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A Conversation with Jim Brexler, Erlanger Health System
Jim Brexler came to Erlanger Health System in 2004 via Louisiana. As vice chancellor of Louisiana State University Health Sciences Center, Brexler spent the five years prior to relocating to Chattanooga overseeing Louisiana’s statewide public hospital system.
CINDY SANDERS |
Comfort Care
When faced with a chronic or terminal illness, patients want relief. Relief from pain. Relief from other symptoms, such as fatigue, loss of appetite and shortness of breath. Relief from stress.
They also want to better understand their medical condition and options for care — and to carry on with everyday life.
ANN METZ |
Gaining a Competitive Edge
On Friday, September 14, the Tennessee Medical Association (TMA) and the Tennessee Medical Group Management Association (TMGMA) will co-host a daylong seminar in Nashville to help their members explore ways to leverage resources and maximize success in the group practice setting.
CINDY SANDERS |
Geriatric Care Management Raises the Bar
When it comes to care for senior loved ones, wading through the mountains of paperwork and making the myriad decisions can be daunting.
Concerns mount about where to get the best healthcare, who would provide the most personalized attention and what to do about personal property and private finances. Families need advocates to look out for their best interests, rather than the interests of corporations.
GLORIA BUTLER BALDWIN |
Grand Rounds September
UT Hires Regional Health Director to Head New Center
KNOXVILLE — The University of Tennessee has appointed Dr. Paul Erwin to be director of the Center for Public Health Policy and Research.
Erwin, 50, has been the East Tennessee regional director of the Tennessee Department of Health based in Knoxville since 1995. He will take his new post on Sept. 1.
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Hospice of Chattanooga to Host Educational Conference for RNs
Hospice care can be distressing for those who are enduring a terminal illness or disability, as well as for their loved ones and caregivers.
The term “hospice” has its roots in the Latin word hospitium, meaning guest house. Hospices were originally used as resting places for those who made religious pilgrimages. Physicians and others in the medical community recognized that terminally ill patients were also in need of such “resting places.”
CARL RAUS |
Lessons from the Field: “CEO” is Key to EHR Adoption
As an Information Technology (IT) consultant in the healthcare field, I often get asked “What’s the best [you fill in the blank] solution available today?” This question always makes me wince. As much as I would like to give the individual a cut and dry answer, I usually start my response with a heavy sigh followed by two simple words; “it depends.” Now who’s wincing?
GREG KENNY |
MSHA Named a 2007 Most Wired Healthcare System
Mountain States Health Alliance (MSHA) has been named to the nation’s Top 100 Most Wired List, according to the results of the 2007 Most Wired Survey and Benchmarking Study released in the July issue of Hospitals & Health Networks magazine. The magazine has named the 100 Most Wired hospitals and health systems since 1999. MSHA was also named a finalist for the Most Wired Innovator Award given by the publication.
JAMES WATSON |
Palliative Care: A Team Approach
Palliative care focuses on relieving symptoms and improving the quality of life for the seriously ill. Palliative care is a fast growing field of medicine which primarily began in small community hospitals. Since 2000, the number of palliative care programs in major medical centers has doubled. Today, there are about 1,240 programs throughout the country. Approximately 30 percent of all medical centers now have approved programs.
JAMES LONDON |
Physician Spotlight: Dr. E.C. Goulding III
The patient had no pulse and the young Goulding turned to his nurse and told her to call a code.
“This nurse put her hand on my shoulder, looked me in the eye and said, ‘Baby, you are the code,’” he recalled.
The patient survived, and Goulding was hooked on emergency medicine.
JAMES WATSON |
Physician Spotlight: Dr. John Cowan
Dr. John Cowan believes in “living the good life.”
The focus on living might seem ironic for the medical director of Blount Memorial Hospice in Maryville. After all, many of his patients have six months or less to live. Cowan is quick to point out, however, that death is a part of the cycle of life.
ANN METZ |
Physician Spotlight: Dr. William A. Rafuls
As an abstract expressionist painter, Dr. William A. Rafuls’ time has come.
Though he had begun to develop this hobby in high school, he stopped painting when he went abroad to medical school as a young man. He resumed his work in the 1990s, however, and now paints from his orange-and-white studio in the basement of his home.
JOHN M. HAYS |
Tennessee Ranks 40th in Commonwealth Fund Health-System Ranking
The performance of Tennessee’s health system won’t get a standing ovation.
That’s according to the Commonwealth Fund Commission, which in June released a state-by-state scorecard assessing access, quality, avoidable hospital use and costs, equity and healthy lives. Tennessee ranked 40th.
SHARON H. FITZGERALD |
The Bottom Line: Outlaws and Outliers
Outlaws and Outliers can rob your practice of revenue every day. If you have taken all of the steps to assure your appointment slots are full every day and your practice production numbers are still not meeting MGMA guidelines for similar practices, it may be time for a chart audit.
Bill Morris |
Unique Theatre Experience the Pride of Historic Virginia Town
“With vegetables you cannot sell, you can buy a good laugh.”
That was the motto for Barter Theatre in Abingdon, Va., when it opened its doors on June 10, 1933. This jewel of the state charged admission of 40 cents or the equivalent in produce, which is where it derived its name.
HOLLI W. HAYNIE |
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