Mississippi Today
Few schools utilizing telehealth program, but administrators hope to ramp up
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
On this day in 1892
MAY 21, 1892
Crusading journalist Ida B. Wells published a column exposing the lynchings of African-American men and denouncing claims that the lynchings were meant to protect white women.
Her anti-lynching campaign came after a mob killed three of her friends, who had reportedly opened a grocery store that competed with a white-owned store in Memphis.
Upset by Wells' writings, a white mob destroyed her presses and threatened to kill her if she ever published again. She left Memphis for Chicago, but she continued to expose lynchings, calling for national legislation to make lynching a crime.
In 1898, she took her protest to the White House.
“Nowhere in the civilized world save the United States of America do men, possessing all civil and political power, go out in bands of 50 and 5,000 to hunt down, shoot, hang or burn to death a single individual, unarmed and absolutely powerless,” she wrote. “We refuse to believe this country, so powerful to defend its citizens abroad, is unable to protect its citizens at home.”
The National Memorial for Peace and Justice in Montgomery, which opened in 2018, features a reflection space in honor of her.
Congress finally passed an anti-lyncing law in the 2021-22 session. The Emmett Till Antilynching Act defines lynching as a federal hate crime.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1961
MAY 20, 1961
A white mob of more than 300, including Klansmen, attacked Freedom Riders at the Greyhound Bus Station in Montgomery, Alabama. Future Congressman John Lewis was among them.
“An angry mob came out of nowhere, hundreds of people, with bricks and balls, chains,” Lewis recalled.
After beating on the riders, the mob turned on reporters and then Justice Department official John Seigenthaler, who was beaten unconscious and left in the street after helping two riders.
“Then they turned on my colleagues and started beating us and beat us so severely, we were left bloodied and unconscious in the streets of Montgomery,” Lewis recalled.
As the mob headed his way, Freedom Rider James Zwerg said he asked for God to be with him, and “I felt absolutely surrounded by love. I knew that whether I lived or died, I was going to be OK.”
The mob beat him so badly that his suit was soaked in blood.
“There was nothing particularly heroic in what I did,” he said. “If you want to talk about heroism, consider the Black man who probably saved my life. This man in coveralls, just off of work, happened to walk by as my beating was going on and said ‘Stop beating that kid. If you want to beat someone, beat me.' And they did. He was still unconscious when I left the hospital.”
To quell the violence, Attorney General Robert Kennedy sent in 450 federal marshals.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Podcast: The controversial day that Robert Kennedy came to the University of Mississippi
Retired U.S. Bankruptcy Judge Edward Ellington talks with Mississippi Today's Bobby Harrison and Geoff Pender about former U.S. Attorney General Robert Kennedy's speech at the University of Mississippi less than four years after the riots that occurred after the integration of the school. Ellington, who at the time headed the Ole Miss Speaker's Bureau as a law school student, recalls the controversy leading up to the speech.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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