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AMR response times spur cities to reconsider ambulance service contracts

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Some major Mississippi cities that have used the same private ambulance contractor for decades are reconsidering that relationship in light of questions about response times and potentially deadly consequences.

Leaders in Biloxi, Gulfport and Jackson have discussed American Medical Response’s ambulance response and the contracts with that service during recent city council meetings. They have said that forming city-specific ambulance districts is a step toward pursuing city-specific ambulance contracts, rather than being part of countywide contracts.

It’s a step Jackson resident Donna Echols sees as encouraging. On April 27, she waited 90 minutes for an AMR ambulance to come to her home to help her ex-husband, Jim Mabus, who was found to have suffered a series of strokes and died less than a week later. 

“It magnifies the problem that we experienced in that 90-minute wake,” she said. “It tells me people are dealing with the same issues and problems and they want to get something done.”

Councilwoman Angelique Lee, who had read Mississippi Today’s story about Mabus, invited Echols to speak at a June 22 Jackson City Council meeting.

Lee read the company’s explanation in the story for the 90-minute wait – staffing – and said long response times like the one Mabus faced are unacceptable and inexcusable.

AMR spokesperson Nicole Michel told Mississippi Today that the central Mississippi service area was at a level zero on April 27, with eight ambulances and two sprint medics were already responding to other calls, and during the nine o’clock hour, AMR received six service requests, including one for a heart attack.

“If AMR cannot handle the call, if they don’t have the manpower, then they need to be replaced,” Lee said during the meeting. “And I just want to know how many people are going to need to die before we do something about it?”

Mayor Chokwe Antar Lumumba said steps are being taken to reconsider the city’s ambulance service. Jackson has already formed its own ambulance district and the city is preparing to put out a request for proposals for ambulance services.

Lumumba said these efforts would give city control of a contract, and it can make sure to incorporate a mutual aid clause, which Echols believes may have helped Mabus get medical attention sooner.

The night she called 911, Echols tried to get Pafford Ambulance, which is contracted with Madison and Rankin counties, to come to her home, but she was told that company needed permission from AMR to cross into Hinds County where AMR operates. 

Ryan Wilson, operations manager for AMR Central Mississippi, said the company has been the county’s contractor since 1991. Analysis of any ambulance issues and plans must be in line with the Hinds County Board of Supervisors.

Hinds County officials did not respond to a request for comment.

Wilson also cautioned Jackson about taking independent steps that could have potential consequences that impact other cities, towns and unincorporated areas of the county. 

“It is AMR’s hope that all governmental entities will come together to address ambulance-related issues, jointly,” he said in a statement. “Such a collaborative effort would inspire a countywide examination of the current state of EMS, as well as add understanding to the causes of current challenges, leading to an informed discussion of options to a path forward.”

Wilson also said blaming AMR for its staff shortage is misguided due to a nationwide shortage of EMTs and paramedics, and bringing in another provider won’t necessarily address staffing.

In Jackson, family and friends are preparing to hold a celebration of life service for Mabus Saturday to reflect on the life he lived and the person he was. Days later, on July 18, is Mabus’ birthday. 

Jim Mabus, left, is pictured with his family at Christmas family photo left to right, daughter-in-law Mary Katherine Mabus, son Jake Mabus, and Denver Mabus with Donna Echols’ dogs Credit: Courtesy of Donna Echols

Echols wants the celebration to be a happy occasion, but she knows her sons are grieving and she still feels angry about what happened. While it is difficult to retell, she sees sharing the story of what happened as a way to turn a tragic experience into a way to help others.

Similar discussion about ambulance service, city-specific EMS districts and potential contracts are also happening on the Gulf Coast.

At a June 20 meeting, the Gulfport City Council discussed a resolution to establish an EMS district, but members voted to table it.

Mayor Billy Hewes said the city plans to put out a request for proposals for ambulance services, which could result in Gulfport choosing AMR again, but it would mean city leaders can negotiate.

“Sometimes we have to take moves like this to ensure we have a voice in something that is very important to our constituents, and quite frankly, the citizens of Gulfport deserve better ambulance services than they are getting,” he said during the meeting.

Neighboring Biloxi approved a resolution to set up a city-specific EMS district at its June 13 meeting as part of its consent agenda.

Fire Chief Nicholaus Geiser said a city-specific RFP and contract are the next steps.

He said the city has seen some delayed ambulance responses from AMR, especially between 2020 and 2022, when there would be a large number of calls all at once and not enough staff to handle them, but that is happening less now.

There have been times when a life-threatening call in a different area of the county has been prioritized, which led to an hour wait or longer, Geiser said.

He sees AMR has taken steps to work to improve its response times in the county, such as having a dedicated ambulance in Biloxi, which was determined after analyzing data and the city’s busy times. There are also supervisors going out who can relieve fire department crews.

Dwayne Tullos, regional director for AMR’s parent company Global Medical Response, said AMR has served the Gulf Coast for nearly 50 years and believes there is no other provider that can deliver higher standards of care and innovation.

“If the cities decide to contract for their own ambulance services, we look forward to the opportunity to work with city leaders on a customized proposal for each that includes new innovative solutions that only AMR can provide to the citizens of Biloxi and Gulfport,” he said in a statement.

Even if the cities continue to stay within the Harrison County EMS district, AMR is open to working with them to find solutions that ensure the best ambulance service for residents and visitors, Tullos said.

Firefighters, including in Biloxi, Gulfport and Jackson, are often required to train as EMTs and some have gone further and become paramedics. However, that training doesn’t give them the ability to transport people to the hospital.

Geiser, the Biloxi fire chief, said 80% of the department’s calls are for medical service. He said building codes have helped prevent many large-scales fires from happening, so crews are called to fires less often.

He read the Mississippi Today story about Echols’ experience waiting for an ambulance and said what happened to Mabus was unfortunate.

“It’s plain and simple: It’s life and death,” he said. “That’s what we’re trying to prevent here.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

Meet the 2 Candidates for Mississippi Supreme Court’s Nov. 26 Runoff Election

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mississippitoday.org – The Marshall Project – 2024-11-25 09:30:00

On Tuesday, Nov. 26, voters will determine who will hold one of central Mississippi’s three seats on the nine-member state Supreme Court. This 22-county area includes Hinds County and Jackson.

Justice Jim Kitchens is seeking a third, eight-year term on the high court. State Sen. Jenifer B. Branning is the challenger.

The state Supreme Court often has the final say in cases involving criminal, civil and death penalty appeals, questions on the state’s laws and constitution, and legal issues of public interest. It hears appeals from lower courts, such as the chancery and circuit courts. The court decided 260 cases in 2023 and issued rulings in 2,656 motions and petitions.

The Marshall Project – Jackson and Mississippi Today compiled information about each candidate to help you make an informed decision at the polls.

Admitted to Mississippi Bar: 1967

Residence: Crystal Springs, Copiah County

Relevant experience: Completing second term as Supreme Court justice; 41 years as practicing attorney, including nine as district attorney of Copiah, Walthall, Pike and Lincoln counties.

Campaign finance: As of Oct. 10, his campaign committee has raised $288,502, mostly from trial lawyers, and spent $189,675, leaving the campaign with $98,827. Read the latest report here.

Statement of economic interest: Kitchens and his wife are partners in a real estate company, Kitchens Properties, LLC, in Copiah County. Read the latest report here.

Kitchens was first elected to this seat in 2008, after more than 40 years practicing law, which includes nine years as a district attorney across four counties. He is one of two presiding justices, who have the most years on the bench, following the chief justice. Presiding justice is a role on the court’s executive committee that includes administrative duties, such as enforcing the court’s deadlines, and presiding over panels during oral arguments.

Campaigning at the 2024 Neshoba County Fair, Kitchens stressed his experience in the courtroom, especially on criminal cases, and promised impartiality.

Kitchens said he is “the guy that carries his oath of office around in his pocket as a daily reminder of what he swore to do. That oath teaches me that I’m not supposed to care whether people before the court are rich, poor, Black, White, Republican, Democrat, Libertarian or Independent. And I don’t care.”

Mississippi College of Law Professor Matthew Steffey described Kitchens as a “middle-of-the-road centrist.” On the bench, Kitchens’ dissents have keyed in on what the justice called oversteps in judicial power and scrutinized prosecutorial decisions.

Kitchens wrote a partial dissent on the decision about House Bill 1020, calling the creation of the court in Hinds County a “fiction of convenience that overreaches our judicial function, and of ultimate importance, our constitutional duty.” He also joined a dissenting opinion in the case that killed Mississippi’s ballot initiative.

Ensuring defendants who can’t afford representation have court-appointed lawyers is a theme throughout Kitchens’ career. He was the chair of the Public Defender Task Force, which was created in 2000 to study and make recommendations on the public defender systems in the state. In a 2018 interview with Mississippi Today, Kitchens expressed support for a more well-organized and adequately funded state public defender system for Mississippi.

The bulk of Kitchens’ campaign donations through Oct. 10 have come from trial lawyers. In addition to Mississippi attorneys, the campaign also received contributions from lawyers as far away as Oregon and Pennsylvania. In the three months since the July finance report, Kitchens’ campaign raised over $200,000, more than it had previously raised in the entire race. He has also received an endorsement from the Southern Poverty Law Center, an advocacy group specializing in civil rights litigation.

? Read Kitchens’ response to the candidate questionnaire from The Marshall Project – Jackson and Mississippi Today.

Admitted to Mississippi Bar: 2004

Residence: Philadelphia, Neshoba County

Relevant experience: State senator since 2016.

Campaign finance: As of Oct. 10, Branning’s campaign committee has raised $665,624, including a $250,000 loan from the candidate, and spent $343,728. The campaign reported a balance of $319,876, which left a discrepancy of about $2,000. Read the latest report here.

Statement of economic interest: Branning is listed as member, owner, stockholder or partner in several companies located in Philadelphia, including her law firm, Branning Properties, LLC, and Triple E Investments. Read her latest report here.

Republican state Sen. Jenifer B. Branning is running on a platform to represent Mississippians’ conservative values on the Supreme Court, she said at the 2024 Neshoba County Fair candidate forum.

Branning has no judicial experience. Since she joined the Mississippi Bar in 2004, she has practiced as an attorney, primarily representing businesses through her private practice in areas including real estate development, banking and agribusiness. She has also served as a special prosecutor in Neshoba County, a guardian ad litem in Neshoba and Winston counties, and as a staff attorney in the Mississippi Secretary of State’s Division of Business Services & Regulation.

Branning described herself as a “Christian conservative.” She has been endorsed by the state’s Republican Party and the National Federation of Independent Business Mississippi PAC, a special interest group for small businesses. She has been outspoken about overturning Roe v. Wade and supporting the state’s abortion ban, and about reducing taxes on businesses. Branning is also a member of the National Rifle Association. On criminal justice issues, Branning has voted in favor of mandatory and increased minimum sentences for crimes including shoplifting, motor vehicle theft and fleeing law enforcement.

In the state Senate, Branning chairs the Highways and Transportation Committee. She has touted her record on lowering taxes and reducing regulations on farmers and small business owners.

Branning comes from multiple generations of business owners in Neshoba County. Her grandfather, Olen Burrage Jr., owned and operated a truck farm, hauling timber and corn, according to previous news reports.

Her election committee has received contributions from political action groups including Truck PAC, Mississippi Petroleum Marketers & Convenience Stores Association PAC and the Mississippi REALTOR PAC.

Much of Branning’s campaign funding, however, comes from the candidate herself. She kicked off her campaign with a $250,000 candidate loan. She has also bankrolled her previous senate campaigns, with candidate loans as high as $50,000 in 2018. This year, her campaign committee also received funding from other Republican politicians and their campaign funds, including Lt. Gov. Delbert Hosemann, the Committee to Elect Jeremy England (state senator), Harkins for MS (state Senator Josh Harkins), and Friends of Jason White (Mississippi House speaker).

Branning did not acknowledge or return the candidate questionnaire from The Marshall Project – Jackson and Mississippi Today.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1915

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mississippitoday.org – Jerry Mitchell – 2024-11-25 07:00:00

Nov. 25, 1915

Credit: Wikipedia

A week before the silent film, “Birth of a Nation,” premiered at an Atlanta theater, William Simmons, along with 15 other men (including some who lynched Leo Frank) burned a cross on Stone Mountain, Georgia, signaling the rebirth of the Ku Klux Klan. 

The movie’s racist portrayals of Black Americans prompted outrage by the NAACP and others, leading to huge protests in towns such as Boston and the film’s closing in Chicago. 

Despite these protests, the movie became Hollywood’s first blockbuster, making as much as $100 million at the box office (the equivalent of $2.4 billion today). In the wake of the movie, the KKK became a national organization, swelling beyond 4 million members.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Podcast: Mississippi Hospital Association’s Roberson discusses Medicaid expansion outlook under Trump, other 2025 legislative health care issues

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mississippitoday.org – Bobby Harrison and Geoff Pender – 2024-11-25 06:30:00

Richard Roberson, president and CEO of the Mississippi Hospital Association, tells Mississippi Today’s Bobby Harrison and Geoff Pender a new Trump administration would likely approve Mississippi Medicaid expansion work requirements. He says revamping the state’s certificate of need laws is likely to be a major issue before lawmakers, and he discusses a new alliance of hospitals that left the MHA and formed a new organization.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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