FY 2007 Mississippi State Health Plan Mississippi Department of Health FY 2007 Mississippi State Health Plan Mississippi Department of Health Governor State of Mississippi The Honorable Haley Barbour Mississippi State Board of Health Mary Kim Smith, RN, Chairman Alfred E. McNair, Jr., MD, Vice-Chairman Larry Calvert, RPh H. Allen Gersh, MD Ruth Greer, RN Debra L. Griffin J. Edward Hill, MD Lucius M. Lampton, MD Cass Pennington, Ed.D. Norman Marshall Price Kelly S. Segars, MD Sampat Shivangi, MD Ellen Williams State Health Officer Brian W. Amy, MD, MHA, MPH Acknowledgments The Mississippi Department of Health, Division of Health Planning and Resource Development, prepared the FY 2007 Mississippi State Health Plan(also State Health Plan, or Plan) in accordance with Sections 41-7-173(s) and 41-7-185(g) Mississippi Code 1972 Annotated, as amended. The FY 2007 State Health Plan results from the comments and information supplied by various divisions of the Department of Health, other agencies of state government, health care provider associations, and interested members of the public. The Plan also reflects the direction and guidance of the Mississippi State Board of Health. The Division of Health Planning and Resource Development expresses appreciation to the many individuals who provided invaluable help in publishing a timely and accurate State Health Plan and recognizes the following agencies for particular contributions: Mississippi Department of Health Office of the Governor Communications Mississippi Department of Human Services Health Information Management Mississippi Department of Mental Health Print Shop Mississippi Department of Rehabilitation Services Office of Health Protection Mississippi Department of Education Preparedness and Response University of Mississippi Medical Center Licensure School of Medicine Communicable Disease School of Dentistry Environmental Health School of Health Related Professions Board of Trustees of State Institutions Office of Health Services of Higher Learning Child\Adolescent Health Mississippi State Board of Medical Women’s Health Licensure WIC Program Mississippi State Board of Nursing Mississippi Dental Association Mississippi Nurses' Association Numerous other organizations provided essential information. The Health Planning staff appreciates the cooperation and assistance of all who contributed to the 2007 Plan and wishes that space permitted individual acknowledgment of each one. TABLE OF CONTENTS EXECUTIVE SUMMARY xv SECTION A DEMOGRAPHY AND HEALTH CARE SYSTEM Chapter 01 Introduction ...................................................................................................1 100 General Information................................................................................................................ 1 101 Legal Authority and Purpose .................................................................................................. 1 102 General Certificate of Need Policies ...................................................................................... 2 103 Population for Planning .......................................................................................................... 3 104 Outline of the State Health Plan ............................................................................................. 3 Chapter 02 Mississippi Demographic Profile..................................................................1 100 Population............................................................................................................................... 1 101 Housing................................................................................................................................... 1 102 Employment............................................................................................................................ 2 103 Income .................................................................................................................................... 2 104 Education ................................................................................................................................ 3 Chapter 03 Health Status of Mississippi Population......................................................1 100 Natality Statistics .................................................................................................................... 1 100.01 Live Births....................................................................................................................1 100.02 Babies Born to Mothers-At-Risk..................................................................................4 101 Mortality Statistics.................................................................................................................. 4 101.01 Fetal Deaths..................................................................................................................4 101.02 Maternal Deaths ...........................................................................................................4 101.03 Infant Deaths ................................................................................................................5 101.04 Infant Mortality Rate....................................................................................................5 101.05 Deaths and Death Rates................................................................................................9 101.06 Leading Causes of Death and Death Rates.................................................................11 102 Morbidity Statistics............................................................................................................... 14 102.01 Cardiovascular Disease ..............................................................................................14 102.02 Obesity .......................................................................................................................15 102.03 Hypertension ..............................................................................................................15 102.04 Diabetes......................................................................................................................16 102.05 Asthma .......................................................................................................................16 102.06 Cancer.........................................................................................................................16 103 Communicable Diseases....................................................................................................... 16 103.01 Tuberculosis ...............................................................................................................16 2007 State Health Plan i Table of Contents 103.02 Other Communicable Diseases.................................................................................. 17 104 Occupational Injuries and Illnesses.......................................................................................19 105 Expectation of Life at Birth...................................................................................................20 105.01 Natural Increase ......................................................................................................... 20 106 Minority Health Status ..........................................................................................................20 Chapter 04 Priority Health Needs....................................................................................1 100 Disease Prevention, Health Protection, and Health Promotion...............................................1 101 Health Care for Specific Populations ......................................................................................2 101.01 Mothers and Babies ..................................................................................................... 2 101.02 The Elderly .................................................................................................................. 4 101.03 The Indigent and Uninsured ........................................................................................ 5 101.04 Minorities..................................................................................................................... 6 102 Implementation of a Statewide Trauma System......................................................................7 102.01 Mississippi Trauma Care Regions ............................................................................... 8 103 Health Needs of Persons with Mental Illness, Alcohol/Drug Abuse Problems, and/or Mental Retardation/Developmental Disabilities...................................................................11 104 Availability of Adequate Health Manpower .........................................................................12 105 Public Health Preparedness and Response............................................................................13 Chapter 05 Health Care System.......................................................................................1 100 Hospitals..................................................................................................................................1 101 Ambulatory Care.....................................................................................................................2 102 Long-Term Care......................................................................................................................3