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State Health Department says UMMC is qualified to host Mississippi's next burn center. Its application raises doubts.

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State Health Department says UMMC is qualified to host Mississippi’s next burn center. Its application raises doubts.

The Mississippi State Department of Health says that the University of Mississippi Medical Center can potentially host a state burn center.

Whether it actually has the qualifications to do so, however, is unclear.

Mississippi’s only accredited burn center, housed at Merit Health Center in south Jackson, closed in October amid pandemic-related issues and staffing challenges. Ever since, both UMMC and Mississippi Baptist Medical Center have been competing for the title of the state’s next burn center.

In February, a House committee approved giving UMMC $4 million to open a burn center. Mere weeks later, the full House tried to make Mississippi Baptist Medical Center — where the former medical director of Merit’s burn center, Dr. Derek Culnan, now practices —the home of the state’s next burn center.

However, before the conclusion of the legislative session, both chambers passed a bill that allocates $4 million toward the state’s next burn center in the state Health Department’s budget, seemingly giving them the responsibility of choosing the burn center’s home.

While both Baptist and UMMC have submitted applications to host the state’s next burn center, only UMMC has been approved thus far.

UMMC said in a press release on Tuesday that Department of Health officials visited UMMC’s campus on March 21 to assess the medical center’s compliance with standards for a burn center and has officially “designated” UMMC as a “Mississippi Burn Center.”

However, MSDH spokesperson Liz Sharlot said via email that the department merely has the ability to approve that medical centers are qualified to have a burn center, not choose the home of the state’s next burn center.

“UMMC has received designation and so can other hospitals,” Sharlot said. “The law doesn’t say we pick, instead, we review the application, complete an inspection and the (state health officer) then designates the facility as a burn center consistent with trauma rules and regulations.”

There is nothing in the law that would prohibit the $4 million going to more than one hospital.

Senate Appropriations Committee Chairman Briggs Hopson, R-Vicksburg, left, talks with committee members about the proposal for a $247 million economic development project during a special session of the Mississippi Legislature in Jackson, Wednesday, Nov. 2, 2022.

Sen. Briggs Hopson, a conferee on the bill that included the money for a burn center, told Mississippi Today the bill is intended to give the state Health Department the responsibility of assessing which institution could host the state’s next burn center.

“We had conflicting data as to which entities would be best suited, so rather than the legislators making that decision without the benefit of a full analysis of who’s best suited, we felt like that would be a good place for the Department of Health to review it and analyze what needed to be done as to who’s best suited for it,” Hopson said.

UMMC’s application shows that none of its burn center physicians iscurrently certified under basic burn care standards. It is also unclear how the burn center’s director, Dr. Peter Arnold, meets the qualifications to lead a burn center.

State regulations say a burn center director is required to have completed a burn fellowship or have spent two of the last five years taking care of burn patients. Arnold has been at UMMC for the past five years, while the state’s only burn center has been housed at Merit.

When asked about Arnold, a spokeswoman from UMMC referred to an emailed statement sent to Mississippi Today in January.

Dr. Alan Jones, UMMC’s associate vice chancellor for clinical affairs, said Arnold has had “extensive training and experience in caring for patients with acute burns and complex wounds in his nearly 20-year career.” He also said that Arnold is assisted at the unaccredited Mississippi Burn Center, which UMMC established in January, by “five other highly qualified, expertly trained plastic surgeons, all of whom have significant experience treating pediatric and adult acutely burned patients.”

UMMC has claimed that it’s cared for burn patients since last fall, including pediatric patients, but internal emails revealed otherwise.

However, according to UMMC’s burn center application to MSDH, none of the employees involved in the burn center is trained in Advanced Burn Life Support. ABLS training is the standard education for providers who treat patients with burns. Additionally, UMMC’s application shows that internal burn care education is currently nonexistent but is in development.

When questioned this week about Arnold and his employees’ training, UMMC spokespeople said they had “no further comment.”

Sharlot said that an independent team of consultants found that Arnold met the criteria to serve as a burn center medical director, but did not say how, nor would she say who those consultants were. The same consultants said that UMMC partially met ABLS training requirements and that there was a corrective action plan in place to ensure all staff would receive training.

Culnan, the former burn center’s medical director who is now credentialed at Baptist, said his team has nine staff members trained in ABLS, two of whom are ABLS instructors. He has also completed a one-year burn fellowship.

Culnan, a fellowship-trained burn surgeon, was sued by his former employer and the operator of the center at Merit Health Central, Joseph M. Still (JMS) Burn Center Inc., for allegedly violating his employment contract by soliciting JMS employees to join his new company. He created the new company after Merit Health Central announced it would be closing the burn center. Kimberly Alexander, a spokesperson for Baptist, said the lawsuit has been resolved.

“We have submitted our application as a burn center and expect to have a survey soon,” Alexander said. “We are continuing to care for burn patients daily.”

State burn center funds from the bill are not available until July, according to Sharlot.

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

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

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

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

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 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

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

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