allow for eighth-grade students.
Public officials, legislators, government contractors, and taxpayers all should have an interest in watching PFCs as well as other alternative funding sources. Until traditional public funding becomes more available for critical public projects, there will be a need for various types of funding solutions.
Mary Scott Nabers is president and CEO of Strategic Partnerships Inc., a business development company specializing in government contracting and procurement consulting throughout the U.S. Her recently released book, Inside the Infrastructure Revolution: A Roadmap for Building America, is a handbook for contractors, investors and the public at large seeking to explore how public-private partnerships or joint ventures can help finance their infrastructure projects.
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