Episode 047: The Case of Good Medicine, Management, and Documentation
Jan. 11, 2019 In this closed claim case, a woman with a family history of breast cancer was closely monitored for 6 years. When she was diagnosed with breast cancer, the patient filed a lawsuit against her general surgeon. She alleged that her cancer should have been diagnosed at least eight months sooner. Learn how, in this case, it proves that even if all the right steps are taken, one is never immune to a lawsuit.
Episode 046: Avoiding the Crash and Burn
Jan. 04, 2019 Dr. Dike Drummond of The Happy MD speaks with Brian Fortenberry about physician burnout. Understanding burnout is not that simple, and Dr. Drummond helps doctors navigate circumstances that can lead to this state. He shares some practical tips on prevention and how to get out of the rut.
Episode 045: Reviewing RVUs
Dec. 14, 2018 Host Brian Fortenberry and guest Jackie Boswell discuss the ins and outs of Relative Value Units (RVUs), how they work, and how they're calculated. They discuss how important it is for physicians to be educated when it comes to RVUs, especially for compensation purposes. RVUs have a wider reach as well, being used to evaluate specialties, compare physicians, and assess practices across the nation.
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.