Mississippi Today
UMMC didn’t fully meet criteria for burn center, March report shows
The March inspection of the University of Mississippi Medical Center for its burn center designation showed the health system failed to fully meet almost a third of criteria required to host the state’s next burn center, though it was recently deemed qualified to do so anyway.
UMMC communications officials refused to answer Mississippi Today’s questions about the current status of its burn program, including its staff’s training. A Facebook post, however, shows that since the health system’s application to host a burn center was submitted and the subsequent site visit was conducted, more staff have undergone the training required to care for burn patients.
The Mississippi Department of Health said UMMC has submitted a corrective action plan to address the shortcomings, but declined to provide it without a records request. UMMC officials refused to engage with Mississippi Today about such a plan.
The surgeon on the team that performed UMMC’s March site visit said the results of their site visit are not uncommon.
Dr. William Hickerson, who helped establish Memphis’ Firefighters Regional Burn Center and served as the past president of the American Burn Association, said the health system has what it needs to establish a burn center.
“My impression was that they have set things up very well,” he said. “You’re not going to be able to open your doors and say, ‘Bring them (the patients) home.’ This is not the Field of Dreams … You have to have a team approach. Everything has to be in a learned environment, and you start slowly like these guys are and build up now. And I think that that is exactly what we saw and what their plans were that they showed us.”
The Institutions of Higher Learning last month approved UMMC’s request to use $4 million of its own money to create a new burn center. The hospital system will renovate the first floor of the Batson Tower into a new burn unit, with ICU beds and rooms for patients recovering from surgery.
Officials visited UMMC on March 21 to review the health system’s credentials and see if it was qualified to host the state’s next burn center. That team consisted of Hickerson, Terry Collins, a nurse who directs the trauma program for the University of Arkansas for Medical Sciences, and Teresa Windham, a trauma system nurse in the state Health Department’s Bureau of Acute Care Systems.
In May, Mississippi Today requested the results of that visit.
Originally, a state health department attorney said the survey was exempt from disclosure and cited costs that totaled nearly $20,000 for communications regarding the visit.
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After Mississippi Today asked the department to cite state law that exempted the survey results, however, a health department official attached the survey in an email thread.
The results of the survey showed that out of 155 categories, UMMC either “partially met” or did not meet criteria in 46, or 29.6%, of the categories.
Though UMMC was docked in the report for not having an internal burn education plan in addition to lacking certain required staff, policies and procedures, the survey results showed they excelled in team coordination, specifically between its trauma and burn surgeons.
“This cooperative plan is one of the best these reviewers have witnessed,” the report says.
Since the state’s only burn center housed at Merit Health Central in Jackson closed in October, both UMMC and Mississippi Baptist Medical Center have vied for the designation. Despite gaps in both its application to host a burn center and this site visit, UMMC received its approval in April from the Mississippi State Department of Health.
“I’ve been through several hospitals and several reviews, and we don’t come in to rubber stamp anything. It’s to give an honest opinion of what we see the capabilities are, and we report the findings,” Hickerson said. “I know there’s a competition. I’m on neither side. I’m here to give you the facts of what I see.”
A director of an out-of-state burn center and officials with the American Burn Association declined to comment on how UMMC’s site survey results compare to others who have been approved to host a burn center.
State health department spokesperson Liz Sharlot responded to questions about UMMC’s qualifications with an emailed statement that included information about the state’s Trauma System of Care and their goal of enabling “access in Mississippi, rather than out of state, for burn patients and their families.”
Mississippi Today found in February that UMMC had sent at least one burn pediatric patient out-of-state for treatment.
“Keeping this goal a priority, MSDH works with entities seeking a burn center designation to ensure that safe and effective care is provided through a well defined operational plan for clinical care and service delivery,” the health department’s statement reads. “Such plans may include corrective actions for any deficiencies noted to allow entities to continue to build their burn care programs. This process includes a revisit or focused visit to ensure corrective actions are taken to maintain a burn center designation.”
Hickerson said that it’s common to check in with burn centers a year after their establishment to ensure they’re in full compliance, but as of his March visit, he believes the health system is capable of hosting a burn center.
“The whole aspect is to make sure that you set something up that is going to be safe for the patients,” he said. “Yeah, they didn’t have a complete check. But they had means that they were gonna fix that.”
At the time of the survey, UMMC was still actively recruiting for staff, including nurses, pharmacists, dietitians and psychiatrists. The report also showed that the health center struggled with ongoing burn education and internal training. At the time of its application, which was submitted earlier this year, an internal burn education program was being developed.
The site survey reports that the burn center medical director, Dr. Peter Arnold, has the required criteria to lead the unit, which can be achieved two ways. The first includes being a surgeon with board certification in surgery or plastic surgery and completing a one-year fellowship in burn treatment. The second route is experience in the care of patients with acute burn injuries for two or more years during the previous five years.
However, it’s unclear how Arnold meets those criteria — Arnold has not completed a one-year burn fellowship and has been at UMMC for the past five years, while the state’s only burn center has been housed at Merit.
Furthermore, the survey also says that as burn center director, Arnold did not perform some of the required job duties, including creating policies and protocols for the burn care system and cooperating with trauma care for patient treatment.
At the time of the report, Arnold was not current in Advanced Burn Life Support (ABLS), the standard training for burn patient providers. He was scheduled to undergo this training in April, but UMMC refused to answer questions about whether that training took place.
The health system’s initial application also showed that none of its staffers were ABLS trained, though a Facebook post from May on the University of Mississippi’s Air Care page showed that 48 clinicians and communication specialists had undergone ABLS training.
Additionally, UMMC staff likely attended ABLS training at the Mississippi Trauma Symposium in May in Biloxi.
Arnold said in May at a presentation about the burn center that one of his goals moving forward was to acquire American Burn Association verification for the center.
“We’re designing everything we’re doing to meet the goals of ABA verification,” he said. “It takes two years after you’re established before they’ll come. And so I think, you know, this is obviously a work in progress, but eyes on the prize.”
During this year’s session, the state health department was given $4 million by the Legislature to choose the state’s next burn center. Nothing in the law prevents the $4 million from going to more than one hospital.
Baptist has also submitted an application to host the state’s next burn center, which includes its burn center director’s qualifications to lead the unit, two ABLS-trained staffers and an internal burn education plan. Its site visit has been scheduled for July 18.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1870
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Feb. 25, 1870
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Two days after Mississippi was readmitted to the Union, Hiram Revels became the first Black American elected as a U.S. senator.
“All men are created equal, says the great Declaration,” Republican Sen. Charles Sumner of Massachusetts said, “and now a great act attests this verity. Today we make the Declaration a reality…. The Declaration was only half established by Independence. The greatest duty remained behind. In assuring the equal rights of all we complete the work.”
Born free in North Carolina, Revels became a national force in an office once held by Jefferson Davis, the former president of the Confederacy.
A minister by trade, Revels sought to improve the education of others, working with Black Americans in Indiana, Illinois, Kansas, Kentucky and Tennessee.
In 1854, he was imprisoned for preaching to the Black community. After that, he moved to Baltimore, where he served as principal of a Black school. When the Civil War broke out in 1861, he helped recruit two Black regiments from Maryland and later served as chaplain for Black soldiers fighting in Mississippi.
After the war ended, he worked for a church in Kansas. On the train, the conductor asked him and his family to move to the smoking car. They refused, and the conductor relented. Not long after, he and his family settled in Natchez, Mississippi, where he was elected as an alderman. Winning over both Black and white with his calls for cooperation, he was elected to the Mississippi State Senate, one of more than 30 African Americans to serve in the Legislature during Reconstruction.
“We are in the midst of an exciting canvass,” he wrote a friend in a letter. “We are determined that Mississippi shall be settled on a basis of justice and political and legal equality.”
He drew attention as soon as he arrived with his moving words. After Mississippi lawmakers appointed him to the U.S. Senate, a few tried to block him from taking office. Revels remained steadfast and took office.
“I find that the prejudice in this country to color is very great, and I sometimes fear that it is on the increase,” he went on to say. “If the nation should take a step for the encouragement of this prejudice against the colored race, can they have any grounds upon which to predicate a hope that heaven will smile upon them and prosper them?”
He supported universal amnesty for former Confederates, requiring only their sworn loyalty to the Union.
“I am in favor of removing the disabilities of those upon whom they are imposed in the South,” he said, “just as fast as they give evidence of having become loyal and being loyal.”
After the end of his Senate term in 1871, he became the first president of Alcorn University, the first land-grant school for Black students. He later taught theology at Rust College and died of a stroke in 1901.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Senate passes its income tax cut plan
Senate passes its income tax cut plan
The Senate voted Monday evening to pass a tax cut that reduces the state income tax and the sales tax on groceries while raising the gasoline tax, setting up negotiations with the House.
The measure passed the GOP-majority Senate 34-15, with four Democrats supporting it and four Republicans opposing it. It now heads to the House, whose leadership is advocating for its own plan, which would eventually eliminate the state individual income tax.
The Senate plan amounts to a net tax cut of $326 million, a more modest sum than the $1.1 billion net cut passed by the House. The Senate would reduce the state’s flat 4% income tax to 2.99% over four years, while the House would eliminate the income tax over more than a decade.
Senate Finance Chairman Josh Harkins, a Republican from Flowood, told reporters that the legislation was a responsible way to cut taxes while slightly increasing the gasoline tax to provide more revenue for infrastructure funding.
“I think we’ve put forward a really good plan that helps families at the grocery store by lowering the sales tax on groceries,” Harkins said. “And it provides incentives and rewards work.”
The Senate plan would reduce the state’s 7% sales tax on grocery items, the highest in the nation, to 5% starting July 2025. Municipalities receive a portion of grocery tax revenue, and the Senate plan would make cities whole.
The Senate bill would raise the state’s 18.4-cents-a-gallon gasoline excise by three cents yearly over the next three years, eventually resulting in a 27.4 cents-per-gallon gas tax at completion. This is an effort to help the Mississippi Department of Transportation with a long-running shortfall of highway maintenance money.
Most of the chamber’s Democratic members opposed the plan over fears that the state could not afford to wipe out around half a billion dollars each year from its budget and still address some of the state’s critical issues such as public education and health care.
“That’s a lot of money, and we need that money for basic infrastructure,” Democratic Sen. Hob Bryan of Amory said. “Everyone benefits from infrastructure.”
Some Democratic members attempted to amend the bill to eliminate the grocery tax or change the tax structure to avoid increasing the gas tax. But the GOP-majority chamber on party-line votes defeated the amendments.
Four Republican senators voted against the final measure because it raised the gasoline tax, something they viewed as going against the GOP’s core ideology.
Sen. Angela Burks Hill, a Republican from Picayune, told reporters the gas tax increase would hurt rural people the most because they have to drive further for work and to purchase groceries.
“I’m just trying to follow my party’s platform of low taxes,” Hill said.
Now that both chambers at the Capitol have passed separate tax proposals, the key question will be how much legislative leaders can compromise on a final package. House Speaker Jason White, a Republican from West, and Republican Gov. Tate Reeves have said abolishing the income tax is their primary goal this session.
White previously told Mississippi Today that he’s willing to compromise with the Senate, but he wants a final tax cut that’s substantive and meaningful.
“We’re not interested in a small piece of a tax cut while not addressing other issues,” White said.
Reeves has thrown cold water on the Senate’s proposal because it doesn’t entirely eliminate the income tax. If lawmakers can’t agree on a proposal, he could call them into a special session to address taxes.
Harkins, though, said he hopes lawmakers can “build consensus” on a final package during the regular session. House and Senate leaders will likely debate the measure for the next month. The deadline for lawmakers to approve tax and appropriations bills is March 31.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
City goes to the suburbs, and Germantown is the winner
City goes to the suburbs, and Germantown is the winner
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Can’t tell you how many times I’ve been asked this question in recent years: What has happened to Jackson Public Schools basketball?
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Good question.
And I do know the answer, at least a large part of it. But first some background.
Used to be, you could count on several JPS powerhouses to bring huge crowds to the State Tournament at Mississippi Coliseum every February to watch Murrah, Lanier, Provine, Callaway and Jim Hill teams that annually produced some of the greatest basketball talent in Mississippi history. Often, fire marshalls stepped in and locked the Coliseum doors with still hundreds of fans outside hoping to get in.
That’s no longer the case. Not a single JPS boys team made it to the State semifinals this year. (The Lanier girls will play Choctaw County in a 4A semifinal game Wednesday afternoon.) Even just a decade ago, no JPS boys teams in the State Championships would have been heresy. This is not to say that the Jackson metro area is not represented at the Big House. Northwest Rankin, Brandon, Germantown and Madison Central teams all played in the semifinals on Monday. The Canton girls and boys will play Tuesday.
The suburbs are killing it. Inner city Jackson is not.
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OK, so here’s a major reason why: In many cases, the city has moved to the suburbs. This is best illustrated by how the Germantown team from out Gluckstadt way hammered Biloxi 55-30 in the Monday noon Class 7A semifinals.
There were Germantown guards Michael and Mason Williams controlling the flow of the game with their ball-handling, passing and defensive skills. There was 7-footer Sam Funches IV dominating the paint at both ends with his length, nifty footwork and soft touch around the basket. There was guard/forward Michael Johnson contributing in so many ways with hustle and grit. And there was Devin Moore, a sturdy, 6-5 guard/forward scoring nine points on just five shots and also contributing five rebounds, three assists and two steals.
Here’s the deal: Michael Williams (a senior) and Mason Williams (a junior) are the sons of Mo Williams the former Murrah, Alabama and NBA great who now coaches at Jackson State. Funches is the son of Sam Funches III, who also played at Murrah, was recruited by Jim Calhoun at Connecticut and finished his career at North Texas. Johnson’s dad, Trey, played at Murrah and then was the SWAC Player of the Year at Jackson State before a long professional career in the NBA and overseas. Moore’s dad and an uncle both played at Jim Hill. Now, all live in Madison County and have turned the Germantown Mavericks, 23-5, into a powerhouse. The Mavs will play neighboring Madison Central in the 7A championship game, which will be played Thursday night at 8 p.m.
Said Mo Williams, who watched Monday’s proceedings from a seat in the Germantown cheering section, “It’s pretty obvious, isn’t it? It’s like the city has moved to the ‘burbs.”
We weren’t three minutes into the Germantown-Biloxi game when brothers Michael and Mason Williams combined to make a play that reminded we longtime Jackson-area fans of the kind of plays their daddy made at Murrah. Mason lofted a high, looping alley-top pass high above the basket. Michael , who will play for his dad at Jackson State, soared high above the rim and slammed the ball through to give the Mavs a lead they never relinquished.
Michael dunked again moments later, swished a three-pointer after that, and then scored on a spin move and a mid-range jumper seconds later. Before you knew it, a 7-6 deficit turned into at 21-11 lead,
Meahwhle, Funches IV, a 16-year-old junior, showed why virtually every college basketball coach in the country is recruiting him. Yes, he needs to get stronger. He could be – and probably will be – more aggressive. But you can’t teach a kid how to be 7 feet tall, and you can’t teach the deft shooting touch he already possesses. That’s inherited. These Germantown players inherited well.
This time last year, Mo Williams’ sons were helping Jackson Academy win the overall private schools state championship at Jackson Academy. Now they are trying to win a public schools championship.
Michael asked me: “Has anybody ever done that?”
I don’t know. I thought Andy Kennedy, the former Ole Miss and current UAB coach, might have done it back when he still had hair and transferred from Winston Academy to Louisville High School. But Kennedy text-messaged back: ”We won it at Winston but only won the north half at Louisville, got beat in the semifinals at the Coliseum.”
Somebody else might have done it. I don’t know. I do know precious few have had the opportunity.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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