Mississippi Today
Greenwood Leflore Hospital hits another roadblock in struggle to stay open
A financially struggling Delta hospital received another bit of bad news: its application for a federal designation that would bring in more money has been initially denied.
The regional Centers for Medicare and Medicaid Services office in Atlanta has declined to designate the Greenwood hospital as a critical access hospital, according to a letter the agency sent to interim CEO Gary Marchand on Aug. 24.
Leaders of the hospital, which is co-owned by the city and county, have long been counting on the hospital’s conversion to increase its financial viability — critical access hospitals are reimbursed by Medicare at a higher rate. The hospital is currently classified as an acute care facility.
Marchand has repeatedly called the application their “plan A.”
But all hope is not lost — despite the regional office’s denial, Marchand is still counting on the national CMS office in Washington D.C. approving the hospital’s application.
He shared in an internal email to staff sent Aug. 30 that even with recommendations from the state Health Department and a regional Medicare administrative contractor to convert the hospital into a critical access hospital, a review by the CMS regional office did not yield the same results.
Marchand stressed the decision wasn’t a surprise.
“We expected the Regional Office of CMS to review the application without considering the full scope of the arguments for its approval,” he said.
Critical access hospitals must be located 35 miles from the nearest hospital. South Sunflower County Hospital in Indianola is just 28 miles away from Greenwood Leflore Hospital. The regional CMS office cited the hospital’s proximity to nearby hospitals as cause for the application’s rejection.
Marchand’s argument for waiving that requirement was that transportation issues plague the Delta — many of the hospital’s patients struggle to make their appointments because they don’t have a way to get there.
This doesn’t mean the conversion is out of the question, though. The hospital’s application is still being considered by the national CMS office, Marchand said.
“We have always expected the final decision would be made in the national office, and Congressman (Bennie) Thompson and Senators (Roger) Wicker and (Cindy) Hyde-Smith and fully engaged and supportive of the GLH application,” he says in the internal email, before noting that he doesn’t not expect a final answer from the federal agency before the end of the year.
The pandemic has left the hospital in financial straits this past year, and stakeholders are exhausting all options to keep the facility open. Aside from the critical access hospital application, hospital leadership has also closed several departments and services, including neurosurgery and labor and delivery.
After a potential lease agreement fell through last year, the hospital went up for lease again recently.
Greenwood hospital leaders have also applied for grants from the Legislature, but as of August, no hospitals in the state have received that money.
They desperately need it — one report puts nearly half of the state’s rural hospitals at risk of closure.
The longer the state goes without Medicaid expansion, the more dire the situation becomes, Greenwood Mayor Carol McAdams previously told Mississippi Today.
In the meantime, leaders are still accepting bidders to buy or lease the hospital and save it from closure.
Marchand says the hospital can stay open until 2024. After that, its future is unclear.
“Critical access status remains key to the hospital’s ability to provide services over the long term,” Marchand said. “We remain hopeful of the application’s final approval by CMS’s National Office.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1960
Feb. 1, 1960
Four Black freshmen students from North Carolina A&T — Franklin McCain, Joseph A. McNeil, David L. Richmond and Ezell A. Blair Jr. — began to ask themselves what they were going to do about discrimination.
“At what point does a moral man act against injustice?” McCain recalled.
McNeil spoke up. “We have a definite purpose and goal in mind,” he said, “and with God on our side, then we ask, ‘Who can be against us?’”
That afternoon, they entered Woolworth’s in downtown Greensboro. After buying toothpaste and other items inside the store, they walked to the lunch counter and sat down.
They ordered coffee, but those in charge refused to serve them. The students stood their ground by keeping their seats.
The next day, they returned with dozens of students. This time, white customers shouted racial epithets and insults at them. The students stayed put. By the next day, the number of protesting students had doubled, and by the day after, about 300 students packed not just Woolworth’s, but the S.H. Kress Store as well.
A number of the protesting students were female students from Bennett College, where students had already been gathering for NAACP Youth Council meetings and had discussed possible sit-ins.
By the end of the month, 31 sit-ins had been held in nine other Southern states, resulting in hundreds of arrests. The International Civil Rights Center & Museum has preserved this famous lunch counter and the stories of courage of those who took part in the sit-ins.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
At least 96 Mississippians died from domestic violence. Bills seek to answer why
At least 96 Mississippians died from domestic violence. Bills seek to answer why
Nearly 100 Mississippians, some of them children, some of them law enforcement, died last year in domestic violence-related events, according to data Mississippi Today collected from multiple sources.
Information was pulled from local news stories, the Gun Violence Archive and Gun Violence Memorial and law enforcement to track locations of incidents, demographics of victims and perpetrators and any available information about court cases tied to the fatalities.
But domestic violence advocates say Mississippi needs more than numbers to save lives.
They are backing a refiled bill to create a statewide board that reviews domestic violence deaths and reveals trends, in hopes of taking preventative steps and making informed policy recommendations to lawmakers.
A pair of bills, House Bill 1551 and Senate Bill 2886, ask the state to establish a Domestic Violence Fatality Review Board. The House bill would place the board in the State Department of Public Health, which oversees similar existing boards that review child and maternal deaths, and the Senate version proposes putting the board under the Department of Public Safety.
“We have to keep people alive, but to do that, we have to have the infrastructure as a system to appropriately respond to these things,” said Stacey Riley, executive director of the Gulf Coast Center for Nonviolence and a board member of the Mississippi Coalition Against Domestic Violence.
“It’s not necessarily just law enforcement, just medical, just this,” she said. “It’s a collaborative response to this to make sure that the system has everything it needs.”
Mississippi is one of several states that do not have a domestic violence fatality review board, according to the National Domestic Violence Fatality Review Initiative.
Without one, advocates say it is impossible to know how many domestic fatalities and injuries there are in the state in any year.
Riley said data can tell the story of each person affected by domestic violence and how dangerous it can be. Her hope is that a fatality review board can lead to systemic change in how the system helps victims and survivors.
Last year, Mississippi Today began to track domestic violence fatalities similar to the way the board would be tasked to do. It found over 80 incidents in 2024 that resulted in at least 100 deaths.
Most of the victims were women killed by current and former partners, including Shaterica Bell, a mother of four allegedly shot by Donald Demario Patrick, the father of her child, in the Delta at the beginning of that year. She was found dead at the home with her infant. One of her older children went to a neighbor, who called 911.
Just before Thanksgiving on the Coast, Christopher Antoine Davis allegedly shot and killed his wife, Elena Davis, who had recently filed a protection order against him. She faced threats from him and was staying at another residence, where her husband allegedly killed her and Koritnik Graves.
The proposed fatality review board would have access to information that can help them see where interventions could have been made and opportunities for prevention, Riley said.
The board could look at whether a victim had any domestic abuse protection orders, law enforcement calls to a location, medical and mental health records, court documents and prison records on parole and probation.
In 2024, perpetrators were mostly men, which is in line with national statistics and trends about intimate partner violence.
Over a dozen perpetrators took their own lives, and at least two children – a toddler and a teenager – were killed during domestic incidents in 2024, according to Mississippi Today’s review.
Some of the fatalities were family violence, with victims dying after domestic interactions with children, parents, grandparents, siblings, uncles or cousins.
Most of the compiled deaths involved a firearm. Research has shown that more than half of all intimate partner homicides involve a firearm.
A fatality review board is meant to be multidisciplinary with members appointed by the state health officer, including members who are survivors of domestic violence and a representative from a domestic violence shelter program, according to the House bill.
Other members would include: a health and mental health professionals, a social worker, law enforcement and members of the criminal justice system – from prosecutors and judges to appointees from the Department of Public Safety and the attorney general’s office.
The House bill did not make it out of the Judiciary B Committee last year. This session’s House bill was filed by the original author, Rep. Fabian Nelson, D-Byram, and the Senate version was filed by Sen. Brice Wiggins, R-Pascagoula.
The Senate bill was approved by the Judiciary A Committee Thursday and will proceed to the full chamber. The House bill needs approval by the Public Health and Human Services Committee by Feb. 4.
“The idea behind this is to get at the root cause or at least to study, to look at what is leading to our domestic violence situation in the state,” Wiggins said during the Judiciary A meeting.
Luis Montgomery, a public policy and compliance specialist with the Mississippi Coalition Against Domestic Violence, has been part of drafting the House bill and is working with lawmakers as both bills go through the legislative process.
He said having state-specific, centralized data can help uncover trends that could lead to opportunities to pass policies to help victims and survivors, obtain resources from the state, educate the public and see impacts on how the judicial system handles domestic violence cases.
“It’s going to force people to have conversations they should have been having,” Montgomery said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Emergency hospital to open in Smith County
A new emergency-care hospital is set to open in Smith County early this year. It will house the rural county’s first emergency room in two decades.
Smith County Emergency Hospital in Raleigh will provide 24-hour emergency services, observation care and outpatient radiology and lab work services. Raleigh is currently a 35-minute drive from the nearest emergency room.
The hospital will operate as a division of Covington County Hospital. The Collins hospital is a part of South Central Regional Medical Center’s partnership with rural community hospitals Simpson General Hospital in Mendenhall and Magee General Hospital, all helmed by CEO Greg Gibbes.
The hospital’s opening reflects Covington County Hospital’s “deeply held mission of helping others, serving patients and trying to do it in a way that would create sustainability,” not just for its own county, but also for surrounding communities, said Gibbes at a ribbon-cutting ceremony Friday.
Renovations of the building – which previously housed Patients’ Choice Medical Center of Smith County, an acute-care facility that closed in 2023 – are complete. The facility now awaits the Mississippi Department of Health’s final inspection, which could come as soon as next week, according to Gibbes.
The hospital hopes to then be approved as a “rural emergency hospital” by the Centers for Medicare and Medicaid Services.
A rural emergency hospital status allows hospitals to receive $3.3 million from the federal government each year in exchange for closing their inpatient units and transferring patients requiring stays over 24 hours to a nearby facility.
The program was created to serve as a lifeline for struggling rural hospitals at risk of closing. Six hospitals have closed in Mississippi since 2005, and 33% are at immediate risk of closure, according to the Center for Healthcare Quality and Payment Reform.
Receiving a rural emergency hospital designation will make the hospital more financially sustainable, said Gibbes. He said he has “no concerns” about the hospital being awarded the federal designation.
Mississippi has more rural emergency hospitals than any other state besides Arkansas, which also operates five. Nationwide, 34 hospitals have received the designation, according to Centers for Medicare & Medicaid Services enrollment data. Over half of them are located in the Southeast.
The hospital will have a “significant economic impact” of tens of millions of dollars and has already created about 60 jobs in Smith County, Gibbes said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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