State legislators, particularly Republicans, have a lot of questions regarding Gov. John Kasich’s Medicaid expansion. Legislators are worried the state won’t be able to opt out of the expansion if the federal government reneges its funding promise, raising potential financial hurdles. As part of Obamacare, the federal government pays for 100 percent of the Medicaid expansion for the first three years, and the share phases down to 90 percent after that. Kasich’s budget includes a trigger — called a “circuit breaker” — in case the federal government ever funds less than currently promised. A study from the Health Policy Institute of Ohio found the Medicaid expansion could insure nearly 500,000 people and generate $1.4 billion by raising revenue and shifting funding burdens from the state to federal government.
Vice Mayor Roxanne Qualls, a longtime supporter of the streetcar, is getting concerned about some of the problems surrounding the project. In a memo to the city manager, Qualls suggested putting the streetcar project through “intensive value engineering” to bring the project’s budget and timetable back in line — preferably in time for the 2015 Major League Baseball All-Star Game. The memo was in response to streetcar construction bids coming in $26 million to $43 million over budget — a setback that could cause further delays or more funding problems.
With Councilman Chris Seelbach’s strong support, City Council passed a resolution urging the state government to maintain its energy efficiency standards. State Sen. Bill Seitz, a Cincinnati Republican who chairs the Public Utilities Committee, sent out a memo Feb. 1 that pledged to review the state’s standards, causing much concern among environmental groups.
Tolls for the Brent Spence Bridge could be as low as $2,
according to financial consultants involved with the project. The tolls
will help pay for the massive rehabilitation project, which gained
national attention when President Barack Obama visited Cincinnati to support rebuilding the bridge.
State Democrats and Republicans have some questions
about the governor’s Ohio Turnpike plan. Some Democrats are concerned
the state government won’t actually freeze toll hikes at the rate of inflation for
EZPass users. Others are worried
about language in the bill. The plan leverages the Ohio Turnpike to fund a statewide construction program.
The man accused of dumping fracking waste into the Mahoning River in Youngstown was arrested and charged with violating the Clean Water Act.
Dayton wants to help
illegal immigrants who are victims of crime. The Dayton City Commission
approved a $30,000 contract with a law firm to help potential
victims. CityBeat previously covered the recent struggles of children of illegal immigrants in Ohio.
A Dayton Daily News report found Ohio overpays unemployment compensation claims by millions of dollars.
The University of Cincinnati is launching a technology incubator for mobile apps.
In his State of the County address yesterday, Commission President Chris Monzel said Hamilton County is “on the move and getting stronger.”
Attorney General Mike DeWine and officials from other states announced a $29 million settlement with Toyota over the unintended acceleration debacle. Ohio will get $1.7 million from the settlement.
A meteor flew over Russian skies and exploded with the strength of an atomic bomb Friday, causing a sonic blast that shattered windows and injured nearly 1,000 people.
Scientists engineered mice that can’t feel the cold. Certain people on CityBeat’s staff would probably do anything for this superpower, but scientists are probably going to use it to make better pain medication.
President Barack Obama gave his State of the Union speech yesterday. During the speech, Obama outlined fairly liberal proposals for the economy, climate change, gun control and immigration. He also suggested raising the minimum wage to $9 and attaching it to rising cost of living standards. The Washington Post analyzed the proposals here. To watch a bunch of old people clap too much while the president outlines policy proposals that will likely never pass a gridlocked Congress, click here.
The Archdiocese of Cincinnati is standing firm in its firing of Purcell Marian High School administrator Mike Moroski. The termination came after Moroski publicly stated his support for same-sex marriage on his blog — a position that contradicts the Catholic Church’s teachings. CityBeat covered Moroski’s case in this week’s news story, and gay marriage was covered more broadly in a previous in-depth story.
Vice Mayor Roxanne Qualls wants to stop
the U.S. Department of Housing and Urban Development (HUD) from selling
768 housing units in Walnut Hills, Avondale and Millvale. Qualls says
the sale is “eerily similar” to a sale dating back to 2007, which
resulted in dropping property values and blighted buildings. She argues local buyers should get a chance to take up the properties before HUD makes the sale to a New York company.
State Treasurer Josh Mandel is up to his old tricks again. In a letter to Ohio legislators Monday, Mandel, a Republican, opposed the Medicaid expansion,
claiming, “There is no free money.” But for the state, the Medicaid
expansion is essentially free money. The federal government will cover
all the costs of the expansion for the first three years, then phase down to paying 90 percent of the costs by 2020 — essentially, free
John Kasich, another Republican, has backed the Medicaid expansion, claiming it makes
financial sense in the long term. In 2012, Mandel lost the race for Ohio’s Senate seat after he ran
a notoriously dishonest campaign against U.S. Sen. Sherrod Brown.
Financing details for the Brent Spence Bridge are due in March. The details will provide much-wanted information for local residents cautious about the new tolling scheme, which will help pay for the bridge’s reconstruction.
Cincinnati officials and residents celebrated the work completed near the Horseshoe Casino at an event yesterday. Mayor Mark Mallory highlighted the infrastructure improvements made to accommodate the casino, calling the work a successful collaboration between city government, the casino and residents.
The Ohio Resource Center has a new website for K-12 digital content. The website, ilearnOhio, is supposed to provide parents and students with the tools needed for online distance learning.
Toby Keith’s I Love This Bar & Grill is being sued for not paying rent. The restaurant claims it’s financially viable, but it’s holding the rent in escrow after its landlord allegedly violated the leasing agreement. The establishment was one of the first to open at The Banks.
A public Ohio school district is fighting a lawsuit in order to keep its portrait of Jesus. The school district claims the portrait is owned by a student club and is “private speech,” but opponents argue the portrait violates separation of church and state.
Update on the Alamo situation at Tower Place Mall: Only one tenant remains.
The unofficial spokesman of Heart Attack Grill, the infamous Las Vegas restaurant, died of a heart attack.
Americans expect a human mission to Mars in the next 20 years, but that’s probably because they don’t know how little funding NASA gets.
An asteroid will barely miss Earth on Feb. 15. If it were to hit, it would generate the explosive equivalent of 2,500 kilotons of TNT. In comparison, the nuclear bomb that hit Hiroshima during World War 2 generated a measly equivalent of 17 kilotons of TNT.
A Purcell Marian High School administrator was fired for declaring his public support for same-sex marriage. Mike Moroski, who was the assistant principal at the Catholic school, wrote about his support for LGBT equality on his personal blog. Following the blog post, Moroski claims he was given an ultimatum by the Archdiocese of Cincinnati to resign or recant his statements. CityBeat covered same-sex marriage and the amendment that could bring marriage equality to Ohio here.
A board vote failed to remove State Board of Education President Debe Terhar from her position. In response, Ohio Democrats filed a lawsuit seeking access to her cell phone and other records. Terhar has been receiving heavy criticism for a Facebook post that compared President Barack Obama to Adolf Hitler. CityBeat wrote about Terhar’s ridiculous Facebook post here.
Cincinnati Public Schools and Winton Woods City Schools were among nine city school districts found to be scrubbing attendance data by the state auditor. The school districts claim most the errors were simple mistakes, not intentional manipulation of data. Both the auditor and schools agree state policy is too confusing and must change.
The city of Cincinnati is beginning the process of sorting through construction bids for the streetcar. Three bids ranging from $71 million to $87 million have already come to light, according to The Cincinnati Enquirer. The bids could push up the price tag on the streetcar, but Meg Olberding, city spokesperson, cautions the process is barely starting. CityBeat covered the streetcar and how it relates to the mayor’s race here.
Cincinnati is speeding up the demolitions of condemned buildings this year, particularly buildings near schools and family zones.
A new report from the Ohio Department of Job and Family Services found employment in the shale industry was up 17 percent in the first quarter of 2012. Critics caution the jobs aren’t worth the risks — pointing to a number of environmental and health concerns related to hydraulic fracturing, or “fracking.” CityBeat wrote about fracking and its extensive problems here.
One in 25 students in Columbus schools are restrained or secluded. The state’s lax seclusion policies have been under heavy criticism in the past year following the discovery that school staff were using seclusion for convenience, not just to restrain students.
On Wednesday, Metro staff will be holding a security exercise meant to gauge counterterrorism capabilities. Metro bus service will not be affected.
The Horseshoe Casino pays homage to Liuzhou, China — Cincinnati’s sister city of 25 years.
The chief curator resigned from the Cincinnati Art Museum.
A Cincinnati woman was charged with helping her daughter beat up a student during a classroom brawl.
Curiosity is officially the first robot to drill another planet.
A new report from the state auditor found Cincinnati Public Schools (CPS) and Winton Woods City Schools were manipulating attendance data for the 2011-2012 school year, but the report seems to lay much of the blame on state policy, not just irresponsible school districts.
CPS and Winton Woods were cited among nine school districts by State Auditor Dave Yost for improperly withdrawing students from enrollment. More than 70 other schools had errors in their attendance reporting, but they were not found to be purposely manipulating — or “scrubbing” — attendance data.
The report largely focused on flaws in state policy that enable bad attendance reporting — particularly a single “count week” in October that encourages school districts to boost attendance during that one week and no other time in the school year.
“Kids count every day, all year long,” Yost said in a statement. “They deserve better than what we're giving them — Ohio's current system for measuring attendance and performance is obsolete and in too many places, filled with error and bad information and even outright fraud. It's amazing that it works at all, and sometimes, it doesn't.”
As a solution, Yost is calling on legislators to change school funding so it’s based on year-long attendance reporting.
The report also made 12 other recommendations, including increased oversight and monitoring, more programs for at-risk students, better training, use of automated data reporting, more accessibility to pertinent information for the Ohio Department of Education and clearer rules.
Winton Woods was one of the few schools to self-report issues to the auditor. Jim Smith, interim superintendent of Winton Woods, admits the school made mistakes and will make adjustments. But he says most of the issues were explained away as errors, not intentional data manipulation. Only four of the 15 issues couldn’t be reasonably explained, according to Smith.
Smith says the Education Management Information System (EMIS), which is used to report attendance data, is problematic for highly mobile
students, particularly in urban school districts. He argues the system
is too complicated and difficult to use for tracking such students.
In a Feb. 8 press release, Winton Woods claimed the reporting issues were related to confusion regarding expelled students, poor record keeping and a lack of well-defined procedures and reporting systems.
In an emailed statement, CPS Superintendent Mary Ronan wrote the school district made mistakes, but internal audits did not find evidence of data manipulation or scrubbing. She linked the errors to confusing state policy and issues with highly mobile students.
School attendance data is one of many ways states measure school performance, as required by the No Child Left Behind Act of 2001.
Update (Feb. 12, 10:29 a.m.): Originally, this story did not include comments from CPS. It was updated to reflect comments CityBeat obtained after publishing.
In response to Democratic mayoral candidate John Cranley’s call for a debate, the campaign for Vice Mayor Roxanne Qualls, another Democratic candidate for mayor, is calling both campaigns to schedule a series of debates. Jens Sutmoller, Qualls’ campaign manager, said in a statement, “Vice Mayor Qualls believes the citizens of Cincinnati deserve a robust series of public debates between the two final 2013 Mayoral candidates. She looks forward to articulating her optimistic vision of Cincinnati’s future and the investments we need to make in our neighborhoods and city to achieve a welcoming city of opportunity for all our citizens.”
Cincinnati Public Schools (CPS) are being used as a model by other schools around the state and country. Other schools are particularly interested in Cincinnati’s community learning centers, which provide services not directly related to education, including health clinics, mental health counselors, tutoring programs and extensive after-school programs. The approach is being praised for making schools serve the greater needs of communities. CityBeat wrote about CPS and its community learning centers here.
Steve Dyer, an education policy fellow at Innovation Ohio, says Gov. John Kasich’s school education plan actually does the opposite of what Kasich claimed: “However, after examining the district-by-district runs produced by the Kasich Administration yesterday (which I posted at Innovation Ohio earlier), what is clear that even without eliminating the guaranteed money Kasich said he wants to eliminate soon, kids in the poorest property wealth districts in the state will receive 25 cents in additional state revenue for every $1 received by kids in the property wealthiest districts.” A CityBeat analysis found the education plan increases funding for Cincinnati Public Schools, but not enough to make up for past cuts.
The University of Cincinnati, Cincinnati State and Miami University are getting slight increases in funding under Kasich’s higher education funding plan.
The plan increases overall higher education funding by 1.9 percent,
with UC getting 2.4 percent more funding, Cincinnati State getting 4
percent more and Miami getting 1.8 percent more. The increased funding
should be helpful to Miami University, which recently initiated $99 million in summer construction and renovation projects. Historically, Ohio has given its universities less funding per pupil than other parts of the country.
An appeals court ruling could put the Anna Louise Inn back at square one. On Friday, the Ohio First District Court of Appeals affirmed most of a lower court’s ruling against the Anna Louise Inn, but it sent the case back down to the lower court on a legal technicality. The ruling means the case could restart, but Tim Burke, the inn's attorney, claims the Anna Louise Inn has already done what the appeals court asked. For CityBeat’s other coverage of the Anna Louise Inn, click here.
Media outlets are finally picking up the story about illegal immigrants and driver’s licenses. Gongwer wrote about it here, and The Columbus Dispatch covered it here. CityBeat originally wrote about the story last week (“Not Legal Enough,” issue of Feb. 6).
Following the board president’s comparison of Adolf Hitler and President Barack Obama, the Ohio State Board of Education is set to discuss social media. CityBeat wrote about Board President Debe Terhar’s ridiculous Facebook post here.
Remember the Tower Place Mall! Two tenants are holding out at the troubled mall as they look for different downtown locations.
Ohio Attorney General Mike DeWine wants everyone to know he’s still cracking down on synthetic drugs.
The pope is stepping down.
How kids draw dinosaurs is probably wrong.
Gov. John Kasich touted a rosy, progressive vision when announcing his education reform plan Jan. 31, but reality does not match the governor’s optimism. It’s true Kasich’s proposed 2014-2015 budget
will not reduce school funding, but under the Kasich administration,
local schools will still have a net loss in state funds.
The governor’s office released tentative budget numbers yesterday that show the Kasich plan will give Cincinnati Public Schools (CPS) $8.8 million more funding for the 2014 fiscal year. But that’s not enough to make up for the $39 million CPS will lose in the same fiscal year due to Kasich’s first budget, which was passed passed in 2011. Even with the new education plan, the net loss in the 2014 fiscal year is $30.2 million.
The problem is Kasich’s first budget had massive cuts for schools. The elimination of the tangible personal
property reimbursements (TPP) hit CPS particularly hard, as CityBeat previously covered (“Battered But Not Broken,”
issue of Oct. 3). In the Cut Hurts Ohio website, Innovation Ohio and Policy Matters Ohio estimated Kasich’s budget cuts resulted in $1.8 billion less funding for
education statewide. In Hamilton County, the cuts led to
$117 million less funding.
Kasich’s massive cuts didn’t even lead to lower taxes for many Ohioans. A report from Innovation Ohio found school districts and voters made up for the big education cuts with $487 million in new school levies. In 2012, Cincinnati voters approved a $51.5 million levy for CPS. The school levies are a direct increase on local income and property taxes, but they’re measures Ohioans clearly felt they had to take in the face of big state budget cuts.
For more analysis of Kasich’s budget, check out CityBeat’s other coverage:
Gov. John Kasich’s school funding plan may not be so progressive after all. In his initial announcement, Kasich promised the program will be more progressive by raising funding to poorer schools, but this fact from StateImpact Ohio seems to contradict that claim: “Under the projections released by the state, a suburban district like Olentangy that has about $192,000 of property value per student would get a more than three-fold increase in state funding. Meanwhile, Noble Local, a small rural district with about $164,000 of property wealth per student sees no increase in state funding.” The Toledo Blade found Kasich’s education plan favors suburban schools. The Akron Beacon Journal pulled numbers that show rich, growing school districts will do fine under the plan. According to The Columbus Dispatch, 60 percent of Ohio schools will not see increases in funding from Kasich’s plan.
The Ohio Department of Transportation is now shying away from statutory guarantees for northern Ohio in the Ohio Turnpike plan. Originally, Kasich promised 90 percent of Ohio Turnpike funds will remain in northern Ohio, albeit with a fairly vague definition of northern Ohio. Now, even that vague 90 percent doesn’t seem to be sticking around. But the plan would still be a massive job-creating infrastructure initiative for the entire state. The Ohio Turnpike runs along northern Ohio, so changes to fees and the road affect people living north the most.
WLWT published a thinly veiled criticism of local teacher
salaries. The article pointed out Cincinnati Public Schools (CPS) pays
45 of its employees more than $100,000 a year.
Of those people, 42 are administrators and three are teachers. In
comparison, the highest paid Cleveland school teacher makes $86,000. The
article also glances over the fact CPS is “the number one urban-rated
school district in the state” to point out the school district is still
lacking in a few categories. As CPS Board President Eileen Reed points
out, a school district needs to attract better educators with higher
salaries if it wants to improve. Paying teachers less because the school
district is performing worse would only put schools in a downward
spiral as hiring standards drop alongside the quality of education.
County commissioners seem supportive of Kasich’s budget. Republican commissioners Chris Monzel and Greg Hartmann said the budget could be “revolutionary” by changing how county governments work. Democratic Commissioner Todd Portune highlighted the Medicaid expansion in the budget. As “revolutionary” as the budget could be, it’s not enough to make up for Ohio and Kasich’s troubled past.
Cincinnati Children’s Hospital was ranked the third best pediatric hospital in the United States by Parents magazine.
The Ohio-Kentucky-Indiana Regional Council of Governments is looking for comments on updating the region’s bike map. Anyone who wants a say should leave a comment here.
The upcoming Horseshoe Casino is partnering up with local hotels to offer a free shuttle service that will seamlessly carry visitors around town.
One courageous grandma stood up to an anti-gay pastor. During a sermon, the pastor outed a gay high school student and told everyone they would "work together to address this problem of homosexuality." At that point, the grandma snapped at the pastor, “There are a lot of problems here, and him being gay is not one of them.” She then apologized to the boy and walked out.
Music has a lot of effects on the brain. Here is an infographic that shows them.
Bonus science news: Earth-like planets could be closer than most people think.
New casino revenue numbers are well below 2009 estimates. State officials previously estimated Ohio’s casinos would bring in $1.9 billion a year once they were built and functional, but the latest state budget cuts that prediction by half. The new estimates are due to competition with racinos and lower-than-expected performance at casinos that are already up and running.
Gov. John Kasich announced his 2014-2015 budget, unveiling a few pleasant and unpleasant surprises for progressives. As part of the budget, Ohio is going ahead with expanding Medicaid to meet Obamacare’s financial incentives, despite Kasich’s past criticism of the national health care program. But the budget also directs higher revenues to cutting taxes, instead of making up for past spending cuts enacted by Kasich.
A Miami University fraternity’s $10 million lawsuit has been dismissed. The lawsuit accused the university of “malice, hatred and ill will” for the suspension of Phi Kappa Tau after it had a fireworks battle with another fraternity. The battle led to police discovering marijuana inside the fraternity.
Looks like Ohioans are returning to school. Some universities, including Miami, have seen a spike in the number of applications recently, despite Ohio having fewer high school graduates in the past few years. The spike is likely due to out-of-state recruiting.
City Council will vote tomorrow on whether to provide tax breaks for neighborhood projects in Walnut Hills and Linwood. The projects are focused on buildings that are apparently uninhabitable, according to the developer.
PNC Bank is set to announce a “major gift” to Smale Riverfront Park. The gift would continue a stream of private contributions to the park. Last year, Procter & Gamble donated $1 million to fund the P&G Vibrant Playscape.
Cincinnati’s tree fee will not change this year. The tree fee is paid by homeowners so the city can take care of trees in public rights of way.
Cincinnati was awarded the Audrey Nelson Community Development Achievement Award from the National Community Development Association for contributing to the renovations of the Villages at Roll Hill.
An unhappy defendant punched his own lawyer in court.
The 3-D print revolution has taken an unexpected turn: Scientists can now print human embryonic cells. The researchers hope to use the cells as ink for printed organs and tissues.
Speaking in front of Ohio school administrators Thursday, Gov. John Kasich unveiled a surprisingly progressive-sounding education reform plan that seeks to diminish school funding inequality, but it also expands Ohio’s flawed voucher program.
Kasich said the plan will not cut any school district’s funding, but it will work to reduce gaps between the wealthy and poor. Currently, the poorest school district can get $700 to $800 per pupil for 20 mills of property taxes, while the wealthiest districts can get as much as $14,000 per pupil. The plan will eliminate much of that gap, according to Kasich.
Kasich’s plan will open up extra funding for students with severe disabilities and students who need to learn English, on top of a $300 million “innovation fund” that will reward schools with grants for initiatives that improve learning and teaching.
The plan will also expand the state’s voucher program to provide private school tuition for any family below 200 percent of the federal poverty level — about $46,000 for a family of four. The vouchers, which will become available in the fall, will be worth up to $4,250 a year. Parents will be allowed to choose between participating voucher schools.
But the expansion of “school choice” through more vouchers may not be a good thing. A previous Policy Matters Ohio report found expanded school choice can have negative effects on education, including worse results for students and teachers.
Kasich justified his proposals by claiming, “The Lord is watching us as we make an effort to give our children the knowledge that they want in order to be successful and to pursue their God-given destinies.”
He also said the program is fully funded, which was made possible by extra revenue gained from Ohio’s economic rebound.
On judging his proposals, Kasich said, “We need to think about this not in isolation. We need to think about this over the course of the last couple years.”
Taking the governor at his request, his administration actually signed off on education cuts in the past couple years. Cuts Hurt Ohio, a website that tracks budget cuts enacted by Kasich, shows funding to education was cut statewide by $1.8 billion. For Hamilton County, $117 million in education funding was cut.
Kasich also helped push a few education initiatives through the Ohio legislature. During the press conference, he cited his Third-Grade Reading Guarantee, which forces schools to hold back students who aren’t “proficient” in reading. Kasich also pointed to the new school report cards, which use an A-to-F grading system to give more transparency to parents and enforce higher standards for schools.
The plan will require approval from the Ohio legislature to become law. It also may face scrutiny from courts; the Ohio Supreme Court has repeatedly ruled the state's school funding system relies too much on local property taxes.
Vice Mayor Roxanne Qualls is asking the city administration to complete construction of the streetcar in time for the 2015 Major League Baseball All-Star Game, which will be hosted in Cincinnati. A letter from Qualls to City Manager Milton Dohoney and Mayor Mark Mallory explains her reasoning: “This may present a challenge, but it is one I am sure the administration is capable of meeting. The streetcar will serve a critical role in efficiently and effectively moving visitors to and from Great American Ballpark and allowing them to conveniently visit other venues such as Fountain Square, Horseshoe Casino, Over-the-Rhine, Washington Park, etc.” CityBeat covered the streetcar’s delays and how the project relates to the 2013 mayor’s race here.
Gov. John Kasich will reveal his plan for funding Ohio schools today. The plan is expected to include a $300 million “innovation fund” to support school initiatives that improve teaching and learning. In a previous interview, Rob Nichols, Kasich’s spokesperson, explained the troubles of establishing a plan: “Many governors have tried before. Many states have been sued over their formulas. It’s something we have to take our time with and get it done right.”
City Council passed a resolution urging Kasich to expand Medicaid. Qualls explained the need for the resolution: “Expanding Medicaid will create a net savings to the state over time, allow the City’s health department to improve access to health services at lower costs, and most importantly, provide health care coverage for thousands of Cincinnati residents who need it most.” A study from the Health Policy Institute of Ohio found a Medicaid expansion would save the state money for the first few years. Previous studies also found correlations between improved health results in states and a Medicaid expansion, and a study from the Arkansas Department of Human Services claimed Arkansas would save $378 million by 2025 with the Medicaid expansion.
A new report found poverty is increasing in Ohio. About one in six Ohioans are below the federal poverty line, according to the Ohio Association of Community Action Agencies report.
About $100 million in development downtown is kicking off today. City officials and business leaders are gathering for the groundbreaking this morning of a lot at Fifth and Race streets that has idled for nearly 30 years. The lot will host the new four-story headquarters for DunnhumbyUSA.
Kasich says Ohio will continue taking Ky. jobs in the future. The rough words are Kasich's interesting approach to encouraging Ky. legislators to support the Brent Spence Bridge project.
Ohio Attorney General Mike DeWine issued a scam alert telling businesses to be wary of emails claiming to be from the Federal Trade Commission or FTC.
Miami University broke its application record.
A Wright State professor saved Cincinnati-based Kroger more than $170 million with his work on more accurate pharmaceutical predictions. The professor, Xinhui Zhang, is now one of the six finalists worldwide for the Franz Edelman Award.
Ohioans now have a phone number to report cases of child abuse or neglect: 855-O-H-CHILD, or 855-642-4453. Reports can be anonymous.
Humanity is one step closer to the inevitable robot apocalypse. GE's hospital robot can sort scalpels, sterilize tools and prepare operating rooms for surgery.