Mississippi
At least three Mississippi hospitals aim to end inpatient services, convert to rural emergency status
As the state’s health care crisis persists, four more Mississippi hospitals have applied to become rural emergency hospitals, a federal designation meant to increase their financial viability.
The “rural emergency hospital” designation – a move State Health Officer Dr. Daniel Edney likened to a hospital closure – was rolled out at the beginning of this year. To qualify, hospitals have to end inpatient services and transfer emergency room patients to larger hospitals within 24 hours. In exchange, they get monthly stipends from the federal government and higher insurance reimbursement rates.
If approved, the hospitals – Quitman Community Hospital in Marks, Panola Medical Center in Batesville, Jefferson County Hospital in Fayette and Magee General Hospital – would be some of the first rural emergency hospitals in the country. Just a handful have been approved so far, including Alliance Healthcare System in Holly Springs, according to a database last updated on Aug. 15.
For rural hospitals with an already-small daily census, it can be a lifeline — instead of losing money on what few patients they have, the adjusted reimbursements help them break even or even profit.
However, for the communities with only one hospital, it means the end of inpatient health care and a hospital with little more than an emergency room.
In an interview with Mississippi Today in February, Edney said converting to a rural emergency hospital was basically a closure.
“It’s mainly critical access hospitals that are shifting, and when that happens, you’ve lost the hospital,” he said. “It’s a critical access hospital without the hospital.”
Critical access hospitals — another designation designed to improve hospital finances — are reimbursed by Medicare at a 101% rate, theoretically allowing a 1% profit. However, they must have 25 or fewer inpatient beds, be located 35 miles from another hospital, operate emergency services and transfer or discharge their patients within 96 hours.
In Mississippi, where nearly a half of rural hospitals are at risk of closure, others think the conversion is worth keeping the hospital functionally open.
Quentin Whitwell, an attorney from Oxford, is one of those. He was behind the effort in Holly Springs as co-owner of the hospital, as well as in Georgia where two of the country’s first rural emergency hospitals were approved. He’s also spearheading the change at three of the four hospitals that have applied in recent weeks: Quitman Community Hospital, Panola Medical Center and Jefferson County Hospital.
Whitwell co-owns the Quitman and Panola hospitals and is working as a consultant for Jefferson County Hospital, he said.
The fourth hospital pursuing the designation is Magee General Hospital, led by CEO Gregg Gibbes.
The Centers for Medicare and Medicaid Services, the federal agency primarily responsible for approving these conversions along with the state Health Department, would not comment on pending applications.
While some see the new designation as a last resort for struggling hospitals at the brink of closure, Whitwell views it as a way to streamline services and create a financially successful hospital that serves the specific needs of the community.
“It’s a game changer for a lot of hospitals,” he said. “What we’re trying to do is create a model that makes these hospitals vibrant again.”
Gibbes stressed that hospital leadership at Magee are pursuing the designation as an option – a decision has not yet been made.
“The plan is to exhaust all efforts to make sure that the organization and ultimately health care is delivered in Magee and the surrounding areas,” he said. “Applying for the rural emergency hospital status is so that we can have an option, should we get approved.”
The hospital, which was in bankruptcy when Gibbes took over in 2019, survived the pandemic — but just barely, with the help of COVID-19 relief funds. He said the hospital is essentially breaking even, and hospital leadership wants to make sure, now that those one-time funds that kept them afloat have dried up, that the hospital remains viable for years to come.
The hospital, licensed for 44 beds, has an average daily census of 13 people, Gibbes said. He said that’s why it makes sense to explore the rural emergency hospital designation.
“This is just under consideration,” he said.
Whitwell, who acknowledged he’s become somewhat of the “REH guy” across the country — he recently spoke at a CMS event about the benefits of the designation — is exploring turning more of his hospitals into rural emergency hospitals for a different reason.
“I believe in this model, and I want to help, but I also think that a lot of people are going to miss the mark on it,” he said. “And I want to be the guy that CMS holds up … and says, ‘This is how you do it.’”
In Panola, for example, the hospital is losing money on its psychiatric unit, and he sees the new designation as a way to focus its resources on what the hospital already does well: outpatient services.
“I believe that Panola is going to be probably the most robust REH in the country,” he said. “But we’re definitely losing money right now in psychiatric inpatient services.”
Panola Medical Center, aside from a long-term care facility, is the only hospital in Batesville, a town in north Mississippi with a population of around 7,000, according to the most recent census data.
Over the years, the hospital has shut down different portions of its psych unit – the geriatric psych section is the only part left. If they qualify as an REH, those remaining beds will have to be closed. But hospital leaders stressed that’s a last resort and would only be considered when their application is finalized.
In recent months, St. Dominic closed its behavioral health services unit, which provides inpatient mental health and geriatric psychiatric treatment and was one of the only single point-of-entry hospitals for Hinds Behavioral Health Services for people with mental health issues in the metro area. The following weeks saw consistently full beds at Jackson-area psychiatric units.
While Whitwell recognizes closing those beds will be a loss to the community, he said that it might be the only way to turn the hospital’s finances around.
In the meantime, he’s been pitching legislators on changing certificate of need laws to create a hospital within a hospital in order to keep those beds open.
The Quitman hospital got its letter of approval from CMS on Aug. 31. Once the state Health Department finalizes paperwork on its end, Whitwell said the hospital will begin operating as an REH, retroactively effective Aug. 1.
Aside from a 5-year period in which it was closed, Quitman Community Hospital has been a critical access hospital since January 2004, Whitwell said.
He said Jefferson County Hospital leadership anticipates final approval in the near future and expects to receive its first federal check by October at the latest.
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Mississippi
Why Mississippi State football loss to Arizona State revealed a strong Jeff Lebby culture
It was 11:10 p.m. Saturday in Starkville when Arizona State quarterback Sam Leavitt barreled into the end zone for his second touchdown of the game.
At that point, it would’ve been fair for Mississippi State football fans to call it a night. The Bulldogs (1-1) trailed 27-3 at ASU in the final minute of the second quarter. They were dominated in just about every statistical category. New coach Jeff Lebby looked like he was headed toward his first loss, and an embarrassing one.
And even if you gave the second half a chance, eyes just a crack open, that wasn’t encouraging either. Arizona State (2-0) took the opening drive of the third quarter for a field goal while eating 8 minutes, 27 seconds of game time. That just about decided the game before Mississippi State touched the ball in the second half.
Wrong.
Instead, MSU scored touchdowns on three of its next four drives and cut the score to 30-23 with 5:27 to play. The defense, which was torched for 346 rushing yards, needed one more stop to let the offense try to tie it. It would’ve been the largest comeback in program history.
Mississippi State’s path to a bowl game seems murkier than it was a week ago. But in the long-term, there’s still encouragement after the 30-23 loss.
“Our guys battled in an incredible way in the second half, and we’re going to hold on to that,” Lebby said in his postgame radio interview. “We’re going to find ways to get back in the building, get back to work and be able to walk into Davis Wade (Stadium) with a ton of confidence and ready to go win a football game.”
The encouragement from Mississippi State’s comeback effort
Lebby said after beating Eastern Kentucky 56-7 in Week 1 that there is an abundance of teachable moments in wins, just like losses.
There is plenty to point to after losing to Arizona State.
Mississippi State came out incredibly flat. The Sun Devils scored on their first five possessions. The MSU offense had one field goal, two punts, a fumble returned for a touchdown and a turnover-on-downs in the first half. MSU had -13 rushing yards in the first half.
There were concerns entering the game about the travel distance, late kickoff and high temperature. But let’s be real, Mississippi State was playing so poorly at the start that it was hard to judge if those were factors.
“I got to do a better job getting these guys ready to go play out of the gate,” Lebby said. “I thought our energy, our effort and our emotion was really good, but then we did not play clean there in the first quarter, so that part was frustrating.”
The Bulldogs outscored the Sun Devils 20-0 in the final quarter and a half. It was a surprise. Arizona State was rolling. Mississippi State was not.
MORE: Introducing Sam Sklar, the Clarion Ledger’s new Mississippi State beat reporter
For Lebby, a first-time head coach at any level, let it be a learning moment for him. It was his first time getting pinned in a corner. The Bulldogs adjusted correctly in the second half like good coaches do.
The rushing offense and defense both need to improve. Badly. Quarterback Blake Shapen has been impressive in his first two Mississippi State games and the wide receiver room is deep and talented as ever, but they can’t be the only answer.
That’s just for this season.
Mississippi State has its first tally in the loss column. But it isn’t a strike against Lebby leading the future of the program.
Sam Sklar is the Mississippi State beat reporter for the Clarion Ledger. Email him at ssklar@gannett.com and follow him on X @sklarsam_.
Sam Leavitt leads ASU to convincing victory in 1st career start
Leavitt and the Sun Devils cruised past visiting Wyoming 48-7 on Saturday night at Mountain America Stadium.
The Arizona State football team elevated its play on the field in its 48-7 win over Wyoming in Week 1.
It is elevating its uniform game for Week 2 against Mississippi State.
ASU football is wearing a gold alternate jersey against the Bulldogs at Mountain America Stadium in Tempe on Saturday night.
The jersey includes maroon “Arizona State” lettering and maroon numbering, along with a noticeable Big 12 logo.
The Sun Devil football team unveiled the uniform last month, with Athletic Director Graham Rossini posting that “you’ll see this on the field early this season.”
On Thursday, ASU football announced that it would be wearing the uniform against Mississippi State with a video that said “Modern shine, with a classic design.”
On Friday, it posted another look at the uniform.
More: Arizona State vs Mississippi State live score updates, analysis for college football game
ASU vs Mississippi State schedule, TV: How to watch college football game
Promising look: Arizona State football’s 2024 win prediction doubles after Week 1 victory over Wyoming
Social media reacted favorably overall to ASU football’s uniform vs Mississippi State:
Do you like the look for ASU football?
ASU vs. Mississippi State picks: Who wins Week 2 college football game?
Looking promising: Arizona State football makes huge leap in college football ranking, Big 12 power rankings
Reach Jeremy Cluff at jeremy.cluff@arizonarepublic.com. Follow him on X, formerly Twitter @Jeremy_Cluff.
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WARREN COUNTY, Miss. (WJTV) – There are questions about a bus company’s track record after a fatal bus crash in Mississippi on Saturday, August 31.
Seven people died when a passenger bus traveling on Interstate 20 left the roadway and overturned. The Mississippi Highway Patrol (MHP) said that 41 passengers and two drivers were enroute to Dallas from Atlanta.
Autobuses Regiomontanos owned the bus in the crash. The company, which is registered with the U.S. Department of Transportation (DOT), has had a troubled record in recent memory. It consists of lawsuits, driver fitness violations and even another fatal crash in 2023.
According to the DOT, the company, based in Laredo, Texas, operates 17 vehicles and employs 39 drivers. The company currently has a ‘conditional‘ safety rating. It is given to companies with ‘inadequate‘ safety controls. Still, companies with this rating may continue to operate.
Its most recent compliance review occurred in July 2023. Using data available from the DOT’s Safety Management System, it has had 155 inspections. Of those inspections, 58 had violations. Nearly all were vehicle maintenance violations.
Three infractions between October and December of 2023 involved issues with vehicle tires. Other infractions included 16 brake or air brake violations and citations for having two buses with no or defective emergency exits.
Seven victims killed in Mississippi bus crash identified
Other inspection violations related to the bus company’s drivers. All violations occurred this year. They include the following:
-
(1) Operating a commercial vehicle without corrective lenses or hearing aids as indicated on the driver’s medical certificate (2) Operating a commercial motor vehicle (CMV) while not possessing a valid commercial driver’s license (CDL).
-
05/13/2024
-
05/14/2024
-
05/14/2024
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05/28/2024
-
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Operate a CMV while not in possession of a CDL on person.
DOT data indicates that company buses have been in four separate accidents over the last two years. A November 2022 crash required a bus to be towed away and another in April 2023 resulted in someone dying. Below is the record.
|
Date |
Location |
Deaths |
Injuries |
|
10/16/2023 |
Louisiana |
0 |
1 |
|
4/15/2023 |
Texas |
1 |
2 |
|
11/23/2022 |
Tennessee |
0 |
0 |
|
9/24/2022 |
Arkansas |
0 |
1 |
The NTSB is investigating the crash in conjunction with MHP. NTSB officials said they will look at the carrier’s safety record and protections for bus occupants.
Community comes together to help Mississippi bus crash victims
Autobuses Regiomontanos violated several provisions of the Americans with Disabilities Act (ADA). According to the U.S. Department of Justice (DOJ), it failed to have an ADA training program in place for its employees and contractors, failed to file required ADA compliance reports and failed to ensure that all lifts on its buses were properly maintained.
In 2015, the company entered into a settlement agreement with the U.S. Attorney’s Office for the Southern District of Texas.
The company was also named as a defendant in a $708 million lawsuit filed by New York City City in January. The city accused Autobuses Regiomontanos and other charter bus and transportation companies of taking migrants to the Big Apple on behalf of the State of Texas.
The DOT advises travelers to do the following before they book their next bus trip.
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Search for bus companies
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Verify that a company is authorized to operate
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Review the company’s safety records
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Make sure the company is licensed and insured
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If appropriate, report a company
DOT agencies advise consumers that unless a motor carrier has received an unsatisfactory rating or has been ordered to discontinue its operations, it is authorized to operate on the nation’s roadways. Additionally, readers should not conclude that a carrier is safe or unsafe by only using data from DOT agencies. For more information, click here.
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