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How many burn patients is UMMC treating? Depends on who you ask

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How many burn patients is UMMC treating? Depends on who you ask

The of Mississippi Medical Center has announced it is filling a health care gap for burn care in Mississippi after the closure of the 's only burn center.

But in the case of children with burns, the hospital is sending these patients out of state, according to an internal email from a UMMC Burn Committee member sent this week and obtained by Mississippi Today.

On at least one recent occasion, UMMC sent a pediatric burn patient to an out-of-state children's hospital.

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UMMC officials have publicly said they are caring for both adult and pediatric burn patients.At a Jan. 20 press conference announcing the creation of the burn center, the newly named medical director said the hospital has the necessary pediatric subspecialties to treat children with burns.

“We've got pediatric subspecialty-trained plastic surgeons and general surgeons that are 100% on board with managing that specific patient population,” said Dr. Peter Arnold, professor and division chief of plastic surgery at UMMC.

Over the of Jan. 27, a child with a noncritical burn arrived at Winston Medical Center in Louisville, according to hospital officials. When the hospital attempted to transfer the patient to UMMC, the transfer was denied.

“The review I got was that everything was not ready for pediatric (burns) at UMMC,” Robert Turcotte, director of nursing at Winston Medical Center, told Mississippi Today.

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Instead, the child was sent to LeBonheur Children's Hospital in Memphis – a three-hour drive from Louisville. LeBonheur is not a designated burn center but does care for kids with burns less than 30% of the total body surface area. It also provides follow-up care in a weekly trauma/burn clinic.

Burn injuries are particularly time sensitive, experts say – a delay in treatment can to worsened outcomes and increased mortality.

“I can confirm that UMMC continues to care for a large number of adult and pediatric patients with acute burns and that number increases every day,” an emailed statement from UMMC's communications director attributed to Dr. Alan Jones, associate vice chancellor for clinical affairs at UMMC, said on Monday.

Jones, through the communications office, said the hospital cannot comment on specific patient information, but there are “many variables” considered when deciding on “the safest and most appropriate care for a patient.”

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Later this week, however, a member of the newly formed Burn Committee at UMMC listed in an internal email obtained by Mississippi Today examples of burn patients the hospital is not admitting. Those include: patients with burns greater than 20% of total body surface area; inhalational injury; electric burns; burn lesions to face, hands, feet, genitals; and, finally, children.

In response to questions about the contents of the email, UMMC Director of Communications Patrice Guilfoyle sent an emailed statement: “As part of our ongoing work around the processes and and procedures of the new Burn Center, we will Mississippi burn patients transferred to UMMC and then the care team, upon evaluation, will make the on burn treatment that's in the best interest of the patient. Our Emergency Department last week notified emergency care staff, including Mississippi MED-COM, that we would accept transfers of all burn patients.”

MED-COM is the emergency communications for UMMC and hospitals and emergency providers throughout Mississippi.

Lawmakers on Friday debated a bill regarding the establishment of a burn center in the state, and several appeared confused about UMMC's status in caring for burn patients. One state senator quoted from UMMC's press release stating the burn center had already been established at UMMC.

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“I just went on the website for the University of Mississippi Medical Center, and I'm reading a release that just came out three weeks ago that says ‘I am pleased to announce the establishment of the Mississippi Burn Center,'” Sen. David Blount, D-Jackson, said during debate on the Senate floor.

Another senator pointed out the Institutions of Higher Learning had approved UMMC to become a burn center.

“The IHL board does not have the ability to name the burn center in Mississippi. The Health Department determines that,” responded Sen. John Polk, R-Hattiesburg.

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.

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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. The bill being debated Friday brings forward that code section for possible amendments. Polk wanted to change the language from UMMC “shall” establish the Mississippi Burn Center to “may” establish – in light of possible competition from Mississippi Baptist Medical Center.

According to the internal email, UMMC officials are uncertain of how long the of becoming a burn center will take. The goal, it says, is for UMMC to become a burn center admitting complex cases by January of 2025.

It also said the committee is aware most providers at UMMC do not have experience treating burn patients but there will be burn care education and training offered. Only about three additional employees will be hired at this time.

The former medical director at Merit Health Central's burn center, Dr. Derek Culnan, is currently treating burn patients at Baptist. Speaker of the House Philip Gunn authored a bill that would allocate $12 million to establish a burn center at Baptist in Jackson. That bill is still pending.

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Culnan, a fellowship-trained burn surgeon, is being 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.

Officials with Baptist declined to comment when asked about the lawsuit's impact on a potential burn center.

“It would be inappropriate for us to discuss an active lawsuit or any related plans. However, as always, we can confirm that we are committed to providing quality care for the of Mississippi,” a statement from Kimberly Alexander, public relations for Baptist Memorial Health Care, 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.

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

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Mississippi Today

Senate confirms Gov. Tate Reeves’ economic development chief despite report of toxic workplace, claims of harassment

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mississippitoday.org – Geoff Pender – 2024-04-24 18:21:13

The Mississippi Senate on Wednesday unanimously confirmed Bill Cork as Gov. Tate Reeves' pick for a permanent chief economic development officer, despite a background report provided to senators that he “created a toxic workplace” and had faced complaints sexual harassment and creating a hostile work environment.

In a hearing before his Senate confirmation, Cork said he did nothing wrong, has a winning economic development record, has overhauled MDA.

“… If that takes a little hostility to get that done, that's what's going to happen,” Cork said in the hearing on Tuesday.

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Cork is now the first permanent director of the state's economic development agency since 2021, when former agency director John Rounsaville resigned after sexual misconduct allegations.

Cork is credited with recently helping the state land record-setting large economic developments, including Amazon Web Services' commitment to spend $10 billion to construct two “hyperscale data centers” in County.

A background report provided to the Senate Finance Committee before members voted to confirm him said that Cork, who has worked at MDA since September of 2020, was investigated by the Mississippi Personnel Board in 2021. The investigation followed a claim against Cork of sexual harassment, age discrimination and creating a hostile work environment while he was serving as chief economic development officer at MDA.

The personnel board said it conducted the investigation at Gov. Reeves' request. It submitted a report to Reeves after the investigation that said Cork had been uncooperative with the investigation, and that while no legal violations were found, “Cork's management has created a toxic workplace.” Personnel recommended Cork receive a written reprimand and that he complete at least 12 hours of training on workforce harassment, which he completed.

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Cork was traveling Thursday, his office said, and could not be reached for comment. In a Senate Finance confirmation hearing on Wednesday, Cork addressed the report after Sen. Bradford Blackmon asked about it.

Cork said he helped lead “reorganizing and reforming” MDA, resulting in two-thirds of the project management and international teams leaving the agency, and “we had a small cadre of employees that didn't like what was happening.”

“At the end of the day, the state Personnel Board found I hadn't done anything illegal, but that I was a tough boss,” Cork said. “Some people find that level of tough and directedness to be a little hostile. None of it was directed at anyone, but when you're to put together a winning team, you just don't settle for second-place.

“… I don't apologize for anything I've done because I didn't do anything wrong,” Cork said. “I didn't cooperate with the investigation because I didn't do anything wrong, and that's exactly what that investigation found.”

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State Personnel Director Kelly Hardwick said: “Regretfully, (Cork) didn't cooperate with the investigation, which might have changed our determination. Because he didn't, we were left with only the testimony of the accusations.”

Hardwick declined to details of the allegations against Cork, and his office would not release its report to Mississippi , citing public records exemptions for personnel records.

Hardwick said Cork did successfully complete the state workplace harassment training and implemented some of the practices recommended in the training.

“He's been shown to be successful and there have been no other complaints on him since,” Hardwick said. “From our standpoint he successfully did what we recommended to the governor.”

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Both the Senate Finance Committee and full Senate voted unanimously for Cork's confirmation.

Senate Finance Chairman Josh Harkins noted the report said personnel board found no legal violations, and that Cork openly addressed the allegations in committee. He said he received recommendation letters for Cork from across the state and country and, “It's hard to argue with the product MDA has put out in the last few months.”

A spokesman for Reeves praised Cork, said the “old” personnel complaint is not credible and criticized .

“Bill Cork has gotten better results for the people of Mississippi than almost any other employee of state government in decades,” Reeves Deputy Chief of Staff Cory Custer said in a statement. “… (Cork) opted to make the results of the investigation known, addressed it in detail in his confirmation hearing yesterday, and was then unanimously confirmed. It would not be a surprise to see a biased article that hypes up discredited nonsense, but it would be a disservice to a great, hard-working man.”

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Cork has previously served as deputy director and chief economic development officer at MDA. He formerly led the Hancock County Port and Harbor Commission and before that was the of an industrial complex in New Boston, Texas. He is a Marine Corps veteran and received a master of Urban and Regional Planning from the University of Illinois at Urbana-Champaign.

Reeves on Aug. 13, 2021, announced Cork's predecessor, Rounsaville, would be “stepping down” at the end of that month as MDA director to spend more time with his family and less time traveling. Reeves thanked him for his service and wished him well.

But Mississippi Today reported that sexual misconduct allegations had led to Rounsaville's resignation, and that Reeves had in July received a personnel investigation report and recommendation Rounsaville be fired. After that report, Reeves said Rounsaville had been put on administrative and removed from day-to-day operations at MDA and that his resignation had been tendered Aug. 13 after an investigation into his conduct.

An allegedly intoxicated Rounsaville allegedly made sexual advances toward three subordinate female MDA employees at a bar in while attending a business conference.

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

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Mississippi Today

Her grandfather helped bring Medicaid to Mississippi 55 years ago. Today, she’s pushing for expansion.

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mississippitoday.org – Bobby Harrison – 2024-04-24 15:35:09

Supporters of Medicaid expansion would argue that it is wholly appropriate that Leah Hendrix has recently been a speaker in rallies at the Capitol in favor of providing coverage for primarily working poor .

No doubt, her activism brings symmetry.

Hendrix, a Jackson mother of four and the wife of a physician, is the granddaughter of Alton Cobb, the state's former longtime state officer who played a pivotal role in Mississippi opting into the original Medicaid program 55 years ago.

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In more recent times, her father, Tim Alford, a Kosciusko physician, was beating the drums in favor of Medicaid expansion longer than almost any other Mississippi health care provider.

“He said he was leaving that to me because no one had listened to him,” she joked in an interview with Mississippi this week after one of the Capitol rallies.

Medicaid expansion has become the major focus of a contentious 2024 legislative session, with hundreds of Mississippians, top state business leadershealth officials and even religious leaders publicly advocating at the Capitol for full Medicaid expansion that stands to significantly help the poorest, unhealthiest state in the nation.

For the first time, state lawmakers are earnestly debating expansion. Hendrix has been on the front lines of the fight to get it across the finish line.

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“It seems we have been talking about this for more than 13 years,” she said, referring to the fact that the Affordable Care Act was passed in 2010 with the provision allowing Medicaid expansion to those earning up to 138% of the federal poverty level or about $20,000 annually for an individual. “But it really has been going on much longer than that. When did Al work on that?”

READ MORETop Mississippi business leaders endorse full Medicaid expansion


The story of Alton Cobb and Mississippi's reluctant decision to opt into Medicaid in 1969 is one of an unlikely alliance and political courage by a governor who eschewed his political philosophy to do what he believed was right for the people of Mississippi.

That governor was John Bell Williams. And Cobb, an employee at the state Department of Health who was initially reluctant to take a key position on Williams' staff, helped the governor reach that decision.

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“I didn't vote for him,” Cobb told Mississippi Today in 2019, recalling when he was approached to work for Williams. “I think he probably knew that.”

But former U.S. Rep. David Bowen, who had joined Williams' staff, was a friend of Cobb and convinced him of the potential of Williams' health advisory board.

“I wanted to be part of that,” Cobb said.

READ MORE: Is history repeating itself on Medicaid expansion in Mississippi?

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The panel held hearings across the state, listening to health care providers and others. Cobb said Williams attended the meetings, though he seldom spoke. He primarily listened.

At the end of the process, Williams informed his staff he was calling a special session to take up the issue of opting into the Medicaid program. That special session lasted from July 22, 1969, until Oct. 10. In the midst of the long and extraordinary session, Hurricane Camille ravaged the Mississippi Gulf Coast.

But by the end, Mississippi opted into the Medicaid program as most other states had already done.

The Williams-backed move was a shock to many political observers. As a U.S. House member prior to being elected governor, Williams had voted against the legislation to create the Medicaid program and had campaigned for governor railing against the excesses of the federal .

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But in a joint session of the Legislature on the first day of the special session, he told members, “In fairness, I must point out that my philosophical reasons for resisting the program as a member of the United States is neither relevant nor applicable to the present issue before us. The program is a reality. It is available to our state and now devolves wholly into a question of whether you, in your wisdom, should determine our participation will be in the best interests of our state and people.”


Back in 1969, Williams' argument for opting into the original Medicaid program sounded much like the one made today for Medicaid expansion. He said the program would provide health care for a segment of the population that needed it, it would help the state's health care providers, and it would benefit the whole state by pumping more funds into the economy.

“Al used to love to tell about becoming John Bell Williams' chief ambassador for starting Medicaid in Mississippi,” Hendrix said. “… After having several meetings, a light came on for Williams.

“… Two opposites politically flew around the state (on the state plane) selling Medicaid,” Hendrix continued. “Al did not like to fly.”

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But she added it was “a good example of a politician who did a 180 because it just made economic sense.”

Hendrix said her grandfather, who died in 2021, wanted his support for Medicaid expansion to be included in his obituary.

Hendrix is hopeful that current Mississippi politicians will do as Williams did back in 1969 and set aside their previous political beliefs and do what is right for the people of Mississippi.

“Despite the stereotypes, Medicaid does so much good,” she said. “This is the insurance that helps children who have no other choice. Where are the Beatitudes when our neighbors need them? I will never understand why Mississippi politicians of late have decided we should not expand — turning down millions of federal dollars our state so desperately needs because of while we're all still paying into a system that's funding states that did expand.”

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Perhaps today's politicians need someone like Alton Cobb to help them reach that decision. Maybe that person is already part of the debate and is advocating for it at the Capitol every day — if only those Mississippi politicians would do like John Bell Williams did in 1969 and listen.

READ MORE: Medicaid expansion negotiators still far apart after first public meeting

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

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Mississippi Today

Jackson officials settle lawsuit over George Robinson’s death

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mississippitoday.org – Mina Corpuz – 2024-04-24 13:48:38

The of a man who died in 2019 days after an interaction with will nearly $18,000 in a wrongful lawsuit settlement. 

That $17,786.25 settlement, according to city council documents, “does not constitute an admission of liability” by the city of Jackson and the three former Jackson police officers who the family say pulled 62-year-old George Robinson from his car and beat him in the Washington Addition neighborhood. 

Robinson died days later on Jan. 15, 2019, and the medical examiners said his death was a homicide from three blunt head injuries. 

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One of the officers, former detective Anthony Fox, was convicted of culpable-negligence manslaughter in 2022, receiving a 20-year sentence with 15 years suspended. Charges against the other two officers, Desmond Barney and Lincoln Lampley, were dismissed in 2021. 

Fox's conviction stood for about two years, until January when the Mississippi Court of Appeals reversed the conviction and issued an acquittal. In a majority opinion, the judges agreed the evidence was insufficient for the verdict and that Robinson's medical history made it difficult to tell whether his injuries from Fox was the sole contributor to his death. 

The district attorney did not support challenging the conviction, while Lynn Fitch asked for it to be reversed. 

Fox left prison in February and went back to work for the Clinton Police Department, where he was employed up until his conviction after leaving the Jackson Police Department.
Bettersen Wade, Robinson's sister who was a plaintiff in the wrongful death lawsuit, is also the mother of 37-year-old Dexter Wade, the Jackson man who died last year and was buried in the Hinds County pauper's grave, despite identification and his family calling the coroner's office and Jackson police.

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

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