Reports - Mississippi Renewal

More documents

Recommendations

Info

130 |HEALTH AND HUMAN SERVICESMoreover, the demands on human serviceswill grow at unpredictable rates.How does Mississippi address thecurrent need, plan for future disasters,and lay the foundations for a premierhealth and human services system?Disaster PlanningThe Commission recommends thatfuture disaster planning be coordinatedbetween all health and human servicesproviders, state and federal agencies, includingfirst responders, using a unifiedcommunication system. The HHS DisasterRecovery Director, as suggestedbelow, should create a written planwhich would set out the responsibilitiesof the various providers and agenciesbefore, during and after a disaster. Theplan should include the following:■ A Health and Human ServicesDisaster Director. The director,who would serve in the Office of theGovernor, would facilitate the developmentand execution of the planand would be responsible for effectivecommunication between providersand governmental agencies immediatelybefore, during and after a disaster.The director would be responsiblefor coordination of evacuation decisionsaffecting health and human-serviceproviders and their patients; coordinationof patient transfers beforeand after disasters; facilitating communicationsbetween providers andgovernmental agencies; stockpiling,delivering and ensuring the securityof mission-critical supplies such asdiesel fuel, gasoline, food, water, drugs,and tetanus shots to providers; coordinatingvolunteers; ensuring the availabilityof backup morgues; planningfor on-site security to health care providerswhere medications, food, andwater are held for patients to preventBesides thecrucial servicesit provides, thehealth andhuman servicessector:■ represents 12 percentof the state’s economy■ employs more than110,000 people, 7.6percent of the state’swork force (2001)Source:Doeksen, Gerald A.The Business of Caring: the EconomicImpact of Mississippi’s Hospital’son the State’s Economy, 2004.disruptions to patient care; and servingas a clearinghouse for facility assessments.■ A Unified Communications System.This would connect all healthcare providers, state and local agencies,the law enforcement community andfirst responders.■ Uniform Protocols for PatientTransfers. The protocol would identifythe types of patients to be transferred,the locations for the transfers,and the assistance available to facilitatethe transfer. The protocol would assistproviders, including mental health facilities,in ensuring patients are transferredto a facility that can best meettheir needs and in returning those patientsto the originating facility at theappropriate time.■ Uniform Facility Assessments. Toavoid duplication of multiple federaland state post disaster assessments, regulationsshould be changed to mandatethat the HHS Disaster Director,working with the Department ofHealth, conduct one all-inclusive survey.The survey would be conductedas needed and be made available to allstate and federal agencies on a timelybasis.■ Coordination of Mental HealthNetwork. There should be a singlesource network that coordinates accessto mental health providers that iscurrent and permanently maintained.The Director should ensure the networkis maintained and includes informationfrom the private, public,state facilities and clinics, independentpractitioners, and volunteer organizationsthat provide mental health careservices. This coordination will haveresponsibility for rapid and efficientmobilization of providers in times ofdisaster, ensuring that patients have
THE GOVERNOR’S COMMISSION REPORT | 131access to appropriate levels of mentalhealth care at all times.■ Special Needs Shelters. When adisaster is imminent, special needsshelters for oxygen-dependent, dialysis,and non-hospitalized patients whorequire ongoing care should be identifiedin every county. A written planfor these shelters should specify locations,management, staffing, security,and eligibility. The plan also shouldspecifically address shelters for mentalhealth patients who are being treatedin outpatient programs.■ Plans for Assisting Health andHuman Services Workers. Thereshould be predetermined arrangementsto ensure that transportation,fuel, housing, and child care are availablefor those expected to performin unusual circumstances. Provisionsto expedite emergency credentialingprocedures for temporary healthworkers and licensed child care facilitiesshould also be in place and routinelyreviewed to ensure effectiveness.Funding may be available fromthe Social Services Block Grants forwhich Congress recently appropriated$550 million.The Commission recommends that acomprehensive and coordinated disasterplan, including all of the recommendationsset forth above, be adopted priorto June 1, 2006. Costs would includecompensation for the director and perhapsone support position and, duringa disaster, the staffing of an operationscenter. The cost of the positions shouldbe minimal when compared to the efficiencygained in patient safety and theorganized delivery of services.Technology DevelopmentIn 2003,hospitals inMississippi:■ spent $10.3 billionthrough the stateeconomy■ maintained a $2.4 billionpayroll■ spent $665 million oncapital improvements■ created almost 120,000new jobs because ofoperational expansionconstructionSource:Doeksen, Gerald A.The Business of Caring: the EconomicImpact of Mississippi’s Hospital’son the State’s Economy, 2004.To take full advantage of advances inhealth systems technology, the Commissionrecommends establishing:■ A Geographical InformationSystem (GIS). GIS uses computersoftware to plot data points on ahigh-tech map with speed and accuracy.By viewing information aslayers, the GIS allows for the solvingof real world problems such as managinggovernmental services, and,in the case of health care and humanservices, tracking special needspatients, shelters and emergency resources.2 Home health, hospice, durablemedical equipment companies,and personal care facilities should beallowed to submit demographic andhealth data for patients to allow forinterface with GIS. By January 1,2008, the state should implement aGIS that improves services offered bythe Department of Human Services,Department of Health, and others.The GIS efforts in the state are coordinatedby the Remote Sensing/GISCoordinating Council, which wasestablished in 2003 by House Bill861. 3 To ensure technology is effectivelyutilized, the legislature shouldamend the statute to include on theCouncil the State Health Officer andthe Director of the Department ofHuman Services.■ A Regional Health InformationOrganization. As the infrastructureof the medical community is rebuilt,an opportunity exists to extendhealth information technology suchas Electronic Health Records (EHRs)to all providers. The EHRs should belinked to a Regional Health InformationOrganization (RHIO), whichin turn connects fragmented units ofinformation stored in hospitals, physicians’offices, labs and clinics. Thisinformation then can be captured ina unified, longitudinal patient record.
Page 3 and 4:
Governor’s Commissionon Recovery,
Page 5 and 6:
THE GOVERNOR’S COMMISSION REPORT
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19:
INFRASTRUCTUREThe four subcommittee
Page 22 and 23:
12 | LAND USE■ City land use plan
Page 24 and 25:
14 | LAND USEgional level, coastal
Page 26 and 27:
16 | LAND USElored for South Missis
Page 28 and 29:
18 | LAND USEThe qualityof life and
Page 30 and 31:
20 | LAND USEand building requireme
Page 32 and 33:
22 | LAND USEThroughout the Renewal
Page 34 and 35:
24 | LAND USEapproval process for c
Page 36 and 37:
26 | INTERMODAL TRANSPORTATIONINTER
Page 38 and 39:
28 | INTERMODAL TRANSPORTATIONson C
Page 40 and 41:
30 | INTERMODAL TRANSPORTATIONOn pu
Page 42 and 43:
32 | INTERMODAL TRANSPORTATIONOn th
Page 44 and 45:
34 | INTERMODAL TRANSPORTATIONOn th
Page 46 and 47:
36 | PUBLIC SERVICESPUBLICSERVICESK
Page 48 and 49:
38 | PUBLIC SERVICEStic tank use; a
Page 50 and 51:
40 | PUBLIC SERVICESsources. The go
Page 52 and 53:
42 | PUBLIC SERVICESBefore Katrinan
Page 54 and 55:
44 | PUBLIC SERVICEScoverage capabi
Page 56 and 57:
46 | PUBLIC SERVICESThe methods by
Page 58 and 59:
48 | AFFORDABLE HOUSINGAFORDABLEHOU
Page 60 and 61:
50 | AFFORDABLE HOUSINGTable 1, bel
Page 62 and 63:
52 | AFFORDABLE HOUSINGlived below
Page 64 and 65:
54 | AFFORDABLE HOUSINGthat about 6
Page 66 and 67:
56 | AFFORDABLE HOUSINGbe helpful.
Page 68 and 69:
58 | AFFORDABLE HOUSING[I]t would a
Page 70 and 71:
60 | AFFORDABLE HOUSINGcities or co
Page 72 and 73:
62 | AFFORDABLE HOUSINGand heavy tr
Page 74 and 75:
64 | AFFORDABLE HOUSINGInvestment A
Page 76 and 77:
66 | AFFORDABLE HOUSINGmendations i
Page 78 and 79:
68 | AFFORDABLE HOUSINGadvice on th
Page 80 and 81:
70 | AFFORDABLE HOUSINGAs insurance
Page 82 and 83:
72 | AFFORDABLE HOUSINGRecommendati
Page 85 and 86:
Page 87 and 88:
ECONOMICDEVELOPMENTIn this section
Page 89 and 90: THE GOVERNOR’S COMMISSION REPORT
Page 131 and 132: HUMANSERVICESThe reports that follo
Page 139: THE GOVERNOR’S COMMISSION REPORT
Page 151 and 152: SPECIALREPORTSWhere do we go from h
show all

Reports - Mississippi Renewal

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?