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Vol u m e L X X V, N o. 2 • Su mmer 2 01 8

Ser v in g t h e G rea t er Met ropolit a n Kno x vi l l e A r e a

2018 BOOT SCOOTIN’ BALL RECAP PAGE 6

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GIVE YOUR FINANCES THE SAME CARE AS YOU DO YOUR PATIENTS. In today’s uncertain markets, having a bank that tends to your financial health is vital. First Tennessee Medical Private Banking can help with today’s needs and tomorrow’s goals. Our Relationship Managers offer guidance and solutions tailored to medical professionals. So you can focus on your priority: your patients To make an appointment with a Relationship Manager, please contact: Erik Garkovich Vice President Medical Private Banking ph: 865-971-2240 email: egarkovich@ftb.com

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Robin Turley Senior Vice President Medical Private Banking ph: 865-971-2128 email: rlturley@ftb.com

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Academy Officers Neil Coleman, MD PRESIDENT

Tim Wilson, MD

PRESIDENT ELECT

Daniel Bustamante, MD SECRETARY

Jeff Ollis, MD TREASURER

Thomas Pollard, MD

IMMEDIATE PAST PRESIDENT

Kimberly Weaver, PhD CEO

Board of Trustees Michael Brunson, MD Brian Daley, MD David Harris, MD Zac Jumper, MD Ceeccy Yang, MD

Ex- Officio Board Members Richard Briggs, MD Debbie Christiansen, MD Randal Dabbs, MD Elise Denneny, MD Richard DePersio, MD Jerry Epps, MD Barbara Crist -KAMA Mike Maggart, MD Patrick McFarland, MD Robert Page, MD Max Keeling -LMU

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KAM Physician Matt Mancini, MD Inducted as TMA President KAM Past President and UT Surgeon, Matthew L. Mancini, MD, was recently inducted as the 164th President of the Tennessee Medical Association. Dr. Mancini was born in Boulder, CO and raised in Kansas City, MO. He earned a bachelor’s degree from the University of Notre Dame, graduated from Mercer University School of Medicine in Macon, GA and completed his residency in general surgery at the University of Tennessee Medical Center, where he still practices today with University Surgeons Associates. He is board certified in general surgery and has held several academic and hospital appointments in the Knoxville area during the past decade, including serving as Chief of the Division of General Surgery at the UT Graduate School of Medicine since 2014. His exceptional professional achievements earned him the Outstanding Alumnus Award from the UT Graduate School of Medicine in 2015.

Dr. Mancini has stated that he will continue TMA’s effort against the opioid crisis. Additionally, he wants to continue his focus on revamping TN’s Episodes of Care that have impacted so many physicians. His work on Episodes of Care in past years is largely credited for the ‘pause’ recently achieved while program changes are made. Without this ‘pause,’ many more specialties would have begun to feel the impact as more episodes were scheduled for rollout. During Mancini’s address to the House of Delegates he spoke in regards to the importance of TMA membership and the impact it has on the issues that effect the House of Medicine. In one example, Mancini reminded physician members of the fairly recent decrease in malpractice insurance premiums, which was attributed to the efforts of organized medicine across the state. Together we are stronger!

Publisher Kim Weaver, PhD

Editor Jonathan Weaver

Production Coordinator Margaret Maddox

Advertising David Caudill ADVERTISING: For advertising information, call the Academy offices at (865) 531-2766. The magazine is published four times per year by the Knoxville Academy of Medicine (KAM). All rights reserved. This publication or any part thereof may not be reproduced without the expressed written consent of the KAM. The appearance of advertising in KAM publications is not a KAM guarantee/endorsement of the product or the claims made for the product by the manufacturer. The fact that an advertisement for a product, service, or company has appeared in a KAM publication shall

Dr. Edward Capparelli Awarded as TMA’s Outstanding Physician Congratulations to Roane-Anderson County Medical Society President, Edward Capparelli, MD on receiving TMA’s 2018 Outstanding Physician Award. Each year, the Tennessee Medical Association bestows an award on a physician that during the course of their career, has made a distinctive mark on the profession of medicine, their colleagues and their community. This prestigious award is presented at the House of Delegates Annual Meeting. This year, Dr. Edward Capparelli was honored with this achievement. Congrats Dr. Capparelli! We are honored to have you in Region 7!

not be referred to in collateral advertising. The KAM reserves the right to accept or reject any advertising in

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the publication.

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ACADEMY NEWS New Members A big welcome to our newest members! We are excited that you have decided to join the Knoxville Academy of Medicine. PAUL CAMPBELL, MD

CHRISTOPHER SIANO, MD

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BRAD J. DAVIS, MD

JOHN S. THOMAS, MD

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DUY-THU PHAN MARTIN, MD

PERRY MERRILL WHITE, III, MD

RADIOLOGY Vista Radiology 2001 Laurel Ave. N-304 Knoxville, TN 37916

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PEDIATRIC EMERGENCY MEDICINE Knox Wellness 9230 Kingston Pike Knoxville, TN 37922

INTERNAL MEDICINE Summit Medical Group at Fort Sanders 1819 Clinch Ave, Ste 114 Knoxville, TN 37916

No Picture Available

SLEEP MEDICINE Summit Sleep Services 9301 Jefferson Grove Way Knoxville, TN 37922

OBSTETRICS AND GYNECOLOGY Dr Martin’s OBGYN Inc 939 E Emerald Ave Ste 905 Knoxville, TN 37917-4578

SURGERY, ORTHOPEDIC SpineKnoxville 9430 Park West Blvd Ste 110 Knoxville, TN 37923

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Left Column Top to Bottom: Paul Campbell, MD; Brad J. Davis, MD; Duy-Thu Phan Martin, MD. Center Column Top to Bottom: Kimberly L. Morris, MD; Christopher Siano, MD; John S. Thomas, MD.

KIMBERLY L. MORRIS, MD INTERNAL MEDICINE UT Graduate School of Medicine 1924 Alcoa Hwy # U-114 Knoxville, TN 37920

Right Column Top to Bottom: Perry Merril White, III, MD.

Additionally, we would like to welcome the following new KAM LMU Student Members: Mohammed H. Al-Wadei Omar Alsharif, MD Elizabeth Altizer, MD Joshua G. Anderson Brittany Fisher Michael Ghiassi Rafat M. Hossain

Andrew Johnston, MD Kylie Rae Pearson, MD Kevin Reed, MD Rebecca Silverstein Ian Sweitzer Kenan T. Wilhoit, MD Tyler Wilson

Calendar of Events SEPT 7

OCT 21

Summer Welcome Picnic Gettysvue Lower Pool, 5:30 pm A Day at the Races - Trip to Keeneland Bus at West Town Mall then to Lexington

Many thanks to these medical groups that have chosen to support organized medicine with their “all in” group memberships! Your profession is better, the region is stronger and your voice is louder because of your commitment to organized medicine! Abercrombie Radiology Allergy and Asthma Affiliates Allergy Asthma and Sinus Center Anderson Rahman Dermatology Dermatology Associates of Knoxville Dermatopathology Partners Ear Nose and Throat Consultants of East Tennessee East Tennessee Eye Surgeons, PC Greater Knoxville Ear Nose Throat Associates Knoxville Pediatric Association New Life Center for Bariatric Surgery 4

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Pain Consultants of East Tennessee Premiere Surgical Summit Medical Group Healthcare Services Tennessee Cancer Specialists Tennessee Urology - Oak Ridge The Skin Wellness Center University Anesthesiologists University Cardiology University General Surgeons University Surgeons Associates Vista Radiology

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Fathers’ Day at the Smokies

This year, members of the Knoxville Academy of Medicine, Blount County Medical Society, Roane Anderson County Medical Society, and Monroe County Medical Society joined together to enjoy a Smokies Ballgame thanks to the sponsorship of SVMIC. The private box with special balcony seating offered the perfect environment for all to enjoy the Fathers’ Day festivities, socialize with other physician families, and enjoy great food by Calhoun’s! If you missed the event this year, be sure and come next year. It’s a favorite family function for the medical societies!

ANNOUNCING A NEW BENEFIT EXCLUSIVELY FOR KAM MEMBERS

KAM is pleased to announce it has secured an arrangement with the law firm of London Amburn to provide the following new benefits to KAM members: • Discount on legal services for KAM members • Complimentary subscription to periodic email updates on significant developments in health law • Participation in London Amburn’s General Counsel Services Program • Access to free health law education programs produced by the firm London Amburn is a full service law firm that has provided legal services to the physician community for over a quarter of a century and donates numerous hours of legal services to the Knoxville Academy of Medicine each year. We are excited to partner with London Amburn to make these new benefits available for our members. The availability of legal services and acceptance of clients are subject to the firm’s policies. Details on each of these new benefits are available from London Amburn. The benefits provider under this program are free with your KAM membership, but to receive these benefits, KAM members must be enrolled in the program. For more information and to enroll, contact Dale Amburn or Ian Hennessey at (865) 637-0203, or via email at kam@londonamburn.com.

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ACADEMY NEWS KAPA’s Boot Scootin’ Ball April 27, 2018

THANK YOU! Diamond Sponsors • Covenant Health • Tennova Healthcare • UT Medical Center • Dynasty Spas Media Sponsors • Bandit Lites • WBIR • WIVK Gold Sponsors • Alphagraphics • Ole Smoky Tennessee Moonshine • Stages West • University Physician’s Associates Silver Sponsors • Home Federal Bank

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Montgomery Gentry Band Returns for KAPA’s Boot Scootin’ Ball On April 27th, the award winning Montgomery Gentry Band returned to Knoxville to perform at the 2018 KAPA’s Boot Scootin’ Ball. The annual event is hosted by the Knoxville Academy of Medicine Foundation and all proceeds benefit Knoxville Area Project Access, also known as KAPA. The event included a private concert by the Montgomery Gentry Band. In addition to the high energy show attendees enjoyed a western themed dinner, a photo booth, free moonshine tasting, bottomless beer along with the opportunity to partake of this year’s specialty drink, the KAPA Black and Blue Shiner! This year’s silent auction featured over 55K in donated items and was a highlight of the evening. The largest KAPA silent auction to date featured everything from jewelry, vacation getaways, art, a luxurious hot tub and collectibles. The KAPA’s Boot Scootin’ Ball helps continue the work of a much needed program in our area. Since 2006, KAPA has coordinated more than $275 million in donated care to low income individuals that have no any other access to health care through either government programs or employer-sponsored insurance. KAPA is always looking for physicians to join the fight to serve our neighbors in need. If you are not currently participating in KAPA, contact Danielle Sims at the KAPA office today at 531-2766.

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ACADEMY NEWS Legislative Update

By: Elise Denneny, MD, FAAO-HNS, FACS KAM Legislative Chair TMA House of Delegates met May 5, 2018. Region 7 was well represented by KAM, BCMS and RACMS delegates. The following resolutions were passed. Resolution 1-18: Resolved that the TMA /AMA HOD delegation be directed to amend AMA HOD H-185.940, “Beers or Similar Criteria and Third party Payer Compliances Activities” to actively advocate with health insurance companies not to utilize the Beers Criteria within their physician rating mechanisms, such as STARs and HEDIS quality measures, and that TMA advocate with health insurance companies in Tennessee to change the manner in which they utilize the Beers Criteria as a rating tool for physicians. Comment: We will continue to fight against payors implementing flawed “quality “ measures which impact physicians ability to deliver quality care. Resolution 2-18: Resolved that the TMA/ AMA HOD delegation be directed to seek change that would require Centers for Medicare and Medicaid Services (CMS) to obtain all needed information through Coalition for Affordable Quality Healthcare (CAQH) instead of requiring physicians to make quarterly entries for Medicare and Medicare Advantage plans. Comment: We will continue to fight additional administering “busy work” mandated by the government. Resolution 6-18: Resolved that the TMA supports fair and transparent processes for the evaluation of a physician’s mental health during licensure, credentialing and hiring or retention processes to reduce the stigma and potential for inappropriate negative professional consequences for physicians who disclose mental health conditions and will work with stakeholders to improve policies and procedures and communication for the evaluation of

a physician’s mental health during licensure, credentialing, and hiring or retention processes to reduce the stigma and potential for inappropriate negative professional consequences for physicians who disclose mental health conditions and encourage the proactive use of mental health services by physicians as part of a normative lifestyle or self care in consideration of the unique stressors they face and the TMA adopt as policy the quadruple aim which adds the goal of improving the worklife of physicians as a key plank in health care delivery systems which have adopted the Triple aim. Resolution 7-18: Resolved that the TMA will urge the AMA to promote federal action requiring opioid treatment programs (OTPs) to submit dispensing data to prescription drug monitoring programs (PDMPs) in accordance with state laws and will urge legislators to require that all healthcare entities including OTPs be required to report controlled substance prescribing to the PDMPs. Comment: this will help physicians identify methadone and suboxone use by patients. (Currently both are exempt from reporting) Resolution 10-18: Resolved that the TMA HOD engage healthcare plans to provide benefits including integrative services for patients with chronic pain and form a task force to explore with healthcare plans alternative payment mechanisms to facilitate innovation in the delivery of integrative services to patients with chronic pain. Comment: the future of value driven care presents the opportunity for mayors and physicians to co-align effective programs. It is imperative creation of these pathways have physician input. Future direction from the House of Delegates will address effective adolescent social media campaigns to fight opioid use, exploration of future pathways for medical students who did not match, continued monitoring Medicaid exchange plans and addressing big Pharma and PBM aka Pharmaceutical benefit managers. (Check out https://truthinrx.org) Please join me in thanking your colleagues for their talents and advocacy efforts when you see them in the hallways! We can’t do the job alone!

Blount County Medical Society Quarterly Update By: Travis Groth, DO BCMS President

“Education is the most powerful weapon which you can use to change the world.” –Nelson Mandela. This quote resonates to me over the last year as Tennessee continues to push for change amidst the opioid crisis. Change is happening right here in Tennessee. I was fortunate to attend the Tennessee Medical Association (TMA) House of Delegates meeting in Nashville in early May. Delegates for Blount County Medical Society included myself along with Drs. Bob Proffitt and Marvin Beard. We also had the honor of having Dr. John Ingram, founder of the John Ingram Physician Leadership Institute and TMA Past President, present to represent our medical society. Hot topics of discussion were first and foremost the Opioid Crisis in Tennessee. TMA Immediate Past President, Nita Shumaker, MD, used her platform last year during her presidency to institute changes which would address this crisis. With the recent release of Governor Haslam’s new plan Tennessee Together, the state is also making changes. Key points of Haslam’s Plan include limiting the initial supply of opioid prescriptions to a five-day supply of medications with daily dosage limits of 40MME (morphine milligram equivalents); increasing prevention through education of grades K-12; identifying women of childbearing age who are chronic opioid users to provide education in regards to Neonatal Abstinence Syndrome (NAS); and attacking illicit sales/trafficking of opioids with the help 8

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of TBI. Tennessee now has the most stringent opioid laws in the country. Other hot topics discussed at TMA included how to help physician burnout, utilization of social media to reach adolescents and educate students, and gun control. This was a great first time experience for me personally to see how change is being made at the state level. I highly encourage other physicians to become active participants and educate yourselves as physicians strive for positive change both at the state and federal level. In addition to the TMA House of Delegates, Knoxville Academy of Medicine hosted KAPA’s Boot Scootin’ Ball which was a huge success! Entertainment included music by the famous Montgomery Gentry Band. Upcoming events include a trip to the horse races at Keeneland in October, and an outdoor BBQ Bash Tailgate party hosted by Blount Medical Society in early fall where we can socialize while watching the Tennessee Volunteers on a large projector at a local venue. To Summarize, this last quarter has been a busy one both at the local and state level. TMA continues to be a strong voice for physicians in our state. I encourage others locally to get more involved and contact me if you have questions in regards to membership or how to be more proactive. Simply joining TMA and Blount Medical Society is a great place to start. The John Ingram Physician Leadership Institute is another great way to get involved and gain priceless leadership experience. I am grateful for this opportunity to serve as President of Blount County Medical Society and will continue to put my best efforts forward.

KAM Telemedicine: Part Two

By: Patrick McFarland, MD Resident Physician, PGY-4 Department of Anesthesiology University of Tennessee Graduate School of Medicine Previously, we covered the basics of telemedicine, discussing how it can improve access to care. Briefly, real-time interactive telecommunications services can aid in healthcare delivery to patients when providers are remote or scarce. Furthermore, we highlighted certain obstacles to telemedicine’s success (i.e. lack of physical exam, costly installation and maintenance, and regulation and restriction with regards to implementation and reimbursement). Today, we will address each of these barriers, as I round out my last publication as KAM Resident Liaison, as I finished residency training this June! First, inherently, telemedicine lacks a physical exam. Ideally, a clinical scenario includes a face-toface physical examination; however, when unable, the physician-led team-based care model can arguably play a role with physician-extenders. Multidisciplinary teams, led by physicians and consisting of various physician-extenders in advanced practice providers, nurses, etc., already play a vital role in hospital and clinics. Translating this practice into telemedicine may be easier than previously thought. The combination of live sessions with physician-extenders with physician supervision via telemedicine may help address the access to care issue, if patient safety and quality are preserved. A recent study in joint replacement patients demonstrated how teletherapy may be useful in reducing post-operative pain. Teletherapy, in the form of cognitive therapy sessions via skype, showed improved outcomes in a small, high-risk,

TennCare to “Pause” Rollouts of EOC

TennCare recently announced that the state will temporarily pause expanding its episodes of care payment model. This pause will allow TennCare to concentrate on improving and maintaining episodes already in place. “After months of discussions and years of meeting about episodes, I am ecstatic to get this news that TennCare has agreed to pause expansion and work on what is in place to hopefully avoid more problems and frustrations in the future,” said Matthew L. Mancini, MD, a Knoxville surgeon and President of the Tennessee Medical Association. Dr. Mancini has worked to lead the charge for TennCare to “Pause and Patch” the Episodes of Care as it is a severely flawed system. In TennCare’s announcement, they stated that there will not be any Technical Advisory Groups (TAGs) held this fall and the following episodes will be paused:

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patient population. If telemedicine can increase access to care, improve patient outcomes, and reduce reliance on opioids, we must investigate! Second, telemedicine requires costly installation and maintenance of equipment and technology; although, this may be one of the larger myths surrounding its use. Look no further than our neighbors in southeast Tennessee, Chattanooga. Recently, Chattanooga developed one of the nation’s fastest and most efficient internet services, 100 times faster than national average. Due to lack of market competition, Chattanooga classified internet service as a public utility and developed its own broadband service. Not only did Chattanooga find success in this respect, but they also experienced record profits. The city planned to use these profits to expand service to outlying rural communities, however, private interests took notice and successfully lobbied state legislature to prevent this from occurring and prevent other areas from duplicating Chattanooga’s success. The law would need revisiting, but Chattanooga’s example dispels the notion technology and equipment carry high costs. In fact, tech companies from around the country flocked to relocate in Chattanooga to capitalize on this fortuitous opportunity. Lastly, regulations currently limit telemedicine’s potential. This barrier requires strong advocacy efforts, as again, the law needs revisiting. Current federal and state regulations limit the use of telemedicine to only certain types, in certain circumstances. Telemedicine comes in several forms and policymakers should approve all modes of use to maximize patient benefit and improve access to care. Finally, thank you all for the opportunity to share my thoughts in these publications. KAM has been a source of inspiration for me, and I hope to spread that inspiration to all who read. Thanks, and enjoy the summer!

• The 20 episodes in waves 10 and 11 that have not been designed • The five episodes with incomplete design due to data issues – Neonatal 31 weeks or less, Neonatal 32 to 36 weeks, Neonatal 36 weeks or more, Mastectomy, and Breast Cancer Medical Oncology • Anxiety and Non-Emergent Depression episodes have been removed from the episodes program TMA and KAM worked tirelessly with state officials to improve the transparency, accuracy and effectiveness of the program. This success would not be possible without leaders such as Senator Rusty Crowe, Senator Bo Watson and Representative Cameron Sexton. We genuinely appreciate TMA physician members, Drs. Briggs, Dickerson, Green, Hensley, Kumar and Terry, whom have also been strong advocates. Help us celebrate this big win for physicians by thanking these key legislators!

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ACADEMY NEWS Region 7 Has Strong Participation at TMA Annual House of Delegates The TMA House of Delegates met for their Annual Meeting on Saturday May 5th at the Nashville Marriott. During this time Delegates gathered from across the state to discuss the many issues that impact the profession and determine priorities for the TMA for the coming year. Physician delegates in the House discussed a number of resolutions affecting the practice of medicine in Tennessee, and patient health. Among the notable policies were: • Encouraging physicians to seek out mental health services to help reduce stress and improve their work life balance, and eliminate the stigma for physicians who disclose mental health conditions. • Change state laws to give Tennessee medical school graduates who do not match in residency programs opportunities to practice under supervising physicians in areas of the state with a primary care physician shortage. • Seek partnerships for a digital media campaign to educate adolescents about the dangers of opioids, and promote alternative pain management therapies. • Petition health insurance companies to cover more alternative, nonopioid pain management therapies. • Seeking federal action to allow methadone treatment programs to report controlled substance dispensing data at the state level. Region 7 was well represented with many delegates giving of their time to protect the profession, as well as, advocate for their patients and Tennessee residents.

Delegates in attendance and serving for KAM this year were: Joe Browder, MD Zac Jumper, MD Daniel Bustamante, MD John Lacey, MD Scott Callicutt, MD William Lindsay, MD Debbie Christiansen, MD Greg Mancini, MD Neil Coleman, MD Matt Mancini, MD (KAM President) Patrick McFarland, MD Ryan Dabbs, MD Darinka Mileusnic-Polchan, MD Elise Denneny, MD Pat O’Brien, MD Richard DePersio, MD Jeffery Ollis, MD Lesley Jackson, MD Robert Page, MD Reeves Johnson, MD Tim Wilson, MD Additionally LMU medical student Max Keeling joined the KAM delegation and offered a resolution that he authored with fellow students for a social media campaign to target adolescents regarding opioids. Delegates in attendance and serving for Roane Anderson County Medical Society this year were: Edward Capparelli, MD (RACMS President and TMA Speaker of the House) George Smith, MD Delegates in attendance and serving for Blount County Medical Society this year were: Marvin Beard, MD Travis Groth, MD(BCMS President) Robert Proffitt, MD Many thanks to those that serve!

UT Residents Celebrate with Tacos and Tequila The new UT Residents were welcomed this July at the KAM’s Tacos and Tequila event. Sponsored by our friends at Capital Financial, this event was an opportunity for the UTMCK residents to learn more about KAM and the importance of participation in organized medicine. TMA President and KAM Board member, Matt Mancini, MD, as well as KAM President-elect, Timothy Wilson, MD addressed the group and answered questions about KAM/TMA membership. Residents enjoyed tacos and appetizers along with margaritas, beer and the opportunity to win numerous prizes.

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LEGAL NEWS

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#YouToo Need Workplace Conduct Policies By: Patti T. Cotten and Erin B. Williams London & Amburn, P.C.

Sexual harassment is a growing concern in the workplace. The #MeToo movement has gained momentum as high-profile cases have made national headlines putting the issue square on the minds of employees and employers alike. So, what conduct is legally considered “sexual harassment” and how should employers respond to such allegations? Title VII of the Civil Rights Act prohibits discrimination “because of sex.” This includes a prohibition of conduct that equates to sexual harassment. The EEOC defines two types of sexual harassment: “quid pro quo” and “hostile work environment.” Quid pro quo sexual harassment occurs when “submission to or rejection of [the] conduct by an individual is used as the basis for employment decisions affecting [the] individual.” For example, quid pro quo harassment occurs when an employee is not promoted because he or she refused to engage in sexual acts with a superior. A hostile work environment due to sexual harassment occurs when the conduct purposefully or unreasonably interferes with an individual’s work performance. Often, but not always, quid pro quo sexual harassment and hostile work environment occur together. So, when does conduct cross the line from inappropriate behavior to sexual harassment? Title VII says “unwelcome” sexual conduct that is a “term or condition of an individual’s employment” constitutes a violation of the Act. Furthermore, the conduct must be so frequent or severe that it creates a hostile work environment or results in an adverse employment decision. Thus, Title VII does not prohibit teasing, offensive comments, immature behavior, bad judgment, or isolated incidents that are not “serious.” In other words, it does not prohibit someone from being a jerk in the workplace. Consider the following allegations from a U.S. Sixth Circuit Court of Appeals opinion: a male supervisor permitted male employees to work

flexible hours, but denied female employees the same request; he accessed female employees’ computers to check their internet search histories; he prohibited one female plaintiff from cashing in her vacation time, but permitted male employees to do so; he laughed and chatted with male employees, but “smirked” at female employees; he loudly popped packing materials in the area where female employees worked. Sexual harasser or jerk? According to the Sixth Circuit Court of Appeals, the male supervisor was a jerk, but not a harasser, and the harassment did not constitute sexual harassment under Title VII. The Court held that, in all, the events would not be considered by a rational person to be so severe or pervasive to alter the conditions of her employment. “Without question, [the] actions… showed both immaturity and bad judgment,” the Court continued, but they “do not support the conclusion that the working environment was objectively hostile or abusive.” What is an employer to do? Create and enforce appropriate policies regarding not only harassment but inappropriate workplace conduct, as defined by the employer. Then, investigate every allegation of inappropriate conduct. Be mindful during the investigation process that the conduct may or may not meet the Title VII definition of sexual harassment, but you may still discipline or terminate those employees who are being jerks for violation of the inappropriate workplace conduct policies. Jennifer Pearson Taylor and Luke P. Inhen are attorneys with London Amburn, a law firm based in Knoxville, Tennessee, which represents providers in the area of healthcare law, including regulatory, compliance, HIPAA, malpractice and nursing home defense, employment, mergers and acquisitions, corporate and business matters.  For more information, you may contact them at (865) 637-0203 or visit www. londonamburn.com. Disclaimer: The information contained herein is strictly informational; it is not to be construed as legal advice.

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TECHNOLOGY NEWS

AN EAST TENNESSEE TREASURE AN EAST TENNESSEE TREASURE

etHIN Awarded TMA’s 2018 496 Acres, Breathtaking Mountain Views, Community Service Award Spring Fed Stocked Lake, Fruit Trees,

by: Leigh Sterling, Executive Director496 Acres, Breathtaking Mountain Views, Lodge, andStocked Guest Cabin Spring Fed Lake, Fruit Trees, East Tennessee Health Information Network Offered at $3,250,000 Lodge, and Guest Cabin East Tennessee Health Information Network was honored to be choOffered at sen by the Tennessee Medical Association as a 2018 Community Service Award recipient. The awards were recently presented during the TMA Annual Meeting on May 5. TMA’s Community Service Awards, presented since 1976, recognize the contribution of organizations and individuals outside the medical profession who significantly advance the overall public health and well-being of their communities. etHIN was nominated for the Award by the Knoxville Academy of Medicine in acknowledgement of etHIN’s work in community-wide electronic medical record sharing in East Tennessee. etHIN has been exchanging data since 2012 and has received more than 195 million clinical records from its members since that time. Accepting the award on behalf of etHIN is etHIN Board President and Covenant Health Senior Vice President Mike Ward, right. The award was presented by TMA Board of Trustees Chair Peter J. Swarr, MD, left.

$3,250,000

RE RE AN AN AN EAST EAST EAST TENNESSEE TENNESSEE TENNESSEE TREASURE TREASURE TREASURE ST TENNESSEE TREASURE 496 496Acres, Acres, Breathtaking Breathtaking Breathtaking Mountain Mountain Mountain Views, Views, Views, 496 Acres, Breathtaking Mountain Views, 496 Acres, Spring Spring Spring Fed Stocked Fed FedStocked Stocked Lake,Lake, Lake, Fruit Fruit Trees, FruitTrees, Trees, Spring Stocked Lake, Fruit Trees, AN Fed EAST TENNESSEE Also included is a detached carport with smokehouse, A true Tennessee Treasure now TREASURE being offered for 496 Acres, Breathtaking Mountain Views, Lodge, and Guest Cabin Lodge, Lodge, Lodge, and Guest and andGuest Guest CabinCabin Cabin Spring Fed Stocked Fruit Trees, from west Knoxville guest cabin, barn, utility shelter. Please note all private sale. Located just 35Lake, minutes Offered at $3,250,000 Also included is a detached carport with smokehouse, Lodge, and Guest Cabin A true Tennessee Treasure now being offered for Offered Offered Offered at $3,250,000 at at$3,250,000 $3,250,000

at $3,250,000 structures are being sold in an “as is” condition. and 15 minutes fromOffered the charming community of guest cabin, barn,Treasure utility shelter. Please note all sale. Located just private sale. Located just 35 minutes from west Knoxville A true Tennessee now being offered for private Maryville, Tennessee. There are approximately 496 acres 35 minutesare from west Knoxville and“as 15 minutes from the charming community being sold of in an is” condition. and 15 minutes from the charming community of Further structures subdivide/development this property of Maryville, Tennessee. There are approximately 496 acres of unspoiled of unspoiled mountain woodlands. Here you will find an Maryville, Tennessee. There are approximately 496 acres is possiblemountain with thewoodlands. approvalHere of the youBlount will find an abundance of apple trees, Further subdivide/development of this property abundance of apple trees, blueberries, and wildlife in blueberries, and wildlife in their natural habitat. of unspoiled mountain woodlands. Here you will find an County Planning Department. is possible with the approval of the Blount their natural habitat. The main lodge encompasses an abundance of apple trees, blueberries, and wildlife in The main lodge encompasses an approximate 2,400 square feet and is County Planning Department. approximate 2,400 square feet and is constructed in the Elementary, Carpenter’s Middle, constructed in the cantilever architectural style. The main lodge is being sold their natural habitat. The main lodge encompasses an Schools: Lanier furnished and includes 2 bedrooms, 2 baths, loft, great room, eat in kitchen and cantilever architectural style. The main lodge is being William Blount High School approximate 2,400 square feet and is constructed in the Schools: Lanier timbers Elementary, Carpenter’s massive exposed throughout. Adjacent to Middle, the main lodge is a springsold furnished and includes 2 bedrooms, 2 baths, loft, fed and of stocked lake. Plenty room to canoe, fish, or take an after dinner dip. cantilever architectural style. The main lodge is being Due to theWilliam nature this property, weofrespectfully request Blount High School Also included is a detached carport with smokehouse, A true Tennessee Treasure now being offered for great room, eat in kitchen and massive exposed timbers agent be present at all property previews. The guest cabin, barn, utility shelter. Please note all private sale. Located just 35 minutes from west Knoxville sold furnished and includes 2 bedrooms, 2 baths, loft, that the list Also structures are being sold in an “as is” condition. and 15 minutes from the charming community of is aof detached carportcode. with smokehouse,request guest cabin, barn, utility Due to included thebenature this we respectfully property can only accessed via property, private throughout. toacrestheFurther main lodge is ofathisspring-fed Maryville, Tennessee. ThereAdjacent are approximately 496 subdivide/development property great room, eat in kitchen and massive exposed timbers shelter. Please note all structures areproperty being soldpreviews. in an “as is” that the list agent be present at all Thecondition. of unspoiled mountain woodlands. Here you will find an possible with the approval of the Blount abundance of apple trees, blueberries, wildlife in and stocked lake.andPlenty of isCounty room to canoe, fish, or take an Refer to MLS #’s 1040246 and 1040247. Planning Department. property can only be accessed via private code. throughout. Adjacent to the main lodge is a spring-fed their natural habitat. The main lodge encompasses an Further subdivide/development of this property is possible with the approximate 2,400 square feet and is constructed in the Schools: Lanier Elementary, Carpenter’s Middle, after dinnerstyle.dip. cantilever architectural The main lodge is being William Blount High School and stocked lake. Plenty of room to canoe, fish, or take an approval of the#’s Blount County Planning Department. Refer to MLS 1040246 and 1040247. sold furnished and includes 2 bedrooms, 2 baths, loft, Schools: Lanier Elementary, Carpenter’s Middle, William Blount High School great room, eat in kitchen and massive exposed timbers after dinner dip. throughout. Adjacent to the main lodge is a spring-fed Due to the nature of this property, we respectfully request that the list agent be present at all property previews. The property can only be accessed via private code.

and stocked lake. Plenty of room to canoe, fish, or take an after dinner dip.

Due to the nature of this property, we respectfully request that the list agent be present at all property previews. The property can only be accessed via private code. Refer to MLS #’s 1040246 and 1040247.

Refer to MLS #’s 1040246 and 1040247.

Also included is a detached carport with smokehouse, now being offered for guest cabin, barn, utility shelter. Please note all minutes fromFORwest Alec Blaine MORE Knoxville AlecBlaine Blaine - Broker Broker INFORMATION FOR MORE Alec PLEASEofMobile 865.548.5799 structures are being sold in an “as is” condition. ming community 150 Major Reynolds Place, Knoxville, TN 37919 CONTACT alecblaine@gmail.com Broker INFORMATION are approximately 496 acres Alec Blaine Office: 865-769-4644 FOR MORE PLEASE Further subdivide/development Mobile 865.548.5799 of this property Mobile: 865-548-5799 ands. Here you will find an Broker INFORMATION kehouse, kehouse, Also included Also Alsoincluded included is a detached isisaadetached detached carportcarport carport with smokehouse, with withsmokehouse, smokehouse, A true ATennessee Atrue trueisTennessee Tennessee Treasure Treasure Treasure being now now being being offered offered for for for CONTACT possible with thenow approval of offered the Blount alecblaine@gmail.com Email: alecblaine@gmail.com eberries, and wildlife in PLEASE Mobile 865.548.5799 all ll guest cabin, guest guestcabin, barn, cabin,utility barn, barn,utility shelter. utilityshelter. shelter. Please Please note Please allLA4060 note noteall all privateprivate private sale. Located sale. sale.Located Located just 35just minutes just35 35minutes minutes from west from from Knoxville west westKnoxville Knoxville County Planning Department. n lodge encompasses an CONTACT alecblaine@gmail.com 12 and | KNOXVILLE MED CINE on. n. structures structures structures are being are are sold being being in sold an sold “as in in an is” an “as condition. “as is” is” condition. condition. 15 and minutes and 15 15 minutes minutes from the from from charming the the charming charming community community community of of of et and is constructed in the Schools: Lanier Elementary, Carpenter’s Middle, LA4060 Maryville, Tennessee. Tennessee. Tennessee. There are There There approximately are areapproximately approximately 496 acres 496 496acres acres The main lodge isMaryville, being Maryville, William Blount High School

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KAMA CORNER By: Kirstin Kropilak, KAMA President and Tina Callicutt, KAMA Immediate Past President Our 2017-2018 KAMA year came to an end with our last meeting on May 3, 2018. During the meeting we installed ofﬁcers for our 2018-2019 year, they are ready to give their all next year. This year’s theme embodied being a friend to each other, our community, and other organizations, like KAM, within our community. The University of Tennessee College of Social Work determined that in 2015 9,373 individuals accessed homeless services from KnoxHMIS partner agencies. In Knox county between October 1, 2016 and September 30, 2017, the Knoxville News Sentinel reported that our ﬁrst responders had to deliver naloxone 1200 times for opioid overdoses. Medscape reports physicians have the highest suicide rate among any profession, which is a reason the Tennessee Medical Foundation remains such a wonderful resource for doctors. These statistics are the driving force behind the continued effort we put into our organization each year. The hand of help we give with friendship and being a part of “Team Knox County “ will hopefully one day lower / eliminate these community issues. We thought it only appropriate to write this article together since we have worked side by side this year and want it to end in the same way. Again, an underlying theme for us, one that I, Kirstin, will carry through in my year as president: Teamwork.

Tina orchestrated my installation using a Team KAMA theme. It was fabulous! Little did she know that I was using Teamwork as a theme for my year. Great minds think alike. We have another exciting year planned, with a great team in place. We are looking forward to our annual picnic with KAM welcoming new members. Our first fundraiser, Fashiondrama will be on October 4, 2018 at Gettysvue Country Club. Cynthia Gash and Robin Hutchins are the “Head Coaches” for this event, and they are encouraging everyone to purchase their tickets as soon as possible, as only 100 seats are available. Our second major fundraiser is Doc Rock in January 2019 and will be led by Susan Brown and Dr. Lytle Brown. This is always a popular event and directly benefits the non-profit organization the band represents. Our efforts to join the fight against the opioid epidemic will be strengthening as we begin to volunteer in Knox County schools this year. Barbara Crist and Carolyn Cates are leading the charge to make KAMA a presence in educating middle school students. Volunteers from KAMA are being trained by the Metro Drug Coalition to do an interactive after school program with the kids. The focus will be on 3 zip codes with the highest overdose deaths and naloxone deliveries. Thank you for a wonderful year. We are looking to another strong year of partnership with KAM from our picnic to other events. We appreciate all the help and support. For more information on KAMA, our website is www.kamalliance.org

These are the officers for 2018-2019. Seated, L-R: Judy Akers, President-Elect; Kirstin Kropilak, President; Tina Callicutt, Past President; Sarah Higgins, Legal Advisor. Standing, L-R: Mary Weiss, 1st VP (programs); Cynthia Gash, 2nd VP (yearbook); Nancy Sewell, Recording Secretary; Swannee Sexton, Asst. Treasurer; Robyn Doiron, 2nd VP (yearbook); Donna Brunson, 1st VP (programs); Cindy Bresee, Parliamentarian; Sandy Ange, Historian; Sheila Barnett, Treasurer. Missing: Michelle Bishop, Corresponding Secretary. photo courtesy of Sandy Ange

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