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Volume 20, Number 4

Inside: Specialty Speed Dating Event Pairs Residents With Members For Mentorship MedTemps Reignites Efforts To Recruit And Staff Healthcare Leaders

Winter 2018

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contents Volume 20, Number 41

The mission of the Society is to unite the physicians of Memphis & Shelby County into an organization to promote the highest quality of medical practice and the health of our citizens.

Winter Spring 2018 2017

Features 8 Specialty Speed Dating Event Pairs Residents With Members For Mentorship by: Allison Cook 10 MedTemps Reignites Efforts To Recruit And Staff Healthcare Leaders by: Clint Cummins

In Every Issue 2 Editorial 4 From The President 23 Calendar 24 New Members

on the cover: Specialty Speed Dating Event

Back Page

Cover photo by Allison Cook

28 Catherine Womack Receives Laureate Award From The American College of Physicians

Winter 2018


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2017 Board of Directors Phillip R. Langsdon, M.D. President Autry J. Parker, M.D. President-elect Andrew T. Watson, M.D.. Vice-President Danielle Hinton Hassel, M.D. Secretary David L. Cannon, M.D. Treasurer Lanetta Anderson, M.D. Frederick A. Fielder, M.D. James E. Klemis, M.D. Jimmie Mancell, M.D. Justin Monroe, M.D. Christopher M. Pokabla, M.D. Lisa S. Usdan, M.D. Lindi Vanderwalde, M.D. Raymond R. Walker, M.D. Immediate Past President: Tommy J. Campbell, M.D. Ex-Officio Board Members: Perisco Wofford, M.D. President - Bluff City Medical Society Jessica Harrison President - Mid-South MGMA

The Memphis Medical Society 1067 Cresthaven Road, Memphis, TN 38119-3833 (901) 761-0200 • FAX (901) 761-2944 www.mdmemphis.org Executive Vice President Clint Cummins Executive Assistant Janice Cooper Communications and Membership Manager Allison Cook Manager, Business Development Cailyn Bautista Finance Director Leah S. Lumm Business Services Division: Senior Staffing Coordinator Freda Reed Accounting Coordinator Paula Lipford Photography Credits Allison Cook Clint Cummins Editorial Thomas C. Gettelfinger, M.D. Graphic Design Liz Petzak 2

Editorial Thomas C. Gettelfinger, M.D.

Ain’t It Funny So Gary, it’s your turn Not long ago, I had feedback about some of these last columns, from a most illustrious colleague, distinguished past president of the Memphis Medical Society, the esteemed bon vivant, and notorious jokester, Gary Kimzey. Make it funny, he said. So I thought, what do you want, irony, satire, drunk jokes, Polish and Cajun and Aggie and ethnic jokes, blonde jokes, stand up or sit down, wit and repartee, banana peels, pie in the face, dark or gallows, self-effacing or pompous, political, correct or incorrect, mock horror, dry or droll, doctor jokes and lawyer jokes, put-down ones, just to name a few. Since this is a most serious inquiry, obviously it pays to go to the Mother Lode, start with Google, or as Willie Sutton said, ‘that’s where the money is’ (that’s supposed to be funny, right?). It turns out there is a whole literature of humor, books and theories, overwhelming indeed. As Slate Magazine published: The underpinnings of humor have proven far more vexing than those of other emotional experiences. Most scholars, for example, agree that anger occurs when something bad happens to you and you blame someone else, and guilt occurs when something bad happens to someone else and you blame yourself. So what’s funny? It turns out some consonants are funny: K is funny, T is not. Hard to believe isn’t it? Just look it up. Serious is not funny, and the least funny people I know are the deadly earnest, those with a cause, true believers, and, egad, those who are religiously and resolutely politically correct. Hey lighten, up you guys. Even Joel Osteen starts his sermons with a joke. My favorite style, the quick repartee, is funny. Look up Johnny Carson’s quip to Jane Fonda with her cat on her lap, or Winston Churchill’s repartee to Lady Astor, ‘My dear you are ugly, but tomorrow I shall be sober and you will still be…’ Larry David, my current favorite, is funny. From the past, Jackie Gleason and Archie Bunker, not so much. But frankly I don’t get the blonde jokes. I admire and like smart women. And, not to be sexist, smart men too. And blondes are surely just as smart. And ain’t it funny: those blondes at the bar get smarter the later it gets. Footnote: Yes, I know it’s an old joke, but it’s late and there are deadlines to meet. But Gary, and to all of you, what’s funny? Send something in. To be continued … Memphis Medical Society Quarterly

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President’s Message Phillip R. Langsdon, M.D.

The Drug Divergence Circus

Early on the morning of September 12, 2017, my office was called to verify a prescription for amoxicillin and codeine from a pharmacy about 100 miles away. I’ve not prescribed codeine for nearly 30 years, so I quickly became suspicious that something was amiss. Minutes later another pharmacy called to verify another prescription, this time for promethazine and codeine. It was now apparent someone was using my DEA number. Wanting to comply with all requirements, I immediately contacted TMA legal counsel, Yarnell Beaty, and SVMIC to obtain advice on notification compliance requirements. I quickly and dutifully notified the DEA and local police. Local police said they could “do nothing until a crime had been committed.” I'm not sure how the authorities interpret these things, but I did not want to overlook any potential reporting requirement. The information was also submitted to the DEA in an online report. However, I did not receive any further communication from them after the report. I notified the Board of Medicine and was told that they did not deal with drug divergence. The person at the BME transferred my call to Office of Investigation to create a report of the incident. The person in Investigations referred us to another number, which gave us a website that only allows a written complaint against a doctor. By this time, I'm wondering why I'm supposed to file reports if, no one will take any action. Next, we called the Tennessee Department of Health as well as the Tennessee Board of Pharmacy. The person answering the phone at the Tennessee Board of Pharmacy told us that everyone was in a meeting — we called them three times that day, receiving the same reply. They did advise us to check the Tennessee CSMD (controlled substances monitoring databank) and to notify the Tennessee Bureau of Investigation; which we, of course, also did. Meanwhile, after I received more calls from Mississippi pharmacies to confirm prescriptions in several cities, the Mississippi Board of Pharmacy was notified. Within minutes of notifying the Mississippi Board of Pharmacy, pharmacies across the state of Mississippi were on alert for the use of my DEA number; an impressive display of coordination! 4

Throughout the day, we received calls from these alerted pharmacies in Louisville, Ripley, West Point, Corinth, Columbus, Starkville, Houston, and Amory. Several people were caught on pharmacy video surveillance when they arrived at various pharmacies attempting to pick up fraudulent prescriptions. Within hours, the scam was halted as the criminals discovered they had been exposed. The TBI called back the next day and informed me “We don’t handle that. The DEA handles that.” It took three days for the Tennessee Board of Pharmacy to call me back. The result of the conversation was that they would notify the Tennessee Pharmacists Association so the association could notify members. While I was being told this, I was thinking, it is not the job of a member association to track down criminals, and a three-day delay in response is not what one would expect in a coordinated effort to fight Tennessee drug divergence. A Tennessee Department of Health attorney contacted me several days later via email. She seemed to agree with me that our state needs a coordinated plan of action when criminals steal DEA numbers. Mine was not an isolated case. I related this story at the next Memphis Medical Society board meeting in order to alert members of the scam. One board member reported that it had happened to him twice. Later, I discovered that it also happened to a medical school classmate in Arkansas the same week that it happened to me. I turns out, as a Mississippi detective related, this drug scam is a regular problem orchestrated by a drug ring working the southeast United States. With all the concern over prescription drug abuse and overdose and deaths, I began to wonder why Tennessee state boards and agencies are not more coordinated and engaged with physicians to stop these drug scams. To be frank and fair to physicians, I’ve got to say that I think part of the reason for the divergence problem is that our officials are focused on creating new laws that require physician compliance, but fail to fully address the underlying problem! Tennessee physicians are complying with state mandated CME training in the prescribing and control of opioids. We Memphis Medical Society Quarterly

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also must check and comply with the CSMD (controlled substances monitoring databank). Excess opioid prescribing, in fact, does not come from the majority of good physicians in Tennessee. Rather, most of this is coming from nonphysicians in East Tennessee, or outright criminal activity. The delegation of controlled drug prescribing to non-physicians and out-of-state medical directors must be carefully scrutinized. Curtailing physician prescribing of opioids won’t completely solve the problem either. The public needs strong analgesics for many serious conditions such as cancer, severe back pain, kidney stones, surgical procedures, and much more. I related the following incident to a legislator recently. An acquaintance recently suffered a kidney stone crisis that occurred after he landed in Great Britain on a trip from the U.S. The hospital in the British system provided him with only acetaminophen for his pain. He described three days of pure torture there, and he only received relief after returning to a U.S. hospital. He, no doubt, thinks there is a place for opioids. Of course, some kinds of pain can be controlled by acetaminophen. However, it is not strong enough for many conditions, and it is not without life-threatening risks either. There have been numerous tragic deaths from hepatic failure, secondary to overuse by naïve individuals attempting selftreatment. Because a medication is over-the-counter does not make it harmless! Some medical journals have advocated the use of nonsteroidal anti-inflammatory medications. These do work for some conditions. However, they cannot be used in all situations. They can cause serious and life threatening bleeding in certain surgical procedures. There are other problems, such as severe reflux, and NSAIDs may even initiate angioedema in some patients, another potentially life threatening situation. I know this from personal experience. Of course, physicians need to continue to look for ways to prescribe fewer opioids and for shorter periods of time. There are currently several evidence-based studies being conducted by physicians to determine what conditions might be better treated with alternative prescription protocols. But, changes must be based upon real evidence, not emotion or reactive legislation. Also, health insurance companies need to step up and cover non-narcotic or more alternative pain relief methodologies, even if they are more expensive. It is a complex issue. So, what is the answer? The dichotomy in how the states of Tennessee and Mississippi handled my diversion report; the realities for the legitimate need in some instances to prescribe opioids; and government's tendency to throw regulations at problems

Winter 2018

without addressing the core problem all illustrate my point that the opioid crisis will not be solved, and the public will not be properly served, without the collaboration of the media, government, healthcare groups, such as nursing boards, hospital boards, departments of health, pharmacist boards and dental boards with physicians. Physicians must have a prominent and well-balanced representation that includes private practitioners when formulating solutions, planning new legislation or government agency directives. Tennessee is behind Mississippi as it relates to emergency coordination of boards and agencies regarding DEA number thefts. Tennessee is a great state, and we ought to be #1 in solving this issue.

Drug overdoses killed more than 60,000 people in 2016. One key factor contributing to the trend is the major spike in fatalities related to drugs, including prescription painkillers containing addictive opioids [like oxycodone and non prescription (illegally obtained) fentanyl} and illegal drugs like heroin. Fortune — Sy Mukherjee 19.8 out of every 100,000 Americans die of overdose. That’s a startling rise for a single cause of death within just one year. Fortune — Sy Mukherjee


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What Your Society Has Accomplished This Past Year 2017 In Review by Phillip R. Langsdon, MD, FACS When I took office this past January, we established several goals for our society. The first goal was to strengthen our financially stability, and the second goal was to create new and substantial value for our members. Most physicians are not aware of how the society runs, or what services it provides for our profession. Below is a rundown of our 2017 accomplishments.

cap limits when a provider is required to be licensed as a

LEGISLATIVE ACCOMPLISHMENTS BY THE TMA with close financial and active efforts by the Memphis Medical Society

The bill would have allowed hospitals to employ


room physicians.

Bills Passed: • Healthcare Provider Stability Act This bill helps level the playing field between healthcare providers and payers by increasing transparency in the insurance payment process, and giving medical practices more predictability by limiting how often payers can change payment policies and methodologies. • Maintenance of Certification Prevents MOC from being required for state medical licensure and creates a task force to study MOC as it relates to hospital hiring practices, admitting privileges and insurance networks. • Peer Review Added Peer Review back into DO chapter of Tennessee law after being inadvertently removed in 2011. Ensures osteopathic physicians have the same protections as other physicians for peer reviews.

ENGAGING IN PAYMENT REFORM • Opposed a planned expansion of the TennCare episodes of care payment model into the commercial market

pain management clinic. Another would have required referrals to pain management clinics to come only from emergency physicians or primary care physicians. The bills were withdrawn by the sponsor until 2018. • In 2017, TMA helped prevent a corporate practice of medicine bill from moving forward in the legislature. radiologists, pathologists, anesthesiologists and emergency • Together with SVMIC, TMA stopped a bill from Atlantabased Patients for Fair Compensation from moving forward into committee. The bill would have replace Tennessee’s existing medical malpractice system with a government-run administrative patient compensation system. TMA questioned the constitutionality of the bill and the impact it would have on Tennessee’s practice environment, which is currently one of the best in the country.

PROTECTING APPROPRIATE SCOPE OF PRACTICE • TMA opposed a bill that would allow physician assistants with three years of practice to enroll in Lincoln Memorial University’s Doctor of Medical Science program and obtain a doctorate-level degree. Doctors of Medical Science would be allowed to practice in primary care, but would be required to be affiliated with a group practice or hospital. TMA expressed concerns and convinced the sponsors to delay consideration of the bill until 2018, agreeing to work closely with the legislators and LMU to facilitate statewide education efforts


during the remainder of 2017.

• Worked to streamline the application process for physicians to become licensed in multiple states • Worked to support a new law that will give retired doctors an easier path to regain their license by allowing them to get a temporary license, while they work toward full re-licensure

TMA worked with the Tennessee Orthopedic Society on two


• Amended language in a bill that would have inadvertently

• TMA helped defend against two bills that would have negatively impacted pain clinics and pain management physicians. One bill would have raised existing tort reform

expanded scope of practice for chiropractors.


more scope of practice-related bills: • Defeated a bill that would have allowed nurses to return student athletes who had suffered a concussion back into a sport; although, they don’t have the appropriate training to do so.

Continued on page 10 Memphis Medical Society Quarterly

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Specialty Speed Dating Event Pairs Physicians And Members For Mentorship The Memphis Medical Society partnered with the College of Medicine Office of Students to create a unique opportunity for University of Tennessee Health Science Center residents. Seven Memphis Medical Society members attended. Each member physician hosted a table, and groups of students were allowed a 10-minute “speed dating” round with that physician to learn more about his or her specialty. After 10 minutes, students rotated to the next physician’s table. It was a wellattended event, and provided a fun experience for residents to have casual, face-to-face time with the physicians. After all the rounds, residents and physicians enjoyed dinner together catered by Lucchesi’s Ravioli & Pasta Company and conversations continued over the meal. Special thanks to the members who donated their time.

Lanetta Anderson, MD, Obstetrics & Gynecology, The Women’s Physician Group

Danielle Hassel, MD, Physical Medicine & Rehab, VA

Gerald Presbury, MD, General Pediatrics, multiple area hospitals

Eugene Scobey, MD, Internal Medicine, Inpatient Physicians of the Mid-South

Lisa Usdan, MD, Endocrinology, CNS Healthcare

Andrew Watson, MD, Cardiovascular Disease, Southerland Cardiology Clinic

Perisco Wofford, MD, Nephrologist, Private-Practice


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Continued from page 6



• Membership up 4% over 2016


• Realized significant operational savings through new vendors and adding other resources to create operational efficiencies

For the second year in a row, TMA will have legislation filed to give physicians relief from the costly, burdensome, and in many cases, valueless requirement of Maintenance of Certification (MOC). TMA will work to try to prohibit hospitals and health insurance companies from requiring MOC for physician credentialing or network participation.

PAYMENT REFORM / EPISODES OF CARE Decisions about the state’s episodes of care payment model are continually made without physician agreement, and in many cases, with physician opposition. The Tennessee Health Care Innovation Initiative must be fixed in TennCare before any other programs move further. TMA is prepared to have legislation filed in 2018 if fundamental flaws in the design are not addressed.

DOCTOR OF MEDICAL SCIENCE (or successor name) Lincoln Memorial University has created a new academic degree called Doctor of Medical Science. It provides an advanced doctorate-level degree for physician assistants as one solution to a perceived access to primary care issue in our state. TMA will continue to oppose this legislation until members are assured that PAs who earn the DMS degree will continue practicing in a team-based care model with appropriate physician leadership, and that they will not be given independent practice rights.

BALANCE BILLING The Tennessee Farm Bureau and the insurance industry have pushed the Tennessee General Assembly to remove the ban on the corporate balance of medicine. TMA wants to protect physicians’ rights to balance bill and will continue to fight for a solution that is fair to all parties, especially physicians and patients. TMA will oppose any effort that gives health insurance companies even more undue leverage to force providers to accept unfair contractual terms.

INDOOR TANNING TMA wants Tennessee to join 28 other states that have some type of prohibition on dangerous indoor tanning facilities for minors. Tennessee must protect our children from the longterm dangers of indoor tanning.


• Hired a new MedTemps/Business Bureau Business Development manager • Achieved Joint Commission Certification for our MedTemps/Business Bureau. This means we can supply personnel not only to assist our doctors’ offices, but also to hospitals (to meet the Joint Commission employee requirements). • Created new professional recruiting division for MedTemps (more on this later in the issue) • Streamlined application and payroll services for MedTemps. • Created a new e-news platform that will supplement the Quarterly Magazine with Member News, Legislative Alerts, and HealthCare job alerts (you should’ve already received your first edition) • Created social media accounts on Facebook, Twitter, and LinkedIn for MMS. • Placing a new focus on Physician Wellbeing via The Memphis Medical Foundation • Hired a new web master and are creating a new, highly functional website that will: 1- Help patients/community find our members 2- Help patients find a doctor 3- Create exposure for member doctors by creating a link directly to individual physicians web site 4- Make the MMS website a community-wide resource for medical information 5- Assist MedTemps/Business Bureau (job seekers and employers) 6- Create a physician job location site for both doctors and employers • We are also in the process of exploring physician practice support services through an Independent Practice Association to: negotiate managed care, provide personnel services, EMR, insurance, and overall economies of scale for small and individual practices. Memphis Medical Society Quarterly

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New Communication Efforts Bring Society’s Support Closer To Community After months of dedicated, behind-the-scenes work, the Society is almost ready to launch a new web site. The new site will focus on three pillars: Find a doctor, Find a job candidate, and Find a job. “One of our goals with the new site is to create a user-friendly space for the healthcare community,” says the Society’s Executive Vice President, Clint Cummins. “We want our site to become a hub of physician information and referrals, as well as a conduit for healthcare job candidates and hiring managers.” Members will have profile pages, similar to the annual printed directory, offering specialty and contact information to referring physicians and patients as well.

Winter 2018

The new website was a key objective for Dr. Phillip Langston during his tenure as president of The Memphis Medical Society’s board of directors, and it will make a lasting impact for the future. There will be a variety of sponsorship and advertising opportunities. If you are interested in promoting your organization, please contact Allison Cook. In addition to the website redesign, the Society has created a bi-monthly email newsletter, Memphis Rounds. Look for this in your inbox, as it will offer timely organizational updates, legislative reports, upcoming events and more. Memphis Rounds is yet another step the Society is taking to support and interact with its membership in real time.


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Keeping Fiscally Fit William B. Howard, Jr., ChFC®, CFP®

Question: I was discussing the proposed tax reform changes with one of my partners. What impact will these proposed changes have on my year-end tax planning strategies? Can you provide some recommendations to help reduce my personal tax liability? Answer:

This year, the impact on your tax planning strategies should be minimal. Government officials are still sorting out the final details, but changes in tax brackets, deductions, contribution limits and exclusions could be on the horizon. I suggest you consider the following strategies for 2017: • Maximize your retirement plan contributions. The maximum contribution amount to a 401(k) is $18,000 in 2017. Add the catch-up provision (age 50 or older) and the total contribution amount is $24,000. The annual IRA contribution limit in 2017 is $5,500 ($6,500 if you are 50 or older). • Take advantage of the annual gift tax exclusion. Though it will not directly reduce this year’s tax liability, it will help you pass wealth from your taxable estate without reducing your estate tax exemption. You can gift up to $14,000 individually or $28,000 jointly (married) free of gift or estate tax to as many people as you wish in 2017. • Donate cash to a qualified charitable organization to receive a tax deduction. In order to claim the deduction, the donation has to occur in the current year, you must itemize, and you must have proper documentation (canceled check, credit card receipt, or a document from receiving organization). Make sure the documentation includes the name of the charity, the date of the donation, and the amount given. Charitable donations to individuals, social clubs, political groups or foreign organizations are not deductible. • Make a charitable contribution of appreciated shares of securities directly to a charity instead of giving cash. You will avoid paying tax on any gain the shares might have, and you receive a charitable deduction


that is equal to the fair market value of the donated property. • Harvest tax losses from your investment portfolio. Selling investments that have losses allows you to offset any taxable gain dollar for dollar in your taxable accounts. If losses exceed gains, you can offset up to $3,000 of ordinary income this year, and carry forward all other losses to help offset gains in future years. • Postpone income to another tax year if possible. The planned reduction in tax brackets would make this a good opportunity to defer a year-end bonus or capital gains. • Accelerate deductions for this tax year. Depending on the timing, paying state income tax, property tax, or doctor and hospital bills might help your tax deductions. • Beware of the Alternative Minimum Tax (AMT). If you decide to accelerate deductible expenses this year, you might trigger this separate tax if the AMT liability exceeds your regular tax liability. • Check estimated tax payments to avoid underpayment penalties. If you’re in danger of an underpayment penalty, try to make up the shortfall by increasing withholding on your salary or bonuses. • Seek professional guidance. Ask your tax professional or advisor to prepare projections showing the tax savings on multiple strategies.

Getting organized is one of the most important things you can do to help facilitate the tax planning process. Start by collecting all relevant tax data. This includes W2’s, 1099’s, monthly account statements, cost basis info, and any other tax documentation you received during 2016. Set up a detailed filing system, so when tax time rolls around, you should have no problem knowing where all the information is located.

Memphis Medical Society Quarterly

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R E A L E S TAT E U P D AT E Medical Real Estate Financing by: Jon D. Albright, CCIM, SIOR, SRES As I have discussed for the last couple of years, Medical Real Estate has continued to be attractive for investors as well as banks and other lending institutions and options. There continues to be an interest and demand for reasonable medical real estate leases, single tenant owner occupied properties as well as multi-tenant medical facilities. If you are considering owning your facility or investing in medical real estate and are not paying cash for the property there are a variety of options you may want to consider. My advice to my medical clients is to have a conversation with your existing lending relationship and discussing what you want to do and how much money you will need to acquire, improve, or development the property or properties you may be considering. If terms, and conditions are acceptable after these discussions you have a ceiling you can be comfortable with for your particular endeavor. After this discussion, you may want to also consider other options (particularly if you do not like terms and conditions

discussed) that you may not have considered in years past. There are specialized banks and lending groups that focus on medical real estate lending. Advantages with these groups is their interest in medical real estate and potential for including equipment and improvements in a single loan that may have longer amortization terms than traditional banks offer for commercial real estate. SBA (Small Business Association) loans are available through most Lenders, as are Bridge Loans than can be used for short term needs. There is also potential for Investors to provide financial terms as well. It is important to understand time frames for all of your financing needs. Give yourself ample time to investigate and understand available options. Please use your team of professionals to assist with identifying options and reviewing terms and conditions for financing choices. Jon D. Albright, CCIM, SIOR, SRES Investec Realty Services, LLC 51 Germantown Court, Ste 215 Memphis, TN 38018 901-758-2424 phone albright@svn.com

MedTemps Awarded Health Care Staffing Services Certification From The Joint Commission MedTemps, the staffing division of The Memphis Medical Society, has announced it has earned The Joint Commission’s Gold Seal of Approval® for Health Care Staffing Services Certification. The certification demonstrates MedTemps’ commitment to providing qualified and competent health care professionals. MedTemps underwent a thorough onsite review on October 10, 2017. Joint Commission experts evaluated compliance with national standards that assess how health care staffing firms determine the qualifications and competency of staff, placement of staff, and how they monitor performance. All certified health care staffing organizations are required to collect data on their own performance. Health care staffing firms place temporary staff in organizations that direct or provide patient care. Established in October 2004, Health Care Staffing Services Certification, awarded for a two-year period, offers an independent and comprehensive evaluation of a staffing firm’s abilities to provide competent staffing services. “MedTemps has demonstrated its commitment to providing quality health care staffing services to health care organizations as evidenced by its achievement of Joint 14

Commission certification,” said Patrick Phelan, executive director, Hospital Business Development, The Joint Commission. “We recognize and commend MedTemps for its efforts to provide a safe, high-quality standard of service.” “MedTemps is pleased to receive certification from The Joint Commission,” added Clint Cummins, EVP of The Memphis Medical Society and MedTemps. “Health Care Staffing Certification demonstrates our commitment and accountability to clients and the healthcare professionals we employ. Certification establishes, defines and measures delivery on key functional areas and performance measures across the entire industry. In addition, the ownership of MedTemps by The Memphis Medical Society allows us to provide tremendous value to our members and support a core Society mission of improving healthcare in Memphis.” The Joint Commission Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies more than 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at www.jointcommission.org. Memphis Medical Society Quarterly

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Annual Legislative Meeting A Success The well-attended meeting and dinner, hosted by the Memphis Medical Society, allowed physicians and legislators to connect in a social and personal environment to discuss current issues in healthcare that are of utmost importance to the Society’s members. Held at Buckley’s Lunchbox, this annual event speaks to the Society’s mission of uniting and advocating for the members and their concerns. The following legislators graciously attended this annual event: • Represenative G.A. Hardaway • Senator Brian Kelsey • Senator Sara Kyle • Represenative Ron Lollar • Represenative Larry Miller • Senator Reginald Tate • Represenative Dwayne Thompson • Represenative Kevin Vaughan • Representative Joe Towns • Represenative Karen Camper • Represenative Barbara Cooper

Winter 2018


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Now Available To Medical Practices



Memphis Medical Society Quarterly

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Winter 2018


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Memphis Medical Foundation Takes On New Focus The Memphis Medical Foundation has taken on a new focus for 2018: Physician Wellbeing. We all know the real issues and challenges facing our members when it comes to burnout and general physician wellness. Some specialties have a burnout rate as high as 63%. Memphis Medical Society and Memphis Medical Foundation are joining medical societies across the country in addressing this issue. Medical Society EVP, Clint Cummins, is serving on a national workgroup aimed at creating a toolkit for medical societies who seek to implement a wellbeing program for their membership. Once this workgroup has completed the toolkit, the Society will begin implementation of its own program.


We will combine this with other work being done by our own members to create a comprehensive (and CONFIDENTIAL) resource for members navigating this important dynamic of practicing medicine in today’s healthcare environment. Memphis Medical Foundation will continue to support past initiatives in Leadership and Community Health, while we embark on this new focus of Physician Wellbeing. We have already raised more than $10,000 to support our efforts. You can give anytime at mdmemphis.org, or by calling the Society’s office at 901.761.0200. For more information, on the programs of the Foundation, please contact Clint Cummins at 901.761.0200.

Memphis Medical Society Quarterly

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MedTemps: Recruiting Healthcare Leaders In Memphis

Medical Society Hires Cook To Manager Membership And Communications

MedTemps, the business services division of The Memphis Medical Society, is reigniting its efforts to recruit talented leaders in healthcare. MedTemps has always been known as a place that our members and other practitioners could call for immediate, temporary and temporary-topermanent staffing needs, especially in the front office and for Medical Assistants. MedTemps will continue the vital service of providing those staffing services. In addition, MedTemps has already begun recruiting individuals for leadership positions at clinics. Positions such as Director of Operations, CEO, Medical Coder, RN, CRNA and Financial Analyst are just a few examples of where we have talented candidates. The fee is discounted for members and comes with a 60-day guarantee for each position placed. For more information, contact Cailyn Bautista at 901.761.0220, or email the job description of the leader your organization needs to cbautista@mdmemphis.org. Proceeds from MedTemps help supplement the Society to keep membership dues down and fund the Society’s member services.

Allison Cook brings more than 10 years of experience in media, marketing and communications to The Society. She stood as editor for a statewide magazine for many years. She then worked as a marketing strategist for a fullservice marketing firm, and she gained experience throughout several industries, including healthcare, legal and others. Most recently, Cook served as the Executive Director for a Memphis non-profit, where she led the organization in growth and expansion. Cook is a graduate of Hendrix College in Conway, Arkansas. She looks forward to honing the Society’s messaging and marketing efforts to increase and support its membership and mission.

Winter 2018


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Don’t Miss Our Upcoming Events: Annual Meeting And Day On The Hill

Society and TMA Launch New Initiative and Certification for Resident Members

Whether you have come to every annual meeting or none of them, this year’s event is not to be missed. Held at the Holiday Inn—University Memphis on Saturday, January 27, the annual meeting will follow an inaugural Leaders in Residence reception. The silent auction, which benefits Memphis Medical Foundation, will feature refreshed, unique items this year from trips and wine to jewelry and complete gift baskets. Make plans to attend for an evening of fun and fellowship, centered on the induction of the 2018 board of directors, and honoring our 2018 President, Dr. Autry Parker of Semmes Murphey. Let’s fill TWO buses! Day on the Hill is set for Tuesday, March 6, 2018, at the Legislative Plaza in Nashville. Join your fellow physicians on the bus from Memphis to Nashville to take part in this important annual policy briefing and lobby day hosted by Tennessee Medical Association. The goal is to connect physicians directly with lawmakers in order to advocate for their patients and discuss major issues facing medical professionals in Tennessee. This year, the event will be expanded to include an evening reception with the legislators. Help Memphis Medical Society reach the goal of filling two buses to take to the Hill. RSVP online to let us know you are coming: Physicians can sign up to serve as the Legislative Doctor of the Day at: http://www.tnmed.org/TMA/ Government_Affairs/TMA/Government_Affairs/ doctor_of_the_day.aspx Let’s get Memphis represented!

The Memphis Medical Society has launched a new initiative aimed at providing more resources to Residents and Fellows. The initiative also supports Tennessee Medical Association’s new LEAD certification. More information on LEAD can be found on the next page. Locally, the Society seeks to further engage Residents and Fellows in our current activities and provide new education and networking opportunities specific to Residents and Fellows. The dates and activities for first quarter 2018 are as follows:

January Saturday, January 27, 5 pm Leaders in Residence Reception at Society Annual Meeting All resident members welcome; please RSVP at mdmemphis.org

FEBruary Thursday, February 22, 5-7 pm Resident Happy Hour with High Cotton Beer in partnership with Memphis Medical District Collaborative at Edge Alley. Meet Society board members and other practicing physician members.

march Tuesday, March 6 TMA’s Day on the Hill Ride the bus to Nashville to lobby Tennessee legislators on important healthcare issues. Register at tnmed.org


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Highlights of the 2018 Medicare Physician Fee Schedule (MPFS) Final Rule Physician Payment Update & Misvalued Codes Target The update to payments under the PFS in 2018 will be +0.31 percent. This reflects the 0.5 percent update factor established under the Medicare Access and CHIP Reauthorization Act (MACRA), minus 0.09 percent, due to the misvalued codes target recapture amount, required under the Achieving Better Life Experience (ABLE) Act of 2014. The conversion factor was reduced by an additional 0.10 percent to offset spending on newly covered services, include new coverage of prolonged preventive medicine services (G0513 and G0514) and remote monitoring (CPT 99091). CMS finalized a 2018 conversion factor of 35.9996 (2017 conversion factor was 35.89). The Medicare anesthesia conversion factor for 2018 is 22.1887 Physician Work and Practice Expense CMS finalized valuation for individual services in 2018 based consistent with recommendations of the AMA/Specialty Society RVS Update Committee (RUC). The RUC recommendations for 2018 included resource estimates for new/revised CPT codes and services identified as potentially misvalued. To date, the RUC’s efforts to address misvaluations have resulted in $5 billion in annual redistributions. In response to an AMA House of Delegates request and RUC recommendations, CMS has published relative values for several noncovered/bundled physician services, including interprofessional consultations. Professional Liability Insurance CMS did not finalize its proposal to use updated premium data in computing the professional liability insurance relative values. CMS will work to address the premium data shortcomings identified by the AMA and RUC prior to updating this information in 2020 CMS finalized its proposal to utilize the RUC and specialty recommendations related to expected specialties for low volume codes, a change long advocated by the RUC. Physician Quality Reporting System (PQRS) and Meaningful Use (MU) Quality Reporting The AMA and other members of the Federation urged CMS to revise CY2016 PQRS and MU quality reporting requirements to only require physicians to report six measures with no domain or cross-cutting measure requirements. CMS finalized this change which aligns the CY 2016 PQRS and MU quality reporting requirements with the new quality reporting requirements for physicians under the Merit-Based Incentive Payment System (MIPS). CMS estimates that this change will result in approximately $22 million in reduced penalties for physicians. To further align with the MIPS requirements, CMS finalized making the CAHPS for PQRS survey optional under GPRO for practices of 100 or more eligible clinicians in 2016. Value Modifier (VM) CMS finalized several changes to better align the VM program with the MIPS program including: • Holding all groups and solo practitioners who met 2016 PQRS reporting requirements harmless from any negative VM payment adjustments in 2018. • Halving penalties for those who did not meet PQRS requirements to -2 percent for groups with 10 or more eligible professionals, and to -1 percent for smaller groups and solo practitioners. • Reducing the maximum upward payment adjustment to 2 times an adjustment factor that is set at the rate needed to keep penalties and bonuses budget neutral. • Dropping its earlier proposal to publicly report 2016 value modifier data on its Physician Compare web site. Patient Relationship Categories MACRA directed CMS to create new patient relationship codes that physicians would be required to report on claims starting in 2018 for the purposes of determining which physician would be held accountable for a patient’s cost of care. CMS finalized the use of Level II Healthcare Common Procedure Coding System (HCPCS) modifiers as the patient relationship codes. The HCPCS modifiers may be voluntarily reported beginning January 1, 2018. CMS notes that by allowing for a voluntary approach to reporting, it will gain information about patient relationship codes and allow for education and outreach to physicians on the use of the codes. Diabetes Prevention Program (DPP) Addressing pre-diabetes is one of the AMA’s strategic focus areas, so we are strongly supportive of CMS moving forward with the Medicare DPP. CMS finalized a maximum payment per beneficiary of $670 (a decrease from $810 in the proposed rule) over three years for the set of MDPP core and maintenance services. CMS also revised the payment amount to shift a higher percent to the core service period (especially the first six months of the MDPP services period) from what it had previously proposed.


CMS also finalized a two-year time limit on Medicare coverage for ongoing maintenance sessions, specifically finalizing that after year one, suppliers of MDPP would have to offer one year of ongoing maintenance sessions to beneficiaries who continue to meet attendance and weight loss goals. CMS also finalized that a diabetes diagnosis exclusion only applies as of the date of attendance at the first core session. CMS finalized a delay of the start date of the MDPP for three months until April 1, 2018, noting it believes the 90-day period will allow eligible organizations adequate time to enroll in Medicare as MDPP suppliers. CMS also finalized the establishment of new HCPCS G-codes for reporting MDPP services. Virtual DPP CMS stated in the proposed rule that expansion of the MDPP benefit to virtual services could not be considered because it was not a modality evaluated in the original MDPP demonstration. The AMA urged CMS to expand MDPP to include virtual services in the expansion. Instead, CMS indicated that virtual MDPP would only be considered as part of a future demonstration. Digital Medicine CMS finalized a number of proposed expansions of telehealth and remote patient monitoring services coverage. The AMA strongly supported expanded coverage of both, and the expanded coverage of remote patient monitoring is not subject to the same geographic and originating site restrictions as Medicare telehealth services. This represents a seminal decision by CMS to expand coverage of remote patient monitoring services in the Medicare program. Further, CMS welcomed the development of new remote patient monitoring codes by the CPT Editorial Panel that will be ready for consideration in the 2019 Medicare proposed PFS. In addition, CMS has extended support for digital medicine to MIPS, so now physicians can get credit in the MIPS Improvement Activity category and be reimbursed for using digital medicine. Remote Patient Monitoring CMS finalized coverage of remote patient monitoring services by unbundling and activating CPT code 99091 (collection and interpretation of physiologic data) for separate payment under Medicare for 2018 as a short term measure until new CPT codes have been valued and considered as part of the Medicare 2019 Physician Fee Schedule. CMS specified that 99091 requires a minimum of 30 minutes of time in a 30-day period. CMS will utilize the RVUs ($59) for CPT code 99091. CMS noted that separate payment for this code will not mitigate the need for coding revisions. Until the new CPT codes are considered through future rulemaking, CMS will apply some of the current requirements regarding chronic care management services including advance beneficiary consent, a face-to-face with the billing practitioner for new patients and those who have not seen their practitioner one year prior to billing the code, for example. Appropriate Use Criteria (AUC) The Protecting Access to Medicare Act (PAMA) of 2014 required CMS to create a program that effective January 1, 2017, would have denied payment for advanced imaging services unless the physician ordering the service had consulted AUC. In response to advocacy by the AMA and other members of the Federation, CMS previously delayed implementation until 2018. In this final rule, CMS again responded positively to advocacy by the AMA and other physician organizations and finalized a further delay of the AUC program until January 1, 2020. In 2020, the program will begin with an educational and operations testing period, during which CMS will pay claims for advanced diagnostic imaging services regardless of whether they correctly contain information on the required AUC consultation. CMS is also implementing a voluntary reporting period beginning July 2018 through 2019. Biosimilars As recommended by the AMA, CMS reversed previous proposed policy on coding and payment for biosimilars and will now provide for separate coding and payment for each approved biosimilar product. Previous policy would have grouped all biosimilars for a single originator product into a single HCPCS code and payment amount. CMS noted that most commenters believed that the previous proposed policy of including all grouping biosimilars into the same code/payment would decrease incentives for biosimilar development and limit provider choices. The agency noted it supports a healthy biosimilar marketplace that promotes innovation, competition, and options for providers and patients. Data Collection and Pricing for Clinical Laboratory Testing CMS requested feedback on the experience of clinical laboratories that were required to submit information on private payer payments as part of the data collection and pricing exercise mandated by PAMA. The AMA submitted Continued on page 25 Memphis Medical Society Quarterly

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CALENDAR DECEMBER 5 Board of Directors Meeting Medical Society, 6 pm 8 Bluff City Medical Society Annual Lecture and Gala Holiday Inn – Univ. of Memphis, 7 pm Altha Stewart, M.D., keynote speaker 25 – Jan 2 Christmas Holiday Medical Society office closed

JANUARY 1 New Year’s Holiday 8 10 15 17 27

Medical Society office closed Board of Directors Meeting Medical Society, 6 pm OSHA Seminar, 8 am – 3:30 pm The Memphis Medical Society Martin Luther King Day Medical Society office closed Bluff City Medical Society Meeting Location & speaker TBA, 6:30 pm 141st Annual Meeting Holiday Inn – Univ. of Memphis, 7 pm

MEMORIAM R. Franklin Adams, M.D. September 16, 1940 – November 8, 2017

Melvin M. Kraus, M.D. October 23, 1924 – November 20, 2017

Robert P Oliver, Jr., M.D. June 24, 1936 – September 28, 2017

James H. Price, MD November 13, 1929 – November 4, 2017

William E. Rentrop, M.D. February 4, 1925 – October 9, 2017

J. Pervis Milnor, Jr., M.D. March 4, 1918 – November 13, 2017

FEBRUARY 6 Board of Directors Meeting Medical Society, 6 pm 21 Bluff City Medical Society Location & speaker TBA, 6:30 pm 22 Resident Happy Hour Edge Alley, 5 – 7 pm

Winter 2018


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NEW MEMBERS Christopher M. Bruno

Shailesh R. Satpute

Istvan David Wollak

Diagnostic Radiology Mid-South Imaging and Therapeutics 7600 Wolf River Cir., Ste 200 Germantown TN 38138 901-747-1000

Hematology/Oncology Baptist Cancer Center 7710 Wolf River Cir Germantown TN 38138-1734 901-685-5969

Pulmonary Memphis Lung Physicians, PC 6025 Walnut Grove Rd., Ste 508 Memphis TN 38120-2125 901-767-5864

Brent A Mullins

Adam D. Smith

Amit Sai Bhakoo

Oncology Baptist Cancer Center 7710 Wolf River Cir Germantown TN 38138-1734 901-685-5969

NeuroRadiology Mid-South Imaging and Therapeutics 7600 Wolf River Cir., Ste 200 Germantown TN 38138 901-747-1000

Vascular and Interventional Radiology Mid-South Imaging and Therapeutics 7600 Wolf River Cir., Ste 200 Germantown TN 38138 901-747-1000

Puja Kumari Myne

Heidi Rachel Umphrey

Danielle Lynne Barnard

Family Medicine BMG Family Physician Group Foundation 8110 Cordova Rd., Ste 111 Cordova TN 38016-0522 901-752-6963

Diagnostic Radiology Mid-South Imaging and Therapeutics 7600 Wolf River Cir., Ste 200 Germantown TN 38138 901-747-1000

Surgery UT Methodist Physicians 1325 East moreland Ave., Ste 370 Memphis TN 38104 901-758-7970

Residents / Fellows John Andrew Scott

Dr. Frederick Azar Elected Treasurer Of The American Board Of Orthopaedic Surgery Frederick M. Azar, MD, Chief of Staff of Campbell Clinic Orthopaedics and Professor at the University of Tennessee-Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, has been elected to a one-year term as Treasurer of the American Board of Orthopaedic Surgery (ABOS). The ABOS Board of Directors consists of 21 members, which includes 12 Active Directors, six Senior Directors, two Directors-Elect, and one Public Member Director. All ABOS Board Members serve one 10-year term while the Public Member Director serves a three-year renewable term. Nominations to the ABOS Board of Directors come from the American Orthopaedic Association, the American Academy of Orthopaedic Surgeons, and the American Medical Association. Each organization nominates four physicians two out of every three years and the Board votes for one candidate from each nominee slate. Officers are 24

current Board members elected by other Board members. For a full list of ABOS Board Members, go to abos.org/aboutabos/board-of-directors.aspx. Azar was elected to the Board in 2016 and specializes in sports medicine. He serves as the team physician for the Memphis Grizzlies and local colleges and high schools. He was previously President of the American Academy of Orthopaedic Surgeons. Azar earned his medical degree at the Tulane University School of Medicine. He completed his Orthopedic Surgery Residency at University of TennesseeCampbell Clinic and a Sports Medicine Fellowship at the American Sports Medicine Institute, Birmingham, Alabama. The American Board of Orthopaedic Surgery, Inc. was founded in 1934 as a private, voluntary, nonprofit, independent organization to serve the best interests of the public and the medical profession. These interests are achieved through the ABOS by establishing standards for the education of orthopaedic surgeons. These standards are evaluated by the ABOS through examinations and practice evaluations. More information can be found at www.abos.org. Memphis Medical Society Quarterly

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Continued from page 22 comments expressing strong concern that the data collection process was flawed and urging CMS to initiate a market segment survey to ascertain whether the rates were accurate. Throughout the regulatory process, the AMA raised tremendous concern about the impact of this policy on physician office labs. Due to statutory constraints, CMS declined in the final rule to modify the effective date and the rates. Payment Rates under the Medicare PFS for Nonexcepted Items and Services Furnished by Nonexcepted Off-Campus Provider-Based Departments (PBDs) of a Hospital Last year CMS finalized a PFS payment rate for nonexcepted off-campus PBD services of 50 percent of OPPS payment. In the final 2018 PFS CMS reduced the current payment rates to 40 percent of the OPPS payment. Evaluation and Management (E/M) Documentation Guidelines In the 2018 proposed rule, CMS asked for comments on revisions to the E/M documentation guidelines that would reduce administrative burden to physicians. CMS relayed that commenters did not agree on how the current standards should be changed, and different specialties expressed different challenges and recommendations regarding the guidelines. However, the agency also noted that it continues to believe revised documentation guidelines could reduce clinical burden, and it is considering the best approach for collaboration to develop and implement potential changes going forward. Medicare Shared Savings Program (MSSP) CMS finalized its proposal to reduce the document submission requirements for the MSSP initial application by eliminating the requirement to submit supporting documents or narratives unless CMS requests the materials. CMS also finalized changes to the Skilled Nursing Facility (SNF) 3-day wavier application procedures to reduce documentation submission requirements. CMS also finalized reducing the burden placed on ACOs that include Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) by treating a service reported on an RHC or FQHC institutional claim as a primary care service furnished by a primary care physician for purposes of assignment methodology. In addition, CMS finalized its proposal to revise the definition of primary care services to include three additional Chronic Care Management codes and four Behavioral Health Integration (BHI) codes.

Winter 2018

HIGHLIGHTS OF THE 2018 ASC/OPPS FINAL RULE OAS CAHPS Measures CMS finalized its proposal to delay the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey measures beginning with the calendar year 2020 payment period. The AMA supports the delay of the OAS CAHPS survey measures. Medicare Part B Laboratory Date of Service (DOS) Policy After advocacy from AMA and other stakeholders, CMS finalized a new exception to the laboratory DOS policy which permits laboratories to bill Medicare directly for advanced diagnostic laboratory tests (ADLTs) and molecular pathology tests excluded from OPPS packaging policy if the specimen was collected from a hospital outpatient during a hospital outpatient encounter and was performed following the patients discharge from the hospital outpatient department. 340B Drug Pricing CMS finalized reducing the payment rate for separately payable drugs and biologicals under the 340B program from Average Sales Price (ASP) plus six percent to ASP minus 22.5 percent. Rural sole community hospitals, children’s hospitals and PPS-exempt cancer hospitals are excluded from this payment adjustment in 2018. CMS also established two modifiers two identify whether a drug billed under the OPPS was purchased under the 340B program, one for hospitals subject to the payment adjustment and one for hospitals not subject to the payment adjustment. CMS says it may revisit the 340B payment policy in CY 2019 rulemaking. Medicare Site of Service Price Transparency 21st Century Cures required that the Secretary make publicly available the estimated payment amount for an item or service under either the OPPS or ASC payment system for an appropriate number of items and services. CMS plans to establish the searchable website in early 2018. Further details regarding the website will be issued through subregulatory guidance. ASC Payment Reform CMS did not make any changes to the ASC payment update methodology, but stated that given supporting alternative update methodologies, such as the hospital market basket, and given its interest in site neutrality and the efficiency of care, it intends to explore this issue further. Š 2017 American Medical Association. All rights reserved.


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PRAC TICING MEDICINE The Specialist’s Specialist by: Kenny Flippin by: ADF Medical

Medical school graduation is a significant milestone in a physician’s professional journey. Rigorous training combined with the brightest, focused minds imparted with an abundance of collective knowledge will equip these select few individuals to understand, diagnose, treat and guide patients through the most precious of things: their health. The practice of medicine, being an ever-evolving complexity of new discovery, leads young doctors to a fork in the road with equally important paths. One path, a continued broad approach as a Primary Care Physician, the other a more narrowed focus in Specialty Care. Each side must work synergistically to achieve the common, noble goal: a patient’s health.

“patient” to develop a care plan based on diagnostic evaluation and expert knowledge to effectively address these “symptoms” or “conditions.”

collectively with a Specialty Care Physician(s).

includes the acute focus of a “Specialty Care Provider.” In other words, a qualified Director of Marketing & Practice Development should be able to provide a methodical comprehensive analysis, build the strategy, and oversee the implementation.

Healthcare Marketing has grown significantly over the past 30 years and is now comprised of a vast and often misunderstood umbrella of specialties. Throughout my career, I’ve met some very talented individuals who are truly students of their trade, dedicated to perfecting their craft. These highly specialized individuals, the “Specialty Care Provides,” fall into one of the many subsets of the healthcare marketing umbrella. A good example would be an SEO (search engine optimization) expert in the Digital Marketing arena. This is generally an individual or small team who does one specific job: SEO! As the “Primary Care Provider,” I understand SEO and Digital Marketing, but this “patient” needs an expert whose sole focus is SEO in order to precisely treat one of the presenting conditions.

The practice of For today’s topic of discussion, let’s medicine, being envision your practice as the patient. an ever-evolving Keeping this particular patient healthy in our current environment is quite the complexity of new task. Over the past five or six years, this patient has made honest attempts to eat discovery, leads young well, get adequate exercise and take an interest in personal well-being, yet a doctors to a fork in the seemingly never-ending barrage of road with equally chronic conditions continues to amass. Conventional wisdom indicates that this An effective “Primary Care Provider” important patient needs two types of care, a highly should be able to provide a Comprehensive skilled Primary Care Physician working Practice Development Program, that often paths. Let’s bring the focus to your practice’s Business Development Team or Marketing Director. Depending on the practice size, this may simply be one person or several people working under a marketing director. The Director of Marketing is the Primary Care Provider in this analogy. This person keeps a bird’s eye view of the overall health of the practice. The “Primary Care Provider” works alongside the


Should you know of a patient in need of a Team of Primary Care & Specialty Providers, we would be happy to discuss a painless checkup. No copay necessary.

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Catherine Womack Receives Laureate Award From The American College of Physicians Catherine Womack, MD, FACP, assistant dean of Student Affairs, interim chair of the Department of Preventive Medicine and co-chief of the Division of Internal Medicine in the College of Medicine at the University of Tennessee Health Science Center (UTHSC), received the Laureate Award, from the Tennessee Chapter of the American College of Physicians (ACP). She has been a Fellow of the organization since 2010. The award recognizes individuals who demonstrate by their example and conduct an abiding commitment to excellence in medical care, education or research, and in service to their community, their chapter and the American College of Physicians. “The award is an incredible honor,” Dr. Womack said. “I think working at UTHSC has given me many

opportunities to grow as a clinician, educator and researcher. I hope that I will be able to serve UTHSC and the Tennessee ACP chapter for many years to come. I personally want to thank my mentor Dr. Jim Lewis, as he continues to inspire the next generation of medical students to practice internal medicine. Also an associate professor in the Departments of Internal Medicine and Preventive Medicine, Dr. Womack has been at UTHSC since 1998. She earned her undergraduate degree in accounting from the University of Mississippi and was a practicing accountant before graduating from the UTHSC College of Medicine in 1995. An accomplished internist, Dr. Womack has been recognized as a Top Doctor or Best Doctor every year for the last 15 years. She has authored more than 24 articles in many notable research journals on topics such as osteoporosis, hypertension, lung cancer and vitamin D. Dr. Womack is the co-chair of The Memphis Medical Society’s Legislative Committee.

Memphis Medical Society Quarterly

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The Memphis Medical Society 1067 Cresthaven Road Memphis, TN 38119-3833

Profile for Liz Petzak

MMS Quarterly Winter18 web  

The Memphis Medical Society Quarterly magazine, Winter 2018 edition

MMS Quarterly Winter18 web  

The Memphis Medical Society Quarterly magazine, Winter 2018 edition