Page 1


October 2017 >> $5 ON ROUNDS

The Art of Neurosurgery West Tennessee Neuroscience and Spine Center neurosurgeon painting a bright picture for patients When an artist starts a new project, he often has no idea of where it will go or what the final product will be. For West Tennessee’s newest neurosurgeon, William Scott, MD, that is a great analogy of his life. Read the story on page 3.

West’s Breast Cancer Research Currently Includes 10 Open Trials West Cancer Center currently has 10 open trials studying breast cancer, including drug trials, pre-clinical and observational research to better understand how to help the almost 10,000 breast cancer patients who are treated at West and millions of other patients in the United States. Read the story on page 6.


New Roadblocks Can Slow Treatment of Sleep Apnea Insurance Limitations Can Be an Obstruction for Patients By BETH SIMKANIN

Despite recent advancements in sleep medicine, Mid-South sleep specialists are facing new challenges when diagnosing and treating patients with sleep apnea. Insurance regulations and restrictions, along with a lack of awareness of new therapies in the medical community, sometimes create additional hurdles for local sleep specialists. When treating patients with sleep apnea, it has become common for sleep specialists to use a team-based approach with other physicians as a result of alternative therapies, said Neal Aguillard, MD, a pulmonologist and medical director at the Methodist Sleep Disorders Center. However, the team approach can sometimes be problematic due to a lack of awareness of new sleep therapies. The general public and some physicians aren’t always aware that newer surgical treatments are available. Additionally, sleep specialists and their patients at times are forced to deal with new insurance restrictions that either limit or do not cover the costs of tests or procedures.


We take a multidisciplinary approach and work with psychologists, ENTs and dentists to treat patients with sleep apnea.


– Dr. Neal Aguillard


Tackling the Mystery of Alzheimer’s Neurologist Lee Stein, MD, Has High Hopes for Promising New Drug “The disease that’s out there that we really haven’t answered the question of how to stop it, how As a student in the late 1970s at the Medical Colto slow it down with medications where we can alter lege of Georgia, Lee Stein, MD, became interested the course of the disease, is Alzheimer’s,” he said. in neurology because he likened the work to solving So now, as he did in his early days as a neuroloa puzzle. gist, Stein is back to trying to solve a puzzle. He and This was before MRIs came along and treathis group are involved in several studies, including an ments were scarce to non-existent for neurologic ENGAGE global trial of the pre-Alzheimer’s drug diseases and disorders such as multiple sclerosis, Paraducanumab, a Biogen product. This drug, like a kinson’s and epilepsy. Doctors had to evaluate panumber of others, is a monoclonal antibody that tartients based on history and examination. gets amyloid, which causes damage to the brain. But over the course of Stein’s career, including “Approximately two years ago, positive Phase 1 Dr. Lee Stein 15 years at Semmes Murphey and now 17 years at aducanumab trial results were made available,” Stein Neurology Clinic in Cordova, medications have become available to said. “There was a palpable excitement in neurology, Alzheimer’s and (CONTINUED ON PAGE 4) treat those illnesses. By RON COBB

Follow us on

@WestTNMedNews and Like Us on Facebook PRINTED ON RECYCLED PAPER



Our Newest Physicians

Matthew Kollar, M.D. Heather L. Perry, D.O. Hospitalist

Ashada Freshwater, M.D. Family Practice

Jackson Clinic North Board Eligible: American Board of Family Practice Residency: Family Medicine, University of Tennessee, Jackson, TN Medical School: University of Tennessee Health Science Center, Memphis, TN Undergraduate: University of Tennessee, Knoxville, TN

Jackson-Madison County General Hospital Board Eligible: American Board of Family Practice Memberships: American Academy of Family Physicians, American Osteopathic Association, American Medical Association Residency: Family Medicine, University of Tennessee, Jackson, TN, Jackson-Madison County General Hospital Medical School: Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Cumberland Gap, TN


Jackson-Madison County General Hospital Board Eligible: American Board of Family Practice Memberships: American Board of Family Medicine Residency: University of Tennessee College of Medicine, Chattanooga, TN Medical School: Ross University School of Medicine, North Brunswick, NJ Undergraduate: University of Toledo, Toledo, OH

Undergraduate: Lincoln Memorial University, Cumberland Gap, TN

To make an appointment with Dr. Freshwater call 731.422.0213







The Art of Neurosurgery

West Tennessee Neuroscience and Spine Center neurosurgeon painting a bright picture for patients trauma training was exceptional,” he said. When an artist starts “While in my residency, a new project, he often I was exposed to neurohas no idea of where it surgery and realized it will go or what the final was my calling. It was product will be. For a precious responsibility West Tennessee’s newest that felt right to me and neurosurgeon, William while others were runScott, MD, that is a great ning away from it, I was analogy of his life. While running toward it as fast his passion for art sent as I could.” him to art school origiAt the end of his nally, he wasn’t satisfied general surgery resiwith the product and dency, Scott was marcontinued to work on ried and he and his wife his masterpiece. Today, Ambre were expecting his studio is an operattheir first child. The faming room and clinic as he ily moved to Dallas for brings his talents to paScott to begin his traintients at West Tennessee ing in neurosurgery at Neuroscience and Spine the University of Texas Center. Southwestern Medical Life in a military Center. During his seven family means lots of years of training, he dismoving around and covered he loved treating while he ultimately children and completed ended up in Baltimore, a one year fellowship in While neurosurgeon Dr. William Scott has three dogs, it is no secret that Stella is his favorite. Maryland, Scott has pediatric neurosurgery. West Tennessee ties; his Scott then took the father and grandmother grew up in Ripments. Eventually, I was a nurse’s aide in position of Assistant Professor of Neuroley. With a father who made a career out ERs in Baltimore and DC, who happened surgery at the University of South Alaof the military and a mom who was an to have a degree in painting and was a bama. On the clinical side, he practiced educator, Scott had no pressure in terms traveling musician.” pediatric neurosurgery, complex adult of which dream he followed. His initial Scott’s passion shifted from art to medspine surgery and was the main oncology aspirations of painting and music led him icine and he began preparing for medical surgeon for brain and spine. At the end of to the Maryland Institute College of Art school by taking classes at University of his three-year contract, Scott felt the need in Baltimore. Maryland while continuing to work. “In to move on and began to interview across Though not many can say art led Baltimore, trauma surgery is a big thing,” the country. His search included a stop in them into medicine, Scott can. While in said Scott. “Being in the emergency departJackson at West Tennessee Neuroscience art school and playing in a band, Scott ment, I got inundated in it and wanted to and Spine. got interested in volunteering as an EMT. pursue that after medical school.” “I got a very familial feeling with the “Several friends were career or volunteer For his residency, Scott’s criteria folks I met and the department. I found firemen and paramedics,” said Scott. “I included a high acuity for trauma and myself comparing all the other places to started as a volunteer EMT with the fire a warmer climate. That led him to the this one and felt this was the best fit for me department and ultimately was hired. University of South Alabama in Mobile. and my family,” said Scott. “We moved That led to my being trained as a para“It was a good Southern town and the here over the summer and I started seeing medic then working in emergency departgeneral surgery program’s reputation for patients in August as well as taking call. By SUZANNE BOYD

TRUST We know you’re not going to turn your computer system over to just anyone. I am

the former Systems Administrator for UTHSC, and I’m also currently helping keep the US Navy system secure and running smoothly. With 17 + years of IT experience, I can keep your system running safe and secure as well.

My first patient was a complicated spinal fusion case and the patient was paralyzed in both legs. After performing a major cancer operation on him, he walked out of the hospital three days later. It was confirmation that this was going to be a good place to be.” One of Scott’s goals is to make sure the people of West Tennessee know that they don’t have to go outside of the area for “Big City Medicine.” “This medical community offers so much for a town this size,” he said. “The Kirkland Cancer Center has some amazing physicians and what I can bring to the table can be a nice adjunct to the care available. I want to bring good brain and spine care here and hope to build up our oncology and complex spine care. Ultimately I hope we will one day have the infrastructure to offer basic pediatric neuro care here as well.” While he is busy building a practice in West Tennessee, Scott has not strayed from his original love of art. He continues to draw and hopes to find studio space so he can resume painting. He also is still a musician at heart, so playing music is another source of enjoyment and he has several guitars at home. One unique hobby is pinball. Scott has a rotating collection of pinball machines, some which are over 20 years old. “I enjoy repairing them as well as playing them,” he said. “Right now, I have two in the house and two standing arcades. There is quite a pinball community out there with a lot of selling, trading and tournaments all over the world.” With nine-year old son David at home, family time is also one of Scott’s favorite past times. “We like hanging out in the backyard with our dogs Stella, Andy and Tilly,” he said. “In Mobile, we had a boat that we took out into the Bay to fish or down to Gulf Shores. We sold our boat when we moved here but I am hoping to take my son crappie fishing like I did when I was little.”



For more info please call our Outside Sales Department 901-523-9655

Have you heard? HIPAA Breach Penalties are skyrocketing! Don’t put your practice at risk! I

John Pantall, Microsoft Certified

will help keep your system locked down and hackers out!







New Roadblocks Can Slow Treatment of Sleep Apnea, continued from page 1 “Technological advancements have made a difference in treating sleep apnea over the past decade,” Aguillard said. “There are more customized options that make treatment more comfortable and effective for patients.” According to Aguillard, head of one of the largest hospital-based sleep centers in the nation, 80 percent of the patients treated at the Methodist Sleep Disorders Clinic have some form of sleep apnea, which occurs when a person’s breathing stops and starts repeatedly during sleep. The American Sleep Apnea Association, a nonprofit organization that promotes awareness, reports that 22 million Americans have obstructive sleep apnea. The majority of patients who are diagnosed with obstructive sleep apnea are treated with a continuous positive airway pressure machine (CPAP) so they can breathe easier during sleep. A CPAP machine is a mask that covers the nose and mouth and increases air pressure in patients’ throats so the airway doesn’t collapse when they breathe during sleep. A patient must use the machine every night during sleep, and it is considered an effective, noninvasive way to treat sleep apnea. Aguillard says 75 to 80 percent of his patients diagnosed with sleep apnea use a CPAP machine. “CPAP machines are very sophisticated now,” he said. “A decade ago when a patient used it at home, it gave the highest pressure for air flow all of the time. Now CPAP machines can sense when the air pressure should be higher or lower as the patient moves in his or her sleep. They allow us to download information to find out right away how the patient is doing and if the machine is effective. The ability to analyze the data has taken out a lot of guesswork.” Additionally, Aguillard says there are many types of masks available to fit a patient comfortably. Also, CPAP machines are now more compact and can be charged with a

small battery, making it easier for patients to travel with one. Although the use of CPAP machines provides results for most patients with obstructive sleep apnea, some don’t find relief and must seek alternative surgical treatments, according to Boyd Gillespie, MD, an otolaryngologist with UT Methodist Physicians. “CPAP machines are the gold standard for treatDr. Boyd Gillespie ing sleep apnea,” he said. “It works the majority of the time, yet one-third of the patients who use a CPAP have trouble tolerating it for various reasons. These patients usually try the CPAP for three to six months and do not improve. Surgery is an option for these patients. We can determine where the airway closes and fix that.” Gillespie is the only board-certified physician in the Mid-South in both sleep medicine and otolaryngology. He has performed about 150 surgical procedures on patients with severe sleep apnea during the past year. He says once it is determined that a patient isn’t responding to a CPAP machine, he or she is evaluated for the best approach. This is done with drug-induced sleep endoscopy. The patient is put under anesthesia and the physician inserts a scope through the patient’s nose to determine where the airway closes during sleep. “Performing this procedure improves outcomes because we can determine the exact problem,” Gillespie said. There are many alternative surgical treatments for sleep apnea patients, but two new advancements in the field are transoral robotic surgery (TORS) and upper airway stimulation therapy. The TORS procedure uses the assistance of a surgical robot to reduce the size

of a patient’s tongue. According to Gillespie, a patient’s tongue can be too large in some cases and can block the patient’s airway. The TORS procedure eliminates the need for breathing devices and the recovery time is minimal. Upper airway stimulation therapy is a recently approved treatment for sleep apnea by the U.S. Food and Drug Administration. It involves placing an implant inside the body, which stimulates the hypoglossal nerve, which sends messages to the tongue. The implant is timed with the patient’s breathing and provides electrical stimulation to prevent the tongue from blocking the airway. According to both Aguillard and Gillespie, there are other solutions available for patients with mild sleep apnea. Aguillard says he uses a team-based approach and works with other specialists to treat patients. “We take a multidisciplinary approach and work with psychologists, ENTs and dentists to treat patients with sleep apnea. Not everyone needs a CPAP,” he said. “There are many ENT or dentist options for patients, and their solutions are helpful. “For instance, I will refer a patient to a dentist to receive a retainer that slowly moves the patient’s jaw forward over time if there is a problem with the patient’s skull. Also, if a patient tells me he or she is claustrophobic and can’t wear a CPAP, I will send the patient to a psychologist for help before the patient wears one.” Both Aguillard and James Adams, MD, a pulmonologist and sleep lab director at Delta Medical Center, have noticed a change in the public’s awareness over the past few years. “I see more Dr. James Adams awareness among the general public to be vigilant,” Adams said.

“We are more aware of how important sleep is to the body, and it’s become more acceptable for people to use a CPAP machine. People used to have a sleep study because their doctor or spouse sent them. Now the patients come in knowing they aren’t getting enough sleep.” However, Gillespie says the general public and some physicians aren’t as aware of other treatment options besides using a CPAP machine. “There isn’t as much awareness in the medical community and general public that there are alternative treatments after CPAP,” he said. “There are many people suffering, and they don’t know there are other options. This can put the patient and others at risk. “A person with obstructive sleep apnea has the delayed reflexes of someone who has had two or three drinks. It impairs a person’s motor skills, which are used to drive a vehicle. Also, patients are at risk for other health problems such as heart disease or stroke.” Despite collaborative efforts between physicians and technological advancements in treatment, insurance restrictions can be an issue for physicians wanting to perform sleep studies inside of a sleep center laboratory. “An overnight sleep study performed in a lab is very expensive,” Aguillard said. “Insurance companies won’t always cover it and will opt to cover a home sleep study instead. While these are helpful, they are not as comprehensive.” In a home sleep study, a patient’s sleep is monitored and his or her oxygen level, heartbeat, air flow and chest movement are measured. In addition to these measurements, an overnight sleep study performed in a sleep center records and monitors a patient’s brain waves as well as muscle activity. “It’s tough to get insurance to pay for a full sleep study,” Adams said. “We have more open beds at the center because a third party won’t pay, and this can hurt patients and put others at risk.”

Tackling the Mystery of Alzheimer’s, continued from page 1 business circles. I reviewed this data with my research coordinator, and within three months we were involved in the trial. The doctor said Neurology Clinic became more involved with research six or seven years ago, including MS-related research. “I have a big interest in multiple sclerosis and have a large MS practice,” he said. “We were involved with four medications that ended up going out onto the market. So as we worked through this, Alzheimer’s was sort of the next step. “It became very obvious that the next interest that I had or the group had was to get actively into Alzheimer’s research.” Although dementia has been around since ancient times, it wasn’t until 1901 that the disease became associated with German psychiatrist Alois Alzheimer. Yet it wasn’t until much later in the century that Alzheimer’s disease fully entered the public’s conscience. Until then, problems with memory were generally labeled as senility or dementia. That began to change as the population started to live longer. Now, according to the Alzheimer’s Association, more than 5 mil4



lion Americans have Alzheimer’s, and that number could grow to 16 million by 2050. “Unfortunately, as we grow older, Alzheimer’s becomes more and more common,” Stein said. “When our parents and our grandparents 30 years ago were living into their mid to late 70s, many of them didn’t grow old enough to develop Alzheimer’s disease. “By age 80, close to 40 percent of 80-year-olds will have Alzheimer’s. By age 85, 50 percent will have it.” Also worrisome is the cost related to the disease. “If we get down to the nitty gritty, it’s a disease that’s going to cost probably close to $250 billion this year to support and care for these individuals,” he said. “It’s a huge problem – the cost of medicine and how we can afford this.” As Alzheimer’s has become more prominent, research has increased accordingly. Within the past five to 10 years, Stein said, “we’re seeing huge amounts of research, huge amounts of money going into research projects. A lot of this is coming

from pharmaceutical companies, obviously. “At present there are more than 100 agents out there in the pipeline, and about 70 percent of those are diseased-modifying agents, agents that are trying to slow down the progression of the disease. The other 30 percent are more symptomatic to try to improve cognitive function. We want to do both. “We have several medications that can help cognitive function but really don’t alter the course of the disease, meaning you come off that medication and you drop back to the level where you would be without the medicine.” Even more recently, neurologists have adopted a new approach – start treatment earlier. “As we’ve gotten deeper into research,” Stein said, “we’ve realized that we don’t want to wait for patients to develop Alzheimer’s. We want to find patients in a pre-Alzheimer’s situation, patients who have mild cognitive impairment or even almost normal cognitive function. The idea is to catch patients early on and try to treat them, to try to slow or stop the progression of the

disease altogether.” The fact that some prospective medications for Alzheimer’s have proved ineffective has led researchers to conclude that maybe they didn’t start the medications soon enough. In the meantime, one of the difficulties for not only patients but also doctors is how to distinguish between memory lapses of normal aging vs. the onset of Alzheimer’s. Stein’s evaluations generally begin with taking a patient’s history and some memory testing. That often is followed by an MRI, and possibly laboratory studies “which really rule out other etiologies. On occasion we will send patients for a more extensive neuropsychologic evaluation.” Also available are PET scans, which offer a way to asses risk of Alzheimer’s by evaluating how glucose is metabolized in the brain. Amyloid scans, performed almost exclusively in research studies because of their cost, check for telltale amyloid deposits in the brain. They are all pieces in what has proved to be a very challenging puzzle. westtnmedicalnews


Keeping PACE with the Continuum of Care By CINDY SANDERS

Programs of All-Inclusive Care for the Elderly (PACE) began in San Francisco as an effort to both help and honor elders. Today the program, which now enrolls more than 42,000 adults aged 55 and over in 31 states, continues to live up to that original promise of coordinated, patient-centered, community care. “PACE serves nursing home-eligible populations but serves them in the community as long as possible,” explained Robert Greenwood, senior vice president of Public Affairs with the National PACE Association (NPA) in Alexandria, Va. Robert Greenwood Greenwood said the PACE protocol was developed in California by On Lok Senior Health Services. The program traces its roots back to the early 1970s as people were beginning to experience longer lifespans. On Lok, which means “peaceful, happy abode” in Cantonese, was formed in response to community concerns about caring for older individuals in San Francisco’s Chinatown, North Beach, and Polk Gulch neighborhoods. A consultant was brought in to assess building a nursing home in Chinatown but ultimately advised against it because the elders wanted to stay in their homes as long as possible and be fully connected to their family and community. By 1973, On Lok had opened one of the nation’s first senior day centers where elders came for socialization, health services, and hot meals before returning to their homes in the evenings. “The original concept was built on the British Day Hospital,” said Greenwood. He explained the U.K. model essentially created a nursing home with no bedrooms but all the other services traditionally found in a skilled nursing facility including physical therapy, occupational therapy, a health clinic and social services. By 1979, On Lok had launched a Medicare-funded demonstration project. However, Greenwood said, the team began to see gaps in services that weren’t typically reimbursable but would keep seniors home longer, including transportation and social services. In 1983, On Lok received waivers from the Centers for Medicare & Medicaid Services for a new funding mechanism for long-term care that used a risk-based capitation model and allowed On Lok flexibility in how the money was spent to address the full spectrum of an individual’s needs. “They did that as an experiment, and it was very successful,” Greenwood said, noting that success paved the way for PACE to take off nationally. “In the Balanced Budget Act of 1997, PACE became a permanent provider type,” said Greenwood. “The core of PACE is there is an interdisciplinary team westtnmedicalnews

that delivers and coordinates their care.” He added, “It’s a requirement that your medical director is a gerontologist.” With a provider shortage, though, he said it is possible for a program to ask for a waiver. The team, he continued, works out of a PACE center so they are under one roof for improved communication. Much like hospital huddles, the team has a morning meeting to discuss any health or behavioral changes noticed among patients, a rundown of who is in the hospital and what is needed to support them at discharge, gaps in care or services, and any

other items to improve coordination. One of the great advantages of the structure is the ability to tailor care to each patient and have the nimbleness to adjust the care plan whenever needed. The central mechanism of having a provider team under one roof that makes the program work so well, however, is also a perceived disadvantage for some potential participants. “That’s the number one objection – they don’t want to give up their community doctor,” said Greenwood, who added many PACE programs actually allow one or two visits each year

back to the community physician with PACE reimbursing the provider for that visit. “The experience, though, is that once they are in the PACE program, they don’t usually ask for that,” he noted. Greenwood said PACE participants are split fairly equally among those who live by themselves, those living with a family member, and those who live in a congregate setting. Care plans are as varied as participants and are centered on a patient’s personal goals, which might be very different from the goals of another patient. (CONTINUED ON PAGE 7)

Medical Professional Liability Insurance Now in our fifth decade of insuring physicians, we continue to proudly protect, support and advocate for you.

• Claims handling expertise • Highly acclaimed policyholder service • Patient safety education • Risk evaluation services • Practice management consulting

.com 800.342.2239





8/3/2017 2:27:49 P

West’s Breast Cancer Research Currently Includes 10 Open Trials By MADELINE PATTERSON

West Cancer Center currently has 10 open trials studying breast cancer, including drug trials, pre-clinical and observational research to better understand how to help the almost 10,000 breast cancer patients who are treated at West and millions of other patients in the United States. Over the years since 1980, West Cancer Center, which includes its Jackson location, developed from a private practice to a multidisciplinary cancer treatment with research and treatment together – the clinic is also expecting to further expand in West Tenn. During that time, West has seen a 20 percent increase in new breast cancer cases. It currently employs eight researchers. One of every eight women develop breast cancer and according to Ari VanderWalde, MD, MPH, MBioeth, Director of Research at West Cancer Center, the facility sees Dr. Ari VanderWalde approximately 1,000 new breast cancer patients annually. According to VanderWalde, breast

cancer is unique from other cancers in that it is quite therapy extensive. Unlike prostate cancer, which is often handled by a surgeon, breast cancer usually involves a team of specialists. The team model is why VanderWalde says a treatment center such as West is ideal. “Multispecialty clinics with medical oncology, radiology and clinical research improves the patient experience,” VanderWalde said. “Whatever is available for that patient anywhere is available.” Drug trials are an important part of West’s research strategy, and this year the drug Nerlynx (chemical name: neratinib) was approved. It treats a subset of breast cancer called HER2-positive “by blocking the cancer cells’ ability to receive growth signals” according to Another trial involves immune therapies and PARP inhibitors. These drugs would use the body’s own immune system to attack the cancer cells and disrupt the disease’s ability to make mutations. While new surgical techniques are not currently being researched at West, there are surgical trials with the National Cancer Institute to determine which combination of surgery and radiation are most effective. VanderWalde said breast cancer

research has shifted away from surgery technique study, with the new focus on the combination of drug treatment and surgery. Another current trial involves cryotherapy or cryoablation with the company Ice Cure. Richard E. Fine, MD, FACS is the lead investigator studying how the extreme cold can kill or freeze cancer cells in early, stage 1, patients. The procedure ablates (destroys) tumors up to 1.5cm, helping some patients avoid surgery. After the tumor is destroyed, the cells are slowly absorbed into the body and the mass recedes. Ice Cure is in testing with several clinics to test the IceSense3’s capabilities to treat cancer. If cryoablation is successful to treat breast cancer, it would be less costly than surgery, and leave minimal cosmetic impact. Across all three areas of research, quality of life is an important aspect of all trials. Studying ways to prevent or treat nausea for example or preventing infection are important to improve the patient experience with treatment, according to VanderWalde says West is looking for ways to make breast cancer less disruptive for patients. VanderWalde believes the most promising aspect of breast cancer research

is tailoring therapy to each patient. “Breast cancer is very complicated – what’s really exciting and interesting to me is to see breast cancer not just as one disease, but an individual disease that needs to be treated on an individual level. Tailor therapy to each person – and that’s what I think is coming. That’s things such as molecular and genetically targeted therapy and personalized medicine.” Precision oncology, targeting cancer on the cellular genetic level, is being studied at West by the tumor’s molecular abnormalities, looking beyond the disease type, to try to better understand the biology of cancer. As the second most common cancer among women in the United States, advances in breast cancer treatment can have a major impact.

Follow us on @westtnmednews

Join the Story Show grace to the invisible Extend hope to the forgotten Care for the marginalized Change lives, one patient at a time


Please Contact Bruce Robinson 901.260.8563




Christ Community HEALTH SERVICES



Keeping PACE, continued from page 5 “The diagnosis might be exactly the same, but the care plan could be quit different,” he noted. While the payment model for PACE services has evolved over the years, it remains a capitated plan. “By federal law on the Medicaid side, we have to be paid less than what they (CMS) would expect to pay in a fee-for-service model,” Greenwood explained “Medicare is risk-adjusted like a Medicare Advantage plan.” New programs, said Greenwood, are almost always launched in conjunction with a sponsoring organization such as Johns Hopkins, which sponsors the PACE program in Baltimore. “By nature of being a managed care model, there are a lot of startup costs before you ever enroll the first patient,” he explained. “Usually the first year, you haven’t enrolled enough people to cover your month-to-month costs.” However, Greenwood continued, once programs get over that initial hump, they usually hit their stride. In fact, PACE programs have met with so much success that the hope is to extend the reach. The NPA worked with Congress to pass the PACE Innovation

Act in 2015 to look at replicating the program in younger populations with physical or mental challenges. “There are other populations out there who need access to a continuous model of care,” said Greenwood. “I think the PACE success story is really the enhanced quality of life for a participant,” Greenwood said. In the original patient population, he continued, “it’s really about managing that end-of-life process and making it as enjoyable and meaningful for the enrollee and their family as possible.”

Learn More about PACE Interested in learning more about launching a PACE program? Information is available at npaonline. org. The organization’s annual meeting is also being held Oct. 15-18 in Boston, and the 2018 Spring Policy Forum is set for March 19-20 in Washington, D.C.

The Jackson Clinic Announces Addition of New Physicians PUBLISHER Pamela Z. Harris EDITOR Pepper Jeter SALES 501.247.9189 Pamela Harris CREATIVE DIRECTOR Susan Graham

The Jackson Clinic Announces Addition of A New Physician JACKSON – The Jackson Clinic has added a physician to its staff. Dr. Matthew Kollar, a hospitalist, joins Dr. William Lofton, Dr. Natasha Mahajan, Dr. Ryan Ner- Dr. Matthew land, Dr. Osayawe N. Kollar Odeh, Dr. Aleruchi Oleru, Dr. Keith Perkins, Jr., Dr. Heather Perry,

GrandRounds Local Church Provides Gift for Prescription Assistance to West Tennessee Foundation

JACKSON - St. Luke’s Episcopal Church presented The Foundation with a check for $14,000 to assist with the Dispensary of Hope Program. The Foundation began working with Dispensary of Hope in 2013. Dispensary of Hope is a national program that provides prescription medications to low income and indigent patients. The Foundation works with Jackson-Madison County General Hospital and the Family Health Center as a conduit to get the medications to those L to R: Johnathan Kendrick, The Reverend Gayle McCarty, Dr. Susan who need them the Francisco, Frank McMeen most. By providing prescription medications to qualified dispensaries at a low cost, medications, which would have gone unused, are now able to be utilized by those who would have gone without any medication. For more information on Dispensary of Hope, please contact the Faith Health Center at (731) 215-2500. For more information on the Foundation, visit Dr. Evanna Proctor, Dr. Alan C. Rothrock, Dr. Bryan P. Tygart and Dr. Bradley M. Webb. The Hospitalist Department is located at Jackson/Madison County General Hospital. Kollar received his Doctor of Medicine from Ross University School of Medicine, North Brunswick, N.J. He completed his residency at the University of Tennessee College of Medicine in Chattanooga, and received his undergraduate degree from the University of Toledo in Ohio. Kollar is Board Eligible, American Board of Family Practice.

GRAPHIC DESIGNERS Susan Graham, Katy Barrett-Alley CONTRIBUTING WRITERS Suzanne Boyd, Ron Cobb Madeline Patterson Cindy Sanders, Beth Simkanin All editorial submissions and press releases should be sent to Subscription requests can be mailed to the address below or emailed to West TN Medical News is now privately and locally owned by Ziggy Productions, LLC. P O Box 1842 Memphis, TN 38101- 1842 President: Pamela Harris Vice President: Patrick Rains Reproduction in whole or in part without written permission is prohibited. West TN Medical News will assume no responsibility for unsolicited materials. All letters sent to West TN Medical News will be considered the newspaper’s property and unconditionally assigned to West TN Medical News for publication and copyright purposes.



Baptist Medical Group—Women’s Health Center of Martin, formerly Surgical Associates of Martin, hosted a grand opening for the community on September 6. Physicians and staff were on hand to meet and talk with attendees. The Women’s Health Center joins Baptist Medical Group, a multi-specialty physician group that has more than 600 providers.




Introducing William W. Scott, M.D. Neurosurgeon

The newest member of our nationally recognized Neuroscience team. West Tennessee Neuroscience and Spine brings a team of specialists who provide all aspects of diagnosis and treatment services.

Top Rated

West Tennessee Neuroscience and Spine Center Team: Eric D. Akin, M.D. • Michael T. Anton, PsyD • William Charles Barrow, M.D. • Brandy Bartholomew, NP Kelly L. Blair, PsyD • Michael W. Brueggeman, M.D. • Alice M. Cherqui, M.D. • Thomas C. Head, M.D. Taylor Brooke McLean, NP • Karl E. Misulis, M.D. • Christopher W. Mitchell, M.D. • Earnest L. Murray II, M.D. John W. Neblett Jr., M.D. • Kristi Riddle, NP • Sumathira T. Sathanandan, M.D. • William W. Scott, M.D.

731.541.9490 | 700 West Forest Ave., Suite 200 | Jackson, TN | 38301

October 2017 West TN Medical News  

West TN Medical News October 2017