TL

=

™

 
 

The boundaries of the Region are coincident with those of the State.

california -- (Sens. Alan] M. Cranston and George Murphy)

support bs FY 69%
$16, 681, 000 -

Current FY 70 Level of Support

* $9,512,000 Be ES ae

The Region:

The Region is divided inte eight Areas, each centered in a medical
school, because of its large population. Each Area has its own staff
and Area Advisory Group. : le
The grantee organization is a recently established non-profit corporation
which also handles grants for the California Medical Association. This
organization is the California Medical and Education Research Foundation,
and its Executive Director is Mr. Robert L. Thomas. The Program Coordinator
is Mr. Paul D. Ward. Mr. Ward has a small staff which serves ta coordinate
activities among the eight Areas

The Regional Advisory Group directs policy for the Program and passes on
all grant proposals submitted from the Areas. The Group consists of 27
members broadly representative of the Medical Association, medical schools,
other health organizations and personnel; and consumers. Including the

taffs of all the Areas, and including clerical help, there are approxi-
nately 240 people.

Present Operational Activities: *

The Region has a large number of activities. These include continuing
education programs involving such clinical areas as coronary care units
and cancer therapy, Several broad programs in the epidemiology, prevention,
and rehabilitation of stroke have been developed. Several broad screening
programs integrated with comprehensive care have also been dove tore. A
Regional television network for continuing education is on-going. RMP
helped initiate the new Drew School for Postgradvate Medicine in ‘Watts,
and now supports fully its Department of Community Medicine.

 
 

 

 

-2-

_ Approved Projects -for Which New Money Is Not Available

‘There are presently 16 operational projects which have been approved but

for which new money was not available. These activities cover the same
general areas as were described above. >
 

a

 

 

 

 

:

‘Colorado - (Peter H, Dominick - Denver) ‘

Support Through FY "69: so - 7 ae o a

- x, aa, 000 / - - So ce - a

current FY! "70 Level of Support: |
$1,143,000

he Region:

The region includes the State of Colorado and Wyoming. ‘The grantee organiza~
tion is the University of Colorado Medical Center, The initial planning
grent was made on January 1, 1967, The program coordinator is Dr. Paul.R.
Hildebrand. Dr. Hildebrand who retired from private practice in 1967 is

full time on the program, The Regional Advisory Group consists of 25

members at the present time and is limited to a total of 30. ‘fhe group
is a cross representation of the public and health interest of the two
states, A competent staff of 15 individuals have been recruited to
administer this program,

Present Operational Activities

 

The initial operational projects are: 1) A project to develop a computer-
ized statewide cancer registry to improve follow-up to as near as 100%

as possible and through utilization of registry data, to provide the
cancer patients of Colorado with the best care end ‘earliest diagnosis
possible, 2) A multi-media education project that will develop a proto-
type system for videotape exchange and closed-circuit TV, 3)-a Home
Yielysis Training Program to improve the understanding of health personnel
and the public in the treatment of kidney disease in the, home environment,
4) A project for familiarize physicians and paramedical ‘personnel of

.the magnitude of the emphysema-chronic bronchitis problems and treatment,
°5) A project to provide training for Rediation Therapy and Nuclear Medicine

Technicians, 6) Provide support for the Colorado Interagency Council on
Smoking and Health. 7) A project to provide integrated training in inten-
sive nursing care for nurses, 8) A project to develop continuing education
staff in the RUP to counsel conmunities interested in developing local
continuing education programs, 9) A project to expand existing facilities
and capabilities of the pediatric pulmonary . program at University of

Colorado Medical Center,
}

Approved Projects for which Now Money is Not Available

(1) A Regional Pediatric Oncology Center for Research and Training
(2) A Project for the Improved Care of the Patient with Advanced Cancer
(3) A Training Program for the Development of Ultrasonic Techniques

for Diagnostic Use in the Cormmity Hospitals
 

3 FLORIDA: Paul G. Rogers, West Palm Reach, Ninth District

 

( . . . oo: / so yp ds

.. Support through FY 1969 _ $1,718,000

-  Gurrent (FY 1970) Level of Support $1,726 ,000 ,

8

The Region:

The boundaries of the Florida Region coincide with those of the State. Chair-
man of the 28 member Regional Advisory Group is Dr. Coyle E. Moore, Emeritus
Dean of the School of Social Welfare of Florida State University. There are
three subregions for planning and organization of the Region. One, the South
Subregion, was headed by Dr. George Adie, who submitted his resignation in
_. January 1970; the North Subregion by Dr. Lamar E. Crevasse and the Mid-Florida
C _ Subregion by Dr. George L. Buckingham. The Central Office is located in Tampa,
, with Dr. Cranville W. Larimore as the State Director. Dr. H. Philip Hampton is
CJ Chairman of the applicant organization, the Florida Advisory Council. The
Northern office is in Gainesville; the Southern in Miami and the Mid-Florida..
in Tampa, housed apart from the Central Office, .

Present Operational Activities:

In April, 1969, the Region received an operational award of $779,085 to support
nine operational activities: 1) A.Community Multitest Health. Screening Center;
2) A Coronary Care Unit Program for North Florida; 3) A Regional Computerized

Electrocardiographic Processing Center; 4) Postgraduate Inservice Education for

Physicians; 5) Computerization of Coronary Care Units (Jacksonville); 6) Cardio-

vascular Screening Program in Four Rural Counties; 7) Computer Analysis of Elec-

- , trocardiographic Tracings from Cardiovascular Screening Center; 8) Remote Super-
vision of Paramedical Personnel via Telemetry and 9) Florida Coronary Care Nurse

Training Program. The funds acarded represented 75% of the amounts recommended

due to current budgetary constraints. The Region's first operational supplement ,

requesting $372,356, was submitted to the April-May 1969 Review Cycle. The "Core

Support" for the program received approval in the amount of $650,000.

Approved Projects for which New Money is not Available:
- Pediatric Continuing Education (Approved Ist year $51,690; 2nd year $48,495)

Smoking and Health (Approved Ist year $43,370; 2nd year $42,680; 3rd year $45,100)

 
 

 

 

; Support “Through FY

E
b
:

Illinois - (William L. Springer, Representative, Champaign-Urbana,
Iwenty-Second District) re

169;
'.” .3$2 448,000

7

e

Current FY "70 Level of Support: -

$1,627,000

a

The Region

The boundaries of Illinois Regional Medical Program coincide for the most

part with those of the Illinois state boundary. There is flexibility
for response to other factors such as medical services and trade areas

-and these responses may be reflected in either direction. The Bi-State

Regional Medical Program, based in St. Louis, Missouri, as an example,
provides services to parts of Southern Illinois. Gary, and other parts

of northwestern Indiana may relate to the Indiana Regional Medical Program
or to the Illinois Regional Medical Program. ,

The grantee agency, the Illinois Regional Medical Program, Inc. is a
non-profit corporation. , - ue

Oglesby Paul, M.D., Head of Medicine at Passavant Hospital in Chicago,
is Chairman of the 31 member Regional Advisory Committee. , Sem

W. J. Grove, M.D., Dean, University of Illinois Medical School is Chairman
of the Board of Directors. The Executive Director, effective April 1, 1970
will be Morton C. Creditor, M.D. ,

There are six task forces and ten expert Coninittees who make significant
contributions in stimulating, developing, and reviewing project proposals.
The task forces also provide an opportunity for comprehensive health
programming and the expert Committees provide for medical expertise
necessary for guidance of any categorical or comprehensive health activity.

The Illinois Regional Medical Program is located at 122 South Michigan
Avenue, Suite 939, Chicago, Illinois 60603.

Present Activities

The Region was approved for operational status py the National Advisory
Council in August 1969. Renewal Core support was provided effective
November 1; 1969 and the avard was made as a planning grant since funds”

were not available for the approved operational projects.

Other than Core, the Region has two ongoing activities: "Education Support

’ a . ae . . . _ "1
Resources Study" at the University of Illinois; end “Hypertansion Study

  

' etin entin Uyyesgetis 7
at Saint buke's Hospital v

wee ce atyaet Fae a4 o Ziuisycle
3 FUSSY 2LVOM CAMA PVs

 
(6

ee

 

”

 

gent

 

The Division of Regional Medical Programs is now prepared to fund
operational projects approved by August Council which consist of the
following: ne

7

go-

. #2. Home. Care Service Program

#2 Multiphasic Screening ~- Industrial Plants

#4 Coordinated Cancer Program

__

#5 Radiation Therapy Treatment
#6 | Stroke Coordination Program
#7 Stroke Rehabilitation Program

#8 Endoscopic Study and Training Program

 
 

 

 

 

”

Iowa: Senator Harold E. Hughes, Ida Grove

at .

 

 

Support Through, FY “69:

 

reat FY 179 ‘Level of Support:

_ $828, 000° _

The soaton:

The boundaries of the Iowa Regional Medical Program are coterminous with

those of the State. The initial planning grant was awarded to the Region

on December 1, 1966. The Regional Advisory Group is functional and has
29 prime and 24 alternate members. Dr. George Hegstrom (private practt-
tioner - Ames, Iowa) is Chairman of the Advisory Group. The grantee
organization is the Iowa University College of Medicine and the Program
Coordinator is Dr. Willard A. Krehl. The Region's Staff is located in

~~. Jowa City.

Present Operational Activities:

 

This region has recently completed its first operational grant year and
has made considerable progress. Private medicine, the College of Medicine
and its faculty, the State Health Departmant and the educational system
are jointly participating in the many cooperative health related activities
Supported in part by the Division of Regional Medical Programs.

“Funded operational projects include 1) a statewide Central Stroke Educational

project, 2) a training. program in cardiopulmonary resuscitation, 3) a compre-
hensive program in Stroke Management, 4) a training program for nurses and
physicians responsible for the operation of Intensive Coronary Care Units,

5) a coordinated out-cf-Hospital Services in Polk County, 6) a continued
cancer education program for physicians, 7) a Diagnosis and follow-up Care
Program for Children with Heart Disease, and 8) an economic study and demon-
stration model for an Iowa Health Information system.

Approved Projects for which New Money is not Available:

 

The following activity has been approved | but unfunded due to budgetary
limitation:

A Mobile Coronary Care’ Unit (Mason City Area) (Approved Ist year $71,575;
~~ 2nd year 87,8753 3rd year $57,575)
 

VOALD & PID. JU ORUMUYULEG, FASO) aft ee eee

 

yO

Support Thru FY 69:
= ~~ $4,750,000

 

Current FY 70 Level of Support:

$1,616,000 te ae : foes Su as

The Region: . " - oN

yhe Kansas RMP regional boundary is the state. The Region is often
considered a coherent area in terms of problems of economic development,
population trends, type of agriculture and medical care: patients.

The Regional Advisory Group (RAG) is composed of 20 members. George A.
Wolf, Jr., M.D., Provost and Dean of the University of Kansas Medical
Center is Chairman of the Kansas RAG elected by fellow RAG members.

. Coordinator .for the Kansas RMP is Robert W. Brown, M.D. and the grantee is the’
University of Kansas Medical Center. A staff of approximately 61 people
(full or part time) make up the core administrative staff. The KRMP has
eight subregional offices: Dr. A. H. Hinshaw, Assistant Coordinator in
Wichita, Topeka, Colby, Emporia, Chanute, Salina, Kansas City, and Great
Bend. Each subregional office has a subregional coordinator who serves
as a member of a Core Staff and relates directly to the administrative office
of Kansas RMP. Locally, he maintains liaison with the Local Advisory Group,
and will serve as Executive Secretary to the LAG. This person provides
_ assistance in planning and development of future activities, administrative
support for Directors of operational projects in the subregion, supports
. cooperative institutional community~based programs for medical and paramedical
_ personnel, and promotes regionalization. | Subregionalization will include
approximatély 95% of the population of the region. Each subregion is represented
by a LAG comprised both of Consumers and Providers but with the majority of
members being providers. The Subregional Advisory Group: membership overlaps.
with Comprehensive Health Planning "BY Agencies. to the extent of two or three
‘members. There is close liaison of the Chairman of the respective groups at
the local level, coordination of activities being accomplished through the
KRMP Subregional Coordinator.

 

Present Operational Activities:

The projects are 1) Educational Programs ~ Creat Bend; 2) Program for Reactivating
Nurses ~ Great Bend; 3) Circuit Course for Active Nurses - Wichita, Parsons,
Emporia, Concordia, Colby, Garden City, Sabetha; 4) Cardiovascular Nurse

Training; 5) Cardiovascular Work Evaluation - Wichita; 6) Continuing Education ©
for Cardiac. Care - Wichita; 7) Metropolitan Kansas City Nurse Retraining Program ~
(interregional project with Missouri RMP); 8) Health Data Bank - Kansas City;

x 9) Self-Instructional Centers - located in small community hospitals; 10)

( Perceptual Motor Dysfunction Assessment and Treatment ~ Wichita; 11) Kansas
Medical Library System - Wichita; 12) Coordinated System for Continuing Education
_-—~ .of Medical and Paramedical Personnel - Emporia; 13) Cancer Care Continuing Educatio

€ Programs ~ Kansas City, Wichita; 14) Subregional Office .in Topeka; 15) Institute

for Dietitians; 16) Core of Patients with Fluid Eletrolyte and Renal Problems -
es Kansas City.
Approved Projects for which New Money is not Available: Dietary Consultant~$3,175
Cerebrovascular and Neurological Nurse Training-$36,655 a
Kansas City Council on Health Careers Health Manpower-$51,775.

 
..
we

 

\ we?

 

Representative Tim Lee Carter, ‘Tompkinsville, Fifth District

 

OHIO VALLEY: Senator Daa B. Saxbe , Merchanicsburg

Support Through FY 169:

 

$i, 390, 000
current FY "70 Level of Support

 

$79, 000 -

‘the boundaries of the thio Valley Region include most of the State of

Kentucky except the southwestern section, the southeastern portion of
Indiana adjacent to Louisville, the southwestern corner of Ohio surround-_

-ing Cincinnati, and the extreme western tip of West Virginia. Medical

school resources are located at the Universities of Kentucky, Louisville,

~ and Cincinnati. The Regional Advisory Council is composed of 36 members.

Approximately one-third are physicians, one-third are representatives of
various health care interests and one-third are lay consumers. The pre-
siding officer of the Council is Mrs. Rex Blazer, a civic leader from

Ashland, Kentucky. The grantee organization is the University of Kentucky

Research Foundation. Dr. William McBeath is Program Coordinator. He and,
his staff are located in Lexington, Kentucky. The region has been awarded
two, one-year planning grants, the first of which began in January, 1967.

Present Operational Activities:

 

The Region obtained an Operational Award of $799,195 on January 1, 1969
to support the administrative staff and six operational project activities:

- 1) a Comaunity Hospital Staff Development Program; 2), A Regional Stroke

Management Demonstration; 3)-A Library Extension Services Program; 4) a

Drug Information Service Study; 5) a Coordinated University Continuing
Education Resources Program; 6) A regional Medical Television Development
Program. - Additionally, the Tennessee Mid-South Regional Medical Program

has funded two programs in Hopkinsville, Kentucky. Me provides an Educa-
tional Center and the other establishes a Coronary Care.Unit. Funds awarded
to the Chio Valley Region represented 75% of the amounts recommended due to
budgetary constraints.

Approved Projects for Which New Money is Not Available:
Automated Multiphasic Screening (Approved $400, 000 for two years)

Rural Multi- ~County Home Care (Approved Ist year $90, 000; 2nd year 27, 654,
~ and 3rd year $127, 654)
 

 

 

Current FY 70 Level of Support:

. Pennessee Mid ‘South ~ Tim Lee Carter, Tonpleinevslle, Kentucky

Support Thru FY 69: | a

$5,534,000 - 4

$2,626,000

The wennessee Mid-South Regional Medical Program encompasses two-thirds
of the State of Tennessee and a twelve county area of Southern Kentucky.
The counties in Kentucky include; Crittenden, Caldwell, Trigg, Lyon,
Livingston, Christian, Logan, Simpson, Warren, Allen, Barren, Todd,

The Regional Advisory Group currently has 58 members from throughout
the Region, The President of the Regional Advisory Group is Mr. Thomas
Kennedy, business executive froia Nashville.

The Grantee is Vanderbilt University on behalf of Vanderbilt University
School of Medicine and Meharry Medical College. The Program Director is
Dr, Paul E, Teschan, Dx. Teschan assumed his duties at TMS/RMP in August 1969,

Present Operational Activities:

The Tennessee Mid-South Region received its opérational award in
February 1968, At the present time there are approximately 26 funded opera~
tional projects, These include: 1) Continuing Medical Education for Physi-
cians - Meharry, 2) Continuing Education Program - Vanderbilt, 3) Hopkinsville
Education Center, 4) Chattanooga Education Center, 5) Special Training for
Practicing Radiologists, 6) Cardiac Nurse Training Program, 7) School of

X-Ray Technology - Meharry, 8) X-Ray Technologist Training Program - Vanderbilt,

9) Expansion of School of Medical Technology - Chattanooga, 11) Coronary Care
Unit - Vanderbilt, 12) Coronary Care Unit - Franklin, 13) Coronary Care Unit -

“Hopkinsville, 14) Coronary Care Unit - Clarksville, 15) Coronary Care Unit -

Nashville General, 16) Coronary Care Unit - Meharry, 17) Coronary Care Unit -:
Murray, 18) Coronary Care Unit - Chattanooga, 19) Coronary Care Unit -
Baptist, 20) Coronary Care Unit - Crossville, 21) Coronary Care Unit -
Tullahoma, 22) Meharry Super-Voltage Therapy Program, 23) wean Evaluation
Studies on a Defined Population Group - Multiphasic Screening, 24) Patient

Care Model, 25) Nurse Specialist Graduate Education Program, 26) A Computerized

‘Network to Assist Planning in Radiotherapy.

Approved Protects for Which New Money is Not Available

1) Continuing Education Program in Intensive Care Nursing for Registered
huxyees and Technicians, 2) Cardiac Screening of School Children, 3) A

Desonstration Project in Sneech Therapy at a Community Ho spital, *) Heeith
Compan

    

:
than Eysten

  

. :
cation, O}) YPeanesren
,a

1) idetase r

a.

AY
che

 

 
 

 

 

i
Fah ate mates.

 

 

 

 

oo Current FY "70 Level of Supports

This region has. received awards to fund the following activities: Visitin

Maine <- Representative Peter N. Kyros -- ‘portland

 

Support Through wi 69:

 

ee
'

“9, 081, 000

The Region:

The boundaries of the Region are coincident with those of the state. The

grentee institution is Medical Care Development, Inc., end the Program
Coordinator is Manu Chatterjee, M.D. ‘The Regional Advisory Group (RSG) to

this region has 33 members and they are representative of practicing physi-
cians, hospital associations, voluntary agencies, health and related
planning egencies, governmental health agencies, allied health professions,
health insurance industry and consumers, The Chairman of this group is

H. Douglas Collins, M.D., a practicing internist,

“This region has delineated five sub-regions, each about a ‘referral center,

for the purpose of developing a system for delivering optimum medical care
in the State of Maine, This has resulted in the establishment of linkage
between the referral centers and community hospitals, thus creating broad
representation and interest in discussing and solving medical care problems.

Present Operational Activities

 

Guest Residency Program; Kennebec Valley Regional Health Agency Program; -
Smoking Control; Coronary Care: and Physicians’ Continuing Education,

Approved Projects for Which New Money is Not Available:

 

 

Director of Medical Education (Approved lst year $37, 500, 2nd year $67, 500,
3rd year $123,000, 4th year $165,000, 5th year $164,500),

Regional Library ‘(Avproved Ist year - 843, 942, 2nd year $23,301, 3rd year

$24,052, 4th year $24,765, Sth year 25, 705).

“Regional Cancer Program (A ‘pproved Ist year $75, 422, 2nd year 999, 516,
‘3rd year $98,722).

 

 
 

.

Tri-State -- Senator Eduard i. Kenn redy -- Boston So

_?

 

Seppers Throvah FY "69:
$1, "765,000
Current FY: 70 Level of Support:

a, 712, 000

The Region:

This region encompasses the states of Rhode Island, Massachusetts, and Ne
Hampshire. The grantee institution is the Medical Care and Education Founda
‘tion, Inc., end Leona Baumgartner, M.D., is the Chief Executive Officer. The
Regional Advisory Group consists of 63 members -- 21 from each state. This
advisory group membership is representative of: state medical societies,
schools of the region, practicing physicians, nurses, allicd health profes-
sions, voluntary health agencies, hospitals and their associations, health
and related planning agencies, government health agencies, and consumers,
Tne Chairman of this group is Louis Leone, M.D., Director, Department of
Oncology, Rhede Island General Hospital, Providence, Rhode Island, Each state
of this region is a sub-region having its own coordinator and Massachusetts
is further sub-regionalized into western and eastern components, This region
also has a staff coordinator at each of its area medical schools -- Boston
University, Tuff University, Harvard, University of Massa schusetts, Dartmouth,
and Brown a

me

 

 

Present Operatiqnal Activities:

This region has received avards to ‘fund the following awards: Expansion and
Consolidation of Coronary Care Training for the Northern Portion of the

Tri-State Region to Provide State-Wide Service; Establishment of a Comprehensive
. Inter-University Cardiovesculer Program in the Dept, of Health and Hospitals
in the City of Boston; and Comprehensive Regional Medical Program in Cancer,

Approved Projects for Which New Money is Not Available:

Training Program on the Diagnosis and Care of Chronic Chest Disease Including
Laboratory Techniques and Related Disease (Approved lst year $107,085; 2nd
year $85,164); A Protocol for Establishing a Diet Counseling Service in
Rhode Island (Approved lst year $45,634; 2nd year $39,247; 3rd year $50,872);
Comprehensive Care of the Acute Stroke Patient (Approved lst year $14,575;
2nd year $14,375; 3rd year $14,375).
 

 

 

Missouri ~~ (Sen. Thomas B Eagleton)

Support The Thru FY 6 FY 693 : 7 ee ee

gt

$13, 242, 000
Current FY 70 Level of Support:

. - $4,482,000

_The Region:

The boundaries of the Region are coterminous with those of the State,

‘-except for the St. Louis metropolitan area which is part of Bi-State

RMP. Close working relationships with the Kansas RMP exist for, the
Kansas City area. Close working relationships exist with the Memphis
RMP for the Southeast Missouri area. :

The grantee organization is the University ‘of Missouri whose Comptroller

is Mr. R. H. Bezoni. The Program Coordinator is Dr. Arthur E. Rikli. The

Regional Advisory group consists of 12 members, geographically distributed
throughout the State and including medical, allied organizational and con-
sumer interests. Including secretarial and clerical assistance, the
central office staff of the Region consists of 55 peopte, at about 40
full-time equivalents.

Present Operational Activities:

 

This Region has approved activities in a number of areas. There are
several projects involving the use of computers and bioengineering

skills to develop innovative devices in early disease detection and

health services delivery. There are also a large number of projects

which are extending comprehensive care, disease prevention, and continuing

education for health professionals in the cateporseat diseases. These

involve the entire state.

Approved Projects for Which New Money Is Not Available

' There are five projects involving the saine general areas described above

which have been approved but for which no new money was available. |
     

x

NORTHLANDS _ (Minnesota): Ancher Nelsen, Hut chinson, Second District

 

"Support through FY 1969 7 $2,138,000

Current (FY 1970) Level of Support $1,428,000

/ 8

The Region
” : . ¢
‘The boundaries are those of the State. Central offices are maintained in St.
'. Paul, with Dr. W. R. Miller as Coordinator. There are offices, also, at the

Mayo Clinics and at the University of Minnesota. There is a nine member Board

of Directors; a representative Regional Advisory Group and a Central Coordinating

Committee serving as liaison between the two. The nine directors represent the

principal organizations and institutions interested in the Program. Domination
_~ by any one is precluded. Good liaison exists with Comprehensive Health Planning,

C with whom NRMP has coordinated data gathering efforts.

Present Operational ‘Activities:

 

On April 7, 1969, the Region became operational with an award which. provided for

continued central offices operation and for the initiation of these five projects:

1) Multicisciplinary Improvement in. the Medical Care of Myocardial Infarction;

2). Postgraduate Education in Pediatric Cardiology; 3) Diabetes Regional Center;

4) Improving Stroke Rehabilitation Through Continuing Education and 5) Telephone

Dial Access Medical Library. In June, 1969, the Region received an amended oper-
‘ational grant, continuing the above projects.

While in its planning stage, prior to achieving operational status, the Region
‘conducted five studies: 1) Regionwide Intensive Coronary Unit Program; 2) Rural
Health Care Study; 3) Study of Postgraduate Education in Pediatric Cardiology ;—
4) Proposal for Financial Support of Local Medical Doctors Being Trained in Home
Dialysis and 5) Study to Determine the Feasibility of Collecting Data and Inte-
_ grating Care of Pediatric Solid Tumor Patients. 2S

Approved Projects for Which New Money is Not Available

‘In August 1969 the Region submitted a supplemental grant application for the
funding of four additional projects, to be reviewed during the Novenber-December
1969 Review Cycle. They were: }) Pediatric Continuing Education; 2) Post graduate -
Residency Type Education; 3) Intensive Cardiac Care Unit Training for Nurses and
kev 4) Training Ophthalmologists Assistants. These projects were recommended for
tes funding in the total amount of $248,679 (direct costs).

 
 

CO poe

  
 

 

NORTH CAROLINA: Richardson Preyer, Greensboro, Se venth District

 

The Region:

the boundaries of

-North Carolina School of Public Health, are involved in program activit

Support T ee FY 693 ~ - oe . fn,

$4,165,000 2 . Ci ag SE OU age
Current ry 70 Level of Support: | oe Bote a 7
$2,117,000 - a! ae ~ a

the North Cai: ‘olina Regional Medical Program coincides
with those of the State. The program is administered by the Association
for North Carolina Regional. Medical Prograns Its membership consists
of Wake Forest University, Duke Univers sity, * the University of North
Carolina, and the Medical Society of the State of North Carolina. Duke
University serves as the fiscal agent for the Association. Responsibility
for program development rests with appointed representatives of the Asso-
ciations Board of Directors and its tmulti-representative Regional Advisory
Council.

The Program Coordinator is Marc J. Musser, M.D... Offices of the North
Carolina Regional Medical Program are in Durham, North Carolina.

The staff consists of 30 full-time Core employees and 19 project directors
plus their supporting personnel. In addition, four coordinators, one from
each of the above mentioned medical schools and from the University of

ies
on a part-time basis.

Present Operational Activities:

Program has received $4,965,

Since its inception, the North Carolina 1.39
in planning and operational funds from the Division of. Regional } Medic al
Progre

ans. . , : . , .

For its first fiscal year -- 1967 -~ a total of $435,851 was awarded to
the North Caroli ina Program in initial and suppleaental planving funds.

   
    

For fis scal 1968 North Carolina RMP had available a total of $773,674
composed of $561,805 in additional awards and $211,869 in authorized

carry over from the previous year.

On beesane optrational and finwinial 3

fo Turd a pb soak rea bho
Oo: mena g wopkaiovts. Tesse projects vere: #1 - lineation
and Research in Comtuaity Care; #2 - Coronary Care Training and Development;
 

 

   

#3 - Diabetic Consultation and Educational Services; #4 - Development of a
Central Cancer Registry; #5 - Medical Library Extension Service; #6 -
Carcer Information Center; #7 Continuing Education in Internal Medicine;
#8 -- Continuing Education in Dentistry} #9 Continuing Education for .
Physical Therapist; #10 - State of Franklin Coronary Care; #11 - Develop-
ment of a Mobile Cardiac Intensive Care Capability in Hayvood Comty; ~
#13 - Closed Chest Cardiopulmonary Resuscitation Unit; #14 - Heart Con-
sultation and Educational Program; #15 - Comprehensive Stroke Program;

#16 — Hypertension Project; (Project #12 was returned for revision).

At the beginning of Fiscal 1970 the Program had been authorized a total

of $2,311,399 which included approved carry over funds in the amount

of $142,570 and additional allotments of $2,168,829. In addition to

Core staff and continuation operational funding for the previously-
authorized 15 projects, limited funding for -seven new projects was ‘provided.

#17 - Regional Center for Gestation trophoblastic Neoplasms (Approved _

November, 1968 Council)

~~

#12 ~ “Regional Coronary: Care Unit for Physicia ns and Rurse Bduea tion
(Approved Novenber, 1968) a

#18 - Tumor Tissue Registry (Approved February, 1968)

Approved Projects - May 1969

 

#20 - Mamography Technologists’ Regional Training Program

#21

- Innovations in Ciinic Nursing ~

#22 - Coordinated Oncology Chemotherapy Prograin

#23

!

Pilot Study ~ Heart Sounds Screening of School Children
Approved Projects for which New Money is not Available:
£19 - Physicians Assistant Training Program (Approved August, 1969)

(Approved 1st year $183,321; 2nd 169,662; and 3rd $114,220)
#24 - enone tration Project: Hesice= an opssetion ¢ of Egenent st e000

 

 

per yoar)

#25 ~ Demonstration Project: A Problem-Focused, Croup-Oriented end. “Gowauns ty-
Based Continuing Fducation Method (Approved lst year $43, 463; 2nd
$44, 374; 3rd $45, 309

 

 

 

 

 

 
 

 

can ee nee Nn

 

 

Urban Health Planning Specialists - $184,276

Ao]

.

NEW JERSEY REGIONAL MEDICAL PROGRAM: Clifford P. Case — Rahway

 

“Support Micounh FY tor 7 oe = a cos

M1, 979, 000

.

- Current FY ‘70 Level of Support:

oo $1,367,000

The R Region: ae - a

The boundaries of the Region are coincident with those of the State. The
grantee organization is the New Jersey Joint Committee for Implementation of
P.L. 89-239, and the Program Coordinator is Alvin A. Florin, M.D. (The

‘Joint Comittee is composed of five organizations: The New Jersey Heart

Association, the New Jersey Division of the American Cancer Society, The
Medical Society of New Jersey, The New Jersey Association of Osteopathic
Physicians and the New Jersey Hospital Association.) A competent core
staff has been recruited and includes specialists in urban health planning.

Present Operational Activities: .

The nine operational projects are concerned with: Coronary care nurse
training at Hackensack Hospital, Rutgers-Cooper Hospital, and Newark Beth
Israel Hospital; a state-wide program in external cardiopulmonary resusci-
tation; a training program in selective coronary cineangiography; a project |
to evaluate the status of implanted pacemakers; a program to establish tumor

conference boards in the New Jersey hospitals; a program to provide medical
-tapes by telephone on up-to-date information regarding diagnosis and treat~

ment, and to develop a medical film library; and a training program for
physicians, nurses, and technicians in hemodialysis. ‘Recently approved was
a request to add urban health planning specialists to core staff to coordi-
nate and participate in health planning with Model Cities agencies in the
eight large urban areas of the states this is an unfunded $184,276 activity.

Approved Projects for which New Money is not Available:

‘Cancer Care Course for Nurses - $202,723 (3 years support)
 

 

ee erate ge hee rd

 

 

ALBANY: Jacob K, Javits - NewYork he

 

Support Thru FY 69;
$3,977,000 . s

current FY 70 Level of support:

$1,534, 000 ,

' The Region:

‘fhe geographic area for the Albany RMP is subdivided into six divisions.

Ywenty-four counties comprise this area; 21 northeastern counties of New
York, 2 southern counties of Vermont, 1 county (westernmost) of Massachusetts.
A reason for the delineation of this Region is that it corresponds almost

wholly to that of the Regional Hospital Review and Planning Council of

Northeastern New York. The westernmost county of Massachusetts (Berkshire) has
also been included in the proposal because of its existing close relationship ~
(socioeconomic as well as medical) to Albany, and because of the more advantageous
geographical relation to Albany in contrast. to Boston (40 miles vs. 110 miles).

The Coordinator of the Albany RMP is Frank M. Woolsey, Jr., M.D. The grantee

is the Albany Medical College of Union University. The Core staff consists of
10 full time and 34 part time people. -

the Albany Regional Advisory Group (RAG) is composed of 28 members. The

chairman of the RAG is Harold C. Wiggers, Ph.D., Executive Vice President and

Dean of the Albany Medical College of Union University. The Chairmanship is
acouired by appointment from the Medical College Roard of Trustees. Consulting
Groups review projects and operational suggestions, lending their particular
expertise to the decisions to be made by the Planning and Review and the RAG.

The Albany RMP has 10 consulting groups: Heart Disease, Cancer, Stroke, Nursing,
Pulmonary Disease, Dentistry, Library Service, Medical Technologists, Physical
Therapy, and X-ray Technicians. These groups serve the purpose of augmenting the

-Size and versatility of the RAG while allowing the RAG to retain a size
compatible with effective function.

Present Operational Activities:

In October, 1969 the Albany RMP received a third year operational award of
$1,177,809 (direct costs). The projects are: 1) Two-Way Radiocommunication ~
setwork Expansion - Program Production; 2) Postgraduate Instruction

bevelopment Panél; 3) Community Hospital Learning Centers; 4) Coronary Care
Tratning and Demonstration Prograns; 5) Community Hospital Coronary Care Training
eae Deaonstration Program - Poughkeepsie, Pittsfield; 6) Community Hospital
Coronary Care Training and Demonstration Program - Herkimer; 7) Coordinator for
Cencer in Schenectady Area; 8) Development of Community Leadership for RMP -
Clinton, Prank} in, and Essex Counties.
“purayesyd Ber

Mort . anne leon
nn eras Feets for wich Nee Mane vy 7S mot

 

wails ble
 

cktuaie ys

 

 

 

 

CENTRAL NEM YORK: Senator Jacob Javitts

 

Support Through FY '69:
5. $2,300,000

 

Current FY '70 Level of Support: . : Cons ; ee oe
> $1,238,000 | . |

"The Region:

- The Region consists of 15 counties in Central New York State plus two

counties in adjacent Northern Pennsylvania. The Grantee Institution is
the Research Foundation of the State University of New York, Albany, New
York. Richard H. Lyons, M.D. is Program Coordinator. An interested,
active 35 member RAG has been organized and 26 of 35 budgeted core staff
positions are filled. a ,

Present. Operational Activities:

 

The eight operational projects are concerned with: 1) Continuing Education

in Nursing; 2) Rehabilitation Consultation Service; 3) Oneida County Tumor
Conference; 4) Family Practice Program; 5) Nursing Coronary Care Training
Program at St. Luke's and St. Elizabeth's Hospitals, Utica, New York;

6) New York State Sigmoidoscopic Demonstration Teaching Program; 7) Medical
Briefs by Telepnone at Robert Packer Hospital, Sayre, Pennsylvania; 8) Regional
Learning Resources Center for Nursing Continuing Education. *

~ Approved Projects for which New Money is not Available:

 

Home Dialysis Training Program - $74,227

. Renovation of Teaching Space in Good Samaritan Hospital - $90,084

Equipment Grant Request for Community - General Hospital, Syracuse, New York

- : | $20 579

Prevention of and Effective Recovery from Cardiovascular I]Iness Through

Knowledgeable Nursing Instruction - $9,618

 

 
 

Cc

 

NASSAU SUFFOLK: .Senator Jacob K. Javits

”

"3 he

Support Thrbugh FY "69:

.

$263, 000°

Current Level of Support FY'70:

~ $330,000

>. : The Region:

The boundaries of this Region coincide with those of Nassau and Suffolk
Counties on Long Island, New York. The Regional Advisory Committee

was formed in June of 1967 and a year later incorporated as the Nassau-
Suffolk Regional Medical Program, Inc. The initial planning grant appli-

‘cation was submitted in September 1968 and appro oved in December 1968 in

the amount of $233, 256 (direct costs).

The grantee institution is the State University of New York at Stony
Brook. Glen E. Hastings, M.D., is the Program Coordinator, and Sigmund
A. Wesolowski, M.D. is Chairman of the 57 member Advisory Committee which
is representative of medicine, voluntary and public health agencies.

The Committee meets quarterly. There are administrative committees

in: membership, finance, personnel and grants. Program committees have
been designated in the three categorical diseases plus pulmonary disease,
and in education and ° in evatvatson:
 

 

$4,238,000” tet

      

POL LTA: rat: Sen. Jacob K: . Javits, New! Yc ‘York City
‘Support Thru FY 69: Bo Co yo oe oe a

“e . :

 

-Current FY 70 Level of Support: | ee met
_- -$2,237,000 - > ee Ce,
The Region: oe , ae rr de : oo.

 

he

- Present. Operational Activities

Yhe New York Metropolitan Regional Medical Program covers the five counties

‘of New York City and the contiguous counties of Westchester, Rockland,

Orange and Putnam. The Associated Medical Schools of Greater New York
function as the grantee. Its nembers are the seven medical schools in
the Region and the New York Academy ef Medicine. © The Trustees are the
seven aeans and the Director of the Acadewy.. The Trustees are responsiple
for financial management, for establishing general policies of operation,

7

the scope program and for setting priorities. They are guided by recommen

dations of the 88 menbers of the Regional Advisory Group.

Director of the Program is Dr. I. Jay Brightman. . ae cyte

Jn Junc, .1967 the Region received their jujtial planning award of $967,000.
She following Junz, another avard was made in the amont of $1,041,617 for the

second year planning- During the two years of planning the Region made
s

considerable progress toward the establishnent of a sound organization,
recruitment of a qualified staff and in the development of necessary coopera
tive agreements with the many health agencies in the New York Metropolitan
area. A supplemental avard was made in May, 1968 to support a Mobile
Coronary Care Unit Project ($295,269) and a Pediactric Pulmonary Disease
Project ($205,870). Also initiated during the first year plenning grant

- was the Memorial Hospital Feasibility Study. An avard was issued in August,
(1968 jn the amount of $76,109 to continue this project through May 31, 1959.

In August, 1969 the Region was approved by the National Advisory Council. . for
operational status Five of the cight projects submitted were approved.
a

“Yhe Region vas advised that support would have to be continucd through
1 a

wat gan to the uncertainty of the Jevel of the

eee

   

‘
owt mets og

 

~
‘

 

.
 

 
  
 

od - . ote a an . : -o. oe

An asrard was issued in the amount of $1, 460,136 (d.c.} and $291,071 Gi. i )
$n October, 1969. This avard was for support of core and the three projects
which were funded under the planning grant ~- Kobile Coronary, Care, Pediactric
Pulwonary, and_ the. pemor ded. Hospital 1 Feasibility Study. .

« * . ve

Other. projects approved but not Sunded by the August Council (1969) were:

ot ae «Ff

 

“ay: the Care of Hontplesic Patients . . eo oe
"2 First year ~ $25,997 | en , 7

+. $eeond year ~- $28,404 . a

"0 Thded year ~ $31, 052, . ee

2 A study of Facilities and Services for Respiratory Disease and
Disorders -
First year - ~ $141, 000°
Second year ~, $69, e25

*

 

oF 3). Faueational Program for Allied Health Professionals

me . First year ~ $193,425 Se Ce *

f Second year ~ $214,800. a .
: + Yhird year- $225,042 ce ms nee

yo a . Se oo

The following two projects were approved by the December Counci] (1969)

“put not funded due to insuffieient funds: | — Doo. . .
Ly 7 1) Continuing Education of the Communs.ty Ehysseian - St. Lukes Hospital

First year ~ $73,810 Se
Second year ~ $78,668 . Fe — a
Third year - $84,171 , ,

2) Programn for Continuing Medical Education and Patient Referral for --
Community Physicians by the Brooklyn - - Cumberland Medical Center
First year — $70,636 .
Second year -- $69,158
Thirvd year - $72,330

one

 

 
 

  

 

 

 

 

"$2,355,000,

 

 

°

ROCHESTER: James F. Hastings, Allegany, New York

 

Jacob K. Javits - New York City, New York

‘Support Fhru “FY 69:7.

Roo, vee . mo Sot mts .
.

current FY 70 Level of Support:
$1,055,000

he Region: .

Whe Rochester Regional Medical Program includes ten counties in the
Western part of New York State. These counties include: Orleans,
Monroc, Wayne, Livingston, Ontario, Yates, Seneca, Steuben, Schuyler,
and Chemung. The Rochester RMP is bordered on the West by the ‘
Western New York RMP and on the East by the Central New York RMP.
yhe Regional Advisory Group currently has thirty members from throughout
the Region. The Chairman of the RAG is Mr. Frank Hamlin, past
president of the Rochester Regional Hospital Council and who is
presently serving as president of a large farm machinery company.

Jhe grantee institution is the University of Rochester School of

Medicine and Dentistry. The Program Coordinator is Dr. Ralph Parker.

the Central Core Staff consists of approximately twenty-five positions of
which fourteen are full time and the remainder part-time.

Present Operational Activities:

the present operational activities are: 1) Physicians’ Postgraduate
Training in Cardiology; 2) Registry of Patients with Acute Myocardial
Infarction; 3) Regional Laboratory for Education and Training in the Care
or Patients with Thrombotic and Hemorrhagic Disorders; 4) Intensive Courses
in Coronary Care Nursing for Professional Nurses; 5) Early Disease
Pelection; 6) Continuing Education Program in Cerebrovascular Disease

for Physicians in Rochester Area; 6) Regional Clearinghouse on Cancer;

and 7) Statistical and Evaluation Unit.

Approved Projects for Which New Money is not Available:

1) Yeléphone EKG Consultation; 2) Decentralized Cancer Education; 3)
Bevelopment of a Stroke Team; 4) Neurologic and Rehabilitation Nursing

>) Pauysician Training in. Chronic Renal Disease; 6) Chronic Renal Disease
sorsing; 7) A Program for Patients with Diabetes Mellitus; 8) Transmission

af runt
“6 ae ehh,

GS for Remote Computer Analysis and 9) Automated Cancer Registry.

 

 
 

 

 

 

re Senator Jacob Jayitts, New York |
WESTERN NEW YORK: Representative James F. Hastings, Allegany

 

 

Support Through :FY '69:
=. $2,512,000

Current FY '70 Level of Support:

 

$1,417,000

ae :

The Region: ©

Eight counties represent the geographic confines of this Region. Seven.

of these counties are New York's western-most counties and is, in fact, -
the Eighth District Medical Society of the State. Erie County, Pennsylvania
is the other county completing this Region. The grantee institution is the
Research Foundation of the State University of New York and John R. F. Ingall,
M: D., is the Program Coordinator. The Regional Advisory Group (RAG) to this
region is the Health Organization of Western New York (HOWNY). The body of
HOWNY is the composite of eight committees, each representing one of the
eight counties in the Region, and its membership (approximately 250) is
representative of: practicing physicians, medical center officials, hospital
administrators, medical societies, voluntary and public health agencies,
health related professions and consumers. The Chairman of this group is
William Chalecke, M. D., a practicing physician.

Present Operational Activities:

 

This Region has received awards to fund the following activities: Telephone
Lecture Network; Coronary Care Program; Chronic Respiratory Disease Program;
Immunofluorescence Service and Training; Continuing Medical Education; Tumor
Registry; and Planning and Education Program in Renal Disease.

Approved Projects for which New Money is Not Available:

Topical Chemotherapy Treatment for Precancerous Lesions and Cancer of the
Skin — approved Ist year $47,454, 2nd year $49,684, 3rd year $52,/34, 4th
year $54,954; Information Dissemination Service - approved Ist year $31,960,
2nd year $31,960, 3rd year $32,554; and Respiratory Intensive Care Unit -
approved Ist year $197,108.

 

 

 
 

 

Nee

e

Northeast Ohio: Senator William B. Saxbe, Merchanicsburg

 

 

 

Support Through FY ‘69:
$723,000

 

Current FY *70 Level of Support:

1. $497,000

“The Region:

The Northeast Ohio Regional Medical Program is comprised of the 12 counties

located in the extreme northeastern section of Chio. Principal cities.
include Cleveland, Akron, Youngstown, Warren, Lorraine, Salem and Ashtabula.
The Case Western Reserve University School of Medicine is the sole medical
school resource serving the Program. The grantee (Northeast Ohio Regional
Medical Program) was incorporated as “a not for profit" Ohio Corporation
shortly after the initial planning grant award was issued on January 1, 1968.

The Regional Advisory Group is composed of 71 members and is representative
of various health disciplines, disease interests and sub-geographical areas
within the Region. The Chairman of the Advisory Group is Dr. Charles L.
Hudson, Professor of Medicine, Cleveland Clinic Educational Foundation,

Dr. Barry Decker is the Program Coordinator. He and his staff are located
on Carnegie Avenue in Cleveland.

To date, the Region has been awarded two planning grant awards for $267,911

- and $462,662, (DC) respectively. a .

Present Operational Status:

 

An operational grant application has been submitted to the Division of
Regional Madical Programs which will be reviewed by the National Advisory

Council in April 1970. The amount requested is $1,232,075. (DC) Funding

potential, in the amount requested, is doubtful due to budgetary constraints.
 

 

 

     

one

orthyestern Ohio - @William B. Saxbe, Senator Mechanicsburg)

.
eC

Support Through FY'69:

S

"3 ” $1,269,000

Current FY’ "30 Level of “Support:

“ $991,000

fhe Region 7 rs

Ghe Northwestern Ohio Regional Medical Program fs comprised of twenty
counties with a land area of 8,635 square miles and a total population of
1,360,977 people. This is chiefly an industrial area with 90% or more of -
the employed population engaged in rion-agricultural occupations. The
grantee organization is the Medical College of Ohio at Toledo. The initial

_ planning grant was azarded January of 1969. First operational award was

made {in July 1969. The Program Coordinator is Dr. Robert Tittle, Jr.
The Regional Advisory Group consists of 50 to 55 members that are repre-
sentative of the public and health interests of the region.

Pr. William T. Collins is chairman of the Regional Advisory Group.

A core staff of eleven individuals have been recruited to develop and
manage this program. , : .

Present Operational Activities

jhe initial operational projects approved are: (1) Educational Program for
Nurses and Rehabilitation Nursing Technicians for training in the rehabili-
tation of patients with stroke; (2) Community Education and Improved
Uterine Cancer Control for the early detection of uterine cancer ;

(3) Intensive Cardiac Care Training Program for Professional Nurses}

(4) The Improvement of Respiratory Care Given Patients in Extended Care
Facilities to improve the rehabilitation of patients with chronic pul-
monary disease; (5) Northwest Ohio Action on Smoking and Health for edu-
cation of both lay and professionals on the dangers of smoking; (6) A Dial
Access Tape Library Service as a Medical Information Resource for Physi~
cians and Nurses in Northwestern Ohio.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved projects for which new money is not available:

None

 
 

 

 

 

we Gio. State State: - Geman B.. Saxbe,, Senator, Me chanicsburg) |

 

eo

 

“sonport Mivoush By "ede oe ns

Sa. ‘000

 

Govvent, ay *70: Level of Support

pee

 

$1,208, 600

ent
ee

The. Region

the Ohio State Regional Hoditcal Program located at the Ohio State Unive rsity
College of Medicine is Jocated essentially in the geographical center of
Ythe central and southern two-thirds of the state. The grantee organization
fs the Ohio State University Medical College. The initial planning grant
was awarded in April 1967. Whe Program Coordinator is Dr. William Pace.
the Regional Advisory Group consists of 36 members and is considered to
-fe representative of the public and health interest of the State.

Dr. Richard L. Mefling, Dean, College of Medicine, is chairman of the |
Regional Advisory Group. Core staff is budgeted for 18 positions of which
J6 ate presently filled.

Present Operational Activities .

the initial operatfonal projects approved are: (1)-A Coronary Care Unit.
Education program for nurses and physicians; (2) Rehabilitation Training
for Health Professionals to develop and use a model strok
Fehabiiitation demonstration unit as a means through which gtiperior care
and training can be offered; (3) Careers in Health Science Program to
stinulate interest among high school students in health science carecrs;

. (4) Sudden Death: A Mobile Coronary Unit which will reduce mortality from
nyocardial infarction by stabilizing the patient's condition at the scene_
of his attack; (5) The Development of a Critical Base for Planning to
assess the health needs and resources of communities served by the Ohio State
- KR; (6) Proposal for the Use of Computer-Assisted Instruction in Meeting
Informatfou Needs of Local Community Health Practitioners has developed:

@ ii {brary of continuing education courses for health professionals which.
¢an be used at computer terminals located in hospitals in several cities;
(7) Councils for Continuing Education which will develop a mechanism for
coordinated programs of continuing education; (8) Council for Continuing
Nealth Education at Springfield and (9) Council for Continuing lealth ~

Education at ‘Portsmouth.

  
 

 

 

 

 

 

Approved Projects for which new money is not available:

fLentral Ohio Phonocardioscan Screening Progran

 
 

 

 

_ + Support Thru FY 69:

 

ORLAHOMA; John Jarman, Oklahoma City, Fifth District

$1,818,000
Current FY 70 Level of Support:

$1,260,000 ae

e

The Region; +.

From the beginning this Region has been defined as the State of Oklahoma.
Neither Oklahoma nor its neighboring Regions have rigidly interpreted inter-
regional boundary lines. For example, ORMP will encourage communities in the
far eastern portions of Oklahoma to participate in any activities sponsored
by the Arkan sas Regional Medical Program at Ft. Smith, Arkansas. On the
other hand, the cardiologists in Ft. Smith are already cooperating with the

.. Oklahoma RMP coronary care project, with the approval of the Arkarisas RMP.

~

The Director of the Oklahoma RMP is Dale Groom, M.D. The Director has an

academic appointment as Associate Dean of Continuing Education, University of
_ Oklahoma Medical School and Professor of Medicine. The grantee organization.

is the University of Oklahoma Medical Center. The overall staff comprises
16 full time and 9 part time positions.

* The Regional Advisory Group (RAG) is composed of 36 members who broadly

represent the state. The Oklahoma RAG has progressively become more active
in formalizing its role, defining policy, establishing long range and short
term goals and objectives, and assuming a functional relationship in the
Regional activities of the ORMP. Honorary Chairman is Governor Dewey F.

-Bartlett and Chairman is Dr. James L. Dennis who is also Vice President and

Dean of the University of Oklahoma Medical Center. One of the main
responsibilities of the ORAG is an effective review of ORMP planning and
operational projects to insure that the total program is structured to achieve
the goals and objectives of the Division of RMP. . ,

Present Operational Activities:

In May, 1969 the Region recéived its first year operational award of $1,121,457.

The projects are: 1) Coronary Care Program for Oklahoma ~- Oklahoma City,

Julsa; Enid, Carnegie, Anadarko, Lawton, Duncan, Ada, Wewoka, Coalgate, Atoka,
Tishomingo, Madill, Wakita, Lindsay, Norman, Chickasha, Anadarko, El Reno, .
Okeene, Fairview, Collinsville, Nowata, Bartlesville, Sapulpa, Stilwell,
Tahleqah, Sallisaw, Muskogee, Okmulgee, Pateau; 2) Regional Emphysema Program
for Oklahoma - Oklahoma City, Tulsa, Clinton, Stillwater; 3) Continuing Education
Program for the Enid Area ~- Alva, Cherokee, Wakita, Okeene, Fairview; 4)

A Cancer Control Program for the Tulsa Area Oklahoma City, Tulsa, Okmulgee;

5) Regional Program to Improve Library and Information Services - Oklahoma City,

Tulsa, Enid, Alva, Cherokee, Fairview, Okeene, Muskogee; 6) A Regional Program

of Public Education on Smoking end Health - Oklahoma City; 7) A Regional
Program to Promote Eerly Diagnosis of Breast Cancer with special Emphasis on

Mammography ~- Oklahoma City, Tulsa; 8) A Regional Program in Nutrition and

 

‘Diabetes for Oklahoma ~ Bristow, Okmulgee, Tulsa; 9) Regional Urology Program

with Initial Emphasison Cancer of the Prostate ~ Lawton, Ada, Muskogee, Tulsa,
Oklahoma City, Bartlesville, Enid, Ponca city.
 

KA

jexas: Regional Medical Program ~- Ralph W. Yarborough - Austin, Texas

 

Support Thru FY 69: oo ee a a

$6,693,000 .

Current FY 70 Level of Support:

$2,212,000

The Region:

— =

The boundaries of the Texas Regional Medical Program are the same as

‘those for the State of Texas. ‘The rationale for making the Region

coterminous with the State was that most Texans were caredfor in Texas,
and that existing State health organizations and agencies could be most
easily adapted to RMP, working within traditional jurisdictions. The
Regional Advisory Group consists of forty-eight members who are —
representatives of practicing physicians, medical center officials,
hospital administrators, other health professions, the public, and
other organizations, institutions and agencies related to the Texas
RMP. The Chairman is Dr. N. C. Hightower, Director of Research and
Education Division, Scott and White Clinic, Temple, Texas.

The University of Texas System is the grantee organization. The Central
Core administrative staf£ which consists of approximately twenty
professional persons is located on the University of Texas Campus in
Austin, Dr. Charles B. McCall has been Program Coordinator since

July, 1969.

Operational Activities:
The Region presently has twenty-two operational projects. . These include;

1) Medical Genetics; 2) Inhalation Therapy Programs; 3) Regional Consultation
in Radiation Therapy; 4) Regional Professional Consultation Service in Medical

“Physics; 5) State-Wide Cancer Registry System; 6) Area~wide Total Respiratory

Care; 7) Regional Rehabilitation Program-- Baylor University; 8) Regional
Rehabilitation Program - University of Texas Medical School at San Antonio;

9) Regional Rehabilitation Program - University of Texas School of Medicine

at Dallas; 10) Eradication of Cervical Cancer in South Texas; 11) Core Staff
for Coordination of Planning Operations and Fiscal Management; 12) Long
Distance Telephone Consultation; 13) Extending Coronary Care Nursing Training
to Community Hospitals; 14) Reducing Complications following Radiotherapy;

15) Development and Distribution of an Inter-Regional and Cooperative Serial
Control System in the South Central Library Region; 16) Health Careers

Program; and 17) Dial Access Telephonic Analysis ~ Medical Consultation Service.

Approved Projects for Which New Money Is Not. Available:

1) Annual Clinical Conference; 2) A Program of Continuing Education for
Occupational Therapists; 2) Educational Mh Jnstructia cam For Allied
‘tlealth Educators; 4) Rehabilitebis mio ~ Coordinst smunity Action;
and 5) Expansion of Maxillo - Facial Prothestic Services. ,

  
 

 
  
   

 

   

 
 

pas Support Through FY '69:

 

NORTHERN NEW ENGLAND: Senator Winston L. Prouty, Newport

 

” $2; 379, 000

5,

‘Current FY '70 Level of Support :

$805,000

The Region:

The Northern New England Regional Hedical, Program encompasses the State

_of Vermont and the three northeastern New York counties: Clinton,

Franklin and Essex. The grantee institution is the University of Vermont
College of Medicine and the Program Coordinator is John E. Wennberg , M.D.
The Regional Advisory Group (RAG) has 27 members representative of the
State Medical Society, the Vermont School of Medicine, hospital association,

- voluntary health agencies, government public health agencies, medical

practitioners, and consumers. Edward C. Andrews, Jr., M.D., Dean, College
of Medicine, University of Vermont is the RAG Chairman.

This Region has played a leadership role in establishing the Connecticut
Valley Health Compact, an organization with the overall goal of determining

' how to provide total health care for the population in the medical service

area of eight hospitals in the Connecticut Valley. The Northern New England
Regional Medical Program is providing this Compact with financial and techni-

cal support for the purpose of. getting its activities underway.

Present Operational Activities: ~

The Region has approved activities in 1) progressive coronary care which

contains innovations related to the exigencies of rural medical care and

2) continuing education for health professionals.

 
bps ah wl el eal APS De he

 

den ae ett eat Baa nent tcl AS NAO RECT s whee

 

 

Virginia - (avid E, Satterfield - Richmond) ‘
Support Through FY '69: °

.

 

$1,572,000

*

Current FY '70 Level of Support: | a, re

 

$820,000
The Region

The State of Virginia has been designated as the region to be served by

_,the Virginia Regional Medical Program, The grantee organization is the
Medical College of Virginia, The initial planning grant was awarded

on January 1, 1967. ‘he Program Coordinator is Dr. Eugene Percez, The
Regional Advisory Group consists of 20 members and is considered to be
reporesentative of the public and health interest of the State, Dr, Mark I.
Shanholts, Commissioner of Health, is chairman of the Regional Advisory
Group. A competent staff of 13 individuals have been recruited to
administrate this program,

Present Operationsl Activities

The initial operational projects approved are: 1) A Myocardial Infarction
Training Progrem for physicians and nurses to assist community hospitals

in developing Coronary Care units, 2) A Coronary Care Evaluation program

to provide an analysis of the effectiveness of Cardiac Care provided
throughout the state, 3) A progrem to establish Cardiopulmonary Resuscita-
tion training centers at five hospitals, 4) A program to study the incidence
and management of stroke in a rural community, 5) A program to establish

a Regional Biomedical Information Center for the Commonwealth of Virginia.

 

Approved Projects for Which New Money is Not Availeble

None. This region has just entered the operational phase of its progren,
It currently has two projects submitted as an operational supplement for
the February-March Cycle, ‘There are (1) a Tumor Registry and (2) Nurses
Education, :
 

 

 

 

WEST VIRGINIA: Representative Harley 0. Staggers

 

Support Through FY '69:
-  :$659,000
Current FY '70 Level of Support:

$589,000. st

The Region:

The boundaries of the West Virginia Region are coincident with those of

* the State. The initial planning grant was awarded to the Region on

January 1, 1967. The Regional Advisory Group is functional and has 35
members representing the medical interests of the State as well as members
appointed by the Governor. Dr. Clark K. Sleeth, Dean of the School of
Medicine, is Chairman of the Advisory Group. The grantee organization

is the West Virginia University Medical Center, and the Program Coordinator
is Mr. Charles D. Holland. ,

Operational Activities:

This Region was recommended for operational status by the National Advisory
Council on Regional Medical Programs in August 1969. The approved but as
yet unfunded activities are: educational programs for the staffing of
cardiac care units; short term training for nurses in the care of stroke
patients; and a study of the natural life history of stroke patients and

the effects of therapy thereon. A fourth activity recommended for continued
planning was in medical self-audit for physicians; and a fifth activity in
the delivery of emergency medical services was recommended contingent upon
the submission of additional and revised information.

Approved Projects for which New Money is not Available:
Fducation Programs for the Staffing of Cardiac Care Units. - $30,963
A Short Term Training Workshop on the Nursing Care of the Stroke Patient - $26,715

A Study of the Natural Life History of Stroke and the Effects of Therapy

Feasibility of a Helicopter System to Deliver Emergency and Regional Medical

_ Services for West Virginia ~- $27,300 (Requested)

 
 

wey

WISCONSIN: Senator Gaylord Nelson, Madison

Support through FY 1969: $3,510,000

 

Current FY 1970 Level of Support: $1,180,000

The Region:

The boundaries of the Wisconsin Region coincide with those of the
state. The-grantee is the Wisconsin Regional Medical Program, Inc.,
based in Milwaukee, and founded in 1966 by the Presidents of the
University of Wisconsin and Marquette University, and Mr. Edmund
Fitzgerald. The Program Coordinator is John S. Hirschboeck, M.D.,
and the Chairman of the forty-two member Regional Advisory Group is
Judge Rodney Lee Young of Ladysmith. :

This Region received its’ first planning grant funds in September 1966
and the initial operational award was made one year later.

There is significant joint membership between RMP and CHP. For example,
Mr. T. A. Duckworth is President of WRMP, Inc. and also Council Chairman
of CHP. About 37 individuals associated with the WRMP also serve the CHP
Council in various capacities. About 40 major State and local agencies ©
are collaborating with the WRMP. Over 70 project proposals have been
submitted to the WRMP for consideration.

Operational Activities:

 

Included are: a program for uterine cancer therapy and evaluation
co-sponsored by the two medical schools and designed to improve the
quality of patient care; a demonstration program for pulmonary throm-
boembolism sponsored by the Marshfield Clinic; cancer chemotherapy
programs sponsored by both medical schools with participation of private
practitioners and a number of other facilities, objectives include

making the benefits of this treatment modality to cancer patients; dial
access tapes for physicians and nurses initially originating from the
University at Madison but now also based in Milwaukee, this very acceptable
educational method has been adopted by several other RMP's; single concept
films; a Regional consultation program in radiological physics; a program
to increase augiography and pediatric cardiology programs at the Gundersen
Clinic, Marshfield Clinic, and the two medical centers; a tissue typing
program sponsored by the Milwaukee Blood Center; a uterine cytology
screening co-sponsored by the University of Wisconsin, Marshfield Clinic,
State Department of Health and Social Services, and the Milwaukee Health
Department; educational programs for nurses in the care of the patient in
shock and preparing the inactive nurse to return to practice, the latter
co-sponsored by the University of Wisconsin and Marquette University, and

awes Sema - -. = eres Pn NR RY Te TT Se oD pane er meee

 
another project demonstration in better nurse utilization; and a program
designed to improve medical library information services in the state.

a

February 1970