Your Practice Made Perfect

This podcast series provides support, protection, and advice for today’s medical professionals. Brought to you by SVMIC, a mutual insurance company that is 100% owned and governed by our policyholders.

Episode 044: A Hard Pill to Swallow

Dec. 07, 2018  Along with host Brian Fortenberry, Dr. Stephen Loyd discusses his intimate struggle with opioid addiction. For three years, Dr. Loyd was addicted to painkillers while working as a physician. In one hand, he had everything anyone would want in life. In the other, a handful of pills. He discusses how finding the Tennessee Medical Foundation helped get him out of addiction.

Episode 043: Power to the Physicians

Nov. 23, 2018  With host Brian Fortenberry, SVMIC Vice President of Corporate and Legal Sherie Edwards, and Senior Vice President and General Counsel of the Tennessee Medical Association Yarnell Beaty, discuss medical legislation. When physicians get involved on Capitol Hill, it can really make a difference and turn the tide in legislation. They talk about how important it is to contribute to campaigns, get involved at the grassroots level, and establish relationships with elected officials so that physicians have a voice in what laws are being passed.

Episode 042: The Case of Late Expectations

Nov. 16, 2018  When pregnant Megan was admitted to the hospital with pain at 32 weeks, the staff failed to recognize fetal distress. This resulted in a C-section performed three hours too late and the infant suffering from severe neurological damage. Brian Fortenberry and attorney Alisa Wamble discuss this closed claim case and how tunnel vision created this sad situation.

Episode 041: Controlling Controlled Substances

Nov. 09, 2018  Brian Fortenberry and Dr. Walter Fitzgerald discuss opioids, prescriptions, and all issues that come with it. Dr. Fitzgerald brings his experience as both an attorney and a pharmacist to the discussion, covering everything from new laws regarding prescriptions to safely disposing of extra pills.

Episode 040: Closing the Gap

Nov. 02, 2018  Michael Burcham, CEO of Narus Health, talks with Brian Fortenberry about care management. Michael discusses finding the gaps between payer, physician, patient, and hospital, improving those gaps, and giving stakeholders a better experience. He also discusses changing the experience that people have, so that instead of healthcare happening to them, it works for them.

Episode 039: From Witness to Defendant

Oct. 26, 2018  Dan Himmelberg, SVMIC Assistant Vice President of Claims, and Brian Fortenberry discuss a closed claim in which a patient suffered an aneurysm after having an appendectomy. The patient's surgeon, who had been an expert witness in other cases, was taken to court himself, where he defended his care of the patient during over 8 years of legal proceedings.

Episode 038: Doing It Right and Getting It Wrong

Oct. 19, 2018  In this closed claim review, a hike up a steep ravine sent William to the hospital with a “weird feeling” in his back. After his symptoms subsided and he was discharged, he passed away of an aortic dissection. Host Brian Fortenberry and SVMIC attorney Judy Reneau discuss the doctor’s defense and how William's symptoms did not lead to the underlying problem.

Episode 037: One Size Doesn’t Fit All

Oct. 12, 2018  Surgeon Dr. Bruce Ramshaw and Brian Fortenberry discuss problems in healthcare and how new models for healthcare based on systems and data science could be applied. Dr. Ramshaw’s goal is to learn the real structural reasons that the global healthcare system is failing and what can be done to fix it.

Episode 036: The Best Defense is a Good Offense

Oct. 05, 2018  Brian Fortenberry and attorney Wendy Longmire dig into the legal services that SVMIC provides. They discuss depositions, how to properly prepare physicians for testimony, and how mutually beneficial it is for a defendant to really become engaged in their own defense.

Episode 035: Fear Factor

Sep. 28, 2018  Host Brian Fortenberry and attorney Jamie Wyatt discuss a closed claim case in which everyone in an operating room, except for the surgeon, was sued due to the complications experienced by the patient post-surgery. They explore this "no talking policy" implemented by the surgeon, and how it created a hostile work environment and a very adverse outcome.

Episode 034: The Impact of Preconceived Notions

Sep. 21, 2018  Attorney Tim Behan and Brian Fortenberry discuss how the depersonalization and dissociation from a well-known patient can help provide more effective treatment. In this closed claim review, a 40-year-old woman with drug-seeking behavior is left with neurological damage due to assumptions made about her condition.

Episode 033: Pain Points

Sep. 14, 2018  Brian Fortenberry talks to Dr. Stephanie Vanterpool, Director of Comprehensive Pain Services at University of Tennessee Medical Center and Medical Director of the University Center for Pain Management. They discuss targeted pain treatment options and how pain is a symptom of an underlying condition.

Episode 032: The Malpractice Essentials

Sep. 07, 2018  Jim Smith, with 36 years of experience in the medical professional liability insurance business, helps us understand medical insurance and what it means to be a part of a mutual insurance company. Join host Brian Fortenberry as they break down MPL and all that goes with it.

Episode 031: The Case of the Black Box Warning

Aug. 31, 2018  In this closed claim case, attorney Stephanie Deupree and host Brian Fortenberry examine a very tragic outcome that began with a man's fall from a six-foot ladder while trying to complete a home improvement project. A medication unfamiliar to the physicians prescribed for pain relief resulted in the man's death.

Episode 030: The Importance of Belonging

Aug. 24, 2018  Dr. John Lytle, former President of the Arkansas Orthopaedic Society, discusses the importance of a physician's involvement in associations, membership groups, and committees. He talks to host Brian Fortenberry about being a part of the local community as well as taking care of other people in your profession.

Episode 029: The Hypertension is Rising

Aug. 17, 2018  Join host Brian Fortenberry and Dr. Elise Schriver as they talk about pulmonary hypertension, its five clinical classes, and how it is being reported more and more on echocardiograms and CT scans. Dr. Schriver is the Associate Clinical Professor at the Graduate School of Medicine at the University of Tennessee in Knoxville and the Director of the UT Pulmonary Hypertension Clinic in Knoxville.

Episode 028: Don’t Leave the Rest Unwritten

Aug. 10, 2018  In this closed claim review, Ken Rucker, Vice President of Claims for SVMIC, and host Brian Fortenberry discuss how easy it is to let the daily workload negatively impact the quality of medical documentation. Details forgotten can be hard to defend, especially when Dr. Andrew’s early discharge led to a patient's death one week later.

Episode 027: No One is Too Good

Aug. 03, 2018  A lifelong medical practice executive, Tom Stearns shares the wisdom he’s learned over the years as a manager and leader. With host Brian Fortenberry, they explore the role of a manager in a medical practice and how they should be standing behind their employees in a role of support, instead of cracking the whip.

Episode 026: Care Off the Record

Jul. 27, 2018  Brian Fortenberry details and discusses a closed claim case with Claims Attorney, Zynthia Howse. Together, they review the fallout from a female infant’s routine “Well Baby” visit after the care providers failed to administer a vaccination and did not accurately document it in the medical charts.

Episode 025: Navigating Care to Comfort

Jul. 20, 2018  When treating someone at the end of their life, a doctor has more to consider than curing or healing a patient. General Internist, Dr. Daniel Ely, chats with Brian Fortenberry about what goes into palliative care, advanced care planning, and comfort at the end of life.

Episode 024: Study Up to Sign Off

Jul. 13, 2018  In this week’s episode, SVMIC employee Jackie Boswell details and defines what makes a good managed care contract. Ms. Boswell also offers physicians advice on how to negotiate a more beneficial contract and what process to take to ensure a better partnership within a practice.

Episode 023: Treatment Pains

Jul. 06, 2018  Host Brian Fortenberry chats with Pain Medicine Physician, Dr. Rett Blake about the newer guidelines that relate to doctors providing pain treatment. Together, they cover the nationwide Opioid epidemic, where it’s rampant, and what’s been done at the national and local level.

Episode 022: Talk it Out

Jun. 29, 2018  Host Brian Fortenberry and experienced claims attorney and risk reduction expert, Shelly Weatherly, talk about how to stay out of legal hot water amidst the stress and responsibility of patient care combined with the possibility of a lawsuit. Hear how clear communication and investing in the doctor-patient relationship can make all the difference.

Episode 021: The Case of Cascading Conditions

Jun. 22, 2018  This week, we review a closed case against a doctor who failed to give a timely diagnosis and treat Mary’s retroperitoneal hemorrhage following a cardiac catheterization. This led to a series of unfortunate medical complications. Senior Claims Attorney Tim Rector talks about this complicated case with Brian Fortenberry.

Episode 020: Ready, Set, Start-Up

Jun. 15, 2018  Brian Fortenberry talks to Sheri Smith to learn more about setting up a private practice like a business. They discuss how SVMIC can offer recommendations on vendors and professionals, as well as providing a practice startup toolkit that includes checklists and medical records retention details for each state.

Episode 019: Pushing the Limits

Jun. 08, 2018  Charmy Shrode, VP of Underwriting, continues to talk with Brian Fortenberry about policies for medical liability coverage. They discuss how far a policy can extend (from you as an individual to your solely-owned practice) and how some plaintiff attorneys prefer to sue an entire entity rather than an individual.

Episode 018: Read the Coverage

Jun. 01, 2018  Join Brian Fortenberry as he talks to VP of Underwriting, Charmy Shrode, about the intricacies of policy documents, information, and coverage. A policy is a contract between the insured and the insurer—don’t be guilty of putting it away in a drawer without reading it first.

Episode 017: The Technology Angle of Attack

May. 25, 2018  As technology becomes even more integrated with healthcare and care management, security becomes a larger threat to medical professionals. In this episode, Kari Stern from NAS talks with host Brian Fortenberry about claims, coverage, and data management practices within Cyber Security.

Episode 016: The Case of Nothing Noted

May. 18, 2018  SVMIC Claims Attorney, J. Baugh discusses Eliza James’ malpractice case with Brian Fortenberry. Baugh thoroughly reviews the complete lack of continuity of care, including the multiple mistakes made by her providers, errors with her medical charts and labs, and overall poor communication with the staff which ultimately led to her death.

Episode 015: Taking Great Pains

May. 11, 2018  In this week’s episode of "Your Practice Made Perfect," Brian hosts Julie Loomis of SVMIC for a discussion on the opioid epidemic. Loomis, an expert in risk management, details the state-by-state legal and medical implications of opioid misuse and abuse.

Episode 014: Get Down to Business

May. 04, 2018  When practicing medicine, a doctor can be employed by a hospital system or large group, or they can run their own private practice. In this week's episode, Board-certified orthopedic physician, John Lytle chats with Brian about the particulars that come with running a private practice vs. being in a large hospital group.

Episode 013: The Case of Reduction Results

Apr. 27, 2018  This week, we review a closed claim case involving 18-year-old Samantha Smith who suffered complications from a breast reduction surgery. SVMIC Vice President of Claims, Ken Rucker, walks us through the ins-and-outs of Samantha's multiple procedures and the resulting deformities from infection.

Episode 012: Mind Your Business

Apr. 20, 2018  Steve Dickens is SVMIC's Medical Practice Services expert who consults doctors on the business side of practices. In this episode, he discusses recommendations on contract negotiations, interactions with colleagues, and thinking through exit strategies as it relates to employment agreements.

Episode 011: No Pain Is The Game

Apr. 13, 2018  In this week’s episode, we look at developments with pain management and pain medication with a specialist and medical expert. Dr. Blake discusses the Opioid epidemic as a national crisis, better and more appropriate treatments, and how physicians should approach patients struggling with pain.

Episode 010: The Case of Time Ticking Away

Apr. 06, 2018  Host Brian Fortenberry chats with SVMIC attorney Katy Smith about the closed claim where a toddler receives treatment due to a tick bite. Together, they review the communication issues between physicians, the lack of continuity in care, and the misdiagnosis that led to the patient dying from a related infection.

Episode 009: The Case of Running Back Rundown

Mar. 30, 2018  In this week’s episode, host Brian Fortenberry interviews former nurse and current malpractice attorney, Stephanie Deupree about a closed claim case. Ms. Deupree details the medical treatment and experience of a 16 year old football player who had their leg amputated after a severe injury on the field.

Episode 008: Blame Boomerangs Back

Mar. 23, 2018  Brian Fortenberry chats with SVMIC Attorney Jim Howell about another Closed Claim Case. They discuss the liabilities and the details of a bowel perforation that was initially missed in the doctor-ordered CT scans and led to the patient’s death.

Episode 007: HIPAA Know-How – Part 2

Mar. 16, 2018  In Part 2 of our 2 part series, we continue our chat with HIPAA expert, Loretta Duncan. Brian asks about the ins-and-outs of HIPAA’s requirements for security with electronic information.

Episode 006: HIPAA Know-How – Part 1

Mar. 09, 2018  In this week’s episode we take a deep dive into the world of HIPAA compliance with Loretta Duncan of SVMIC. In Part 1 of our 2 part series, we cover rules, requirements, and restrictions as it relates to protecting privacy with health information.

Episode 005: Things to Consider Before You Commit: Joining a Group Practice

Mar. 02, 2018  When joining a group practice, there is more to consider than salary and location. In this episode, Dr. Matt Perkins and host, Brian Fortenberry chat about what to think through before you partner up.

Episode 004: Confessions of a Recovering Addict

Feb. 01, 2018  In this powerful episode, Dr. Bob shares his personal story with Brian. Dr. Bob has struggled with alcohol and drug addictions since his early youth all the way through medical school and well into his practice.

Episode 003: The Ins and Outs of Malpractice Policies

Feb. 01, 2018  Brian Fortenberry interviews Charmy Shrode, VP of Underwriting at SVMIC. Ms. Shrode explains the key differences between traditional insurance policies and malpractice insurance, the legal differences from state-to-state, and why medical professionals should prepare for the worse.

Episode 002: The Balancing Act of Work and Life

Feb. 01, 2018  In this episode, Brian Fortenberry chats with Dr. Bob Berkompas. As a Primary Care Physician, Dr. Berkompas shares how he balances a hectic work life with three children, medical committees, professional associations, and being active in his church, all while still keeping his promise to his family.

Episode 001: The Case of the Cancelled Appointment

Feb. 01, 2018  Brian Fortenberry details the Henry Jackson case and discusses with Claims Attorney, J. Baugh. Together, they review Mr. Jackson’s sinus issues and the mishandling of his care through a faulty appointment tracking system with his ENT.