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PROFILE:

WEST VIRGINIA REGIONAL MEDICAL PROGRAM

Grantee: West Virginia University Medical
‘Center

Current Chief -Executive:

Mr. Charles D. Holland (Acting
Program Coordinator)

Profile originally prepared by:
Frank S. Nash
Operations Officer

Original date: August 1969

Up-dated: December 1969
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IV.

VI.

VII.

TABLE OF CONTENTS

GEOGRAPHY.
DEMOGRAPHY
POLITICS
HISTORICAL REVIEW
CORE STAFF
ORGANIZATION

APPENDIX

 
ooo,

GEOGRAPHY

The Region conforms to the political boundaries of West Virginia.
This determination was made on the basis of patient flow and
medical trade area studies. ,

For planning purposes the region is being divided into nine sub-
regional areas. The boundaries of these sub-regional areas are
the same as those of C.H.P. and the State Economic Development
Department.

' See map next page.

 

 

 
 

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EI. DEMOGRAPHY

&):

B)

c)

Db)

E)

Population: Approximately 1,811,000

I) Approximately 38% urban
2) Approximately 95% white
3) Median age: 28.5 years

Land area: 24,079 sq. miles
Health Statistics:

I) Mortality rate for heart disease 422/100,000 (high)
2) Mortality rate for cancer 168/100,000
3) Mortality rate for CNS vascular lesions 115/100,000

Facilities Statistics:

I): West Virginia University School of Medicine - 4 year
' school, enrollment 249. .

Z) There are eleven schools of nursing, eight of them
university based.

3) There are seven schools of medical technology, one at
West Virginia University School of Medicine.

4); There are ninety-one hospitals (five federal) with
I5,963 beds (1,396 federal). Seventy-six are short-
term facilities.

Personnel Statistics:

I) As of 1968 there were 1,550 MDs, (85.6/100,000), 111

G@steopaths (6.1/100,000). MDs in private practice .
(1965), 1,279 or 76/100,000.

2) Registered nurses, 5,011 or 276.6/100.000 (1966)
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POLITICS:

-A) Governor:. Arch A. Moore (R) 1973

B) Senators:-

1).

2)

Jennings Randolph (D) 1958-1973; Labor & Public Welfare,
Special Committee on Aging.

Robert. C. Byrd (D) 1958-1971; Appropriations

C) Representatives:

1):
2).
3).
4).

5)

PI SH

Harley 0, Staggers (D), Interstate & Foreign Commerce
Robert H..Mollohan (D)

John. Slack (D), Appropriations

Kenneth Heckler (D)

James Kee (D), Public Works

 
IV. HISTORICAL REVIEW

December, 1965

April, 1966

June, 1966

December, 1966

June, 1967

December, 1967

Dr. Clark K. Sleeth, Dean of the West Virginia
University School of Medicine, convened a meeting
to discuss the possibility of the State's partici- -
pation in RMP. State Departments of Health and
Welfare, West Virginia Heart Association, West
Virginia Cancer Society, West Virginia Hospital
Association, the West Virginia Medical Center and
the general public were represented at this first
meeting and it was unanimously agreed the State
should participate. The Medical Center was elected
to initiate and coordinate planning for the estab-
lishment of a Program. The West Virginia State
Medical Association later endorsed these actions
and pledged its participation.

Twenty-eight (28) member advisory group appointed.

First meeting of RAG. Dr. Sleeth was elected
Chairman, Dr. Robert J. Marshall was named secre-
tary. West Virginia University Medical Center was
chosen as the applicant organization for West
Virginia RMP.

The RAG established an interim 12 member Staff
Committee to prepare planning grant application.
(This committee was dissolved June, 1968.)

Original planning grant awarded $131,348 (D.C.)
for 12 months period 1/1/67 to 12/31/67. 02
commitment $175,250. 03 commitment; (6 months)
$91,250.

Review and Council Concerns:

a) The degree to which the regional activity
would be expanded into peripheral areas.
b) Lack of information on resources of the
Medical Center.
c) Relationships with other existing programs
(Appalachian Health Studies and Development).

Dr. Charles L. Wilbar, Jr. appointed Director of
West Virginia RMP.

02 Planning Continuation grant awarded, new funding
of $131,865 and carry-over of $77,045 01 funds
for total of $175,250 (D.C.) for period 1/1/68 -
12/31/68.

The focus of planning for 1968 was to be in the
following demonstration projects:
May, 1968

June, 1968

December, 1968

January, 1969

June, 1969

July, 1969

a) Self Audit of Treatment by Medical
Practitioners

b) Coronary Care Training at West Virginia
University Hospital

c) Blacksville Area Survey

d) Mechanical Morbidity Reporting

Note: The continuation request for $127,632
above the committed amount - to fund the four
demonstration projects. The continuation was
awarded in the amount committed.

Supplement to planning grant awarded to support
the four demonstration projects for 9 months.
$123,707 (D.C.) for period 4/1/68 - 12/31/68.

Amendment to planning grant to correct prior
award to reflect actual end of year grant
balance vs. estimated end of year balance.

03 year planning grant awarded, $237,908 new
funds plus $140,137 carryover from 02 and
supplement - total $314,628 (D.C.) for period
1/1/69 -— 12/31/69.

Program experiences setback due to untimely
death of Program Director, Dr. Charles L. Wilbar.

Operational Grant application submitted requesting
4th year core and planning support of $384,661
(D.C.) and support for 7 projects for total re-
quest of $694,162 for. period 1/1/69 - 12/31/69.
(Application submitted as a requést for 3 year's
support - 1/1/69 - 12/31/71. Total requested

for 3 years ~ $2,263,285 (D.C.)

Site visit. (préoperational): Anne Pascasio, PHD,
RMP Review Committee, Bruce W. Everist, M.D.,

RMP National Advisory Council, Desmond O'Dohery,
M.D., Consultant.

DRMP Staff: Dr. Manegold, Associate Director for
RMP, Mr. Robert Jones, Chief, Programs Assistance
Branch, Miss Dona Houseal, Grants Review Branch.

The site visitors recommended operational status
and approval of six of the seven projects; most
at a reduced level and for less than 3 years.
support.
July - August, 1969 ~ Committee and Council recommended approval of
operational status and approved three of the
seven projects (most were reduced in time and

' amount). Recommended amounts were: 1/1/69 -
12/31/70 - $490,740 (D.C.), 02; $482,767 and,
03 - $555,953 for Core and projects. i

Note: Funding of this action is held in
obeyance pending resolution of Fiscal Year
‘70 RMP budget.

January, 1970 ~- Mr. Charles Holland confirmed as Project
Director of West Virginia Regional Medical
Program (Medical Direction is provided by
University of West Virginia Medical Center
Staff and Medical members of R.A.G.)

 

 
Vv.

CORE STAFF

A)

B)

Cc)

D)

_E)

Core Staff is located in the West Virginia University Medical
Center in Morgantown, West Virginia.

Charles D. Holland is Program Coordinator.

As of 12/1/69, seventeen out of thirty budgeted core staff
positions are filled.

See Organization Chart of Core next page.

See list of West Virginia RMP Core Staff positions filled,
budgeted but currently vacant, and percent of time.

 

 
VI.

ORGANIZATION

A) Regional Advisory Group

B)

 

1)

2)
3)

4)
5)

6)
7)

8)

1)

2)

3)

4)

Composed of 35 members representing 14 organizations and
includes five representatives of the public appointed by the
Governor.

Members appointed for three-year terms on staggered basis so
that 1/3 of membership may change each year.

Currently composed of: 18 MD's, 8 other, 4 hospital adminis-
trators, 1D.0., 1 pharmacist, 2 dentists, 1 nurse.

Requests for memberships first reviewed by Executive Committee
with final determination made by 2/3's majority vote of RAG
membership.

Officers of RAG elected by majority vote of RAG membership to
serve one year term. Officers may be re-elected for one addi-
tional term only.

Meets quarterly (or more often for called meetings).

Functions:
a) Advises and participates in the implementation of categori-
cal health programs.
b) Has full authority to approve all policies, programs, and
activities of West Virginia RMP.
_¢) Reviews to approve all project grant proposals.
Chairman is Dr. Clark K. Sleeth, Dean, West Virginia University

School of Medicine.

Executive Committee

Elected by majority vote of RAG and has 7 members. Must include
one each from West Virginia Heart Assn., W. Va. Division of
American Cancer Society, the West Va. Medical Center.

No agency or institution may have more than one representative
on the Executive Committee .

Chairman of Executive Committee is elected by the RAG.
Composition of Executive Committee is reviewed by RAG each year

at annual meeting (December or January). A maximum of three
changes in membership may be made each year.

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5)

6)

Meets monthly or more often (on call of Chairman or at
request of any three members).

Function:

Has authority to act for RAG between meetings (subject to
ratification of action by RAG at its next meeting). Executive
Committee does not have authority to approve grant proposals or
to amend or repeal By-Laws.

C) Project Review Committee

1)

2)

3)

4)

Membership proposed jointly by Chairman of Executive Committee,
Chairman of RAG and the Program Coordinator. Confirmation
rests with RAG.

At least 1/3 of Committee must be members of RAG.

Function:

a) Responsible for project-review procedures and priority
application mechanisms.

b) Conducts individual project review and presents written
recommendations to the RAG.

Reports to Executive Committee at least three times per year.

D) Planning Committee

2)
3)
4)

5)

Membership proposed jointly by Chairman of RAG, Chairman of
Executive Committee and Program Coordinator with confirmation
by RAG.

At least 1/3 of Committee must be members of RAG.

Currently has nine members and meets every other month.

Reports at least three times a year to Executive Committee.

Function:

a) Determines areas of need and recommends priorities for the
development of overall program objectives and priorities.

NOTE: There are three sub-committees of the Planning Committee:
Research, Demonstrations and Education. The Education
Sub-committee has Task Forces on Physician Education,
Nursing Education and Dentistry Education.

E) Sub-committee on Research

1)

Currently has 5 members.
aN

F)

G)

H)

2) Meets every other month.
3) Reports to Planning Committee.
4) Function:
a) Is responsible for keeping abreast of the latest innovative
. approaches in delivering health services for recommendation
of possible utilization by WVARMP.
Sub-committee on Demonstrations
1) Has 5 members.
2) Meets every other month.
3) Reports to Planning Committee.
4) Function:
a) Assists in developing guidelines for community continuing
education programs that can be related to local needs and

priorities.

Area Advisory Groups

 

Note: WVARMP is in the process of developing an area approach
- toward regionalization. It is their plan to develop nine
areas within the Region(State). These will be coterminous
with the comprehensive Health Planning Areas. Each will
have an area advisory group which will be responsible for
determining area needs and priorities and communicating
these to the WVARMP staff and RAG.

Project Development -- Pattern of Flow

SEE charts attached

 

 
WEST VIRGINIA REGIONAL MEDICAL PROGRAM CORE STAFF

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Time or

 

 

Secretary IIT

Title of Institution Effort
Name .. Position Affiliation % Hours
Charles D. Holland Director * WVU Medical Center 100
Vacancy Assoc. Dir. " 100
Vacancy ' Asst. Dir. 7 100
Warren H. Moss Inform. Officer " 100
Vacancy Communic. Specialist " 100
Joseph Costello . Biostatistician " 100
David S. Hall Behavioral Scientist " 85
Peter P. Gallina Program Planner " 100
Garvey Gilmore Area Liaison Officer " 100
Phyllis Popovich Admin. Assistant " 100
Margo Polen Research Asst. " 100
Mrs. Snider Secretary III " 100
Starlyn Tamaska Secretary II " 100
Susan Rush Secretary I " 100
Miss Dirkle Secretary I " 100
Vacancy Secretary II " 100
Vacancy Secretary (Field) " 100
New

Vacancy Field Representative " 100
Wayne Dawson Area Liaison Officer " 100
Vacancy Area Liaison Officer " 100
Vacancy Area Liaison Officer " 100
Vacancy Nurse Coordinator " 100
Vacancy Secretary (Field) " 100
Vacancy Secretary (Field) " 100
Vacancy Secretary (Field) " 100
Vacancy Secretary II " 100
Medical Self-Audit Assistance Project (six months)
Frederick M. Cooley, M.D. Project Director

Part time " 33
Vacancy Med. Educ. Specialist " 100
Pamela Mowry Med. Records Techn. " 100
Helen Scipio " 100

 
 

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Establishment of objectives and priorities for the Regicn
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the categorical diseases - heart disease, cancer, stroke,

and related diseases - and priorities in terms of prevention,

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