A new law became effective July 1, 2009 that requires any hospital, as defined in Section 41-9-3, or any licensed facility, as defined in Section 41-23-39, that is initially responsible for the treatment of an individual for a burn injury shall notify the State Fire Marshal or his designee within twenty-four (24) hours by phone at 601-359-1061 or fax at 601-359-1076.
For the purposes of this requirement, the term "burn injury" means:
• second- or third-degree burns to nine percent (9%) or more of the patient's body;
• injury to the upper respiratory tract or laryngeal edema caused by inhaling super-heated air; OR
• a burn that causes death.
• Please note: The term "burn injury" shall not include sunburns.
The information provided on the Burn Injury Report shall be held by the State Fire Marshal as confidential and shall not be disclosed except pursuant to state or federal law.
A copy of the Burn Injury Report Form is available here: Download BurnInjuryReportForm. The form is also available online at www.mid.state.ms.us. The form may be filled out electronically or manually, then printed and faxed to Tammy Peavy via fax to 601-359-1076 or via postal mail to P. O. Box 79, Jackson, MS 39205-0079.
To access the Burn Injury Reporting Form online:
• Go to http://www.mid.state.ms.us/
• At the top of the home page for the MS Department of Insurance is a maroon-colored navigation bar. At the far right, click on Fire Marshal to reveal the pull-down menu. Click on the first option button – Burn Injury Report. You will see an explanation of the new requirement and the required form.
• The form must be completed for all injuries described above and faxed to the State Fire Marshal at 601-359-1076. It is preferable that the form be completed online, then printed and faxed, or it can be printed and completed manually.
Luran Lancaster is the contact person at the Department of Insurance/State Fire Marshal’s Office regarding burn injury reporting. She can be reached by phone at (601) 359-9232.
If MHA can assist you further or provide additional information, you may contact Shannon Coker at scoker@mhanet.org or 601-368-3235 or Marcella McKay at mmckay@mhanet.org or 601-368-3220.