annual report 2010

VOL.

103,

NO.6

|JU

NE/J

ULY

2010

AnnualAwards37 Outstanding Physician Awards; Distinguished Service

Awards; Community Service Awards

MemberNews13 Medicare Meltdown Ad Campaign; HRI Update; “Red

Flag” Rules in Effect; TMA Flood Message; AMA-UHG

Settlement Notice; Digital Advertising with TMA; 2010

State Health Plan; CMS News: Project Access-

Chattanooga; MedTenn 2010 Photo Gallery;

Member Notes; Comments Needed on WC Surgical Fees

For theRecord53 New Members; In Memoriam; AMA Physician Recognition

Awards

54 TMA Corporate Partners; Advertisers in this Issue;

Instructions for Authors

Volume 103, Number 6 + June/July 2010

WWW.TNMED.ORG

CONTENTS

AnnualReportTMAMission Statement; Introduction; Annual Report 2009-2010

AbstractofTMA’s175thAnnualMeeting

2010 House of Delegates Resolution Actions

TMAResourceGuideBoard of Trustees; Standing Committees; AMA Delegation;

TMA Sections; Special Boards & Committees; IMPACTBoard; Component Medical Society Leadership

523

31

PresidentB W. Ruffner, Jr., MD

Chief Executive OfficerDonald H. Alexander, MPH

Sr. Vice PresidentRuss Miller, CAE

Office of Publication2301 21st Avenue SouthPO Box 120909Nashville, TN 37212-0909Phone: (615) 385-2100Fax (615) [email protected]

EditorDavid G. Gerkin, MD

Editor EmeritusJohn B. Thomison, MD

Managing EditorBrenda Williams

Editorial BoardLoren Crown, MDJames Ferguson, MDRonald Johnson, MDRobert D. Kirkpatrick, MDKarl Misulis, MD

Greg Phelps, MDBradley Smith, MDJonathan Sowell, MDJim Talmage, MD

Tennessee MedicineJournal of the Tennessee Medical Association(ISSN 1088-6222)Published monthly under the direction of the Board ofTrustees for members of the Tennessee MedicalAssociation, a nonprofit organization with a definitemembership for scientific and educational purposes,devoted to the interests of the medical profession ofTennessee.

This Association is not responsible for the authen-ticity of opinion or statements made by authors or in

communications submitted to Tennessee Medicinefor publication. The author or communicant shall beheld entirely responsible. Advertisers must conformto the policies and regulations established by theBoard of Trustees of the Tennessee MedicalAssociation.

Subscriptions (nonmembers) $30 per year for US,$36 for Canada and foreign. Single copy $2.50.Payment of Tennessee Medical Association member-ship dues includes the subscription price ofTennessee Medicine.

Copyright 2010, Tennessee Medical Association. Allmaterial subject to this copyright appearing inTennessee Medicine may be photocopied for noncom-mercial scientific or educational use only.

Periodicals postage paid at Nashville, TN, and atadditional mailing offices.

POSTMASTER: Send address changes to:Tennesssee MedicinePO Box 120909, Nashville, TN 37212-0909

In Canada: Station A, PO Box 54,Windsor, Ontario N9A 6J5

Advertising Representative: Beth McDaniels – (615) 385-2100 or [email protected] Graphic Design: Aaron & Michelle Grayum / The Gray Umbrella

Mission StatementThe Tennessee Medical Association is a professional organizationfor doctors created to enhance the effectiveness of physiciansthroughout the state to protect the health interests of patients.Its primary purposes are to define and promote:

+ Quality, safe and effective medical care;

+ Public policy to protect the sanctity of the physician-patient relationship, improve access

to and the affordability of quality medical services;

+ Ethics and competence in medical education and practice;

+ Open communications between the medical profession and the public, fostering a better

understanding of the capacities of medical practice.

7Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Like the physicians we represent, the TMA

imparts knowledge, experience, care and

concern, and even offers a “cure” on the

issues most important to doctors. From

the protracted debate on health system reform to

the ongoing struggle for fair play and pay by the in-

surance industry, to sweeping victories on behalf of

physicians and patient care in the General Assembly,

to a reorganization of the association itself … the

TMA has listened to, supported and amplified the

voice of our members.

Through the TMA, the physician’s voice is heard

and results are achieved. June 2009 through May

2010 saw significant legislative wins for insurance re-

form,medical liability, public health and the practice

of medicine; warmer relations and major progress

with the insurance industry; additional insurance

lawsuit settlement dollars; stronger participation in

electronic health technology efforts; major legal vic-

tories that protected patient care, physician rights

and their practices; and new commitments to diver-

sity and energy, as well asmajor leaps in professional

connection and communication within the TMA.

To ensure that physicians can carry on their life’s

work of caring for patients while prospering, we

need to strength and magnify our voice. We must

speak boldly and loudly on behalf of our profession

and patients for a permanent resolution to the

Medicare/SGR payment formula, as well as addi-

tional medical liability reforms critical to the prac-

tice of medicine in Tennessee. We need to lead our

members and their practices toward proper use of

electronic health records. We need to be the voice

of reason and experience to help Tennessee be-

come a healthier state in which to live and work.

These pages detail how physicians in Tennessee

are successfully exercising their voice through the

Tennessee Medical Association.

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VoicePhysician’s


2009-2010 saw the continued reorganization and re-

branding of your association. In keeping with plans ap-

proved bymembers, the TMA unveiled a new logo and

graphic identity and in July, launched a new interactive

website. Streamlined, better organized, more inform-

ative and now with new social media features,

tnmed.org is under continued revision to meet the

needs of its members. In August, Tennessee Medicine,

the association’s flagship publication, debuted a new

cover look in keeping with the new branding and, in

January 2010, readers saw a redesign of the inside to

fit the TMA’s new graphic identity.

As directed by the Futures II Task Force, the reor-

ganization moved ahead with plans to reallocate staff

to help further meet the TMA’s priorities, particularly

with the designation of a new director of Insurance Af-

fairs. A Futures II proposal to reduce the size of the

Board of Trustees was formalizedwith a resolution that

passed the TMA House of Delegates in April 2010;

newly-elected members of the BOT were not seated

and, through attrition, the board will eventually be

trimmed to a leaner but still representative panel.

The Tennessee Medicine Association continuesits renewed mission to be the advocate for

and voice of physicians, focusing on seven key areasidentified by its members. Here are the highlights

of TMA accomplishments and activitieson your behalf over the past year.

“The rollout of TMA’s new graphic

identity was completed in 2009

and a graphic standard was imple-

mented internally to help carry out

the look, tone and feel of the asso-

ciation in all communications ef-

forts and products.”

—Community and ProfessionalRelations Committee Chair-man Russell Leftwich, MD

Future of TMA

The TMAwas the collective voice of physicians on a num-

ber of issues to policymakers, patients and the public over

the past year.

One of the top concerns was health system reform.

From the beginning physicians were divided on which

congressional proposals constituted the best avenue to

achieving quality, safe and affordable health care for the

most Americans. The TMA Board of Trustees agreed on a

uniform set of principles to be included in any reform plan

and held numerous conferences with AMA and congres-

sional representatives to reiterate those key principles as

the debate continued.When the AMA endorsed the final

plan, the TMA was disappointed but pledged to work to

improve the version that passed. As a result, the TMA

joined an organization of medical societies determined

to enact leadership changes within the AMA.

Physician outcry was magnified as Congress delayed

cuts but failed time and again over the past year to per-

10 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Congressman Dr. Phil Roe, TMA President Dr. Richard DePersio and TMA President-elect Dr. B W. Ruffner displayed copies of the latest health reform proposal during aMarch advocacy trip to the nation’s capitol.

Advocacy/Communication


manently address the flawedMedicare payment formula.

In early 2010, the TMA joined a national “MedicareMelt-

down” petition drive, mobilizing doctors, their staff, fam-

ilies and patients in a coordinated effort to tell Congress

they would be harmed if the payment cuts took effect.

With another delay in the works for early June, the TMA

was still voicing physician concern at press time.

State lawmakers heeded physicians on numerous is-

sues, passing a host of TMA-sponsored or supported

laws, including those to modify and strengthen the re-

porting of “doctor shopping” patients and broaden law

enforcement access to the state’s online controlled sub-

stance database, and blocking efforts to allow psychol-

ogists to prescribe, nurse practitioners and physician

assistants to sign death certificates, the mandatory re-

lease of minor children’s medical records to parents, and

motorcyclists to ride without helmets. PITCH (Physicians

Involved at Tennessee’s Capitol Hill) Day visits and Doc-

tor of the Day participation by members also con-

tributed to successes in the 2010 session; among them

was the TMA’s supporting role in passage of a hospital

industry bill enacting a hospital assessment fee that

postponed significant TennCare reductions, including a

possible seven-percent provider reimbursement cut and

elimination of graduate medical education funds for at

least one year.

The TMA kept track and reported to members on de-

velopments in the realm of electronic health technology,

developing an online eHealth Resources site to aidmem-

bers in electronic health record adoption; appointing an

eHealth task force. In December, the TMA joined the Ten-

nessee Chapter of the American Health InformationMan-

agement Association (AHIMA), the Tennessee Hospital

Association and the TMGMA, along with State Volunteer

Mutual Insurance Company and the Tennessee chapter

of the Healthcare Information Management Systems So-

ciety (TN HIMSS) in presenting the first in a series of

HITECH conferences outlining federal funding for elec-

tronic health system adoption.

Tennessee physicians head into Legisla-tive Plaza in March as part of this year’ssuccessful PITCH Day efforts.


The voice of TMA physicians was heeded on a number

of practice and public health issues, resulting in delay

of state efforts to double education requirements for

physician licensure and federal “red flag” identity theft

compliance rules for physician practices; with “red

flag” rules effective June 1, the TMA also developed a

valuable template policy for member medical prac-

tices. The TMA Public Health Committee backed a new

heat index policy for Tennessee schools and worked

with state emergency officials to promote disaster

training signups and education among Tennessee

physicians. The Tennessee Prescription Safety Pro-

gram, though the Tennessee Foundation for Quality

Patient Healthcare, ramped up its education on proper

prescribing withmore statewide classes and a new on-

line course, “Are You Smarter Than a Drug-Seeker?”

To keep legal advocacy strong on behalf of mem-

bers, the TMA Legal Fund was created in early 2010,

with an online presence atwww.tnmed.org/legalfund.

Members are encouraged to invest to make their col-

lective voice heard in the courtrooms andwith regula-

tory agencies, as well as the legislature.

Communication also improved between the TMA

and its members as well as physician-to-physician via

social media. New online groups, discussion forums

and instant messaging came online in mid-2009, of-

fering faster, more personal interaction for both asso-

ciation tasks and professional networking. The TMA

further broadened the reach of the physician’s voice

with a new presence on Twitter, Facebook and

YouTube.

$200,000Amount the TMA has saved each

Tennessee physician over the last

decade in its fight to prevent unfair

Medicare payment cuts.

“The Board developed a series of

policies necessary in any (health

reform) plan that would be passed.

This was accomplished with much

discussion and compromise.”

—Board Chairman Robert Kerlan, MD


Insurance Industry

The TMA Insurance Issues Committee (IIC) hosted a February summit with threemajorinsurance companies, with plans to expand the meeting in the future. (L-R): Front –IIC members Drs. Edward Capparelli and Eric Fox; Back – Dr. Robert McLaughlin, med-ical senior director, MidSouth Cigna Healthcare; Dr. Janice Huckaby, market medical di-rector, UnitedHealthcare, MidSouth; Dr. Richard Cassidy, vice president and chiefmedical officer, BlueCross BlueShield of Tennessee; IIC Chairman Dr. Jerome Thomp-son; Dr. Michael Raybeck, medical director, Cigna Healthcare; and TMA President-electDr. Michael Minch.

1. A TMA lawsuit and legislation that halted illegal audit and

recoupment of payment to physicians by Health Research

Insights; the legal battle continues in Davidson County

Circuit Court;

2. Huge legislative victories with new laws lifting the “veil”

on Silent PPOs and enacting physician-friendly changes

to third-party reimbursement statutes, including assur-

The appointment of staff member Phyllis Franklin

as TMA director of Insurance Affairs kicked off an

intense effort to better advocate for practicing

physicians while improving relations with the in-

surance industry. The TMA had some notable suc-

cesses in the area of insurance advocacy,

including:


ing patients and physicians access to fair external

reviews when they disagree with payors’ decisions;

maintaining the opportunity for out-of-network

providers to be paid directly pursuant to a patient’s

assignment of benefits; and prevent the selling of

health insurance across state lines, which would

have permitted insurance carriers from other

states to ignore the TMA’s hard-earned wins in

Tennessee on prompt pay, recoupment and certi-

fication;

3. Settlement checks mailed to Tennessee physicians

for their share of the $131 million dollar settle-

ment in the class-action lawsuit against BlueCross

BlueShield;

4. An inaugural insurance “summit” with the medical

directors of three of Tennessee’s major insurance

companies, with plans for future summits to in-

clude other insurers;

5. Ongoing resolution of issues with Tennessee’s newMedicare administrator, Cahaba GBA, through reg-

ular sessions and cooperation; and

6. Success in convincing AmeriChoice to withdraw a

recoupment audit of hundreds of members.

TMA members also benefited from annual Insurance

Workshops held statewide, the retooled Insurance Re-

source Center on tnmed.org, alerts and notices requir-

ing quick action on insurance-related issues, and

personalized assistance with questions and problems

regarding insurance claims, coding, reimbursement and

contracts.

$6.3millionAmount awarded to Tennessee

physicians andphysiciangroups to-

date, due to TMA participation in

MDLclass-action insurance lawsuits

“In an effort to keep abreast of

changes and to address recurring

insurance hassles, TMA staff, along

with representatives from the TMA

Insurance Issues Committee, con-

tinue to meet regularly with repre-

sentatives from the insurance

industry via conference call.”

—Insurance Issues Committee ChairmanJerome Thompson, MD


Doctors began seeing the first benefits of the TMA’s 2008

medical liability reform victory in 2009-2010.

Medical malpractice claim filings dropped 59 percent

between October 2008 and September 2009; even ad-

justed for a spike in claims filed right before the notifica-

tion/certification law took effect, the drop was still a

significant 35 percent. And in April 2010, State Volunteer

Mutual Insurance Company announced a 23-percent re-

duction in med-mal insurance premiums, at least partly

due to the new law.

The TMA also scored with more medical liability re-

forms in 2009, extending liability protection to doctors

volunteering at sliding-scale fee clinics and to the peer re-

view process in medical practices. A TMA survey in late

2009 found most members were aware of the new law

but still saw defensivemedicine costs and physician short-

ages as big problems. Those issues could be solvable with

caps on non-economic (“pain and suffering”) damages,

still missing in Tennessee, so the TMA is working to elect

more medicine-friendly candidates this fall to make caps

a more achievable goal for the future. The TMA also led

the defeat of efforts to allow for the discoverability of

medical malpractice premium limits and in court, filed an

amicus brief to keep the amount of non-economic dam-

ages pled in med-mal cases from the jury.

Meanwhile, the TMA partneredwith Chattanooga Cir-

cuit Court Judge Neil Thomas on a pilot project to vet

medical malpractice cases through independent experts,

with the goal of eliminating those built on faulty expert

testimony before they come to trial. The project may be

replicated in other states through the National Confer-

ence of State Trial Judges.

23%Med-mal premium reductions an-

nounced by SVMIC in 2010, partly

the result of TMA MLR victories in

2008

“It was clear that progress had

beenmadewith a dramatic drop in

number of malpractice cases in

Tennessee; however, there was

still an up-tick in the severity of

payouts. This certainly indicates

the critical need for caps on non-

economic damages.”

—Board Chairman Robert Kerlan, MD

Medical Liability Reform


Recognizing the growing diversity of the physician com-

munity, the TMA launched an initiative to better assess

and meet the needs of female physicians and grow their

numbers within the association. An inaugural Women in

Medicine summit was held during MedTenn 2010, with

plans to expand the event outreach and its offerings in

years to come. Social media efforts are likewise aimed at

accommodating the next generation of doctors.

The TMA has no voice without its members, and efforts

to bolster membership numbers were stepped up inmid-

2009 to make up for a downturn that was largely due to

an economic recession.

The TMAmade personal calls to non-renewingmem-

bers and intensified its outreach larger and growing

group practices; resulting in the addition of several group

memberships in 2009. The TMA also began aggressively

(L-R): Drs. Deborah Beyer, Phyllis Miller and Elise Denneny were presenters at the2010 Women in Medicine Summit. The event launched an effort to assess how theTMA can better meet the needs of female physicians and increasemembership amongwomen doctors.

Membership


promoting its value proposition to mem-

bers and non-members; direct marketing

throughmailings, dues bill notices, adver-

tisements and testimonial videos resulted

in a significant number of new or renewed

memberships, but more are needed.

There are continued plans in collaboration

with component medical societies to

spread the news about the value of join-

ing organized medicine and the return on

investment for members and nonmem-

bers alike.

Outgoing TMA PresidentDr. Richard DePersioawards the presidentialgavel to incoming Presi-dent Dr. B W. Ruffnerduring MedTenn 2010,the TMA’s 175th annualmeeting in April.

Cultivating Leadership

“TheTMA ismost recognizedandappreciated

for its advocacy efforts surrounding the legis-

lature, insurance industry and legal arena.

Matching that with our abilities to unite

physicians to work toward larger goals to

benefit physicians and patients alike and our

established reputation and respected physi-

cian in the market among policymakers, we

believewehavea strong valuepropositionby

which to grow ourmembership.”

—Membership Committee ChairmanDouglas Springer, MD


After presiding over a dramatic year as TMA president,

Dr. Richard DePersio of Knoxville welcomed incoming

President Dr. B W. Ruffner of Chattanooga during the

TMA’s 175th annual meeting in Nashville. Dr. Ruffner’s

address to the House of Delegates emphasized the chal-

lenges posed by health system reform and electronic

health technologies, urgingmembers to seize opportuni-

ties to get involved and move the TMA into the future.

New officers for 2010-2011 are: Dr. Michael Minch,

Nashville, president-elect; Dr. Charles Eckstein, Nashville,

Board of Trustees chairman; and Dr. Richard Briggs,

Knoxville, BOT vice-chairman. TMA elections in February

2010 were driven by the electronic voting system with

overwhelming web participation versus paper ballots.

The gem of TMA leadership development efforts is

entering its fourth year in 2010. Eleven physicians gradu-

ated from the Physician Leadership College (PLC) during

MedTenn 2010; 12 physicians were introduced as the

Class of 2011. Graduates have quickly stepped into lead-

ership roles, both within the TMA, on its board, sections

or committees, and without, in specialty, health care or

community organizations.

TMA members continued to serve in crucial leader-

ship and liaison roles on state and professional boards

and committees in 2009-2010, with the BOT overseeing

the nomination and appointment process.

2010 Physician Leadership CollegeGraduate Dr. William Gibson de-scribes his PLC experience for theTMA House of Delegates.

62%Percentage of PLC participants

named as delegates to the 2010

TMA HOD


Specialty Society Relations

Continued outreach to specialty soci-

eties within medicine was an important

goal for the TMA.

The Board of Trustees designated

members as special liaisons to medical

specialty societies, with the goal of im-

proving relations and cooperation

within various specialties in addition to

the managerial assistance provided to

many state medical specialty societies

by the TMA. To help make TMA an in-

clusive medical organization, medical

specialty societies are invited and en-

couraged to send representatives to the

TMA House of Delegates and Annual

Meeting to participate in our policy-

making and deliberations.

The TMA actively supported the var-

ious specialty societies over the past

year by attending and exhibiting at a

number of specialty society meetings,

including the Tennessee chapter of the

American College of Physician-American

Society of Internal Medicine, the Ten-

nessee Academy of Family Physicians,

the Tennessee Radiological Society and

the Tennessee College of Emergency

Physicians, as well as the Tennessee

Medical Group Management Associa-

tion (TMGMA).

2010-2011Board Liaisons to Med-ical Specialty SocietiesTennessee Chapter American Society of AddictionMedicine....Valerie Arnold, MDTennessee Child & Adolescent Psychiatric AssociationTennessee Academy of NeurologyTennessee Psychiatric Association (inactive)

Tennessee Pediatric Society ..................................................James Batson, MD

Tennessee Chapter, American College of Cardiology..............Richard Briggs, MDTennessee Chapter, American College of Surgeons

Tennessee Obstetrical & Gynecological Society..............Chanappa Chandra, MD

Tennessee Orthopaedic Society ........................................Richard DePersio, MDTennessee Academy of Otolaryngology/Head & Neck Surgery

Tennessee Radiological Society ........................................Steven Dickerson, MD

Tennessee Society of Anesthesiologists....................................Gary Kimzey, MD

Tennessee Society of Pathologists (inactive) ..................................Roy King, MD

Tennessee Academy of Family Physicians ..........................Charles Leonard, MD

Tennessee State Society of Allergy & Immunology................Keith Lovelady, MDInfectious Diseases Society of TennesseeTennessee Academy of OphthalmologyTennessee Thoracic Society

Tennessee College of Emergency Physicians ....................Matthew Mancini, MDTennessee Society of Gastrointestinal Endoscopy

Tennessee Chapter, American College of Physicians ............Edmund Palmer, MDTennessee Public Health Association/Public Health Physicians' Section

Tennessee Association of Long Term Care Physicians ............Robert Vegors, MD

Tennessee Geriatrics Society ............................................Charles Womack, MDTennessee Neurosurgical SocietyTennessee Urological Association (inactive)

Tennessee Dermatology Society ..........................................Michael Zanolli, MDTennessee Society of Plastic & Reconstructive Surgery (inactive)


Finances

A balanced budget had been projected

for 2009 with revenues and expendi-

tures projected at $3,147,487.84. The

actual expenditures exceeded rev-

enues by $80,129.

Our shortfall in 2009 was due to

lower than anticipated dues collec-

tions, cancellation of a major educa-

tion event due to low registrations,

expense outlay for our legal case ver-

sus Health Research Insights, Inc., and

weak investment returns due to the

sagging economy.

To view a full copy of the 2009

TMA audit conducted by the firm of

Bellenfant & Miles, PLLC, certified

public accountants, please set up an

appointment with Brent Atkinson,

TMA director of Finance and Adminis-

tration, at 615-659-1862.

2009>2010 BUDGETED REVENUE$3,147,487.84

2009>2010 BUDGETED EXPENSES$3,147,487.84

TMADUES

($2,050,000)

ADMINISTRATIVE($1,563,838.89)

OPERATIONAL($589,533.70)

COMMUNICATIONS($264,839.41)

OTHER($166,167.64)

LEGISLATIVE($165,066.68)

MEMBERSHIPMANAGEMENT

($398,041.53)

OPERATINGINCOME($503,487.84)

LICENSING FEES($380,000)

ADVERTISING($174,000)

DIVIDENDS($40,000)

NUMBERBLA No. 01 -10

BLA No. 02 -10

Res. No. 01-10

Res. No. 02-10

Res. No. 03-10

Res. No. 04-10

Res. No. 05-10

Res. No. 06-10

Res. No. 07-10

Res. No. 08-10

Res. No. 09-10

Res. No. 10-10

Sub. Res. No. 11-10

Res. No. 12-10

Res. No. 13-10

Res. No. 1-03

Res. No. 4-03

Res. No. 6-03

Res. No. 7-03

Sub. Res. No. 14-03

Res. No. 15-03

Res. No. 16-03

Res. No. 17-03

Res. No. 18-03

Res. No. 19-03

Res. No. 24-03

Res. No. 27-03

Res. No. 28-03

Res. No. 30-03

Res. No. 9-03

Res. No. 13-03

Res. No. 26-03

Res. No. 32-03

TITLEReduction in Size of TMA Board of Trustees

When Medical Society Peer Review May Be Performed by the TMA Judicial Council

Medicare Reimbursement, Geographical Differences (Reaffirmation of Resolu-tion No. 3-96, No. 16-89, and No. 2-03)

Freedom of Local Government Act (Reaffirmation of Resolution No. 26-96 and No. 3-03)

Annual Component Society Report on Adoption of Peer Review Guidebook(Reaffirmation of Resolution No. 10-96 and No. 5-03)

Health Insurance Coverage Reform (Reaffirmation of Substitute Resolution No.21-96 and No. 8-03)

Access to Meetings (Reaffirmation of Resolution No. 11-03)

Physical Education in Schools (Reaffirmation of Resolution No. 12-03)

Policy on Rising Cost of Medical Education (Reaffirmation of Resolution No. 21-03)

Uniform Physician Credentials Verification (Reaffirmation of Resolution No. 22-03)

Automatic External Defibrillators and CPR/AED Training in Tennessee Schools(Reaffirmation and Amendment of Resolution No. 23-03)

Mid-Level Provider Supervision (Reaffirmation of Resolution No. 29-03)

Responsibility of Providing Afterhours Patient Care

Board of Medical Examiners’ Independence

TMA Delegates and Alternate Delegates

Ban on Smoking in Public Places (Reaffirmation of Resolution No. 2-96 and No. 10-89)

Pre-Admission Screening for Nursing Homes (Reaffirmation of Resolution No. 6-96 and No. 25-89)

Commission on Office Laboratory Accreditation (COLA) (Reaffirmation of Reso-lution No. 11-96)

Physician’s Role in Managed Care (Reaffirmation of Resolution No. 16-96)

Pain Management

Controlled Substance Registry Availability

Resident Member Dues

Tennessee’s Appropriate Antibiotic Use Campaign

Notarization of Tennessee Living Wills

Medical Ethics Education for Physicians

Tennessee Provider Organization

CMS Denial of Gamma Globulin Therapy for Neurological Diseases

Control of Sale of Products Containing Ephedrine or Pseudoephedrine

Nomination of the Speaker and Vice Speaker of the House of Delegates

TMA Representatives Meeting with Medical Students

Public School Emergency Medication Availability

Policy on Proposed Implementation of Clinical Assessment Exam

Promoting Better Health in Schools in Tennessee

FINAL ACTIONAdopted As Amended

Adopted

Adopted by Unanimous Consent










Adopted

Adopted as Amended

Adopted As Amended



















T E N N E S S E E M E D I C A L A S S O C I A T I O N

2010 House of Delegates Resolution Actions

SUNSET RESOLUTIONS

SUNSET/PERMANENT POLICY

The 175th Annual Meeting of the Tennessee Medical Association, MedTenn 2010, was conducted in Nashville, TN, April9-11, at the Nashville Airport Marriott Hotel. The House of Delegates held a two-day session on Friday, April 9, and Sat-urday, April 10. Wiley T. Robinson, MD, Memphis, presided as speaker of the House, with John W. Hale, MD, Union City,serving as vice-speaker. Edward W. Capparelli, MD, Oak Ridge, chairman of the Credentials Committee, announced therewere 104 delegates in attendance for the opening session of the House on Friday, which officially represented a quorum;there were 116 delegates in attendance for the Saturday session, representing a quorum.

The abstracted minutes of the last regular session of the House of Delegates, published in the June 2009 issue of Ten-nessee Medicine, were accepted by unanimous vote of the House.

HOUSE OF DELEGATES PROCEEDINGS


Final Actions of the Tennessee MedicalAssociation House of Delegates

April 9-10, 2010

BYLAWAMENDMENTSThe following bylaw amendmentswere adopted by the 2010 Houseof Delegates.

BYLAW AMENDMENT NO. 1-10

REDUCTION IN SIZE OF TMABOARD OF TRUSTEES

Robert A. Kerlan, MD, ChairmanTMA Board of Trustees

RESOLVED, That Bylaw Chapter IV, Section C.3, be amended by deletion as follows:

Sec. C. 3. The speaker of the House of Dele-gates shall preside over the body and performthe usual duties of such officer, includingsigning theminutes of its transactions whensame have been read and approved by theHouse. In the event of the speaker’s absencefor any cause, or upon request of the speaker,the vice-speaker of the House of Delegatesshall perform those duties. The speaker shallbe an ex-officio member of the Board ofTrustees.

RESOLVED, That Bylaw Chapter V, Section 1be amended by deletion as follows:

Sec. 1. The Board of Trustees shall be com-posed of the president of the Association, thespeaker of the House of Delegates, the im-mediate past-president, the president-elect,and members elected on a regional basis asdescribed in the bylaws.

RESOLVED, That Bylaw Chapter V, Section2 be amended by deletion and insertion asfollows:

Sec. 2. The prerequisites in order for a mem-ber to qualify for a Board position are thathe/she have at least three consecutive yearsofmembership in TMA immediately precedingnomination and have served as an officer orcommittee member in a component medicalsociety or at the TMA level or be a graduate ofTMA’s Physician Leadership College.


Sec. 3.Members of theBoard of Trustees shallbe elected on a regional basis, one positionelected from each of the eight regions withan additional position for each region withmore than 1000dues payingmembers as de-termined by TMA in such region by October 1of the year preceding the election. Additionalposition trustees shall serve their completeterms even if the region’s membership falls

below 1000 members during non-electionyears. Members from counties without con-stitutedmedical societies are counted in theirregional total.

The Resident/Fellow physicianmember of theBoard of Trustees shall be selected by theResident/Fellow Physician Section when itsnumber reaches and maintains at least 300members for a year, to be reviewed annually.

The studentmember of the Board of Trusteesshall be selected by theMedical Student Sec-tion when its number reaches andmaintainsat least 300 members for a year, to be re-viewed annually.

The Young Physician Section member of theBoard of Trustees shall be selected by theYoung Physician Section when its numberreaches andmaintains at least 300membersfor a year, to be reviewed annually.


Sec. 4. The elected trustees shall serve fora period of two years and shall be eligibleimmediately to succeed himself for a sub-sequent two year term if they have attendedat least 50% of Board meetings and sub-mitted self and board evaluations to the


Board chairman in a timely basis duringhis/her term.

This provision shall also apply to a trusteewho by virtue of election or appointment hasserved any portion of another’s unexpiredterm. However, if it be deemed necessary dueto extraordinary circumstances, the trusteesmay be elected for terms other than two years.The Board of Trustees will organize by theelection of a chair, a vice-chairman, and asecretary-treasurer from regionally electedtrustees. No member shall serve for a periodof more than ten consecutive years.


Sec. 5. The Board of Trustees shall determinethe policy and details of management of theAssociation between sessions of the House ofDelegates, and shall have the authority, upon

advice of legal counsel, to alter any action bytheHouse of Delegates that appears to violatethe Board’s current antitrust compliance pol-icy for the Association.


Sec. 6. TheBoard of Trustees shall have entirecontrol of the publication, the policy, and theeditorial and financial management of theJournal of the Association. It shall be author-ized and empowered to make all contractsnecessary for the conduct of the Journal. Itshall appoint the editor of the Journal.


Sec. 7. The Board of Trustees shall hold suchmeetings, as often and in such manner as it

deems necessary, whether by teleconferenceor otherwise, at the call of the chairman, andshall also meet on the last day of the annualmeeting. The Board of Trustees shall makeexpenditures of the funds of the Associationdependent upon the availability of such fundsas determined by the Board of Trustees andas ordered by the House of Delegates. TheBoard of Trustees, through the secretary/trea-surer, shall render at the annual meeting afull and detailed accounting of all receiptsand disbursements.


Sec. 8. In the event of a vacancy by death,resignation or removal of any member of theBoard of Trustees between the annual meet-ings of the Association, the Regional Nomi-nating Committee in the region which thevacancy occurs shall fill the unexpired term.


Delegates to the 175th annual meeting considered a host of resolutions and adopted13 policy statements addressing TMA restructuring, public health, patient care andmedical practice.




Sec. 9. TheBoard of Trustees shall servewith-out compensation; however, their actual ex-pense in attending themeetings of the Boardshall be paid out of the funds of the Associ-ation. This is not to apply when a meeting isheld at the annual meeting.

RESOLVED, That Bylaw Chapter V, Section10 be amended by deletion and insertionas follows:

Sec. 10. The Board of Trustees shall seek ingood faith to fulfill the responsibilities anddirectives given by the House of Delegates.The Board of Trustees shall report annually tothe House of Delegates on the status of theresponsibilities and directives given it by theHouse of Delegates the preceding year.

RESOLVED, That Bylaw Chapter V, Section11 be amended by deletion and insertionas follows:’

Sec. 11.The Board of Trustees may form anExecutive Committee of the Board composedof an appropriate number of trustees as theBoard deems necessary. The Executive Com-mittee shall have authority to conduct the af-fairs of the Association between quarterlymeetings of the full Board, and when theBoard is unable to meet as a whole. Its ac-tions shall be subject to review and ratifica-tion by the full Board at its next meeting.

RESOLVED, That Bylaw Chapter V, Section12 be amended by deletion and insertionas follows:

Sec. 12. There shall be a Committee on Con-stitution and Bylaws of this Association ap-pointed by the Board of Trustees each year.The Board of Trustees shall name the chair-man of the committee for the period of theappointee’s term of office. The committeeshall suggest revisions necessary to keep theConstitution and Bylaws always in accordwith the practices and procedures of the As-sociation so that all members of the profes-sion, by reference of the Constitution andBylaws, may be able to obtain accurate in-

formation regarding procedure and practicewithin the Association, and so that hamper-ing of such procedure and practice by obso-lete provisions in the in the Constitution andBylaws may be avoided.

RESOLVED, That Bylaw Chapter V, Section 13be amended by insertion as follows:

Sec. 13. It shall be the duty of the board chair-man to ensure that the Board of Trustees hasa process in place such that annual evalua-tions take place of each itsmembers and theBoard as a whole annually.

ADOPTED AS AMENDED.................................................................

BYLAW AMENDMENT NO. 2-10

WHEN MEDICAL SOCIETY PEERREVIEW MAY BE PERFORMEDBY THE TMA JUDICIAL COUNCIL

David G. Gerkin, MD, ChairmanCommittee on Constitution and Bylaws

RESOLVED, That BylawChapter I, B, Sec. 7 beamended by insertion as follows:

Sec. 7. Component societies are empoweredto conduct peer review of theirmembers, andshall have original jurisdiction to review peerreview complaints, except that the JudicialCouncil shall have such jurisdiction in casesinvolving physicians who have joined the As-sociation directly pursuant to Bylaw ChapterI, A, Section 2 and B, Section 3. If the com-ponent medical society determines that acomplaint requires review by a particularmedical specialty physician and the compo-nent society does not have adequate mem-bership in that specialty to provide peerreview, then the component medical societymay refer the matter to the Judicial councilwhich shall handle the complaint in thesame manner as it would if the respondentphysician joined the Association directly.When a component society…

ADOPTED

RESOLUTIONSThe following resolutions wereacted on by the 2010 House ofDelegates.

RESOLUTION NO. 1-10

MEDICARE REIMBURSEMENT,GEOGRAPHICAL DIFFERENCESReaffirmation of Resolution No. 3-96, No. 16-89, and No. 2-03


RESOLVED, That the Tennessee Medical As-sociation continue to support the eliminationof geographical differences in Medicare re-imbursement.

ADOPTED BY UNANIMOUS CONSENT.................................................................

RESOLUTION NO. 2-10

FREEDOM OF LOCAL GOVERN-MENT ACTReaffirmation of Resolution No. 26-96 andNo. 3-03


RESOLVED, That the Tennessee Medical As-sociation encourage the Tennessee GeneralAssembly to enable local governments to es-tablish their own tobacco control ordinances.


RESOLUTION NO. 3-10

ANNUAL COMPONENT SOCIETYREPORTONADOPTIONOFPEERREVIEW GUIDEBOOKReaffirmation of Resolution No. 10-96 andNo. 5-06




RESOLVED, That the Tennessee Medical As-sociation (TMA) component societies file withtheir annual reports to theHouse of Delegatesa statement on the status of their peer reviewprocedures, including whether they haveadopted the use of the required TMABoard ofTrustees Peer Review Procedures Booklet.


RESOLUTION NO. 4-10

HEALTH INSURANCE COVERAGEREFORMReaffirmation of Substitute Resolution No.21-96 and No. 8-03


RESOLVED, That the Tennessee Medical As-sociation take a proactive role in encourag-ing regulatory agencies and legislators tosecure for patients the following critical im-

provements in their health care coverage: (1)guarantee the renewability and transferabil-ity of health care coverage, (2) require rea-sonable time limits on the waiting period forinitiation of health insurance coverage, (3)establish reasonable limitations on out-of-pocket expenses and on time limits for pre-existing conditions; and be it further

RESOLVED, That the Tennessee Medical As-sociation take an active role with physiciansby promoting patient education about healthinsurance and health care legislation to bet-ter serve their needs.


RESOLUTION NO. 5-10

ACCESS TO MEETINGSReaffirmation of Resolution No. 11-03


RESOLVED, That the Tennessee Medical As-sociation will study electronic conferencingcapability; and be it further

RESOLVED, That the Tennessee Medical As-sociation investigate conducting committeemeetings, and possibly someBoardmeetingsby electronic conferencing.


RESOLUTION NO. 6-10

PHYSICAL EDUCATION INSCHOOLSReaffirmation of Resolution No. 12-03


RESOLVED, That the Tennessee Medical As-sociation take a positive stance on increasingphysical education in schools and work withother organizations such as the American

TMA officers oversee the amendment of policy resolutions during the first of a two-day session of the House of Delegates.



Heart Association in promoting and backinglegislation favoring increased physical edu-cation in schools.


RESOLUTION NO. 7-10

POLICY ON RISING COST OFMEDICAL EDUCATIONReaffirmation of Resolution No. 21-03


RESOLVED, That the Tennessee Medical As-sociation urgemembers to contact the Boardof Regents and the UT System Board ofTrustees to discourage excessive tuition in-creases formedical students in order tomin-imize the increasing debt load for graduates;and be it further

RESOLVED, That the Tennessee Medical As-sociation urgemembers to contact their statelegislature to discourage excessive tuition in-creases for medical schools to ensure the fi-nancial affordability ofmedical education forall Tennessee residents; and be it further

RESOLVED, That the Tennessee Medical As-sociation urge its members to contact thegovernor, state legislature, and the universi-ties to urge improvement in the funding ofmedical education.


RESOLUTION NO. 8-10

UNIFORM PHYSICIAN CREDEN-TIALS VERIFICATIONReaffirmation of Resolution No. 22-03


RESOLVED, That the Tennessee Medical As-sociation work with representatives from theTennessee Hospital Association and the De-partment of Commerce and Insurance to de-velop a system of uniform credentialing that

would include a uniform application form;and be it further

RESOLVED, That the Tennessee Medical As-sociation draft and seek passage of state leg-islation mandating a uniform credentialingprocess that will include the development ofa uniform application form; and be it further

RESOLVED, That the Tennessee Medical As-sociation seek to have a uniform credential-ing process that will include a uniformapplication form fully implemented in thestate within two years; and be it further

RESOLVED, That the Tennessee Medical As-sociation develop a secure electronic-basedcredentials verification process so as to fa-cilitate the transmission of information to thevarious provider institutions and third partypayors; and be it further

RESOLVED, That the Tennessee Medical As-sociation (TMA) permit physicianswhoare notyet online to submit credentialing applica-tions in awritten format, followingwhich thisinformation would be entered into a secureelectronic-based credentials verificationprocess developed by the TMA and transmit-ted to the various provider institutions andthird-party payors.


RESOLUTION NO. 9-10

AUTOMATIC EXTERNAL DEFIB-RILLATORS AND CPR/AEDTRAINING IN TENNESSEESCHOOLSReaffirmation and Amendment of ResolutionNo. 23-03


RESOLVED, That the Tennessee Medical As-sociation support legislation recommendingautomatic external defibrillators (AED) in allpublic schools, fire trucks, police cars, publicbuildings and other appropriate locationsalong with cardiopulmonary resuscitation(CPR) and AED training for appropriate per-

sonnel; and be it further

RESOLVED, That the Tennessee Medical As-sociation seek legislation giving immunity tolay bystanderswho attempt cardiopulmonaryresuscitation and automatic external defib-rillator usage in good faith; and be it further

RESOLVED, That the Tennessee Medical As-sociation encourage physicians to have au-tomatic external defibrillators available tothem in their offices.


RESOLUTION NO. 10-10

MID LEVEL PROVIDER SUPER-VISIONReaffirmation of Resolution No. 29-03


RESOLVED, That the Tennessee Medical As-sociation support the need for improved su-pervision of midlevel providers in order thatthe General Assembly does not pass legisla-tion giving Nurse Practitioners and PhysicianAssistants independent practice in Ten-nessee; and be it further

RESOLVED, That the Tennessee Medical As-sociation introduce legislation to repeal theTennessee Code provision requiring thatNurse Practitioner supervision rules be prom-ulgated upon concurrence of the Board ofMedical Examiners andBoard of Nursing andthat the Board ofMedical Examiners be giventhe sole authority to promulgate physician su-pervision rules of Nurse Practitioners andPhysician Assistants; and be it further

RESOLVED, That the Tennessee Medical As-sociation urge the Board of Medical Examin-ers to promulgate rules that will improvedocumentation and verification that appro-priate physician supervision is taking place.


SUBSTITUTE RESOLUTION NO. 11-10


RESPONSIBILITYOFPROVIDINGAFTERHOURS PATIENT CARE

O. Ward Swarner, MD, DelegateGreene County Medical Society

RESOLVED, That the Tennessee Medical As-sociation (TMA) Board of Trustees (Board) ap-point a committee to investigate possiblesolutions to the problem of adequate spe-cialists after-hours care, including projects ofother states and develop recommendationsto be reported to the Board at its next meet-ing; and be it furtherRESOLVED, That the Tennessee Medical As-sociation Board of Trustees report their finalconclusions and actions at the next meetingof the House of Delegates.

ADOPTED.................................................................


BOARD OF MEDICAL EXAMIN-ERS’ INDEPENDENCE

Charles W. White, Jr., MD, Chairman, Com-mittee on Legislation

Delegate, Consolidated Medical Assembly ofWest TN

RESOLVED, That the Tennessee Medical As-sociation (TMA) House of Delegates stronglybelieves that the regulation of medicine inTennessee could be strengthened and im-proved by establishing the Board of MedicalExaminers as an independent entity with lim-ited oversight by state government, and be itfurther

RESOLVED, That the Tennessee Medical As-sociation (TMA) pursue a legislative remedythatwould establish the Board ofMedical Ex-aminers as an independent entity with lim-ited oversight by state government; and be itfurther

RESOLVED, That themonies to support the in-dependent Board of Medical Examiners ac-tivities come from the current license fee ofindividual physicians.



TMA DELEGATES AND ALTER-NATE DELEGATESJames K. Ensor, Jr., MD, DelegateThe Memphis Medical Society

RESOLVED, That once credentialed as a del-egate or alternate delegate to the TennesseeMedical Association (TMA) House of Dele-gates, a member should supply a workingemail address to the TMA or their local com-ponent medical society; and be it further

RESOLVED, That it is recommended that del-egates and alternate delegates elected bytheir peers to serve in the Tennessee MedicalAssociation (TMA) House of Delegates (HOD)should confirm their technological capacitiesby registering themselves as part of the TMAElectronic HOD.



winning can be seen most everywhere. Our legislative wins have beenrepeatedly published. Our national legal wins are historic and our educa-tion efforts to lower our position as the number-one prescription drug-using state is seeing success. … But I want to talk about losing. Why?Because losing is a reality – just like winning.

“…When there is no one to lobby, when there is no one at a subcommitteehearing in the dead of summer educating legislators on the dangers of non-physicians prescribing medicine, when there is no one outside the Capitolchambers at 2:00 a.m. telling themwhat is and what is not good medicine,then many doctors will realize that not supporting the TMA, AMA andother medical organizations has cost them. But then it is too late.

“…I believe the freedom to practice good quality medicine in a productiveand non-hassled environment in a great state like Tennessee is worth thefight. I plan to continue the fight. Will you join me?”

Don Alexander, MPHReport of the Chief Executive OfficerApril 9, 2010

“AS I LOOK AT OUR TMA’S RECENT HISTORY,


TMA RESOURCE GUIDE

EXECUTIVE COMMITTEEB W. Ruffner, Jr., MD, Chattanooga, PresidentCharles Eckstein, MD, Nashville, ChairmanRichard Briggs, MD, Knoxville, Vice ChairmanRichard DePersio, MD, FACS, Knoxville,Immediate Past President

Michael Minch, MD, Nashville, President-electKeith Lovelady, MD, Tullahoma, Secretary/TreasurerDonald Alexander, MPH, Nashville,Asst. Secretary/Treasurer

BOARDValerie Arnold, MD, MemphisJames Batson, MD, Cookeville,Young Physician Section

Channappa Chandra, MD, ChattanoogaSteven Dickerson, MD, NashvilleGary Kimzey, MD, MemphisRoy King, MD, KnoxvilleCharles Leonard, MD, TalbottMatthew Mancini, MD, KnoxvilleEdmund Palmer, Jr., MD, JacksonCharles Womack, MD, CookevilleAdam Wright, Medical Student SectionMichael Zanolli, MD, Nashville

ADVISORSDeborah Hudson, TN Medical GroupManagement Assn

Gail Brabson, President, TMA Alliance

FINANCE COMMITTEEKeith Lovelady, MD, ChairmanCharles Leonard, MD, TalbotRoy King, MD, Knoxville

APPOINTMENT COMMITTEERichard Briggs, MD, Chairman (7)Gary Kimzey, MD (1)Edmund Palmer, MD (2)Keith Lovelady, MD (3)Michael Zanolli, MD (4)Charles Womack, MD (5)Channappa Chandra, MD (6)Charles Leonard, MD (8)

Russell Leftwich, MD, Nashville, ChairmanElise Denneny, MD, KnoxvilleWalter Fletcher, MD, MartinBrent Hatcher, MD, JacksonBarbara Kimbrough, MD, Johnson CityEmily Reeves-Douglas, MD, ChattanoogaJeff Suppinger, MD, FranklinRuss Miller, CAE, TMA Staff [email protected]

+ Oversaw launch of new graphic identity and new interactive website, TNMed.org.+ Directed TMA news coverage on health reform, electronic health technology, legal achievements,

Medicare reimbursement, prescription drug abuse, TennCare funding, medical liability reformand insurance reform.

+ Created an eHealth Technology Task Force to keep members abreast of developments at the nationaland state levels.

The TMA is routinely asked to nominate and recommend physicians to fill positions to numerous state boards, committees and commissions.For a complete list of requirements, call 800-659-1862, ext. 1665. BOT contact information is available online at www.tnmed.org/directory;member login required.

2010-2011 TMA Board of Trustees

TMA Standing Committees

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COMMUNITY & PROFESSIONAL RELATIONS

David Gerkin, MD, Knoxville, ChairmanNancy Barbarito, MD, Johnson CityTed Galyon, MD, MemphisAlbert Grobmyer, III, MD, MemphisVincent Viscomi, MD, ChattanoogaCharles White, Sr., MD, LexingtonYarnell Beatty, JD, TMA Staff [email protected]

+ Brought a bylaw amendment to allow peer review cases to be referred to the TMA JudicialCouncil if component society does not have adequate specialty representation. Adopted bythe TMA House of Delegates in April 2010.

+ Reviewed a bylaw amendment to reduce the size of the Board of Trustees to 13 members,in keeping with the TMA Strategic Plan. Adopted by the TMA HOD in April 2010.

CONSTITUTION & BYLAWS

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TMA RESOURCE GUIDE


Jerome Thompson, MD, Memphis, ChairmanJames Bailey, Jr., MD, FACP, MemphisGabi Brockelsby, Murfreesboro, AdvisorEdward Capparelli, MD, Oak RidgeEric Fox, MD, CookevilleWilliam Harb, MD, NashvilleCharles Leonard, MD, TalbottPhyllis Miller, MD, HixsonLee Morisy, MD, MemphisWard Swarner, MD, ChuckeyPhyllis Franklin, TMA Staff [email protected]

+ Kept a watch on national health reform development and helped develop TMA response.+ Advocated directly for members on response, reimbursement, audit and other “hassle”

issues with Cahaba GBA, PQRI, United Healthcare, AmeriChoice, and other major insurers.+ Hosted a summit meeting with three of Tennessee’s major insurers, with plans for a

follow-up in the fall to include other carriers.+ Undertook two insurance industry surveys among members to identify emerging issues

and develop data to support TMA advocacy efforts.

INSURANCE ISSUES

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Charles White, Jr., MD, Lexington, ChairmanGail Brabson, Knoxville, TMAAMark Brzezienski, MD, ChattanoogaRobert Dimick, MD, NashvilleDavid Gerkin, MD, Knoxville, Ex-OfficioJohn Hale, MD, Union CityGary Kimzey, MD, GermantownKenneth Moore, MD, FranklinKathi Potts, Chattanooga, TMGMABronn Rayne, MD, CookevilleTed Taylor, MD, Johnson CityGary Zelizer, TMA Staff [email protected]

Oversaw a year of significant legislative victories in the areas of:+ Insurance reform+ Medical liability reform+ Prescription drug safety+ Public health+ Scope of practice+ Practice of medicine+ Regulatory changes

LEGISLATION

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Douglas Springer, MD, Kingsport, ChairmanNewton Allen, Jr., MD, NashvilleDonald Ellenburg, MD, KnoxvilleMack Land, MD, MACP, MemphisRobert Miller, III, MD, GermantownEdmund Palmer, MD, JacksonB W. Ruffner, Jr., MD, ChattanoogaBenjamin S. Scharfstein, Jr., MD, Piney FlatsChris Tanner, TMA Staff [email protected]

+ Engaged outside firm to make personal calls to non-renewing members.+ Carried out strategic marketing to nonmembers via letter, mailers, member appreciation

advertising, newspaper clip mailings, video testimonial, interactive email, and directtargeting of physicians in the areas of newly-dormant medical societies.

+ Directed membership exhibits at specialty society meetings and events, and met with largegroup practices across the state, resulting in six large group memberships.

MEMBERSHIP

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Benjamin Johnson, Jr., MD, Nashville, ChairmanLeonard Brabson, MD, KnoxvilleJoseph “Pete” Kelley, Jr., MD, ChattanoogaFredric Mishkin, MD, KingsportJames Powell, MD, FranklinWiley Robinson, MD, MemphisPerry Rothrock, III, MD, CordovaGeorge Woodbury, Jr., MD, CordovaYarnell Beatty, JD, TMA Staff [email protected]

+ Filed comments on behalf of TMA with the state on proposed standards for tamper-proofprescriptions, objecting to provisions that would give APNs prescribing rights and forcepractices to document the mode of transmission of electronic prescriptions.

+ Signed on to AMA letter and issued TMA concerns about proposed definition of “meaningfuluse” of electronic medical record systems.

+ Oversaw development of online EHR Resource Center, fulfilling HOD resolution No. 12-09.

PRACTICE MANAGEMENT & QUALITY

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TMA RESOURCE GUIDE

Stuart Polly, MD, Memphis, ChairmanValerie Arnold, MD, MemphisLee Berkenstock, MD, MemphisBarry Jarnagin, MD, FranklinBenjamin Johnson, Jr., MD, NashvilleJames Powell, MD, FranklinMichael Revelle, MD, JacksonKirk Stone, MD, Union CityCharles White, Jr., MD, LexingtonJulie Griffin, TMA Staff [email protected]

+ Promoted and endorsed Tennessee Secondary Schools Athletic Association’s new heat indexpolicy via letters to statewide school personnel and news release to Tennessee media.

+ Fulfilled HOD resolution No. 06-09 by working with TN Department of Health to promoteenrollment of physicians as disaster volunteers via the Tennessee Volunteer Mobilizer;educate physicians on disaster response via brochure, Tennessee Medicine, CMEopportunities; and coordinate physician response via existing state infrastructure.

PUBLIC HEALTH

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American MedicalAssociation Delegation

DELEGATESChris Fleming. MD, Germantown, ChairmanDavid Gerkin, MD, Knoxville, Vice-ChairmanDonald Franklin, MD, ChattanoogaLee Morisy, MD, MemphisCharles White, Sr., MD, Lexington

ALTERNATESSubhi Ali, MD, WaverlyLandon Combs, MD, BlountvilleRichard DePersio, MD, FACS, KnoxvilleJohn Ingram, III, MD, AlcoaRobert Kirkpatrick, MD, GermantownBarrett Rosen, MD, NashvilleB W. Ruffner, MD, Signal Mountain

TMA Sections

YOUNG PHYSICIAN SECTIONGOVERNING COUNCILJames Batson, MD, Cookeville, ChairmanJeffrey Suppinger, MD, Franklin, Vice-ChairmanElizabeth Culler, MD, Chattanooga,Secretary/Treasurer

TMA DELEGATESStaci Van Winkle, MD, Memphis (1)Kellie Wilding, MD, Jackson (2)Melinda Henderson, MD, Franklin (3)Yasmine Ali, MD, Nashville (4)Elizabeth Culler, MD, Chattanooga (6)Greg Mancini, DO, Knoxville (7)Natalie Scott, MD, Greeneville (8)

AMA DELEGATENatalie Scott, MD, Greeneville

MEDICAL STUDENT SECTIONGOVERNING COUNCILAdam Wright, Memphis (UTHSC), ChairmanAngela Cowart, Johnson City (QCOM)Takita Brown, Nashville (MMS)Megan Varvoutis, Johnson City (QCOM)Chris Bell, Memphis (UTHSC)Sid Desai, Memphis (UTHSC)Jake McClure, Nashville (VUSM)

TMA DELEGATESAdam Wright, Memphis (UTHSC)Mariah Pate, Johnson City (QCOM)

AMA DELEGATEChris Bell, Memphis (UTHSC)Sneha Bhat, Memphis (UTHSC)

Special Boards&Committees

JUDICIAL COUNCILEric Fox, MD, Cookeville, Chairman (5)Pete Swarr, MD, Brentwood, Vice-Chairman (3)Lee Berkenstock, MD, Memphis (1)Walter Fletcher, MD, Lexington (2)Russell Leftwich, MD, Nashville (4)Mel Twiest, MD, Signal Mountain (6)George Smith, MD, Oak Ridge (7)David Freemon, MD, Johnson City (8)

HEALTHSYSTEMREFORMTASKFORCERichard DePersio, MD, FACS, Knoxville, ChairmanCharles Eckstein, MD, NashvilleChris Fleming, MD, GermantownDavid Gerkin, MD, KnoxvilleRobert Kerlan, MD, FACP, MemphisRobert Kirkpatrick, MD, GermantownB W. Ruffner, Jr., MD, Signal MountainCharles White, Jr., MD, LexingtonChristopher Young, MD, Chattanooga

E-HEALTH TECHNOLOGY TASK FORCERussell Leftwich, MD, Nashville, ChairmanValerie Arnold, MD, MemphisJames Bailey, Jr., MD, FACP, MemphisLeonard Brabson, MD, KnoxvilleLandon Combs, MD, GrayCharles Eckstein, MD, NashvilleJoseph “Pete” Kelley, Jr., MD, ChattanoogaWilliam Light, MD, GermantownRobert Mandel, MD, ChattanoogaJerry Miller, MD, KingsportKenneth Reese, MD, KnoxvilleB W. Ruffner, Jr., MD, Signal MountainJeffrey Suppinger, MD, FranklinRuss Miller, CAE, TMA Staff Liaison

WORKERS’ COMPENSATIONTASK FORCERandall Holcomb, MD, Memphis, ChairmanKen Beasley, MemphisDebbie Daniels, NashvilleDan Hein, MemphisGeorge Hernandez, GermantownRobert Jones, MD, MemphisMcKinley Lundy, DO, ChattanoogaSteven Musick, DO, ChattanoogaRobert Snyder, MD, NashvilleJames Talmage, MD, CookevilleSteve Wade, NashvilleClarence Watridge, MD, MemphisMary Yarbrough, MD, Nashville

TENNESSEE MEDICINEEDITORIAL BOARDDavid Gerkin, MD, Knoxville, EditorJohn Thomison, MD, Nashville, Editor EmeritusLoren Crown, MD, CovingtonRonald Johnson, MD, MemphisRobert Kirkpatrick, MD, GermantownKarl Misulis, MD, JacksonGregory Phelps, MD, Knoxville

TMA RESOURCE GUIDE


Bradley Smith, MD, NashvilleJonathan Sowell, MD, KnoxvilleJames Talmage, MD, Cookeville

PHYSICIAN LEADERSHIP COLLEGE(PLC) Steering CommitteeJohn Ingram, III, MD, Alcoa, ChairmanNancy Barbarito, MD, Johnson CityMichael Cates, CAE, MemphisStarling Evins, MD, FranklinGeorge “Trey” Lee, III, MD, MS, NashvillePhyllis Miller, MD, HixsonLee Morisy, MD, Memphis

TN FOUNDATION FOR QUALITYPATIENT HEALTHCARE (TFQPH)Board of DirectorsRobert Kirkpatrick, MD, Memphis, ChairmanNewton Allen, Jr., MD, Nashville, Vice-ChairmanSubhi Ali, MD, Waverly, Secretary/TreasurerJohn Ingram, III, MD, AlcoaMichael McAdoo, MD, MilanBronn Rayne, MD, CookevilleBarrett Rosen, MD, NashvilleDon Alexander, TMA CEO

TN MEDICAL EDUCATION FUND(TMEF) Board of DirectorsRobert Bowers, MD, Chattanooga, ChairmanRobert Kerlan, MD, FACP, Memphis, Vice-ChairmanBob Vegors, MD, Jackson, Secretary/TreasurerMaysoon Ali, MD, WaverlySubhi Ali, MD, Waverly, AdvisorJohn Ingram, III, MD, Alcoa, AdvisorRobert Kirkpatrick, MD, GermantownGeorge “Trey” Lee, III, MD, MS, NashvilleSamWilliams, III, MD, Winter Harbor, ME, AdvisorMarcia Young, Murfreesboro, TMA AllianceBrent Atkinson, TMA Staff Liaison

Independent Medicine’s Political Action Committee – Tennessee (IMPACT) Board of Directors

Component Medical Society Leadership

KennethMoore,MD, Franklin (Dist. 4),ChairmanJeffrey Fenyves, MD, Kingsport (Dist. 1)Leonard Brabson, Sr., MD, Knoxville (Dist. 2)Mark Brzezienski, MD, Chattanooga (Dist. 3)Newton Allen, Jr., MD, Nashville (Dist. 5)Kenneth Holbert, MD, FACEP, Smyrna (Dist. 6)Mark Harriman, MD, Germantown (Dist. 7)

Kirk Stone, MD, Union City (Dist. 8)Jeffery Warren, MD, Memphis (Dist. 9)George “Trey” Lee, III, MD, Cookeville,Young Physician Section

John Vickery, IV, MD, Bartlett,Resident & Fellow Section

Mariah Pate, Johnson City,Medical Student Section

Barbara B. Trautman, Germantown,TMA Alliance

Gary Zelizer, Executive Director,Asst. Secretary/Treasurer

BEDFORDCOUNTYMEDICALSOCIETYLawrence Schull, Jr., MD, Shelbyville, PresidentNavid Monajjem, MD, Shelbyville, Secretary

BENTON-HUMPHREYS COUNTY MEDICAL SOCIETYMaysoon Ali, MD, Waverly, PresidentSubhi Ali, MD, Waverly, Secretary

BLOUNT COUNTY MEDICAL SOCIETYJames Milhollin, Jr., MD, Maryville, PresidentBritton Bishop, MD, Alcoa, SecretarySonnie Campbell, Knoxville, Executive Director

BRADLEY COUNTY MEDICAL SOCIETYNone reported

CARTER COUNTY MEDICAL SOCIETYTedford Taylor, MD, Johnson City, PresidentScott Caudle, MD, Johnson City, SecretaryEvelyn Dugger, Elizabethton, Staff LiaisonPamela Slemp, Johnson City, TMA Staff Liaison

CHATTANOOGA-HAMILTON COUNTY MEDICALSOCIETYNita Shumaker, MD, Hixson, PresidentColleen Schmidt, MD, Chattanooga, SecretaryRae Bond, Chattanooga, Executive Director

COCKE COUNTY MEDICAL SOCIETYNone reported

COFFEE COUNTY MEDICAL SOCIETYNone reported

CONSOLIDATED MEDICAL ASSEMBLYOF WEST TENNESSEEScott Sadler, MD, Lexington, PresidentAvinash Reddy, MD, Jackson, Vice-President/TreasurerKellie Wilding, MD, Jackson, Secretary

CUMBERLAND COUNTY MEDICAL SOCIETYRobert Berman, Jr., MD, Crossville, President

DEKALB COUNTY MEDICAL SOCIETYMelvin Blevins, MD, Smithville,President/Secretary

FRANKLIN COUNTY MEDICAL SOCIETYNone reported

GILES COUNTY MEDICAL SOCIETYCharles Haney, MD, Pulaski, PresidentSanjay J. Agarwal, MD, Pulaski, Secretary

GREENE COUNTY MEDICAL SOCIETYJohn Boys, MD, Greeneville, PresidentRonald Cole, MD, Greeneville, SecretaryPamela Slemp, Johnson City, TMA Staff Liaison

HAWKINS COUNTY MEDICAL SOCIETYPamela Slemp, Johnson City, TMA Staff Liaison

HENRY COUNTY MEDICAL SOCIETYNone reported

KNOXVILLE ACADEMY OF MEDICINEAntoin Mardini, MD, Knoxville, PresidentMatthew Mancini, MD, Knoxville, SecretarySonnie Campbell, Knoxville, Executive Director

LAKEWAY MEDICAL SOCIETYFrederick Yarid, MD, Morristown, PresidentCharles Leonard, MD, Talbott, SecretaryPamela Slemp, Johnson City, TMA Staff Liaison

LAWRENCECOUNTYMEDICALSOCIETYThomas Benefield, MD, Lawrenceburg, Secretary

LINCOLN COUNTY MEDICAL SOCIETYPaul Sain, MD, Fayetteville, PresidentFred Ralston, Jr., MD, Fayetteville, Secretary

LOUDON COUNTY MEDICAL SOCIETYCalvin Schaerer, MD, Loudon, PresidentMichael Baker, MD, Lenoir City, Secretary

MAURY COUNTY MEDICAL SOCIETYAnthony Cryar, MD, Columbia, PresidentCharlesBramlett, Jr.,MD, Franklin, Secretary


TMA RESOURCE GUIDEMCMINN COUNTY MEDICAL SOCIETYNone reported

THE MEMPHIS MEDICALSOCIETYJamesEnsor, Jr.,MD,Germantown,PresidentAlim Khandekar, MD, Memphis, SecretaryMichael Cates, CAE, Memphis,Executive Director

MONROE COUNTY MEDICAL SOCIETYNone reported

MONTGOMERY COUNTY MEDICALSOCIETYCharles Fitch, MD, Clarksville, PresidentRobert Kasper, MD, Clarksville, SecretaryWilmaCooley, Nashville, TMA Staff Liaison

NASHVILLE ACADEMY OF MEDICINERobert Dimick, MD, Hermitage, PresidentKasey Dread, Nashville, Executive Director

NORTHWEST TENNESSEE ACADEMY OFMEDICINEJames Shore, MD, Martin,President/Secretary

OVERTON COUNTY MEDICAL SOCIETYTrueman Smith, MD, Livingston, PresidentSamantha McLerran, MD, Livingston,Secretary

PUTNAM COUNTY MEDICAL SOCIETYNone reported

ROANE-ANDERSON COUNTY MEDICALSOCIETYEdward Capparelli, MD, Oak Ridge,President

George Smith, MD, Oak Ridge, SecretarySonnie Campbell, Knoxville, ExecutiveDirector

ROBERTSON COUNTYMEDICAL SOCIETYJonathan Kroser, MD, Springfield,President

Keith Goldberg, MD, Springfield,Secretary

SCOTT COUNTY MEDICAL SOCIETYNone reported

SEVIER COUNTY MEDICAL SOCIETYAmmar Razzak, MD, Knoxville, PresidentAmy Gust, MD, Sevierville, Secretary

SMITH COUNTY MEDICAL SOCIETYNone reported

STONES RIVER ACADEMY OF MEDICINEDavid Beaird, MD, Murfreesboro, PresidentKerri Woodberry, MD, Murfreesboro,Secretary

Wilma Cooley, Nashville, TMA Staff Liaison

SULLIVAN COUNTY MEDICAL SOCIETYSean White, MD, Kingsport, PresidentElizabeth Clemens, MD, Kingsport,Secretary

Elaine Simone-Feagins, Church Hill,Staff Liaison

Pamela Slemp, Johnson City, TMAStaff Liaison

SUMNER COUNTY MEDICAL SOCIETYNone reported

TIPTON COUNTY MEDICAL SOCIETYSamuel Johnson, MD, Covington, PresidentRobert Lazar, MD, Munford, Secretary

WARREN COUNTY MEDICAL SOCIETYNone reported

WASHINGTON-UNICOI-JOHNSONCOUNTY MEDICAL SOCIETYTimothy Gardner, MD, Johnson City,PresidentMarian Bertotti, MD, Johnson City,SecretaryBeatrice Hudswell, Johnson City,Staff LiaisonPamela Slemp, Johnson City,TMA Staff Liaison

WHITE COUNTY MEDICAL SOCIETYNone reported

WILLIAMSON COUNTY MEDICALSOCIETYSamuel Bastian, MD, FACP, FAAP,Franklin, PresidentElliot Himmelfarb, MD, Brentwood,SecretaryWilma Cooley, Nashville,TMA Staff Liaison

WILSON COUNTY MEDICAL SOCIETYJennifer Jessie, Lebanon, Staff Liaison

CMS contact information is availableonline at www.tnmed.org/directory;member login required.


Known as a trailblazer for women in medicine, Phyllis E.Miller, MD, OB/GYN in Chattanooga, was raised in ruralPolk County and worked her way through school and UTmedical school as a waitress, seamstress and night labworker. Dr. Miller was the first female physician from PolkCounty; the first woman elected president of the Chat-tanooga-Hamilton County Medical Society (CHCMS); thefirst female chief of staff at Erlanger Hospital; and the firstwoman elected president of the Tennessee Medical Asso-ciation (2005-2006).

As TMA president, Dr. Miller pursued medical malprac-tice reform and public health issues, including women’sheart health. She has been on the faculty at the Universityof Tennessee College of Medicine-Chattanooga (UTCOMC)since 1977, currently serving as assistant clinical professor.She is the founder and creator of an education foundationto help underprivileged Polk County students obtain highereducation. In 2006 she was honored with the BaronessFoundation Distinguished Physician Award. She is the cur-rent president of the Medical Foundation of Chattanooga.Most recently, Dr. Miller volunteered her time in Haiti withearthquake relief efforts. Dr. Miller practices with theWomen’s Institute for Specialized Health, PLLC, in Hixson.

Hershel P. “Pat” Wall, MD, was nominated by The Mem-phis Medical Society for his commitment to develop andcultivate medical education in Memphis. He has been ac-tively involved at the University of Tennessee Health Sci-ence Center (UTHSC) inMemphis for over 50 years. A 1957College of Medicine alumnus, he has served the universityas chief resident, professor of Pediatrics, division chief ofGeneral Pediatrics and chancellor and vice president forHealth Affairs. Currently, he is devoting his efforts full timeto the Office of Development and Alumni Affairs. His effortsled to the establishment of UT’s Aid to Impaired MedicalStudents program in 1982.

Dr. Wall has received numerous awards, including theUniversity of Tennessee National Alumni Association’s Out-standing Teaching Award, the Outstanding Public ServiceAward and the UTHSC’s Outstanding Alumnus Award. Hewas also a recipient of the Memphis Business Journal’sHealth Care Heroes Award and the Commercial Appeal’sJefferson Award.

TMA ANNUAL AWARDS

OUTSTANDING PHYSICIAN AWARDPresented annually by the TMA House of Delegates to member physicians who have made their own personal mark on the profession ofmedicine in Tennessee and on those whom they have worked with and known during their illustrious medical careers.

Dr. Miller receives her Outstanding Physi-cian Award from TMA Speaker of theHouse of Delegates Dr. Wiley Robinson.

Dr.Wall with his TMAOutstanding PhysicianAward.

TMA ANNUAL AWARDS


Mark A. Brzezienski, MD, FACS, current president ofthe Chattanooga-Hamilton County Medical Society(CHCMS), was chosen for his work as founder/directorof the CHCMS’ Youth Leadership Forum on Medicine,which gives high school students the opportunity tolearn about life as a physician; the Forum has workedwith 130 students since 2005.

A graduate of Philadelphia’s JeffersonMedical Col-lege/Thomas Jefferson University, he completed train-ing in general, reconstructive and orthopedic handsurgery in Connecticut and New York. Dr. Brzezienskiis board certified in plastic surgery since 1997 and hasreceived a Certificate of Added Qualification in handsurgery. He joined the UTCOMC faculty in 1995 andhas been in private practice in Chattanooga for 15years, currently with The Plastic Surgery Group, PC.Dr. Brzezienski is vice president of the Medical Foun-dation of Chattanooga and board chairman for Con-tinuCare, Inc.

Former TMA President Robert D. Kirkpatrick, MD, was nomi-nated by TheMemphisMedical Society for his efforts to furtherorganized medicine in Tennessee. He has served as a memberand chairman of the TMABoard of Trustees, as speaker and vicespeaker of the TMA House of Delegates and a member of Ten-nessee’s AMA delegation. In 2008, Dr. Kirkpatrick was installedas the 154th president of the TMA, overseeing a year of ag-gressive advocacy accentuated by a major legislative victory inthe area of medical liability reform and the initiation of theTMA’s new strategic plan.

He has served on the Board of the Tennessee Academy ofFamily Physicians, president of the Tennessee College of Occu-pational and Environmental Medicine, and president of bothTheMemphisMedical Society and the TennesseeMedical Foun-dation Board. Dr. Kirkpatrick is the active chairman and primaryspokesman for the Tennessee Foundation for Quality PatientHealthcare’s Tennessee Prescription Safety Program, a programto curb the misuse and over-use of prescription drugs in thestate of Tennessee. Board certified in family and addictivemed-icine, Dr. Kirkpatrick is a fellow of the American Academy ofFamily Medicine (AAFP) and the American Academy of Emer-gency Medicine (AAOEM). Most recently, Dr. Kirkpatrick hasserved as an associate professor and director of the Saint Fran-cis FamilyMedicine Residency Program at the University of Ten-nessee–Memphis. He is the medical director for the TennesseeDepartment of Labor and Workforce Development’s Workers’Compensation Division.

DISTINGUISHED SERVICE AWARDPresented annually since 1963 by the TMA Board of Trustees to exemplary members of the association for their notable achievements dur-ing the past year. Recipients are physician members who deserve recognition of outstanding service or contribution to the advancement ofmedical science, or to this Association, or to the public welfare, whether of a civic or scientific nature.

Dr. Brzezienski is presented with his TMA Dis-tinguished Service Award.

Distinguished Service Award winner Dr.Kirkpatrick gives his acceptance re-marks to the TMA House of Delegates.


Charlotte Boatwright, RN, PhD, was nom-inated by the CHCMS for her work teachinghealthcare, legal and education profes-sionals how to identify and respond to vio-lence and her efforts to better serve thevictims of violence. She is founder andpresident of the Coalition Against Domes-tic and Community Violence of GreaterChattanooga, Inc., formed to address thepoor treatment of victims in the justice sys-tem; it currently includes over 400 agen-cies, departments and individuals acrossthree states. Recently, she helped createthe Chattanooga Family Justice Alliance, aone-stop-shop for family violence victimsto access the justice system, health care,education, faith community, and businessservices more effectively.

She is the widow of longtime Chat-tanooga physician Robert Boatwright, MD,and is a recipient of numerous awards, in-cluding the Chattanooga Bar Association’sLiberty Bell Award, the Mayor’s Best Prac-tices Award, the Chattanooga Chamber ofCommerce Nautilus Lightkeeper Awardand the CHCMS Community ServiceAward.

TMA ANNUAL AWARDS

COMMUNITY SERVICE AWARDThe Tennessee Medical Association (TMA) annually recognizes persons or organizations outside the medical profession who contribute sig-nificantly to the advancement of public health in their respective communities.

TMA Community Service Award winners display theirawards (L-R): BurtWaller, executive director of ChristCommunity Health Services; Dr. Boatwright; andJudge Norman.

Christ Community Health Services in Memphis wasnominated for its health outreach and the impactof its ministry on the citizens of Memphis andShelby County. CCHS was founded in 1995 on thebelief that every patient deserves access to quality,affordable health care close to home. Thefounders—David Pepperman, MD, Rick Donlon,MD, Karen Miller, MD, and Steve Besh, MD—werefour Louisiana State University–New Orleans med-ical school graduates who settled in Memphis aftercompleting their residencies.

For the past 15 years, the clinic has served themost medically underservedmembers of theMem-phis community with services including adult andpediatric primary care, OB/GYN, HIV case manage-ment, prenatal and parenting classes, social work,dentistry, pharmacy and various health outreachprograms. In 2009, CCHS provided more than100,000 medical and dental visits in five Memphiscommunities.

Judge SethW. Norman of Nashville was nominated for his effortsaddressing the impact of substance abuse and related disorderson crime. Currently the Judge of Division IV of Criminal Court andPresiding Judge of the 20th Judicial District, he is the founder andPresiding Judge of the Davidson County Drug Court, also knownas DC4. DC4 was founded in 1997 as a sentencing alternative de-signed to divert non-violent felony offenders from Tennessee’spenal facilities, instead placing them in a treatment programwhile being held accountable for their crimes. Over the past 12years, the program has evolved from an outpatient drug court toa one-of-a-kind program with its own residential treatment facil-ity.

Judge Norman, a Korean War Air Force veteran, received hisJD from the Nashville School of Law in 1962. He practiced law inNashville for 28 years and served as a member of the General As-sembly, the State Democratic Executive Committee and as a del-egate to the 1968 Democratic National Convention. Elected tothe bench in 1990, Judge Norman was reelected without opposi-tion in 1998. He is a member of the Nashville and Tennessee BarAssociations.

The TMA has committed $1,000 to a national online advertising

campaign promoting the “Medicare Meltdown” petition drive.

The petition urges Congress to fix the flawed payment formula

that threatens care for Tennessee’s 892,714 Medicare recipients,

including senior citizens and people with disabilities, and 182,294

military family members covered by TRICARE.

The TMA is joining state and specialty medical societies

around the country in launching the targeted ad campaign, aimed

at reaching physicians and patients who will be most affected by

the 21.3-percent cut in Medicare reimbursement.

The online advertisements will be placed on websites such as

AARP.org, Grandparents.com, Weather.com and Humana-

Medicare.com (Medicare Advantage Plan).

The TMA joined the petition drive in mid-April and by early May

had collected over 1,700 signatures throughout Tennessee from

doctors, their staffs and families, and patients.

To sign the online Medicare Meltdown petition or for details

and resources, visit www.tnmed.org/meltdown. +

MemberNewsVisit www.tnmed.org for the latest TMA news, information and opportunities!


TMACommits to“MedicareMeltdown”AdCampaign

HRI Expert Agrees With TMA; CountersuitDismissal Motion FiledAn independent expert hired by Health Research Insights, Inc.

(HRI), to answer the TMA’s lawsuit against the private recovery

contractor has sided with the TMA, agreeing that HRI’s accusa-

tions of overbilling by physicians were false. Meanwhile, days after

filing a countersuit against the TMA, HRI has dismissed half of its

claims and TMA officials expect the rest will also soon be dis-

missed.

The TMA filed suit against HRI in June 2009, challenging the le-

gality of HRI’s recovery activities and its business practices, par-

ticularly regarding repayment demand letters sent to physicians

contracted through Blue Cross Blue Shield of Tennessee to care

for employees of Averitt Express and the Metropolitan Nashville

Board of Public Education (MBPE).

HRI’s “independent coding expert” stated that HRI’s accusa-

tions against doctors were false during deposition testimony

taken by the TMA’s counsel. In response, HRI claims that its own

expert “… has no respect for the judicial process or the oath she

took to tell the truth.” On its website, however, HRI had publicly

agreed to abide by the decision of this expert.

"The timing of this desperate counterclaim is telling, coming

shortly after the TMA and the doctors filed proof in the original

lawsuit that HRI’s accusations are false, and given that even HRI’s

own expert now agrees with the doctors’ assertions,” said TMA

outside counsel David Steed, of Cornelius & Collins, LLP. “HRI is

searching to find a new expert who will agree with them, even

though they had promised to abide by what this one said."

"Not surprisingly, half of HRI’s reckless counterclaim allega-

tions have already been dismissed; the doctors have filed a mo-

tion to dismiss and we anticipate the other half will be dismissed

soon. We expect the focus will remain on HRI’s false accusations

of overbilling that forced these doctors to file the original lawsuit

against HRI to protect their relationship with Metro and Blue-

Cross," Steed added.

“The TMA remains committed to protecting the interests of its

members and the public from organizations making false accusa-

tions that doctors have overbilled, made without even a review of

the medical records,” said TMA President B W. Ruffner, MD,

adding, “Such assertions undermine the relationship between

doctors and their patients, and take time and energy away from

those attempting to provide good patient care.”

Dr. Ruffner urged TMA physicians to support the ongoing case

against HRI and future legal advocacy efforts on behalf of doctors

and patients by contributing to the TMA Legal Fund. For details,

visit www.tnmed.org/legalfund or call 800-659-1862.+

Tennessee Medicine + www.tnmed.org + JUNE/JULY 201042

MemberNews

After several delays in the deadline, most medical practices were required

to be compliant with the FTC’s “Red Flag” identity theft rules by June 1,

2010.

What this means for TMA members is that if medical practices extend

credit to patients by accepting credit cards or other means, such practices

must have written policies in place to discover and respond to possible

identity theft. The TMA Legal Department has developed a template pol-

icy for use by members in order to come into compliance with the rules. It

can be found on the TMA’s online Law Guide at www.tnmed.org under

“Stay Informed” and “Legal Resources.” Look for the topic titled “Red Flag

Rules: Physician Practice Identity Theft and Breach Notification Policy.”

Member login required.

TMA officials said the development of such a policy would cost med-

ical practices hundreds and possibly thousands of dollars in legal fees,

emphasizing this is another valued service provided to TMA members free

of charge. +

“RedFlag”IdentityTheftRules inEffect

Although escaping damage itself, the thoughts and prayers of the

Tennessee Medical Association are with the victims of Ten-

nessee’s devastating floods.

“We no doubt have physician members whose homes or of-

fices were affected, and all of us have friends, family or col-

leagues who were impacted by this horrible event,” said TMA

President B W. Ruffner, MD.

“Our Nashville headquarters fortunately was not affected by

the flood waters as the rest of the city was,” said TMA Chief Exec-

utive Officer Don Alexander. “However, the TMA is doing its part

by conserving water, as requested by Middle Tennessee officials,

as well as encouraging and supporting volunteer efforts through-

out the affected communities.”

The TMA stands by its members, as always, Dr. Ruffner

added. “If any of our members were affected, please let us know.

We stand by ready to help in any way we can with any of our serv-

ices.” Affected members can contact the TMA at 800-659-1862. +

TMA Thoughts arewith TennesseeFlood Victims

Alert: Watch for AMA–UnitedHealth Group Set-tlement NoticeTMA members can share in the AMA’s $350 million settlement against

UnitedHealth Group/Ingenix.

Notices regarding the AMA/UnitedHealth Group/Ingenix $350 mil-

lion lawsuit settlement are hitting the streets. TMA members should

watch the mail for an envelope with “United Healthcare” on the outer

page and “United Healthcare Class Action Litigation c/o Berdon Claims

Administration LLC” on the return address position of the outer page.

The Settlement is from a lawsuit the American Medical Association

filed several years ago alleging UnitedHealth systematically underpaid

physicians delivering out-of-network care because the usual, customary

and reasonable rate formula produced by Ingenix and relied on by

United was flawed.

The AMA and TMA are offering a “Step By Step Guide to Maximiz-

ing Your Recovery from the UnitedHealth Group UCR Settlement” doc-

ument, authored by the AMA; there is also a collection of Frequently

Asked Questions about the UHG Settlement. Those and other resources

are available on the TMA website atwww.tnmed.org/uhg_settlement.+

Digital Advertisingwith the TMA

New digital advertising opportunitiesare now available to help you reachthousands of physicians and practiceseconomically and efficiently via:

• TNMED.org• TMA E-News• Tennessee Medicine Online

(interactive, digital version ofthe TMA Journal)

For more information, log on towww.tnmed.org/advertising or contactBeth McDaniels at 800-659-1862 [email protected].

MemberNews


State officials are asking Tennessee physicians for input on the devel-opment of Tennessee’s 2010 State Health Plan.

The 2010 plan will establish common goals and describe promis-ing strategies to improve health and health care in Tennessee. By law,the State Health Plan guides the state in the development of healthcare programs and policies and in the allocation of health care re-sources.

The online survey asks for input on each of the five Key Principlesfor Achieving Better Health in the State Health Plan:

1. The purpose of the State Health Plan is to improve the health ofTennesseans;

2. Every citizen should have reasonable access to health care;

3. The state's health care resources should be developed to ad-dress the needs of Tennesseans while encouraging competitivemarkets, economic efficiencies, and the continued developmentof the state's health care system;

4. Every citizen should have confidence that the quality of healthcare is continually monitored and standards are adhered to byhealth care providers; and

5. The state should support the recruitment and retention of a suf-ficient and quality health care workforce.

To share your thoughts, please go to:http://agsurvey.tn.gov:8080//index.php?sid=72349&lang=en+

Physicians:Weigh In on 2010StateHealth Plan

(L-R): Jim Brexler, Erlanger HealthSystem CEO; Dr. Joe Cofer, ProjectAccess Operations Counsel chair;Amanda Payne, Project Accesspatient; Darrell Moore, ParkridgeHealth System CEO; Dr. Phyllis Miller,Medical Foundation of Chattanoogapresident; Jim Hobson, MemorialHealth Care System CEO.

The Project Access Community Health Partnership of Chattanooga

has provided more than $57.2 million in free health care to unin-

sured residents of Hamilton County since the program began in

April 2004, including $13.8 million of care in 2009. All told, $8.8

million in care has been donated by individual physicians and

$48.4 million contributed by hospitals and other partners over the

past six years.

That from Project Access officials who said while the value of

care has grown annually, operational costs have remained con-

stant. “Project Access provides a 33:1 return on investment: every

dollar spent on program operations resulted in $33 in donated

healthcare services in 2009,” said Project Access Chairman Joe

Cofer, MD, who helped found the program in 2004.

Phyllis Miller, MD, president of the Medical Foundation of

Chattanooga, said “Project Access began as a physician-led effort

to better coordinate charity care physicians have always provided.

Our key partners are area hospital systems, community health

centers, and our 600-plus volunteer physicians.”

The program was developed through the Chattanooga-Hamil-

ton County Medical Society and Medical Foundation of Chat-

tanooga. To learn more, call 423-826-0269 or visit

www.chatmedsoc.org.+

Project AccessChattanooga: $57Millionin Health Care for theUninsured

CMS News


MemberNews

M E D T E N N 2 0 1 0 P H O T O G A L L E R Y

Dr. Richard Lane of Franklin smiles for the TMA camerabetween House of Delegates sessions.

Outgoing Board of Trustees Chairman Dr. Robert Kerlan(left) is honored with a special plaque by his successor,Dr. Charles Eckstein.

Past presidents of the TMA gathered for their annual reunion at MedTenn 2010. (L-R): Front – Drs. Hamel Eason, NatHyder, Jr., J. Kelley Avery and John Thomison; Middle – Drs. Clarence Saunders, Charles White, Sr., Robert Bowers andJohn Dorian; Rear – Drs. Howard Salyer, Robert Kirkpatrick, John Ingram, Michael McAdoo, Ted Galyon, J. Mack Wor-thington, David Gerkin, Barrett Rosen and Chris Fleming.

MemberNews



2010 Graduates of the Physician Leadership College (L-R): Front – Drs. William Gibson, David Beaird, Nita Shumaker andMatthew Mancini; Rear – Drs. Andy Russell, Henry Russell, Kim Rosdeutscher and Melinda Henderson.

Drs. Josefina Marcelo and Samantha McLerran sere-nade the audience during MedTenn Karaoke Night.

MedTenn attendees were again able to earn CME cred-its for proper prescribing through the Tennessee Pre-scription Safety Program.


MemberNews


Kim Warren and MatthewHarrison of First TennesseeBank were among TMA Cor-porate Partners and organ-izations showcasing theirproducts and services forphysicians. Others: DoctorsAccess, Shared Health,SVMIC, TMA Physician Serv-ices, IMPACT, and the Ten-nessee Volunteer Mobilizer.

“The Unassigned,” featur-ing TMA member Dr. KarlMisulis (2nd from left),took top honors in theMedTenn 2010 Battle ofthe Bands.

Dr. Daniel Moore (left) ex-plains his Diabetes Progres-sion poster to Dr. RobertBowers. Dr. Moore’s entrywas the “Basic Science”winner in the ResidentPoster Contest.

MemberNews


M E M B E R N O T E S

Sam T. Barnes, MD, a retired orthopedic sur-

geon in Cookeville, was featured in the

Cookeville Herald-Citizen in April for his do-

nation to the Foundation at Cookeville Re-

gional Medical Center. Dr. Barnes’ gift was in

honor of former CRMC physicians William Tay-

lor, MD, and Harlan H. Taylor, MD. The Foun-

dation raises funds to further the mission of

the CRMC to provide compassionate care for the residents of Upper

Cumberland County. Dr. Barnes is a former member of the Ten-

nessee Board of Medical Examiners and a Putnam County delegate

to the TMA.

Stacey B. Carlton, MD,

and Stephen D. Clark,

MD, of Crossville, were

named “Best Doctors in

Cumberland County” in

the Crossville Chronicle

Reader’s Choice 2010.

Dr. Carlton is a family

medicine physician; Dr.

Clark is an internal medicine specialist and a member of the Amer-

ican College of Physicians, Tennessee chapter. Both practice with

Physicians Associates, LLC, of Crossville.

Quinton V. Cancel, MD, Cookeville urologist,

was recently featured in the March issue of

Essence describing Tennessee as the “stone

belt” and discussing the pain and treatment

of kidney stones. Certified in robotic and In-

terStim surgery, Dr. Cancel is a known speaker

and published author of research articles in

his field, and co-author of a chapter on Coag-

ulation Abnormalities in Unbound Surgery, an online textbook. He

practices with Upper Cumberland Urology Associates, PC.

Joseph B. Cofer, MD, of Chattanooga, has

been elected as a fellow of the American Sur-

gical Association, one of 26 surgeons in-

ducted at the group’s annual meeting in

Chicago in April. He is director of the surgery

residency program at the University of Ten-

nessee College of Medicine-Chattanooga (UT-

COMC) and practices with University Surgical

Associates, PC. A 2007 winner of the TMA Distinguished Service

Award, he is chairman and co-founder of Project Access Community

Health Partnership of Chattanooga, which provides free health care

to uninsured residents of Hamilton County. Dr. Cofer is a director

for the American Board of Surgery, a fellow of the American College

of Surgeons and the Southeastern Surgical Conference, and a for-

mer president of the Chattanooga-Hamilton County Medical Society.

Donald A. Lakatosh, MD, PA, of Seymour, re-

cently earned his sub-specialty board certifi-

cation in sports medicine. He is certified in

physical medicine and rehabilitation.

Jerry L. Miller, MD, of Kingsport, was inducted

into the Junior Achievement of Tri-Cities TN/VA

Business Hall of Fame in May. Dr. Miller, presi-

dent and founder of Holston Medical Group, PC,

was honored for his life commitment to ensure

the best possible healthcare for his patients,

and as a leader in electronic health technology.

A family physician, Dr. Miller also serves as a

member of the Wellmont Health System Board of Directors.

Reynaldo A. Olaechea, MD, of Crossville, is

the new medical director of Cumberland Med-

ical Center’s Wound Care Center; he oversees

all hyperbaric oxygen therapy treatments, as-

sessments and wound care treatments. Dr.

Olaechea has served on the CMC medical

staff since 1975 and is a member of the CMC

Board of Directors. He is a member of the

American Society of Abdominal Surgeons.

W. Charles Penley, MD, a Nashville oncolo-

gist, has been elected to the board of

trustees of the Association of Community

Cancer Centers. Board certified in medical on-

cology, he is a partner with Tennessee Oncol-

ogy, PLLC. He is a member of the American

Society of Clinical Oncology (ASCO), and

serves on the ASCO Clinical Practice Commit-

tee, which he represents to the AMA CPT Editorial Panel. Dr. Pen-

Dr. Carlton Dr. Clark


MemberNews

M E M B E R N O T E S

ley is on the board of directors of the ASCO Foundation and is cur-

rently vice president of the Tennessee Oncology Practice Society.

He is a member of the Tennessee Scenic River Association and is

certified to teach swift water rescue by the American Canoe Asso-

cociation.

Wayne J. Riley, MD, MPH, MBA, president

and chief executive officer of Nashville’s

Meharry Medical College, has been elected to

the Society of Medical Administrators. Previ-

ously, he served as vice-president and vice

dean for health affairs and governmental re-

lations and associate professor of medicine

at Baylor College of Medicine in Houston, TX.

At Houston’s Ben Taub General Hospital, Dr. Riley was assistant

chief of medicine and a practicing academic general internist, and

was an adjunct professor of management at Rice University’s Jesse

H. Jones Graduate School of Management. In Nashville, he serves

as a director on the Nashville Symphony Association Board of Di-

rectors and also serves as a member of the board(s) of Pinnacle Fi-

nancial Partners, LLC; the Cheekwood Botanical Museum Board of

Trust; the Executive Board of Directors of the Middle Tennessee

Council Boy Scouts of America; United Way of Metropolitan

Nashville; and the Tennessee Institute of Public Health Board of

Directors.

Roland B. Weast, MD, of Knoxville, was re-

cently certified by the American Board of Sur-

gery. A general surgeon with Premier Surgical

Associates, PLLC, since 2009, Dr. Weast prac-

tices at Mercy Medical Center St. Mary’s and

Mercy Medical Center North in Knoxville. +

Are you amember of the TMAwho has been recognized for an honor, award, election, appointment, or other noteworthy achievement?Send items for consideration to Member Notes, Tennessee Medicine, 2301 21st Ave. South, PO Box 120909, Nashville, TN, 37212;fax 615-312-1908; e-mail brenda.williams@ tnmed.org. High resolution (300 dpi) digital (.jpg, .tif or .eps) or hard copy photos required.

The TMA is asking physicians who treat workers’ compensation pa-

tients to comment in support of a proposal to raise WC surgical reim-

bursement fees, and in opposition to any attempt to lower the fees.

The Tennessee Department of Labor and Workforce Development,

Workers’ Compensation Division, will hold a rulemaking hearing on

June 11, 2010 to receive public comments regarding the proposed rule

that would revise Rule 0800-02-18-.02(4)(b). The proposed revision

would increase reimbursement for general surgical procedures to 275

percent of Medicare, effective January 1, 2011. This would match the

current rate for orthopedic and neurosurgery procedures; the rule

change would not change orthopedic or neurosurgery rates.

The TMA fears the Department might take this opportunity to

lower all surgical fees, including orthopedic and neurosurgical, to 250

percent of Medicare or less. TMA members seeing Workers’ Comp pa-

tients need to respond in favor of the proposed rate change to 275

percent of Medicare and express opposition to any amendment lower-

ing the fees below 275 percent.

Please submit written comments to the Department before the

June 11 hearing to the following address: Landon Lackey, Department

of Labor & Workforce Development, 220 French Landing Drive,

Nashville, TN 37243, or by email to [email protected]. Physicians

wishing to attend the June 11 hearing should report by 10:00 a.m. CST

to Department offices at 220 French Landing Drive, Tennessee Room,

1st Floor, Side A, in Nashville. +

YourCommentsNeeded in Favor of HigherWorkers’CompSurgical Fees

PLATINUM LEVELDr. George Woobury,Germantown

CAPITOL HILL CLUBDr. Newton Allen, NashvilleDr. Rex Amonette, MemphisDr. Donald Arms, McMinnvilleDr. Allan Bailey, NashvilleDr. Samuel Bastian, FranklinDr. James Batson, CookevilleDr. Lee Berkenstock, MemphisDr. John Binhlam, NashvilleDr. Leonard Brabson, KnoxvilleDr. Richard Briggs, KnoxvilleDr.MarkBrzezienski, ChattanoogaDr. Edward Capparelli, Oak RidgeDr. Lee Carter, HuntingdonDr. Edward Catteau, GermantownDr. Channappa Chandra, HixsonDr. Nancy Chase, MemphisDr. Joseph Cofer, ChattanoogaDr. F. Hammond Cole, MillingtonDr. Neil Coleman, KnoxvilleDr. Audrey Coo, MemphisDr. John Culclasure, NashvilleDr. Richard DePersio, KnoxvilleDr. Steven Dickerson, NashvilleDr. Robert Dimick, NashvilleDr. Burgin Dossett, Johnson CityDr. Charles Eckstein, NashvilleDr. Jeffrey Fenyves, KingsportDr. James Fleming, GermantownDr. Tamara Folz, GermantownDr. Eric Fox, CookevilleDr. David Gerkin, KnoxvilleDr. Katherine Goff, MontereyDr. John Hale, Union CityDr. Reggie Henderson, LexingtonDr. Joey Hensley, HohenwaldDr. Kenneth Holbert, SmyrnaDr. Deborah Hudson, KingsportDr. Stephen & Robin Hutchins,Knoxville

Dr. John Ingram, AlcoaDr. Clifford Johnson, KnoxvilleDr. Robert Kerlan, MemphisDr. Gary Kimzey, GermantownDr. Roy King, KnoxvilleDr. James King, SelmerDr. Robert Kirkpatrick,Germantown

Dr. George Kurita, ClarksvilleDr. Bill Law, KnoxvilleDr. George “Trey” Lee, NashvilleDr. Douglas Leining, ChattanoogaDr. Charles Leonard, TalbottDr. Tim Linder, SelmerDr. Keith Lovelady, ManchesterDr. Michael McAdoo, MilanDr. Mary Katherine McDonald,Hixson

Dr. Edwin McElroy, KingsportDr. William McKissick, Knoxville

Dr. Samantha McLerran,Livingston

Dr. Christine Mestemacher,Memphis

Dr. Michael Minch, NashvilleDr. Fredric Mishkin, KingsportDr. Ken Moore, FranklinDr. Lee Morisy, MemphisDr. Edmund Owen, MemphisDr. Robert Page, KnoxvilleDr. Edmund Palmer, JacksonDr. Charles Portera,Chattanooga

Dr. John Proctor, NashvilleDr. Susan Raschal, ChattanoogaDr. F. Bronn Rayne, CookevilleDr. Avanish Reddy, JacksonDr. Wiley Robinson, MemphisDr. Perry Rothrock, CordovaDr. BW. Ruffner, Signal MountainDr. Chester Ruleman, MemphisDr. Nicole Schlechter, NashvilleDr. Wayne Scott, ChattanoogaDr. David Sexton, KnoxvilleDr. Russ Shellabarger, Jackson(deceased)

Dr. Nita Shumaker, ChattanoogaDr. George Smith, Oak RidgeDr. Iris Snider, AthensDr. Douglas Springer, KingsportDavid Steed, NashvilleDr. Kirk Stone, Union CityDr. Robert & Barbara Trautman,Germantown

Dr. Bob Vegors, JacksonDarlene Vickers, KnoxvilleDr. Julius vonClef, KnoxvilleDr. L. AndersonWalker, NashvilleDr. Jeffrey Warren, MemphisDr. Charles White, Sr., LexingtonDr. Charles White, Jr., LexingtonDr. Mack Worthington,Chattanooga

Dr. Christopher Young,Chattanooga

Dr. Michael Zanolli, Nashville

SUSTAINING MEMBERSDr. Linas Adams, MorristownDr. Robert Adams, CookevilleDr. Robert L. Adams, MemphisDr. Maysoon Ali, WaverlyDr. Valerie Arnold, MemphisDr. Michael Baron, BlountvilleDr. Reed Baskin, MemphisDr. W.R. Beaver, Johnson CityDr. Berta Bergia, KnoxvilleDr. John Beuerlein, KnoxvilleDr. Wallace Bigbee, McMinnvilleDr. Ben Birdwell, NashvilleDr. Stanley Bise, CrossvilleDr. William Black, KnoxvilleDr. John Blazier, KingsportDr. Glenn Booth, Jr., Nashville

Dr. David Bowers, ChattanoogaDr. William Bradford, TullahomaDr. Stacy Brewington, CookevilleDr.Michael Brueggeman, JacksonDr. Bernard Burgess, FranklinDr. Patrick Burkhart, MaryvilleDr. Felix Caldwell, MemphisDr. T. Mark Carter, GallatinDr. J. Brad Carter, Oak RidgeDr. James Caruso, LakelandDr. Scott Caudle, ElizabethtonDr. Cathy Chapman, MemphisDr. Debbie Christiansen, KnoxvilleDr. Thomas Clayton, CrossvilleDr. Elijah Cline, LaFolletteDr. Thomas Conway, NewportDr. Jeffrey Cook, FranklinDr. Daniel Coonce, CookevilleDr. Scott Copeland, CookevilleDr. Tony "Mitch" Cox, Old FortDr. John D. Crabtree, TullahomaDr. John Crocker, JacksonDr. Dale Cunningham,Germantown

Dr. Randall Dabbs, KnoxvilleDr. Dewayne Darby, Jefferson CityDr. Charles Darling, Oak RidgeDr. StephenDaugherty, ClarksvilleDr. Philip Deathridge, CrossvilleDr. Raza Dilawari, MemphisDr. Denise Dingle, SmithvilleDr. David Doane, JonesboroughDr. Tracey Doering, NashvilleDr. Daniel Dunaway, MemphisDr. Hamel Eason, Atlanta, GADr. George Eckles, MurfreesboroDr. Raif Eksakr, GermantownDr. Robert Elder, KnoxvilleDr. Thomas Ernst, MemphisDr. Rogelio Escarcega, Union CityDr. Claudio Feler, MemphisDr. Daniel Fisher, ChattanoogaDr. Jack Fisher, NashvilleDr. Michael Flynn, KnoxvilleDr. David Freemon, Johnson CityDr. Charles Fulk, MorristownDr. David Garriott, KingsportDr. Evelyn Gayden, MemphisDr. Barbara Geater, MemphisDr. Mary Gingrass, NashvilleDr. Francis Gluck, NashvilleDr. Mark Goldfarb, NashvilleDr. Clarence Goulding,Johnson City

Dr. Randall Graham, KnoxvilleDr. Roland Gray, NashvilleDr. Erich Groos, Jr., NashvilleDr. Paul Gurecki, Oak RidgeDr. Larry Gurley, NashvilleDr. Richard Hall, CookevilleDr. Joe Hall, WaynesboroDr. Oscar Harrington, MemphisDr. David Harris, Jr., KnoxvilleDr. Randall Hartline, KnoxvilleDr. Melinda Haws, NashvilleDr. Radwan Haykal, MemphisDr. James Headrick,Chattanooga

Dr. Mary Heath, WinchesterDr. A. Clyde Heflin, NashvilleDr. Stephen Helton, GermantownDr. Donald Hetzel, Chattanooga

Dr. Joseph Holley, Jr., MemphisDr. Michael Hood, NewportDr. Nathan Horner, GreenevilleDr. Stephen Humphrey,Hendersonville

Dr. Kurt Ick, KingsportDr. J.T. Jabbour, GermantownDr. Lisa Jabusch, HermitageDr. G. Whit James, HermitageDr. W. Dean Jameson,Germantown

Dr. Frank Jayakody, ShelbyvilleDr. William Jekot, MurfreesboroDr. William Jennings, ParsonsDr. Steven Johnson, NashvilleDr. John C. Johnson, Johnson CityDr. Charles Jordan, CookevilleDr. Frank Jordan, JacksonDr. Clark Julius, KnoxvilleDr. Beth Kasper, ClarksvilleDr. Haresh Khatri, LawrenceburgDr. Karl Klein, CookevilleDr. A. Bernhard Kliefoth,Knoxville

Dr. Joseph Krick, TullahomaDr. Kent Kyger, NashvilleDr. Richard Lane, FranklinDr. Charles T. Langford,Knoxville

Dr. Gary Lanham, ChattanoogaDr. Charles Larkin, GermantownDr. John Lay, SavannahDr. Robert Lemons, MemphisDr. James Lett, KnoxvilleDr. Michael Levitt, NashvilleDr. Melvin Litch, GermantownDr. James Little, ChattanoogaDr. LaVerne Lovell, MemphisDr. Susan Lowry, MartinDr. James Loyd, Signal MountainDr. Michael Maggart, KnoxvilleDr. Benjamin Mahan, TullahomaDr. Richard Manning, KnoxvilleDr. Jeffrey Marvel, TullahomaDr. H. Lynn Massingale,Knoxville

Dr. J. Lucius McGehee, MemphisDr. Rodney McMillin, KingstonDr. John McMurray, KingsportDr. Alvin Meyers, HermitageDr. Anthony Meyers, KnoxvilleDr. Stephen Miller, MemphisDr. Jami Miller, NashvilleDr. Andrew Miller, NashvilleDr. Foy Mitchell, AthensDr. Joe Mobley, ParisDr. Brent Moody, NashvilleDr. Ian Murray, MemphisDr. John Nading, NashvilleDr. Susan Nelson, MemphisDr. Ronald Overfield, NashvilleDr. Ana Palmieri, MemphisDr. Jim Pang, CordovaDr. Jeffrey Patton, NashvilleDr. Albert Petty, MaryvilleDr. Susan Pick, CrossvilleDr. Edward Pratt, MemphisDr. Ronald Pruitt, NashvilleDr. Charles Reynolds, KnoxvilleDr. James Richmond,Chattanooga

Dr. Robert W. Ridley, Tullahoma

Dr. William Riggs, MemphisDr. Jack Rowland, ChattanoogaDr. Tejinder Saini, CordovaDr. Lawrence Schull, ShelbyvilleDr. Richard Schultz, Oak RidgeDr. David Seaberg, ChattanoogaDr. Elbert Shackleford,Hendersonville

Dr. James & Emily Shore, MartinDr. Edward Shuck, ChattanoogaDr. Barry Siegel, MemphisDr. Bryan Simmons, MemphisDr. Norman Sims, HendersonvilleDr. Langdon Smith, ColumbiaDr. Samuel Smith, BrentwoodDr. Jonathan Sowell, KnoxvilleDr. David Sparks, KingsportDr. Eugene Spiotta, MemphisDr. John Staley, KnoxvilleDr. Homer Staley, LawrenceburgDr. Janet Stastny, Johnson CityDr. Chris Stauber, KnoxvilleDr. Donald Sullivan, MemphisDr. S. Bobo Tanner, NashvilleDr. Ralph Taylor, MemphisDr. Indurani Tejwani, MemphisDr. Michael Tepedino, TullahomaDr. William Terry, KnoxvilleDr. William Tettelbach, MemphisDr. Forrest Tompkins, KnoxvilleDr. Harrison Turner, KingsportDr. John Vickery, MemphisDr. Joe Wallace, CrossvilleDr. W. Bedford Waters, KnoxvilleDr. M. Wayne Westmoreland,Murfreesboro

Dr. Jerald White, BrownsvilleDr. Charles Wilkens, PioneerDr. Mark Williams, MemphisDr. J. Lynn Williams, DecherdDr. David Winek, NashvilleDr. John Witherspoon, NashvilleDr. Robert Wood, CrossvilleDr. Burgin Wood JacksboroDr. J. Howard Young,MurfreesboroDr. Furhan Yunus, MemphisDr. JamesZellner, SignalMountain+


BLOUNT COUNTY MEDICAL SOCIETYGary M. Mason, MD, AlcoaNathan Eric Schrock, MD, Alcoa

CHATTANOOGA-HAMILTON COUNTYMEDICAL SOCIETYJ. Andrew Lovette, MD, Fort Oglethorpe

CONSOLIDATED MEDICAL ASSEMBLY OFWEST TENNESSEEMelissa Anne Appleton, MD, Jackson

KNOXVILLE ACADEMY OF MEDICINEIulian M. Burtea, MD, KnoxvilleJacquiline Sue Crawford, MD, KnoxvilleJason B. Deen, MD, KnoxvilleSteven E. Repka, MD, KnoxvilleJohn Collins Texada, MD, KnoxvilleDaniel Robert Wenzke, MD, KnoxvilleTurner Emery, DDS, MD, Knoxville

THE MEMPHIS MEDICAL SOCIETYMirza Salman Baig, MD, PrincetonMelinda J. Garcia-Rosell, MD, MemphisStephen Michael Huddleston, MD,Memphis

Todd Allan Jenkins, MD, MemphisChristopher Klien Ledbetter, MD,Germantown

Katosha Andra Muse, MD, MemphisMary Elizabeth Nabers, MD, MemphisDai Park, MD, CordovaChristopher Lawrence Petrey, DO,Memphis

Ms. Monet Casey, MemphisMr. Michael Scott Kleinman, MemphisMr. Fabio Savorgnan, Memphis

NASHVILLE ACADEMY OF MEDICINEPeggy Alsup, MD, NashvilleOlivia Kathryn Giddings, MD, NashvilleChristi A. Witherspoon, MD, HermitageMs. Lakeisha Renae Chism, NashvilleMr. Christopher Estopinal, NashvilleMr. Neal Weston Langdon, NashvilleMr. Daniel Jacob McClure, Soddy Daisy

NORTHWEST TENNESSEE ACADEMYOF MEDICINE

Paul B. Nieves, DO, Union City

ROANE-ANDERSON COUNTYMEDICAL SOCIETYBrynae Laxton Miley, MD, Oak Ridge

SULLIVAN COUNTY MEDICAL SOCIETYAnthony A. Holden, MD, Kingsport

TMA DIRECTTimothy L. Alder, MD, KnoxvilleRachel Marguerite Barker, MD,Knoxville

Monica Kessi, MD, Knoxville

WASHINGTON-UNICOI-JOHNSONCOUNTY MEDICAL ASSOCIATION

Chad Aaron Drey, MD, Johnson CityCourtney C. Hodshon, MD, Johnson CityPatrick Joseph MacMillan, MD,Johnson City

Gabriel Albert Zaietta, MD, Jonesborough

WILSON COUNTY MEDICAL SOCIETYJohn L. Tate, MD, Lebanon


NEWMEMBERS

RUSSELL HUGH ROBBINS, MD, age 70.Died March 2, 2010. Graduate of Univer-sity of Tennessee Health Science Center.Member of Consolidated Medical Assemblyof West Tennessee.

MARTHA A. LOVING, MD, age 84. DiedApril 28, 2010. Graduate of University ofTennessee Center for Health Science.Member of The Memphis Medical Society.

JOHN S. REED, MD, age 95. Died May 2,2010. Graduate of Harvard MedicalSchool. Member of Sullivan County Med-ical Society.

IN MEMORIAM

Physicians who earn the American Medical Association (AMA) Physician’s Recognition Award (PRA) have been recognized by the AMAfor their commitment to patient care and lifelong learning through continuing medical education (CME). The Tennessee Medical As-sociation would like to commend our members who have earned the AMA PRA recently by demonstrating that they earned an averageof at least 50 CME credits per year. Congratulations to the following:

Paul Banick, MD, KnoxvilleRichard Lane, MD, FranklinChristopher Marshall, MD, ParsonsVijay Pethkar, MD, Nashville

AMA PHYSICIAN RECOGNITION AWARD

BlueCross/ BlueShield of Tennessee ........................40

Doctors Access, Inc...................................................35

DoctorsManagement, LLC............................................6

First Tennessee Bank ..................................................4

LBMC ..........................................................................49

Novartis......................................................................22

Shared Health ..............................................................8

State Volunteer Mutual Insurance Company ............56

Tennessee Medical Foundation ................................36

The TMA Association Insurance Agency, Inc. ............21

TMA Insurance Workshops ........................................30

TMA Physician Services, Inc. ................................2, 55

XMC, Inc. ......................................................................3

LIST OF ADVERTISERS


INSTRUCTIONS FOR AUTHORSManuscript Preparation – Manuscripts should be submitted to the Editor, David G.Gerkin, MD, 2301 21st Avenue South, Nashville, TN 37212. A cover letter should identifyone author as correspondent and should include his complete address, phone, and e-mail.Manuscripts, as well as legends, tables, and references, must be typewritten, double-spacedon 8-1/2 x 11 in. white paper. Pages should be numbered. Along with the typed manu-scripts, submit an IBM-compatible 3-1/2" high-density diskette containing the manuscript.The transmittal letter should identify the format used. Another option is you may send themanuscript via e-mail to [email protected]. If there are photos, e-mail themin TIF or PDF format along with the article.Responsibility – The author is responsible for all statements made in his work. Acceptedmanuscripts become the permanent property of Tennessee Medicine.Copyright – Authors submitting manuscripts or other material for publication, as a con-dition of acceptance, shall execute a conveyance transferring copyright ownership of suchmaterial to Tennessee Medicine. No contribution will be published unless such a con-veyance is made.References – References should be limited to 10 for all papers. All references must becited in the text in numerically consecutive order, not alphabetically. Personal communi-cations and unpublished data should be included only within the text. The following datashould be typed on a separate sheet at the end of the paper: names of first three authorsfollowed by et al, complete title of article cited, name of journal abbreviated according toIndex Medicus, volume number, first and last pages, and year of publication. Example:Olsen JH, Boice JE, Seersholm N, et al: Cancer in parents of children with cancer. N EnglJ Med 333:1594-1599, 1995.Illustrated Material – Illustrations should accompany the e-mailed article in a TIF orPDF format. If you are mailing the article and diskette, the illustrations should be 5 x 7 in.glossy photos, identified on the back with the author's name, the figure number, and theword "top," and must be accompanied by descriptive legends typed at the end of the paper.Tables should be typed on separate sheets, be numbered, and have adequately descriptivetitles. Each illustration and table must be cited in numerically consecutive order in the text.Materials taken from other sources must be accompanied by a written statement from boththe author and publisher giving Tennessee Medicine permission to reproduce them. Pho-tos of identifiable patients should be accompanied by a signed release.Reprints – Order forms with a table covering costs will be sent to the correspondent au-thor before publication.

THE TENNESSEE MEDICAL ASSOCIATIONWISHES TO THANK ITS CORPORATE PARTNERS:

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