reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 01 - Introduction › Section 15-8-90-01-104 - Health Personnel › Section 15-8-90-01-104.02 - Dentists

Current through June 25, 2024
The Mississippi State Board of Dental Examiners reported
						1,620 licensed (1,450 "active" and 170 "inactive") dentists in the state as of
						April 2021, 74 new dentists licensed during calendar year 2020. Based on
						Mississippi's 2025 projected population of 3,095,026 the state has one active
						dentist for every 2,135 persons.
According to the Health Resources and Services
						Administration's Division of Policy and Shortage Designation (HRSA/DPSD),
						Mississippi currently has a total of 146 dental health professional shortage
						area (HPSA) designations. Seventy-nine of the designations are single county
						designations.
Mississippi's two major population centers contain the
						most active dentists. The Jackson area had a total of 409 active dentists in
						the fall of 2021, with 158 in Hinds County, 121 in Rankin County, and 130 in
						Madison County. The Gulf Coast region had the second largest count at 198, with
						119 in Harrison County, 66 in Jackson County, and 13 in Hancock County.
						Combined, these two metropolitan areas contained forty-two percent of the
						state's total supply of active dentists.
On the opposite end of the spectrum, six counties -
						Greene, Kemper, Noxubee, Quitman, Tishomingo, and Tunica - had only one active
						dentist each and six counties - Claiborne, Franklin, Humphreys, Issaquena,
						Jefferson, and Sharkey - had no active dentist. Map 1-3 depicts the number of
						dentists per county and indicates the number of in-state, active, licensed
						dentists who have mailing addresses in the state.
Click
						Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 01 - Introduction › Section 15-8-90-01-104 - Health Personnel › Section 15-8-90-01-104.03 - Nurses

Current through June 25, 2024
Registered Nurses
The Mississippi Board of Nursing reported 52,106
						registered nurses (RNs) licensed in FY 2020 with 42,088 who worked full or
						part-time in nursing careers. That included 21,606 in hospitals; 3,781 in
						community, public, or home health; 2,654 in physicians' offices; 2,326 in
						nursing homes; and 27,739 in other nursing careers. Registered Nurses by degree
						in FY 2020 included, 3,945 diploma, 20,164 associates, 3,996 baccalaureate
						non-nursing, 14,612 baccalaureate nursing, 8,313 masters nursing, and 1,076
						doctorate degrees.
Advanced Practice Registered Nurses
Advanced practice registered nurse (APRN) includes any
						person licensed to practice nursing in Mississippi and certified by the Board
						of Nursing to practice in an expanded role as an advanced practice registered
						nurse including nurse midwives and certified registered nurse anesthetists. For
						FY 2020 there were 6,425 RNs certified as APRNs, with 5,444 family nurse
						practitioners; 948 certified registered nurse anesthetists; and 33 certified
						nurse midwives. The APRN'S practiced in such specialties as adult and family
						mental health, gerontology, midwifery, neonatal, pediatric, women's health
						care, family planning, and anesthesia care.
Licensed Practical Nurses
The Board of Nursing reported 12,909 licensed practical
						nurses (LPNs) licensed in FY 2020 with 10,537 who worked full or part-time in
						nursing careers. That included 3,652 in nursing homes; 1,049 in hospitals;
						1,743 in community, public, or home health; and 5,196 in other nursing careers.
						There were 5,478 LPNs certified for an expanded role in FY2020, including
						intravenous therapy, 184 in hemodialysis, and 154 in both expanded
						roles.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 01 - Introduction › Section 15-8-90-01-104 - Health Personnel › Section 15-8-90-01-104.04 - Physical Therapy Practitioners

Current through June 25, 2024
Physical therapy (PT) practitioners provide preventive,
						diagnostic, and rehabilitative services to restore function or prevent
						disability from disease, trauma, injury, loss of a limb, or lack of use of a
						body part to individuals of all ages.
The Mississippi State Board of Physical Therapy reported
						2,192 licensed physical therapists in Mississippi as of March 16, 2021 with
						1,867 residing in the state and 1,826 practicing in the state. Six percent of
						Mississippi resident physical therapist practitioners live in Hinds County,
						4.74 percent in Harrison County, 2.28, percent in Madison County, and 4.74
						percent in Lee County for a total of 17.79 percent in 4 counties. The Board
						also reported 1,480 licensed physical therapist assistants, with 1,325 residing
						in the state and 1,247 practicing in the state.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 01 - Introduction › Section 15-8-90-01-104 - Health Personnel › Section 15-8-90-01-104.05 - Occupational Therapist

Current through June 25, 2024
Occupational therapy (OT) is a health and rehabilitation
						profession that serves people of all ages who are physically, psychologically,
						or developmentally disabled. Their functions range from diagnosis to treatment,
						including the design and construction of various special and self-help devices.
						OTs direct their patients in activities designed to help them learn skills
						necessary to perform daily tasks, diminish or correct pathology, and promote
						and maintain health.
MSDH reported 1,218 licensed occupational therapists and
						670 licensed occupational therapy assistants on its Mississippi roster as of
						November 9, 2020, with 1,085 of OTs and 611 of OTAs residing in the
						state.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 01 - Introduction › Section 15-8-90-01-104 - Health Personnel › Section 15-8-90-01-104.06 - Emergency Medical Personnel

Current through June 25, 2024
The training of emergency medical personnel includes
						ambulance operators and emergency medical technicians (EMTs) of both advanced
						and basic levels. Mississippi requires all ambulance drivers to have EMS driver
						certification (EMS-D). To qualify, an individual must complete an approved
						driver training program that involves driving tasks, vehicle dynamics, vehicle
						preventative maintenance, driver perception, night driving, and information on
						different driving maneuvers. This training offers both academic and clinical
						(practical hands on) experiences for the prospective ambulance driver. In FY
						2020, Mississippi issued 1,166 EMS driver certifications or
						recertification.
Additionally, all emergency medical technicians - both
						advanced level and basic level - must complete a National Highway Safety and
						Traffic Administration training program for the respective level. This training
						provides extensive academic and clinical hours for the prospective students.
						Upon completion, students must pass the National Registry for Emergency Medical
						Technicians test and receive their national certification before applying for
						the Mississippi certification. For FY 2020, the MSDH Bureau of Emergency
						Medical Services reported issuing a total of 4,334 EMT certifications or
						recertifications 1,265 for Paramedics, Advanced Emergency Medical Technicians
						Critical Care Paramedics.
The Legislature authorized the MSDH Bureau of Emergency
						Medical Services (BEMS) to certify Mississippi's medical first responders
						beginning July 1, 2004. In fiscal year 2020, BEMS certified 9 medical first
						responders.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-200 - Options for Long-Term Care

Current through June 25, 2024
Community Based long-term care programs can potentially
					 delay or prevent institutionalization. These programs, although not reviewable
					 under Certificate of Need, drastically affect the demand for skilled nursing
					 beds.
Community based programs play a vital role in helping the
					 elderly maintain some degree of independence. Examples of community-based
					 elder-care include adult day care, senior centers, transportation, meals on
					 wheels or meals at community locations, and home health services. More
					 information concerning such services can be obtained by contacting the
					 Mississippi Department of Human Services, Division of Aging and Adult
					 Services.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-202 - Nursing Facilities

Current through June 25, 2024
As of FY 2020, Mississippi has 210 licensed skill nursing
					 facilities with a total of 18,068 licensed beds. Map 2-1 shows the general
					 Long-Term Care Planning Districts and Table 2-2 presents the projected nursing
					 home bed need for 2020 by Planning District. Both the map and table appear in
					 the criteria and standards section of this chapter. For 2025 projections, see
					 Table 2-2A in the Appendix.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-203 - Long-Term Care Beds for Individuals with Intellectual Disabilities and Developmental Disabilities

Current through June 25, 2024
Mississippi has 1,991 licensed beds classified as
					 Intermediate Care Facility for the Intellectually Disabled (ICF/ID). The
					 Department of Mental Health (DMH) operates five (5) comprehensive regional
					 programs that contain 1,334 active licensed and staffed beds. In addition to
					 intellectual and developmental disabilities, the residents of the DMH regional
					 centers also have severe physical disabilities that result in residents
					 requiring care at the nursing home level. Regular nursing facilities are not
					 equipped to serve these individuals. Map 2-2 shows the ID/DD Long-Term Care
					 Planning Districts and Table 2-3 presents the ID/DD nursing home bed need by
					 Planning District. Both the map and table appear in the criteria and standards
					 section of this chapter.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-204 - Certificate of Need Criteria and Standards for Nursing Home Beds › Section 15-8-90-02-204.02 - Certificate of Need Criteria and Standards for Nursing Home Care Beds

Current through June 25, 2024
If the legislative moratorium were removed or partially
						lifted, MSDH would review applications for the offering of nursing home care
						under the statutory requirements of Sections
						41-7-173(h)
						subparagraphs (iv) and (vi), 41-7-191, and 41-7-193, Mississippi Code of 1972,
						as amended. MSDH will also review applications for Certificate of Need
						according to the applicable policy statements contained in this
Plan
; the general criteria listed in the
Mississippi
						Certificate of Need Review Manual
; all adopted rules, procedures, and
						plans of MSDH; and the specific criteria and standards listed below.
Certificate of Need review is required for the offering
						of nursing home care services, as defined, if the capital expenditure exceeds
						$5,000,000; if the licensed bed capacity is increased through the conversion or
						addition of beds; or if nursing home care services have not been provided on a
						regular basis by the proposed provider of such services within the period of
						twelve (12) months prior to the time such services would be offered.
						Certificate of Need review is required for the construction, development, or
						otherwise establishment of new nursing home care beds regardless of capital
						expenditure.
Need Criterion 1: Nursing Home Care Bed
						Need
The applicant shall document a need for nursing home care
						beds using the need methodology as presented herein. The Long-Term Care
						Planning District wherein the proposed facility will be located must show a
						need using the following ratio:
0.5 beds per 1,000 population aged 64 and under
10 beds per 1,000 population aged 65- 74
36 beds per 1,000 population aged 75-84
135 beds per 1,000 population aged 85 and older
Need Criterion 2: Number of Beds to be Constructed,
						Converted, and/or Licensed
The applicant shall document the number of beds that will
						be constructed, converted, and/or licensed to provide nursing home care
						services.
Need Criterion 3: Consideration of Statistical
						Need
MSDH should consider the area of statistical need as one
						criterion when awarding Certificates of Need in the case of competing
						applications.
Need Criterion 4: Alzheimer's/Dementia Care
						Unit
Any applicant applying for nursing home beds who proposes
						to establish an Alzheimer's/Dementia Care Unit shall affirm that the applicant
						shall fully comply with all licensure regulations of MSDH for said
						Alzheimer's/Dementia Care Unit.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-204 - Certificate of Need Criteria and Standards for Nursing Home Beds › Section 15-8-90-02-204.03 - Certificate of Need Criteria and Standards for the Relocation/Transfer of Nursing Home Care Beds

Current through June 25, 2024
Need Criterion 1: Relocation/Transfer of Nursing
						Home Care Beds
An applicant proposing to relocate/transfer a portion or
						all of an existing facility's nursing home care beds to another location shall
						document the relocation/transfer is within the current facility's LTCPD.
Need Criterion 2: Number of Beds to be
						Relocated/Transferred
The applicant shall document the number of beds to be
						relocated/transferred to provide nursing home care services.
Need Criterion 3: Alzheimer's/Dementia Care
						Unit
Any applicant applying for the relocation/transfer of
						nursing home beds in an Alzheimer's/Dementia Care Unit shall affirm that the
						applicant shall fully comply with all licensure regulations of MSDH for said
						Alzheimer's/Dementia Care Unit.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-205 - Policy Statement Regarding Certificate of Need Applications for a Pediatric Skilled Nursing Facility

Current through June 25, 2024
1. The 1993
				  Mississippi Legislature authorized MSDH to issue a Certificate of Need for the
				  construction of a pediatric skilled nursing facility not to exceed sixty (60)
				  new beds.
2. A pediatric skilled
				  nursing facility is defined as an institution or a distinct part of an
				  institution that is primarily engaged in providing inpatients skilled nursing
				  care and related services for persons under twenty-one (21) years of age who
				  require medical, nursing care, or rehabilitation services.
3. MSDH will review applications for the
				  construction of pediatric skilled nursing facility beds using the general CON
				  review criteria and standards contained in the
Mississippi Certificate
				  of Need Review Manual
, criteria and standards for nursing homes and
				  ID/DD facilities contained in the
State Health Plan
, and all
				  adopted rules, procedures, and plans of MSDH.
4. Effective April 12, 2002, no health care
				  facility shall be authorized to add any beds or convert any beds to another
				  category of beds without a Certificate of Need under the authority of Miss.
				  Code Ann. Section
				  41-7-191(l)(c).
5. Effective March 4, 2003, if a health care
				  facility has voluntarily delicensed some of its existing bed complement, it may
				  later relicense some or all of its delicensed beds without the necessity of
				  having to acquire a CON. The facility must submit a letter requesting that the
				  beds be placed in abeyance. MSDH shall maintain a record of the delicensing
				  health care facility and its voluntarily delicensed beds and continue counting
				  those beds as part of the state's total bed count for health care planning
				  purposes.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 02 - Long Term Care › Section 15-8-90-02-206 - Certificate of Need Criteria and Standards for Nursing Home Care Services for Intellectually Disabled and other Developmentally Disabled Individuals › Section 15-8-90-02-206.1 - Policy Statement Regarding Certificate of Need Applications for the Offering of Nursing Home Care Services for Intellectually Disabled and Other Developmentally Disabled Individuals

Current through June 25, 2024
1.
Legislation
a. The
					 1990 Mississippi Legislature imposed a permanent moratorium which prohibits the
					 MSDH from granting approval for or issuing a CON to any person proposing the
					 new construction, addition to, or expansion of an intermediate care facility
					 for the intellectually disabled (ICF/ID).
b. Effective July 1, 1990, any health care
					 facility defined as a psychiatric hospital, skilled nursing facility,
					 intermediate care facility, intermediate care facility for the intellectually
					 disabled, or psychiatric residential treatment facility which is owned by the
					 State of Mississippi and under the direction and control of the Mississippi
					 Department of Mental Health is exempted from the requirement of the issuance of
					 a CON under Section
					 41-7-171 et seq., for projects
					 which involve new construction, renovation, expansion, addition of new beds, or
					 conversion of beds from one category to another in any such defined health care
					 facility.
c. Effective April 12,
					 2002, no health care facility shall be authorized to add any beds or convert
					 any beds to another category of beds without a CON.
d. Effective March 4, 2003, if a health care
					 facility has voluntarily delicensed some of its existing bed complement, it may
					 later relicense some or all of its delicensed beds without the necessity of
					 having to acquire a CON. The facility must submit a letter requesting that the
					 beds be placed in abeyance. MSDH shall maintain a record of the delicensing
					 health care facility and its voluntarily delicensed beds and continue counting
					 those beds as part of the state's total bed count for health care planning
					 purposes.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-300 - Mississippi Department of Mental Health

Current through June 25, 2024
State law designates DMH as the agency to coordinate and
					 administer the delivery of public mental health services, alcohol/drug abuse
					 services, and services for persons with intellectual/developmental disabilities
					 throughout the state, as well as community-based day programs for individuals
					 with Alzheimer's disease and other dementia. Responsibilities of DMH include:
(a) state-level planning and expansion
				  of all types of mental health, intellectual/developmental disabilities and
				  substance abuse services,
(b)
				  standard-setting and support for community mental health and
				  intellectual/developmental disabilities and alcohol/drug abuse programs,
(c) state liaison with mental
				  health training and educational institutions,
(d) operation of the state's psychiatric
				  facilities, and
(e) operation of the
				  state's facilities for individuals with intellectual/developmental
				  disabilities.
Regional community mental health centers provide a major
					 component of the state's mental health services. Fourteen (14) centers
					 currently operate in the state's mental health service areas, and most centers
					 have satellite offices in other counties. Each center must meet federal and
					 state program and performance standards. The major objectives of the regional
					 community mental health centers include:
(a) providing accessible services to all
				  citizens with mental and emotional problems;
(b) reducing the number of initial admissions
				  to state hospitals; and
(c)
				  preventing re-admissions through supportive aftercare services. These centers
				  are a vital element in the plan to provide an integrated system of mental
				  health services to all residents of Mississippi.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-301 - Mental Health Needs in Mississippi › Section 15-8-90-03-301.01 - Mental Health Needs of Children/Adolescents

Current through June 25, 2024
Precise data concerning the size of the country's
						population of children and adolescents with emotional or mental disorders
						remain difficult to obtain. The National Institute of Mental Health estimates
						the prevalence of any mental disorder nationally among adolescents, aged
						thirteen (13) to eighteen (18), is 49.5 percent with an estimated 22.2 percent
						having a severe impairment. The methodology adjusts for socio-economic
						differences across states. In Fiscal Year 2018, the fourteen (14) CMHCs served
						34,795 children and adolescents with serious emotional disturbance. (Note:
						Totals might include some duplication across community mental health centers
						and other nonprofit programs).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-301 - Mental Health Needs in Mississippi › Section 15-8-90-03-301.02 - National Survey on Drug Use and Health for Mississippi

Current through June 25, 2024
According to the Substance Abuse and Mental Health
						Administration's (SAMHSA) 2020
Behavioral Health Barometer
for
						Mississippi (most available data), during 2017-2019, the annual average
						prevalence of past-year illicit drug use disorder among people aged twelve (12)
						years or older was 2.4% (or 58,000), similar to both the regional average
						(2.7%) and the national average (2.9%). Also, during 2017 - 2019, among people
						aged twelve (12) or older, the annual average prevalence of past-year marijuana
						use in Mississippi was 11.8% (or 290,000), lower than both the regional average
						(14.0%) and the national average (16.2%); and, the annual average prevalence of
						past-year alcohol use disorder was 4.4% (or 107,000), similar to both the
						regional average (4.5%) and the national average (5.3%).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-301 - Mental Health Needs in Mississippi › Section 15-8-90-03-301.03 - Developmental Disabilities

Current through June 25, 2024
The nationally-accepted prevalence rate estimate used by
						the Administration on Developmental Disabilities for estimating the state rate
						is 1.8 percent of the general population. By applying the 1.8 percent
						prevalence rate to Mississippi's 2025 population projections, the results equal
						56,072 individuals who may have a developmental disability. The intellectual
						and/or developmental disability bed need determinations can be found in Chapter
						2 of this
Plan.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-303 - Child/Adolescent Psychiatric Services

Current through June 25, 2024
Nine facilities, with a total of 277 licensed beds, provide
					 acute psychiatric inpatient services for children and adolescents. Map 3-2
					 shows the location of inpatient facilities that serve adolescent acute
					 psychiatric patients; Table 3-2 gives utilization statistics. The criteria and
					 standards section of this chapter provides a further description of the
					 programs that inpatient facilities offering child/adolescent psychiatric
					 services must provide.
DMH operates a separately-licensed twenty-two (22) bed
					 facility (Oak Circle Center) at Mississippi State Hospital to provide
					 short-term inpatient psychiatric treatment for children and adolescents between
					 the ages of four (4) and seventeen (17).
Table 3-2
Acute Adolescent Psychiatric Bed Utilization FY
					 2020
Facility
County
Licensed Beds
CON Beds
Abeyance Beds
Inpatient Days
Occupancy Rate (%)
ALOS
Alliance Health Center
Lauderdale
26
0
0
6,992
73.48
8.04
Brentwood Behavioral Healthcare of
								  MS
Rankin
74
15
0
18,282
67.50
10.37
Diamond Grove Center
Winston
25
4
0
7,996
87.39
9.58
Forrest General Hospital
Forrest
16
0
0
6,190
105.70
5.60
Gulfport Behavioral Health System
Harrison
30
0
0
3,300
30.05
2.94
Merit Health River Region
Warren
20
0
0
2,415
32.99
8.26
Oak Circle Center
Rankin
22
0
0
7,945
98.67
39.11
Parkwood Behavioral Health System
DeSoto
52
0
0
10,016
52.63
8.13
University of Mississippi Medical
								  Center
Hinds
12
0
0
3,030
68.99
10.08
Total/ Average Adolescent Psychiatric
								  Beds
277
19
0
66,166
65.26
8.60
Source(s): Applications for Renewal of Hospital License for
					 FY 2020; MSDH Division of Health Planning and Resource Development
Click
					 Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-304 - Psychiatric Residential Treatment Facilities

Current through June 25, 2024
Psychiatric Residential Treatment Facilities (PRTF) serve
					 emotionally disturbed children and adolescents who are not in an acute phase of
					 illness that requires the services of a psychiatric hospital, but who need
					 restorative residential treatment services. "Emotionally disturbed" in this
					 context means a condition exhibiting certain characteristics over a long period
					 of time and to a marked degree. The criteria and standards section of this
					 chapter describes these facilities more fully. Table 3-3 shows facilities are
					 in operation with a total of 314 PRTF beds. Map 3-3 presents the location of
					 the private psychiatric residential treatment facilities throughout the state.
					 Children and adolescents who need psychiatric residential treatment beyond the
					 scope of these residential treatment centers are served in acute psychiatric
					 facilities or sent out of the state to other residential treatment
					 facilities.
Table 3-3 Private Psychiatric Residential Treatment
					 Facility (PRTF) Utilization FY 2020
Facility
County
Licensed Beds
Occupancy Rate (%)
Average Daily Census
Parkwood BHS
DeSoto
40
95.00
38.00
Canopy Childrens Solution
Hinds
60
91.50
54.90
The Crossings
Lauderdale
60
99.75
58.96
Millcreek of Pontotoc
Pontotoc
51
99.50
50.72
Crossroads-Brentwood Behavioral
Rankin
16
90.66
14.51
Millcreek PRTF
Simpson
57
92.70
52.80
Diamond Grove Center
Winston
30
86.00
26.00
Total/Average PRTF Beds
314
93.59
42.27
Source: MSDH Division of Health Planning and Resource
					 Development
DMH operates a specialized thirty-two (32) bed treatment
					 facility (ICF/IID) in Brookhaven for youth with an intellectual and/or
					 developmental disability who are thirteen (13) years, but less than twenty-one
					 (21) years of age. A similar facility, licensed as a psychiatric residential
					 treatment facility, is located in Harrison County for youth who have also been
					 diagnosed with a mental disorder. Adolescents appropriate for admission are
					 thirteen (13) years, but less than twenty-one (21) years of age, who present
					 with a diagnosis of a severe emotional disturbance and need psychiatric
					 residential care.
Click
					 Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-306 - Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03 - Service Specific Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and/or Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03.01 - Acute Psychiatric Beds for Adults

Current through June 25, 2024
Need Criterion 1: Statistical Need for Adult
						  Psychiatric Beds
MSDH shall base statistical need for adult acute
						  psychiatric beds on a ratio of 0.21 beds per 1,000 population aged eighteen
						  (18) and older for 2025 in the state as a whole as projected by the Division of
						  Health Planning and Resource Development. Table 3-6 presents the statistical
						  need for adult psychiatric beds.
Need Criterion 2: Proposed Size of
						  Facility/Unit
The applicant shall provide information regarding the
						  proposed size of the facility/unit. Acute psychiatric beds for adults may be
						  located in either freestanding or hospital-based facilities. Freestanding
						  facilities should not be larger than sixty (60) beds. Hospital units should not
						  be larger than thirty (30) beds. Patients treated in adult facilities and units
						  should be eighteen (18) years of age or older.
Need Criterion 3: Staffing
The applicant shall provide documentation regarding the
						  staffing of the facility. Staff providing treatment should be specially trained
						  for the provision of psychiatric and psychological services. The staff should
						  include both psychiatrists and psychologists and should provide a
						  multi-discipline psychosocial medical approach to treatment.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-306 - Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03 - Service Specific Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and/or Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03.02 - Acute Psychiatric Beds for Children and Adolescents

Current through June 25, 2024
Need Criterion 1: Statistical Need for
						  Child/Adolescent Beds
MSDH shall base statistical need for child/adolescent
						  acute psychiatric beds on a ratio of 0.55 beds per 1,000 population aged five
						  (5) to seventeen (17) for 2025 in the state as a whole as projected by the
						  Division of Health Planning and Resource Development. Table 3-6 presents the
						  statistical need for child/adolescent psychiatric beds. Of the specified beds
						  needed, twenty-five (25) beds are hereby set aside exclusively for the
						  treatment of children less than fourteen (14) years of age.
Need Criterion 2: Proposed Size of
						  Facility/Unit
The applicant shall provide information regarding the
						  proposed size of the facility/unit. Acute psychiatric beds for children and
						  adolescents may be located in freestanding or hospital-based units and
						  facilities. A facility should not be larger than sixty (60) beds. All units,
						  whether hospital-based or freestanding, should provide a homelike environment.
						  Ideally, a facility should provide cottage-style living units housing eight (8)
						  to ten (10) patients. Because of the special needs of children and adolescents,
						  facilities or units which are not physically attached to a general hospital are
						  preferred. For the purposes of this
Plan
, an adolescent is
						  defined as a minor who is at least fourteen (14) years old but less than
						  eighteen (18) years old, and a child is defined as a minor who is at least five
						  (5) years old but less than fourteen (14) years old.
Need Criterion 3: Staffing
The applicant shall provide documentation regarding the
						  staffing of the facility. Staff should be specially trained to meet the needs
						  of adolescents and children. Staff should include both psychiatrists and
						  psychologists and should provide a multi-discipline psychosocial medical
						  approach to treatment. The treatment program must involve parents and/or
						  significant others. Aftercare services must also be provided.
Need Criterion 4: Structural Design of Facility -
						  Separation of Children and Adolescents
The applicant shall describe the structural design of
						  the facility in providing for the separation of children and adolescents. In
						  facilities where both children and adolescents are housed, the facility should
						  attempt to provide separate areas for each age grouping.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-306 - Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03 - Service Specific Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and/or Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03.03 - Chemical Dependency Beds for Adults

Current through June 25, 2024
Need Criterion 1: Statistical Need for Adult
						  Chemical Dependency Beds
MSDH shall base statistical need for adult chemical
						  dependency beds on a ratio of 0.14 beds per 1,000 population aged eighteen (18)
						  and older for 2025 in the state as a whole as projected by the Division of
						  Health Planning and Resource Development. Table 3-7 presents the statistical
						  need for adult chemical dependency beds.
Need Criterion 2: Proposed Size of
						  Facility/Unit
The applicant shall provide information regarding the
						  proposed size of the facility/unit. Chemical dependency treatment programs may
						  be located in either freestanding or hospital-based facilities. Facilities
						  should not be larger than seventy-five (75) beds, and individual units should
						  not be larger than thirty (30) beds. The bed count also includes detoxification
						  beds. Staff should have specialized training in the area of alcohol and
						  substance abuse treatment, and a multi-discipline psychosocial medical
						  treatment approach that involves family and significant others.
Need Criterion 3: Aftercare/Follow-Up Services
						  Provided
The applicant shall describe the aftercare or follow-up
						  services proposed for individuals leaving the chemical dependency program.
						  Chemical dependency treatment programs should include extensive aftercare and
						  follow-up services.
Need Criterion 4: Type of Clients to be Treated
						  at Facility
The applicant shall specify the type of clients to be
						  treated at the proposed facility. Freestanding chemical dependency facilities
						  and hospital-based units should provide services to substance abusers as well
						  as alcohol abusers.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-404 - Certificate of Need Criteria and Standards for Neonatal Special Care Services › Section 15-8-90-04-404.01 - Policy Statement Regarding Certificate of Need Applications for the Offering of Neonatal Special Care Services

Current through June 25, 2024
1.
Indigent/Charity Care:
An applicant is required to
					 provide a reasonable amount of indigent/charity care as described in Chapter 1
					 of this Plan.
2.
Perinatal Planning Areas (PPA):
MSDH shall determine
					 the need for neonatal special care services using the Perinatal Planning Areas
					 as outlined on Map 4-2 at the end of this chapter.
3.
Bed Limit:
The
					 total number of neonatal special care beds is not to exceed eight (8) per 1,000
					 live births in a specified PPA as defined below:
a. Two (2) intensive care beds per 1,000 live
					 births; and
b. Six (6) intermediate
					 care beds per 1,000 live births.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-404 - Certificate of Need Criteria and Standards for Neonatal Special Care Services › Section 15-8-90-04-404.03 - Neonatal Special Care Services Bed Need Methodology

Current through June 25, 2024
The determination of need for neonatal special care
						beds/services in each Perinatal Planning Area will be based on eight (8) beds
						per 1,000 live births as defined below.
1. Two (2) neonatal intensive care beds per
					 1,000 live births in the most recent 12-month reporting period.
2. Six (6) neonatal intermediate care beds
					 per 1,000 live births in the most recent 12-month reporting period.
Table 4-5
Neonatal Special Care Bed Need 2019
Perinatal Planning Areas
Number Live
									 Births1
Neonatal Intensive Care Bed
									 Need
Neonatal Intermediate Care Bed
									 Need
PPA I
2260
5
14
PPA II
3745
7
22
PPA III
2227
4
13
PPA IV
3952
8
24
PPA V
9669
19
58
PPA VI
2235
4
13
PPA VII
1992
4
12
PPA VIII
4449
9
27
PPA IX
5133
10
31
STATE TOTAL
35662
71
214
1 2019 Occurrence Data. Number
						of beds based upon births rounded to the nearest 1,000.
Sources: Mississippi State Department of Health, Division
						of Health Planning and Resource Development Calculations, 2019
Mississippi Office of Vital Records and Public Health
						Statistics, Mississippi State Department of Health 2019
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-405 - Guidelines for the Operation of Perinatal Units (Obstetrics and Newborn Nursery) › Section 15-8-90-04-405.01 - Organization

Current through June 25, 2024
Obstetrics and newborn nursery services shall be under
						the direction of a member of the staff of physicians who has been duly
						appointed for this service and who has experience in maternity and newborn
						care.
There shall be a qualified professional registered nurse
						responsible at all times for the nursing care of maternity patients and newborn
						infants.
Provisions shall be made for pre-employment and annual
						health examinations for all personnel on this service.
Physical facilities for perinatal care in hospitals shall
						be conducive to care that meets the normal physiologic and psychosocial needs
						of mothers, neonates and their families. The facilities provide for deviations
						from the norm consistent with professionally recognized
						standards/guidelines.
The perinatal service should have facilities for the
						following components:
1. Antepartum
					 care and testing
2. Fetal
					 diagnostic services
3.
					 Admission/observation/waiting
4.
					 Labor
5. Delivery/cesarean
					 birth
6. Newborn nursery
7. Newborn special care unit (Level II-
					 Specialty)
8. Newborn Intensive
					 Care Unit (Level III Subspecialty and Level IV -Regional care only
9. Recovery and postpartum care
10. Visitation
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-405 - Guidelines for the Operation of Perinatal Units (Obstetrics and Newborn Nursery) › Section 15-8-90-04-405.02 - Staffing

Current through June 25, 2024
The facility must be staffed to meet its patient care
						commitments based upon its designated level of care, consistent with the
						American Academy of Pediatrics, Policy Statement, Levels of Care and
						professional guidelines. Hospitals with Neonatal Intensive Care Units providing
						subspecialty care must include appropriately trained personnel (neonatologists,
						neonatal nurses, and respiratory therapists) and equipment to provide life
						support for as long as necessary.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-405 - Guidelines for the Operation of Perinatal Units (Obstetrics and Newborn Nursery) › Section 15-8-90-04-405.04 - Perinatal Care Services

Current through June 25, 2024
Antepartum Care
There should be policies for the care of pregnant
						patients with obstetric, medical, or surgical complications and for maternal
						transfer.
Intra-partum Services: Labor and
						Delivery
Intra-partum care should be both personalized and
						comprehensive for the mother and fetus. There should be written policies and
						procedures in regard to:
1.
					 Assessment
2. Admission
3. Medical records (including complete
					 prenatal history and physical)
4.
					 Consent forms
5. Management of
					 labor including assessment of fetal well-being:
a. Term patient
b. Preterm patients
c. Premature rupture of membranes
d. Preeclampsia/eclampsia
e. Third trimester hemorrhage
f. Pregnancy Induced Hypertension
					 (PIH)
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 04 - Perinatal Care › Section 15-8-90-04-405 - Guidelines for the Operation of Perinatal Units (Obstetrics and Newborn Nursery) › Section 15-8-90-04-405.05 - Hospital Evaluation and Level of Care Designation

Current through June 25, 2024
MSDH maintains the authority to evaluate hospitals
						offering obstetric and newborn services and designate a level of care based
						upon its clinical services and capacity.
References
American Academy of Pediatrics, Committee on Fetus and
						Newborn and American College of Obstetricians and Gynecologists Committee on
						Obstetric Practice, Edited by Kilpatrick, S, Papile, L., Macones, G. Guidelines
						for Perinatal Care, 8th Edition, Published
						2017
American Academy of Pediatrics, Committee on fetus and
						Newborn; Levels of Neonatal Care. Pediatrics 2012; 130;587
						DOI:10.1542/peds.2012-1999
Click
						Here To View Image
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 05 - Acute Care Facilities and Services Overview › Section 15-8-90-05-501 - Hospital Outpatient Services

Current through June 25, 2024
The following table shows the number of visits to hospital
					 emergency rooms and hospital outpatient clinics in FY 2020. These statistics
					 represent an increase over 2016's total of 5,629,572 visits to hospitals with
					 emergency departments and hospital outpatient clinics.
Table 5-2
Selected Data for Hospital-Based or Affiliated
					 Outpatient Clinics by General Service Area FY 2020
General Hospital Service
								  Area
Number with Emergency
								  Department
Number of Emergency Room
								  Visits
Number of Hospitals with Outpatient
								  Clinics
Number of Outpatient Clinic
								  Visits
Total Outpatient Visits (Emergency &
								  Clinic)
Mississippi
92
1,311,737
71
4,394,704
5,706,441
1
6
138,493
4
70,435
208,928
2
8
175,941
7
840,844
1,016,785
3
7
129,512
4
207,400
336,912
4
14
71,534
13
520,815
592,349
5
24
185,968
16
990,179
1,176,147
6
7
102,207
7
276,988
379,195
7
8
103,280
6
259,341
362,621
8
8
182,182
6
188,634
370,816
9
10
222,620
8
1,040,068
1,262,688
Source: Applications for Renewals of Hospital License, FY
					 2020 Annual Hospital Report
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 05 - Acute Care Facilities and Services Overview › Section 15-8-90-05-502 - Certificate of Need Criteria and Standards for General Acute Care Facilities › Section 15-8-90-05-502.01 - Policy Statement Regarding Certificate of Need Applications for General Acute Care Hospitals and General Acute Care Beds

Current through June 25, 2024
1.
Need
					 in Counties Without a Hospital
: Ten counties in Mississippi do not
					 have a hospital: Amite, Benton, Carroll, Humphreys, Issaquena, Itawamba,
					 Prentiss Quitman, Smith and Tunica. Most of these counties do not have a
					 sufficient population base to indicate a potential need for the establishment
					 of a hospital, and all appear to receive sufficient inpatient acute care
					 services from hospitals in adjoining counties.
2.
Expedited Review
:
					 MSDH may consider an expedited review for CON applications that address only
					 license code deficiencies, project cost overruns, and relocation of facilities
					 or services.
3.
Capital
					 Expenditure
: For the purposes of CON review, transactions which
					 are separated in time but planned to be undertaken within twelve (12) months of
					 each other and which are components of an overall long-range plan to meet
					 patient care objectives shall be reviewed in their entirety without regard to
					 their timing. For the purposes of this policy, the governing board of the
					 facility must have duly adopted the long-range plan at least twelve (12) months
					 prior to the submission of the CON application.
4.
Addition or Conversion of
					 Beds
: No health care facility shall be authorized to add any beds
					 or convert any beds to another category of beds without a CON.
5.
Beds in Abeyance
:
					 If a health care facility has voluntarily delicensed some of its existing bed
					 complement, it may later relicense some or all of its delicensed beds without
					 the necessity of having to acquire a CON. MSDH shall maintain a record of the
					 delicensing health care facility and its voluntarily delicensed beds and
					 continue counting those beds as part of the state's total bed count for health
					 care planning purposes.
6.
Break in Services
: A health care facility that has
					 ceased to operate for a period of sixty (60) months or more shall require a CON
					 prior to reopening.