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March Events

For more information on these and other events, please go to the online calendar at www.nashvillemedicalnews.com
March 21-22:March 25:
March 28:

March 8:	Health & Wellness Fair • 1-4 pm • Gordon Jewish Community Center • www.nashvillejcc.org.
Be a Professional Legal Nurse Consultant Certification Course • 8 am-4 pm both days • Holiday Inn Opryland Airport, 2200 Elm Hill Pike • Elizabeth G. Rudolph, an attorney, nurse and legal nurse consultant, will lead the course to help nurses become expert witnesses. www.jurexnurse.com • (901) 496-5447.
Nashville Fearless Cargegiver Conference • 8:30 am-2:30 pm • Scarritt Bennett Center, Laskley Building • 1008 19th Avenue S. • Hands-on advice and support for those caring for loved ones • Sponsored by Caregiver magazine and the Greater Nashville Regional Council AAAD • www.caregiver.com • 800-829-2734.
Walk in Their Shoes • 9 a.m. (registration 8:15) • 5K Walk beginning on the east side of the Shelby Street Bridge • Hosted by Sexual Assault Center • www.sacenter.org.

Mark Your Calendars: MFA Event Slated for June

Last month, the Medical Fitness Association (MFA), an affiliate of the American Hospital Association, announced the first annual Medical Fitness Institute, which will take place June 11-14, 2009, at Vanderbilt University. The Medical Fitness Institute (MFI) will address the growing need for educated individuals to manage medically integrated health and fitness centers. The three-day program will highlight a variety of topics directly related to the operational success of medical fitness centers and the development of industry leaders for this growing field with seminars focused on the medical fitness model and including marketing, recruiting and retention of staff, clinical integration, aspects of the medical fitness difference, facility certification, and strategic planning. Program graduates will have the opportunity to participate in a yearlong mentorship program. For more informatio, please visit
"We were able to go in through a single 5 cm incision around the umbilicus and take her kidney out intact," said Herrell, who is director of Minimally Invasive Urologic Surgery and Robotics. "Five centimeters sounds like a big incision but there is a lot of skin in the umbilicus, so you can hide the incision in those folds."

This new form of belly button surgery is also known as LESS, or laparoendoscopic single-site surgery. What makes this approach unique is that the camera and all of the laparoscopic instruments go through a single small incision. This feature is simultaneously responsible for the increased benefit to the patient and increased challenge for the surgeon. Putting the surgical instruments into a single small space around the navel is much trickier than the traditional three-to-five small incisions. Herrell said surgeons have to be able to think three-dimensionally to manipulate instruments and camera without having them clash.

Ted Anderson, MD, PhD, director of the Division of Gynecology has also just performed his first LESS procedure. He removed the patient's entire right ovary through a single 2.5 cm incision in the navel. "She needed pain pills for just one day and was back to her exercise program, including jogging, that weekend and returned to work the following Monday," Anderson marveled.

New Medical Guild Launched

Recently, the Catholic Medical Association (CMA), a national organization founded in 1912 to support physicians who want to practice within the framework of the moral teachings of the Catholic Church, launched a Nashville Chapter. Rachel Kaiser, MD, an emergency physician at Saint Thomas Hospital has been named president of the local chapter.

The guild is open to any Catholic healthcare provider and currently counts doctors, nurses, hospital administrators and medical students as members. The organization plans to meet throughout the year to discuss relevant moral and bioethical issues.

AmeriChoice Integrates Behavioral, Medical Care in Key Partnerships

AmeriChoice by UnitedHealthcare of Tennessee announced that they have signed definitive agreements with both Matthew Walker Comprehensive Care Center and United Neighborhood Health Services (UNHS) to deliver behavioral healthcare services to TennCare beneficiaries as of February 12, 2009. Matthew Walker and UNHS are now two treatment systems in Middle Tennessee in which AmeriChoice members can receive the full range of integrated medical and behavioral healthcare in the same setting. To take on behavioral health services, Matthew Walker and UNHS hired behavioral healthcare clinicians and contracted them for outpatient services. To be able to offer Tennessee's Medicaid recipients a true integrated care model that brings together behavioral and medical healthcare in the same location is an exciting step forward, said Lea Haynie, executive director of Behavioral Health Services for AmeriChoice by UnitedHealthcare of Tennessee. In a similar partnership, Central Pediatrics offers behavioral healthcare through Centerstone; both organizations are in the AmeriChoice by UnitedHealthcare network.

STHS Partners with Hope Clinic on Postpartum Depression Counseling, Education

Saint Thomas Health Services has developed a partnership with Hope Clinic for Women to provide better counseling and educational resources for area women suffering postpartum depression. Baptist Hospital and Middle Tennessee Medical Center (MTMC), both part of STHS, make follow up calls to new moms at home and include questions related to postpartum depression. Women can be connected to the Hope Clinic for Women for a full phone assessment or to set up counseling. In addition, physicians at Baptist and MTMC can refer patients who might benefit from the treatment services offered.

Although as many as 80 percent of women experience some mood disturbances after pregnancy, one in seven will experience postpartum depression, which usually occurs within a few months of delivery and can last up to a year. Its peak onset usually occurs between two and 12 weeks postpartum.

Resources available from Hope Clinic include screening and diagnostic assessment, individual or couples therapy, support groups, support services for fathers or referral for psychiatric evaluation and follow up. Services are offered on a sliding scale, based on the ability to pay, and the program is open to any woman in the Middle Tennessee community who may be experiencing postpartum depression. For more information, call Saint Thomas Health Services at 284-PINK (7465) or Hope Clinic for Women at 321-0005 or visit www.hopeclinicforwomen.org.

Two New Maternal-infants Sites To Open In Nashville

Two new sites of the Maternal Infant Health Outreach Worker (MIHOW) program will open in Nashville in the spring, according to Tonya Elkins, director of the program. The new MIHOW sites are being founded with support from the Governor's Office of Child Care Coordination, United Neighborhood Health Services, and the Community Foundation. Catholic Charities sponsors another MIHOW program in Nashville, which primarily serves Spanish-speaking women.

The MIHOW program uses local women as its primary staff and is a partnership between the Vanderbilt University Center for Health Services (CHS) and community-based organizations in five states: Kentucky, Louisiana, Mississippi, Tennessee and West Virginia. These women — mothers who are trusted locally for their compassion and commitment to their community — visit pregnant women and families with young children up to 3 years of age in their home to promote healthy living and self-sufficiency. Because these workers come from the same background as the families they serve, they are role models throughout the community for families held back by poverty, low self-esteem and isolation. A study published at the end of January in the American Journal of Preventive Medicine, reported prenatal home-visitation programs that focus on social support, health education and providing access to services hold promise for reducing low birthweight deliveries among at-risk women.

Let's Give Them Something to Talk About!
Awards, Honors, Recognitions

Nashville's Alive Hospice President and CEO Janet L. Jones has been named chair-elect of the National Hospice and Palliative Care Organization's Board of Directors. NHPCO is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the United States. As chair-elect, Jones is in line to assume the role of NHPCO Board chair in late 2010.

Saint Thomas Hospital is one of only 270 hospitals nationally and the only hospital in Nashville to receive HealthGrades Distinguished Hospital for Clinical Excellence Award. This distinction is based on an independent study released today by HealthGrades, the leading healthcare ratings company. The study of quality at the nation's nearly 5,000 nonfederal hospitals places Saint Thomas Hospital in the top five percent for overall clinical quality. According to the study, Distinguished Hospitals for Clinical Excellence had mortality rates that were, on average, 27 percent lower than other hospitals, and major complication rates that were eight percent lower.

Robert Stein, MD, received the Orthopaedics Overseas Leadership Award, a national honor offered in recognition of volunteer service with Health Volunteers Overseas, at the end of February during the annual American Academy of Orthopaedic Surgeons meeting, which was held in Las Vegas. Stein, who is with Tennessee Orthopaedic Alliance, helped found a program that teaches orthopedic surgery in Bhutan.

General Sessions Court Judge Dan Eisenstein, who presides over the Davidson County Mental Health Court, recently presented an award of appreciation to Quincy Acklin, a case manager at Centerstone who acts as the organization's liaison to the Mental Health Court. Acklin was honored for his efforts in identifying and securing appropriate services for those participating in the court's treatment/probation program.

Franklin-based Passport Health Communications, Inc., a revenue cycle management company, has been certified as a compliant Level 1 Service Provider by the PCI Security Standards Council, a consortium of credit card issuers including VISA, MasterCard, Discover Card, American Express and JCB International. The regulations are designed to impose standards among businesses to minimize fraud, identity theft and other ways cardholder information can be compromised. There are four levels of compliance, with Level 1 being the most stringent.

Mid South Chapter of National MS Society Elects Board
MS Awareness Week: March 2-8

In late January, the Mid South Chapter of the Multiple Sclerosis Society elected its 2009 Board of Trustees, including two new board trustees. For his third year, Paul Lindsley, director of communications at Saint Thomas Hospital, was elected Chairman of the Board. New members include Steven Simmons of Baker Donelson in Nashville and Sibyl Wray, MD, from Hope Neurology in Knoxville. Re-elected board trustees include: George Bradley, Roger Cole, Robert Fallis, MD, Elizabeth Finch, Mark Fry, Robert Hendrick, George Huddleston, Demetria Kalodimos, Mary Littleton, Phil Lowe, Julie Mayfield, Bob Mueller, Kevin Poff, Stephen Smith, Ram Sriram, M., and Mary Nell Wooten.

For the national MS awareness week in early March, the Mid South Chapter, which serves more than 7,800 MS clients in 105 counties in Tennessee, Alabama, Georgia and Arkansas, launched their "Move It to End MS Now" campaign. Every hour in the United States, someone is newly diagnosed with MS, an unpredictable, often disabling disease of the central nervous system. For ideas on how to actively participate in the week and bring attention to this disorder, go online to www.nationalmssociety.org.

STHS Launches Life Therapies

Saint Thomas Health Services recently announced the launch of Life Therapies, a new division of Outpatient Rehabilitation Services, which will offer specialized therapy to patients in a unique, soothing environment. In conjunction with Baptist Sports Medicine physical therapy clinics, Life Therapies clinics will offer rehabilitation services for patients dealing with health issues including lymphedema; neurological conditions as the result of stroke, traumatic brain injury or chronic neurological disorder; vestibular disorders; pediatric developmental disabilities; and women's health issues ranging from incontinence to pelvic floor pain to sexual dysfunction.

"Baptist Sports Medicine has been a leader in orthopedic rehabilitation for 30 years and because of our experience, we have been able to identify patients that are being underserved -- therefore inspiring the idea for Life Therapies," said Trent Nessler, managing director of STHS Outpatient Rehabilitation Services.

SRHS Welcomes Family Wellness Group

Sumner Regional Health Systems recently celebrated its partnership with Family Wellness Group of Middle Tennessee during a special ribbon-cutting ceremony at the practice's new location in Hendersonville. Family Wellness Group, led by G. Summers Chaffin, MD, is a long-standing and successful primary care group that has served patients in the Hendersonville, White House, Gallatin and Nashville markets for over 10 years.

"This transaction with Family Wellness Group represents the first employed physician practice model at SRHS," said David Popen, SRHS senior vice president and chief development officer. "It will allow the health system to grow critically important primary care in Sumner Regional Medical Center's (SRMC) service area beyond Gallatin and will further our strategies to develop an active, sustainable avenue to increase inpatient and outpatient volumes in the entirety of the SRMC primary service area."

Telehealth Partnership Offers Medical Translation to Patients in Rural Tennessee

Health Assist Tennessee, a Nashville-based non-profit that strives to help Tennesseans overcome barriers to healthcare whether due to financial problems or difficulty with English, has partnered with Community Health Network to offer translation in 13 languages across the CHN Telehealth Network, currently installed in 55 locations across the state.

Interpretation now includes signing for the deaf and hearing impaired. According to the Tennessee Association of the Deaf, more than 500,000 Tennesseans are deaf or hard of hearing. From the Health Assist home base in Nashville, Gina Richiuso was able to use the computerized video equipment and microphone to facilitate a conversation between Ingrid Fernandes, MD, and her deaf patient for the first time in late January. "It was just like having the signer in the room with the patient," said Dr. Fernandes, from her clinic in East Tennessee. "This technology truly can enhance the patient and physician experience in the exam room, breaking the barrier between hearing impaired patients and providers in healthcare."

Rolling Hills Hospital Opens Doors
Facility Designed for Acute, Inpatient Mental Health Services

Rolling Hills Hospital, an 80-bed acute psychiatric and substance abuse facility, has opened its doors to the Middle Tennessee community offering acute, inpatient mental health services for all ages.

Construction on the $25 million state-of-art facility, located at 2014 Quail Hollow Circle in Franklin near Williamson Medical Center, concluded in late December 2008, and the facility began accepting patients on January 16, 2009. The primary service area will be from Knoxville to Jackson and will include the corresponding southern areas in Tennessee. The 65,000 square-foot facility includes 23 geriatric beds, 15 beds for adult detox, 24 beds for general adult services and 18 adolescent beds.

Centennial Medical Center Adds Open Bore MRI

Centennial Medical Center has added an open bore, 1.5 Tesla magnetic resonance imaging (MRI) system to its technology offerings used to help diagnose possible illness and injury. Centennial is the only area hospital using an open MRI of this kind on both an inpatient and outpatient basis. "This new scanner combines high-field power with unprecedented patient comfort," said Wayne Reid, Centennial's vice president of imaging services. "This is important because patients who are comfortable are better able to limit their movement, which allows for a more accurate image."

The new scanner can accommodate patients up to 550 lbs., compared to 350 lbs. with closed high-field MRI designs. The bore opening of 2.3 feet in diameter eliminates the confinement and discomfort of traditional MRI designs, easing feelings of claustrophobia in patients.

Southern Hills Adds Two Neurologists

Board-certified neurologists Terri Edwards-Lee, MD and Timothy S. Lee, MD have joined the medical staff at Southern Hills Medical Center and partnered to open Neurology Specialists of Middle Tennessee. The Lees are relocating to Middle Tennessee from Southern California where Edwards-Lee was an associate professor at the UCLA Department of Neurology and Lee practiced general neurology, stroke care and neurodiagnostics as a member of Neuromedical Diagnostic Medical Group and the medical staff of Long Beach Memorial Medical Center and St. Mary Medical Center.

Edwards-Lee, a specialist in Alzheimer's and other dementias, received her medical degree from the University of Texas Southwestern Medical School in Dallas and completed a neurology residency at Harbor-UCLA Medical Center in Torrance, Calif. and a neurobehavior fellowship at the UCLA David Geffen School of Medicine at UCLA in Los Angeles.

Lee received his medical degree from the New York University School of Medicine in New York City. He completed a residency in neurology at the University of Southern California – Los Angeles County Medical Center and an internal medicine residency at the University of Texas Southwestern Medial School Department of Internal Medicine.

Nurse Company Hires President

The Nurse Company, a Nashville-based company dedicated to addressing the global nursing shortage, recently announced the addition of Curtis McDowell as president. In his new role, McDowell will oversee all facets of the company's development and sales growth, in addition to directing the corporate fundraising efforts. He was selected to help the company, which was founded in 2007, develop and implement international growth strategies. He will also be in charge of political and government affairs for the company.

Jackson Cothren, MD, Opens New Office at Centennial Medical Center

Jackson D. Cothren, MD, who is board certified in obstetrics and gynecology, has opened a new office at the Centennial Professional Plaza. He has been in private practice in Nashville for more than 30 years. He recently served as an investigator for ACE Research and contracted with BlueCross BlueShield of Tennessee on utilization management and peer review. His practice specializes in hormone replacement, abnormal uterine bleeding and minimally-invasive surgery. He is a graduate of the University of Tennessee College of Medicine and completed his residency at Vanderbilt University Medical Center.

Galyon Joins Harpeth Capital, LLC

Harpeth Capital –– the investment banking arm of Harpeth Companies, a diversified financial services firm headquartered in Nashville –– recently announced L.A. Galyon has joined the firm as a director in the investment banking group. Galyon was most recently with Goldman Sachs Group, Inc. in Atlanta in their Specialty Lending Group, where he focused on investing the firm's own balance sheet in debt and equity securities of middle market companies in the healthcare services and healthcare IT sectors.

Council Ventures Adds New General Partner

Council Ventures, a leading venture firm focused on healthcare cost and quality improvement, and the convergence of healthcare and financial services, announced that Grant Jackson has joined the firm as a General Partner. Prior to joining Council, Mr. Jackson was a partner at The Aurora Funds where he invested in healthcare services and healthcare information technology companies.

UNHS, Faith Family Medical Clinic Join Dispensary of Hope Network

United Neighborhood Health Services' Downtown Clinic and Faith Family Medical Clinic are partnering with the Dispensary of Hope to provide free prescription medicines to uninsured individuals, officials announced at the end of January. The Dispensary of Hope is a growing network of prescription medicine dispensing sites, sourcing partners and financial partners that assist poor and underserved individuals in getting the medications they need for the short and long-term.

Good Health Associates Expands

Reita Agarwal, MD, recently announced addition of two Physician Assistants to her staff of providers. Sangeetha McCollum, PA-C and Phoebe Romero, PA-C will work in conjunction with Agarwal to diagnose, treat and manage the healthcare needs of patients. Good Health Associates offers a full range of services for the adult patient focusing on wellness, prevention, chronic disease management, women's health and patient education.

Romero is a board-certified physician assistant and a graduate of Wake Forest University with over nine years experience.

McCollum is also a board certified and received her physician assistant degree from Bethel College and her undergraduate degree from Lipscomb University. She began practicing as a physician assistant in 2008 with a background in neurology.

Wright Elected Non-Executive Board Chair for American Service Group Inc.

At the end of January, Brentwood-based America Service Group Inc. (NASDAQ:ASGR) announced that the company's Board of Directors unanimously elected Richard D. Wright as the Non-Executive Chairman of the Board, effective immediately. Wright succeeds Michael Catalano, whose resignation from the Board of Directors became effective January 1, 2009.

Wright is a senior partner with Southwind Health Partners, a physician practice management and consulting company for health systems and independent group practices.

STHS Graduates First Formation and Development Class

In 2008, Saint Thomas Health Services launched its first Formation and Development for Catholic Healthcare Ministry Leadership class, an intensive one-year spiritual formation and leadership development program that provides insight into STHS' spiritual core and the leadership skills to support it.. The first graduating class, which includes 10 leaders from across Saint Thomas Health Services' facilities, was recognized during a luncheon on Jan. 30.

BlueCross BlueShield of Tennessee Adds Staff

BlueCross BlueShield of Tennessee recently promoted Janet McConnell to director of marketing communications and brand strategy. She will oversee the development and implementation of BlueCross' associated advertising and brand strategy including the creation and execution of marketing tactics in all forms of media.

Also promoted to a director's position was Leasa McKay who will be responsible for assessing evolving market needs and regulatory changes stemming from reform agendas in order to develop adaptive market strategies. In her role, she will also be responsible for solidifying the company's relationships with brokers, consultants and business coalitions to effectively execute market strategies while overseeing strategic market planning.

The company has also named Danny Timblin its new vice president and treasurer. He will oversee investment management; operating and capital budgeting; corporate strategy and development, and corporate planning and forecasting. Timblin joined BlueCross in 2006 as manager of corporate development and in 2007 was promoted to director of strategic services.

Gale P. Arden recently joined BCBST as director of public programs, research and planning for federal programs. In this role, Arden will be responsible for offering consultation within BlueCross' government business and emerging markets division as well as to BlueCross subsidiary, Volunteer State Health Plan. She will also participate in researching, developing and implementing solutions in federal and state healthcare. Before joining BCBST, Arden was employed by the Centers for Medicare and Medicaid Services.

BCBST has also recently added Dakasha Winton as counsel for the state government relations and public affairs team. In this role, Winton will provide legal support in all legal and regulatory matters that pertain to BlueCross interactions with the state of Tennessee.

HCA's TriStar Health System Affirms Support of Guard and Reserve

Last month, 20 hospital CEOs with HCA's TriStar Health System reaffirmed their support of the nation's National Guard and Reserve units. In a ceremony attended by representatives from the Army Reserve, National Guard and Employer Support of the Guard and Reserve (ESGR), hospital CEOS from Kentucky, Tennessee and Northwest Georgia signed ESGR Statements of Support at HCA's TriStar division office in Brentwood.

"HCA's TriStar Health System is proud to support the men and women, and their families, who make significant sacrifices to answer our country's call to service," said Larry Kloess, president of TriStar Health System. He added that signing Statements of Support was a visible reaffirmation of the company's long-standing commitment to the Guard and Reserve. According to Kloess, HCA was awarded the Above and Beyond award in 2005, recognizing the company's support of employees who serve that goes above and beyond the requirements set by law. While employees are deployed, HCA pays any difference between the military and HCA salaries and continues providing insurance benefits for family members, paid time off accrual and seniority. HCA currently has about 125 employees company-wide on military leave; 22 employees with the TriStar division are currently active duty and/or reservists.

Cumberland Consulting Celebrates Fifth Anniversary, Takes on New Partner

As the industry moves toward broad adoption of the electronic medical record, Nashville-based Cumberland Consulting, a firm specializing in technology solutions to improve patient care and lower costs, is celebrating its fifth anniversary and positioning itself for future growth by naming a new partner, Tom Hogenkamp. What was a mere start-up firm by four former Ernst & Young executives five years ago has grown into a national technology implementation firm with more than 50 professionals in 14 states supporting some of the country's largest healthcare providers.

Hogenkamp is a former executive at Ernst & Young, Cap Gemini Ernst & Young and, most recently, Electronic Data Systems.

VMC Lands $1.3 Million Contract For Research Electronic Data Capture

Vanderbilt University Medical Center has received a $1.3 million contract from the National Institutes of Health to continue development of a Web-based program that is helping researchers around the world collect and manage study data. REDCap –– Research Electronic Data Capture –– was developed five years ago by Paul Harris, PhD, research associate professor of Biomedical Informatics and Biomedical Engineering and supports approximately 400 projects and 1,400 researchers. REDCap services are available to Vanderbilt and Meharry Medical College research teams at no cost through support provided by Vanderbilt's Clinical and Translational Science Award grant, led by Gordon Bernard, MD. For more information, go online to www.project-redcap.org.

NorthCrest Wound Healing & Hyperbaric Center Names Program Director

William B. Hodges has been named program director for NorthCrest Wound Healing & Hyperbaric Center. Hodges will be responsible for all aspects of the center's operations including ensuring quality patient care, recruiting and hiring, compliance with federal and state guidelines, budgeting and fiscal policies, and marketing and sales. NorthCrest Crest Wound Healing & Hyperbaric Center, a National Healing Corporation Wound Healing Center, specializes in the treatment of chronic wounds and non-responsive conditions and offers hospital-based outpatient wound care and hyperbaric oxygen therapy.

Gresham, Smith and Partners Releases This is Not a Drill

Gresham, Smith and Partners, a leading national architecture, engineering, interior design and planning firm, recently released "This is Not a Drill," a book detailing current and future trends that will affect the delivery of healthcare in America. Authored by Marc Sauvé, MBA, a senior healthcare strategist for GS&P the material presented in the book provides thought leading, comprehensive insights and senior level strategy support to management teams within the healthcare industry by identifying real factors that affect healthcare growth and investment.

This Is Not a Drill presents readers with insights on how changing patient acuity, disease rates and staff shortages will impact the work environment and how to appropriately position for focused growth, payment change and significant turbulence. "I have repeatedly heard hospital executives and board members at several strategic planning sessions say that they do not want to project out five to 10 years because of the uncertainty, turbulence and perceived magnitude of disruption. They are more concerned about the next 12 months," stated Marc Sauvé. "But if you examine the mega-trends individually, you can start to project out with a clear vision."

Passport Expert Edits Compliance Book

Patrick Harkins, vice president of content development and compliance officer for Passport Health Communications, Inc., served as a technical editor for the recently published book from MedLearn titled, "2009 Advance Beneficiary Notice Compliance Essentials."

The book, for sale on the MedLearn Web site (http://www.store.medlearn.com/item-detail.cfm?ID=PABN&storeid=1), is a comprehensive resource for hospital managers, helping them comply with one of Medicare's more complex and challenging regulatory requirements – the proper completion of the Advance Beneficiary Notice of Non Coverage (ABN). The manual covers topics ranging from the definition and background of the ABN to specific rules about how to use the form.

Tuomey Medical Center Partners With nTelagent

Nashville-based nTelagent, Inc. has announced that it has entered into an agreement with Tuomey Regional Medical Center, a 301-bed facility located in Sumter, S.C., to help the hospital improve the handling of both insured and uninsured patient financial accounts at the point of service. Under the agreement, Tuomey will implement nTelagent's proprietary, web-based Self-Pay Management System (SPMS), known as the Retail Application for the healthcare industry, to ensure a better patient experience through clearer communication of financial responsibilities on the front end. In 2008, the South Carolina Hospital Association endorsed nTelagent's SPMS as a tool to improve the handling and documentation of self-pay accounts and charity care administration. SPMS also has been endorsed by hospital associations in Georgia, Tennessee, Mississippi, Texas and Louisiana, with other partnerships in advanced discussions.

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