~ ‘ne nea /. PROFILE: ILLINOIS REGIONAL MEDICAL PROGRAM Grantee: Illinois Regional Medical Program Current Chief Executive: Wright R. Adams, M.D. Profile originally prepared by: 0. Dale Robertson Original date: September 1969 Up-dated: November 1969 II. IIT. IV. VI. Vil. Illinois Regional Medical Program ~ Profile Table of Contents Geography Demography Politics Historical Review Core Staff Organization Funded Operational Projects Appendix eaten acento ah ade I. Geography A. B. Map of the region - see attached Geographic shape State boundary; but also with the flexibility to respond to other factors such as medical services and trade areas. Such responses may be reflected in either direction and IRMP may provide services in a geographic area which overlaps into ‘another Region's territory or another Region may do the same and overlap into IRMP's territory. i S a 8 3 190 i 12 3 uM 15 16 wa 8 19 » a , pusuaue Seaaxt Naraverre Icercn froce = WYES, WL water Teevssne \ . 40 DAVICSS. STEPHENSON WitNCOACO bOONL ” MoMENnE LAKE "cKson a . | ‘ “ _ . - CaRRSLE foots i : : DE KALE BANE . : . Rint . . . WHITESIOE 7 - . : tee : . - ecost . KENDALL took ia SALLE . | 7} HENRY OUREAU suscariel . ROCK ISLAND . — louisa f iracen lows STARK POTNAM — . KNOW WaasIA ———— INGSTON . OLS NOINtS WARN WINGS: . . . . ROQUGIS : WOODFORD . HENDERSON hat TASEWELL . CLEAN anton ite Futon . MANCOCK iC DONOUGH _ poRD ” . _ N - : WERHTION WARREN ‘MASON Gtaax ICHARPAIGN LoGaN J . IRDIANA . Tee SCHUYLER cCwnT hawt ADAMS . i OWN EKARD VERMILLION, CASS OH oo MARION J . RES CRN SAAN _ ine ‘ort! OUCTRE ° . MAISTIAN BALLS . sHELaY wee . vu GREENE “paacourns MIs$SouR! OuPIn . . CALHOUN ERT —--_) SULLIVAN LZOUA raverte EFFINGHAM : JERSEY ASPER JeRAM FORD ‘ . a BOND - PADISON ~rs . . Lav ENO : Saint CuARLES N 7 LAARENCE SAIKT Lous MARION, / LINTON ~~ sanr cours VY . RLOSS COTES city SAIN? Clad fon! Seegde IST & . WASHINGTON PaRFTERSON serrenson Jusnnoe WA MILTGN wetTE feantoura PERRY Sf - FRANKLIN 7¢ GrNtytve SACKSON SALINE GALLATIN aaar WILLIANSC / = UNON ad Padus POPE CAPE GIAAROLAD tory -_ wl sort Soci am oe BAAS Nur & Cr 7a ' ALEMANT ERS esssac PyLAsal faoan\ \sccaacnes cep ees soeer . 7 wee? II. Demography A. Population: As of 1965, roughly 10.6 million 2s 1. 3: i Roughly 812% urban ‘Roughly 89% white Median age: 31.2 yrs (U.S. average 29.5 yrs.) B. Land area: 55,930 square miles c. E. Health statistics: 1. 2. 3. Mortality rate for heart diseases--422/100,000 (high) Rate for cancer--167/100,000 (high) Rate for CNS vascular lesions--100/100,000 (low) Facilities statistics 1. There are five medical schools: University of Chicago; Chicago Medical School; University of Illinois; Northwestern; and Stritch-Loyola University Chicago College of Osteopathy There are 70 Schools of Nursing, mainly hospital based There are 50 Schools of Medical Technology, mostly in hospitals There are 3 schools of Cytotechnology, 1 associated with the University of Chicago Medical Center There are 59 X-ray technology facilities Physical therapy: Northwestern University Medical School There are 333 hospitals with 108,062 beds, the great majority being non~federal. Personnel statistics 1. 2. There are 14,009 physicians (136/100,000) and 363 osteopaths (3.5/100,000) in this region. There are 20,254 active nurses (196/100,000) in this region. III. Politics | A. Governor Richard B. Ogilvie (R), 1969-1973 Be Senators 1. Charles H. Percy (R), 1966-1973 Member, National Advisory Committee on Low-Income Housing Member, Select Committee on Nutrition and Human Needs 2. Ralph Smith (R) Cc. Congressmen 1. Sidney R. Yates (D) - Member, House Appropriations Committee 2. Roman C. Pucinski (D) - Member, Education and Labor Committee 3. John N. Erlenborn (R) - Member, Education and Labor Committee , 4. Robert H. Michel (R) ~- Member, House Appropriations Committee 5. George E. Shipley (D) - Member, House Appropriations Committee IV. Historical Review Early 1965 July 1965 July 1, 1965 February 1966 August 1966 A committee of the five Medical School Deans in Illinois, the Illinois Division of American Cancer Saciety and the Chicago Health Depart- ment, was appointed by Dr. Morris Fishbein, President of the Chicago Heart Association, to discuss possibilities of a RMP. Mayor John Daley and Governor Otto Kerner appointed separate Advisory Committees for RMP which subsequently (January 1, 1966) fused to form the present Regional Advisory Committee which were appointed by the Governor. Appointment, responsibility and authority of the membership to the RAC was vested in the Governor until changed on November 25, 1968. The initial planning grant application, under which IRMP was established, was approved. At that time and until July 1, 1969, the Coordinating Committee of Medical Schools and Teaching Hospitals of Illinois served the function of Trustee, with the University of Chicago being the grantee agency and fiscal agent. The Coordinating Committee was comprised of the six deans of the schools and the administrators of some 16 major medical school hospitals. It had, and . exercised, the responsibility for the policy decisions relating to core staffing and administration, and to both planning and operational components of IRMP. Coordinating Committee of Medical Schools and Teaching Hospitals of Illinois organized by the Deans of the five medical schools (Chicago Medical School and the Medical Schools of Loyola University, Northwestern University, the University of Chicago and the University of Illinois). Initial application submitted by Coordinating Committee of Medical Schools and Teaching Hospitals of Illinois for implementation of RMP in Illinois but was rejected. ve ts a ie May 1967 June 1967 July 1967 August 1968 October 1968 November 1968 November 11-14, 1968 “A revised planning application was submitted and approved by May 1967 Council at a reduced level for a two-year period of 7/68 through 6/69. - Planning award granted to new application - 01 year $304,629 (DC) from 7/1/67 - 6/30/68. Second year planning grant awarded. Ist year award — $336,336 2nd year award - $520,614 (including earmarked funds for a 3-year hypertension screening program at Pres. St. Luke's Hospital) Supplemental award of $32,200 approved (as a Special Council action funding a Continuing Education Study) Committee considered a planning supplement submitted and action was deferred for site visit and returned to Committee. Council Meeting; approval of a 2nd supplement of $391,199 (for additional staff positions, to develop sub-regional planning, and to support 10 sub-contract planning studies. Staff visit (Dr. Stanley Olson, Dr. Richard Manegold, Miss Elsa Nelson, Mr. Robert Lawton, Mr. Roland Peterson) Observations: Regional Strengths . Obvious interest and talent of the many Task Forces, committees, chairmen and members. . Beginning of hospital network related (or potentially related) to medical schools. - Planned re-definition of roles regarding RAG and Coordinating Committee. seteamion’ a cele nap November 25, 1968 December 27, 1968 February 1969 June 1969 July 1, 1969 The RAC adopted By-laws. The Grantee Insti« tution was given responsibility and authority to appoint future RAC membership. The non-profit "Illinois Regional Medical Program" was formed. The RAC contained 30 members; the Executive Committee of RAC contained 8 members. Second supplement to 02 year planning grant approved by the February Council (to develop an Educational Support Resource at the University of Illinois.) Support recognized by Council for a 3-year period will be annually $174,500 (DC); 3 year total - $523,500. Four month award approved - $540,191 (DC) for the year 7/1/69 - 10/31/69. Applicant organization was changed from the University of Chicago College of Medicine to a separate not-for-profit organization, the Illinois Regional Medical Program, Inc. Vv. A. Core Staff Core staff is located in the Illinois Regional Medical Program Office, 122 South Michigan AVenue, Chicago, _Lllinois, - 60603. _ Major Core organization The Board of Directors is the policy-making body of IRMP and, as such, is responsible for organization and staffing decisions relating to the Program. The Illinois Regional Advisory Committee provides overall advice and guidance to the Board. Initial organizational and staffing patterns were intended primarily to implement the IRMP planning phase activity. However, increasing attention is now being given to organization and staffing needed for operations (as well as for on-going planning functions). Recent continuation and supplemental applications, approved. and funded by the Division of Regional Medical Programs, set forth the present staffing pattern for IRMP. Major Core staff Wright Adams, M.D. - Executive Director George A. Lindsley, M.P.H. - Assistant Executive Director Bryan Lovelace, Jr. - Assistant Executive Director Miss Marilyn J. Voss, M.S.J. - Public Information Assistant Robert J. Rom ~ Planning Associate Miss Lois H. Binkley - Planning Associate _ Joseph J. Gallagher ~ Business Manager ee _ ILLINOIS REGIONAL MEDICAL PROGRAM Organization ~ Core Operations Novenber 1, 1969 Board of Directors .W. J. Grove, M.D, ' Chairman - Executive Director Wright Adams, M.D. ~ Regional Advisory Comm. O. Paul, M.D., Chairman (31) Regional Advisory Comn, Nominating Committee D. J. Caseley, M.D., Chm. (9) | Subregional dAsst. Exec, Dir, jPlanning & Eval. Prog. Dev. Research “Ksst. Dir. Consultants Geo, Lindsley B. Lovelace Asst, Dir, Asst. Dir. Allied Health James W. Wagner T Asst. Ex, Dir. Vacant > Vacant P, Brown, Ph,D, Vacant Clerical Staff I . Vacant Planning Assoc, Planning Assoc, Planning Assoc. | Planning Assoc, Lois Binkley Vacant . Vacant Vacant Medical School Robert Rom " Coordinators. Business Manager I Vacant © J. Gallagher Office Staff Cont, Educ, Loyola M, Daugherty Asst. Dir. . {Subregional J. Suker, M.D.. Office Staff Sec'ty Vacant Coordinators Northwestern M. Kummen C. Clay Le S, Waldstein, M.D. M. Bruetman, M.D, Adm, Asst, Coder Planning Assoc, North Suburban Chicago Medical I, LeBreton Peter Fox }Vacant L. R. Brosi A, Lawrence, M.D, Sec'ty . Stat, Springfield- ” U. of Chicago G. Dallmeier Vacant Central Illinois N, Smith, M.D, Typist Coder Public Info, Asst.|. U. of Illinois . B, Juranovich Vacant M. Voss . P, Vandervort, D.O, Typist Coder Osteopathic Col, B. Dujsik Vacant ween nena --~ a Typist Clerical Asst. Coordinators ~ Je Slodki, M.D. Chicago Medical cic eeecenet BIOGRAPHICAL INFORMATION 1) 2) 3). 4) 5) Robert John Rom a) B.A., University of Illinois, 1965 b) M.A,, University of Illinois, 1967 c) Ph.D., University of Illinois d) Employed in the engineering department of Western Electric Feb. 1960-September 1961. e) Planning Associate for the Illinois Regional Medical Program Maryilyn J. Voss a) Born Peoria, Illinois, September 1945 b) B.S., Bradley University, Peoria, I11., 1967 c) M.S.J., Northwestern University, I11., 1968 d) Research Assistant in journalism, Northwestern University, 1967-1968 e) Public Information Assistant, Illinois Regional Medical Program Joseph J. Gallagher a) Born, Philadelphia, Pa. 1912 b) Temple Univ., Phil. Pa., Diploma 1939 (Major-Accounting) c) Chief Accountant, Argonne National Laboratory, U. of Chicago, 1946-1968. d) Business Manager, Illinois Regional Medical Program Paul G, Vandervort, D.O. a) Born Feb. 7, 1931, Bloomington, Ill. b) B.S., Illinois Wesleyan University, 1955 c) D.0., ‘Chicago College of Osteopathy, 1959 d) Postgraduate training: Cardiovascular REsearch Training Fellowship Program, Chicago Coll. of Ost., 1962-1966 e) Residency in Internal Medicine, Chicago Osteopathic Hosp. 1967-1968 f) Medical School Coordinator, Illinois Regional Medical Program Nat. E. Smith a) Born Barton, Florida b) A.B., Erskine College, S.C., 1943 c) M.D., University of Georgia School of Medicine, 1949 ‘d) Instructor in Medicine, Univ. of I11., 1957-1959 e) Assist. Professor of Med, U. of I11, 1959-1963 f) Associate Professor of Med., U. of I1]l., 1963 - date g) Assistant Dean, College of Medicine, 1962 h) Associate Dean, College of Medicine, U. of I11., 1968 i) Medical School Coordinator, U. of I1l1., IRMP TOT oe onpare err wear a Cer an Rt oreee nee ame reer meen tere Re eT Tre pe oo epee omen tgp ie mare ie ton cee emer p nee en sees pe eee eee eons per eee ee a) b). c) d) e) £) 8) h) 1) 4) k) 1) m) n) 6) Ann Miller Lawrence Born Boston, Mass., June, 1930 A.B., Barnard College of Columbia University, 1952 Junior Research Assoc., Dept. of Physiology, 1953-54 Graduate student, Institute of Experimental Biology, Ph.D., 1957 M.D., Univ. of Cal. at Berkeley & San Francisco School of Med, 1960 University Fellow 1957-1959 Research Fellow in Medicine 1959-1960 University of Chicago Hospitals & Clinics, rotating internship 1960-1961 Junior assistant resident in medicine 1961-1962 Senior assistant resident in medicine 1962-1963 Resident in Medicine & USPHS trainee in endocrinology, 1963-1964 Instructor, Department of Medicine, 1964 Assistant Professor of Medicine, 1965 - Medical School Coordinator, IRMP 7) Sheldon S. Waldstein, M.D. a) b) c) d) e) £) g) h) i) j) k) 1) Born Chicago, June 1924 Harvard College, Mass. 1941-1943 M.B. (1946), M.D. (1947) Northwestern University M.S. (Pathology) Northwestern University, 1951 Internship, Cook County Hospital, 1947-1948 Residency, Cook County Hospital, 1948-1951 Chairman, Dept. of Endocrinélogy, Cook County Hospital, 1956- Chief, Northwestern Medical Service at Cook County Hospital, 1954- 1962 Director, Dept. of Medical Education and Exec. Dir., Dept. of Med., Cook County Hospital, 1962-1963 Director, Division of Medicine, Cook County Hospital, 1964 - Teaching Positions: Northwestern U. Med. School Clinical Assistant 1951-1952 Instructor 1954-1956 Associate 1956-1958 Assistant Professor 1958-1961 Associate Professor 1961-1966 Professor 1966- Subregional Coordinator, Illinois Regional Medical Program 8) Martin Edgardo Bruetman, M.D. a) b) c) d) e) £) Born Buenos Aires, Argentina, 1932 M.D., Universidad de Buenos Aires, Facultad de Ciencia Medicas, Argentina, 1955 Junior Resident in Neurology, Cincinnati Gen. Hospital, Ohio, 1957-1958 Senior Resident in Neurology, Cincinnati Gen. Hospital, Ohio, 1959-1959 (Jan.-June) Chief REsident in Neurology, Cincinnati Gen. Hospital, Ohio July 1959-Dec. 1960 ECFMG (permanent) March 1960 - fee ay Syne peer cee : ee ree nedeiee ee onion ate a a ene — 8) Martin Edgardo Bruetman, M.D. (continued) 9) 10) 11) g) Fellow in'Neurology, Baylor Univ., Texas, Jan. 1961-June 1962 h) Coordinator Cooperative Study Cerebrovascular Insufficiency USPHS, NIH, July 1961-June 1964 i) Teaching Positions, Baylor University - Instructor in Neurology, July 1962-June 1963 Assistant Professor Neurology, July 1963-June 1964 Member of the Faculty Comm. for Research Projects, 1963-64 j) Head Neurology Section, Instituto de Investigaciones Medicas de las Universidad de Buenos Aires, July 1964 k) Associate Investigator, Centro de Investigaciones Neurologicas, July 1964 1) Clinical Asst. Prof., Univ. of Buenos Aires, 1964,65,66, & 68. m) Medical School Coordinator, IRMP Isaac Lewin, M.D. a) B.S., U. of Ill. 1942 b) M.D., U. of Pennsylvania School of Med. 1950 c) Resident, Division of Neoplastic Diseases, Bronx, N.Y., 1951-52. d) Resident, Division of Med., VA Hospital, Bronx, N.Y. 1952-54. e) Chief, Oncology Service, Dept. of Internal Med., Chicago, I1il. 1962 - f£) Medical School Coordinator, IRMP Jacob Robert Suker, M.D. a) Born Chicago, I11l., 1926 b) B.S. Northwestern U., 1947 c) M.S., Northwestern U., 1951 d) M.D., Northwestern U. Med. School, 1956 e) Residency: Dept. of Med. Northwestern U., 1957-1961; Chicago Wesley Memorial Hospital, 1957-1959; Cook County Hospital (Senior Resident), 1959-1960 £) Medical School Coordinator, IRMP Lois H. Binkley a) Born October 12, 1933 b) M.S.Ed. Northern Illinois U., 1959 c) B.A., Northern Baptist Seminary, College Division, Chicago, 1961 d) Planning Associate, Illinois Regional Medical Program Se cpa 12) Wright R. Adams, M.D. 13) 14) a) b) Born Sheridan Illinois, 1903 B.S., University of Illinois, 1924 c) M.D., University of Illinois, 1929 d) e) £) g) h) i) j) k) 1) m) ‘Assistant Professor, 7/1/38 - 6/30/43 Instructor of Medicine, 7/1/34 - 6/31/38 Associate Professor, 7/1/43 -— 6/30/49 Associate Dean, Division of Biological Sciences, 12/1/47-6/30/49 Professor of Medicine, 7/1/49 - Chairman, Department of Medicine, 8/1/49 - 3/31/61 Associate Dean, Div. of Biological Sciences, 4/1/41 - 6/30/67 Chief of Staff, Univ. of Chicago Clinics, 41/141 - 6/30/67 Executive Director, Illinois Regional Medical Program, 7/1/67 - 6/30/69 Executive Director, Illinois Regional Medical Program, Inc. 7/1/69 - George A. Lindsley a) b) c) d) e) f) g) h) i) Born Monticello Illinois, 1918 B.A., University of Illinois, 1940 M.P.H., University of Michigan, 1960 Social caseworker, Illinois Dept. of Public Welfare, 1941-42 Medical Non-commissioned Officer, U.S. Army, Med. Dept., 1942-45 Social caseworker, Illinois Public Aid Commission, 1/46-11/46 Hospital administrator, John and Mary E. Kirby Hospital, Monticello, Illinois, 1946-48. Illinois Department of Public Health, 1948-67 Assistant Executive Director, Illinois Regional Medical Program, Inc., 1967 - Bryan W. Lovelace, Jr. a) b) c) d) e) i) g) h) i) 3) Born Wichita Falls, Texas, 1924 A.B., Texas Technological College, 1948 A.M., University of Chicago, 1951 Teaching Assistant, Dept. of Gov., Texas Tech. College 1948-49 Administrative Asst., Anna State Hospital, 1952-53 Administrative Asst., Fifth Army Hdqters., Chicago, 1955 Research Associate, Dept. of Research, Am. Hosp. Assoc. Chicago, 1956-57 Staff Representative, Dept. of Hosp. Financing, 1958-61 Asst. Administrator, Northwestern Univ., 1965-68 Planning & Evaluation, Illinois RMP aN VI. Organization A. Regional Advisory Committee ‘1. Appointed by Grantee Institution 2, Serve 5 year term 3. 31 members including 4 voluntary Health Agencies, 1 practicing physician, 1 hospital administrator, 2 Medical Center officials, 3 members from the Medical Society, 1 representative from the Nurses' Association, 2 representatives from the Department. 6f Public Health and 4 members of the Public. 4. The Chairman is Oglesby Paul, M.D., Head of Medicine at Passavnnt Hospital in Chicago. 5. Meets quarterly 6. Functions: to review and approve applications for grants Organization relating to operations Operational Program proposals and applications arise in a variety of ways. There are those which come directly from some health resource within the Region - a physician, a faculty member, a voluntary health agency, a governmental health agency, an educational institution, a hospital, or a subregional hospital council. Other proposals may be developed by (or be stimulated by) a Task Force, Committee or Subcommittee. In the latter case every effort is made that the proposal itself be developed by the Region's health resources and not be staff. The principal role of staff and of task forces and committees in this matter is seen as one of stimulating action, providing a focal point for coordination of programs and for dissemination to accomplish needed action elsewhere in the Region. The Task Forces and expert Committees have an assigned role in relation to operations, for they have a part in the review process for new and continuation applications for operational programs and projects. : ane Re a a ALLINOIS REGLONAL MEDICAL PROGRAM, Organization ~ Program Operations November 1, 1969 Chairman (9) Executive Comm, W. J. Grove, M.D, ING, (Grantee) “ Business Adm, J. McParland Chairman (3) Comn, Chairman (3) Nominating Committee D, J. Caseley, M.D, TASK FORCES — Chairman Board of Directors W. J. Grove, M.D. (24) | Executive Director Wright Adams, M.D. - Regional Advisory Committee) O, Paul, M.D., Chairman (31) Chairman (9) Regional Advisory Comm, Nominating Committee D. J. Caseley, M.D. COMMITTEES | | fask Force I Demography & Med, Zconomic Factors of the Region J.C. Troxel, M.D. chairman (14) Task Force Iv Education D. Frey Chairman (16) Core Operations See Core Staff Organization Chart Heart Committee D. Nelson, M.D. Chairman (12) [Task Force II fed, & Allied’ Tealth Profess, — Yan power q. R. Tucker, M.D. Shairman (13) |. fask Force III Sontinuing Ed, 4, Creditor, M.D. Shairman (20) a (Number Task Force V Research C, Smythe, M.D. Chairman (12) \fask Force VI Evaluation Mechanisms M. Lepper, M.D. Chairman (9) Task Force members or Committee members ppears in parentheses after name of Chairman) Subcomm, on Myo- cardial Infarec, J. D, Hull, M.D. Chairman (14) Nursing Committee Lj) IRMP - INA C. Fennessey, R.N. ; Chairman Lo. Perlia, M.D. rors tame ae Cancer Committee ri. Seanlon, M.D. Chairman (15) Sereening Comm, W,. Rambach, Chairman (6) M.D. Subcomm, Radia-_ tion Therapy F, Hendrickson, © M.D., Chm, (8) Subcomn, Cancer Chemotherapy Chairman (4) Public Information Committee C. Larsen Chairman (13) Medical Schools Coordinator Comm! i Institutional. RMP Committee Northwestern U. Loyola U. Chicago Medical . U. of Illinois Chicago College U. of Chicago | of Osteopathy | [oe eee | j | J IRMP Review Process The Illinois Regional Medical Program has developed the following review process for all operational project appli- cations as well as for all activities which would i con- _ ducted by subcontract with IRMP: 4a Persons interested in developing an application are encouraged first to consult with IRMP staff members and with others to whom staff refer them. An Operational Grant Application Guide and forms are provided and explained. The first stage submission of the application is reviewed by IRMP staff. The applicant is informed of staff review comments. The second stage submission, which is to include any additions or revisions resulting from the first stage review, is reviewed in the following manner: first, by appropriate task forces, expert committees, and/or other groups having pertinent expertise; then by the Board of Directors; and then by the Illinois Regional Advisory Committee. Following expert committee review, the applicant may be asked for clarification or for elaboration of particular points. In such cases, further committee action is contin- gent on the applicant's response. A record is kept of the action and recommendation of the Committee. Upon favorable action in the second stage, the application is considered for inclusion in an IRMP Operational Appli- cation for submission to the Division of Regional Medical Programs for federal agency review and approval. The IRMP Operational Application, as well as the project appli- cations it contains, is reviewed and approved first by the Board of Directors and then by the Illinois Regional Advisory Committee for approval prior to submission to the Division. Opportunity for a fair hearing is provided upon request to any applicant who has filed an application and is not satisfied with the action of the Illinois Regional Medical . Program or any of its reviewing bodies. This provision also applies to actions for early termination of grant. ILLINOIS REGIONAL MEDICAL PROGRAM PROJECT DEVELOPMENT REVIEW PLAN Preliminary Provide P.A. No, assigned & S, . > 2 yb >| Discussion 7; Summary 7 Receipt w/TRMP staff Roush Draft Acmouledged “i Complete. Application mittee, Task cunmary promptly circulated to; >| Board, Expert Com- jees, Regional Advisory Comn,, Medical School within Comments Executive Director For- Two Weeks} ° Coordinators Outside Chairman. No, Assigned Completed Comments l¢_j Consultant Requests Circulated Application and/or Group Z(Two Written le ito Initial 4% | Submitted i¢ Members i Critiques l | Review Group +o IRMP Applicant given Instruction and Guidelines for Completion of Application Fiscal Review by Core Staff a Comments to Applicant { Discussion wita ‘Expert Committee or Task Force Chairman Initial Review Comm, Decided upon =~ Expert | Committee, Task Force or Ad Hoc pivision or ; Board Informed . ,| Approved as jenny Executive ra of Action , ™ 4 S44 a u 7 neview . Submitted D rector . Executive Group. | . , IRMP — > Regional . Approved as > Director Act? Apor 5 7" ‘2 Soc romitt Action .} Approved Advisory > oudbmitted IRMP ea a Sudj ect to a . \~ Jmcermernnmermmensenmemn | Revisss y Committee iw 7 muy os . ae , *, 9 | LOVLGLONS for Action APPFOVE Vi. a ees Ae Subject to} Disa a lKevisions Ay Revisions ~Sapprovec |_| Recommended - ~ i al . Disapproved | war : LL | . and Made . Revisions Tuhdran — . “ | | Recommended webs ~ No action | jand Made * . 2 . mel . | by AopLicant Aapplicane \ 4 - a : | {hearing vevore : Mf tP-ztonal Advi- | ‘warding to y Comnitves | Regz a Advisory Comm, pocuneeenennene “1 requested by Applicant A Regional Medical Programs Review Management of Operational Projects and Subcontract Activities The Board of Directors has made provision in the staffing and organization of the Program to comply with procedures ~ required of grantees by PL 89-239, the Federal Regulations, » and the Division Guidelines. This includes staff services to directors of operational projects, fiscal and property functions and account-ability, and for the functions of reporting, evaluation, and project continuation. The Board of Directors has adopted Statutes to govern all aspects of the administration of the Program. A well- qualified Business Manager has responsibility in fiscal and property matters. Other staff have assigned program responsibilities. The Illinois Regional Medical Program recognizes that, while functioning within the Guidelines of the Division of Regional Medical Programs, it must be sufficiently flexible to work with the diverse agencies and organizations of this Region. It is believed that the not-for-profit corporation form of organization is uniquely suited to a Program which seeks to bring these diverse groups together into meaningful and productive regional cooperative arrangements. METHODS AND ACTION TO ACHIEVE THE IRMP GOAL METHODS OBJECTIVES Organization . IRMP staff for liason #1 - Prevention Regional and Areawide planning ee Activities to foster and a support local planning #2 - Diagndsis a Continuing Education Regional Center for rd Continuing Education #3 - Treatment a Education Increased health manpower oo 8 education opportunities #4 - Rehabilitatio 3 = Research = Mechanisms to facilitate = Research #5 = Service S ‘Evaluation Data-base for planning /.--, and evaluation \ een Administrative. structure of RMP staff Advisory | —_ Committee to the Regional Medical Program for Heart Disease, Cancer and Stroke of Illinois Coordinating Committee of Medical Schools and Teaching Hospitals of Illinois Executive Committee of the Advisory Committee Executive Committee of the Coordinating Committee (Five Deans) Administrative Assistant a Executive Director Consultants i \ssistant Executive Director for Demo- graphy, Economics, and Health Manpower Assistant Executive Director for the Coordinating Committee 1 Assistant Executive Director for Education oT Vi. Operational Projects #00 -- PLANNING AND CORE SUPPORT (funded) Approved by August Council but unfunded #1 -- ORGANIZATION OF A COORDINATED HOME HEALTH SERVICES PROJECT IN NORTH COOK COUNTY, ILLINOIS Objectives: To secure community acceptance of the recommended Home Health Agency; determine the health needs as related to home health care in the area; find sources of personnel; organize a Board for the Coordinated Home Health Services Agency; locate funding and financial sup- port for the planned operating Agency and develop a manual of procedures for setting up a Coordinated Home Care Agency. #2 -~ MULTIPHASIC SCREENING IN CHICAGO AREA INDUSTRIAL PLANTS #4 ~~ #5 -- TO DETECT CORONARY PRONE PERSONS AND INDIVIDUALS WITH SUBCLINICAL HEART DISEASE Objectives: Based at the Chicago Heart Association, pro- poses to expand the screening effort on a refined pilot and developmental basis, to determine its long-term merit and viability--technically, economically, and socially--in industries in the Chicago Metropolitan Area. REGIONAL COORDINATED CANCER PROGRAM Objectives: Develop a more realistic and efficient approach , to the cancer problem by utilizing a team of experts to assist the primary physician in-the interdisciplinary diagnosis and management of the cancer patients at any or all stages of their diseases. Cancer Data Center to include consolidation of tumor registry information from three hospitals with Presbyterian-St. Luke's established register is envisioned as a tool to be used to improve cancer therapy. RADIATION THERAPY TREATMENT PLANNING CENTER Objectives: Submitted by Presbyterian-St. Luke's Hospital, Chicago, encompasses a series of interrelated activities designed to improve the quality of radiation therapy and radium dosimetry in the area served by the IRMP. Specific activities are: extension of a Dosimetry Communica- tion System utilizing Xerox telecopies and telephone lines to provide transmission of graphic as well as printed material for facilitating treatment planning and patient consultation, and development of the present center to provide centralized service and consultation on the physical aspects of radiation therapy on treatment planning. oo. #6 -- #7 -- #8 -~ MACON COUNTY STROKE COORDINATION PROGRAM Objectives: Based at the Illinois Heart Association, . Springfield will fund: recreation clubs to “assist home-bound stroke patients with planned recreational ‘and socialization opportunities; a family-centered study; ‘professional education; and community education. A COMPREHENSIVE STROKE REHABILITATION PROGRAM IN SELECTED GENERAL HOSPITALS Objectives: Submitted by Chicago Heart Association to organize resources already available in many hospitals and its related community to deliver well known but little used rehabilitation services to patients with completed strokes. Objectives for services and training activities are set forth for the patient, the attending physician, the hospital and lay community. COMPARATIVE ENDOSCOPIC STUDY AND TRAINING FROGRSM -IN THE EARLY DIAGNOSIS OF GASTRIC CANCER Objectives: In addition to providing training for physicians, is to primarily serve a huge segment of the "poor" patients in Cook as well as other Illinois Counties, with a gastric diagnostic service. Teaching and medical practice activities inherent in the project are to bring into coopera- tion relationships attending and house staff members of nine hospitals, faculty members and senior medical students of three medical schools with indigent as well as private patients in search for earlier diagnosis of gastric cancer and possible precursor lesions.