The Tennessean

by Bill Frist

Russian-U.S. relations are complicated and, at times, trying. But since we share a commitment to improve the health of our citizens, there is much we can learn through dialogue and collaboration. And there is no better place to do so than Tennessee, the heart of health-service delivery innovation.

Even at the height of the Cold War, U.S. and Russian scientists collaborated closely to eradicate polio and smallpox. Similar collaboration can lead to mutual benefit for today’s shared challenges, chronic disease and obesity, with a byproduct of improved diplomacy. Collaborations on health-service delivery in Tennessee between Russian and U.S. doctors are a powerful example of health diplomacy and a valuable currency for trust and understanding.

Russia has more doctors, health-care workers and hospitals than most countries, but standards remain variable. Prime Minister Vladimir Putin has committed $16 billion over two years to bolster working conditions, training, and national electronic health records with a promise to trim bureaucracy.

The Washington-based Open World Leadership Center invited 30 health professionals from Kirov State, Russia, to come to the U. S., specifically to Tennessee, to study and explore financing, organization and delivery of health infrastructure and services.

The Russian delegation spent a day in Washington to better understand how health policy is formulated at the federal level and to visit the National Institutes of Health. They then came to Tennessee for a week, spending time in Memphis, focusing on research, and in Knoxville, focusing on rural health delivery.

The visit culminated in Nashville, where they observed firsthand our $70 billion global health-care industry. Hosts Nashville Health Care Council and Hope Through Healing Hands welcomed the travelers to the “Silicon Valley” of health care.

Industry leaders citywide opened their doors with sessions on medical simulation at Vanderbilt and HIV research by Meharry. The group also received an inside look at the public health sector’s progress on making communities healthier from state Health Commissioner Dr. John Dreyzehner, Nashville Mayor Karl Dean and Metro Public Health Director Dr. Bill Paul. The day concluded with global disease-management leader Healthways, and focused on the company’s work to improve well-being through prevention.

Most valuable, however, was the opportunity to hear what the delegates found most applicable to their home. Among them were the development of IT for unified e-records, logistics for emergency services, and the great benefit of community volunteerism.

As the U.S. and Russia attempt to address growing health demands, we have much to learn from each other. Collaboration, using health as a currency for peace, will mean healthier societies, better diplomacy and improved bilateral relationships between our nations.

Sen. William H. Frist is a nationally recognized heart and lung transplant surgeon and former majority leader in the U.S. Senate.

Nashville Business Journal
by Chris Silva, Staff Reporter

Former Tennessee Sen. Bill Frist was at the Hermitage Hotel this morning with about 30 Russian physicians and a cadre of Nashville’s health care and business leaders to promote global unity and attempt to solve public health and behavioral issues that lead to chronic diseases.

Frist said Russia faces many of the same health care dilemmas as Middle Tennessee.

“We do have the best health service infrastructure here in Middle Tennessee, so why not share it with the global community – a oneness of mankind?” said Frist, who prompted Sen. Lamar Alexander to send a request to Open World Leadership Center to host the health exchange. “Out of our commitment to global health, democracy, being the best in the health service delivery and using health as a currency for peace, we had the conference today. It will be a foundation for future exchanges.”

The Russian visitors started out with a tour of Vanderbilt University Medical Center this morning and listened to a presentation from an expert from Meharry Medical College on HIV/AIDS research.

Ralph Schulz, president of the Nashville Area Chamber of Commerce, was on hand, as was Mayor Karl Dean.

“I am concerned most about this issue of obesity,” Dean said. “It’s going to be a battle that will be won or lost in the Southeast.”

Today’s events were hosted by the Nashville Health Care Council and Hope Through Healing Hands.
I arrived in Kijabe, Kenya with two other senior anesthesia residents from Vanderbilt midday Sat Oct 29th, after departing Nashville Thursday Oct 27th, flying overnight to London, and then all day to Nairobi. We spent the night in the Mennonite Guest House in Nairobi, where we met several missionaries coming and going to and from various parts of east Africa, and then were driven up to Kijabe the next morning.

by Jenny Eaton Dyer, Ph.D.

Both Friend Force of Knoxville and Friend Force of Memphis are hosting the Russian delegates this week, including today. 

The Russian delegates in Knoxville will be meeting with governmental officials Mayor Daniel Brown as well as Judge Tom Varlan today. They will be briefed on the bluegrass music of Appalachia at the Knoxville Visitor's Center, and their afternoon will be spent visiting with Cherokee Health Systems. This evening, the North Rotary Club of Knoxville will host the Russian delegates for dinner.

In Memphis, the delegates will meet with the Memphis Medical Society as well as with the University of Memphis. At the University, there will be round table discussions regarding healthcare delivery in Russia and the United States among other presentations.

As 2011 draws to an end, The AIDS Support Organisation (TASO) is elated to record yet another milestone in restoring hope to people affected by HIV and AIDs pandemic in Uganda. The organization, with support from her development partners and friends, has completed the construction of a multi-million complex, named House of Hope.

The attractive building, located at Plot 10 Windsor Loop, Kampala, was officially opened on 16th of September 2011 in a grand ceremony presided by Hon. Princess Kabakumba Masiko, Minister of Presidency, who represented H.E Yoweri Kaguta Museveni, President of the Republic of Uganda.

by Jenny Eaton Dyer, Ph.D.

In following the meetings and events of the Russian delegation learning from Tennessee's wealth of health care corporations, universities, and institutions, we will share their schedule throughout the week.

Today, Tuesday, November 1, the delegates visiting Knoxville have spent the morning at Pellissippi State Community College touring the Nursing Department. This afternoon, they toured the UT Hospital and had a quick photo at the Rachmaninoff statue in World’s Fair Park. Afterwards, they will visit the Knoxville Museum of Art and learn about their Mobile Meals program for the elderly.

In Memphis, the other delegates met this morning at the Christ Community Health Services. This organization is a faith-based network of medical and dental clinics supplemented by a range of community outreach activities.  CCHS serves a primarily low-income minority population that does not have the resources to obtain care elsewhere. For lunch, they visited the Caritas Village. And, this afternoon, they visited the Assisi Foundation of Memphis for a presentation and discussion on current health care reform initiatives and then the Hope and Healing Center to learn about their wellness and fitness program for a low-income population.

I arrived at the beginning of September for my first time in Africa. I really did not know what to expect but after 2 weeks I am really deeply impressed. Kijabe hospital is a medical center in Kenya where people get medical treatment at a high level for a reasonable price. The doctors are well trained – mostly in America and Australia, the residents, house and medical officers are highly motivated, have abundant basic medical knowledge, and, on top of that, they receive a detailed and profound training in their specialties that will prepare them for their challenges in the smaller community hospitals. Politics just has to make sure that they stay here in Africa to serve their countries and their people after they are finished with their training.
In May 2007, Dr. William H. Frist co-led a Center for Strategic and International Studies (CSIS) delegation to Russia to participate in the first St. Petersburg State University Forum on Global Health. The forum explored bi-national cooperation in health and health care delivery, including the exploration of establishing a public health initiative in Russia.

At the conclusion of the trip, Senator Frist published the paper: “Improving Russian-U.S. Collaboration on Health” (Washington Quarterly, 30:4, 2007, pp. 7-17) which focused on how Russia and the U.S., in a time fraught with tension, could work together to solve public health issues in terms of policy, behavioral change, and chronic disease. Both could emerge as better, healthier, more viable countries, with health partnerships strengthening diplomatic relations.
No doubt, working at Kijabe is a once-in-a-lifetime experience. Upon setting foot on the dirt road leading to the hospital, I knew I would face many hurdles over the next four weeks as a general surgery resident. Over time, I appreciated subtle clues and changes in each patient’s physical exam to help guide the management of their care without relying on further information.

Bill Frist Flies Missions Worldwide to Help Those in Need

Contact: Dan Hubbard, (202) 783-9360, [email protected]

Washington, DC, August 22, 2011 – Esteemed doctor, pilot and former U.S. Senate Majority Leader Bill Frist has been awarded the National Business Aviation Association’s (NBAA’s) 2011 Al Ueltschi Award for Humanitarian Leadership in recognition of his life-saving efforts worldwide, and the importance of business aviation to those endeavors.

An accomplished medical researcher and heart transplant surgeon, Dr. Frist was elected to the Senate representing Tennessee in 1994, the first practicing physician elected to the lawmaking body since 1928. During his two terms in office, Frist rose to the majority leader position faster than any previous senator while spearheading efforts to improve medical access for Americans and others worldwide, notably leading on bills like the Medicare Modernization Act and the passage of the President’s Emergency Plan for AIDS Relief (PEPFAR). PEPFAR combats the spread of disease in resource-limited areas worldwide, and since its passage has provided life-saving anti-retroviral drug treatments to over 3.2 million people and counseling, testing and education to over 33 million to help prevent new infections. This ambitious program is often credited with saving a generation of Africans.

A true citizen-legislator, Frist has continued his regular medical mission trips worldwide since his retirement from the Senate in 2007. Frist – a pilot since the age of 16 and holder of multi-engine, commercial and instrument ratings – has consistently relied on aviation and his own piloting skills to expand his life-long commitment to healing to areas around the globe.

From using aviation night after night to personally transport hearts during his time-sensitive transplant procedures, to piloting planes throughout war-torn Sudan to perform surgery, Frist credits aviation as a powerful instrument for healing. Within days of the levees breaking in New Orleans after Hurricane Katrina, he flew his plane to care for those stranded. In flooded Bangladesh, he relied on floatplanes to ferry needed personnel and supplies on behalf of Save the Children and Samaritan’s Purse, and in 2010, he immediately flew to Haiti to perform surgery in the aftermath of the earthquake in Haiti.

“Bill Frist has combined his skill as an aviator with his expertise in medicine to reach people in need of life-saving treatment at home and all over the world,” said NBAA President and CEO Ed Bolen. “From piloting his own aircraft throughout Sudan to give surgical care, to using aviation to reach and treat victims days after the devastating earthquake in Haiti, the senator and doctor truly ‘walks the walk’ in assisting those most in need of help. He exemplifies the humanitarian spirit that’s always been a part of business aviation, and we are honored to recognize his pioneering work with this award.”

In his 2009 book Heart to Serve: The Passion to Bring Health, Hope, and Healing, Frist wrote about his belief that medicine unites the world in its common goal for peace. "People don't usually go to war against someone who helped save their children," he wrote. "While the world often sees America's tougher side...when people see America's more compassionate, humanitarian side, the barriers come down, and peace becomes a viable possibility."

Established in 2006, NBAA’s Al Ueltschi Award for Humanitarian Leadership recognizes the spirit of service demonstrated by humanitarian leaders within the business aviation community. The award is named for Albert L. Ueltschi, who was instrumental in the development of ORBIS, an international non-profit organization dedicated to preventing blindness and saving sight.

The award will be presented to Frist at the Opening General Session for NBAA’s 64th Annual Meeting & Convention (NBAA2011) in Las Vegas, scheduled for 8:30 a.m. on Monday, October 10, 2011. The full Convention will be held Monday, October 10 through Wednesday, October 12.

Past recipients of the Al Ueltschi Award for Humanitarian Leadership include Cessna Aircraft Company (2006), the Veterans Airlift Command (2007), Corporate Angel Network (2008), and the Civil Air Patrol (2009). Last year, the Association honored humanitarians throughout the business aviation community for their efforts in providing relief efforts following the earthquake that devastated Haiti in January 2010.

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Founded in 1947 and based in Washington, DC, the National Business Aviation Association (NBAA) is the leading organization for companies that rely on general aviation aircraft to help make their businesses more efficient, productive and successful. The Association represents more than 8,000 companies and provides more than 100 products and services to the business aviation community, including the NBAA Annual Meeting & Convention, the world's largest civil aviation trade show. Learn more about NBAA at www.nbaa.org.

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