M a r c h / A p r i l 2 0 1 3 V o l . 3 4 N o . 2

SOUTH CAROLINA’S MEDICAID DEBATE Transformation of the Biomedical Industry

Senior Care Stresses on the Workplace

MUSC Children’s Hospital Make it Happen

Is your Health Information Protected? Health care is changing. And it’s for the better.

By collaborating with your doctors, we’re providing a path toward healthy living for all South Carolinians.

A patient-centered medical home is a new way of practicing medicine that will remind you of the old ways of health care: You finally get to spend time with your doctor again. We’re connecting physicians, nutritionists, care coordinators and even your pharmacists - so you’re Collaborative Care provided with outstanding preventive care and a full understanding of your medications. It matters how you’re treated. And we’re working to make health care better for you and everyone else in the state. See what your physician has to say about the future of our health care by visiting

Electronic Records aHealthySC.tv Personalized Treatment

Because it matters how you’re treated. Copyright © 2012, BlueCross BlueShield of . All rights reserved. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.

bcbs_006506_8.5x11_00.indd 1 10/17/12 4:43 PM TRANSFORMING ® THE HEALTHCARE LANDSCAPE

LISTEN. DIAGNOSE. TREAT. It works for your patients. It works for our clients.

Our statewide team of healthcare attorneys helps large hospital systems, nursing homes, diagnostic testing centers, and physicians find practical solutions to complex problems.

WWW.HSBLAWFIRM.COM CHARLESTON COLUMBIA FLORENCE GREENVILLE MYRTLE BEACH WASHINGTON, DC

Matthew P. Utecht, Healthcare Group Leader, ONE North Main, 2nd Floor, Greenville SC 29601 864.840.3200 [email protected] March/April 2013 contentsFEATURES Volume 34, Number 2 South Carolina South Carolina’s Medicaid Debate...... 12 Chamber of Commerce 12 by Thornton Kirby and Anthony Keck 1301 Gervais Street, Suite 1100 Columbia, South Carolina 29201 800.799.4601 MUSC Children’s Hospital www.scchamber.net Make it happen...... 14 M by Jean Cecil Frick President & Chief Executive Officer OTIS RAWL Protecting the privacy and security of health information...... 18 Vice President of Public Policy by Jeanne Born & Communications DARRELL SCOTT

MEMBER SPOTLIGHT Associate Vice President of Communications Select Health of South Carolina...... 20 JULIE SCOTT by Susan Hill Smith MultiMedia Manager JEAN CECIL FRICK 14 I am S.C. Business...... 28 M

ECONOMIC DRIVERS SOUTH CAROLINA BUSINESS 18 MAGAZINE Businesses can transform education • Steve Burry...... 6 Editor The Affordable Care Act implementations in 2013 • Robby Kerr...... 8 JEAN CECIL FRICK

Art Direction & Design Do your employees feel like a sandwich? • Tim Timmons...... 9 TIM MCKEEVER / TMCA INC.

Greenville event marks transformation of biomedical industry Production & Print Coordination TMCA INC. • Wayne Roper...... 10

Advertising Sales Legislative Spotlight CONVERGING MEDIA LLC Senator Thomas Alexander • Thomas Mullikin...... 8 DEIDRE MACKLEN 20 803.318.3923

DEPARTMENTS Message from the President...... 3 Member News...... 25 Otis Rawl Welcome, New Members...... 26 After the Event Legislative priorities discussed at Business Speaks...... 22 Advertiser Index...... 26

Marie Sitter, SPHR, named 2013 HR Professional of the Year...... 24

STATE CHAMBER with Distinction

Copyright © 2013 by Converging Media LLC and the South Carolina Chamber of Commerce. All foreign and U.S. rights reserved. Contents of this publication, including images, may not be reproduced without writ- The opinions and views expressed by the contributors to this publication do not necessarily reflect the opinions and ten consent from the publisher. Published for the South Carolina Chamber of Commerce by Converging Media views of the South Carolina Chamber of Commerce, its staff or members. LLC. 803.256.3010

2 | S o u t h C a r o l i n a B u s i n e ss The looming health care debate and your tax dollars

ike many states, the health care debate continues Virginia’s bold to hang over South Carolina. One critical area is infrastructure investment will the decision to expand Medicaid. Governor Nikki also benefit its port to help Haley has said that under her leadership, South handle the post-Panamax Carolina will not expand Medicaid or participate in ships that will be entering any health exchanges. The South Carolina Hospital the East Coast. The Port of FROM THE PRESIDENT Association and others urge expansion, pointing Charleston will be in direct out that approximately 250,000 uninsured South competition with this port for Carolinians would gain health care coverage under a state handling cargo. Yet, Virginia Lexpansion of Medicaid. Some members of the General Assembly - often deemed one of the have also offered proposals. most business friendly states Medicaid expansion is a complicated issue with many facets, in the nation - has taken a but rest assured the South Carolina Chamber of Commerce is strong first step in ensuring it focused on the impacts to employers and employees. We are is the top port of call on the studying and examining the issue from all angles. In fact, we have East Coast. In other words, gathered some of the brightest minds in business and health care states that South Carolina to fully examine Medicaid expansion. This comprehensive group is directly competes with for looking at all of the positives and negatives to employers and will jobs and capital investment report back their findings. are addressing their While we examine issues like Medicaid expansion and ensuring infrastructure needs now. South Carolina taxpayers get the best return on their investments, The link between sound we cannot overlook infrastructure. South Carolina’s roads and and reliable roads and bridges bridges have not seen a dedicated funding increase since 1987, and economic development a time when there were one million fewer residents on roadways. cannot be underestimated. It Today, nearly one-third of our primary and interstate highways and is time for the South Carolina half of secondary roads are in poor or mediocre condition. One out General Assembly to make of every five bridges in the state is considered deficient. infrastructure financing a top priority. Otis Rawl is president and With South Carolina’s business community leading the In this health care focused edition of South Carolina Business, chief executive officer of charge, the issue has reached a boiling point and now it’s up to we take a closer look at the Medicaid expansion debate and the the South Carolina policymakers to exert bold leadership. South Carolina’s business latest changes for employers as a result of the federal health care Chamber of Commerce. community has released a Road Map to the Future, a detailed plan law. We also introduce you to care at the Medical University of for the General Assembly to begin addressing funding of the state’s South Carolina Children’s Hospital that is the only location for infrastructure. After all, financing infrastructure is a core function pediatric bone marrow transplants in the state. This edition also of government. Fourteen associations have come together to takes a look at the growing life sciences industry. support the Road Map, which addresses three major improvement As the General Assembly addresses issues key to South areas: Interstate Expansion ($2.8 billion), Bridges ($2 billion) and Carolina’s competitiveness this legislative session, whether it be Resurfacing ($1.2 billion). health care costs or infrastructure, I encourage you to continue to I invite you to review the Road Map to the Future at www. make your voice heard at the State House. After all, businesses are scchamber.net. taxpayers too. The $6 billion plan begins to address critical avenues for economic development and takes a statewide approach to statewide responsibilities. In the Road Map, we have included Review the Road Map to the Future several viable funding options that do not increase taxes or fees, at scchamber.net including dedicating a portion of new General Fund revenue, dedicating dollars from the Capital Reserve Fund and redirecting existing vehicle-related revenues. If the General Assembly follows this reasonable and common sense path, more than $250 million could be invested in roads this year alone. Several South Carolina policy leaders have introduced ideas that represent good first steps in investing in infrastructure. In late February, the commonwealth of Virginia passed its own transportation plan that includes a laundry list of funding options for infrastructure. As a result, over time, Virginia will have an additional $1 billion in transportation funding, substantial enough to meet increased transportation needs.

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 3 Agapé Senior investing over $8 million in downtown Columbia gapé Senior, one of the largest senior healthcare providers in South Carolina, Aplans to relocate its corporate headquarters and some of its retail services to three buildings, investing more than $8 million in downtown Columbia. Agapé Senior will occupy a total of 43,000 square feet of space on Main Street. Besides the corporate offices of Agapé Senior, other Agapé services will be either relocating or opening an additional location on Columbia’s Main Street:

BUSINESS BRIEFS Agapé Senior Primary and Palliative Care, Agapé Pharmacy, 24/7 Health and Fitness Center, Agapé Gourmet and Catering, Good Life Café, and a new 3,000 square foot conference center that will hold 300 people. Mashburn Construction Company will renovate the three buildings. Lee Mashburn, vice president and longtime board member of the City Center Partnership, has assisted in the relocation plans for Agapé Senior. “We intend to maintain the historic look of all three buildings,” Mashburn said.

Google brings additional investment to Berkeley County data center oogle announced it will expand its operations at the Mt. Holly Commerce GPark in Berkeley County. The additional $600 million investment at the data center site brings Google’s total investment to over $1.2 billion in South Carolina. “South Carolina and the Berkeley County community are great places in which to work and grow,” said Data Center Operations Manager Eric Wages. “When Google first announced plans to come to Berkeley County in 2007, we were attracted to not only the energy infrastructure, developable land and available workforce, but also the extraordinary team from the local community that made us feel welcome. Google is proud to call Berkeley County home.” The announcement aligns with Google’s goals to provide the best possible user experience. The data center in Berkeley County houses computer systems and associated components that support services such as Google search, Gmail, Google+ and YouTube. The company is growing capacity to meet demand for Google’s services.

BMW Manufacturing opens onsite Family Health Center MW Manufacturing celebrated the official opening of its Associate Family Health Center at its South BCarolina plant on January 8. The Center is a first-class facility, employing highly-trained professionals and offering the latest in healthcare technology. Use of the facility is available to all BMW Associates, eligible retirees and their dependants. BMW’s existing onsite family pharmacy was relocated to the new facility and joined by occupational, primary care services, as well as vision, dental and physical therapy. The combination of cost savings and the benefit of having medical services all in one location offers the company’s workforce a new option in their overall healthcare management. The Center will be independently managed by Walgreens Take Care Health Systems and is among just a few health centers across the U.S. that offers such an array of services under one roof exclusively for on-site corporate use.

4 | S o u t h C a r o l i n a B u s i n e ss Sam’s Club presents South Carolina Chamber Homework Centers with donation am’s Club presented the South Carolina Chamber of Commerce Homework SCenters with $10,000 to enhance the programs and services in 14 elementary schools in SCE&G service territories. Homework Centers, sponsored by SCE&G, provide students with homework assistance, time management skills and enrichment activities. The following schools will benefit from the generous donation: Brunson-Dargan Elementary, Darlington; Carver Lyon Elementary, Columbia; Claude A. Taylor

Elementary, Columbia; Conder Elementary, Columbia; Gadsden Elementary, Columbia; BUSINESS BRIEFS Horrell Hill Elementary, Columbia; Hunter-Kinard-Tyler Elementary, Columbia; JP Thomas Elementary, Columbia; Kelly Miller Elementary, Columbia; McCrory-Liston Elementary, Columbia; Memminger Elementary, Charleston; North Aiken Elementary, Aiken; Oakland Elementary, Charleston; and Whale Branch Elementary, Hilton Head. In addition, Sam’s Clubs located near the schools will provide supplies for students and offer volunteer opportunities for their employees.

Piedmont Technical College wins prestigious Bellwether Award iedmont Technical College’s implementation of Lean Pin Higher Education has been awarded the prestigious 2013 Bellwether Award, which recognizes outstanding and innovative programs in community college education. Piedmont Technical College (PTC) is the first and only college from South Carolina to be recognized with this award. The College’s program was chosen out of a pool of hundreds of entries from all over the United States. PTC won in the Planning, Governance and Finance category, which recognizes programs or activities that improve efficiency and effectiveness in the community college, for the program “Lean in Higher Education: How it continues to Change Our Culture.”

Time Warner Cable brings 644 new jobs to South Carolina ime Warner Cable, a provider of cable television and Internet services, Tannounced plans to expand its operations in Lexington County. The $24 million investment is expected to generate 644 new jobs over the next year. “Even in a recovering economy, Time Warner Cable continues to grow and is pleased to offer valuable, good paying jobs in Columbia,” said Carol Hevey, executive vice president, Time Warner Cable East. “The addition of 644 jobs, which increases our South Carolina workforce by more than 50 percent, emphasizes our strong commitment to South Carolina.” Time Warner Cable plans to expand its retention center, telesales operations support and payment services departments at its West Columbia campus located at 3347 Platt Springs Road. The company currently employs nearly 1,300 across the state.

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 5 Businesses can transform education

By Steve Burry

n a fast changing global economy with new employment needs and career opportunities Icontinuously emerging, the need for collaboration between industry and a well prepared workforce intensifies. Last year, Michelin North America announced it will expand its Earthmover tire production in South Carolina with a $750 million investment expected to generate 500 new jobs. For the past year, Michelin has ECONOMIC DRIVERS been partnering with Lexington School District One, Lexington-Richland School District Five and Midlands Technical College to create a supply chain of technical talent to fill many of these new positions. We are just one example of how industry can take the lead in preparing highly-skilled workers by teaming with the educational community to recruit and develop technical talent. “It became very clear to us, that to be successful in the long term, we needed to adapt our hiring process and think differently about how we go about developing and recruiting the necessary people to meet our needs. The first realization for us was that we could not go about this alone,” says Peter Sutton, site manager Michelin Technical Scholar, Angela Dabrowski, is a student at Midlands Technical College and works in for Michelin Lexington. a tire building shop in the Michelin Lexington passenger plant. Michelin’s Lexington site is the company’s largest manufacturing facility in the world. It is home to two between industry’s needs, high school preparation and Michelin funds tuition and books as well as provides manufacturing plants consisting of over two million career paths for our students,” says Lexington County part-time work with competitive pay and benefits. square feet of production space. Facing the challenge of School District One Superintendent Dr. Karen Woodard. Michelin values this unique partnership as a having to find and hire skilled workers, we took the lead “Our strategic focus on improving the competitive business advantage for the company. by creating a model with Lexington School District One, understanding of modern industry - the quality work The key to long term business growth will depend on Lexington-Richland School District Five and Midlands environment, income potential, specific preparation of our ability to get the right people with the right skills in Technical College in an effort to align students with skill, knowledge and work characteristics needed for our available jobs. It takes great people to make great their talents and put them on the right track to finding successful employment - has potential for Michelin as products. a career. well as other businesses/industries,” she said. “Our partnership with the educational community Dr. Marshall (Sonny) White, Jr., president of Dr. Stephen Hefner, superintendent for Lexington- has always been strong, but over the past year, with Midlands Technical College, describes a broad-based Richland School District Five, is a firm believer in the everyone’s participation, we have taken this partnership model for education and business interaction by positive success of this new model. to a whole new level. A strong, collaborative team highlighting, “It is essential for businesses, especially “Based on the innovative, collaborative partnership focused on a common objective is essential in my view those in the engineering technology field of that has been established with Michelin, students in and explains most of the success so far,” Sutton said. manufacturing such as Michelin, to be integrally involved Lexington-Richland Five and Lexington One will be “Finally, and perhaps the most important reason we in creating and sustaining a pipeline of better-prepared, prepared to enter highly productive careers at Michelin have been able to succeed in this partnership is our highly motivated students for careers in the region.” in an advanced manufacturing environment earning shared vision of providing a future for the children Dr. White continues, “Michelin is an active partner excellent salaries and benefits. I am extremely grateful growing up in our communities.” in communicating these job opportunities and, most for the partnership that has been established and for Michelin plans to build on the success it has importantly, working with area schools and our two- the great opportunities that are being afforded to our experienced in Lexington County and move the model year college programs to enable young students to be students,” he said. to the Upstate, transforming education through successfully prepared for lucrative middle-skilled career This model is a tremendous success story for both collaboration. positions. There is currently a tremendous emphasis Michelin and the Lexington educational community. The state of South Carolina is a great place to do on aligning the curricula of school districts, in particular Currently we have a cross-functional team of about business, and the manufacturing community in the state Lexington School District One and Lexington-Richland 20 people dedicated to creating a pipeline of future is growing quickly. In the future, our state will continue School District Five, with Midlands Technical College employees. The goal is to establish a human supply chain to attract companies because of the workforce we are programs to produce qualified Michelin job applicants. of technical talent from high school through technical developing. Having these partnerships in place now In short, the model works.” college and on to Michelin for a great future career in ensures that the technical talent needs of the future A key factor to prompting students’ interest in these our industrial facilities. economy can be met and sustained. highly technical fields is making learning opportunities The team is focused on alignment of three major available to them through their school curriculum. areas: curriculum, assessments and branding/marketing. Steve Burry is in corporate employee relations for By aligning educational curriculums with the current Taking these courses in high school allows students to Michelin North America, Inc. industrial opportunities, we have begun exposing begin an exciting career path for life. We demonstrate children and young adults to technology, science and our value and appreciation for these students as they engineering earlier in their education. attend Midlands Technical College and are accepted “The model currently underway is designed to into the Michelin Scholars Program by providing financial align specific employment needs and bridge the gap assistance. Through the Michelin Scholars Program,

6 | S o u t h C a r o l i n a B u s i n e ss SC Business Magazine - 7x10 - Kudzu.indd 1 1/29/2013 4:07:11 PM The Affordable Care Act implementations in 2013

By Robby Kerr

here has been a lot of debate among the states • The tax deduction for employers receiving plan” ensuring that they meet benefit and rate in recent months regarding the expansion of Medicare Part D retiree drug subsidy payments is standards. TMedicaid under the Affordable Care Act. At least eliminated. • Open enrollment for individuals and small a quarter of the states appear set to not expand and • The amount of contributions to flexible spending businesses to participate in the exchange begins in 17 others remain uncommitted. With all the attention accounts for medical expenses is limited to $2,500 October. For South Carolina, this will be a federally focused on the discussion of Medicaid, it is sometimes per year and then increased annually by the cost of operated exchange. easy to forget that implementation of the rest of the living adjustment. • Medicare begins its “bundled payment pilot Act continues to roll forward. The entire law contained • A 2.3% excise tax is imposed on the sale of any program” to pay providers a bundled rate for all roughly 100 new initiatives; of which, over half have taxable medical device. services associated with certain episodes of care. ECONOMIC DRIVERS already been enacted. More than two dozen new • The fee imposed on plan sponsors to pay for • A reduction of 75% in the Medicare provisions, disclosures or notifications will go into effect the Patient-Centered Outcomes Research Institute Disproportionate Share allotment currently made to this calendar year alone. Many of these set in motion the increases to $2 per covered life. hospitals begins with subsequent re-allocation based funding mechanisms for the Act. • Federal subsidies begin to be phased-in for brand on the percent of the uninsured population and the name prescriptions as part of the effort to close the amount of uncompensated care provided. Here’s a list of some of the more notable Medicare drug coverage gap. • The reduction to the Medicaid Disproportionate changes: • Medicaid payments to primary care physicians Share allotment begins subject to a methodology to • The Medicare payroll tax increases by .9% increased to 100% of Medicare rates for two years be developed by the HHS Secretary. on incomes above $200,000 for individuals and with full federal funding. $250,000 for joint filers. • New or renewing plans must provide coverage Robby Kerr is the president and founder of Kerr & • Unearned net investment income is taxed an of contraceptives without cost sharing as part of Company, a private consulting firm. He has worked additional 3.8% on incomes above $200,000 for preventive health (certain plans excluded). in state government for more than 20 years and is a individuals and $250,000 for joint filers. • Employers must notify employees of the former director of the South Carolina Department of • The threshold for the itemized deduction for availability of exchanges and coverage options. Health and Human Services. unreimbursed medical expenses increases from • Health plans intending to offer a product in an 7.5% to 10% of AGI for taxpayers under age 65. exchange must be certified as a “qualified health Senator Thomas Alexander

By Thomas Mullikin

homas Alexander is a busy family man, small of Science degree in 1978. began in 1981 when he business owner, devoted church leader and He subsequently became represented his community T outdoorsman. Equally important is his South the owner of Alexander on Walhalla City Council and Carolina legislative service, where he has fought for more Office Supply in Walhalla, became Walhalla Mayor than 25 years to ensure the Palmetto State maintains one SC. Additionally, he is the Pro Tempore. He was then of the best business climates in the country. president and operator, of elected to the South Carolina Earlier this year, Senator Alexander made history in Oconee Office Supply and House of Representatives in South Carolina when he assumed the chairmanship of Cleveland Gospel Supply. 1987 where he served for the Senate Labor, Commerce and Industry Committee, He lives in Walhalla with his eight years. In 1994, he was the same committee he chaired in the South Carolina wife, Lynda, along with their elected to the South Carolina House of Representatives. This distinction makes him the children and grandchildren. Senate, where he has served first in recorded state legislative history to rise as chairman Throughout his career, for 18 years. Currently, he is LEGISLATIVE SPOTLIGHT LEGISLATIVE of this business committee in both bodies of the General Thomas Alexander has been a member of the Banking Assembly. very involved in his community and Insurance, Finance and Working for his constituents is always first priority. serving as a past Sunday Medical Affairs Committees, Senator Alexander has often been heard saying, “as long School superintendent, a and is chairman of the Labor, as the wonderful people in my district allow me to serve lifelong member of Walhalla Commerce and Industry Senator Thomas Alexander them, I will do everything I can to ensure that their state Presbyterian Church and Committee. supports them.” Further, Alexander said, “Any success church elder, Blue Ridge Bank board member, Lions Over the years, Senator Alexander has been a that I have in the legislature is a result of the good Lord Club president, Walhalla Sertoma Club president, strong leader on legislative issues such as fighting and the support of the people of Senate District No.1.” Walhalla Chamber of Commerce board member, crime, reforming healthcare, restructuring government, Alexander is a noted health care expert and serves Walhalla Downtown Association vice president improving the economy, reducing taxes and improving as the chairman of the Health and Human Service and board member and Carolina Office Products public education. Subcommittee of the Senate Finance Committee. Association board member. Senator Alexander graduated from Anderson Senator Alexander has been representing South Thomas S. Mullikin is managing partner of the Mullikin College in 1976 and Clemson University with a Bachelor Carolinians for over three decades. His political career Law Firm.

8 | S o u t h C a r o l i n a B u s i n e ss Do your employees feel like a sandwich?

By Tim Timmons

Stresses of elder care are hitting the workplace

oday, more than 44

million Americans are ECONOMIC DRIVERS T providing some level of care for a senior family member, with 60% representing a portion of the workforce. As employees’ child care issues begin to decrease over time, the demands of elder care are ramping up. Many workers are sandwiched between caring for their children, their parents and trying to perform their jobs. While this is not a new concern, it is a more relevant issue for employers today as parents live longer and many wait until later in Employees are less productive at work when they are worried about caring for an elderly family member. life to start families. Additionally, there is a proliferation of double income families and tremendous strides have been Recently, the AARP completed a national survey Governor’s Office on Aging sponsors a Family made to improve health care for the elderly. All of of 6,139 adults. Of those, 935 were employed Caregiver Support Program, and the AARP provides these factors are coming together and creating strains caregivers. The data showed the following: helpful information at www.aarp.com. on the workplace for those caring for senior adults. Experts are predicting more businesses and Texas Instruments’ manager of work/life • 92% reported changes in their working policymakers will help caregivers balance their work strategies said you only have to look at population patterns and family responsibilities once they understand that trends to understand how big this issue will be. The such assistance can avert looming worker shortages. typical caregiver is a 46-year-old woman who works • 83% said they arrive late, leave early or take The key for all employers is to recognize the full-time and looks after a chronically ill 77 year-old time off during the day challenges and make plans to assist employees who mother. Some men and women are even “suitcase” are struggling with this very real issue. Remember, caregivers, logging thousands of miles each year to • 41% reported they have taken a leave of they feel sandwiched between caring for their elderly care for aging family members located in other states. absence parents, their children and performing their jobs. Caregiving usually adds 18 hours to the 40 hours most workers clock at the office. Employees may be • 37% said they had to go from full-time to Tim Timmons is vice president of human resources at work, but are they really focused and engaged? part-time employment for the South Carolina Chamber of Commerce. Not surprisingly, 44% of working caregivers report that their own health has suffered as a result For employers, the impact is also overwhelming. of these types of demands. As an employer, this is Employees are less productive at work when they are concerning because of increased healthcare plan worried about caring for an elderly family member. costs. Employee caregivers are required to change their The overall cost of absence to care for a loved one schedule often with little to no notice. is certainly not limited to medical expenses. Health This issue may only compound over time as caring crises among the elderly often require immediate for aging parents will continue to be a workplace attention. It is difficult to reach doctors and services issue. The most progressive employers will seek out while maintaining your job, adding stress and making assistance for their employees to minimize the impact it difficult to focus and remain at work. This includes on the workplace. Those employers who sponsor work interruptions, lack of focus, mental and physical employee assistance plans should ensure they are stress and other related issues, which cost employers fully involved and prepared to assist workers. There more than $34 billion per year. are other resources readily available. The Lieutenant

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 9 Greenville event marks transformation of biomedical industry

By Wayne Roper

ounding jackhammers and clattering construction aren’t typically a great backdrop for Pa business conference, but for South Carolina’s Biotechnology Industry Organization (SCBIO), the remodeling work at the Hyatt Hotel in downtown Greenville was a fitting metaphor for the transformation

ECONOMIC DRIVERS of the state’s biomedical sector. More than 200 researchers, biomedical industry executives and entrepreneurs attended the SCBIO “What Next?” conference last November that focused on the continuing innovations in medicines, vaccines, medical devices, medical equipment, diagnostics, testing and biomedical manufacturing. The conference marked a turning point for SCBIO as the member-driven, statewide industry association with a mission to advance these life sciences businesses. That momentum is continuing with SCBIO’s annual Life Sciences Industry Day in Columbia and by leading More than 200 researchers, biomedical industry executives and entrepreneurs attended the SCBIO 12 partners in economic development, research, and “What Next?” conference last November that focused on continuing innovations in medicines, bio business to BIO 2013 in Chicago, where industry vaccines, medical devices, medical equipment, diagnostics, testing and biomedical manufacturing. partnerships can be forged. “Our annual meeting in Greenville this year set a high water mark in the participation of biomedical that will hire as many as industry executives and entrepreneurs,” said Michael 10 principal investigators Bolick immediate past chairman of SCBIO. “It drove for government-funded home that South Carolina’s growth-oriented life research. sciences business community will help our state grow “We are seeing a important high wage jobs right here at home.” real interest in commer- Life sciences employment has grown 45% in the cialization of research, last 10 years, to about 15,000 South Carolinians in 985 starting companies and biomedical businesses. The $55,233 average annual building medical device wage is roughly 85% higher than the state average, and pharmaceutical according to a 2012 Battelle Institute study. companies,” said Tom Furthermore, 76 medical device and equipment McLean, current chair- companies – about half in the Upstate – grew 15% man of SCBIO, and vice more jobs in the three toughest years of the recession, president of Norgenix employing 4,200 people. Pharmaceuticals, a com- Governor Nikki Haley’s proclamation of pany he helped start Personalized Medicine Awareness Day last year with JM Smith Corp. in kicked off the SCBIO’s two-day conference, featuring Spartanburg. Dr. Timothy Yeatman, Gibbs Cancer Center, (l-r); Presidential Medal of Science winner Dr. Leroy Hood of Among those is CreatiVasc, a company focused on Dr. Steve Skinner, Greenwood Genetic Center; Dr. the Institute for Systems Biology. late-stage dialysis patients, that was among only three in Gary Spitzer, Bon Secours, St. Francis; Presidential Personalized or “precision medicine” matches the country to be fast-tracked by the FDA’s Innovation Medal of Science Winner Dr. Leroy Hood (center the right treatment to a patient’s unique genetic Pathway program to speed breakthroughs to market. with proclamation) Wayne Roper, SCBIO; Dean characteristics and promises to be a growth industry for “We are seeing more partnerships and more Sproles, Iverson Genetics; Dr. Kathleen Brady, the Upstate. Recently, Greenville-based Selah Genomics connections grow from these efforts to generate great MUSC; Jeff Edenfield, GHS ITOR; and Michael bought out Lab21’s U.S. operations and its clinical companies and great jobs here in South Carolina,” Bolick, Selah Genomics celebrate the governor’s genomic center at the GHS Institute for Translational McLean said. “SCBIO is the door connecting these proclamation of Personalized Medicine Awareness Oncology Research (ITOR). Within ITOR is the home of innovators to the rest of the state, the country and the Day on Nov. 13, 2012 . KIYATEC, a 3-D cell culture startup. world.” In York County, Physicians Choice, a diagnostic testing lab service, announced it was moving its Wayne Roper is president of SCBIO. headquarters from Charlotte with 334 people and a $24 million investment. In Spartanburg, Gibbs Cancer Center announced the establishment of the Gibbs Cancer Research Institute

10 | S o u t h C a r o l i n a B u s i n e ss Welcome, Metglas®. Before the fi rst amorphous alloys were ready for market. Before the fi rst metal was heated and cooled. Before the lights came on for the fi rst time. Santee Cooper formed a bond with Metglas to expand their manufacturing facility, bringing more than 100 new jobs to Horry County.

By partnering our low-cost, reliable power and development opportunities with our state’s attractive tax base, relocation incentives, and an unparalleled quality of life graced with Southern hospitality, Santee Cooper helped Metglas expand in South Carolina. And continues to power South Carolina toward Brighter Tomorrows, Today.

POWERING S.C. www.scprimesite.com

55334SC_SCbizAd.indd 1 2/20/13 9:26 AM South Carolina’s Medicaid Debate Medicaid expansion is good for South Carolina’s economy By Thornton Kirby

o far the political debate over Medicaid expansion has been about budget federal-state match. If your business were considering an investment that returned impact and the role of the federal versus the state government. But this nine dollars for every one dollar you invested, would that investment be attractive? debate is really about people. Of course it would. Under the Patient Protection and Affordable Care Act, every state South Carolina has used this simple ROI calculation before, wisely investing has the option of receiving money from Washington to provide Medicaid millions of state dollars to attract companies such as BMW and Boeing. We’ve also coverage to citizens living at or below 138 percent of poverty. That’s about invested countless state dollars to draw down federal highway funds over the years. $31,000 per year for a family of four and $15,000 for an individual. It’s perplexing to see such adamant political opposition to Medicaid expansion. From 2014 through 2016, the state can draw down 100 percent of Governors in other states are beginning to soften their opposition because Sits costs to cover those newly eligible Medicaid recipients; no state dollars are required business leaders have questioned the wisdom of foregoing such a healthy return in the first three years. on investment. The portion of costs covered by the federal government will decline slightly Every South Carolinian deserves care and compassion when sick or injured, between 2017 and 2019 but will never fall below 90 percent. regardless of their financial circumstances. But the more care we provide without For South Carolina, total federal funding available is more than $11 billion during payment, the higher the cost will be for patients with insurance. the first seven years, starting in 2014. That business model isn’t fair to the businesses that pay most of the health Those federal funds are tax dollars that have been paid by South Carolina insurance premiums in our state, and that’s one of the key reasons we supported the businesses and workers. Now we have an opportunity to send them to other states Affordable Care Act—to put an end to cost-shifting. to expand coverage to their uninsured citizens or bring them back to our state in a But if South Carolina doesn’t expand its Medicaid program, cost-shifting way that invests in our people’s health and our state’s economy. will get worse, not better. Approximately 250,000 uninsured South Carolinians would gain health This year, the United Health Foundation ranked South Carolina the 46th healthiest care coverage under a state expansion of Medicaid. state in the nation. And now the other 49 states are offering to help us improve that The vast majority of these are workers who can’t afford to pay their share of ranking by paying 90% of the cost for caring for uninsured patients. We can accept premiums or whose employers don’t offer health insurance. Others are workers who their offer and limit our exposure to 10%, or we can say “no thanks” and bear the lost their jobs and health insurance during the recession. full 100% by shifting the costs around inside our own borders. When they get sick, they have few options except the hospital emergency room, The South Carolina Hospital Association strongly supports expansion of the where federal law requires the treatment of anyone needing care, regardless of ability Medicaid program and urges the business community to join us in our efforts to to pay. make sure that South Carolina isn’t left behind this time. Their lack of coverage creates a direct and significant cost to privately insured patients and their employers who pay higher premiums to cover the cost of uninsured Thornton Kirby is president and CEO of the South Carolina patients. Hospital Association. If our legislators say no to Medicaid expansion, they will be saying yes to cost shifting. And the cost shift will increase. When the Affordable Care Act was passed, hospital leaders agreed to future payment cuts so the savings could be reinvested to help more Americans obtain health insurance. If more people had insurance, there would be less cost-shifting. The cuts were put into the law, and South Carolina hospitals will experience more than $2.6 billion in reimbursement cuts between 2014 and 2020. Bottom line: South Carolina hospitals will help pay for a Medicaid expansion regardless of what the state of South Carolina decides to do. If we leave 250,000 South Carolinians uninsured, the $2.6 billion in payment cuts will become part of the uncompensated care burden on businesses. And that will make South Carolina businesses less competitive, not more competitive. Another reason to support Medicaid expansion is the very positive economic benefit to our state. According to a study by researchers at the USC Moore School of Business, adding $11.2 billion to South Carolina’s economy will create 44,000 new jobs and $3.3 billion in state economic activity by 2020. Of course the simplest way to calculate the return on investment is to look at the

12 | S o u t h C a r o l i n a B u s i n e ss Invest in improving health in South Carolina By Anthony Keck

veryone agrees we need a healthier state, and no one can deny that we decisions regarding private insurance coverage. If private insurance premiums increase have made health a priority in Governor Nikki Haley’s administration. as expected under Obamacare, this could lead to a flood of unexpected enrollment We have eliminated deficits, reduced unit costs and improved quality of in Medicaid beyond what we can afford. care. We have redirected many of those savings to reduce waiting lists for The House budget requires that in return for $461.5 million in funding that disability services and increase coverage of our state’s poorest children. hospitals currently receive to treat the uninsured, they must provide detailed However, we are in no way close to delivering the value taxpayers deserve information about these individuals and services delivered. It also requires hospitals for the $6.5 billion we are asking them to spend next year on Medicaid. to begin collecting information establishing if an individual has access to any other Two important evidenced-based conclusions are the foundation for means of payment other than state funds. ourE strategy to improve. We need to reinvest Medicaid savings wisely. Some should be redirected First – health, health care services and health insurance are not interchangeable. towards other purposes like education, infrastructure and job growth. Some should go Research shows that 80-90% of health is driven by income, education, personal towards reducing waiting lists for services previously promised to individuals living with choices, genetics and family and community support. Health services make up the disabilities. And some should be reinvested in geographies and populations where rest. Having health insurance is no guarantee of receiving effective health services. health outcomes are the worst. Second – increasing health care expenditures eat up more of our payrolls and The House budget requires that hospitals receiving the incentives also enter into government budgets each year, which crowds out investment that ultimately an agreement with primary care clinics that serve the uninsured to reduce the use of contributes more to health. emergency room visits by uninsured individuals living with chronic illnesses. The House Too much spending on health care services is depressing economic growth. also redirects funds to these clinics to co-manage these individuals with hospitals Every dollar more businesses spend on premiums is a dollar less paid in wages, and set performance measures tied to reductions in emergency room use. It directs invested in new capital or used to hire more employees. Every dollar more the state the South Carolina Department of Health and Human Services to eliminate these spends on Medicaid and state employee benefits is a dollar less that can be spent on incentives if cost savings of equal or greater value are not achieved. transportation, education and tax relief. Additionally, the House budget requires that teaching hospitals and physicians, We are in a vicious cycle where more health services spending crowds out which currently receive almost $200 million a year to train physicians in South Carolina, spending in employment, income and education - the primary drivers of overall health. implement programs that train the right type of physicians and get reimbursed based The Institute of Medicine concludes that 1/3 of all health care spending - $765 billion on success in reducing physician shortages. in 2009 - is excess cost that does nothing to improve health. The state should continue to press for more flexibility from the federal The Affordable Care Act does not decrease dollars spent in our health system, it government to manage health care appropriate to our needs. We believe in actually increases them by almost $1.2 trillion over the next decade. Today, 17.9% of more accountability in return for more flexibility. States can begin applying for waivers GDP goes into health care. In 2020, the federal government predicts that will grow from key provisions in the Affordable Care Act starting in 2017. We should prepare. to 19.2%. It is important to note that the South Carolina Medical Association (SCMA) takes Ignoring evidence that more spending is not necessary for better health, the South a much different approach than the hospitals. “While the SCMA agrees with finding Carolina Hospital Association argues that they were “promised” a Medicaid expansion solutions to provide health care to all South Carolinians, we are concerned that the as part of the deal they made with President Obama to reduce Medicare expenditures Medicaid expansion is a temporary and unsustainable fix that is not the solution for – a massive cost shift to the states. In a health care reform bill that should be reducing the long-term health issues facing South Carolina.” health care costs, the hospitals actually stand to make more money than before! South Carolina’s physicians are not rushing into expansion and neither should Our approach is instead focused on purchasing the most health for our money. businesses and taxpayers. While other states like California, Illinois and New York There is currently enough money in the system to improve health for are raising taxes, cutting services and reducing Medicaid reimbursement so low that everyone. We have removed hundreds of millions of excess cost in Medicaid in the providers are giving up on Medicaid patients, South Carolina is investing in improving past two years. Working with employer coalitions, we have tied millions in payments health. to our health plans and providers to performance. The budget heading to the House floor for debate continues this push for Anthony “Tony” Keck is director of Health and Human accountability by incentivizing hospitals that agree to improve transparency in pricing. Services for Governor Nikki R. Haley. These incentives are paid for with savings from the past year – there is no new money. We must gain a better understanding of how the private insurance market for individuals and groups will change over the next three years. Even without Medicaid expansion, more than 500,000 additional people currently uninsured in South Carolina are expected to gain access to affordable insurance. Projections for Medicaid enrollment depend heavily on individual and employer

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 13 Children’s Hospital Children’s . MICHELLE HUDSPETH r D Medical University of South Carolina March~April 2013 Centerfold 2013 March~April

14 | S o u t h C a r o l i n a B u s i n e ss P hotography by S andy A ndrews ck ri F

il c e C ean J y B f you know the lyrics to song, “Oh Happy Day,” it is a song of rejoicing. If your child was diagnosed with cancer, needless to say, you would not feel like rejoicing. However, if your child was in need of a bone marrow transplant, you would be given new hope with treatment One of the providers that hope is Dr. Michelle Hudspeth, a pediatric oncologist at Medical available in South Carolina, thus allowing for a truly happy day. theof director the is Hudspeth Dr. Charleston. in Hospital Children’s Carolina South of University Pediatric Bone Marrow Transplant Program- the only one of its kind in state. Make it happen I scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 15 March~April 2013 Centerfold Dr. Michelle hudspeth Medical University of South Carolina Children’s Hospital

A passion for pediatrics transplants and Michelle has now recruited a new faculty member, Dr. Amy-Lee Bredlau, who is a specialist in pediatric neuro-oncology and will lead our Pediatric udspeth grew up in South Carolina and has deep family Brain Tumor Program.” roots in the Palmetto State. As a child, she knew she had the MUSC Children’s Hospital is award winning and has consistently been ranked keen desire to enter pediatrics and recalls her father saying in the U.S. News & World Report listing for the best children’s hospitals. Most she would become a doctor one day. In fact, she is the only recently, it was one of 80 facilities that made the rankings in at least one of the 10 person in her family to ever go into the medical field, and it is specialties analyzed for the 2012-13 Best Children’s Hospitals with rankings for a passion she takes very seriously. cardiology and heart surgery as well as gastroenterology. There is no doubt that She enrolled at Wofford College in Spartanburg for with the dedication of Dr. Hudspeth, hematology and oncology will one day be undergraduate school and went on to the Medical University of South Carolina included as well. (MUSC) where she graduated at the top of her class. Dr. Hudspeth’s success led her to a pediatric residency and fellowship in pediatric hematology and oncology at Beating the odds Johns Hopkins Hospital in Maryland. At Johns Hopkins, she was honored by her colleagues with the David M. Hudspeth says, “Kids in South Carolina should not have to go out of state to Kamsler Award for excellence and compassion in pediatric care. She also served as get the best care.” chief resident for the Johns Hopkins Harriet Lane Service, where she oversaw 80 She couldn’t have said it better. pediatric residents and wrote chapters on hematology, immunology and oncology Childhood cancer is the No.1 cause of death from disease in children in for the Harriet Lane Handbook, a best-selling pediatric guide. the Unites States, more than from asthma, diabetes, cystic fibrosis, congenital In short, South Carolina was lucky to have Dr. Hudspeth return to her roots. anomalies and pediatric AIDS combined. It is the second leading cause of death in Hudspeth was recruited to MUSC in 2007 to lead and expand the stem cell children overall, after accidents. transplant program. By 2008, the number of pediatric transplants had increased One of the biggest determinants of a child’s survival after a bone marrow by 125%. transplant is their socioeconomic status, regardless of race. Twenty-four percent “The children of South Carolina are very lucky that one of our own, Dr. of all South Carolina children are below the poverty level, 28% in the Charleston Michelle Hudspeth, a South Carolina native, returned to South Carolina and MUSC region alone. South Carolina ranks 9th out of 50 states for the highest percentage of to provide the very children living in poverty. best care for children These statistics shouldn’t prevent a child from getting the critical care they with cancer,” said Dr. need in their home state, and they don’t. It is a huge sacrifice for families when Rita Ryan, chair of the they are faced with a sick child and numerous days in the hospital. If they had to go Department of Pediatrics out of state, they risk not getting reimbursed under another state’s Medicaid and at MUSC Children’s furthermore they would have costly travel expenses. Hospital. There are approximately 75 new childhood cancer diagnoses seen annually “Not only is she at MUSC. Dr. Hudspeth treats between 25 and 30 patients a year with a blood or personally committed marrow transplant, and her division has served patients from 74% of the counties to this goal but she has in South Carolina. built and is continuing to build and lead, frankly, Providing new hope a ‘top-tier’ A+ pediatric oncology program that Her enthusiasm for the children she treats is contagious. On the day we met, will serve our state and its she had just wrapped up meeting with a patient who was going through his children very well,” Ryan second bone marrow transplant, and she had promised him a bag of Skittles. As continued. “For example soon as she left our visit, she went straight to the sundry shop to take her patient we are the only site in his surprise. South Carolina that does If a child goes through a bone marrow transplant to treat their cancer, there is pediatric bone marrow a 100 day minimum stay within 30 minutes of the hospital. A child is most at risk for complications during this timeframe. Typically, the first four to six weeks are spent in The Child Life Atrium the hospital. Imagine the strain that puts on families, but with care from doctors like is designed to meet Hudspeth, it makes daily life bearable. the play and activity needs of children and Day Zero, or transplant day, is the day a child receives donated cells, wiping out their families during his or her immune system. It is a transfusion with what Hudspeth refers to as a “little hospitalization. bag of hope.”

16 | S o u t h C a r o l i n a B u s i n e ss “Kids in South Carolina should not have to go out of state to get the best care,” says Dr. Michelle Hudspeth, who is passionate about connecting with her patients.

She doesn’t take looking for matches lightly. Knowing there is a tremendous need for more donors, Hudspeth decided to add her name to the national registry. Shortly after giving birth to her daughter, she was notified that she was a match for a 50-year-old mother of three in Philadelphia. Hudspeth became a giver of life to two people that year, practicing what she preaches. Hudspeth’s motto is “make it happen” and MUSC’s outcomes prove that she exceeds all expectations. The program has outcomes well above the national averages. In 2012, her patients had a 100% survival rate on both Day 100 and on their one year anniversaries for those receiving autologous stem cells. There was an 88% survival rate on Day 100 and 85% on one year anniversaries for those receiving allogeneic stem cells. Having a world-class children’s hospital keeps South Carolina on the leading edge. As businesses look to locate in the state, the medical community can be proud knowing it offers the best care available to the state’s children and their families. For many, this could be a day of fear and anxiety, but Dr. Hudspeth makes “To be able to provide this level of care to the state without families having to it a day of hope and tells children it is their new birthday – a day of rejoicing and travel outside, I think, is a really critical mission,” Hudspeth states. “Our goal is really singing “Happy Day Zero.” to provide them with any cutting-edge therapy they need that we can provide here Hudspeth says, “Day Zeros are the best part of my job. It is a new chance at life and they don’t have to travel elsewhere.” for the children I treat, offering them a renewed hope.” For any family faced with cancer, there is fear, but Dr. Hudspeth is passionate The Pediatric Blood and Marrow Transplant Program offers a number of about providing hope and making it happen for the children of South Carolina. clinical trials through the Children’s Oncology Group, the Pediatric Blood and Marrow Transplant Consortium, the Blood and Marrow Transplant Clinical Trials Jean Cecil Frick is the multimedia manager at the South Carolina Chamber of Network, as well as investigator-initiated trials. Commerce and the editor of South Carolina Business. MUSC Children’s Hospital is a member of the Children’s Oncology Group (COG), the world’s premier pediatric cancer research collaborative. This network of more than 200 hospitals and 5,000 healthcare professionals is dedicated to finding answers and sharing results to cure cancer. COG members have been the primary innovators in new treatments for children with cancer. Make it Happen

Finding the perfect match CPAs & Advisors with Your Growth in Mind Where do you turn for growth advice? Another important part of providing a transplant is finding a tissue type or HLA It takes new ideas and a committed match. Within families, a brother or sister only has a 25% chance of being a match. partner to grow in today’s climate. It can be especially challenging for minorities, as matches tend to run along ethnic Cherry Bekaert gives you the power to innovate and energize your business. lines and fewer minorities participate in donor programs. For most, the best chance at survival is a transplant from an unrelated bone marrow donor or cord blood unit. Hudspeth looks at millions of donors across the world through the National Marrow Donor Program.

Find out how we can guide your firm forward Greenville 864.233.3981 cbh.com

Dr. Hudspeth looks on as U.S. Senator Tim Scott (R-SC) delivers a valentine to one of Atlanta | Charlotte | Miami | Raleigh | Richmond | Tampa | Washington D.C. her patients.

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 17 Protecting the privacy and security of health information Why is it so complex and so difficult to accomplish?

By Jeanne Born

othing makes people sit up and take notice of the importance of privacy and security than when there is a huge information breach. Such is the case in the recent breach that could impact the financial security of 6.4 million South Carolina taxpayers. With so many laws Nprotecting various forms of information, how does such a massive breach occur? The simple truth is three-fold. First, there are a lot of very smart and savvy people in information technology who find ways to hack in and get the information they want. Second, it is costly to develop and implement the procedures and technology that are necessary to protect information. Third, the highly complex legal framework that is designed to protect our most sensitive and private information is not sufficient. This includes health information. South Carolina’s breach last year involved financial data, including social security numbers. What would happen if there was a sizable breach of sensitive health information in our state? It’s possible. In fact, the U.S. Department of Health and Human Services Office reports that there have been more than 530 breaches of protected health information that affect more than 500 individuals. It is frightening. To understand how difficult it is to keep health information private and secure, it is important to know a little about how health information is created, stored, used and disclosed. Most people do not realize that health information is the property of the health care provider, not the patient. Although the patient has strong rights for accessing their information, those rights are not limitless. Health care providers create a chronological account of an individual’s health care information and that information is recorded and retained by the provider for various purposes. While patient care is the most important use, it can also be used, and disclosed for quality reviews, educating health care professionals, responding to legal process requests, complying with state and federal reporting requirements, providing a defense in a malpractice action or a disciplinary action, and so on. Until recently, health information was created and retained in paper form. These records were typically stored in a storage area in their original form for a predetermined retention period as specified by law. As technology progressed, health care providers began storing their paper records on microfilm primarily for the purpose of saving storage space, but also to make retrieval more efficient. Today, more and more health care providers and facilities use computers to record and store patient information. In fact, there are incentives for them to do so. The trend is moving toward the development of centralized systems, such as electronic health information exchanges, where all of an individual’s health information, from birth to death, will be electronically stored and then accessed through universal health care identifiers. The creation and maintenance of this type of electronic record for every individual is highly likely. At this time, much of a health care provider’s time and energy is dedicated to obtaining health information from other providers. If a health care provider cannot obtain the information, then he or she may need to duplicate at least some of it in order to provide health care services. Consequently, there is much duplication of information. Think about how many times you have provided the same information to a different health care provider. What’s more, providers frequently repeat testing,

18 | S o u t h C a r o l i n a B u s i n e ss including labs and x-rays, because they do not have ready access to another implementation are unknown. There are still many health care providers out there provider’s records. that have not entered into the realm of fully computerized systems. Instead, they Centralized access to all of an individual’s health information has obvious have merely transferred the content of their traditional paper records to stand alone benefits, including improved care and decreased costs. However, a centralized computer systems. database increases the risk of unauthorized access. This reality has many concerned One would think, with the myriad of HIPAA/HITECH regulations, that health that this accessibility can and will be abused. information would enjoy iron-clad protections. That is not the case. The Security Until the mid-1990s, the protection of health information was largely left to Standards do not require that electronic health information be encrypted; it the states and existed as a patchwork of inconsistent and largely inadequate laws. does require, however, that the Covered Entity address whether encryption is a As the transition to electronic records gained momentum, Congress enacted reasonable and appropriate safeguard in its environment and if not, why not and, the Administrative Simplification provisions of the Health Insurance Portability what alternative security measure is used instead? The meaningful use and certified and Accountability Act (“HIPAA”) in 1996 for the purpose of standardizing and electronic health record technology regulations are applicable to some providers simplifying the transmission of health information between health care providers (on a voluntary basis) and require that certain transmissions and end-user devices and health plans. It was the country’s first step in establishing national standards for capable of storing electronic health information be encrypted. But, health care the protection of health information. providers are not required to encrypt health information on their servers. Certainly, After the passage of HIPAA, came the publication of regulations including any holder of health information can voluntarily employ encryption. Encryption the standards providing for unique identifiers for health care providers, health technology, however, remains cost prohibitive to some. plans and employers. In addition, regulations were published that standardize We have come a long way with the legal protections for health information the methods by which all electronic transactions are coded and then transmitted since 1996. The laws do not keep pace with the rapid development of technology. between health care providers, health care clearinghouses and health plans There is still a great deal of unencrypted health information out there and hackers (collectively the “Covered Entities”). Today, every single transmission of electronic may be looking to gain access to it. Everyone who is subject to the HIPAA/HITECH health information is standardized; every Covered Entity uses the same electronic rules struggle to comply with a complex web of regulations, most of which are transmission standards and coding. This also creates an increase in the potential for meant to “simplify” the transmission of health information. Everyone needs breaches of privacy and security. to remain vigilant in their efforts to protect the privacy and security of health To address these concerns, additional HIPAA regulations generally known information, especially when lawmakers try to “simplify” the process. as the Privacy Standards and the Security Standards were published. The Security Standards require that Covered Entities conduct a security risk assessment and Jeanne Born is a health care attorney at Nexsen Pruet. Her practice is focused on implement appropriate administrative, physical and technical safeguards to protect hospital and long term care law, risk management, health the integrity and security of electronic health information. Interestingly, however, information and technology including HIPAA/HITECH. She is the Security Standards do not require encryption. a registered nurse with experience in general medical/surgical The Privacy Standards require health care providers and health plans to nursing, medical/surgical neurology, and nursing management. develop and implement a complex set of policies and procedures to address various health information privacy issues. Examples of privacy issues that must be addressed in the Covered Entity’s policies and procedures are: (1) providing a notice to individuals about how the Covered Entity uses and discloses their health information; (2) providing the individual access to his or her health information; (3) providing a method to request amendment of health information; (4) providing a list accounting what disclosures of an individual’s health information have been made; (5) training of the Covered Entity’s workforce about all of its policies and procedures; (6) providing the guidelines for how every type of use or disclosure of health information is handled, such as disclosures to law enforcement, responding to legal process such as subpoenas, disclosures to governmental agencies; and (7) After Before setting forth the Covered Entity’s enforcement policies. Services Last, but certainly not least, the Enforcement Standards were put into place to ensure that Covered Entities comply with HIPAA. The OCR, the federal agency Duct Cleaning that enforces HIPAA, typically allows for an informal resolution of privacy related Overhead & Combustible Dust Cleaning complaints and, to date employs more formal means only when the informal Fire & Smoke Damper Inspections processes fail. In 2009, Congress passed the Health Information Technology for Economic Kitchen Hood & Exhaust Cleaning and Clinical Health Act (“HITECH”). HITECH made many updates to the HIPAA AHU & Coil Cleaning regulations to strengthen the privacy and security of health information. Particularly, Air Filter Sales & Service HITECH made it clear that most of HIPAA and its implementing regulations Cooling Tower Cleaning (including the enforcement provisions) apply to “business associates.” These are IAQ Audits & Inspections generally the vendors that provide a function on behalf of the Covered Entity and the business associate needs to have health information to accomplish the function. HITECH also set forth new requirements for Covered Entities and business associates to deal with breaches of “unsecured protected health information” With locations in Columbia, Greenville, including new reporting requirements. In addition, HITECH set forth the new Sumter, and Charleston - financial incentives for certain health care providers, to “meaningfully use” we can help you meet your clean “certified electronic health records.” Following HITECH, additional regulations were created to implement the breach provisions, standards for meaningful use and environment and energy needs. certified health records technology and much stronger enforcement provisions. Many Covered Entities and their business associates are grappling with 1-800-849-5646 compliance with these highly technical regulations. Health care providers who are [email protected] eligible for financial incentives for meaningfully using health information technology are struggling with implementation and compliance because the future stages of www.carolinafilters.com

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 19 Select Health of South Carolina Helping people get care, stay well and build healthy communities

By Susan Hill Smith MEMBER SPOTLIGHT

s the first and largest Medicaid managed care organization in the state, Select Health of South Carolina and its First Choice plan serve more than 250,000 Aresidents. Select Health has a proven track record in providing high quality, cost-effective health care, earning an Excellent Accreditation rating from the National Committee for Quality Assurance (NCQA). Select Health also has helped the state save more than $200 million in the last five years. “Many in our country are looking for solutions to the health care cost crisis,” said Mike Jernigan, Select Health president and CEO. “Our approach to member engagement through coordinated care has proven to be a smart way to serve those who receive Medicaid, and we know it will work successfully for other groups as well.” The organization’s prevention-based approach helps people get care and stay well while also building healthy communities. These interwoven goals require teamwork and have led Select Health to reach outward in many innovative ways. The First Choice Community Center holds free preventive health education events throughout the year. That was clear last spring when a group of Select 6,000 other providers, Health associates, including many of its top executives, including specialists and arrived by dawn’s light at Pinehurst Park in Columbia pharmacists, to ensure on a Saturday morning for a project that truly would high quality health care require serious physical labor. After many months of for its members. When planning with community partners, including the city asked about overall of Columbia, the team spent the day spreading two satisfaction with Select tons of mulch and building a new playground for the Health in a survey by an families that live in the surrounding neighborhood, independent research many of whom are First Choice plan members. firm, 87.9 percent of “I can’t think of a better symbol of a healthy health care providers community than a welcoming playground that who responded said they encourages children, as well as the adults who care for would recommend First them, to leave the couch behind and get active,” said Choice to their patients Select Health Executive Director Cindy Helling, who and other physicians. dug into the project personally, as did Jernigan. Select Health also “The best part of the day was when we wrapped provides a wide range Residents of Columbia’s Pinehurst Park neighborhood now enjoy a safe place to exercise and play. up construction, and a crowd of kids ran over to of support services, try the slides and the rest of the equipment,” said including its Bright Select Health reinforces these efforts by Jernigan. “The children’s reaction to the playground StartSM program for moms-to-be and newborn partnering with local businesses, government agencies confirmed we had made a fantastic investment in the babies, as well as education and care management and community groups to improve health and overall community’s future, which is really what Select Health programs for members with chronic conditions quality of life. A few examples include: does every day through prevention-based health such as asthma and diabetes. Select Health aims care.” to prevent problems, or identify them early, with • The Health Ministry Empowerment Tour, Throughout the state, Select Health works proper screenings, tests and overall care, while also which brings health screenings, workshops with more than 2,000 primary care physicians and empowering members to take control of their health. and motivational speakers to women in rural

20 | S o u t h C a r o l i n a B u s i n e ss communities each fall, in collaboration with IMARA Woman magazine • Backing and support for Eau Claire Cooperative Health Centers’ Innovations Health initiative, which links Medicaid and Medicare patients to health coaching and primary care in their homes and local neighborhoods • Jump-Start Back-to-School events, sponsored helping you create custom by Select Health at summer’s end in several solutions with people South Carolina cities, with help from a collection of community partners. Hundreds of students each receive a backpack full of school supplies, register for free and reduced lunches and receive important health information, while also enjoying MANUFACTURING fun activities. SOLUTIONS

The Jump-Start Back-to-School events originated We specialize in industrial staffing, We specialize in supporting your facilities at the First Choice Community Center in Columbia in professional recruiting, HR services, and with the managed solutions that help you 2009, the first year the center opened. Located in an complex project management. move from good to great. easily accessible shopping complex, the First Choice We’ll work with you to design and set up If a product or component is being produced, Community Center encourages members and others in the community to use its resources throughout the our operations, and then we’ll meet your assembled, or moved, HTI Manufacturing year. In addition to information about the First Choice goals with objective measurements. We are Solutions can help you do it better, cheaper, or plan, the center also offers health education, notary frequently brought in to assist with one aspect faster. We can help you solve an existing issue services and more. At the same time, community of our client’s business, and later expand to or avoid future ones. partners can use the space at no cost. the rest as we gain trust and credibility. We We have successfully expanded the third- The impact the Community Center is having are proud of our strong track record. We invite party logistics process to include third-party can be seen on a personal level through the story of you to take a tour to one of our current clients manufacturing. Danita, a single mom who went to the First Choice so you can see it for yourself. Community Center for help. Over time, she found support there as she rebounded from job loss and took her career in a new direction. “It has been a www.htijobs.com | www.htimanufacturingsolutions.com blessing,” said Danita, whose young son became a member of the First Choice plan. Also, seeing her strong desire to help others, the staff asked Danita to join the First Choice Community Advisory Committee to provide a voice for those served by the plan. The Community Advisory Committee also includes representatives from a variety of organizations, including the South Carolina Hispanic/Latino Health Coalition, the American Cancer Society and the Midlands Interagency Coalition. Together, they are working to eliminate health care disparities across the state. The committee is part of Select Health’s pioneering efforts to provide culturally and linguistically appropriate services in an effort to achieve health equity Our mission to help people get for all. Select Health was one of the first six health care, stay well and build healthy plans in the country to receive the NCQA’s prestigious communities serves as our road Multicultural Health Care Distinction in 2011 and is still map. We empower our members the only one in South Carolina to hold it. to take control of their health As South Carolina’s hometown health plan and its highest nationally ranked (#42) Medicaid health and our emphasis on education, plan, according to NCQA, Select Health recognizes its prevention and wellness promotes most valuable resource, the 315 employees who daily quality of life and keeps health breathe life into the mission through their caring and care costs down. In addition, with concern for First Choice plan members. our Excellent Accreditation rating “Building healthy communities is a big job that no one can do alone,” Helling said. “To be successful, from the National Committee we must build connections, relationships and for Quality Assurance, we have a partnerships, and through it all, we must build trust. proven track record in providing When we work together, we are stronger, and we are high quality health care. healthier.”

Susan Hill Smith is a freelance writer based in To learn more, read our 2013 Annual Message to Charleston. the Community at www.selecthealthofsc.com.

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 21 Legislative priorities discussed at 2012 Business Advocate Business Speaks Award Winners usiness leaders gathered at the Columbia Marriott on Tuesday, January 29 for Business Speaks at the H State House. This annual gathering featured a legislative panel discussing top business issues, including Senate the business community’s Competitiveness Agenda, which focuses on infrastructure, workforce B Senator Thomas Alexander (Oconee) development, tax reform and a host of other issues. The South Carolina Chamber of Commerce also presented 41 South Carolina legislators with the fourth Senator Paul Campbell (Berkeley) annual Business Advocate Award. The awards are presented to members of the General Assembly who scored Senator (Newberry) 100 percent on the Chamber’s 2012 Legislative Scorecard. Senator (Lancaster) AFTER THE EVENT Senator (Florence) Senator Larry Martin (Pickens) Senator Billy O’Dell (Abbeville) Senator Greg Ryberg (Aiken) Senator Nikki Setzler (Lexington) Senator David Thomas (Greenville) Senator (Laurens) H House Speaker Bobby Harrell (Charleston) Representative Todd Atwater (Lexington) Representative Nathan Ballentine (Richland)

Rick Davis of Elliott Davis, Chairman Mike Brenan presents Speaker Bobby Harrell with a Representative Bruce Bannister (Greenville) LLC, presenting sponsor of 2012 Business Advocate Award. Representative Eric Bedingfield (Greenville) Business Speaks, kicks off Representative Kenny Bingham (Lexington) the town meeting. Representative Alan Clemmons (Horry) The South Carolina Representative Kris Crawford (Florence) House panel Representative Bill Crosby (Charleston) addresses Chamber business leaders Representative Greg Delleney (Chester) during the town Representative Tracy Edge (Horry) meeting. Representative Dan Hamilton (Greenville) Representative Phyllis Henderson (Greenville) Representative Bill Herbkersman (Beaufort) Representative Bill Hixon (Aiken) Representative (Greenville) Over 300 Chamber Representative Phillip Lowe (Florence) members participate in the town meeting. Representative Jay Lucas (Darlington) Representative Peter McCoy (Charleston) Representative Wendy Nanney (Greenville) Representative Ralph Norman (York) Representative Phil Owens (Pickens) Representative Kevin Ryan (Georgetown) Representative Murrell Smith (Sumter) Representative Garry Smith (Greenville) The South Carolina Representative Roland Smith (Aiken) Senate panel answers questions Representative Tommy Stringer (Greenville) from South Carolina’s Representative Bill Taylor (Aiken) business community. Representative Mark Willis (Greenville) Representative Tom Young (Aiken) H

22 | S o u t h C a r o l i n a B u s i n e ss BUSINESS SPEAKS Sponsors

Presenting Sponsor Elliott Davis, LLC

Platinum SCANA Zeus Industrial Products, Inc.

Gold Bank of America Blue Ridge Electric Cooperative BlueCross BlueShield of South Carolina Duke Energy Carolinas and Progress Energy Carolinas FUJIFILM Manufacturing U.S.A., Inc. Sonoco

Silver Alcoa Mt. Holly BB & T BMW Manufacturing Co., LLC The Boeing Company Coca-Cola Bottling Co. Consolidated Michelin North America, Inc. Myrtle Beach Area Chamber of Commerce Nelson Mullins Riley & Scarborough LLP Ogletree, Deakins, Nash, Smoak & Stewart, P.C. SC Hospital Association Time Warner Cable

Bronze Absolute TOTAL Care Carolinas AGC, Inc. Coleman Lew & Associates, Inc. The Electric Cooperatives of S.C., Inc. International Council of Shopping Centers ICSC Midlands Technical College Piedmont Natural Gas Shaw Industries Group, Inc.

Contributors Greater Columbia Chamber of Commerce Greater Summerville/Dorchester County Chamber of Commerce Greater Sumter Chamber of Commerce Kershaw County Chamber of Commerce & Visitors Center McMillan Pazdan Smith Architecture North Myrtle Beach Chamber of Commerce Convention & Visitors Bureau Orangeburg County Chamber Of Commerce Riley Pope & Laney, LLC SC Credit Union League & Affiliates Tri-County Regional Chamber of Commerce

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 23 Marie Sitter, SPHR, named 2013 HR Professional of the Year 2013 HR Professional of the Year Sponsors:

he South Carolina Chamber of Commerce and the South Carolina State Council of the Society for Platinum Human Resource Management (SHRM) honored the 2013 Human Resources Professional of the Year Ogletree, Deakins, Nash, Smoak & Ton February 6 in Columbia. More than 100 business leaders were in attendance as Marie Sitter, SPHR, Stewart, P.C. (Greenville, Columbia, Span-America Medical Systems, Inc. was named the 2013 HR Professional of the Year. Charleston Offices)

Other 2013 HR Professional of the Year nominees: John Atkinson, SPHR, director of human resources, Charleston Water System Gold

AFTER THE EVENT Glen Brown, VP human resources management, Santee Cooper - Finalist BlueCross BlueShield of South Carolina Darlene Fisher, SPHR, director of human resources, Anderson University Columbia SHRM Jennifer Floyd, SPHR, VP of human resources, Canal Insurance Company Continental Tire the Americas, LLC Diane Frea, SPHR, VP of human resources, The State Media Company Fisher & Phillips LLP Stephanie Hess, director, Continental Tire the Americas, LLC McNair Law Firm, P.A. Robyn Knox, SPHR, VP of human resources, Southern Weaving Company - Finalist Phillips Staffing Ed Parris, president, Phillips Staffing - Finalist S. C. SHRM State Council Michelle Powell, director HR client services - South, Select Health of South Carolina Santee Cooper SCANA Corporation Select Health of South Carolina

Media Sponsor The State Media Company

Silver Charleston Water System

Bronze Alcoa Mt. Holly Food Service, Inc. Jackson Lewis LLP Jim Gray Consultants, LLC

Rita Revels of the S.C. SHRM State Council and Gary Williams of John Creech represents Ogletree Deakins, Spirax Sarco, Inc. the Chamber’s HR Committee present Marie Sitter the 2013 HR the award sponsor, during the event. Professional of the Year Award.

Rita Revels and Gary Williams with the 2013 HR Professional of the Year nominees.

(Upper left) Denise Ryan delivers a motivational keynote address during the dinner.

(Left) Judi Gatson of WIS-TV emcees the dinner.

24 | S o u t h C a r o l i n a B u s i n e ss MEMBER NEWS

Lockhart Power Company announced that it is donating $100,000 to Union County to support of the arrival of the Gonvauto South Carolina steel service Greenville Mayor Knox H. White proclaimed December 12th, 2012 as center at the Union County Commerce Industrial Park. The facility, which is Haynsworth Sinkler Boyd Day. The mayor presented Haynsworth Sinkler being built by Gonvarri Steel Service, is the company’s first steel service center Boyd’s Managing Director Anne S. Ellefson with a proclamation honoring in the U.S. Pictured left to right are Andrena Powell-Baker, executive director, the firm’s 125 years of providing legal services to local, state, regional, national, Union County Economic Development Board; Bryan Stone, COO, Lockhart and international clients. In addition to the firm’s Greenville office, there are five Power; Joe Nichols, director of utilities, City of Union and Thomas L. Sinclair, other office locations in Charleston, Columbia, Florence, and Myrtle Beach, SC, supervisor and chairman, Union County Council. and Washington, DC.

AgFirst Farm Credit BMW Manufacturing direction and execution of the company’s Keenan & Suggs, Inc., a fully Bank recently named announced that Sherry economic development programs, integrated insurance, risk management, Isvara Wilson to the Coonse McCraw has projects and business development employee benefits and HR services position of senior vice been named the new vice activities across Duke Energy’s service firm headquartered in Columbia, has president and general president responsible for territory in North Carolina, South acquired The Sullivan Company, LLC counsel. Ms. Wilson will be responsible finance and production control. McCraw, Carolina, Florida, Indiana, Ohio and of Greenville effective December 31, for managing AgFirst’s legal department a 20-year veteran of BMW’s plant in Kentucky. 2012. The Sullivan Company, founded and will serve as a member of the bank’s South Carolina, has been instrumental in 1974, is a full service insurance agency executive committee. in leading the plant’s major expansion Elliott Davis, LLC, one offering commercial and personal investments throughout her tenure. of the largest accounting, insurance and employee benefits. Barnes Alford i s tax and consulting services KeenanSuggs’ Greenville office will pleased to announce Clemson University President James firms in the Southeast, relocate to Sullivan’s office at 501 East that Catherine Ava F. Barker announced a $1.05 million announced the addition of McBee Avenue, Suite 201, Greenville, Kopiec has joined the gift from Joe and Gretchen Erwin, co- Jon Sutter as assurance manager in its SC 29601. firm as an associate. Ms. founders of leading advertising and manufacturing and distribution practice. Kopiec will practice primarily in the marketing firm Erwin Penland, to He will be located in the firm’s Greenville In 2013, KershawHealth celebrates areas of civil litigation and business establish the Erwin Center for the Study office. its 100th year of caring for the people and insurance defense. of Advertising and Communication at of Kershaw County and surrounding the school. The U.S. Department of Commerce, communities. Founded in 1913 as the Carol Peters, production manager of Minority Business Development Agency Camden Hospital, Kershaw Health A. O. Smith’s commercial water heater Collins & Lacy attorney (MBDA) has announced Dr. Louis today is a comprehensive community plant in McBee was recently recognized Aisha Taylor was ap- B. Lynn, president of ENVIRO Ag healthcare system with facilities spanning by The Manufacturing Institute, Deloitte, pointed to the South Science, Inc., as the winner of the 2012 the county. University of Phoenix, and the Society Carolina Workers’ Com- Ronald H. Brown Leadership Award. of Manufacturing Engineers with a pensation Commission by Dr. Lynn was honored at a ceremony Robert Bendetti has joined Life Cycle Women in Manufacturing STEP (Science, Governor Nikki Haley and was approved in Washington, D.C. Inspired by the Engineering (LCE) as chief financial Technology, Engineering and Production) by the Senate. The South Carolina Work- outstanding leadership of the late U.S. officer and senior vice president. He is Award for her excellence and leadership ers’ Compensation Commission is com- Commerce Secretary Ronald H. Brown, responsible for all financial operations in manufacturing. Peters joins 121 other prised of seven commissioners appointed this prestigious award recognizes of the company including accounting, woman honorees, representing all levels by the governor with the advice and con- exceptional leaders who have made great contracting, purchasing, legal and of manufacturing from the factory floor sent of the Senate. Taylor joined Collins & strides in creating diversity in the public or information technology. to the C Suite. Lacy in 2007 practicing in workers’ com- private sector. pensation defense and employment law. McNair Law Firm, P.A. The BlueCross BlueShield of South Gallivan, White & Boyd, announced that M. Carolina Foundation has awarded more Colonial Life contributed $715,000 to P.A. announced that Craig Garner, Jr. has than $600,000 to health care-related South Carolina charitable organizations firm shareholder Luanne been elected to his fourth organizations in its latest grant cycle, in 2012. The contributions included Runge began her term term as president of the bringing the 2012 total to $3.2 million. donations to organizations selected as chair of the Board of South Carolina Higher Education by the company and matching gifts of Directors for the Greenville Chamber of Foundation (SCHEF). Through this BMW Manufacturing announced employee contributions. In addition, Commerce on January 1, 2013. role, he will continue to work to increase annual production of 301,519 vehicles, employees volunteered nearly 10,500 awareness and access to all aspects of marking 2012 as the highest production hours of time to their favorite causes. Garvin Design Group and Mashburn higher education for South Carolina. volume in the South Carolina plant’s Construction were recently honored Craig is a shareholder of McNair Law 19-year history. This represents a 9% Duke Energy has named Stuart with a Design Merit award from AIA Firm and serves as its counsel. increase over the production volume for Heishman its vice president of economic Columbia for the renovation of the Mast 2011 (276,065). Since 2010, the plant’s development, business development and General Store at 1601 Main Street in NBSC, a division of Synovus Bank, production output has increased by 90% territorial strategies. Heishman will be Columbia. recently announced that Synovus (159,284). responsible for the oversight, strategic received 17 national awards from

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 25 Greenwich Associates for excellence in both middle market and small business banking. Among 750 banks evaluated nationwide, only 39 received national excellence awards for middle market banking, and only 42 for small business banking. Synovus received four regional awards as well.

Nexsen Pruet has elected MEMBER NEWS attorneys Amy Clayton and Jennifer Hollingsworth as members (partners) of the firm’s SCE&G recently presented an $87,684 check to Richland County School District One as part of the company’s EnergyWise Columbia office. Clayton practices in for Your Business Program. As part of the program, Richland One completed lighting upgrades at two elementary schools which will increase energy efficiency and reduce overall consumption by an estimated 264,118 kWh annually. Lavita Advertiser Index Harriford, program manager for SCE&G’s EnergyWise for Your Business program, presented the check to the Richland One Board of School Commissioners and Superintendent Dr. Percy Mack. BlueCross BlueShield Of S.C..Inside Front Cover

W e l c o m e , N e w M e mb e r s Carolina Filters Inc...... 19 Airgas National Welders Hollywild Animal Park Personal Defense Outfitters Cherry BeKaert LLC...... 17 Charlotte, NC Little Mountain Zoological Park Travelers Rest Inman Haynsworth Sinkler Boyd, P.A...... 1 AR Funding Republic Transportation Systems Inc. Greenville Greenville IMA SE Human Technologies...... 21 Mount Pleasant Babcock Center, Inc. Signature Transportation Nexsen Pruet...... 7 West Columbia Innovative Resource Management Columbia Summerville Belser-Tarrant Company Signet Human Resource Mgmt Palmetto Health...... Back Cover Columbia Intel Corporation, Columbia Goose Creek Design Center Santee Cooper...... 11 Brewer Insurance Columbia Simplified Office Systems LLC Information Service Columbia Select Health of S.C...... 21 Columbia InterMedical Hospital of S. C. Columbia South Carolina School Boards C3 King Consulting, LLC Association Irmo Jakes Landing LLC Columbia When your Lexington Carbures USA Inc. SouthEast Biodiesel message needs Greenville Jimmy Rivers Body Shop Inc. North Charleston Columbia to reach South Clarendon County Disabilities Tarheel Contractors Supply, Inc. Carolina’s business & Special Needs Board Johnson’s Garbage Service Rock Hill Manning Columbia leaders, there is The Caddy Shak only one choice: Coastal Gas Services Kelly Services Lexington Marion Columbia SOUTH CAROLINA The Interface Financial Group BUSINESS. College Summit - South Carolina M Gourmet Group Mount Pleasant Orangeburg Columbia The magazine of Trident Construction Co., Inc. choice for South Consultants of Carolina Marine Forensic & Investigation North Charleston Lexington Group, LLC Carolina’s top Summerville U.S. Strapping Company, Inc. Discover Upcountry Carolina Lancaster executives. Association Mining Association of South Carolina For advertising and Greenville Irmo VLS Recovery Services Mauldin marketing opportunities, Evans General Contractors Mount Pleasant Waterworks call Deidre Macklen Greenville Mount Pleasant at 803 318 3923. E-Z-Go Golf Cart Sales Park Sterling Corp. Augusta, GA Charlotte, NC

Greater Hardeeville Chamber of Pelmetta Performance Solutions, Inc. Commerce Columbia Hardeeville Performance Food Group HLA INC Rock Hill Charleston

26 | S o u t h C a r o l i n a B u s i n e ss the areas of commercial real estate, member is Donen Davis, J.D., M.D., and consulting firms, and firm principal Demand is available through Carolina general business and corporate law, plastic surgeon with Donen Davis Plastic Sandy Cooper has been named a On Demand on channels 199 and 1047. and commercial lending, with special Surgery and chief of staff for Palmetto member of Scott and Company. All STEM On Demand is part of Connect A emphasis on real estate development Health Baptist. members of the former Lowrance Million Minds (CAMM), Time Warner and commercial leasing. Hollingsworth Cooper firm will join Scott and Company Cable’s 5-year, $100 million philanthropic practices in the business and commercial PHT Services, Ltd. as part of the transition. initiative to inspire young people to litigation practice group where she associate Erin Myers has pursue education and careers in STEM. handles matters such as defending earned the Associate in SCRA announced that the United States, nursing homes and assisted living Insurance Services (AIS) a charter member of the global Intelligent WebsterRogers brought on Jessica facilities, certificate of need litigation, professional designation. Manufacturing Systems program (IMS), Bastedo as an audit senior in their fiduciary duty litigation and other The Associate in Insurance Services assumed the IMS chairmanship from Columbia office. Ms. Bastedo brings complex litigation matters. (AIS) program, offered by the American the European Union. Robert Kiggans, over 5 years of experience in the public MEMBER NEWS Institute for Chartered Property Casualty who serves as vice chairman of SCRA’s accounting and audit industry to her new Nexsen Pruet announced Underwriters (AICPCU), covers topics Applied R&D sector, will serve as the role at WebsterRogers where she will be that Rachael Lewis including continuous improvement, IMS chairman for a 30-month term. The focusing on audit and attest services Anna has joined the quality, benefits of customer orientation, IMS was established for advancement across a wide variety of industries. firm’s Greenville office. leadership, teamwork, organizational of global cooperative manufacturing Anna will work with the structures, process management, research. WebsterRogers firm’s business litigation and health care and process improvement. Located in announced that Robert practice groups, focusing on competition Columbia, PHT Services, Ltd. provides a Sonoco announced that M. Jack M. Tilton, CPA has been and antitrust issues in the health care and variety of risk management services to Sanders will become president and named a partner in the related industries. Anna comes to South South Carolina’s healthcare industry. chief executive officer of the company, firm. Mr. Tilton works in the Carolina from the McDermott Will & effective April 1, 2013, when Harris E. firm’s Florence, SC office and has over 13 Emery law firm in Washington, DC. Richardson Plowden DeLoach, Jr., retires as an active employee years of experience in public accounting & Robinson, P.A. is after more than 27 years with Sonoco. with an emphasis in auditing. Nexsen Pruet attorney Franklin pleased to announce Sanders, 59, is currently president and Daniels has been appointed to the that E.B. Davis Inabnit, chief operating officer of Sonoco and Young Clement Rivers, Medical University of South Carolina’s Jr., has joined the firm has global leadership, sales and operating LLP announced that Leslie Board of Visitors. Daniels’ appointment as an associate attorney in the Myrtle responsibility for all of the company’s M. Whitten has become came courtesy of MUSC Trustee, Dr. Beach office. Inabnit is a member of the diversified packaging businesses. a partner of the firm and Thomas C. Rowland, Jr. The Board of litigation practice group. J. Steven Rodenberg has Visitors serves as a liaison between the Time Warner Cable has launched joined the firm as special Medical University and the community Richardson, Plowden STEM On Demand in its continued counsel in the Charleston and works to raise the standards of health & Robinson, P.A. effort to motivate students to expand Office. and education within the state of South announced that attorney their interest in science, technology, Carolina. Franklin Daniels is the managing Charles J. “Chuck” Webb engineering and math (STEM). STEM On member of Nexsen Pruet’s Myrtle Beach was recently named a office and serves as chair of the firm’s real shareholder in the firm. Webb joined estate practice group. Richardson Plowden in 2005 and focuses his practice on real estate transactions, Pacolet Milliken foreclosures, collections, creditor’s rights Enterprises, Inc. in bankruptcy, and business/corporate announced the promotion law. of John D. Montgomery to vice president of real Riggs Partners is pleased to estate. Montgomery’s responsibilities announce the addition of include developing strategic initiatives Keely Saye as its director to reposition existing properties and of inbound marketing, a acquiring new properties for future practice that uses digital development, and he also joins the content, social media, search engine company’s executive management optimization and marketing, email committee. marketing, and lead nurturing systems to increase web site traffic and generate Palmetto Health announced new leads. Keely is a certified inbound board members Sara B. Fisher, senior marketing specialist and the former vice president and chief financial principal of keelysaye.com, an inbound officer of The National Bank of South marketing agency. Carolina; Beverly D. Chrisman, retired government executive and political Sage Automotive Interiors has consultant; and Joel E. Johnson, been recognized by the South Carolina D.M.D., general, cosmetic and sports Department of Labor, Licensing and dentist with Joel Johnson D.M.D., P.A. Regulation for maintaining a safe and The Richland Memorial Hospital new incident-free plant environment in their board members are C. Guy Castles Sharon plant located in Abbeville, S.C., III, M.D., pediatrician with Pediatric for 15 years, more than 9 million hours. Associates; F. W. “Rick” Dreyer, M.D., physician with Pitts Radiology and Columbia area tax firm, vice chief of staff for Palmetto Health Lowrance Cooper Richland; Randy R. Lowell, lawyer and Company, has with Willoughby & Hoefer, P.A.; and merged into Scott and Sandra P. Sims, owner of SAP, Inc. The Company LLC, one of Baptist Healthcare System new board South Carolina’s fastest-growing CPA

scchamber.net | March/April 2013 | S o u t h C a r o l i n a B u s i n e ss | 27 I am South Carolina Business

Name: Eric Elkins

Hometown: Columbia

College: University of Arizona

Occupation: Insurance, Risk Management and Employee Benefits with KeenanSuggs BowersElkins, LLC

He thinks the future of health care has changed since the Affordable Care Act. “People’s premiums have gone up, not down. So far, all we have seen is health costs go up, not get lower. So many questions are still unanswered. We have seen a lot more panic, and businesses are trying to decide whether or not to continue health insurance coverage for their employees. Businesses are questioning if they want to be the first ones on the health exchange bus. My suggestion is to let the government work out its kinks before dropping a group health plan. It is also important to have your benefits advisor perform the pay or play analysis to better understand your future options.”

If he could go back in time…and had the power “I would take baby steps rather than run to reform the health system. While reforms were definitely needed, the complete overhaul was not necessary.”

He’s passionate about “Being a great father and a great husband. I am also passionate about my clients and being able to pick up the phone and have a level of comfort where I know I can get them the answers they are looking for and never take their trust in me for granted.”

His best career advice “Be different! When you are standing in front of an audience, do something that makes you stand out so people remember you.”

His secret to success? “Working very hard and being willing to do the things that are uncomfortable.”

You would never guess “I once went to the late Aaron Spelling’s 56,500 square foot house in Los Angeles, California. A college friend was dating Tori Spelling, and we went to her parent’s unbelievable mansion.”

South Carolina is the best state “Because of the people, mild weather, beautiful golf courses and tremendous Clemson vs. Carolina rivalry.”

I am South Carolina Business “I am passionate about South Carolina being in the top ten in different categories for the right reasons, not the wrong reasons.”

– Jean Cecil Frick

28 | S o u t h C a r o l i n a B u s i n e ss When your message needs to reach the largest possible business audience, there is only one choice:

the magazine of choice for South Carolina’s top executives.

September/OctOber 2012 VOl. 33 | NO. 5

November/December 2012 vol. 33 | No. 6

Manufacturing South Carolina’s Worldwide Reach StarS of Sequestration Takes Aim BuSineSS The State of Infrastructure Business Leader of the Year FUJIFILM s.C. top 100™ A Broader Focus eConomiC sporting events Tire Empire puBLiC servant of the Year

famous south CaroLinians

s.C. Big 50®

sgt. Jasper freedom award

Contact Deidre Macklen at 803.318.3923 for 2013 marketing and advertising opportunities.

PUBLISHING & MEDIA SERVICES That’s what the people at Palmetto Health are all about. Our employees, physicians and volunteers come to work every day to make a difference in the lives of our patients and their families. And we’d like to take a moment to say thank you for allowing us to care for your family as if you were our own. We truly appreciate the readers of The State for recognizing us as the best in healthcare for three years in a row.

To find a physician that goes the extra step for you and your family, call 803-296-CARE or visit PalmettoHealth.org.