Current Nashville Medical News

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Healthcare Reform: A Conversation with Senator Bob Corker
Bob Corker (R-TN) was elected to the United States Senate in 2006. Previously, Sen. Corker served as the mayor of Chattanooga and as Tennessee Commissioner of Finance and Administration. Prior to holding elected office, he was involved in the construction industry.
Sen. Corker spoke with Nashville Medical News in late June 2009 regarding his views on healthcare reform.

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RAC Recourse
What to Do if You Are the Subject of a Medicare Audit
First there were MACs … now come the RACs. The Centers for Medicare and Medicaid Services (CMS) are relying on both internal and external fiscal intermediaries to make sure healthcare claims are properly processed, billed and reimbursed for services rendered.

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Lipscomb Seminar Looks at Perils of Healthcare Today and Tomorrow
Rx: Rationing or Reform?
Much like "all the king's horses and all the king's men" tried to do with Humpty Dumpty, Congress is about to try to put healthcare together …. again.
Members of Congress are faced with the urgent need to reform, repair or replace our dysfunctional healthcare system and will have to look at rationing (would Humpty be able to get only one new yolk and a whole new shell or just a patch?) and reforming by emphasizing prevention (teach eggs not to sit on walls).

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Not All Recovery Contractors Are Created Equal
TMA Files Suit on Behalf of Members
This summer, the Tennessee Medical Association and two Nashville physicians filed suit in Davidson County Chancery Court in response to letters sent to multiple Nashville physicians claiming improper billing and payments for medical services performed in 2006 and 2007.

Vital Signs
In the five years since he and others sold rural hospital operator Province Healthcare to competitor LifePoint for a shade over $1 billion, Marty Rash has been on a tear.
Walker Duncan,

Taking the Long View
Steps to Avert a Major Nursing Shortage Downstream
There is good news and bad news... although even the bad news isn't as dire as once predicted.
Vanderbilt's Peter Buerhaus, PhD, director of the Center for Interdisciplinary Health Workforce Studies, recently co-authored a study that found a surge in registered nurses has temporarily eased or ended the nursing shortage in many hospitals across the country.
However, Buerhaus warned this respite is temporary.

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Oman-Gibson Rolls Out $40 Million Healthcare Real Estate Investment Fund
National healthcare real estate development and project management firm Oman-Gibson Associates (OGA) recently announced the formation of a new $40 million investment fund specifically targeted to develop and acquire new medical office buildings and clinical space throughout the country.


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Physicians Must Negotiate for the Best Deal on Pediatric Vaccines
The Art of the Deal
Pediatricians and family physicians who regularly purchase and administer vaccines to children pay widely varying amounts to manufacturers for those vaccines, resulting in a drastic financial strain for some practices, particularly smaller ones in rural areas.


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Sustainable, Maintainable and Integrable
TennCare Looks to the Future
In the not-so-distant past, the leadership of Tennessee's Medicaid demonstration program spent a significant portion of the day just trying to get up to speed. With a sometimes seemingly insurmountable learning curve and an average tenure of less than 15 months, burnout was common among the executive team.

 Bonus Editorial

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Cardiovascular Systems of Care
Saint Thomas Hospital Cardiac Surgeons Using Mammary Arteries As Bypass Conduit During Minimally Invasive Coronary Artery Bypass Surgery
Minimally invasive coronary artery bypass surgery (MIDCAB) is a beneficial alternative to conventional coronary artery bypass surgery (CABG). Today, cardiac surgeons at Saint Thomas Hospital are using a new technique in minimally invasive coronary artery bypass operations. "We have extended this innovative operation to where both internal mammary arteries can be used for bypass conduit, which should provide a more permanent solution for the patient needing more than one bypass graft," said William Coltharp, MD, cardiac surgeon at Saint Thomas Hospital.
William Coltharp, MD

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Do you know what a Certified Pedorthist is?
Many physicians and other medical professionals have no idea who we are and what we do. That is unfortunate since the benefits we offer to patients can have a significant and positive impact on the quality of their lives.
Pedorthics (peh-DOR-thix) is the design, manufacture, modification and fit of footwear to alleviate problems caused by disease, overuse, congenital conditions, or injury.

 Feature Profiles

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Physician Spotlight: Father and Son Pediatric Team
The Long Way to Go
John Long, MD, has been working at Old Harding Pediatrics in Nashville for the last twenty years—since he was 12.
He "got a big promotion" when he walked through the door as a physician four years ago.

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HEALTHCARE ENTERPRISE: Angel Healthcare Staffing Puts Nurses Where They're Needed Fast
As hospitals and other providers wrestle with the growing nursing shortage, an agency based in Hermitage has been matching qualified nurses to facilities' needs since 2002.

 Grand Rounds

Grand Rounds August


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Alive Monarchs Serves Children with Life-Threatening Illness and Their Family
When a Middle Tennessee family faces the devastating illness of a child, an Alive Hospice program designed for infants and children is there to help. Founded last year and dubbed Alive Monarchs, the program boasts a team of two pediatricians, other clinical professionals, social workers and chaplains specially prepared to help manage one of life's most difficult situations.

Pediatric Wrap-up from Vanderbilt University and Children's Hospital

Newborn Hearing Screening Program Relies on Physician Assistance
Tennessee's Newborn Hearing Screening (NHS) Program recognizes the important role physicians play in assuring families receive timely services to increase the benefits of early identification of hearing loss. The 2007 Position Statement from the Joint Committee on Infant Hearing and the American Academy of Pediatrics has set forth the following recommendations commonly known as the "1-3-6 rule".

 2013 Article Archives

Grand Rounds

Disruptive Behavior in the Healthcare Setting
Many of us are entertained by the antics of the irreverent misanthrope, Gregory House, on the television show, "House MD." While Dr. House's behavior makes for good television, in the real world Dr. House would likely be in violation of disruptive behavior policies in place at his hospital. Examples of disruptive behavior in a healthcare setting are:
Leah M. Gerbitz and Alison B. Martin