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Mississippi Today

Few schools utilizing telehealth program, but administrators hope to ramp up

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Most school districts only used the ‘s new telehealth program a few times in the 2022-23 school year, but program administrators say they are working to increase participation and have already seen positive results.

The school-based telehealth program was created by the Mississippi Department of Education, which gave $17.6 million of pandemic relief money to the of Mississippi Medical Center to administer the program. The grant, which expires in Sept. 2024, covers laptops for conferencing, rapid strep and flu tests, and specially equipped stethoscopes and otoscopes that transmit information to the or nurse practitioners on the other end of the call.

The program, which is to , began under the direction of former State Superintendent Carey Wright, with the goal of increasing access to medical care and keeping children in school more hours each day. Over half of the counties in Mississippi have no practicing pediatricians according to the Office of Mississippi Physician Workforce, something this program aims to help address by decreasing the amount of time families spend traveling to access care.

The program was open to all 145 school districts in the state, and 100 signed up. Of those 100, data from UMMC shows only 34 districts had at least one visit in the 2022-23 school year. However, some visits were not assigned to a school district, making it possible that more participated.

Dr. Saurabh Chandra, the hospital’s chief telehealth officer, said he is very proud of the speed at which his team has been able to successfully roll out the telehealth program. This is the largest school-based telehealth program in the country he is aware of, adding it was implemented faster than many others. While he was pleased that connectivity did not end up being a major issue, he said the shortage of school nurses has been a .

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After spending the first year focused on implementation, Chandra said the goal is now increasing participation. He said nurse educators are communicating regularly with school districts to understand their concerns. UMMC has already made at least one change – allowing school nurses to call and schedule an appointment instead of doing it in the computer software – based on the feedback.

The outreach already seems to be helping: the program averaged about 150-170 visits a month last year, but August and September of this year have seen about 275 visits each month.

“(The program) is in a stage of infancy,” he said. “You have to implement the program, you have to understand the barriers, you have to do the engagement, this is a continuous work, but we are seeing good trends.”

Lauren Hunt, the nurse at Elementary School, is a regular user of the program. Stone County does not have any practicing pediatricians, but there are several in neighboring coast counties, according to the physician workforce data.

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Hunt brings up the service to parents when she thinks a student could benefit and said she has had very few parents refuse. She said she “has not been able to brag on it enough” and expressed a desire for more school nurses to start using it so it can be a greater benefit to the state.

“The school nurse is really the keyholder – she is the one that has to want to implement it and use it,” Hunt said.

She also emphasized the importance of outreach to parents so they’re aware they can request visits and don’t automatically take their children to the doctor on their own. Hunt said she has seen this be effective in action, particularly for children without health insurance who have used it for ear infections and other small issues.

Parent outreach is also a priority for UMMC, but Chandra said his team depends on school districts to spread the word. He hopes as parent awareness of the program increases, their trust in it will rise as well leading to increased participation.

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Jana Miller is one of two nurses covering five rural schools in the Greene County School District. Her favorite part of the program is the convenience: appointments are usually available within 30 minutes, and students are not required to check out and wait to be seen, saving parents time as well.

Miller said her district has also utilized the teletherapy portion of the program, which provides mental health services to children. The school identifies students for it based on parental requests, school staff’s knowledge of difficult circumstances, or a child reaching out for someone to talk to. She also schedules these appointments but does not participate in them like the telehealth visits.

“I was really apprehensive (of the telehealth program) at first because I just didn’t know how it was going to work, but I’m very glad we took the leap of faith and went through with it,” she said.

One district hopes to use the program more now that technical issues have been resolved. There are no pediatricians in Chickasaw County, where nurse Dawn Vance works in the schools.

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“I think with a little push, maybe the nurses get a little more and the IT stuff gets all worked out, I think it would really pick up, especially in an area like ours where there’s not many options,” she said.

Other districts have said they don’t have as much of a need for the program because of existing school-based clinics or parent preference for local pediatricians.

Hunt, the Stone Elementary School nurse, said she hopes more schools start using it so the state will have an incentive to keep funding the program after the federal pandemic relief money expires.

UMMC is looking for other to continue funding the project or considering turning it into a program that takes insurance, Chandra said.

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“We know that there’s a need for it out there,” said Scott Clements, director of healthy schools for the Mississippi Department of Education. “We have a lot of rural areas … and in those rural areas you oftentimes don’t have the services you have in a metropolitan area.”

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

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Mississippi Today

A Mississippi town moves a Confederate monument that became a shrouded eyesore

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mississippitoday.org – Emily Wagster Pettus, Associated Press – 2024-09-18 14:17:57

GRENADA (AP) — A Mississippi town has taken down a monument that stood on the courthouse square since 1910 — a figure that was tightly wrapped in tarps the past four years, symbolizing the community’s enduring division over how to commemorate the past.

Grenada’s first Black mayor in two decades seems determined to follow through on the city’s plans to relocate the monument to other public land. A concrete slab has already been poured behind a fire station about 3.5 miles (5.6 kilometers) from the square.

But a new fight might be developing. A Republican lawmaker from another part of Mississippi wrote to Grenada officials saying she believes the is violating a law that restricts the relocation of war memorials or monuments.

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The Grenada City Council voted to move the monument in 2020, weeks after killed George Floyd in Minneapolis. The vote seemed timely: Mississippi legislators had just retired the last state in the U.S. that prominently featured the Confederate battle emblem.

The tarps went up soon after the vote, shrouding the Confederate soldier and the pedestal he stood on. But even as people complained about the eyesore, the move was delayed by tight budgets, state bureaucracy or political -dragging. Explanations vary, depending on who’s asked.

A new mayor and city council took office in May, prepared to take action. On Sept. 11, with little advance notice, police blocked traffic and a work crew disassembled and removed the 20-foot (6.1-meter) stone structure.

“I’m glad to see it move to a different location,” said Robin Whitfield, an artist with a studio just off Grenada’s historic square. “This represents that something has changed.”

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Still, Whitfield, who is white, said she wishes Grenada had invited the community to engage in dialogue about the symbol, to bridge the gap between those who think moving it is erasing history and those who see it as a daily reminder of white supremacy. She was among the few people watching as a crane lifted parts of the monument onto a flatbed truck.

“No one ever talked about it, other than yelling on Facebook,” Whitfield said.

Mayor Charles Latham said the monument has been “quite a divisive figure” in the town of 12,300, where about 57% of are Black and 40% are white.

“I understand people had family and stuff to fight and die in that war, and they should be proud of their family,” Latham said. “But you’ve got to understand that there were those who were oppressed by this, by the Confederate flag on there. There’s been a lot of hate and violence perpetrated against people of color, under the color of that flag.”

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The city received permission from the Mississippi Department of Archives and History to move the Confederate monument, as required. But Rep. Stacey Hobgood-Wilkes of said the fire station site is inappropriate.

“We are prepared to pursue such avenues that may be necessary to ensure that the statue is relocated to a more suitable and appropriate location,” she wrote, suggesting a Confederate cemetery closer to the courthouse square as an alternative. She said the Ladies Cemetery Association is willing to deed a parcel to the city to make it happen.

The Confederate monument in Grenada is one of hundreds in the South, most of which were dedicated during the early 20th century when groups such as the United Daughters of the Confederacy sought to shape the historical narrative by valorizing the Lost Cause mythology of the Civil War.

The monuments, many of them outside courthouses, came under fresh scrutiny after an avowed white supremacist who had posed with Confederate flags in photos posted online killed nine Black people inside the historic Emanuel African Methodist Episcopal Church in Charleston, South Carolina, in 2015.

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Grenada’s monument includes images of Confederate president Jefferson Davis and a Confederate battle flag. It was engraved with praise for “the noble men who marched neath the flag of the Stars and Bars” and “the noble women of the South,” who “gave their loved ones to our country to conquer or to die for truth and right.”

A half-century after it was dedicated, the monument’s symbolism figured in a voting rights march. When the Rev. Martin Luther King Jr. and other civil rights leaders held a mass rally in downtown Grenada in June 1966, Robert Green of the Southern Christian Leadership Conference scrambled up the pedestal and planted a U.S. flag above the image of Davis.

The cemetery is a spot Latham himself had previously advocated as a new site for the monument, but he said it’s too late to change now, after the city already budgeted $60,000 for the move.

“So, who’s going to pay the city back for the $30,000 we’ve already expended to relocate this?” he said. “You should’ve showed up a year and a half ago, two years ago, before the city gets to this point.”

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A few other Confederate monuments in Mississippi have been relocated. In July 2020, a Confederate soldier statue was moved from a prominent spot at the University of Mississippi to a Civil War cemetery in a secluded part of the Oxford campus. In May 2021, a Confederate monument featuring three soldiers was moved from outside the Lowndes County Courthouse in Columbus to another cemetery with Confederate soldiers.

Lori Chavis, a Grenada City Council member, said that since the monument was covered by tarps, “it’s caused nothing but more divide in our city.”

She said she supports relocating the monument but worries about a . She acknowledged that people probably didn’t know until recently exactly where it would reappear.

“It’s tucked back in the woods, and it’s not visible from even pulling behind the fire station,” Chavis said. “And I think that’s what got some of the citizens upset.”

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

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Crooked Letter Sports Podcast

Podcast: New Orleans sports columnist and author Jeff Duncan joins the podcast to talk about his new Steve Gleason book and the new-look New Orleans Saints.

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mississippitoday.org – Rick Cleveland and Tyler Cleveland – 2024-09-18 10:00:00

Jeff Duncan went from the Mississippi Book in on Saturday to Jerry World in Dallas on Sunday where he watched and wrote about the Saints’ total dismantling of the Dallas Cowboys. We about both and also about what happened in high school and college football last and what’s coming up this weekend.

Stream all episodes here.

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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 1899

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mississippitoday.org – Jerry Mitchell – 2024-09-18 07:00:00

Sept. 18, 1899

Credit: Wikipedia

Scott Joplin, known as “the King of Ragtime,” copyrighted the “Maple Leaf Rag,” which became the first song to sell more than 1 million copies of sheet music. The popularity launched a sensation surrounding ragtime, which has been called America’s “first classical music.” 

Born near Texarkana, , Joplin grew up in a musical . He worked on the railroad with other family members until he was able to earn money as a musician, traveling across the South. He wound up playing at the World’s Fair in Chicago in 1893, where he met fellow musician Otis Saunders, who encouraged him to write down the songs he had been making up to entertain audiences. In all, Joplin wrote dozens of ragtime songs. 

After some , he moved to New York , hoping he could make a living while stretching the boundaries of music. He wrote a ragtime ballet and two operas, but success in these new forms eluded him. He was buried in a pauper’s grave in New York City in 1917. 

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More than six decades later, his music was rediscovered, initially by Joshua Rifkin, who recorded Joplin’s songs on a record, and then Gunther Schuller of the New England Conservatory, who performed four of the ragtime songs in concert: “My faculty, many of whom had never even heard of Joplin, were saying things like, ‘My gosh, he writes melodies like Schubert!’” 

Joplin’s music won over even more admirers through the 1973 , “The Sting,” which won an Oscar for the music. His song, “The Entertainer,” reached No. 3 on Billboard and was ranked No. 10 among “Songs of the Century” list by the Recording Industry Association of America. His opera “Treemonisha” was produced to wide acclaim, and he won a Pulitzer Prize in 1976 for his special contribution to American music. 

“The ragtime craze, the faddish thing, will obviously die down, but Joplin will have his position secure in American music history,” Rifkin said. “He is a treasurable composer.”

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

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