Mississippi Today
Will Baptist and UMMC battle over burn care?
Will Baptist and UMMC battle over burn care?
The University of Mississippi Medical Center and Mississippi Baptist Medical Center are vying to run a burn center in Mississippi — and both are seeking lawmakers’ help to establish them.
Dr. Derek Culnan, the former medical director of the now-closed JMS Burn and Reconstruction Center at Merit Health Central in Jackson, said Merit gave him 30 days’ notice that the hospital would shut down the center because of financial strains brought on by the COVID-19 pandemic and recruitment challenges. Culnan continued caring for existing patients and started talking to hospitals about how to open a new center — and fast.
“This is a state that has a need for this service, and I wasn’t going to quit on the people just because it was hard,” Culnan said.
The burn center at Merit Health Central — which was the only accredited center in the state — saw around 600 to 800 patients a month, according to employees who worked there.
Culnan, who completed a fellowship in burn surgery where he worked with adults and children at the University of Texas, struck a deal with Baptist in Jackson and got privileges at the hospital. When he was admitted to the staff, he began taking care of patients immediately, he said.
“We’re not working at the scale we were working on at Merit quite yet, but I’m operating on somebody essentially every day,” he said.
Culnan, who says he is one of about 250 specially trained burn surgeons in the United States, also performed complex hand surgeries at the former center, which was the only hand replantation center in the state. Replantation is the surgical reattachment of a finger or hand.
Culnan’s operation has the backing of House Speaker Philip Gunn, who penned a bill that would award $12 million in one-time money to establish a burn center at Baptist.
Gunn said he was approached by Baptist and believes Mississippi needs a burn center, regardless of who runs it.
“It will all be worked out. There are a lot of different ways to go about that,” he said.
Officials with Baptist said to move forward with a burn center, they must acquire specialized equipment and additional intensive care capacity. Culnan is currently operating in standard operating rooms.
“As a result, we have reached out to our elected officials and shared that we are willing and capable of operating this service if we were successful in receiving one-time financial support for some of these costs,” said Bobbie Ware, chief executive officer of Mississippi Baptist Medical Center.
The hospital has not yet submitted its application for accreditation to the state Department of Health, a spokesperson said.
But at the same time, UMMC, the state’s only academic medical center, has been in pursuit of a burn center — despite a history of walking away from the opportunity.
After the burn center in Greenville closed in 2005, state lawmakers in 2006 approached then-vice chancellor of the University of Mississippi Medical Center Dr. Dan Jones about establishing a burn center at UMMC. Jones told Mississippi Today he asked lawmakers for a yearly commitment to help UMMC run the program, but lawmakers only offered one-time money.
UMMC walked away, citing financial constraints, but lawmakers nevertheless passed a bill in 2007, sans funding, authorizing the university to create the Mississippi Burn Center.
In September of last year, University of Mississippi Medical Center officials were mum about whether they planned to pursue opening a burn center following the closure of the center at Merit Health Central. They did say, however, they would increase their capabilities for care of such patients, but offered no specifics.
But UMMC officials have been quietly — and now more overtly — pursuing state funds to establish the burn center. Dr. LouAnn Woodward, vice chancellor for health affairs and dean of the medical school, spoke in front of an appropriations subcommittee at the beginning of the session, and a bill by Sen. John Polk brings forward the code section from 2007 that authorized UMMC to create the Mississippi Burn Center. Lawmakers could use Polk’s bill to appropriate money and make other amendments to the law.
Polk told Mississippi Today he’s made no decision on which hospital he supports establishing a burn center.
“The (burn center) legislation was last looked at in 2007 best I can tell. This is a whole new Legislature,” said Polk. “All kinds of things have changed. We need to bring legislation forward to study it to see if we need to make some changes.”
It’s unclear how much UMMC is asking lawmakers for and if the money would be recurring. UMMC doesn’t have any outside funding for the center at the time, Dr. Alan Jones, associate vice chancellor for clinical affairs, said at a press conference Friday.
He referenced the Mississippi Burn Care Fund, which runs anywhere from $500,000 to $1 million each year, and the hope UMMC will have access to that once it receives accreditation from the Health Department, which manages the fund.
UMMC announced it would be establishing its own burn center one day after submitting its application for accreditation to the Health Department. Dr. Peter Arnold, a plastic surgeon, has been named as the medical director.
UMMC officials say Arnold’s past experience treating burn patients qualifies him for the position, which regulations say must be filled by a physician who has completed a burn fellowship or who has spent two of the previous five years treating burn patients.
“Dr. Arnold … has had extensive training and experience in caring for patients with acute burns and complex wounds in his nearly 20-year career,” said Jones. “He is assisted at the Mississippi Burn Center by five other highly qualified, expertly trained plastic surgeons, all of whom have significant experience treating pediatric and adult acutely burned patients.”
Jones also told media at a press conference Friday that the hospital has “the necessary infrastructure in place” but will need to make additional hires, including around 30 nurses trained specifically in burn care.
“That won’t be immediately. Over time, it will grow,” said Jones.
He also said they will not have to add additional beds to accommodate running a burn center. Currently, burn patients are being treated on a regular unit in the hospital.
Jones said the university has treated about 75 burn patients through the emergency room in the past four months.
“But as the volume grows, we’ve identified a dedicated space that’s actually ready to go. So after this approval (by the Health Department) has taken place, we’ll begin to operationalize,” he said.
Editor’s note: Kate Royals, Mississippi Today’s community health editor since January 2022, worked as a writer/editor for UMMC’s Office of Communications from November 2018 through August 2020, writing press releases and features about the medical center’s schools of dentistry and nursing.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1997
Dec. 22, 1997
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.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
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.
Mississippi Today
On this day in 1911
Dec. 21, 1911
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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