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Health Care Heroes: Doc's behind-the-scenes leadership puts patients first at UT Medical

Dr. James Shamiyeh has worn several hats while working at the University of Tennessee Medical Center. Now he's navigating a transition from direct patient care to optimizing the hospital's efficiency.

The 49-year-old started at the hospital in 2005 as a pulmonary and critical care medicine physician, then became the medical director of the Heart Lung Vascular Institute in 2016. In 2019, he was named the medical center's senior vice president and chief quality officer, and, as of July 1, he became the executive vice president of clinical operations.

It's been a quick career shift, but one that Shamiyeh said he feels called to do.

"Health care is more complicated than it's ever been before," Shamiyeh said in an interview with Knox News. "Even though I truly enjoyed bedside care, I felt pulled to this type of work because of the broader impact. The system has to work for the patients."

And during a global pandemic that has infected more than 141,000 people in Knox County, creating a health care system that works both with and for patients continues to be a critical part of Shamiyeh's goal of prioritizing patient care and experience at the UT Medical Center.

That's why he's a recipient of Knox.biz's 2022 Health Care Heroes award for physician medical excellence.

Dr. James Shamiyeh, Senior Vice President and Chief Operating Officer of Clinical Operations at UT Medical Center, poses for a portrait at the hospital in Knoxville, Tenn. on Monday, Aug. 1, 2022.
Dr. James Shamiyeh, Senior Vice President and Chief Operating Officer of Clinical Operations at UT Medical Center, poses for a portrait at the hospital in Knoxville, Tenn. on Monday, Aug. 1, 2022.

Charting a path through the pandemic

Being able to predict the COVID-19 pandemic likely would have made Shamiyeh's job as chief quality officer a lot easier.

Unfortunately, being able to see the future isn't one of Shamiyeh's many talents.

It's been a difficult more than two years for all medical workers, including the staff at the UT Medical Center. While COVID-19 waves ebbed and flowed for the first year, the delta surge followed by the emergence of the omicron variant were some of the more challenging months Shamiyeh faced during this time at UT Medical Center.

"The fact that they hit back-to-back was very challenging because of the drain it took on the staff," Shamiyeh said. "With the delta surge, we were seeing more patients hospitalized than we had seen before, sicker patients and more patients in the ICU."

Dr. James Shamiyeh, Senior Vice President and Chief Operating Officer of Clinical Operations at UT Medical Center, poses for a portrait in front of the John W. Lacey Wall of Distinction at the hospital in Knoxville, Tenn. on Monday, Aug. 1, 2022.
Dr. James Shamiyeh, Senior Vice President and Chief Operating Officer of Clinical Operations at UT Medical Center, poses for a portrait in front of the John W. Lacey Wall of Distinction at the hospital in Knoxville, Tenn. on Monday, Aug. 1, 2022.

But two of Shamiyeh's talents definitely helped him face the challenge head-on: his deep knowledge of clinical processes and his serious attention to detail.

He led the medical center's COVID-19 Hospital Incident Command System (HICS), used in hospitals during emergencies like natural disasters.

"But we all know the challenges that COVID-19 brought, so we ran a modified HICS structure for several months, which really got all the right people at the table, sometimes on a daily basis, to be able to address the issues that came up during COVID," Shamiyeh said.