View Comments A top Tennessee health official called last week for the firing of the state's then-vaccination chief Dr. Michelle Fiscus, criticizing her leadership and management skills, newly released documents show. But Fiscus' termination, which touched off a national media firestorm, followed years of glowing performance reviews ultimately approved by the very same official, additional records reveal. Tennessee Department of Health Chief Medical Officer Dr. Tim Jones sent a memo to Commissioner Dr. Lisa M. Piercey dated Friday, recommending Fiscus' termination, according to the document released Thursday by the state health department. In it, Jones wrote Fiscus should be fired because of a "failure to maintain good working relationships with members of her team, her lack of effective leadership, her lack of appropriate management and unwillingness to consult with superiors and other internal stakeholders."