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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
PHYSICIAN BURNOUT JOIN YOUR COLLEAGUES FOR THE VITALITY INITIATIVE PROJECT (VIP) CONFERENCE TO ADDRESS BURNOUT AND RESILIENCY. SEPTEMBER 17 & 18 - MORE INFO ON PAGE 10
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| KNOXVILLE MED CINE
KNOXVILLE ACADEMY OF MEDICINE
PRESIDENT’S MESSAGE
KNOXVILLEMEDICINE.ORG
Academy Officers Jeff Ollis, MD PRESIDENT
Brian Daley, MD
PRESIDENT ELECT
David Harris, MD SECRETARY
Daniel Bustamante, MD TREASURER
Tim Wilson, MD
IMMEDIATE PAST PRESIDENT
Kimberly Weaver, PhD CEO
Board of Trustees Melissa Chiles, MD Greg Curtin, MD Matt Doppelt, MD Jeff Gilbert, MD James Hurst, MD Darinka Mileusnic-Polchan, MD
Ex- Officio Board Members Mark Browne, MD Richard Briggs, MD Debbie Christiansen, MD Randal Dabbs, MD Elise Denneny, MD Richard DePersio, MD Keith Gray, MD Robert Page, MD Carolyn Cates -KAMA Alex Kattran - LMU Chassidy Sumler - LMU
Publisher Kim Weaver, PhD
Editor Jonathan Weaver
Production/Advertising Karen Greene
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 not be referred to in collateral advertising. The KAM reserves the right to accept or reject any advertising in
Greeting KAM Members
Summer is one of my favorite times of year. As a child, the approach of summer seemed like the end of a cold, winter hibernation indoors. Summer meant warm weather, playing outside on sunny days, swimming pools, and family vacations. This year, the approach of summer felt like the end of an especially long hibernation. After more than a year of Covid lockdowns, social distancing, and travel restrictions, the availability of vaccines and declining Covid counts have made this summer feel like a return to normal (mostly). Many of us are back to eating in restaurants, traveling, and enjoying group gatherings once again. I even cancelled my monthly Zoom subscription! The Knoxville Academy of Medicine is also enjoying a return to normal. Recently, physician delegates from across the state met in-person to attend the Tennessee Medical Association’s 186th House of Delegates meeting. The Knoxville Academy of Medicine and Region 7 were well represented at the meeting with the largest delegation in attendance, including three residents and one medical student. I am very grateful for the time each of our delegates took out of their schedules to represent our region. It was exciting to see the enthusiasm of several firsttime delegates, some of whom even successfully authored resolutions that were adopted into TMA policy, and I was likewise encouraged by our medical student and resident physicians who already recognize the importance of organized medicine this early in their careers. The return to normal at the Knoxville Acad-
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emy of Medicine is also bringing a calendar packed full of in-person programs and events throughout the remainder of the year, many of which have been postponed and rescheduled multiple times throughout the pandemic. Check out the newly redesigned KAM website at www.knoxvillemedicine.org for a calendar of upcoming events. Of particular note, I would like to highlight the Knoxville Academy of Medicine’s Vitality Initiative Project (VIP) Kick-off Conference on September 17-18, 2021. Medscape’s 2021 National Physician Burnout & Suicide Report found that 42% of surveyed physicians said they were burned out. This conference is designed to help our community of physicians achieve work-life balance and avoid burnout. The keynote speaker is Wayne Sotile, PhD, an internationally known expert on physician behavior and resilience. He is the best-selling author of nine books on physician burnout and physician family challenges, including The Medical Marriage and The Resilient Physician. This is going to be a very timely and extraordinary event, and I highly encourage you to register to attend. The first 100 physician registrants will receive a complimentary copy of Dr. Sotile’s latest book, The Thriving Physician: How to Avoid Burnout by Choosing Resilience Throughout Your Medical Career. Best of all, the event is free for members and their spouses if you register before September 1, 2021!
Jeff Ollis, MD
Calendar of Events SEPT 15 & 30 1718
Tennessee Community Resource Network (TNCRN) Informational Zoom Sessions 15th at 9:00 am and 30th at 5:30 pm
30
OSHA Seminar
VIP Kick-off Conference, Bridgewater Place With Keynote Speaker, Dr. Wayne Sotile, author of “The Medical Marriage”
OCTOBER 1 8 22
OSHA Seminar LMU Students Tacos and Tequila Event KAPA’s Boot Scootin’ Ball, 6:30 pm, Bridgewater Place
NOVEMBER 4
Legislative Dinner, Foundary, 6:30 pm
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.
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JOHN ADAMS, MD INFECTIOUS DISEASES Knoxville Infectious Disease Consultants 2210 Sutherland Ave, Ste 110 Knoxville, TN 37919 ___________________________________
RANDALL DEVAULT II, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
ANTHONY HUANG, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
JEFFREY ROBERTS, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
HAILEY AMICK, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
NICHOLAS, DOIRON, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
FRANKLIN GREG KING, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
CHARLES D. SCHROEDER, MD OBSTETRICS & GYNECOLOGY OB/GYN Professionals of East TN 9330 Park West Blvd, Ste 592 Knoxville, TN 37923 ___________________________________
PETER ANDREWS, MD OPHTHALMOLOGY Southeast Eye Specialists 1400 Dowell Springs Blvd, Ste 310 Knoxville, TN 37909 ___________________________________
MITCHELL DICKSON, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
DAVID D. LO, MD PLASTIC SURGERY Premier Surgical Plastic Surgery 6408 Papermill Dr, Ste 200 Knoxville, TN 37919 ___________________________________
HENRY FRANK TODD III, MD CARDIOTHORACIC SURGERY East TN Cardiovascular Surgery Group 9125 Cross Park Dr, Ste 200 Knoxville, TN 37923 ___________________________________
MICHAEL BAIRD, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
ALLISON DULANEY, MD INTERNAL MEDICINE UT Internal Medicine & Integrative Health 1926 Alcoa Hwy, Ste C-470 Knoxville, TN 37920 ___________________________________
GAELAN LUHN, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
JANICE WALKER-FILLMORE, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
TYLER BLACK, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
TUCKER GENTRY, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
CHARLES MONTGOMERY II, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
JAMES A. WILLIAMS, DO ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916
GORDON LEE COLLINS,MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
CHRISTOPHER GILBERTSON, DO ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
WILLIAM PITMAN, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
BRIAN CONROY, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
BENJAMIN AARON HARPER, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
BLAKE PRINCE, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916 ___________________________________
TRAVIS DANIELSEN, MD FORENSIC PATHOLOGY Knox County Regional Forensic Center 2761 Sullins Street SW Knoxville, TN 37919
ALEXANDER HELLMAN, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916
DIANE REYNOLDS, MD ANESTHESIOLOGY American Anesthesiology of TN – Knoxville 501 20th St, Ste 606 Knoxville, TN 37916
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New Resident Members: Justin Harrell, DO Daniel Martinez Barrera, DO Elizabeth Duarte, MD Jonathan Hill, DO Shannon Lewis, MD Joshua Maher, DO Joseph Balaban, MD William Donelson, MD John Doty, MD Matthew Edwards, MD Ryan Hammond, MD Mary Alexander, DO Abdallah Assaf, MD Muaz Assaf, MD Phillip Dougherty, DO Sonya Khimani, MD
Michael Baker, MD Carson Catasus, MD Michael Kopstein, DO Savannah McKenzie, MD Grace Saxon, MD Cassidy Scott, DO Kayla Winters, MD Peyton Murdock, MD Elizabeth Shake, MD Meaghan Standridge, MD Ryan Taylor, MD Morgan Walker, MD Ashley Gutierrez Santana, MD Shawna Stephens, DO Natalie Street, MD Martin Valdes, MD Alixandra Hunzicker, MD
Karina Bach, MD Katherine Kenyon, MD Regina Reed, MD Elman Urbina Meneses, MD Nishant Sharma, MBBS Darius Graeff, DO Alexandria Atkins, MD Hayden Byrd, MD Rachel Dykes, MD Jacob Saxon, MD Alexis Kentros, MD Chase Griffin, MD New Medical Student Members: Christine Chinyere Nwoke Damla D. Sarisaltik Erin Siobhan Fannin Hannah N. McKee
The Knoxville Academy of Medicine mourns the recent loss of the following member:
Dr. Henry Grady Arnold Jr. Born February 27, 1944 in Jackson, TN Passed away on April 2, 2021
Dr. Merrill D. Moore Jr. Born October 18, 1933 in Selma, AL Passed away on April 12, 2021
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FINANCIAL NEWS ANSWERING FOUR COMMON QUESTIONS ABOUT COVID-19 AND 529 PLANS By Rhett Lankford, CRC® Vice President FirstBank
Learn how virtual classes, gap years, K-12 expenses and refunds may impact your education savings. The COVID-19 outbreak has upended normal life across the world, and higher education has been no exception. As many college students responded to the pandemic by taking a gap year (i.e., a year-long break from school) or opting for reduced course loads, you may be wondering what these and other changes could mean for your 529 plan. Fortunately, we’ve got answers. MY COLLEGE STUDENT IS ENROLLED IN VIRTUAL CLASSES THIS SEMESTER. WHAT EXPENSES ARE COVERED UNDER MY 529 PLAN? Higher education expenses that would normally be covered under a 529 plan also apply to virtual classes. These expenses include tuition, books, school supplies, fees, computer equipment and peripherals. Room and board will also be covered if your student is enrolled at least half time. To explore estimated expenses for an academic year, visit the respective college or university’s cost of attendance page. IF MY COLLEGE STUDENT TAKES A GAP YEAR OR ENROLLS IN FEWER CLASSES THIS SEMESTER, HOW WOULD IT AFFECT MY EDUCATION SAVINGS? Since 529 plans do not have an expiration date, your funds will be ready when you need them. This means you can resume distributions as you normally would once your student returns to school. If your student has opted for a reduced course load, then tuition, supplies and fees will all be covered by your 529 plan. However, they will need to be enrolled at
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least half time for room and board to qualify under your plan. If you have any questions regarding your student’s level of enrollment (partial, half time or full time), contact their educational institution. I HAVE A K-12 STUDENT. CAN I USE MY 529 PLAN TO PURCHASE A COMPUTER? WHAT ABOUT TUTORING SERVICES? The K-12 provision in 529 plans applies exclusively to tuition expenses. You may use up to $10,000 each year to cover these costs. While K-12 distributions are considered a qualified expense under federal law, not every state treats K-12 distributions in the same manner. To determine how your state treats K-12 distributions, consult with a local tax professional. I RECEIVED A REFUND FROM MY STUDENT’S SCHOOL. WHAT ARE MY OPTIONS? You have several options when it comes to managing amounts refunded by the school. The first is to use the refunded amount toward other qualified education expenses that same calendar year. This will ensure that your 1099 matches the incurred expenses. The second option is to re-contribute the refunded amounts back into the 529 plan within 60 days of the day the school issued the check. This contribution will be counted as a current year contribution. Just remember to safely store documentation of the refund and re-contribution for your records. Earnings in 529 plans are not subject to federal tax and in most cases state tax, as long as you use withdrawals for eligible education expenses. However, if you withdraw money from a 529 plan and do not use it on an eligible education expense, you generally will be subject to income tax and an additional 10% federal tax penalty on earnings. Investment products are: not deposits, not FDIC/NCUA insured, not insured by any government agency, not bank guaranteed, subject to risk and may lose value.
LEGAL NEWS
KAM
“The Times They Are A Changing” – What Healthcare Providers and Medical Groups Need to Know About Section 1557
KNOXVILLE ACADEMY OF MEDICINE
By Ian Hennessey and Grace Ewell Bob Dylan’s song “The Times They Are A Changing” includes the following memorable lines: The battle outside ragin' Will soon shake your windows and rattle your walls For the times they are a-changin' This is especially true when it comes to the constantly evolving world of healthcare laws and regulations. Issues involving healthcare continue to take center stage in our nation’s political arenas at both the federal and state level. When these political battles find their way into policy, then changes to your practice are sure to follow. Over the past decade, one such battle has been over the interpretation of Section 1557 of the Affordable Care Act, which prohibits discrimination on the basis of race, color, national origin, sex, age, or disability under any program or activity, any part of which receives federal financial assistance. In May 2016, the Obama Administration issued regulations interpreting “on the basis of sex” for purposes of Section 1557 to include gender identity and termination of pregnancy. Shortly thereafter, however, a Texas federal district court issued a decision enjoining the enforcement of these regulations on the basis that this interpretation of “on the basis of sex” violated both the Administrative Procedures Act and the Religious Freedom Restoration Act. There were no further substantive developments regarding Section 1557 until June 2020, when the Trump Administration issues its own set of regulations interpreting “on the basis of sex” to mean traditional, biological distinction between male and female and not on the basis of gender identity of termination of pregnancy. Days later, the United States Supreme Court issued a decision in Bostock v. Clayton County, Georgia in which the Court held that “on the basis of sex” includes both sexual orientation and gender in the context of employment. In its decision, the Court stated: “It is impossible to discriminate against a person for being homosexual or transgender without discriminating against that individual based on sex.” Shortly after the Bostock opinion was issued, the Trump Administration’s regulations were, in turn, challenged in federal court and subsequently enjoined. On the day of his inauguration, President Biden issued an executive order implementing the Bostock opinion throughout all federal agencies, including both in the context of employment and in healthcare. As of the date this article went to press, the Biden Administration has not yet issued new regulations related to Section 1557. Nevertheless, on May 10, 2021, the HHS Office of Civil Rights (“OCR”) issued a “Notification of Interpretation and Enforcement” in which it stated that, consisted with the Bostock opinion, HHS “will interpret and enforce Section 1557’s prohibition on discrimination on the basis of sex to include: (1) discrimination on the basis of sexual orientation; and (2)
KNOXVILLEMEDICINE.ORG
discrimination on the basis of gender identity.” Effective beginning May 10, 2021, “[t]his interpretation will guide OCR in processing complaints and conducting investigations, but does not itself determine the outcome in any particular case or set of facts.” According to HHS, this interpretation of the anti-discrimination provisions is meant to reduce barriers to care and negative health consequences. Per HHS, research shows that one quarter of LGBTQ people who faced discrimination postponed or avoided receiving needed medical care for fear of further discrimination. HHS Secretary Xavier Becerra noted “fear of discrimination can lead individuals to forgo care, which can have negative health consequences. . . everyone – including LGBTQ people – should be able to access health care, free from discrimination or interference, period.” In summary, it seems the Biden Administration will eventually release its own regulations regarding Section 1557 interpreting the meaning of “on the basis of sex” consistent with the Bostock opinion as suggested by its Notification of Interpretation and Enforcement from May 2021. In the mean time before any new regulations issued, however, OCR is already enforcing Section 1557 to include sexual orientation and gender identity within the meaning of discrimination “on the basis of sex.” What should healthcare providers and medical practices do? Here are some key actions you should consider taking sooner rather than later: • Review your policies and procedures with respect to non-discrimination patients to determine if there are any changes that should be made in light of Bostock and the OCR Notification of Interpretation and Enforcement. This also includes forms and other notices you provide to patients. • Employers should make clear that potential and current employees will not be discriminated against on the basis of their gender identity or sexual orientation. • Discuss these changes with your staff and incorporate any policy changes into your staff training. • Healthcare providers should continue to monitor developments, including the issuance of new regulations, to keep up to speed on maintaining compliance. Times are indeed “a-changing,” but there are steps you can take now to reduce the risk of these changes “shaking your windows and rattling your walls.” For more information regarding the OCR’s interpretation and enforcement guidelines of Section 1557, you can view the HHS Notice at https://www.hhs.gov/sites/default/files/ocr-bostocknotification.pdf. Disclaimer: The contents of this article are for general informational purposes only and are not to be construed as legal advice. You should consult an attorney regarding any specific legal questions.
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TECHNOLOGY NEWS Access Community Wide Data Inside your EMR with Integrated Single Sign-On with Patient in Context Lookup by: Leigh Sterling, Executive Director East Tennessee Health Information Network
Streamline Access to etHIN Data by Automating Login and Logout Single Sign-On (SSO) with Patient in Context (PIC) lookup seamlessly enables access to a patient’s medical record in etHIN when you open the patient’s medical record in your EMR system. User authentication happens automatically in the background, keeping the patient in-context, so providers are able to see not only the patient information in their own EMR but also all crosscommunity information that has been submitted to etHIN by other providers. This “behind the scenes” method of automated user authentication eliminates the need for your staff to keep the etHIN portal open and manually enter etHIN login credentials into that portal. The patient data available in etHIN is automatically displayed within your EMR when that patient record is viewed. Information from etHIN is view only, up to date at the time it is viewed, and is not automatically stored in the provider’s EMR. Clinicians are often pressed for time, making them reluctant to leave their EMR systems to search and/or access other systems for information. Implementing etHIN SSO with PIC will allow providers and clinical staff to realize the following benefits:
KAM KNOXVILLE ACADEMY OF MEDICINE
• Up to date, cross-community data from etHIN available within your EMR • Streamlines user access/reduces “clicks” by automating the login and logout process • Improves accessibility of cross-community information available in etHIN • Eliminates the need to log into/keep the etHIN Clinical Viewer Portal open • Reduces the number of passwords providers and staff must remember/manage • Adding/removing etHIN users resides within your practice/facility, reducing administrative processes • No annual etHIN compliance training requirement Because SSO with PIC automates access to the data available in etHIN, participants using SSO have reported a significant increase in the number of HIE patient records accessed by their providers and staffs. Having readily available, up-to-date clinical data from others in the community can assist in providing the best possible care to your patients. Contact us at 865-691-8433 or Info@etHIN.org today to discuss how SSO with PIC can bring cross-community data into your existing EMR workflows, providing additional information from within your own EMR.
KAMA Corner
By: Carolyn Cates, KAMA President
This spring, the KAMA Philanthropic Fund awarded over $18, 500 to the community in medical and nursing scholarships and funds to support local health-related initiatives. This was done in spite of the limitations due to COVID-19. We were not able to host our two major fundraisers, so we are grateful to our donors and their generosity. Our Medication Task Force, chaired by Barbara Crist, received a $2000 grant from AHEI. The committee used these funds to purchase copies of Sam Quinones book, Dreamland YAA (Young Adult Adaptation) to distribute to public and private middle schools and high schools in Knox County. By students reading this book, we hope to increase awareness of the impact of the opioid epidemic and its dangers. The theme for this coming year is: Encourage one another. After the year we all experienced, we felt everyone could use some encouragement. We will continue working out our mission of promoting health education programs that impact the welfare of our community and to encourage friendships among its membership. Even though summer is a time for vacation, KAMA is busy working through this season. We are excited about co-hosting the KAM/ KAMA Summer Picnic at Zoo Knoxville on July 31. We believe this will be a great opportunity for our families to get together for food, fun and seeing the animals. Thursday, September 2 will be our first official meeting and our
very own Jenny Bushkell will be our guest speaker. Her topic will be, “Choose Joy.” For those of you KAM members whose wives are not members of KAMA, this would be a great meeting for them to attend as Jenny’s talks are very inspirational. She is the host of her own podcast called Crossroads, as well as hosting a weekly Christian Talk Radio Show by the same name. The following week, on September 9, KAMA will be hosting the TMAA Update Meeting as TMAA members from across the state gather together for their annual meeting. The final event I would like to mention is our Starry Night Legacy Gala event on Thursday, October 7 from 7pm-10pm. This is a formal event with hors d’oeuvres to be passed, a beef or vegetarian dinner and a cash bar. There will be music by Mary Ann Fennell, a member of the Knoxville Symphony, and the Dogwood Strings Trio. There will be a Silent Auction as well as a Raise the Paddle to raise money for New Hopewell’s Playground. This is our only formal fundraiser to attend this year. Cost for a ticket is $150. RSVP to Susan Brown at 865691-0394. Sounds like a great event to take your spouse or significant other to! Thank you, Nancy Sewell, KAMA President 2021-2022
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V
ITALITY KAM
Knoxville Academy of Medicine’s
KNOXVILLE ACADEMY OF MEDICINE
Initiative Project
Vitality Initiative Project Conference with Keynote Speaker, Wayne Sotile, PhD
Friday, September 17 & Saturday, September 18 Bridgewater Place 205 Bridgewater Rd, Knoxville, TN 37923
REGISTER NOW for this exciting conference! Space is limited. Earn up to 4 CME
Knoxvillemedicine.org
(865) 531-2766
Presented by:
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New Date!
Friday, October 22, 2021 6:30 PM
New Location! Bridgewater Place
KNOXVILLE’S MOST TALKED ABOUT FUNDRAISING EVENT
They say hindsight is 20/20… so in 2021 we’ll be taking KAPA’s Boot Scootin’ Ball Back to the 80s!!!!!! To celebrate the 80s in style, our special guests for the 2021 KAPA’s Boot Scootin’ Ball will be the Journey Tribute Band, RESURRECTION! Come hear all the great Journey music from the 80s like Don’t Stop Believing, Any Way You Want It and Faithfully!!! Step back in time with a remarkable Journey Tribute Experience along with a great dinner, dancing, and a variety of beers in your own bottomless souvenir glass, and a large silent auction. Be sure and dust off those neon bracelets, leg warmers, high waisted jeans and tease that hair!!!!! KAPA’s Boot Scootin’ Ball is going BACK TO THE 80s! All proceeds to benefit Knoxville Area Project Access (KAPA).
FOR MORE INFO VISIT KAPABOOTSCOOTIN.COM OR CALL (865) 531-2766