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

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Most school districts only used the state’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 University of Mississippi Medical Center to administer the program. The grant, which expires in Sept. 2024, covers laptops for video conferencing, rapid strep and flu tests, and specially equipped stethoscopes and otoscopes that transmit information to the doctors or nurse practitioners on the other end of the call.

The program, which is free to students, 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 challenge.

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 Stone County 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.

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.

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.

“I think with a little push, maybe the nurses get a little more training 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 grants to continue funding the project or considering turning it into a program that takes insurance, Chandra said.

“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

An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court

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mississippitoday.org – Bobby Harrison – 2024-11-24 06:00:00

The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.

Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.

Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.

The PAC should receive an award or at least be considered for an honor for best fiction writing.

At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.

It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.

Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.

As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.

And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.

A look at the history of the members of the Supreme Court might be helpful.

Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.

Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.

Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.

But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.

Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.

The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.

It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.

Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.

But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.

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 1968

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mississippitoday.org – Jerry Mitchell – 2024-11-24 07:00:00

Nov. 24, 1968

Credit: Wikipedia

Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.” 

The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure. 

Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service. 

From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.

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 1867

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mississippitoday.org – Jerry Mitchell – 2024-11-23 07:00:00

Nov. 23, 1867

Extract from the Reconstructed Constitution of the State of Louisiana, 1868. Credit: Library of Congress

The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights. 

The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders. 

The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.

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

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