Smart Medicine

Smart Medicine in Tipton County

SMART MEDICINE. INSPIRED CARE.

A SPECIAL ADVERTISING SUPPLEMENT TO THE LEADER – THURSDAY, MAY 19, 2011

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Strength in numbers.

For nearly a century, the mission of Baptist Memorial Health Care has been to serve others, both inside our hospitals and in our communities. From building a Habitat for Humanity home to the many health fairs, free health screenings, and educational initiatives, we provided more than $200 million in community outreach in 2010. For us, it’s a reminder of how much we can accomplish and motivation to do even more to support our community in ways that strengthen all of us.

To view a full copy of our 2010 community report, please visit www.baptistonline.org.

tipton.baptistonline.o rg | 901-476-2621

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Your community is Baptist’s community BUILT IN 1964 BY TIPTON COUNTY, the hospital became affiliated with the Baptist Memorial Health Care system in 1981. Two physicians’ office buildings were completed in 1983 and in 1993, and additional construction has increased our number of hospital beds to 100.

To continue meeting patient needs, Baptist Tipton completed construction of a surgery center in 1998, adding four operating rooms and two surgery procedure rooms. Two new chest X-ray rooms and a mammography room were added in 2001.

A new sleep disorders lab opened in 1999, featuring three full-sized beds and areas decorated to more closely resemble a patient’s bedroom at home.

In 2000, a new, six-bed observation unit was opened in the lab, equipped with centralized monitoring systems.

The systems provide a consolidated unit, which allows us to monitor patients for up to 24 hours.

An experienced medical staff practices at Baptist Tipton and provides quality care to the Tipton community.

Physicians on staff represent the following specialties:

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Anesthesiology Cardiology Family practice Gastroenterology General surgery Hematology Internal medicine Neurology Oncology Obstetrics

Gynecology Opthalmology Orthopedic surgery Otolaryngology Pathology Pediatrics Podiatry Radiology Urology

Daily hospital services include: Medical and surgical acute care Pediatric acute care Neonatal acute care Geriatric acute care Postpartum care Obstetrical care Newborn nursery care Premature nursery

care Coronary intensive care Isolation intensive care Medical and surgical intensive care Pediatric intensive care Intensive care

Baptist Tipton also provides the following emergency services: ambulatory service, emergency room services, emergency helicopter service and trauma treatment. Ancillary services provided

by Baptist Tipton are:

Labor & delivery room service General surgical services Laser surgery One-day surgery Ophthalmologic surgery Orthopedic surgery Renal dialysis services Necropsy services Pulmonary lab services Blood bank Urology Electrocardiography Electroencephalography Electromyography Oncology Non-invasive vascular studies Diagnostic radioisotope Computerized axial tomography Ultrasound (New extended hours) Physical therapy Rehabilitation therapy Respiratory therapy Occupational therapy Speech therapy Blood collection & processing Magnetic resonance imaging Lithotripsy Mammography Diagnostic radiology Flouroscopy

Baptist Tipton also provides diabetic counseling, dietetic counseling, drug reaction information, hospice, an industrial medicine program, parent training classes, pastoral care, a physician referral service, public health classes and community outreach programs.

Your Community Hospital Baptist Tipton has some of the best services around, and we are right next door. We have pledged to provide highquality care for our neighbors, and we are committed to making our community better. Our occupational health nurse hosts health fairs on-site and in local workplaces. We facilitate educational luncheons for the community, coordinate senior adult health fairs at the Senior Center, and partner with schools on career days. We work with schools yearly to teach children about health issues. Baptist Tipton colleagues participate in the American Cancer Society’s Relay for Life, March of Dimes, and they support the Carl Perkins Center.

Our facility is used for local meetings by support groups as well as the Lions Club and Exchange Club. Your community is our community.

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National Hospital Week Because you serve others, we celebrate you.

Did you know that the first National Hospital Day was held on Florence Nightingale’s birthday, on May 12, 1921? National Hospital Day was originally conceived by a Chicago magazine editor as a public healthcare event that encouraged trust in the city’s hospitals in the wake of the ‘Spanish flu’ outbreak of 1918, which killed more than 600,000 Americans.

The event expanded to an entire week in 1953. Today, every state celebrates National Hospital Week, which is sponsored by the American Hospital Association.

National Hospital Week engages every person in the hospital, from directors to technologists, nurses to volunteers, accountants to food service workers, registration representatives to maintenance engineers, therapists to housekeepers and physicians to patients.

The commemorative celebration

serves as a reminder that hospitals are foundations of the communities that built them and nurture them, and that hospitals serve people in every community from all walks of life. Hospitals today are multi-dimensional environments that offer many medical specialties, with a focus on prevention and wellness.

This year, during National Hospital Week, our theme at Baptist Tipton is “Because You Serve Others, We Celebrate You”. We are very fortunate to have many people who work here who actually live in the community or nearby. They are invested in making our facility the very best that it can be.

When you need health care, whether it is inpatient or outpatient, it can cause a lot of stress and fear of the unknown.

We have employees with great skills and training as well as many with years of experience that you can trust. They

never forget what it’s like to be a patient.

They care for people’s emotional needs, as well as their clinical needs.

Service is embedded in the nature of those who devote their lives to health care. National Hospital Week is filled with activities and events that hope-

fully are fun ways of honoring our dedicated employees. If you have an opportunity, pat a health care worker on the back and tell them how much they are appreciated!

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Tips for a successful doctor’s visit During a doctor’s appointment it’s easy to get sidetracked. Anxiety often runs high and can block your clearest thinking. As well, doctors have schedules to keep. If you feel pressured during the appointment, it may be difficult

to stay focused on addressing each of your concerns. We suggest you maximize your time with the doctor by preparing for your appointments beforehand. Here are some tips:

• Write down and prioritize your questions.

• Bring all your medications with you to the appointment.

• When you arrive for the appointment, give the medical assistant a copy of your questions and ask that they be put on the front of the chart so the doctor can see them.

• Have someone come with you into the exam room to take notes during the appointment and help make sure your questions have been addressed.

• If you hear words you do not understand, ask for an explanation.

• If your doctor thinks you need home health services, please remember to request Baptist Home Care and Hospice. For questions, please call 901-476-0333.

Value-based Purchasing

We have all heard the saying, “You get what you pay for.” The most common interpretation of this statement is that if something costs a great deal of money, it must be the best you can get.

That may have been true in the past, but with the economy in the shape it is in we have become more “aware” consumers. We now shop around for the best bargain so we can get the “most bang for our buck.”

Health care reform is helping bring that to the health care consumer. The Centers for Medicare & Medicaid Services has been required to implement a hospital value-based purchasing program through the Affordable Care Act. Hospitals will now be reimbursed based on the quality of care they provide and will not just receive payment for reporting quality measures. This requirement supported CMS’s efforts to more closely link payments to health care quality.

Under the new VBP program, a hospital’s performance would be evaluated based on achievement or improvement relative to the established standards.

Core clinical and patient satisfaction measures will be weighted and combined into one composite VBP score.

In addition to improving quality and outcomes, managing expenses is also a part of VBP. VBP is expected to reduce Medicare spending by approximately $214 billion during the next 10 years. As Medicare payments are reduced for all providers, cost containment will become increasingly important by identifying ways to reduce waste and other expenses without compromising quality.

Baptist Memorial Hospital-Tipton, like all hospitals, will be affected by the VBP program. The positive side to this is that we have staff, physicians and leadership dedicated to providing quality care. Because we are affiliated with the Baptist Memorial Health Care system, we have access to resources to help keep your hospital ready to care for you, your family and your community as the need arises. We want to be the one you choose when looking to get “more bang for your buck.”

Armour Family Medicine, PLLC “Surrounding You With Care”

Acute Illness Care • DOT Physicals • Flu Vaccines Injury Care • Hypertension & Diabetes Care School & Sports Physicals • Weight Loss Smoking Cessation Treatment Well Children’s Exams Workers Compensation Evaluation Monday - Friday: 8:00 a.m. - 5:00 p.m.

901-476-7779

532 Old Hwy 51 South • Brighton, TN

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www.armourfamilymedicine.com

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Do you have a sleep disorder? Baptist Tipton can help diagnose it According to the National Institutes of Health, 50-70 million Americans are affected by chronic sleep disorders and intermittent sleep problems that can significantly diminish health, alertness and safety. Nearly seven out of 10 Americans say they experience frequent sleep problems. However, when proper diagnosis and treatment of sleep disorders occurs, the feeling of sleepiness declines, memory improves and safety risks decrease dramatically. Untreated sleep disorders have been linked to hypertension, heart disease, stroke, depression, diabetes and other chronic diseases.

Should Your Sleep Be Evaluated?

Do you regularly have difficulty getting to sleep or staying asleep? Do people tell you that you snore? Has anyone ever told you that you have paused in breathing or that you gasp for breath when you sleep? Does sleepiness and fatigue persist for more than two to three weeks? Are your legs “active” at night? Do you experience tingling, creeping, itching, pulling, aching, or

other strange feelings in your legs while sitting or lying down that cause a strong urge to move, walk or kick your legs for relief? Are you so tired when you wake up in the morning that you cannot function normally during the day? If you are suffering from one or more of these symptoms, perhaps you should see your primary care physician for

symptom evaluation and to determine if you should undergo a sleep study.

Sleep studies show eye movement, heart rate, brain waves, and muscle activity. They also show the level of oxygen in your blood, breathing and snoring, and sudden leg or body movement.

Baptist Memorial Hospital-Tipton’s

sleep lab is located adjacent to the hospital and houses three beds and advanced equipment. The staff consists of two registered polysomnography technologists and one polysomnography trainee. The medical director of the sleep lab, Dr. Shameela Ahmed, is board certified in neurology. The technical director, Terri Wilson, is a respiratory therapist and is more than willing to help assist you in whatever questions or concerns you have.

The sleep lab is staffed Monday through Thursday from 7 p.m. until 6 a.m. The neurology department staffing plan utilizes patient procedures, adjusts hours according to patient needs and is evaluated daily. The department performs inpatient, outpatient, critical care, nursery and observation services. Their recognized standard practice guidelines consist of Joint Commission, departmental policies and procedures, and administrative policies and procedures.

The department provides the following services: EEG awake and drowsy, polysomnography with and without CPAP and MSLTs.

Healthy living has never been easier.

Baseball Fields

Walking Trails

Skate Park

Playgrounds

Come, enjoy our award-winning parks!

Valentine Park • City Park • Poplar Park Centennial Park www.munford.com Fitness Classes

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Soccer Fields

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Please say ‘hello’ to Practice Pete, Priscilla and Little Petie These are our latest and greatest effort in improving our knowledge in delivering competent and safe patient care.

In our simulation lab we have mannequin-based patient simulators, Simman or Simwoman, along with Simbaby that will be used to assess and train nurses, respiratory therapists and physicians. The lab is located in a patient room to duplicate an actual patient care setting, allowing staff to receive education and clinical competency/ skill training in a controlled environment. These realistic, anatomically accurate mannequins are equipped with a number of features, such as a realistic airway system; an intravenous arm; physiologically correct carotid, femoral, brachial and radial pulses; and more than 2,500 cardiac rhythms, to allow for realistic patient care scenarios. The simulators can produce spontaneous breathing, heart and lung sounds, as well as coughing, moaning and various voice sounds. Video equipment and other monitoring systems are included in the lab so staff performances can be recorded and assessed at the end of simulations with a debriefing session with the instructor.

May Medical Group

Pictured is Simbaby which is used for pediatric and neonatal scenarios.

Simman is used for adult scenarios.

99 Doctors Drive, Suite 700 Munford, TN 38058

(901) 837-7200 May Medical Group is celebrating over 20 years of family practice in Tipton County!

We have extended hours, with x-ray and laboratory services on-site.

We are currently accepting new patients and accept many insurances, including Tricare and TennCare. We offer prompt, professional medical services, and our friendly staff will greet you when you come into our office.

Your health is our primary care!

Carol Salmon RN recently received SBAR Communication validation in the simulation lab.

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Do you receive the influenza vaccine?

Influenza (flu) is a contagious disease caused by the influenza virus, which can be spread by coughing, sneezing or nasal secretions. Anyone can get influenza, but rates of infection are highest among children. For most people, symptoms last only a few days and include fever, cough, sore throat, headache, chills, muscle aches and fatigue. Other illnesses can have the same symptoms and are often mistaken for influenza.

Infants; the elderly; pregnant women; and people with certain health conditions such as heart, lung or kidney disease or a weakened immune system can get much sicker. Flu can cause high fever and pneumonia; worsen existing medical conditions; and cause diarrhea and seizures in children. Each year thousands of people die from seasonal influenza and even more require hospitalization.

By getting vaccinated you can protect yourself from influe n z a and may

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also avoid spreading influenza to others.

Who should get vaccinated?

All people 6 months of age and older should get the influenza vaccine.

Vaccination is especially important for people at higher risk of severe influenza and anyone who comes in close contact to those people, including health care personnel and people who come in close contact with children younger than 6 months.

When should you get vaccinated?

Getting the vaccine as soon as it is available will provide protection if the flu season comes early. You can get the vaccine as long as illness is occurring in your community. Influenza can occur at any time, but most influenza occurs from November through May. In recent seasons, most infections have occurred in January and February.

Getting vaccinated in December, or even later, will still be beneficial in most years.

Adults and older children need one dose of influenza vaccine each year.

Some children younger than 9 years of age need two doses to be protected. Ask your health care provider.

Influenza vaccine may be given at the same time as other vaccines, including the pneumococcal vaccine.

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BMH-Tipton 2 East Med-Surg Unit The Med-Surg unit at BMH-Tipton each patient on a first name basis and is actively striving to provide safe and is able to meet the needs of the patient effective care for all of our patients. This effectively making the patient feel more unit cares for patients at home. The unit of all age ranges from has been implementnewborn to geriatric. ing bedside hand-off The unit offers sercommunication where SERVICES vices from general the nurses introduce admissions to post themselves to the surgical care, pediatric patient at the begin• general admissions care, and geriatric care. ning and end of each • post-surgical care The staff completes shift. This has proven • pediatric care continuing education to be a big satisfier yearly to keep their of the patients served.

• geriatric care skills and knowledge It allows the patient up to date. to ask questions and Served by a staff with a give input on the care Our employees always strive to present he/she receives. service-first attitude. a service first attitude.

Lastly, the unit also There have been some has been making recent five-star winfollow-up discharge ners for service first on the unit Sandra phone calls to see how satisfied our Poole, Melony Fletcher, Crystal Poole, patients are after being discharged from and Mary Olson. The environment of the facility and using the information the Med-Surg unit at BMH-Tipton is obtained to make positive changes on family oriented. The staff gets to know the unit for future patients.

From left to right, Terry Eybert, LPN, Susana Lindo, RN, and Connie Beauchamp, LPN enact services offered in the med-surg unit at BMH-Tipton.

EASLEY DELONES FAMILY MEDICINE “Compassionate care with convenient hours”

Complete care for the entire family!

We also offer: • Physicals • Medical Weight Loss • Botox • Poison Ivy Vaccine Debbie Delones, FNP Jennifer Easley, FNP Marnie Myers, Office Manager

Evening and Saturday appointments available Accepting most insurances 1618 Hwy. 51 S., Suite G • Covington, TN 38019 • 901-476-7777

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Baptist Memorial Hospital-Tipton List of Active/Hospital-based Doctors

Kenneth Afenya, M.D. Internal Medicine, Hospitalist 1995 Highway 51 South Covington TN 38019 901-476-2621 Jimmie Beasley, M.D. Pediatrics Covington Pediatrics 1998 Highway 51 South P.O. Box 911 Covington TN 38019 901-476-1155

Joshua Dillon, M.D. Pediatrics BMMG-Atoka Pediatrics 36 Capital Way Cove, Ste. E Atoka TN 38004 901-837-6801 Cristina Filetti, M.D. OB/GYN Covington Women’s Services (BMMG) 1995 Highway 51 South, Ste.203A Covington TN 38019 901-475-5480

West TN Orthopedic Clinic, P.A. 1995 Highway 51 South Suite 102 Covington TN 38019 901-476-3424 Samuel Johnson, M.D. Family Practice Family Practice Clinic of Covington 4235 Hwy 51 South P.O. Box 507 Covington TN 38019 901-475-4742

Thomas Caruthers, M.D. OB/GYN Premiere Women’s Care 1995 Highway 51 South, Ste. 112 Covington TN 38019 901-476-9311

Buffy Cook, M.D. Family Medicine Brighton Family Medicine 1880 Old Highway 51, Suite C Brighton TN 38011 901-837-7979 Michael Scott Craig, M.D. Family Practice Brighton Family Medicine 1880 Old Highway 51, Suite C Brighton TN 38011 901-837-7979 Loren Crown, M.D. Family Practice UT Dept of Family Medcine – Tipton 1999 Highway 51 South Covington TN 38019 901-476-4457

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Guy Teach. M.D. Internal Medicine 1995 Highway 51 South Suite 206 Covington TN 38019 901-476-9115 Nneoma Ugorgi, M.D. Pediatrics Tipton Pediatrics, LLC 1995 Highway 51 South Suite 109 Covington TN 38019 901-476-7600 Dejo Viprakasit, M.D. Urology, Life Covington Urology Clinic 1995 Highway 51 South Suite 104 Covington TN 38019 901-476-1135

George Chambers, M.D. Internal Medicine Covington Internal Physicians, P.C. 56 East Main Street Munford TN 38058 901-837-3735 Jayasree Chanda, M.D. Family Medicine 1721 Highway 51 South Covington TN 38019 901-475-1260

901-476-2621

Russell Gross, M.D. Surgery Advanced Surgical Technologies 1995 Highway 51 South, Ste.203 Covington TN 38019 901-475-5422

John Larkin, M.D. Internal Medicine 1995 Highway 51 South Suite 208 Covington TN 38019 901-476-7070

Richard Guerrant, M.D. Internal Medicine 1995 Highway 51 South Suite 111 P.O. Box 567 Covington TN 38019 901-475-6607

Robert Lazar, M.D. Anatomic/Clinical Pathology GI Pathology, PLLC 150 Collins Street Memphis TN 38112 901-475-5563

Jiunn Ho, M.D. GYN, Life 1995 Highway 51 South, Suite 201 P.O. Box 681 Covington TN 38019 901-476-1442 John Janovich, M.D. Orthopedic Surgery

James Miller, M.D. Internal Medicine Covington Primary Care, PLLC P.O. Box 7 Covington TN 38019 901-840-3540 Tuan Nguyen, M.D., ER Medical Director 1995 Highway 51 South Covington TN 38019

Carolyn Owen-Woods, M.D. Internal Medicine UT Dept of Family Medcine – Tipton 1999 Highway 51 South Covington TN 38019 901-476-4457 Angela Potter, M.D. Internal Medicine UT Dept of Family Medcine – Tipton 1999 Highway 51 South Covington TN 38019 901-476-4457 Lloyd Thomas, M.D. Radiology Medical Director Mid-South Imaging and Therapeutics, P.A. 6305 Humphreys Blvd., Ste. 205 Memphis TN 38120 901-747-1000 Syed Zaidi, M.D. Internal Medicine Zaidi & Associates 326 Asbury Avenue Suite 101 Ripley TN 38063 731-221-1637

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World-class cardiac and cancer care in Brighton Expansion and growth best describe The West Clinic’s and Memphis Heart Clinic’s Brighton location. In 2009, the clinics joined forces to establish the first center of its kind in Tipton County jointly providing oncology and cardiology care together…in a spacious stand-alone facility located in Brighton. Offering the latest diagnostic imaging technology like the SOMATOM® Emotion CT Scanner, echocardiography, and comprehensive laboratory services, The West Clinic and Memphis Heart Clinic physician teams guide cancer and cardiac patients through all stages of treatment. Advanced technology and world-class clinical expertise, including leading-edge clinical trial options, create a seamless experience for cancer and cardiac patients seeking the best

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treatments available.

Memphis heart clinic physicians With a team second to none, Dr. Joseph Samaha, interventional cardiologist with Memphis Heart Clinic, has served the patients in Tipton County and beyond for approximately 20 years, spending most of these in Covington. When the Brighton clinic opened, Dr. Samaha was joined by Dr. Arsalan Shirwany, also an interventional cardiologist. They are nationally recognized for their outstanding expertise in the treatment of cardiovascular disease and committed to providing each and every patient with compassion and understanding.

The West Clinic physicians Dr. Robert Johnson, medical oncologist and hematolo-

gist with The West Clinic, has been treating patients in the Tipton County area since 1993, with an office in Covington for approximately 18 years. When the Brighton Clinic opened, Dr. Johnson was joined by Dr. Gary Tian also a medical oncologist/ hematologist. These highly specialized experts provide patients with the best in cancer diagnosis, treatment, and follow-up. In addition, they treat all types of blood disorders.

Located in a quiet, yet convenient area of Brighton, The West Clinic’s and Memphis Heart Clinic’s new stand-alone facility offers ample parking and access. The chemo suite, accommodating 20 patients at one time, resembles a large family room with wall-length windows overlooking a local lake. Services include chemotherapy, hematology and IV

infusion.

In 2011, the Brighton site introduced the SOMATOM® Emotion CT Scanner by Siemens, providing the finest imaging quality while reducing X-ray dose to patients. In a single breath, the scan is com-

plete. The new design increases patient comfort by reducing exam time and eliminating the closed-in feeling often associated with CT scans.

For more information call 901-901-475-0678 or visit www. memphisheartclinic.com or www. westclinic.com.

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New technology enhances radiology services The radiology department at Baptist Memorial HospitalTipton is equipped to take care of your imaging needs. The department has advanced technology with qualified staff to perform each procedure.

In 2009, the radiology department purchased a new X-ray/ digital fluoroscopy room that allows technologists and radiologists to obtain high-quality imaging for X-ray exams and fluoroscopy.

The department also replaced its MRI machine in 2009 to offer newer technology. The equipment upgrade allows technologists to perform more advanced studies that were previously unable to be performed at our facility.

Also in 2009, the radiology department added digital mammography, recognized as

the leader of quality imaging in the mammography field.

The radiology department also provides a 16-slice CT scanner capable of performing all types of exams. A study that has become popular during the last few years is cardiac calcium scoring, a screening study that can help diagnose heart disease before symptoms appear.

During the past two years the hospital has purchased two new ultrasound machines. The new equipment allows sonographers to obtain high quality scans.

Nuclear medicine is provided at Baptist Tipton as well. The nuclear medicine area performs a variety of diagnostic procedures. In 2009, the radiologists began using an upgraded voice recognition system to finalize results. The system allows for

results to be sent to the ordering physicians in a matter of minutes upon completion of the study.

The purchase of all the new equipment in the radiology department helps Baptist Tipton in our commitment to provide quality health care to Tipton County.

If you need one of the services listed above, you’ll need to: Get a physician’s order, which is required for all radiology studies except screening mammograms and cardiac calcium scoring.

Have your physician’s office call to schedule the test. The scheduling number is 901-4755529.

Each area in radiology has extended hours for patients’ convenience.

Tom Isaak, RT, demonstrates the use of new radiology technology at BMH-Tipton. In 2009, the radiology department purchased a new X-ray/digital fluoroscopy room that allows technologists and radiologists to obtain high-quality imaging for X-ray exams and fluoroscopy.

Covington Care Nursing & Rehabilitation Center

Covington Care Nursing and Rehabilitation Center is a federally rated 5 star skilled nursing facility located at 765 Bert Johnston Ave. in Covington, TN with a philosophy of “get well, live well, go home”. We are a 24 hour nursing and rehab facility offering a wide spectrum of services. Physical, occupational and speech therapies are provided by an excellent team of therapist, Our compassionate and caring nurses provide wound care, IV therapy andspecialized feedings. Other services offered include optometry, podiatry and dental care as well as psych services for patients needing or requesting counseling. We are pleased to have a mobile x-ray service.

We are proud of our newly remodeled dining area where patients enjoy restaurant style open dining. We invite you to tour our facility and meet the staff members who will gladly answer any questions. Please feel free to come by or call us at 475-0027.

765 Bert Johnston Avenue • Covington, Tennessee • 901-475-0027

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Family First Medical Center “Helping Others and Becoming Family Along the Way”

Morgan Smith, FNP; Teresa Glover; Kacie Ray; Elizabeth Smith; Howie Freeman; Rosemary Jacobs, FNP

If you are currently looking for a practice to call your home, give us a call.

We welcome all new patients.

Commercial Insurance and TNCARE are accepted. We welcome same day appointments and walk-ins Services Include: - Wellness visits for family members of all ages - Allergy injections - Childhood and adult immunizations - Acute care - Many others

Coming Soon Mental Health Counseling Services

We would love to meet your primary care needs. Give us a call for an appointment today!

899 Highway 51 S. • Covington, TN 38019 • 901-476-8886

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Respiratory Care and Cardiology Respiratory is a full-service department staffed with registered and certified respiratory therapists 24-7. The medical director is Dr. Guy Teach, and the technical director is Terri Wilson. The department’s staffing plan utilizes average daily census and number of procedures scheduled. Adjustments are made according to patient needs and are evaluated daily. Additional staffing is utilized as deemed necessary by the department director. The respiratory care department performs Inpatient, outpatient, emergency, critical care, nursery, observation and ambulatory surgery, as well as recovery room services.

Respiratory care also covers cardiology procedures between the hours of 5 p.m. and 7:30 a.m., as well as on weekends and holidays.

Their recognized standard practice guidelines consist of Joint Commission, departmental policies and procedures, and administrative policies and procedures. The department provides the following services: cardiopulmonary

resuscitation, arterial blood gases, oxygen therapy, mechanical ventilation, artificial airway care, bronchopulmonary hygiene, medication administration and monitoring, pulmonary function studies, pulse oximetry as well as bedside spirometry.

Cardiology is staffed Monday through Friday, 7:30 a.m. -5 p.m. Teach serves as the unit’s medical director, and Wilson is the unit’s technical directory. Much like respiratory, cardiology performs inpatient, outpatient, emergency, critical care, nursery, observation and ambulatory surgery, as well as recovery room services. Their recognized standards and practice guidelines consist of Joint Commission, departmental policy and procedures, and administrative policy and procedures.

The department provides the following services: stress tests, event monitoring, Holter monitoring, ambulatory blood pressure monitoring and EKGs.

Where I Work

By JOHNNY JAMES, PHARM. D. Director of Pharmacy Baptist Memorial Hospital-Tipton On occasion, I have been asked the question, “Where do you work?” When I say, “At Baptist Memorial HospitalTipton Pharmacy,” I am sometimes surprised by their response. Oftentimes, the response is “Oh, you mean you have a pharmacy in the hospital?” But after thinking about it for a minute, I probably should not be surprised because in most hospitals the pharmacy in located in the basement behind locked doors with no access to the general public.

You know, “out of sight, out of mind.”

However, the pharmacist and the pharmacy department have a major role in the day-to-day operations of the hospital as it provides around-the-clock services to our patients. So not having a pharmacy in a hospital would be like not having food in a restaurant.

The pharmacist dispenses multiple doses of IV medications, as well as oral solids/liquids and injectable drugs. In addition, numerous medication protocols are in place for the pharmacist to follow to treat diseases such as pneumonia, influenza, congestive heart failure and heart attack, just to name a few.

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Furthermore, the pharmacist collaborates with physicians and nurses daily and many times hourly to discuss drug treatments and dosages and potential drug related issues, such as drug allergies, drug-drug interactions, and even drug-food interactions. Consequently, the physician, nurse and pharmacist are a team that works closely in the hospital setting. However, it does not stop there. The pharmacy department also provides services to various departments throughout the hospital such as the emergency department, critical care services, the respiratory care department, the radiology department, and the physical therapy department. The walls of our departments are really non-existent.

The pharmacy department is composed of licensed pharmacists who have a doctor of pharmacy degree as well as pharmacy technicians who are registered and/or certified with the board of pharmacy. Obviously, hospital pharmacy is alive and well and will continue to have a huge impact in the health care environment. I strongly recommend the pharmacy profession to students seeking a rewarding career in health care.

Are you a blood donor?

By DON DOVER, MLS (ASCP) Laboratory Director Baptist Memorial Hospital-Tipton In our service area, it is quite common to receive calls or e-mails from our blood supplier, Lifeblood, and on-site transfusion service personnel announcing shortages or voicing serious concerns about blood inventories. When these occur, I realize again how important the role of stewardship is to our blood supply. Shortages and inventory issues seem more glaringly apparent during inclement weather or holiday seasons, however stewardship should be a continuous activity.

The blood bank and transfusion service personnel at Baptist Memorial Hospital-Tipton routinely fulfill our roles in helping to steer component inventory and availability for surgical and medical needs, but there are more pieces to this process, including physicians, nurses, laboratory professionals, administration and the regional blood suppliers, as part of a well-defined plan.

Roughly one-third of this nation’s population is eligible to donate blood, yet less than 10 percent of the popula-

tion donates annually. Not only should health care professionals be faithful stewards of our hospital inventories and make careful medical decisions for the transfusion of blood components, we should accept and spearhead the civic duty to donate blood whenever possible. This is a simple act of pure volunteerism.

The responsibility falls on each of us to steward blood product inventories not only within our own facilities but throughout the communities where we live and work. We must all be cognizant of our patients and our blood supply, whether we provide bedside patient care in a clinical setting or bench-side patient care in the laboratory. Quality, safe transfusion practice is “vein-tovein” from donor to recipient. The next transfusion might be for your parent, your child or your dear friend, and they all deserve your careful consideration.

Baptist Tipton conducts on-site blood drives on a regularly scheduled basis with Lifeblood. Lifeblood also has a local collection office on Highway 51 in Covington. Local donations are critical and will almost certainly save or extend the life of someone in your community.

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16 • Thursday, May 19, 2011 • SMART MEDICINE

www.covingtonleader.com

Baptist Tipton offers outpatient rehab services The return to function is the primary goal of physical and occupational therapy. At Baptist Memorial Hospital-Tipton, our physical and occupational therapists will help you get back to performing normal, everyday activities without difficulty.

Physical therapists can provide specific exercises and techniques designed to preserve range of motion and muscle strength. We can also show you the best way to move from one position to another and can also teach you how to use walking aids such as crutches, a walker or a cane to improve balance.

Occupational therapists can also provide you with specialized exercises and techniques that increase your independence and performance with activities of daily living, such as dressing, bathing and grooming. We can teach you how to modify your home and work environments to maximize function safely and efficiently.

Baptist Tipton operates a licensed outpatient rehabilitation clinic conveniently located near the hospital campus. We offer the fol-

lowing rehabilitative services to patients of all ages, from childhood to adulthood: activities of daily living training, cognitive training, stroke rehabilitation, hand therapy/custom splint fabrication, manual therapy/mobilization massage therapy, orthotic and prosthetic training, pain reduction, sport and orthopedic rehabilitation, strength and range of motion improvement, wound care, athletic training and post-rehabilitation and aquatic therapy.

We also offer individualized treatment programs such as developmental delay, fluency disorders, neurological disorders, pain management, postural disorders, sports injuries, total joint replacements, work-related injuries and balance disorders.

To receive outpatient rehabilitation therapy at Baptist Tipton, you need a signed prescription from a physician listing specific orders, diagnosis and any precautions or limitations prior to your appointment. Our licensed therapists will do a thorough evaluation and develop an appropriate and individualized treatment plan for you.

Brighton Pharmacy /LD (WY s "RIGHTON 4. s s $RIVE 4HRU !VAILABLE

(OURS - & s 3AT

The best time to think of us is before you need us.

Most people don’t begin to think about home care or hospice services until a loved one is seriously ill. But if you’re responsible for the care of a loved one, did you know that Baptist Home Care & Hospice-Tipton offers skilled, compassionate care to patients of all kinds, whether they are recuperating from a hospital stay or just need occasional visits? We help improve the quality of life for you and the

Pat Fowler Chuck Porter, Brooke Smith, Ashton Anderson & Angie Terry

ones you love. For more information, please call 901-476-0333.

We accept all insurances, and are conveniently located in Brighton.

Providing fast and friendly service in a hometown atmosphere there’s no wonder we were voted #1 Pharmacy in 2009 & 2010. We want and appreciated your business!

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5/16/11 10:22:29 AM

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Thursday, May 19, 2011 • SMART MEDICINE • 17

Your neighborhood health care partner.

Baptist Memorial Medical Group consists of Baptist physicians with offices and clinics throughout the region. Whether you need primary care, a family doctor, or a specialist, BMMG gives you access to the most trusted doctors and nurses in our area.

BMMG–Atoka Pediatrics | 36 Capital Way, Suite E | Atoka, TN 38004 | 901-837-6801 BMMG–Covington Women’s Services | 1995 Highway 51 South, Suite 203 | Covington, TN 38019 | 901-475-5480 BMMG–Covington General Surgery | 1995 Highway 51 South, Suite 203 | Covington, TN 38019 | 901-475-5422

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18 • Thursday, May 19, 2011 • SMART MEDICINE

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Medical lab professionals work behind the scenes

By RON SMITH, MLT Baptist Memorial Hospital-Tipton Just what happens behind the scenes when your samples end up in the hands of the professionals who process and perform the routine and complex lab studies? How do they provide the diagnostic data used by your physician to determine the cause of your condition or illness and to plan and/or monitor your therapeutic treatment?

When it comes to the jobs performed by medical laboratory professionals, many don’t realize just how vital their responsibilities are as a part of the health care team. Statistics show that 70 – 80% of a given patients diagnosis, care and treatment plan is based on laboratory data.

Don Dover, MLS (ASCP) laboratory director at BMH-Tipton explained what the professions involve and the lack of awareness that generally exists about the role they play in the delivery of modern healthcare.

“Obviously, the amount of education and /or training required varies, however the differences between technologist, technicians and lab assistant’s is not simply in the levels of responsibility and skills but in their visibility.

When one goes for diagnostic work, the lab assistant is the person who most often draws and collects the specimens

needed.”

The technologists and technicians are the ones out of view in the labs, doing the hands on work of operating and maintaining complex chemical and physical diagnostic equipment, processing and loading patient samples to run and releasing results. Integral to every test they perform, conducting quality control procedures along with patient specimens insures that the results are consistent and highly accurate. Although many assays are automated, many areas like microbiology and blood banking still require expert physical skills in manipulation and analytical knowledge to interpret and validate findings.

“Medical laboratory science is a program many people are simply not aware of, and of how diverse it is,” he said.

“And because most of us work outside the view of patients, we’re the hidden workhorse and the diagnostic engine of the hospital. We put out thousands of test results every day, but our lack of visibility and limited contact with patients does not lessen our pride in knowing the impact our work has on the delivery of quality patient care.”

Under pathologist and Medical Director Robert Lazar, MD – the BMHTipton laboratory is staffed 24-7 with licensed and board certified technicians and technologist covering the disciplines

of Hematology, Chemistry, Urinalysis, Coagulation, Serology, Microbiology, and Blood Bank/Transfusion Services.

The lab utilizes the latest equipment and methods – all standardized to comply with the Baptist systems standards for quality, accuracy, consistency and reliability.

Mr. Dover says the profession of medical laboratory science is a “wonderful”

field to enter. There are a number of excellent programs in west TN – including the UT-Memphis CLS program with whom BMH-Tipton has been affiliated with for many years. If you or someone in your family is interested in pursuing a career in the lab, BMH-Tipton laboratory can put you in touch with the right contacts to help you get started.

Health-care-associated infections Health care-associated infections are defined as infections not present and without evidence of incubation at the time of admission to a health care facility. The term HAI replaced the old term “nosocomial,” but you may still hear health care workers use both terms interchangeably. The Centers for Disease Control and Prevention and the National Healthcare Safety Network classify HAI into event types and definitions. It is according to these definitions and patient-specific criteria such as signs and symptoms, laboratory and clinical diagnosis, that our facility reviews and reports potential HAI. What’s all the fuss about HAI? HAI directly affects patient safety. These infections can be devastating and deadly. The CDC estimates that approximately one out of every 20 hospitalized patients will contract an HAI. With approximately 4.5 HAI for every 100 hospital admissions, the annual

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direct cost on the health care system was estimated to be $4.5 billion in 1992 dollars. Adjusting for the rate of inflation, the estimate is approximately $6.65 billion in 2007 dollars.

An HAI usually occurs two to three days after admission to a hospital. The infections occur at a cost to the community and the patient because they cause illness to the patient, a longer hospital stay, longer recovery time, and costs associated with both longer stay and longer recovery time. The most common types of infection acquired in hospitals are urinary tract infections, wound, pneumonia and bloodstream infections.

What can you do to reduce your chance of getting an infection?

The single most important way to help prevent any infection is hand hygiene. While you are in the hospital, remember hand hygiene for yourself, your family

and visitors, and also any health care worker who is caring or may come in contact with you. If you get an infection, you may be placed in an isolation room, where health care workers wear gowns and gloves while taking care of you.

The Hospital Consumer Assessment of Healthcare Providers and Systems is a national survey that asks patients about their experiences during a recent hospital stay. HCAHPS (pronounced “H-caps”) allows consumers to make fair and objective comparisons between hospitals. Development of the survey was funded by the federal government, specifically the Centers for Medicare & Medicaid Services and the Agency for Healthcare Research and Quality.

To learn more about your local hospital, please go to www.hospitalcompare.hhs.gov.

References: www.cdc.gov/HAI/burden.html and www. hospitalcompare.hhs.gov.

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Thursday, May 19, 2011 • SMART MEDICINE • 19

www.covingtonleader.com

About the outpatient surgery department The surgery suite at Baptist Memorial Hospital-Tipton has four operating rooms, two gastrointestinal surgery rooms, a central sterile room, a ninebed outpatient unit and a six-bed post anesthesia care unit with one negative pressure room for isolation cases. The suite was built in 1997 and has some of the largest operating rooms in West Tennessee.

Baptist maintains advanced equipment. This year we upgraded five electrosurgical units, three anesthesia machines, two steam sterilizers, three fluid/blanket warmers and a washer/ disinfector for instrument cleaning in the central sterile room. We are also upgrading our low-heat sterilizers with two new Steris System 1Es and a Sterrad NX. Our nursing staff strives to be the provider of choice with a commitment

to clinical expertise for quality, personalized health care exceeding expectations in the community we serve. Our surgery staff includes eight RNs, two CSTs, two STs and one environmental services person. All our RNs are Advanced Cardiovascular Life Support and Pediatric Advanced Life Support certified.

We have two certified ACLS instructors, one certified operating room nurse and two certified scrub techs. We have one RN enrolled in nursing school to obtain her Bachelor of Science in Nursing degree and two RNs studying for the certification exam in their specialties. Our central sterile tech is also studying for the certification exam.

We provide the following surgical services: ophthalmology, urology, gynecology, obstetrics, general, podiatry, minor orthopedics, and gastrointestinal.

The role of a hospital case manager

Case management strives to ease the transition from hospital to next level of care Baptist Memorial Hospital-Tipton’s case management department uses a collaborative process that focuses on providing a smooth transition from the hospital to the next level of care, whether it is home, a skilled nursing facility or home with the assistance of a home health provider. Discharge planning efforts begin at admission. The process includes an in-depth review of available medical records, medical history, and admission medical diagnosis with treatment plan.

The case manager meets with all new patients and available family members to complete a risk assessment to identify any barriers that might prevent a safe discharge and to determine if an alternate level of care is indicated.

Barriers to discharge include current functional status (ability to care for self); any aids that might be needed at home such as a walker, wheelchair, bedside commode etc.; level of patient understanding of the disease process; education regarding disease process; level of medication compliance; end-of-life care issues; family support system; and financial issues.

Individual needs are identified to develop a comprehensive discharge plan that will address those needs.

A daily transitions meeting is held to discuss each patient and any barriers that interfere with a safe transition to home or to the next level of care. This meeting includes case management, nursing, respiratory therapy, physical therapy, pharmacy and dietary,

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Pictured (left to right) are case management employees Louise McFerson, Cissy Ray Evans and Penny Pursell.

all providing input that assist with improving patient safety in the transitions of care.

Case managers assist with scheduling medical follow-up appointments and seek input from the patient regarding the best times and determining transpor-

tation availability. Resource telephone numbers are provided prior to discharge. Follow-up phone calls are made to high-risk patients to assess the transitions of care process.

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20 • Thursday, May 19, 2011 • SMART MEDICINE

www.covingtonleader.com

Nurses at BMH-Tipton honored with DAISY Award Nurses at Baptist Memorial HospitalTipton are being honored with The DAISY Award for Extraordinary Nurses.

The award, presented in collaboration with The American Organization of Nurse Executives, is part of the DAISY Foundation’s program to recognize the super-human efforts nurses perform every day. The first award recipients are Pennie Cross, RN, who works in the emergency department, and Tasha Ballard, RN, who works in labor and delivery. The not-for-profit DAISY Foundation is based in Glen Ellen, Calif., and was established by family members in memory of J. Patrick Barnes.

Barnes died at the age of 33 in late 1999 from complications of idiopathic thrombocytopenic purpura, a little-known but not uncommon autoimmune disease. The care Barnes and his family received from nurses while he was ill inspired this unique means of thanking nurses for making a profound difference in the lives of their patients and patient families.

Nurses are nominated by their peers, physicians, patients, and family members. Each quarter a nurse will be selected from these nominations to receive The DAISY Award. The certificate reads: “In deep appreciation of all you do, who you are, and the incredibly meaningful difference you make in the lives of so many people.” The honoree will also be given a beautiful and

Those receiving the DAISY Award were, at left, Pennie Cross, RN, and, at right, Tasha Ballard, RN, and Shelia Fleming, Chief Nursing Officer.

meaningful sculpture called A Healer’s Touch, hand-carved by artists of the Shona Tribe in Africa.

One day while Barnes was in the hospital, he asked his family to bring Cinnabon cinnamon rolls for himself and all the nurses in his unit. With the

help of Cinnabon’s parent company, FOCUS Brands, The DAISY Foundation carries on this tradition by providing Makara Cinnabon Cinnamon to each award winner.

We are proud to be among the hospitals participating in the DAISY Award

program. Nurses are heroes every day. It’s important that our nurses know their work is highly valued, and The DAISY Foundation provides a way for us to do that. More information is available on their website, www.

DAISYfoundation.org.

BMH-Tipton offers high quality care at OB unit Baptist Memorial HospitalTipton has an OB unit that gives the highest quality of care to our community.

They also have a four-bed labor-and-delivery unit, a ten-bed nursery and a tenbed, post-partum unit. In labor and delivery, we have in-room, bedside monitoring for the mother and baby.

They have newly decorated delivery rooms and postpartum rooms for the comfort of the patient, family and visitors. Their nursery has a new natus hearing

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screener to provide for hearing screens prior to discharge on each newborn. Their safe place baby security system provides extra security to newborns while they are in the facility. They give efficient delivery of service, in a comfortable, happy and safe environment close to home.

Their nurses are highly qualified with certifications in NRP, STABLE, CPR, ACLS, and PALS along with having 2-Lactation Specialists on staff.

UNITS AND SERVICES • labor-and-delivery unit • nursery and postpartum units • bedside monitoring • newly decorated delivery rooms for the comfort of the patient

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www.covingtonleader.com

LEADER PRINTING

Envelopes. Business cards. Magazines. Direct mail. Multi-part tickets.

For more than 120 years, The Leader has maintained a print shop for commercial customers and that tradition is still alive and well. A two-color Harris press continues to crank out products, from postcards to magazines while a Chief duplicator handles business cards, letterhead and envelopes and more. While technology changes from time to time and a new piece of equipment is moved in, the commercial print operation has been running strong since well before The Leader moved into its current location more than 40 years ago.

Drs. Whitley &

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HORIZATION I request that paym Whitley & Hugh ent of authorized Medicare benefits be made es on my behalf to any holder of medicfor services furnished to me

by Drs. Drs. al information Medicaid Servic about me to releas Whitley & Hughes. I autho es and its agent rize e to the Division s any information able for related of Medicare and needed to determ services. I under ine stand my signa and authorizes ture requests that those benefits payrelease of medic al information health insurance” paym ent be made necessary to pay is indicated in approved claim the claim. If “othe item forms or electronica 9 of the HCFA-1500 form, r ing of their inform or elsewhere on lly other ation to the insure submitted claims, my signature physician or suppl r ier agrees to accep or agency shown. In Medicare authorizes releasthe full charge, assigned cases, t the charge determ and the the charge determ non-covered services. Coinsuranc ination of the Medicare carrie ination of the Medic r as e and the deduc tible are based are carrier. upon

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le for this acco unt? ________ ____________ patient ________ __ ____________ Birthdate ____ ___________ ____________ ___ SS# ____ ____________ Insurance Com __ pany ________ ____________ Group number ____________ ____________ _ ____________ ____________ Is patient covered __ by additional insu rance Subscriber nam Q Y Q N e ____________ ____ ____ ____________ Birthdate ____ ____ ____________ ___ SS# ____ ____________ Relationship to __ patient ________ ____________ Insurance Com ___________ pany ________ ____________ ____________ Group number _ ____________ ____________ ____________ __ IN Relationship to

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____________ ___________ Address ______ ____________ ____________ ____________ _____ ____________ ___ ____________ City ____ State Zip Home phone num ber _________ ____________ Work phone num ___ ber _________ ____________ Cell phone num ___ ber ____________ ____________ Email Address ____________ ____________ Sex Q M Q F Birthdate______ ________ Social Security number ______ ____________ Occupation ___ ____________ ____________ Employer ______ ____________ ____________ Employer Add ______ ress _________ ____________ Employer Pho _____ ne _________ ____________ _______ Spouse’s Nam e _________ WratherDen ____________ talCenter.com Birthday _______ 901. __________ 720 W Sherrod, 476.8121 SS# _________ Covington, ________ TN 38019 Lumineers~Im Occupation plants~Resto ____________ ration~Cosm ____________ etics~SedationSpo _____ use’s Employer ____________ ____________ __ R RE RN FO TO RETU EANINGS: CL ASONS TEN RE EXAMS AND 21 476.81

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____________ _________ PRIMARY CAR ____________ ____________ E PHYSICIAN ________ _________ INFORMATIO ____________ N Names ____________ ________ _________ ____________ ____________ ____________ Address Drug Allergies ________ ______ ____________ ____________ ____________ ____________ ____________ ______ _ ____________ Describe all serio ___ us illnesses, injur ____________ Phone Number ies and surgeries ___ ____________ ____________ : ____________ ____ Fax ______ Date of last eye ____________ ____________ _____ ____________ exam _________ ____________ ______ ____________ ____________ Name of previous ____________ _____ eye doctor ___ ____________ ____________ ____________ ____________ _____ ____________ ____________ _______

Ask a sales representative for a quote or call us today at

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22 • Thursday, May 19, 2011 • SMART MEDICINE

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BMH-Tipton makes positive contribution to community Baptist Memorial Hospital-Tipton provides excellence in health care in rural West Tennessee and supports its community through financial contributions, charity care and the volunteer efforts of Baptist colleagues.

Baptist Tipton plays an integral role in Baptist Memorial Health Care’s overall commitment to its mission to heal, preach and teach. The total community benefit, including uncompensated care, unpaid accounts and community support, provided by Baptist Tipton was more than $6.6 million in 2010. The hospital carries out its mission in large and small ways, but all helped to enhance the quality of life in Tipton and surrounding counties during 2010: • Baptist Tipton continued its support of Dyersburg State Community College by donating $60,000 to help fund student scholarships in the school’s nursing program.

• Baptist Tipton hosted a chili cooking contest to raise money for the American Cancer Society’s Relay for Life. Nine teams from the hospital competed in the contest, which raised more than $400.

Baptist Tipton’s support of the annual Relay for Life helps Tipton County fight back against cancer. Its donation will

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further the American Cancer Society’s mission to eliminate cancer as a major health issue through research, education, advocacy and service.

Colleagues at Baptist Tipton recently helped the facility earn fourth place overall in fundraising for the Tipton County March of Dimes. The hospital raised $4,000 for the cause through events such as bake sales, popcorn sales and Christmas gift wrapping services.

Baptist Memorial Health Care is a regional health care system with affiliate hospitals throughout West Tennessee, North Mississippi and East Arkansas.

These hospitals all provide substantial charity care, uncompensated care and community benefit, often in rural communities that have no other hospitals and few physicians. Baptist Memorial Health Care provided $204 million in community benefit during fiscal year 2010.

In 2010, Baptist Memorial Health Care opened the region’s first residential hospice in Collierville, the Baptist Trinity Hospice House, and the Kemmons Wilson Family Center for Good Grief.

The hospice facility has filled an enormous need in the community for highlevel, compassionate, end-of-life care.

The Baptist Operation Outreach mobile health care clinic provides primary care to the homeless three times a week in underserved areas in Memphis.

Baptist invested $2.8 million in the program in 2010. In addition, staff hosted a health clinic at the City of Memphis’ annual Thanksgiving Dinner for the Homeless and the Hungry, providing primary care and health information.

Baptist colleagues contributed more than $6,000 to Habitat for Humanity

International to build housing, and the Baptist Memorial Health Care Foundation donated an additional $10,000 that was distributed through the American Red Cross and the Southern Baptist Convention Global Relief Fund in response to the devastating earthquakes in Haiti. Baptist is committed to serving its communities through programs that heal, educate and inspire others, guided by the example of Christ.

FACTS & FIGURES • Total uncompensated care (charity care and unpaid patient accounts): $97 million • Unpaid Medicaid/TennCare accounts: $101 million • Community relations/corporate support: $1.2 million • Baptist Memorial Health Care Foundation grants: more than $1.5 million

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Thursday, May 19, 2011 • SMART MEDICINE • 23

www.covingtonleader.com

Monday, May 23, Tuesday, May 24 & Wednesday, May 25

Expires May 25, 2011

Expires May 25, 2011

Expires May 25, 2011

Beltone Hearing Care Center 679 S. Mendenhall Rd. Memphis, TN 38117

Beltone

Beltone

2860 Bartlett Rd. Bartlett, TN 38134

360 Atoka-McLaughlin Rd. Atoka, TN 38004

901-767-3045 Expires May 25, 2011

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