Annual Report 2010

VOL. 103, NO.
6 | JUNE/JULY 2010
Volume 103, Number 6 + June/July 2010
Annual Awards
CONTENTS 37 Outstanding Physician Awards; Distinguished Service
Awards; Community Service Awards
Member News
13 Medicare Meltdown Ad Campaign; HRI Update; “Red
Flag” Rules in Effect; TMA Flood Message; AMA-UHG
Settlement Notice; Digital Advertising with TMA; 2010
State Health Plan; CMS News: Project Access-
Chattanooga; MedTenn 2010 Photo Gallery;
Member Notes; Comments Needed on WC Surgical Fees
5 Annual Report
TMA Mission Statement; Introduction; Annual Report 2009-2010
For the Record
23 Abstract of TMA’s 175th
Annual Meeting
53 New Members; In Memoriam; AMA Physician Recognition
Awards
2010 House of Delegates Resolution Actions 54 TMA Corporate Partners; Advertisers in this Issue;
Instructions for Authors
31 TMA Resource Guide

Board of Trustees; Standing Committees; AMA Delegation;
TMA Sections; Special Boards & Committees; IMPACT
Board; Component Medical Society Leadership WWW.TNMED.ORG
Mission Statement
The Tennessee Medical Association is a professional organization
for doctors created to enhance the effectiveness of physicians
throughout the state to protect the health interests of patients.
Its primary purposes are to define and promote:
+ Quality, safe and effective medical care;
+ Public policy to protect the sanctity of the physician-patient relationship, improve access
to and the affordability of quality medical services;
+ Ethics and competence in medical education and practice;
+ Open communications between the medical profession and the public, fostering a better
understanding of the capacities of medical practice.
Tennessee Medicine communications submitted to Tennessee Medicine Copyright 2010, Tennessee Medical Association. All
Journal of the Tennessee Medical Association for publication. The author or communicant shall be material subject to this copyright appearing in
(ISSN 1088-6222) held entirely responsible. Advertisers must conform Tennessee Medicine may be photocopied for noncom-
Published monthly under the direction of the Board of to the policies and regulations established by the mercial scientific or educational use only.
Trustees for members of the Tennessee Medical Board of Trustees of the Tennessee Medical Periodicals postage paid at Nashville, TN, and at
Association, a nonprofit organization with a definite Association. additional mailing offices.
membership for scientific and educational purposes, Subscriptions (nonmembers) $30 per year for US,
devoted to the interests of the medical profession of $36 for Canada and foreign. Single copy $2.50. POSTMASTER: Send address changes to:
Tennessee. Payment of Tennessee Medical Association member- Tennesssee Medicine
This Association is not responsible for the authen- ship dues includes the subscription price of PO Box 120909, Nashville, TN 37212-0909
ticity of opinion or statements made by authors or in Tennessee Medicine.
In Canada: Station A, PO Box 54,
Windsor, Ontario N9A 6J5
President Office of Publication Editor Editorial Board

B W. Ruffner, Jr., MD 2301 21st Avenue South David G. Gerkin, MD Loren Crown, MD Greg Phelps, MD
PO Box 120909 James Ferguson, MD Bradley Smith, MD
Chief Executive Officer Nashville, TN 37212-0909 Editor Emeritus Ronald Johnson, MD Jonathan Sowell, MD
Donald H. Alexander, MPH Phone: (615) 385-2100 John B. Thomison, MD Robert D. Kirkpatrick, MD Jim Talmage, MD
Sr. Vice President Fax (615) 312-1908 Managing Editor Karl Misulis, MD
Russ Miller, CAE brenda.williams@tnmed.org Brenda Williams
Advertising Representative: Beth McDaniels – (615) 385-2100 or beth.mcdaniels@tnmed.org Graphic Design: Aaron & Michelle Grayum / The Gray Umbrella
Richard J. DePersio, MD • TMA President, 2009-2010
TMAThe
Physician’s
Voice
L ike the physicians we represent, the TMA

imparts knowledge, experience, care and
concern, and even offers a “cure” on the
issues most important to doctors. From
the protracted debate on health system reform to
the ongoing struggle for fair play and pay by the in-
surance industry, to sweeping victories on behalf of
physicians and patient care in the General Assembly,
to a reorganization of the association itself … the
TMA has listened to, supported and amplified the
voice of our members.
Through the TMA, the physician’s voice is heard
and results are achieved. June 2009 through May
2010 saw significant legislative wins for insurance re-
form, medical liability, public health and the practice
of medicine; warmer relations and major progress
B Winfred Ruffner, MD • TMA President, 2010-2011
with the insurance industry; additional insurance

lawsuit settlement dollars; stronger participation in
electronic health technology efforts; major legal vic-
tories that protected patient care, physician rights
and their practices; and new commitments to diver-
sity and energy, as well as major leaps in professional
connection and communication within the TMA.
To ensure that physicians can carry on their life’s
work of caring for patients while prospering, we
need to strength and magnify our voice. We must
speak boldly and loudly on behalf of our profession
and patients for a permanent resolution to the
Medicare/SGR payment formula, as well as addi-
tional medical liability reforms critical to the prac-
tice of medicine in Tennessee. We need to lead our
members and their practices toward proper use of
electronic health records. We need to be the voice
of reason and experience to help Tennessee be-
come a healthier state in which to live and work.
These pages detail how physicians in Tennessee
are successfully exercising their voice through the
Tennessee Medical Association.
Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 7

The Tennessee Medicine Association continues
its renewed mission to be the advocate for
and voice of physicians, focusing on seven key areas
identified by its members. Here are the highlights
of TMA accomplishments and activities
on your behalf over the past year.
Future of TMA
2009-2010 saw the continued reorganization and re-
branding of your association. In keeping with plans ap-
proved by members, the TMA unveiled a new logo and
graphic identity and in July, launched a new interactive
website. Streamlined, better organized, more inform-
ative and now with new social media features,
tnmed.org is under continued revision to meet the
needs of its members. In August, Tennessee Medicine,
the association’s flagship publication, debuted a new
cover look in keeping with the new branding and, in
January 2010, readers saw a redesign of the inside to
“The rollout of TMA’s new graphic
fit the TMA’s new graphic identity.
As directed by the Futures II Task Force, the reor- identity was completed in 2009
ganization moved ahead with plans to reallocate staff and a graphic standard was imple-
to help further meet the TMA’s priorities, particularly
mented internally to help carry out
with the designation of a new director of Insurance Af-
fairs. A Futures II proposal to reduce the size of the the look, tone and feel of the asso-
Board of Trustees was formalized with a resolution that ciation in all communications ef-
passed the TMA House of Delegates in April 2010;
forts and products.”
newly-elected members of the BOT were not seated
and, through attrition, the board will eventually be —Community and Professional
trimmed to a leaner but still representative panel.
Relations Committee Chair-
man Russell Leftwich, MD

Congressman Dr. Phil Roe, TMA President Dr. Richard DePersio and TMA President-
elect Dr. B W. Ruffner displayed copies of the latest health reform proposal during a
March advocacy trip to the nation’s capitol.
Advocacy/Communication
The TMA was the collective voice of physicians on a num- and held numerous conferences with AMA and congres-
ber of issues to policymakers, patients and the public over sional representatives to reiterate those key principles as
the past year. the debate continued. When the AMA endorsed the final
One of the top concerns was health system reform. plan, the TMA was disappointed but pledged to work to
From the beginning physicians were divided on which improve the version that passed. As a result, the TMA
congressional proposals constituted the best avenue to joined an organization of medical societies determined
achieving quality, safe and affordable health care for the to enact leadership changes within the AMA.
most Americans. The TMA Board of Trustees agreed on a Physician outcry was magnified as Congress delayed
uniform set of principles to be included in any reform plan cuts but failed time and again over the past year to per-
10 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

manently address the flawed Medicare payment formula.
In early 2010, the TMA joined a national “Medicare Melt-
down” petition drive, mobilizing doctors, their staff, fam-
ilies and patients in a coordinated effort to tell Congress
they would be harmed if the payment cuts took effect.
With another delay in the works for early June, the TMA
was still voicing physician concern at press time.
State lawmakers heeded physicians on numerous is-
sues, passing a host of TMA-sponsored or supported
laws, including those to modify and strengthen the re-
porting of “doctor shopping” patients and broaden law
enforcement access to the state’s online controlled sub-
stance database, and blocking efforts to allow psychol-
ogists to prescribe, nurse practitioners and physician
assistants to sign death certificates, the mandatory re-
lease of minor children’s medical records to parents, and
motorcyclists to ride without helmets. PITCH (Physicians
Involved at Tennessee’s Capitol Hill) Day visits and Doc-
tor of the Day participation by members also con-
tributed to successes in the 2010 session; among them Tennessee physicians head into Legisla-
was the TMA’s supporting role in passage of a hospital tive Plaza in March as part of this year’s
industry bill enacting a hospital assessment fee that successful PITCH Day efforts.
postponed significant TennCare reductions, including a
possible seven-percent provider reimbursement cut and nessee Chapter of the American Health Information Man-
elimination of graduate medical education funds for at agement Association (AHIMA), the Tennessee Hospital
least one year. Association and the TMGMA, along with State Volunteer
The TMA kept track and reported to members on de- Mutual Insurance Company and the Tennessee chapter
velopments in the realm of electronic health technology, of the Healthcare Information Management Systems So-
developing an online eHealth Resources site to aid mem- ciety (TN HIMSS) in presenting the first in a series of
bers in electronic health record adoption; appointing an HITECH conferences outlining federal funding for elec-
eHealth task force. In December, the TMA joined the Ten- tronic health system adoption.

The voice of TMA physicians was heeded on a number
of practice and public health issues, resulting in delay
$200,000
Amount the TMA has saved each
of state efforts to double education requirements for
physician licensure and federal “red flag” identity theft
Tennessee physician over the last
compliance rules for physician practices; with “red decade in its fight to prevent unfair
flag” rules effective June 1, the TMA also developed a
Medicare payment cuts.
valuable template policy for member medical prac-
tices. The TMA Public Health Committee backed a new
heat index policy for Tennessee schools and worked
with state emergency officials to promote disaster
training signups and education among Tennessee
physicians. The Tennessee Prescription Safety Pro-
gram, though the Tennessee Foundation for Quality “The Board developed a series of
Patient Healthcare, ramped up its education on proper
policies necessary in any (health
prescribing with more statewide classes and a new on-
line course, “Are You Smarter Than a Drug-Seeker?”
reform) plan that would be passed.
To keep legal advocacy strong on behalf of mem- This was accomplished with much
bers, the TMA Legal Fund was created in early 2010,
discussion and compromise.”
with an online presence at www.tnmed.org/legalfund.
Members are encouraged to invest to make their col-
—Board Chairman Robert Kerlan, MD
lective voice heard in the courtrooms and with regula-

tory agencies, as well as the legislature.
Communication also improved between the TMA
and its members as well as physician-to-physician via
social media. New online groups, discussion forums
and instant messaging came online in mid-2009, of-
fering faster, more personal interaction for both asso-
ciation tasks and professional networking. The TMA
further broadened the reach of the physician’s voice
with a new presence on Twitter, Facebook and
YouTube.

The TMA Insurance Issues Committee (IIC) hosted a February summit with three major
insurance companies, with plans to expand the meeting in the future. (L-R): Front –
IIC members Drs. Edward Capparelli and Eric Fox; Back – Dr. Robert McLaughlin, med-
ical senior director, MidSouth Cigna Healthcare; Dr. Janice Huckaby, market medical di-
rector, UnitedHealthcare, MidSouth; Dr. Richard Cassidy, vice president and chief
medical officer, BlueCross BlueShield of Tennessee; IIC Chairman Dr. Jerome Thomp-
son; Dr. Michael Raybeck, medical director, Cigna Healthcare; and TMA President-elect
Dr. Michael Minch.
Insurance Industry
The appointment of staff member Phyllis Franklin 1. A TMA lawsuit and legislation that halted illegal audit and
as TMA director of Insurance Affairs kicked off an recoupment of payment to physicians by Health Research
intense effort to better advocate for practicing Insights; the legal battle continues in Davidson County
physicians while improving relations with the in- Circuit Court;
surance industry. The TMA had some notable suc- 2. Huge legislative victories with new laws lifting the “veil”
cesses in the area of insurance advocacy, on Silent PPOs and enacting physician-friendly changes
including: to third-party reimbursement statutes, including assur-

ing patients and physicians access to fair external
reviews when they disagree with payors’ decisions;
$6.3 million
Amount awarded to Tennessee
maintaining the opportunity for out-of-network
providers to be paid directly pursuant to a patient’s
physicians and physician groups to-
assignment of benefits; and prevent the selling of date, due to TMA participation in
health insurance across state lines, which would
MDL class-action insurance lawsuits
have permitted insurance carriers from other
states to ignore the TMA’s hard-earned wins in
Tennessee on prompt pay, recoupment and certi-
fication;
3. Settlement checks mailed to Tennessee physicians
for their share of the $131 million dollar settle-
ment in the class-action lawsuit against BlueCross
BlueShield;
4. An inaugural insurance “summit” with the medical
directors of three of Tennessee’s major insurance
companies, with plans for future summits to in-
clude other insurers;
5. Ongoing resolution of issues with Tennessee’s new
Medicare administrator, Cahaba GBA, through reg-
ular sessions and cooperation; and “In an effort to keep abreast of
6. Success in convincing AmeriChoice to withdraw a changes and to address recurring
recoupment audit of hundreds of members.
insurance hassles, TMA staff, along
TMA members also benefited from annual Insurance with representatives from the TMA
Workshops held statewide, the retooled Insurance Re-
Insurance Issues Committee, con-
source Center on tnmed.org, alerts and notices requir-
ing quick action on insurance-related issues, and
tinue to meet regularly with repre-
personalized assistance with questions and problems sentatives from the insurance
regarding insurance claims, coding, reimbursement and
industry via conference call.”
contracts.
—Insurance Issues Committee Chairman
Jerome Thompson, MD

Medical Liability Reform
Doctors began seeing the first benefits of the TMA’s 2008
medical liability reform victory in 2009-2010.
Medical malpractice claim filings dropped 59 percent
23%
between October 2008 and September 2009; even ad-
Med-mal premium reductions an-
justed for a spike in claims filed right before the notifica- nounced by SVMIC in 2010, partly
tion/certification law took effect, the drop was still a
the result of TMA MLR victories in
significant 35 percent. And in April 2010, State Volunteer
Mutual Insurance Company announced a 23-percent re-
2008
duction in med-mal insurance premiums, at least partly
due to the new law.
“It was clear that progress had
The TMA also scored with more medical liability re-
forms in 2009, extending liability protection to doctors
been made with a dramatic drop in
volunteering at sliding-scale fee clinics and to the peer re- number of malpractice cases in
view process in medical practices. A TMA survey in late
Tennessee; however, there was
2009 found most members were aware of the new law
but still saw defensive medicine costs and physician short-
still an up-tick in the severity of
ages as big problems. Those issues could be solvable with payouts. This certainly indicates
caps on non-economic (“pain and suffering”) damages,
the critical need for caps on non-
still missing in Tennessee, so the TMA is working to elect
more medicine-friendly candidates this fall to make caps
economic damages.”
a more achievable goal for the future. The TMA also led —Board Chairman Robert Kerlan, MD
the defeat of efforts to allow for the discoverability of
medical malpractice premium limits and in court, filed an
amicus brief to keep the amount of non-economic dam-
ages pled in med-mal cases from the jury.
Meanwhile, the TMA partnered with Chattanooga Cir-
cuit Court Judge Neil Thomas on a pilot project to vet
medical malpractice cases through independent experts,
with the goal of eliminating those built on faulty expert
testimony before they come to trial. The project may be
replicated in other states through the National Confer-
ence of State Trial Judges.

(L-R): Drs. Deborah Beyer, Phyllis Miller and Elise Denneny were presenters at the
2010 Women in Medicine Summit. The event launched an effort to assess how the
TMA can better meet the needs of female physicians and increase membership among
women doctors.
Membership
Recognizing the growing diversity of the physician com- The TMA has no voice without its members, and efforts
munity, the TMA launched an initiative to better assess to bolster membership numbers were stepped up in mid-
and meet the needs of female physicians and grow their 2009 to make up for a downturn that was largely due to
numbers within the association. An inaugural Women in an economic recession.
Medicine summit was held during MedTenn 2010, with The TMA made personal calls to non-renewing mem-
plans to expand the event outreach and its offerings in bers and intensified its outreach larger and growing
years to come. Social media efforts are likewise aimed at group practices; resulting in the addition of several group
accommodating the next generation of doctors. memberships in 2009. The TMA also began aggressively

“The TMA is most recognized and appreciated
promoting its value proposition to mem-

for its advocacy efforts surrounding the legis-
bers and non-members; direct marketing lature, insurance industry and legal arena.
through mailings, dues bill notices, adver- Matching that with our abilities to unite
tisements and testimonial videos resulted
in a significant number of new or renewed
physicians to work toward larger goals to
memberships, but more are needed. benefit physicians and patients alike and our
There are continued plans in collaboration established reputation and respected physi-
with component medical societies to
spread the news about the value of join-
cian in the market among policymakers, we
ing organized medicine and the return on believe we have a strong value proposition by
investment for members and nonmem- which to grow our membership.”
bers alike.
—Membership Committee Chairman
Douglas Springer, MD
Cultivating Leadership
Outgoing TMA President
Dr. Richard DePersio
awards the presidential
gavel to incoming Presi-
dent Dr. B W. Ruffner
during MedTenn 2010,
the TMA’s 175th annual
meeting in April.

After presiding over a dramatic year as TMA president,
Dr. Richard DePersio of Knoxville welcomed incoming
President Dr. B W. Ruffner of Chattanooga during the
TMA’s 175th annual meeting in Nashville. Dr. Ruffner’s
address to the House of Delegates emphasized the chal-
lenges posed by health system reform and electronic
health technologies, urging members to seize opportuni-
ties to get involved and move the TMA into the future.
New officers for 2010-2011 are: Dr. Michael Minch,
Nashville, president-elect; Dr. Charles Eckstein, Nashville,
Board of Trustees chairman; and Dr. Richard Briggs,
Knoxville, BOT vice-chairman. TMA elections in February
2010 were driven by the electronic voting system with
overwhelming web participation versus paper ballots. 2010 Physician Leadership College
The gem of TMA leadership development efforts is Graduate Dr. William Gibson de-
entering its fourth year in 2010. Eleven physicians gradu- scribes his PLC experience for the
ated from the Physician Leadership College (PLC) during
TMA House of Delegates.
MedTenn 2010; 12 physicians were introduced as the
Class of 2011. Graduates have quickly stepped into lead-
ership roles, both within the TMA, on its board, sections
or committees, and without, in specialty, health care or
community organizations.
TMA members continued to serve in crucial leader-
ship and liaison roles on state and professional boards
and committees in 2009-2010, with the BOT overseeing
the nomination and appointment process.
62%
Percentage of PLC participants
named as delegates to the 2010
TMA HOD

Specialty Society Relations
Continued outreach to specialty soci-
eties within medicine was an important
goal for the TMA.
2010-2011
Board Liaisons to Med-
The Board of Trustees designated ical Specialty Societies
members as special liaisons to medical
Tennessee Chapter American Society of Addiction Medicine....Valerie Arnold, MD
specialty societies, with the goal of im-
Tennessee Child & Adolescent Psychiatric Association
proving relations and cooperation Tennessee Academy of Neurology
Tennessee Psychiatric Association (inactive)
within various specialties in addition to
the managerial assistance provided to Tennessee Pediatric Society ..................................................James Batson, MD
many state medical specialty societies

Tennessee Chapter, American College of Cardiology..............Richard Briggs, MD
by the TMA. To help make TMA an in- Tennessee Chapter, American College of Surgeons
clusive medical organization, medical

Tennessee Obstetrical & Gynecological Society..............Chanappa Chandra, MD
specialty societies are invited and en-
Tennessee Orthopaedic Society ........................................Richard DePersio, MD
couraged to send representatives to the
Tennessee Academy of Otolaryngology/Head & Neck Surgery
TMA House of Delegates and Annual
Tennessee Radiological Society ........................................Steven Dickerson, MD
Meeting to participate in our policy-
making and deliberations. Tennessee Society of Anesthesiologists....................................Gary Kimzey, MD
The TMA actively supported the var-

Tennessee Society of Pathologists (inactive) ..................................Roy King, MD
ious specialty societies over the past
Tennessee Academy of Family Physicians ..........................Charles Leonard, MD
year by attending and exhibiting at a
number of specialty society meetings, Tennessee State Society of Allergy & Immunology ................Keith Lovelady, MD
Infectious Diseases Society of Tennessee
including the Tennessee chapter of the
Tennessee Academy of Ophthalmology
American College of Physician-American Tennessee Thoracic Society
Society of Internal Medicine, the Ten-

Tennessee College of Emergency Physicians ....................Matthew Mancini, MD
nessee Academy of Family Physicians, Tennessee Society of Gastrointestinal Endoscopy
the Tennessee Radiological Society and

Tennessee Chapter, American College of Physicians ............Edmund Palmer, MD
the Tennessee College of Emergency Tennessee Public Health Association/Public Health Physicians' Section
Physicians, as well as the Tennessee

Tennessee Association of Long Term Care Physicians ............Robert Vegors, MD
Medical Group Management Associa-
Tennessee Geriatrics Society ............................................Charles Womack, MD
tion (TMGMA).
Tennessee Neurosurgical Society
Tennessee Urological Association (inactive)
Tennessee Dermatology Society ..........................................Michael Zanolli, MD

Tennessee Society of Plastic & Reconstructive Surgery (inactive)

Finances
2009>2010 BUDGETED REVENUE
A balanced budget had been projected $3,147,487.84
for 2009 with revenues and expendi-
tures projected at $3,147,487.84. The
actual expenditures exceeded rev-
enues by $80,129.
Our shortfall in 2009 was due to
OPERATING TMA
lower than anticipated dues collec- INCOME DUES
tions, cancellation of a major educa- ($503,487.84) ($2,050,000)
tion event due to low registrations,
expense outlay for our legal case ver-
ADVERTISING
sus Health Research Insights, Inc., and ($174,000)
weak investment returns due to the
DIVIDENDS
sagging economy.
LICENSING FEES
($40,000)
To view a full copy of the 2009 ($380,000)
TMA audit conducted by the firm of
Bellenfant & Miles, PLLC, certified
2009>2010 BUDGETED EXPENSES

public accountants, please set up an
appointment with Brent Atkinson, $3,147,487.84
TMA director of Finance and Adminis-
tration, at 615-659-1862.
ADMINISTRATIVE
($1,563,838.89)
OTHER
($166,167.64)
LEGISLATIVE
OPERATIONAL ($165,066.68)
($589,533.70)
MEMBERSHIP
COMMUNICATIONS MANAGEMENT
($264,839.41) ($398,041.53)

TENNESSEE MEDICAL ASSOCIATION
2010 House of Delegates Resolution Actions

NUMBER TITLE FINAL ACTION
BLA No. 01 -10 Reduction in Size of TMA Board of Trustees Adopted As Amended
BLA No. 02 -10 When Medical Society Peer Review May Be Performed by the TMA Judicial Council Adopted
Res. No. 01-10 Medicare Reimbursement, Geographical Differences (Reaffirmation of Resolu- Adopted by Unanimous Consent
tion No. 3-96, No. 16-89, and No. 2-03)
Res. No. 02-10 Freedom of Local Government Act (Reaffirmation of Resolution No. 26-96 and No. 3-03) Adopted by Unanimous Consent
Res. No. 03-10 Annual Component Society Report on Adoption of Peer Review Guidebook Adopted by Unanimous Consent
(Reaffirmation of Resolution No. 10-96 and No. 5-03)
Res. No. 04-10 Health Insurance Coverage Reform (Reaffirmation of Substitute Resolution No. Adopted by Unanimous Consent
21-96 and No. 8-03)
Res. No. 05-10 Access to Meetings (Reaffirmation of Resolution No. 11-03) Adopted by Unanimous Consent
Res. No. 06-10 Physical Education in Schools (Reaffirmation of Resolution No. 12-03) Adopted by Unanimous Consent
Res. No. 07-10 Policy on Rising Cost of Medical Education (Reaffirmation of Resolution No. 21-03) Adopted by Unanimous Consent
Res. No. 08-10 Uniform Physician Credentials Verification (Reaffirmation of Resolution No. 22-03) Adopted by Unanimous Consent
Res. No. 09-10 Automatic External Defibrillators and CPR/AED Training in Tennessee Schools Adopted by Unanimous Consent
(Reaffirmation and Amendment of Resolution No. 23-03)
Res. No. 10-10 Mid-Level Provider Supervision (Reaffirmation of Resolution No. 29-03) Adopted by Unanimous Consent
Sub. Res. No. 11-10 Responsibility of Providing Afterhours Patient Care Adopted
Res. No. 12-10 Board of Medical Examiners’ Independence Adopted as Amended
SUNSET RESOLUTIONS
Res. No. 13-10 TMA Delegates and Alternate Delegates Adopted As Amended
Res. No. 1-03 Ban on Smoking in Public Places (Reaffirmation of Resolution No. 2-96 and No. 10-89) Adopted by Unanimous Consent
Res. No. 4-03 Pre-Admission Screening for Nursing Homes (Reaffirmation of Resolution No. 6- Adopted by Unanimous Consent
96 and No. 25-89)
Res. No. 6-03 Commission on Office Laboratory Accreditation (COLA) (Reaffirmation of Reso- Adopted by Unanimous Consent
lution No. 11-96)
Res. No. 7-03 Physician’s Role in Managed Care (Reaffirmation of Resolution No. 16-96) Adopted by Unanimous Consent
Sub. Res. No. 14-03 Pain Management Adopted by Unanimous Consent
Res. No. 15-03 Controlled Substance Registry Availability Adopted by Unanimous Consent
Res. No. 16-03 Resident Member Dues Adopted by Unanimous Consent
Res. No. 17-03 Tennessee’s Appropriate Antibiotic Use Campaign Adopted by Unanimous Consent
Res. No. 18-03 Notarization of Tennessee Living Wills Adopted by Unanimous Consent
Res. No. 19-03 Medical Ethics Education for Physicians Adopted by Unanimous Consent
Res. No. 24-03 Tennessee Provider Organization Adopted by Unanimous Consent
Res. No. 27-03 CMS Denial of Gamma Globulin Therapy for Neurological Diseases Adopted by Unanimous Consent
Res. No. 28-03 Control of Sale of Products Containing Ephedrine or Pseudoephedrine Adopted by Unanimous Consent
SUNSET/PERMANENT POLICY
Res. No. 30-03 Nomination of the Speaker and Vice Speaker of the House of Delegates Adopted by Unanimous Consent
Res. No. 9-03 TMA Representatives Meeting with Medical Students Adopted by Unanimous Consent
Res. No. 13-03 Public School Emergency Medication Availability Adopted by Unanimous Consent
Res. No. 26-03 Policy on Proposed Implementation of Clinical Assessment Exam Adopted by Unanimous Consent
Res. No. 32-03 Promoting Better Health in Schools in Tennessee Adopted by Unanimous Consent
HOUSE OF DELEGATES PROCEEDINGS
Final Actions of the Tennessee Medical

Association House of Delegates
April 9-10, 2010
The 175th Annual Meeting of the Tennessee Medical Association, MedTenn 2010, was conducted in Nashville, TN, April
9-11, at the Nashville Airport Marriott Hotel. The House of Delegates held a two-day session on Friday, April 9, and Sat-
urday, April 10. Wiley T. Robinson, MD, Memphis, presided as speaker of the House, with John W. Hale, MD, Union City,
serving as vice-speaker. Edward W. Capparelli, MD, Oak Ridge, chairman of the Credentials Committee, announced there
were 104 delegates in attendance for the opening session of the House on Friday, which officially represented a quorum;
there were 116 delegates in attendance for the Saturday session, representing a quorum.
The abstracted minutes of the last regular session of the House of Delegates, published in the June 2009 issue of Ten-
nessee Medicine, were accepted by unanimous vote of the House.
BYLAW
AMENDMENTS
Sec. 1. The Board of Trustees shall be com- below 1000 members during non-election
posed of the president of the Association, the years. Members from counties without con-
speaker of the House of Delegates, the im- stituted medical societies are counted in their
The following bylaw amendments mediate past-president, the president-elect, regional total.
were adopted by the 2010 House and members elected on a regional basis as
of Delegates. described in the bylaws. The Resident/Fellow physician member of the
Board of Trustees shall be selected by the
RESOLVED, That Bylaw Chapter V, Section Resident/Fellow Physician Section when its
BYLAW AMENDMENT NO. 1-10 2 be amended by deletion and insertion as number reaches and maintains at least 300
follows: members for a year, to be reviewed annually.
REDUCTION IN SIZE OF TMA
BOARD OF TRUSTEES Sec. 2. The prerequisites in order for a mem- The student member of the Board of Trustees
ber to qualify for a Board position are that shall be selected by the Medical Student Sec-
Robert A. Kerlan, MD, Chairman he/she have at least three consecutive years tion when its number reaches and maintains
TMA Board of Trustees of membership in TMA immediately preceding at least 300 members for a year, to be re-
nomination and have served as an officer or viewed annually.
RESOLVED, That Bylaw Chapter IV, Section C. committee member in a component medical
3, be amended by deletion as follows: society or at the TMA level or be a graduate of The Young Physician Section member of the
TMA’s Physician Leadership College. Board of Trustees shall be selected by the
Sec. C. 3. The speaker of the House of Dele- Young Physician Section when its number
gates shall preside over the body and perform RESOLVED, That Bylaw Chapter V, Section reaches and maintains at least 300 members
the usual duties of such officer, including 3 be amended by deletion and insertion as for a year, to be reviewed annually.
signing the minutes of its transactions when follows:
same have been read and approved by the RESOLVED, That Bylaw Chapter V, Section
House. In the event of the speaker’s absence Sec. 3. Members of the Board of Trustees shall 4 be amended by deletion and insertion as
for any cause, or upon request of the speaker, be elected on a regional basis, one position follows:
the vice-speaker of the House of Delegates elected from each of the eight regions with
shall perform those duties. The speaker shall an additional position for each region with Sec. 4. The elected trustees shall serve for
be an ex-officio member of the Board of more than 1000 dues paying members as de- a period of two years and shall be eligible
Trustees. termined by TMA in such region by October 1 immediately to succeed himself for a sub-
of the year preceding the election. Additional sequent two year term if they have attended
RESOLVED, That Bylaw Chapter V, Section 1 position trustees shall serve their complete at least 50% of Board meetings and sub-
be amended by deletion as follows: terms even if the region’s membership falls mitted self and board evaluations to the

Delegates to the 175th annual meeting considered a host of resolutions and adopted
13 policy statements addressing TMA restructuring, public health, patient care and
medical practice.
Board chairman in a timely basis during advice of legal counsel, to alter any action by deems necessary, whether by teleconference
his/her term. the House of Delegates that appears to violate or otherwise, at the call of the chairman, and
the Board’s current antitrust compliance pol- shall also meet on the last day of the annual
This provision shall also apply to a trustee icy for the Association. meeting. The Board of Trustees shall make
who by virtue of election or appointment has expenditures of the funds of the Association
served any portion of another’s unexpired RESOLVED, That Bylaw Chapter V, Section dependent upon the availability of such funds
term. However, if it be deemed necessary due 6 be amended by deletion and insertion as as determined by the Board of Trustees and
to extraordinary circumstances, the trustees follows: as ordered by the House of Delegates. The
may be elected for terms other than two years. Board of Trustees, through the secretary/trea-
The Board of Trustees will organize by the Sec. 6. The Board of Trustees shall have entire surer, shall render at the annual meeting a
election of a chair, a vice-chairman, and a control of the publication, the policy, and the full and detailed accounting of all receipts
secretary-treasurer from regionally elected editorial and financial management of the and disbursements.
trustees. No member shall serve for a period Journal of the Association. It shall be author-
of more than ten consecutive years. ized and empowered to make all contracts RESOLVED, That Bylaw Chapter V, Section
necessary for the conduct of the Journal. It 8 be amended by deletion and insertion as
RESOLVED, That Bylaw Chapter V, Section shall appoint the editor of the Journal. follows:
5 be amended by deletion and insertion as
follows: RESOLVED, That Bylaw Chapter V, Section Sec. 8. In the event of a vacancy by death,
7 be amended by deletion and insertion as resignation or removal of any member of the
Sec. 5. The Board of Trustees shall determine follows: Board of Trustees between the annual meet-
the policy and details of management of the ings of the Association, the Regional Nomi-
Association between sessions of the House of Sec. 7. The Board of Trustees shall hold such nating Committee in the region which the
Delegates, and shall have the authority, upon meetings, as often and in such manner as it vacancy occurs shall fill the unexpired term.

RESOLVED, That Bylaw Chapter V, Section formation regarding procedure and practice
RESOLUTIONS
The following resolutions were
9 be amended by deletion and insertion as within the Association, and so that hamper-
acted on by the 2010 House of

follows: ing of such procedure and practice by obso-
Delegates.
lete provisions in the in the Constitution and
Sec. 9. The Board of Trustees shall serve with- Bylaws may be avoided.
out compensation; however, their actual ex-
pense in attending the meetings of the Board RESOLVED, That Bylaw Chapter V, Section 13
shall be paid out of the funds of the Associ- be amended by insertion as follows: RESOLUTION NO. 1-10
ation. This is not to apply when a meeting is
held at the annual meeting. Sec. 13. It shall be the duty of the board chair- MEDICARE REIMBURSEMENT,
man to ensure that the Board of Trustees has GEOGRAPHICAL DIFFERENCES
RESOLVED, That Bylaw Chapter V, Section a process in place such that annual evalua- Reaffirmation of Resolution No. 3-96, No. 16-
10 be amended by deletion and insertion tions take place of each its members and the 89, and No. 2-03
as follows: Board as a whole annually.
Robert A. Kerlan, MD, Chairman
Sec. 10. The Board of Trustees shall seek in TMA Board of Trustees
good faith to fulfill the responsibilities and ADOPTED AS AMENDED
directives given by the House of Delegates. ................................................................. RESOLVED, That the Tennessee Medical As-
The Board of Trustees shall report annually to sociation continue to support the elimination
the House of Delegates on the status of the BYLAW AMENDMENT NO. 2-10 of geographical differences in Medicare re-
responsibilities and directives given it by the imbursement.
House of Delegates the preceding year. WHEN MEDICAL SOCIETY PEER
REVIEW MAY BE PERFORMED
RESOLVED, That Bylaw Chapter V, Section BY THE TMA JUDICIAL COUNCIL ADOPTED BY UNANIMOUS CONSENT
11 be amended by deletion and insertion .................................................................
as follows:’ David G. Gerkin, MD, Chairman
Committee on Constitution and Bylaws RESOLUTION NO. 2-10
Sec. 11.The Board of Trustees may form an
Executive Committee of the Board composed RESOLVED, That Bylaw Chapter I, B, Sec. 7 be FREEDOM OF LOCAL GOVERN-
of an appropriate number of trustees as the amended by insertion as follows: MENT ACT
Board deems necessary. The Executive Com- Reaffirmation of Resolution No. 26-96 and
mittee shall have authority to conduct the af- Sec. 7. Component societies are empowered No. 3-03
fairs of the Association between quarterly to conduct peer review of their members, and
meetings of the full Board, and when the shall have original jurisdiction to review peer Robert A. Kerlan, MD, Chairman
Board is unable to meet as a whole. Its ac- review complaints, except that the Judicial TMA Board of Trustees
tions shall be subject to review and ratifica- Council shall have such jurisdiction in cases
tion by the full Board at its next meeting. involving physicians who have joined the As- RESOLVED, That the Tennessee Medical As-
sociation directly pursuant to Bylaw Chapter sociation encourage the Tennessee General
RESOLVED, That Bylaw Chapter V, Section I, A, Section 2 and B, Section 3. If the com- Assembly to enable local governments to es-
12 be amended by deletion and insertion ponent medical society determines that a tablish their own tobacco control ordinances.
as follows: complaint requires review by a particular
medical specialty physician and the compo- ADOPTED BY UNANIMOUS CONSENT
Sec. 12. There shall be a Committee on Con- nent society does not have adequate mem- .................................................................
stitution and Bylaws of this Association ap- bership in that specialty to provide peer
pointed by the Board of Trustees each year. review, then the component medical society RESOLUTION NO. 3-10
The Board of Trustees shall name the chair- may refer the matter to the Judicial council
man of the committee for the period of the which shall handle the complaint in the ANNUAL COMPONENT SOCIETY
appointee’s term of office. The committee same manner as it would if the respondent REPORT ON ADOPTION OF PEER
shall suggest revisions necessary to keep the physician joined the Association directly. REVIEW GUIDEBOOK
Constitution and Bylaws always in accord When a component society… Reaffirmation of Resolution No. 10-96 and
with the practices and procedures of the As- No. 5-06
sociation so that all members of the profes- ADOPTED
sion, by reference of the Constitution and Robert A. Kerlan, MD, Chairman
Bylaws, may be able to obtain accurate in- TMA Board of Trustees

TMA officers oversee the amendment of policy resolutions during the first of a two-
day session of the House of Delegates.
RESOLVED, That the Tennessee Medical As- provements in their health care coverage: (1) RESOLVED, That the Tennessee Medical As-
sociation (TMA) component societies file with guarantee the renewability and transferabil- sociation will study electronic conferencing
their annual reports to the House of Delegates ity of health care coverage, (2) require rea- capability; and be it further
a statement on the status of their peer review sonable time limits on the waiting period for
procedures, including whether they have initiation of health insurance coverage, (3) RESOLVED, That the Tennessee Medical As-
adopted the use of the required TMA Board of establish reasonable limitations on out-of- sociation investigate conducting committee
Trustees Peer Review Procedures Booklet. pocket expenses and on time limits for pre- meetings, and possibly some Board meetings
existing conditions; and be it further by electronic conferencing.
ADOPTED BY UNANIMOUS CONSENT
................................................................. RESOLVED, That the Tennessee Medical As- ADOPTED BY UNANIMOUS CONSENT
sociation take an active role with physicians .................................................................
RESOLUTION NO. 4-10 by promoting patient education about health
insurance and health care legislation to bet- RESOLUTION NO. 6-10
HEALTH INSURANCE COVERAGE ter serve their needs.
REFORM PHYSICAL EDUCATION IN
Reaffirmation of Substitute Resolution No. ADOPTED BY UNANIMOUS CONSENT SCHOOLS
21-96 and No. 8-03 ................................................................. Reaffirmation of Resolution No. 12-03
Robert A. Kerlan, MD, Chairman RESOLUTION NO. 5-10 Robert A. Kerlan, MD, Chairman
TMA Board of Trustees TMA Board of Trustees
ACCESS TO MEETINGS
RESOLVED, That the Tennessee Medical As- Reaffirmation of Resolution No. 11-03 RESOLVED, That the Tennessee Medical As-
sociation take a proactive role in encourag- sociation take a positive stance on increasing
ing regulatory agencies and legislators to Robert A. Kerlan, MD, Chairman physical education in schools and work with
secure for patients the following critical im- TMA Board of Trustees other organizations such as the American

Heart Association in promoting and backing would include a uniform application form; sonnel; and be it further
legislation favoring increased physical edu- and be it further
cation in schools. RESOLVED, That the Tennessee Medical As-
RESOLVED, That the Tennessee Medical As- sociation seek legislation giving immunity to
ADOPTED BY UNANIMOUS CONSENT sociation draft and seek passage of state leg- lay bystanders who attempt cardiopulmonary
................................................................. islation mandating a uniform credentialing resuscitation and automatic external defib-
process that will include the development of rillator usage in good faith; and be it further
RESOLUTION NO. 7-10 a uniform application form; and be it further
RESOLVED, That the Tennessee Medical As-
POLICY ON RISING COST OF RESOLVED, That the Tennessee Medical As- sociation encourage physicians to have au-
MEDICAL EDUCATION sociation seek to have a uniform credential- tomatic external defibrillators available to
Reaffirmation of Resolution No. 21-03 ing process that will include a uniform them in their offices.
application form fully implemented in the
Robert A. Kerlan, MD, Chairman state within two years; and be it further ADOPTED BY UNANIMOUS CONSENT
TMA Board of Trustees .................................................................
RESOLVED, That the Tennessee Medical As-
RESOLVED, That the Tennessee Medical As- sociation develop a secure electronic-based RESOLUTION NO. 10-10
sociation urge members to contact the Board credentials verification process so as to fa-
of Regents and the UT System Board of cilitate the transmission of information to the MID LEVEL PROVIDER SUPER-
Trustees to discourage excessive tuition in- various provider institutions and third party VISION
creases for medical students in order to min- payors; and be it further Reaffirmation of Resolution No. 29-03
imize the increasing debt load for graduates;
and be it further RESOLVED, That the Tennessee Medical As- Robert A. Kerlan, MD, Chairman
sociation (TMA) permit physicians who are not TMA Board of Trustees
RESOLVED, That the Tennessee Medical As- yet online to submit credentialing applica-
sociation urge members to contact their state tions in a written format, following which this RESOLVED, That the Tennessee Medical As-
legislature to discourage excessive tuition in- information would be entered into a secure sociation support the need for improved su-
creases for medical schools to ensure the fi- electronic-based credentials verification pervision of midlevel providers in order that
nancial affordability of medical education for process developed by the TMA and transmit- the General Assembly does not pass legisla-
all Tennessee residents; and be it further ted to the various provider institutions and tion giving Nurse Practitioners and Physician
third-party payors. Assistants independent practice in Ten-
RESOLVED, That the Tennessee Medical As- nessee; and be it further
sociation urge its members to contact the ADOPTED BY UNANIMOUS CONSENT
governor, state legislature, and the universi- ................................................................. RESOLVED, That the Tennessee Medical As-
ties to urge improvement in the funding of sociation introduce legislation to repeal the
medical education. RESOLUTION NO. 9-10 Tennessee Code provision requiring that
Nurse Practitioner supervision rules be prom-
ADOPTED BY UNANIMOUS CONSENT AUTOMATIC EXTERNAL DEFIB- ulgated upon concurrence of the Board of
................................................................. RILLATORS AND CPR/AED Medical Examiners and Board of Nursing and
TRAINING IN TENNESSEE that the Board of Medical Examiners be given
RESOLUTION NO. 8-10 SCHOOLS the sole authority to promulgate physician su-
Reaffirmation and Amendment of Resolution pervision rules of Nurse Practitioners and
UNIFORM PHYSICIAN CREDEN- No. 23-03 Physician Assistants; and be it further
TIALS VERIFICATION
Reaffirmation of Resolution No. 22-03 Robert A. Kerlan, MD, Chairman RESOLVED, That the Tennessee Medical As-
TMA Board of Trustees sociation urge the Board of Medical Examin-
Robert A. Kerlan, MD, Chairman ers to promulgate rules that will improve
TMA Board of Trustees RESOLVED, That the Tennessee Medical As- documentation and verification that appro-
sociation support legislation recommending priate physician supervision is taking place.
RESOLVED, That the Tennessee Medical As- automatic external defibrillators (AED) in all
sociation work with representatives from the public schools, fire trucks, police cars, public ADOPTED BY UNANIMOUS CONSENT
Tennessee Hospital Association and the De- buildings and other appropriate locations .................................................................
partment of Commerce and Insurance to de- along with cardiopulmonary resuscitation
velop a system of uniform credentialing that (CPR) and AED training for appropriate per- SUBSTITUTE RESOLUTION NO. 11-10

RESPONSIBILITY OF PROVIDING Charles W. White, Jr., MD, Chairman, Com- RESOLUTION NO. 13-10
AFTERHOURS PATIENT CARE mittee on Legislation
Delegate, Consolidated Medical Assembly of TMA DELEGATES AND ALTER-
O. Ward Swarner, MD, Delegate West TN NATE DELEGATES
Greene County Medical Society James K. Ensor, Jr., MD, Delegate
RESOLVED, That the Tennessee Medical As- The Memphis Medical Society
RESOLVED, That the Tennessee Medical As- sociation (TMA) House of Delegates strongly
sociation (TMA) Board of Trustees (Board) ap- believes that the regulation of medicine in RESOLVED, That once credentialed as a del-
point a committee to investigate possible Tennessee could be strengthened and im- egate or alternate delegate to the Tennessee
solutions to the problem of adequate spe- proved by establishing the Board of Medical Medical Association (TMA) House of Dele-
cialists after-hours care, including projects of Examiners as an independent entity with lim- gates, a member should supply a working
other states and develop recommendations ited oversight by state government, and be it email address to the TMA or their local com-
to be reported to the Board at its next meet- further ponent medical society; and be it further
ing; and be it further
RESOLVED, That the Tennessee Medical As- RESOLVED, That the Tennessee Medical As- RESOLVED, That it is recommended that del-
sociation Board of Trustees report their final sociation (TMA) pursue a legislative remedy egates and alternate delegates elected by
conclusions and actions at the next meeting that would establish the Board of Medical Ex- their peers to serve in the Tennessee Medical
of the House of Delegates. aminers as an independent entity with lim- Association (TMA) House of Delegates (HOD)
ited oversight by state government; and be it should confirm their technological capacities
ADOPTED further by registering themselves as part of the TMA
................................................................. Electronic HOD.
RESOLVED, That the monies to support the in-
RESOLUTION NO. 12-10 dependent Board of Medical Examiners ac- ADOPTED AS AMENDED
tivities come from the current license fee of .................................................................
BOARD OF MEDICAL EXAMIN- individual physicians.
ERS’ INDEPENDENCE
ADOPTED AS AMENDED
.................................................................
“AS I LOOK AT OUR TMA’S RECENT HISTORY,

winning can be seen most everywhere. Our legislative wins have been
repeatedly published. Our national legal wins are historic and our educa-
tion efforts to lower our position as the number-one prescription drug-
using state is seeing success. … But I want to talk about losing. Why?
Because losing is a reality – just like winning.
“… When there is no one to lobby, when there is no one at a subcommittee

hearing in the dead of summer educating legislators on the dangers of non-
physicians prescribing medicine, when there is no one outside the Capitol
chambers at 2:00 a.m. telling them what is and what is not good medicine,
then many doctors will realize that not supporting the TMA, AMA and
other medical organizations has cost them. But then it is too late.
“…I believe the freedom to practice good quality medicine in a productive

and non-hassled environment in a great state like Tennessee is worth the
fight. I plan to continue the fight. Will you join me?”
Don Alexander, MPH

Report of the Chief Executive Officer
April 9, 2010

TMA RESOURCE GUIDE
2010-2011 TMA Board of Trustees

EXECUTIVE COMMITTEE Channappa Chandra, MD, Chattanooga FINANCE COMMITTEE
B W. Ruffner, Jr., MD, Chattanooga, President Steven Dickerson, MD, Nashville Keith Lovelady, MD, Chairman
Charles Eckstein, MD, Nashville, Chairman Gary Kimzey, MD, Memphis Charles Leonard, MD, Talbot
Richard Briggs, MD, Knoxville, Vice Chairman Roy King, MD, Knoxville Roy King, MD, Knoxville
Richard DePersio, MD, FACS, Knoxville, Charles Leonard, MD, Talbott
Immediate Past President Matthew Mancini, MD, Knoxville APPOINTMENT COMMITTEE
Michael Minch, MD, Nashville, President-elect Edmund Palmer, Jr., MD, Jackson Richard Briggs, MD, Chairman (7)
Keith Lovelady, MD, Tullahoma, Secretary/Treasurer Charles Womack, MD, Cookeville Gary Kimzey, MD (1)
Donald Alexander, MPH, Nashville, Adam Wright, Medical Student Section Edmund Palmer, MD (2)
Asst. Secretary/Treasurer Michael Zanolli, MD, Nashville Keith Lovelady, MD (3)
Michael Zanolli, MD (4)
BOARD ADVISORS Charles Womack, MD (5)
Valerie Arnold, MD, Memphis Deborah Hudson, TN Medical Group Channappa Chandra, MD (6)
James Batson, MD, Cookeville, Management Assn Charles Leonard, MD (8)
Young Physician Section Gail Brabson, President, TMA Alliance
The TMA is routinely asked to nominate and recommend physicians to fill positions to numerous state boards, committees and commissions.
For a complete list of requirements, call 800-659-1862, ext. 1665. BOT contact information is available online at www.tnmed.org/directory;
member login required.
TMA Standing Committees
COMMUNITY & PROFESSIONAL RELATIONS

Russell Leftwich, MD, Nashville, Chairman + Oversaw launch of new graphic identity and new interactive website, TNMed.org.
COMMITTEE 2010-2011
HIGHLIGHTS 2009-2010
Elise Denneny, MD, Knoxville + Directed TMA news coverage on health reform, electronic health technology, legal achievements,
Walter Fletcher, MD, Martin Medicare reimbursement, prescription drug abuse, TennCare funding, medical liability reform
Brent Hatcher, MD, Jackson and insurance reform.
Barbara Kimbrough, MD, Johnson City + Created an eHealth Technology Task Force to keep members abreast of developments at the national
Emily Reeves-Douglas, MD, Chattanooga and state levels.
Jeff Suppinger, MD, Franklin
Russ Miller, CAE, TMA Staff Liaison
russ.miller@tnmed.org
CONSTITUTION & BYLAWS

David Gerkin, MD, Knoxville, Chairman + Brought a bylaw amendment to allow peer review cases to be referred to the TMA Judicial
COMMITTEE 2010-2011
Nancy Barbarito, MD, Johnson City Council if component society does not have adequate specialty representation. Adopted by
Ted Galyon, MD, Memphis the TMA House of Delegates in April 2010.
Albert Grobmyer, III, MD, Memphis + Reviewed a bylaw amendment to reduce the size of the Board of Trustees to 13 members,
Vincent Viscomi, MD, Chattanooga in keeping with the TMA Strategic Plan. Adopted by the TMA HOD in April 2010.
Charles White, Sr., MD, Lexington
Yarnell Beatty, JD, TMA Staff Liaison
yarnell.beatty@tnmed.org

TMA RESOURCE GUIDE
INSURANCE ISSUES
Jerome Thompson, MD, Memphis, Chairman + Kept a watch on national health reform development and helped develop TMA response.
COMMITTEE 2010-2011
James Bailey, Jr., MD, FACP, Memphis + Advocated directly for members on response, reimbursement, audit and other “hassle”
Gabi Brockelsby, Murfreesboro, Advisor issues with Cahaba GBA, PQRI, United Healthcare, AmeriChoice, and other major insurers.
Edward Capparelli, MD, Oak Ridge + Hosted a summit meeting with three of Tennessee’s major insurers, with plans for a
Eric Fox, MD, Cookeville follow-up in the fall to include other carriers.
William Harb, MD, Nashville + Undertook two insurance industry surveys among members to identify emerging issues
Charles Leonard, MD, Talbott and develop data to support TMA advocacy efforts.
Phyllis Miller, MD, Hixson
Lee Morisy, MD, Memphis
Ward Swarner, MD, Chuckey
Phyllis Franklin, TMA Staff Liaison
phyllis.franklin@tnmed.org
LEGISLATION
Charles White, Jr., MD, Lexington, Chairman Oversaw a year of significant legislative victories in the areas of:
COMMITTEE 2010-2011
Gail Brabson, Knoxville, TMAA + Insurance reform

Mark Brzezienski, MD, Chattanooga + Medical liability reform
Robert Dimick, MD, Nashville + Prescription drug safety
David Gerkin, MD, Knoxville, Ex-Officio + Public health
John Hale, MD, Union City + Scope of practice
Gary Kimzey, MD, Germantown + Practice of medicine
Kenneth Moore, MD, Franklin + Regulatory changes
Kathi Potts, Chattanooga, TMGMA
Bronn Rayne, MD, Cookeville
Ted Taylor, MD, Johnson City
Gary Zelizer, TMA Staff Liaison
gary.zelizer@tnmed.org
MEMBERSHIP
Douglas Springer, MD, Kingsport, Chairman + Engaged outside firm to make personal calls to non-renewing members.
COMMITTEE 2010-2011
Newton Allen, Jr., MD, Nashville + Carried out strategic marketing to nonmembers via letter, mailers, member appreciation
Donald Ellenburg, MD, Knoxville advertising, newspaper clip mailings, video testimonial, interactive email, and direct
Mack Land, MD, MACP, Memphis targeting of physicians in the areas of newly-dormant medical societies.
Robert Miller, III, MD, Germantown + Directed membership exhibits at specialty society meetings and events, and met with large
Edmund Palmer, MD, Jackson group practices across the state, resulting in six large group memberships.
B W. Ruffner, Jr., MD, Chattanooga
Benjamin S. Scharfstein, Jr., MD, Piney Flats
Chris Tanner, TMA Staff Liaison
chris.tanner@tnmed.org
PRACTICE MANAGEMENT & QUALITY

Benjamin Johnson, Jr., MD, Nashville, Chairman + Filed comments on behalf of TMA with the state on proposed standards for tamper-proof
COMMITTEE 2010-2011
Leonard Brabson, MD, Knoxville prescriptions, objecting to provisions that would give APNs prescribing rights and force
Joseph “Pete” Kelley, Jr., MD, Chattanooga practices to document the mode of transmission of electronic prescriptions.
Fredric Mishkin, MD, Kingsport + Signed on to AMA letter and issued TMA concerns about proposed definition of “meaningful
James Powell, MD, Franklin use” of electronic medical record systems.
Wiley Robinson, MD, Memphis + Oversaw development of online EHR Resource Center, fulfilling HOD resolution No. 12-09.
Perry Rothrock, III, MD, Cordova
George Woodbury, Jr., MD, Cordova
Yarnell Beatty, JD, TMA Staff Liaison
yarnell.beatty@tnmed.org

TMA RESOURCE GUIDE
PUBLIC HEALTH
Stuart Polly, MD, Memphis, Chairman + Promoted and endorsed Tennessee Secondary Schools Athletic Association’s new heat index
COMMITTEE 2010-2011
Valerie Arnold, MD, Memphis policy via letters to statewide school personnel and news release to Tennessee media.
Lee Berkenstock, MD, Memphis + Fulfilled HOD resolution No. 06-09 by working with TN Department of Health to promote
Barry Jarnagin, MD, Franklin enrollment of physicians as disaster volunteers via the Tennessee Volunteer Mobilizer;
Benjamin Johnson, Jr., MD, Nashville educate physicians on disaster response via brochure, Tennessee Medicine, CME
James Powell, MD, Franklin opportunities; and coordinate physician response via existing state infrastructure.
Michael Revelle, MD, Jackson
Kirk Stone, MD, Union City
Charles White, Jr., MD, Lexington
Julie Griffin, TMA Staff Liaison
julie.griffin@tnmed.org
American Medical MEDICAL STUDENT SECTION E-HEALTH TECHNOLOGY TASK FORCE

Association Delegation GOVERNING COUNCIL Russell Leftwich, MD, Nashville, Chairman
Adam Wright, Memphis (UTHSC), Chairman Valerie Arnold, MD, Memphis
DELEGATES Angela Cowart, Johnson City (QCOM) James Bailey, Jr., MD, FACP, Memphis
Chris Fleming. MD, Germantown, Chairman Takita Brown, Nashville (MMS) Leonard Brabson, MD, Knoxville
David Gerkin, MD, Knoxville, Vice-Chairman Megan Varvoutis, Johnson City (QCOM) Landon Combs, MD, Gray
Donald Franklin, MD, Chattanooga Chris Bell, Memphis (UTHSC) Charles Eckstein, MD, Nashville
Lee Morisy, MD, Memphis Sid Desai, Memphis (UTHSC) Joseph “Pete” Kelley, Jr., MD, Chattanooga
Charles White, Sr., MD, Lexington Jake McClure, Nashville (VUSM) William Light, MD, Germantown
Robert Mandel, MD, Chattanooga
ALTERNATES TMA DELEGATES Jerry Miller, MD, Kingsport
Subhi Ali, MD, Waverly Adam Wright, Memphis (UTHSC) Kenneth Reese, MD, Knoxville
Landon Combs, MD, Blountville Mariah Pate, Johnson City (QCOM) B W. Ruffner, Jr., MD, Signal Mountain
Richard DePersio, MD, FACS, Knoxville Jeffrey Suppinger, MD, Franklin
John Ingram, III, MD, Alcoa AMA DELEGATE Russ Miller, CAE, TMA Staff Liaison
Robert Kirkpatrick, MD, Germantown Chris Bell, Memphis (UTHSC)
Barrett Rosen, MD, Nashville Sneha Bhat, Memphis (UTHSC) WORKERS’ COMPENSATION
B W. Ruffner, MD, Signal Mountain TASK FORCE
Special Boards & Committees Randall Holcomb, MD, Memphis, Chairman
TMA Sections Ken Beasley, Memphis
JUDICIAL COUNCIL Debbie Daniels, Nashville
YOUNG PHYSICIAN SECTION Eric Fox, MD, Cookeville, Chairman (5) Dan Hein, Memphis
GOVERNING COUNCIL Pete Swarr, MD, Brentwood, Vice-Chairman (3) George Hernandez, Germantown
James Batson, MD, Cookeville, Chairman Lee Berkenstock, MD, Memphis (1) Robert Jones, MD, Memphis
Jeffrey Suppinger, MD, Franklin, Vice-Chairman Walter Fletcher, MD, Lexington (2) McKinley Lundy, DO, Chattanooga
Elizabeth Culler, MD, Chattanooga, Russell Leftwich, MD, Nashville (4) Steven Musick, DO, Chattanooga
Secretary/Treasurer Mel Twiest, MD, Signal Mountain (6) Robert Snyder, MD, Nashville
George Smith, MD, Oak Ridge (7) James Talmage, MD, Cookeville
TMA DELEGATES David Freemon, MD, Johnson City (8) Steve Wade, Nashville
Staci Van Winkle, MD, Memphis (1) Clarence Watridge, MD, Memphis
Kellie Wilding, MD, Jackson (2) HEALTH SYSTEM REFORM TASK FORCE Mary Yarbrough, MD, Nashville
Melinda Henderson, MD, Franklin (3) Richard DePersio, MD, FACS, Knoxville, Chairman
Yasmine Ali, MD, Nashville (4) Charles Eckstein, MD, Nashville TENNESSEE MEDICINE
Elizabeth Culler, MD, Chattanooga (6) Chris Fleming, MD, Germantown EDITORIAL BOARD
Greg Mancini, DO, Knoxville (7) David Gerkin, MD, Knoxville David Gerkin, MD, Knoxville, Editor
Natalie Scott, MD, Greeneville (8) Robert Kerlan, MD, FACP, Memphis John Thomison, MD, Nashville, Editor Emeritus
Robert Kirkpatrick, MD, Germantown Loren Crown, MD, Covington
AMA DELEGATE B W. Ruffner, Jr., MD, Signal Mountain Ronald Johnson, MD, Memphis
Natalie Scott, MD, Greeneville Charles White, Jr., MD, Lexington Robert Kirkpatrick, MD, Germantown
Christopher Young, MD, Chattanooga Karl Misulis, MD, Jackson
Gregory Phelps, MD, Knoxville

TMA RESOURCE GUIDE
Bradley Smith, MD, Nashville TN FOUNDATION FOR QUALITY TN MEDICAL EDUCATION FUND
Jonathan Sowell, MD, Knoxville PATIENT HEALTHCARE (TFQPH) (TMEF) Board of Directors
James Talmage, MD, Cookeville Board of Directors Robert Bowers, MD, Chattanooga, Chairman
Robert Kirkpatrick, MD, Memphis, Chairman Robert Kerlan, MD, FACP, Memphis, Vice-Chairman
PHYSICIAN LEADERSHIP COLLEGE Newton Allen, Jr., MD, Nashville, Vice-Chairman Bob Vegors, MD, Jackson, Secretary/Treasurer
(PLC) Steering Committee Subhi Ali, MD, Waverly, Secretary/Treasurer Maysoon Ali, MD, Waverly
John Ingram, III, MD, Alcoa, Chairman John Ingram, III, MD, Alcoa Subhi Ali, MD, Waverly, Advisor
Nancy Barbarito, MD, Johnson City Michael McAdoo, MD, Milan John Ingram, III, MD, Alcoa, Advisor
Michael Cates, CAE, Memphis Bronn Rayne, MD, Cookeville Robert Kirkpatrick, MD, Germantown
Starling Evins, MD, Franklin Barrett Rosen, MD, Nashville George “Trey” Lee, III, MD, MS, Nashville
George “Trey” Lee, III, MD, MS, Nashville Don Alexander, TMA CEO Sam Williams, III, MD, Winter Harbor, ME, Advisor
Phyllis Miller, MD, Hixson Marcia Young, Murfreesboro, TMA Alliance
Lee Morisy, MD, Memphis Brent Atkinson, TMA Staff Liaison
Independent Medicine’s Political Action Committee – Tennessee (IMPACT) Board of Directors

Kenneth Moore, MD, Franklin (Dist. 4), Chairman Kirk Stone, MD, Union City (Dist. 8) Mariah Pate, Johnson City,
Jeffrey Fenyves, MD, Kingsport (Dist. 1) Jeffery Warren, MD, Memphis (Dist. 9) Medical Student Section
Leonard Brabson, Sr., MD, Knoxville (Dist. 2) George “Trey” Lee, III, MD, Cookeville, Barbara B. Trautman, Germantown,
Mark Brzezienski, MD, Chattanooga (Dist. 3) Young Physician Section TMA Alliance
Newton Allen, Jr., MD, Nashville (Dist. 5) John Vickery, IV, MD, Bartlett, Gary Zelizer, Executive Director,
Kenneth Holbert, MD, FACEP, Smyrna (Dist. 6) Resident & Fellow Section Asst. Secretary/Treasurer
Mark Harriman, MD, Germantown (Dist. 7)
Component Medical Society Leadership

BEDFORD COUNTY MEDICAL SOCIETY COFFEE COUNTY MEDICAL SOCIETY HAWKINS COUNTY MEDICAL SOCIETY
Lawrence Schull, Jr., MD, Shelbyville, President None reported Pamela Slemp, Johnson City, TMA Staff Liaison
Navid Monajjem, MD, Shelbyville, Secretary
CONSOLIDATED MEDICAL ASSEMBLY HENRY COUNTY MEDICAL SOCIETY
BENTON-HUMPHREYS COUNTY MEDICAL SOCIETY OF WEST TENNESSEE None reported
Maysoon Ali, MD, Waverly, President Scott Sadler, MD, Lexington, President
Subhi Ali, MD, Waverly, Secretary Avinash Reddy, MD, Jackson, Vice- KNOXVILLE ACADEMY OF MEDICINE
President/Treasurer Antoin Mardini, MD, Knoxville, President
BLOUNT COUNTY MEDICAL SOCIETY Kellie Wilding, MD, Jackson, Secretary Matthew Mancini, MD, Knoxville, Secretary
James Milhollin, Jr., MD, Maryville, President Sonnie Campbell, Knoxville, Executive Director
Britton Bishop, MD, Alcoa, Secretary CUMBERLAND COUNTY MEDICAL SOCIETY
Sonnie Campbell, Knoxville, Executive Director Robert Berman, Jr., MD, Crossville, President LAKEWAY MEDICAL SOCIETY
Frederick Yarid, MD, Morristown, President
BRADLEY COUNTY MEDICAL SOCIETY DEKALB COUNTY MEDICAL SOCIETY Charles Leonard, MD, Talbott, Secretary
None reported Melvin Blevins, MD, Smithville, Pamela Slemp, Johnson City, TMA Staff Liaison
President/Secretary
CARTER COUNTY MEDICAL SOCIETY LAWRENCE COUNTY MEDICAL SOCIETY
Tedford Taylor, MD, Johnson City, President FRANKLIN COUNTY MEDICAL SOCIETY Thomas Benefield, MD, Lawrenceburg, Secretary
Scott Caudle, MD, Johnson City, Secretary None reported
Evelyn Dugger, Elizabethton, Staff Liaison LINCOLN COUNTY MEDICAL SOCIETY
Pamela Slemp, Johnson City, TMA Staff Liaison GILES COUNTY MEDICAL SOCIETY Paul Sain, MD, Fayetteville, President
Charles Haney, MD, Pulaski, President Fred Ralston, Jr., MD, Fayetteville, Secretary
CHATTANOOGA-HAMILTON COUNTY MEDICAL Sanjay J. Agarwal, MD, Pulaski, Secretary
SOCIETY LOUDON COUNTY MEDICAL SOCIETY
Nita Shumaker, MD, Hixson, President GREENE COUNTY MEDICAL SOCIETY Calvin Schaerer, MD, Loudon, President
Colleen Schmidt, MD, Chattanooga, Secretary John Boys, MD, Greeneville, President Michael Baker, MD, Lenoir City, Secretary
Rae Bond, Chattanooga, Executive Director Ronald Cole, MD, Greeneville, Secretary
Pamela Slemp, Johnson City, TMA Staff Liaison MAURY COUNTY MEDICAL SOCIETY
COCKE COUNTY MEDICAL SOCIETY Anthony Cryar, MD, Columbia, President
None reported Charles Bramlett, Jr., MD, Franklin, Secretary

TMA RESOURCE GUIDE
MCMINN COUNTY MEDICAL SOCIETY STONES RIVER ACADEMY OF MEDICINE
None reported David Beaird, MD, Murfreesboro, President
Kerri Woodberry, MD, Murfreesboro,
THE MEMPHIS MEDICAL Secretary
SOCIETY Wilma Cooley, Nashville, TMA Staff Liaison
James Ensor, Jr., MD, Germantown, President
Alim Khandekar, MD, Memphis, Secretary SULLIVAN COUNTY MEDICAL SOCIETY
Michael Cates, CAE, Memphis, Sean White, MD, Kingsport, President
Executive Director Elizabeth Clemens, MD, Kingsport,
Secretary
MONROE COUNTY MEDICAL SOCIETY Elaine Simone-Feagins, Church Hill,
None reported Staff Liaison
Pamela Slemp, Johnson City, TMA
MONTGOMERY COUNTY MEDICAL Staff Liaison
SOCIETY
Charles Fitch, MD, Clarksville, President SUMNER COUNTY MEDICAL SOCIETY
Robert Kasper, MD, Clarksville, Secretary None reported
Wilma Cooley, Nashville, TMA Staff Liaison
TIPTON COUNTY MEDICAL SOCIETY
NASHVILLE ACADEMY OF MEDICINE Samuel Johnson, MD, Covington, President
Robert Dimick, MD, Hermitage, President Robert Lazar, MD, Munford, Secretary
Kasey Dread, Nashville, Executive Director
WARREN COUNTY MEDICAL SOCIETY
NORTHWEST TENNESSEE ACADEMY OF None reported
MEDICINE
James Shore, MD, Martin, WASHINGTON-UNICOI-JOHNSON
President/Secretary COUNTY MEDICAL SOCIETY
Timothy Gardner, MD, Johnson City,
OVERTON COUNTY MEDICAL SOCIETY President
Trueman Smith, MD, Livingston, President Marian Bertotti, MD, Johnson City,
Samantha McLerran, MD, Livingston, Secretary
Secretary Beatrice Hudswell, Johnson City,
Staff Liaison
PUTNAM COUNTY MEDICAL SOCIETY Pamela Slemp, Johnson City,
None reported TMA Staff Liaison
ROANE-ANDERSON COUNTY MEDICAL WHITE COUNTY MEDICAL SOCIETY

SOCIETY None reported
Edward Capparelli, MD, Oak Ridge,
President WILLIAMSON COUNTY MEDICAL
George Smith, MD, Oak Ridge, Secretary SOCIETY
Sonnie Campbell, Knoxville, Executive Samuel Bastian, MD, FACP, FAAP,
Director Franklin, President
Elliot Himmelfarb, MD, Brentwood,
ROBERTSON COUNTY Secretary
MEDICAL SOCIETY Wilma Cooley, Nashville,
Jonathan Kroser, MD, Springfield, TMA Staff Liaison
President
Keith Goldberg, MD, Springfield, WILSON COUNTY MEDICAL SOCIETY
Secretary Jennifer Jessie, Lebanon, Staff Liaison
SCOTT COUNTY MEDICAL SOCIETY CMS contact information is available

None reported online at www.tnmed.org/directory;
member login required.
SEVIER COUNTY MEDICAL SOCIETY
Ammar Razzak, MD, Knoxville, President
Amy Gust, MD, Sevierville, Secretary
SMITH COUNTY MEDICAL SOCIETY

None reported

TMA ANNUAL AWARDS
OUTSTANDING PHYSICIAN AWARD

Presented annually by the TMA House of Delegates to member physicians who have made their own personal mark on the profession of
medicine in Tennessee and on those whom they have worked with and known during their illustrious medical careers.
Known as a trailblazer for women in medicine, Phyllis E.

Miller, MD, OB/GYN in Chattanooga, was raised in rural
Polk County and worked her way through school and UT
medical school as a waitress, seamstress and night lab
worker. Dr. Miller was the first female physician from Polk
County; the first woman elected president of the Chat-
tanooga-Hamilton County Medical Society (CHCMS); the
first female chief of staff at Erlanger Hospital; and the first
woman elected president of the Tennessee Medical Asso-
ciation (2005-2006).
As TMA president, Dr. Miller pursued medical malprac-
tice reform and public health issues, including women’s
heart health. She has been on the faculty at the University
of Tennessee College of Medicine-Chattanooga (UTCOMC)
since 1977, currently serving as assistant clinical professor.
She is the founder and creator of an education foundation
to help underprivileged Polk County students obtain higher
education. In 2006 she was honored with the Baroness
Foundation Distinguished Physician Award. She is the cur-
rent president of the Medical Foundation of Chattanooga.
Most recently, Dr. Miller volunteered her time in Haiti with
earthquake relief efforts. Dr. Miller practices with the Dr. Miller receives her Outstanding Physi-
cian Award from TMA Speaker of the
Women’s Institute for Specialized Health, PLLC, in Hixson.
House of Delegates Dr. Wiley Robinson.
Hershel P. “Pat” Wall, MD, was nominated by The Mem-

phis Medical Society for his commitment to develop and
cultivate medical education in Memphis. He has been ac-
tively involved at the University of Tennessee Health Sci-
ence Center (UTHSC) in Memphis for over 50 years. A 1957
College of Medicine alumnus, he has served the university
as chief resident, professor of Pediatrics, division chief of
General Pediatrics and chancellor and vice president for
Health Affairs. Currently, he is devoting his efforts full time
to the Office of Development and Alumni Affairs. His efforts
led to the establishment of UT’s Aid to Impaired Medical
Students program in 1982.
Dr. Wall has received numerous awards, including the
University of Tennessee National Alumni Association’s Out-
standing Teaching Award, the Outstanding Public Service
Award and the UTHSC’s Outstanding Alumnus Award. He
was also a recipient of the Memphis Business Journal’s
Health Care Heroes Award and the Commercial Appeal’s
Jefferson Award.
Dr. Wall with his TMA Outstanding Physician

Award.

TMA ANNUAL AWARDS
DISTINGUISHED SERVICE AWARD

Presented annually since 1963 by the TMA Board of Trustees to exemplary members of the association for their notable achievements dur-
ing the past year. Recipients are physician members who deserve recognition of outstanding service or contribution to the advancement of
medical science, or to this Association, or to the public welfare, whether of a civic or scientific nature.
Mark A. Brzezienski, MD, FACS, current president of

the Chattanooga-Hamilton County Medical Society
(CHCMS), was chosen for his work as founder/director
of the CHCMS’ Youth Leadership Forum on Medicine,
which gives high school students the opportunity to
learn about life as a physician; the Forum has worked
with 130 students since 2005.
A graduate of Philadelphia’s Jefferson Medical Col-
lege/Thomas Jefferson University, he completed train-
ing in general, reconstructive and orthopedic hand
surgery in Connecticut and New York. Dr. Brzezienski
is board certified in plastic surgery since 1997 and has
received a Certificate of Added Qualification in hand
surgery. He joined the UTCOMC faculty in 1995 and
has been in private practice in Chattanooga for 15
years, currently with The Plastic Surgery Group, PC.
Dr. Brzezienski is vice president of the Medical Foun-
dation of Chattanooga and board chairman for Con- Dr. Brzezienski is presented with his TMA Dis-
tinuCare, Inc.
tinguished Service Award.
Former TMA President Robert D. Kirkpatrick, MD, was nomi-
nated by The Memphis Medical Society for his efforts to further
organized medicine in Tennessee. He has served as a member
and chairman of the TMA Board of Trustees, as speaker and vice
speaker of the TMA House of Delegates and a member of Ten-
nessee’s AMA delegation. In 2008, Dr. Kirkpatrick was installed
as the 154th president of the TMA, overseeing a year of ag-
gressive advocacy accentuated by a major legislative victory in
the area of medical liability reform and the initiation of the
TMA’s new strategic plan.
He has served on the Board of the Tennessee Academy of
Family Physicians, president of the Tennessee College of Occu-
pational and Environmental Medicine, and president of both
The Memphis Medical Society and the Tennessee Medical Foun-
dation Board. Dr. Kirkpatrick is the active chairman and primary
spokesman for the Tennessee Foundation for Quality Patient
Healthcare’s Tennessee Prescription Safety Program, a program
to curb the misuse and over-use of prescription drugs in the
state of Tennessee. Board certified in family and addictive med-
icine, Dr. Kirkpatrick is a fellow of the American Academy of
Family Medicine (AAFP) and the American Academy of Emer-
gency Medicine (AAOEM). Most recently, Dr. Kirkpatrick has
Distinguished Service Award winner Dr.
served as an associate professor and director of the Saint Fran-
cis Family Medicine Residency Program at the University of Ten-
Kirkpatrick gives his acceptance re- nessee–Memphis. He is the medical director for the Tennessee
marks to the TMA House of Delegates. Department of Labor and Workforce Development’s Workers’
Compensation Division.

TMA ANNUAL AWARDS
COMMUNITY SERVICE AWARD

The Tennessee Medical Association (TMA) annually recognizes persons or organizations outside the medical profession who contribute sig-
nificantly to the advancement of public health in their respective communities.
Charlotte Boatwright, RN, PhD, was nom-

inated by the CHCMS for her work teaching
healthcare, legal and education profes-
sionals how to identify and respond to vio-
lence and her efforts to better serve the
victims of violence. She is founder and
president of the Coalition Against Domes-
tic and Community Violence of Greater
Chattanooga, Inc., formed to address the
poor treatment of victims in the justice sys-
tem; it currently includes over 400 agen-
cies, departments and individuals across
three states. Recently, she helped create
the Chattanooga Family Justice Alliance, a
one-stop-shop for family violence victims
to access the justice system, health care,
education, faith community, and business
services more effectively.
She is the widow of longtime Chat-
tanooga physician Robert Boatwright, MD,
and is a recipient of numerous awards, in-
cluding the Chattanooga Bar Association’s
Liberty Bell Award, the Mayor’s Best Prac- TMA Community Service Award winners display their
tices Award, the Chattanooga Chamber of awards (L-R): Burt Waller, executive director of Christ
Commerce Nautilus Lightkeeper Award
and the CHCMS Community Service Community Health Services; Dr. Boatwright; and
Award. Judge Norman.
Christ Community Health Services in Memphis was Judge Seth W. Norman of Nashville was nominated for his efforts
nominated for its health outreach and the impact addressing the impact of substance abuse and related disorders
of its ministry on the citizens of Memphis and on crime. Currently the Judge of Division IV of Criminal Court and
Shelby County. CCHS was founded in 1995 on the Presiding Judge of the 20th Judicial District, he is the founder and
belief that every patient deserves access to quality, Presiding Judge of the Davidson County Drug Court, also known
affordable health care close to home. The as DC4. DC4 was founded in 1997 as a sentencing alternative de-
founders—David Pepperman, MD, Rick Donlon, signed to divert non-violent felony offenders from Tennessee’s
MD, Karen Miller, MD, and Steve Besh, MD—were penal facilities, instead placing them in a treatment program
four Louisiana State University–New Orleans med- while being held accountable for their crimes. Over the past 12
ical school graduates who settled in Memphis after years, the program has evolved from an outpatient drug court to
completing their residencies. a one-of-a-kind program with its own residential treatment facil-
For the past 15 years, the clinic has served the ity.
most medically underserved members of the Mem- Judge Norman, a Korean War Air Force veteran, received his
phis community with services including adult and JD from the Nashville School of Law in 1962. He practiced law in
pediatric primary care, OB/GYN, HIV case manage- Nashville for 28 years and served as a member of the General As-
ment, prenatal and parenting classes, social work, sembly, the State Democratic Executive Committee and as a del-
dentistry, pharmacy and various health outreach egate to the 1968 Democratic National Convention. Elected to
programs. In 2009, CCHS provided more than the bench in 1990, Judge Norman was reelected without opposi-
100,000 medical and dental visits in five Memphis tion in 1998. He is a member of the Nashville and Tennessee Bar
communities. Associations.

Member News
Visit www.tnmed.org for the latest TMA news, information and opportunities!
TMA Commits to “Medicare Meltdown”

Ad Campaign
The TMA has committed $1,000 to a national online advertising the 21.3-percent cut in Medicare reimbursement.
campaign promoting the “Medicare Meltdown” petition drive. The online advertisements will be placed on websites such as
The petition urges Congress to fix the flawed payment formula AARP.org, Grandparents.com, Weather.com and Humana-
that threatens care for Tennessee’s 892,714 Medicare recipients, Medicare.com (Medicare Advantage Plan).
including senior citizens and people with disabilities, and 182,294 The TMA joined the petition drive in mid-April and by early May
military family members covered by TRICARE. had collected over 1,700 signatures throughout Tennessee from
The TMA is joining state and specialty medical societies doctors, their staffs and families, and patients.
around the country in launching the targeted ad campaign, aimed To sign the online Medicare Meltdown petition or for details
at reaching physicians and patients who will be most affected by and resources, visit www.tnmed.org/meltdown. +
HRI Expert Agrees With TMA; Countersuit

Dismissal Motion Filed
An independent expert hired by Health Research Insights, Inc. own expert now agrees with the doctors’ assertions,” said TMA
(HRI), to answer the TMA’s lawsuit against the private recovery outside counsel David Steed, of Cornelius & Collins, LLP. “HRI is
contractor has sided with the TMA, agreeing that HRI’s accusa- searching to find a new expert who will agree with them, even
tions of overbilling by physicians were false. Meanwhile, days after though they had promised to abide by what this one said."
filing a countersuit against the TMA, HRI has dismissed half of its "Not surprisingly, half of HRI’s reckless counterclaim allega-
claims and TMA officials expect the rest will also soon be dis- tions have already been dismissed; the doctors have filed a mo-
missed. tion to dismiss and we anticipate the other half will be dismissed
The TMA filed suit against HRI in June 2009, challenging the le- soon. We expect the focus will remain on HRI’s false accusations
gality of HRI’s recovery activities and its business practices, par- of overbilling that forced these doctors to file the original lawsuit
ticularly regarding repayment demand letters sent to physicians against HRI to protect their relationship with Metro and Blue-
contracted through Blue Cross Blue Shield of Tennessee to care Cross," Steed added.
for employees of Averitt Express and the Metropolitan Nashville “The TMA remains committed to protecting the interests of its
Board of Public Education (MBPE). members and the public from organizations making false accusa-
HRI’s “independent coding expert” stated that HRI’s accusations that doctors have overbilled, made without even a review of
tions against doctors were false during deposition testimony the medical records,” said TMA President B W. Ruffner, MD,
taken by the TMA’s counsel. In response, HRI claims that its own adding, “Such assertions undermine the relationship between
expert “… has no respect for the judicial process or the oath she doctors and their patients, and take time and energy away from
took to tell the truth.” On its website, however, HRI had publicly those attempting to provide good patient care.”
agreed to abide by the decision of this expert. Dr. Ruffner urged TMA physicians to support the ongoing case
"The timing of this desperate counterclaim is telling, coming against HRI and future legal advocacy efforts on behalf of doctors
shortly after the TMA and the doctors filed proof in the original and patients by contributing to the TMA Legal Fund. For details,
lawsuit that HRI’s accusations are false, and given that even HRI’s visit www.tnmed.org/legalfund or call 800-659-1862.+

Member News
“Red Flag” Identity TMA Thoughts are

Theft Rules in Effect with Tennessee
After several delays in the deadline, most medical practices were required
to be compliant with the FTC’s “Red Flag” identity theft rules by June 1,
2010.
Flood Victims
Although escaping damage itself, the thoughts and prayers of the
What this means for TMA members is that if medical practices extend
Tennessee Medical Association are with the victims of Ten-
credit to patients by accepting credit cards or other means, such practices
nessee’s devastating floods.
must have written policies in place to discover and respond to possible
“We no doubt have physician members whose homes or of-
identity theft. The TMA Legal Department has developed a template pol-
fices were affected, and all of us have friends, family or col-
icy for use by members in order to come into compliance with the rules. It
leagues who were impacted by this horrible event,” said TMA
can be found on the TMA’s online Law Guide at www.tnmed.org under
President B W. Ruffner, MD.
“Stay Informed” and “Legal Resources.” Look for the topic titled “Red Flag
“Our Nashville headquarters fortunately was not affected by
Rules: Physician Practice Identity Theft and Breach Notification Policy.”
the flood waters as the rest of the city was,” said TMA Chief Exec-
Member login required.
utive Officer Don Alexander. “However, the TMA is doing its part
TMA officials said the development of such a policy would cost med-
by conserving water, as requested by Middle Tennessee officials,
ical practices hundreds and possibly thousands of dollars in legal fees,
as well as encouraging and supporting volunteer efforts through-
emphasizing this is another valued service provided to TMA members free
out the affected communities.”
of charge. +
The TMA stands by its members, as always, Dr. Ruffner
added. “If any of our members were affected, please let us know.
We stand by ready to help in any way we can with any of our serv-
Alert: Watch for AMA– ices.” Affected members can contact the TMA at 800-659-1862. +
UnitedHealth Group Set- Digital Advertising

tlement Notice with the TMA
TMA members can share in the AMA’s $350 million settlement against
UnitedHealth Group/Ingenix. New digital advertising opportunities
Notices regarding the AMA/UnitedHealth Group/Ingenix $350 mil- are now available to help you reach
lion lawsuit settlement are hitting the streets. TMA members should thousands of physicians and practices
watch the mail for an envelope with “United Healthcare” on the outer economically and efficiently via:
page and “United Healthcare Class Action Litigation c/o Berdon Claims • TNMED.org
Administration LLC” on the return address position of the outer page. • TMA E-News
The Settlement is from a lawsuit the American Medical Association • Tennessee Medicine Online
filed several years ago alleging UnitedHealth systematically underpaid (interactive, digital version of
physicians delivering out-of-network care because the usual, customary the TMA Journal)
and reasonable rate formula produced by Ingenix and relied on by
United was flawed. For more information, log on to
The AMA and TMA are offering a “Step By Step Guide to Maximiz- www.tnmed.org/advertising or contact
ing Your Recovery from the UnitedHealth Group UCR Settlement” doc- Beth McDaniels at 800-659-1862 or
ument, authored by the AMA; there is also a collection of Frequently beth.mcdaniels@tnmed.org.
Asked Questions about the UHG Settlement. Those and other resources
are available on the TMA website at www.tnmed.org/uhg_settlement. +

Member News
Physicians: Weigh In on 2010 State Health Plan
State officials are asking Tennessee physicians for input on the devel- 3. The state's health care resources should be developed to ad-
opment of Tennessee’s 2010 State Health Plan. dress the needs of Tennesseans while encouraging competitive
The 2010 plan will establish common goals and describe promis- markets, economic efficiencies, and the continued development
ing strategies to improve health and health care in Tennessee. By law, of the state's health care system;
the State Health Plan guides the state in the development of health 4. Every citizen should have confidence that the quality of health
care programs and policies and in the allocation of health care re- care is continually monitored and standards are adhered to by
sources. health care providers; and
The online survey asks for input on each of the five Key Principles 5. The state should support the recruitment and retention of a suf-
for Achieving Better Health in the State Health Plan: ficient and quality health care workforce.
1. The purpose of the State Health Plan is to improve the health of
Tennesseans; To share your thoughts, please go to:
2. Every citizen should have reasonable access to health care; http://agsurvey.tn.gov:8080//index.php?sid=72349&lang=en +
CMS News
Project Access Chattanooga: $57 Million

in Health Care for the Uninsured
(L-R): Jim Brexler, Erlanger Health

System CEO; Dr. Joe Cofer, Project
Access Operations Counsel chair;
Amanda Payne, Project Access
patient; Darrell Moore, Parkridge
Health System CEO; Dr. Phyllis Miller,
Medical Foundation of Chattanooga
president; Jim Hobson, Memorial
Health Care System CEO.
The Project Access Community Health Partnership of Chattanooga healthcare services in 2009,” said Project Access Chairman Joe
has provided more than $57.2 million in free health care to unin- Cofer, MD, who helped found the program in 2004.
sured residents of Hamilton County since the program began in Phyllis Miller, MD, president of the Medical Foundation of
April 2004, including $13.8 million of care in 2009. All told, $8.8 Chattanooga, said “Project Access began as a physician-led effort
million in care has been donated by individual physicians and to better coordinate charity care physicians have always provided.
$48.4 million contributed by hospitals and other partners over the Our key partners are area hospital systems, community health
past six years. centers, and our 600-plus volunteer physicians.”
That from Project Access officials who said while the value of The program was developed through the Chattanooga-Hamil-
care has grown annually, operational costs have remained con- ton County Medical Society and Medical Foundation of Chat-
stant. “Project Access provides a 33:1 return on investment: every tanooga. To learn more, call 423-826-0269 or visit
dollar spent on program operations resulted in $33 in donated www.chatmedsoc.org. +

Member News
MEDTENN 2010 PHOTO GALLERY
Outgoing Board of Trustees Chairman Dr. Robert Kerlan Dr. Richard Lane of Franklin smiles for the TMA camera
(left) is honored with a special plaque by his successor, between House of Delegates sessions.
Dr. Charles Eckstein.
Past presidents of the TMA gathered for their annual reunion at MedTenn 2010. (L-R): Front – Drs. Hamel Eason, Nat
Hyder, Jr., J. Kelley Avery and John Thomison; Middle – Drs. Clarence Saunders, Charles White, Sr., Robert Bowers and
John Dorian; Rear – Drs. Howard Salyer, Robert Kirkpatrick, John Ingram, Michael McAdoo, Ted Galyon, J. Mack Wor-
thington, David Gerkin, Barrett Rosen and Chris Fleming.

Member News
2010 Graduates of the Physician Leadership College (L-R): Front – Drs. William Gibson, David Beaird, Nita Shumaker and
Matthew Mancini; Rear – Drs. Andy Russell, Henry Russell, Kim Rosdeutscher and Melinda Henderson.
MedTenn attendees were again able to earn CME cred- Drs. Josefina Marcelo and Samantha McLerran sere-
its for proper prescribing through the Tennessee Pre- nade the audience during MedTenn Karaoke Night.
scription Safety Program.

Member News
Kim Warren and Matthew

Harrison of First Tennessee
Bank were among TMA Cor-
porate Partners and organ-
izations showcasing their
products and services for
physicians. Others: Doctors
Access, Shared Health,
SVMIC, TMA Physician Serv-
ices, IMPACT, and the Ten-
nessee Volunteer Mobilizer.
Dr. Daniel Moore (left) ex-

plains his Diabetes Progres-
sion poster to Dr. Robert
Bowers. Dr. Moore’s entry
was the “Basic Science”
winner in the Resident
Poster Contest.
“The Unassigned,” featur-

ing TMA member Dr. Karl
Misulis (2nd from left),
took top honors in the
MedTenn 2010 Battle of
the Bands.

Member News
MEMBER NOTES
Sam T. Barnes, MD, a retired orthopedic sur- Associates, PC. A 2007 winner of the TMA Distinguished Service
geon in Cookeville, was featured in the Award, he is chairman and co-founder of Project Access Community
Cookeville Herald-Citizen in April for his do- Health Partnership of Chattanooga, which provides free health care
nation to the Foundation at Cookeville Re- to uninsured residents of Hamilton County. Dr. Cofer is a director
gional Medical Center. Dr. Barnes’ gift was in for the American Board of Surgery, a fellow of the American College
honor of former CRMC physicians William Tay- of Surgeons and the Southeastern Surgical Conference, and a for-
lor, MD, and Harlan H. Taylor, MD. The Foun- mer president of the Chattanooga-Hamilton County Medical Society.
dation raises funds to further the mission of
the CRMC to provide compassionate care for the residents of Upper Donald A. Lakatosh, MD, PA, of Seymour, re-
Cumberland County. Dr. Barnes is a former member of the Ten- cently earned his sub-specialty board certifi-
nessee Board of Medical Examiners and a Putnam County delegate cation in sports medicine. He is certified in
to the TMA. physical medicine and rehabilitation.
Stacey B. Carlton, MD,

and Stephen D. Clark,
MD, of Crossville, were
named “Best Doctors in Jerry L. Miller, MD, of Kingsport, was inducted
Cumberland County” in into the Junior Achievement of Tri-Cities TN/VA
the Crossville Chronicle Business Hall of Fame in May. Dr. Miller, presi-
Reader’s Choice 2010. dent and founder of Holston Medical Group, PC,
Dr. Carlton Dr. Clark Dr. Carlton is a family was honored for his life commitment to ensure
medicine physician; Dr. the best possible healthcare for his patients,
Clark is an internal medicine specialist and a member of the Amer- and as a leader in electronic health technology.
ican College of Physicians, Tennessee chapter. Both practice with A family physician, Dr. Miller also serves as a
Physicians Associates, LLC, of Crossville. member of the Wellmont Health System Board of Directors.
Quinton V. Cancel, MD, Cookeville urologist, Reynaldo A. Olaechea, MD, of Crossville, is

was recently featured in the March issue of the new medical director of Cumberland Med-
Essence describing Tennessee as the “stone ical Center’s Wound Care Center; he oversees
belt” and discussing the pain and treatment all hyperbaric oxygen therapy treatments, as-
of kidney stones. Certified in robotic and In- sessments and wound care treatments. Dr.
terStim surgery, Dr. Cancel is a known speaker Olaechea has served on the CMC medical
and published author of research articles in staff since 1975 and is a member of the CMC
his field, and co-author of a chapter on Coag- Board of Directors. He is a member of the
ulation Abnormalities in Unbound Surgery, an online textbook. He American Society of Abdominal Surgeons.
practices with Upper Cumberland Urology Associates, PC.
W. Charles Penley, MD, a Nashville oncolo-
Joseph B. Cofer, MD, of Chattanooga, has gist, has been elected to the board of
been elected as a fellow of the American Sur- trustees of the Association of Community
gical Association, one of 26 surgeons in- Cancer Centers. Board certified in medical on-
ducted at the group’s annual meeting in cology, he is a partner with Tennessee Oncol-
Chicago in April. He is director of the surgery ogy, PLLC. He is a member of the American
residency program at the University of Ten- Society of Clinical Oncology (ASCO), and
nessee College of Medicine-Chattanooga (UT- serves on the ASCO Clinical Practice Commit-
COMC) and practices with University Surgical tee, which he represents to the AMA CPT Editorial Panel. Dr. Pen-

Member News
MEMBER NOTES
ley is on the board of directors of the ASCO Foundation and is cur- was an adjunct professor of management at Rice University’s Jesse
rently vice president of the Tennessee Oncology Practice Society. H. Jones Graduate School of Management. In Nashville, he serves
He is a member of the Tennessee Scenic River Association and is as a director on the Nashville Symphony Association Board of Di-
certified to teach swift water rescue by the American Canoe Asso- rectors and also serves as a member of the board(s) of Pinnacle Fi-
cociation. nancial Partners, LLC; the Cheekwood Botanical Museum Board of
Trust; the Executive Board of Directors of the Middle Tennessee
Wayne J. Riley, MD, MPH, MBA, president Council Boy Scouts of America; United Way of Metropolitan
and chief executive officer of Nashville’s Nashville; and the Tennessee Institute of Public Health Board of
Meharry Medical College, has been elected to Directors.
the Society of Medical Administrators. Previ-
ously, he served as vice-president and vice Roland B. Weast, MD, of Knoxville, was re-
dean for health affairs and governmental recently certified by the American Board of Sur-
lations and associate professor of medicine gery. A general surgeon with Premier Surgical
at Baylor College of Medicine in Houston, TX. Associates, PLLC, since 2009, Dr. Weast prac-
At Houston’s Ben Taub General Hospital, Dr. Riley was assistant tices at Mercy Medical Center St. Mary’s and
chief of medicine and a practicing academic general internist, and Mercy Medical Center North in Knoxville. +
Are you a member of the TMA who has been recognized for an honor, award, election, appointment, or other noteworthy achievement?
Send items for consideration to Member Notes, Tennessee Medicine, 2301 21st Ave. South, PO Box 120909, Nashville, TN, 37212;
fax 615-312-1908; e-mail brenda.williams@ tnmed.org. High resolution (300 dpi) digital (.jpg, .tif or .eps) or hard copy photos required.
Your Comments Needed in Favor of Higher Workers’

Comp Surgical Fees
The TMA is asking physicians who treat workers’ compensation pa- lower all surgical fees, including orthopedic and neurosurgical, to 250
tients to comment in support of a proposal to raise WC surgical reim- percent of Medicare or less. TMA members seeing Workers’ Comp pa-
bursement fees, and in opposition to any attempt to lower the fees. tients need to respond in favor of the proposed rate change to 275
The Tennessee Department of Labor and Workforce Development, percent of Medicare and express opposition to any amendment lower-
Workers’ Compensation Division, will hold a rulemaking hearing on ing the fees below 275 percent.
June 11, 2010 to receive public comments regarding the proposed rule Please submit written comments to the Department before the
that would revise Rule 0800-02-18-.02(4)(b). The proposed revision June 11 hearing to the following address: Landon Lackey, Department
would increase reimbursement for general surgical procedures to 275 of Labor & Workforce Development, 220 French Landing Drive,
percent of Medicare, effective January 1, 2011. This would match the Nashville, TN 37243, or by email to landon.lackey@tn.gov. Physicians
current rate for orthopedic and neurosurgery procedures; the rule wishing to attend the June 11 hearing should report by 10:00 a.m. CST
change would not change orthopedic or neurosurgery rates. to Department offices at 220 French Landing Drive, Tennessee Room,
The TMA fears the Department might take this opportunity to 1st Floor, Side A, in Nashville. +

Dr. David Bowers, Chattanooga Dr. Joseph Holley, Jr., Memphis Dr. William Riggs, Memphis
Dr. William Bradford, Tullahoma Dr. Michael Hood, Newport Dr. Jack Rowland, Chattanooga
Dr. Stacy Brewington, Cookeville Dr. Nathan Horner, Greeneville Dr. Tejinder Saini, Cordova
Dr. Michael Brueggeman, Jackson Dr. Stephen Humphrey, Dr. Lawrence Schull, Shelbyville
Dr. Bernard Burgess, Franklin Hendersonville Dr. Richard Schultz, Oak Ridge
Dr. Patrick Burkhart, Maryville Dr. Kurt Ick, Kingsport Dr. David Seaberg, Chattanooga
Dr. Felix Caldwell, Memphis Dr. J.T. Jabbour, Germantown Dr. Elbert Shackleford,
Dr. T. Mark Carter, Gallatin Dr. Lisa Jabusch, Hermitage Hendersonville
PLATINUM LEVEL Dr. Samantha McLerran, Dr. J. Brad Carter, Oak Ridge Dr. G. Whit James, Hermitage Dr. James & Emily Shore, Martin
Dr. George Woobury, Livingston Dr. James Caruso, Lakeland Dr. W. Dean Jameson, Dr. Edward Shuck, Chattanooga
Germantown Dr. Christine Mestemacher, Dr. Scott Caudle, Elizabethton Germantown Dr. Barry Siegel, Memphis
Memphis Dr. Cathy Chapman, Memphis Dr. Frank Jayakody, Shelbyville Dr. Bryan Simmons, Memphis
CAPITOL HILL CLUB Dr. Michael Minch, Nashville Dr. Debbie Christiansen, Knoxville Dr. William Jekot, Murfreesboro Dr. Norman Sims, Hendersonville
Dr. Newton Allen, Nashville Dr. Fredric Mishkin, Kingsport Dr. Thomas Clayton, Crossville Dr. William Jennings, Parsons Dr. Langdon Smith, Columbia
Dr. Rex Amonette, Memphis Dr. Ken Moore, Franklin Dr. Elijah Cline, LaFollette Dr. Steven Johnson, Nashville Dr. Samuel Smith, Brentwood
Dr. Donald Arms, McMinnville Dr. Lee Morisy, Memphis Dr. Thomas Conway, Newport Dr. John C. Johnson, Johnson City Dr. Jonathan Sowell, Knoxville
Dr. Allan Bailey, Nashville Dr. Edmund Owen, Memphis Dr. Jeffrey Cook, Franklin Dr. Charles Jordan, Cookeville Dr. David Sparks, Kingsport
Dr. Samuel Bastian, Franklin Dr. Robert Page, Knoxville Dr. Daniel Coonce, Cookeville Dr. Frank Jordan, Jackson Dr. Eugene Spiotta, Memphis
Dr. James Batson, Cookeville Dr. Edmund Palmer, Jackson Dr. Scott Copeland, Cookeville Dr. Clark Julius, Knoxville Dr. John Staley, Knoxville
Dr. Lee Berkenstock, Memphis Dr. Charles Portera, Dr. Tony "Mitch" Cox, Old Fort Dr. Beth Kasper, Clarksville Dr. Homer Staley, Lawrenceburg
Dr. John Binhlam, Nashville Chattanooga Dr. John D. Crabtree, Tullahoma Dr. Haresh Khatri, Lawrenceburg Dr. Janet Stastny, Johnson City
Dr. Leonard Brabson, Knoxville Dr. John Proctor, Nashville Dr. John Crocker, Jackson Dr. Karl Klein, Cookeville Dr. Chris Stauber, Knoxville
Dr. Richard Briggs, Knoxville Dr. Susan Raschal, Chattanooga Dr. Dale Cunningham, Dr. A. Bernhard Kliefoth, Dr. Donald Sullivan, Memphis
Dr. Mark Brzezienski, Chattanooga Dr. F. Bronn Rayne, Cookeville Germantown Knoxville Dr. S. Bobo Tanner, Nashville
Dr. Edward Capparelli, Oak Ridge Dr. Avanish Reddy, Jackson Dr. Randall Dabbs, Knoxville Dr. Joseph Krick, Tullahoma Dr. Ralph Taylor, Memphis
Dr. Lee Carter, Huntingdon Dr. Wiley Robinson, Memphis Dr. Dewayne Darby, Jefferson City Dr. Kent Kyger, Nashville Dr. Indurani Tejwani, Memphis
Dr. Edward Catteau, Germantown Dr. Perry Rothrock, Cordova Dr. Charles Darling, Oak Ridge Dr. Richard Lane, Franklin Dr. Michael Tepedino, Tullahoma
Dr. Channappa Chandra, Hixson Dr. B W. Ruffner, Signal Mountain Dr. Stephen Daugherty, Clarksville Dr. Charles T. Langford, Dr. William Terry, Knoxville
Dr. Nancy Chase, Memphis Dr. Chester Ruleman, Memphis Dr. Philip Deathridge, Crossville Knoxville Dr. William Tettelbach, Memphis
Dr. Joseph Cofer, Chattanooga Dr. Nicole Schlechter, Nashville Dr. Raza Dilawari, Memphis Dr. Gary Lanham, Chattanooga Dr. Forrest Tompkins, Knoxville
Dr. F. Hammond Cole, Millington Dr. Wayne Scott, Chattanooga Dr. Denise Dingle, Smithville Dr. Charles Larkin, Germantown Dr. Harrison Turner, Kingsport
Dr. Neil Coleman, Knoxville Dr. David Sexton, Knoxville Dr. David Doane, Jonesborough Dr. John Lay, Savannah Dr. John Vickery, Memphis
Dr. Audrey Coo, Memphis Dr. Russ Shellabarger, Jackson Dr. Tracey Doering, Nashville Dr. Robert Lemons, Memphis Dr. Joe Wallace, Crossville
Dr. John Culclasure, Nashville (deceased) Dr. Daniel Dunaway, Memphis Dr. James Lett, Knoxville Dr. W. Bedford Waters, Knoxville
Dr. Richard DePersio, Knoxville Dr. Nita Shumaker, Chattanooga Dr. Hamel Eason, Atlanta, GA Dr. Michael Levitt, Nashville Dr. M. Wayne Westmoreland,
Dr. Steven Dickerson, Nashville Dr. George Smith, Oak Ridge Dr. George Eckles, Murfreesboro Dr. Melvin Litch, Germantown Murfreesboro
Dr. Robert Dimick, Nashville Dr. Iris Snider, Athens Dr. Raif Eksakr, Germantown Dr. James Little, Chattanooga Dr. Jerald White, Brownsville
Dr. Burgin Dossett, Johnson City Dr. Douglas Springer, Kingsport Dr. Robert Elder, Knoxville Dr. LaVerne Lovell, Memphis Dr. Charles Wilkens, Pioneer
Dr. Charles Eckstein, Nashville David Steed, Nashville Dr. Thomas Ernst, Memphis Dr. Susan Lowry, Martin Dr. Mark Williams, Memphis
Dr. Jeffrey Fenyves, Kingsport Dr. Kirk Stone, Union City Dr. Rogelio Escarcega, Union City Dr. James Loyd, Signal Mountain Dr. J. Lynn Williams, Decherd
Dr. James Fleming, Germantown Dr. Robert & Barbara Trautman, Dr. Claudio Feler, Memphis Dr. Michael Maggart, Knoxville Dr. David Winek, Nashville
Dr. Tamara Folz, Germantown Germantown Dr. Daniel Fisher, Chattanooga Dr. Benjamin Mahan, Tullahoma Dr. John Witherspoon, Nashville
Dr. Eric Fox, Cookeville Dr. Bob Vegors, Jackson Dr. Jack Fisher, Nashville Dr. Richard Manning, Knoxville Dr. Robert Wood, Crossville
Dr. David Gerkin, Knoxville Darlene Vickers, Knoxville Dr. Michael Flynn, Knoxville Dr. Jeffrey Marvel, Tullahoma Dr. Burgin Wood Jacksboro
Dr. Katherine Goff, Monterey Dr. Julius vonClef, Knoxville Dr. David Freemon, Johnson City Dr. H. Lynn Massingale, Dr. J. Howard Young, Murfreesboro
Dr. John Hale, Union City Dr. L. Anderson Walker, Nashville Dr. Charles Fulk, Morristown Knoxville Dr. Furhan Yunus, Memphis
Dr. Reggie Henderson, Lexington Dr. Jeffrey Warren, Memphis Dr. David Garriott, Kingsport Dr. J. Lucius McGehee, Memphis Dr. James Zellner, Signal Mountain
Dr. Joey Hensley, Hohenwald Dr. Charles White, Sr., Lexington Dr. Evelyn Gayden, Memphis Dr. Rodney McMillin, Kingston +
Dr. Kenneth Holbert, Smyrna Dr. Charles White, Jr., Lexington Dr. Barbara Geater, Memphis Dr. John McMurray, Kingsport
Dr. Deborah Hudson, Kingsport Dr. Mack Worthington, Dr. Mary Gingrass, Nashville Dr. Alvin Meyers, Hermitage
Dr. Stephen & Robin Hutchins, Chattanooga Dr. Francis Gluck, Nashville Dr. Anthony Meyers, Knoxville
Knoxville Dr. Christopher Young, Dr. Mark Goldfarb, Nashville Dr. Stephen Miller, Memphis
Dr. John Ingram, Alcoa Chattanooga Dr. Clarence Goulding, Dr. Jami Miller, Nashville
Dr. Clifford Johnson, Knoxville Dr. Michael Zanolli, Nashville Johnson City Dr. Andrew Miller, Nashville
Dr. Robert Kerlan, Memphis Dr. Randall Graham, Knoxville Dr. Foy Mitchell, Athens
Dr. Gary Kimzey, Germantown SUSTAINING MEMBERS Dr. Roland Gray, Nashville Dr. Joe Mobley, Paris
Dr. Roy King, Knoxville Dr. Linas Adams, Morristown Dr. Erich Groos, Jr., Nashville Dr. Brent Moody, Nashville
Dr. James King, Selmer Dr. Robert Adams, Cookeville Dr. Paul Gurecki, Oak Ridge Dr. Ian Murray, Memphis
Dr. Robert Kirkpatrick, Dr. Robert L. Adams, Memphis Dr. Larry Gurley, Nashville Dr. John Nading, Nashville
Germantown Dr. Maysoon Ali, Waverly Dr. Richard Hall, Cookeville Dr. Susan Nelson, Memphis
Dr. George Kurita, Clarksville Dr. Valerie Arnold, Memphis Dr. Joe Hall, Waynesboro Dr. Ronald Overfield, Nashville
Dr. Bill Law, Knoxville Dr. Michael Baron, Blountville Dr. Oscar Harrington, Memphis Dr. Ana Palmieri, Memphis
Dr. George “Trey” Lee, Nashville Dr. Reed Baskin, Memphis Dr. David Harris, Jr., Knoxville Dr. Jim Pang, Cordova
Dr. Douglas Leining, Chattanooga Dr. W.R. Beaver, Johnson City Dr. Randall Hartline, Knoxville Dr. Jeffrey Patton, Nashville
Dr. Charles Leonard, Talbott Dr. Berta Bergia, Knoxville Dr. Melinda Haws, Nashville Dr. Albert Petty, Maryville
Dr. Tim Linder, Selmer Dr. John Beuerlein, Knoxville Dr. Radwan Haykal, Memphis Dr. Susan Pick, Crossville
Dr. Keith Lovelady, Manchester Dr. Wallace Bigbee, McMinnville Dr. James Headrick, Dr. Edward Pratt, Memphis
Dr. Michael McAdoo, Milan Dr. Ben Birdwell, Nashville Chattanooga Dr. Ronald Pruitt, Nashville
Dr. Mary Katherine McDonald, Dr. Stanley Bise, Crossville Dr. Mary Heath, Winchester Dr. Charles Reynolds, Knoxville
Hixson Dr. William Black, Knoxville Dr. A. Clyde Heflin, Nashville Dr. James Richmond,
Dr. Edwin McElroy, Kingsport Dr. John Blazier, Kingsport Dr. Stephen Helton, Germantown Chattanooga
Dr. William McKissick, Knoxville Dr. Glenn Booth, Jr., Nashville Dr. Donald Hetzel, Chattanooga Dr. Robert W. Ridley, Tullahoma

NEW MEMBERS
BLOUNT COUNTY MEDICAL SOCIETY Katosha Andra Muse, MD, Memphis TMA DIRECT
Gary M. Mason, MD, Alcoa Mary Elizabeth Nabers, MD, Memphis Timothy L. Alder, MD, Knoxville
Nathan Eric Schrock, MD, Alcoa Dai Park, MD, Cordova Rachel Marguerite Barker, MD,
Christopher Lawrence Petrey, DO, Knoxville
CHATTANOOGA-HAMILTON COUNTY Memphis Monica Kessi, MD, Knoxville
MEDICAL SOCIETY Ms. Monet Casey, Memphis
J. Andrew Lovette, MD, Fort Oglethorpe Mr. Michael Scott Kleinman, Memphis WASHINGTON-UNICOI-JOHNSON
Mr. Fabio Savorgnan, Memphis COUNTY MEDICAL ASSOCIATION
CONSOLIDATED MEDICAL ASSEMBLY OF Chad Aaron Drey, MD, Johnson City
WEST TENNESSEE NASHVILLE ACADEMY OF MEDICINE Courtney C. Hodshon, MD, Johnson City
Melissa Anne Appleton, MD, Jackson Peggy Alsup, MD, Nashville Patrick Joseph MacMillan, MD,
Olivia Kathryn Giddings, MD, Nashville Johnson City
KNOXVILLE ACADEMY OF MEDICINE Christi A. Witherspoon, MD, Hermitage Gabriel Albert Zaietta, MD, Jonesborough
Iulian M. Burtea, MD, Knoxville Ms. Lakeisha Renae Chism, Nashville
Jacquiline Sue Crawford, MD, Knoxville Mr. Christopher Estopinal, Nashville WILSON COUNTY MEDICAL SOCIETY
Jason B. Deen, MD, Knoxville Mr. Neal Weston Langdon, Nashville John L. Tate, MD, Lebanon
Steven E. Repka, MD, Knoxville Mr. Daniel Jacob McClure, Soddy Daisy
John Collins Texada, MD, Knoxville
Daniel Robert Wenzke, MD, Knoxville NORTHWEST TENNESSEE ACADEMY
Turner Emery, DDS, MD, Knoxville OF MEDICINE
Paul B. Nieves, DO, Union City
THE MEMPHIS MEDICAL SOCIETY
Mirza Salman Baig, MD, Princeton ROANE-ANDERSON COUNTY
Melinda J. Garcia-Rosell, MD, Memphis MEDICAL SOCIETY
Stephen Michael Huddleston, MD, Brynae Laxton Miley, MD, Oak Ridge
Memphis
Todd Allan Jenkins, MD, Memphis SULLIVAN COUNTY MEDICAL SOCIETY
Christopher Klien Ledbetter, MD, Anthony A. Holden, MD, Kingsport
Germantown
IN MEMORIAM
RUSSELL HUGH ROBBINS, MD, age 70. MARTHA A. LOVING, MD, age 84. Died JOHN S. REED, MD, age 95. Died May 2,
Died March 2, 2010. Graduate of Univer- April 28, 2010. Graduate of University of 2010. Graduate of Harvard Medical
sity of Tennessee Health Science Center. Tennessee Center for Health Science. School. Member of Sullivan County Med-
Member of Consolidated Medical Assembly Member of The Memphis Medical Society. ical Society.
of West Tennessee.
AMA PHYSICIAN RECOGNITION AWARD

Physicians who earn the American Medical Association (AMA) Physician’s Recognition Award (PRA) have been recognized by the AMA
for their commitment to patient care and lifelong learning through continuing medical education (CME). The Tennessee Medical As-
sociation would like to commend our members who have earned the AMA PRA recently by demonstrating that they earned an average
of at least 50 CME credits per year. Congratulations to the following:
Paul Banick, MD, Knoxville

Richard Lane, MD, Franklin
Christopher Marshall, MD, Parsons
Vijay Pethkar, MD, Nashville

THE TENNESSEE MEDICAL ASSOCIATION
WISHES TO THANK ITS CORPORATE PARTNERS:
INSTRUCTIONS FOR AUTHORS LIST OF ADVERTISERS

Manuscript Preparation – Manuscripts should be submitted to the Editor, David G.
Gerkin, MD, 2301 21st Avenue South, Nashville, TN 37212. A cover letter should identify
one author as correspondent and should include his complete address, phone, and e-mail. BlueCross/ BlueShield of Tennessee ........................40
Manuscripts, as well as legends, tables, and references, must be typewritten, double-spaced
on 8-1/2 x 11 in. white paper. Pages should be numbered. Along with the typed manu-
scripts, submit an IBM-compatible 3-1/2" high-density diskette containing the manuscript. Doctors Access, Inc...................................................35
The transmittal letter should identify the format used. Another option is you may send the
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in TIF or PDF format along with the article.
DoctorsManagement, LLC............................................6
Responsibility – The author is responsible for all statements made in his work. Accepted
manuscripts become the permanent property of Tennessee Medicine. First Tennessee Bank ..................................................4
Copyright – Authors submitting manuscripts or other material for publication, as a con-
dition of acceptance, shall execute a conveyance transferring copyright ownership of such
material to Tennessee Medicine. No contribution will be published unless such a con- LBMC ..........................................................................49
veyance is made.
References – References should be limited to 10 for all papers. All references must be Novartis......................................................................22
cited in the text in numerically consecutive order, not alphabetically. Personal communi-
cations and unpublished data should be included only within the text. The following data
should be typed on a separate sheet at the end of the paper: names of first three authors Shared Health ..............................................................8
followed by et al, complete title of article cited, name of journal abbreviated according to
Index Medicus, volume number, first and last pages, and year of publication. Example: State Volunteer Mutual Insurance Company ............56
Olsen JH, Boice JE, Seersholm N, et al: Cancer in parents of children with cancer. N Engl
J Med 333:1594-1599, 1995.
Illustrated Material – Illustrations should accompany the e-mailed article in a TIF or Tennessee Medical Foundation ................................36
PDF format. If you are mailing the article and diskette, the illustrations should be 5 x 7 in.
glossy photos, identified on the back with the author's name, the figure number, and the The TMA Association Insurance Agency, Inc.............21
word "top," and must be accompanied by descriptive legends typed at the end of the paper.
Tables should be typed on separate sheets, be numbered, and have adequately descriptive
titles. Each illustration and table must be cited in numerically consecutive order in the text. TMA Insurance Workshops ........................................30
Materials taken from other sources must be accompanied by a written statement from both
the author and publisher giving Tennessee Medicine permission to reproduce them. Pho- TMA Physician Services, Inc. ................................2, 55
tos of identifiable patients should be accompanied by a signed release.
Reprints – Order forms with a table covering costs will be sent to the correspondent au-
thor before publication. XMC, Inc.......................................................................3

Annual Report 2010

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VOL. 103, NO.

Settlement Notice; Digital Advertising with TMA; 2010

State Health Plan; CMS News: Project Access-

Chattanooga; MedTenn 2010 Photo Gallery;

Member Notes; Comments Needed on WC Surgical Fees

31 TMA Resource Guide

President Office of Publication Editor Editorial Board

L ike the physicians we represent, the TMA

with the insurance industry; additional insurance

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 7

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 9

10 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 11

lective voice heard in the courtrooms and with regula-

12 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 13

14 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 15

16 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

promoting its value proposition to mem-

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 17

18 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

many state medical specialty societies

clusive medical organization, medical

The TMA actively supported the var-

Society of Internal Medicine, the Ten-

the Tennessee Radiological Society and

Physicians, as well as the Tennessee

Tennessee Dermatology Society ..........................................Michael Zanolli, MD

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 19

2009>2010 BUDGETED EXPENSES

20 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

2010 House of Delegates Resolution Actions

Final Actions of the Tennessee Medical

24 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 25

acted on by the 2010 House of

26 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 27

28 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

“AS I LOOK AT OUR TMA’S RECENT HISTORY,

“… When there is no one to lobby, when there is no one at a subcommittee

“…I believe the freedom to practice good quality medicine in a productive

Don Alexander, MPH

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 29

2010-2011 TMA Board of Trustees

TMA Standing Committees

COMMUNITY & PROFESSIONAL RELATIONS

CONSTITUTION & BYLAWS

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 31

Gail Brabson, Knoxville, TMAA + Insurance reform

PRACTICE MANAGEMENT & QUALITY

32 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

American Medical MEDICAL STUDENT SECTION E-HEALTH TECHNOLOGY TASK FORCE

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 33

Independent Medicine’s Political Action Committee – Tennessee (IMPACT) Board of Directors

Component Medical Society Leadership

34 Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010

ROANE-ANDERSON COUNTY MEDICAL WHITE COUNTY MEDICAL SOCIETY

SCOTT COUNTY MEDICAL SOCIETY CMS contact information is available

SMITH COUNTY MEDICAL SOCIETY

Tennessee Medicine + www.tnmed.org + JUNE/JULY 2010 35

OUTSTANDING PHYSICIAN AWARD

Known as a trailblazer for women in medicine, Phyllis E.