imillillmillilli -2- Approved Projects'@for 141iicli New i@loney Is Not Available There are 'presently 16 operational projects which have been approved but for which new Honey was not available. These activities cover the same general areas as x,7ere described above. Colorado (Pet6r 11. Domiiiiclc Denver) rt Throu FY 69: Rh $]:,711,000 Current '70'Level of Support: $1,143,000 The Re i@oi-i: The region incILie-c-.3 the State of Colorado.and I?yomin,-,. The grantee organiza- tion is the University of Colorado Medical Center. The initial planning grant was made on Jqntiiry 1, 1967. The program coordinator is Dr. Paul.R. Hildebrand. Dr. Hildebrand v7ho-retirecl from private practice in 1967 is ,full time on the program. The Regional t@dvisory Group consists of 25 members at the present time and is limited to @ total of 30. The group is a cross representation of the public and health interest of the two states. Acompetent staff of 15 individuals have been recruit-ea to administer this program. Present Operational Activities project to develop a computer- The initial operational projects are: 1) A ized stateside cancer re-istry to improve folloi-i-up to as near as 100% es possible and through utilization of registry data, to provide the cancer patients of Colorado with the best care end-eirliest dic-i-nosig possible. 2),A multi-media education project that will develop n proto- type system for videotape exchange and closed-circuit 3)'-a Home 15ielysis Training P-ro&ran, to improve the understandin- of health personnel c' 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 e,-.lpliysema-ch'ronic bronchitis problems and treatment. 5) A project to provide troiiiin- for Ridiation Therapy and I\Iuclear Medicine Technicians. 6) Provide support for the Colorado Internoency Council on Smokin- 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 Ft!;? to counsel conc,.iunities interested in developin- local continuin- education proarams. 9) t project to expand existing facilities and capabilities of the pediatric pulroonary.progren at University of Colorado Medical Center. Ap@oved P-rojects for which ITo-v7 Money is 'blot tivail.nble (1) A Recional Pediatric Oncology Center for Research and Training (2) A Project for the Improved Care of the Patient viith Aetvanced Cancer (3) A Training Pro-ram for the Development of Ultrasonic Techniques for Diagnostic Use in the Co,--,@,.i-in.ity hospitals 'Ninth District Support through FY 3.969 $i,,7182000 Current (FY @970) Level of Support $1,726,000 The Region: The boundaries of the Florida Region coincide with th.os eof the State. Chair- iftan' of the 28 member Regional Advisory' Group is Dr. Coyle E. Moore, Emeritus Dean of the School of Social Welfare of Florida State.Univetsity. There are the South three subregions for planning and organization of the Region. One, Subregion, was headed by Dr. George Adie,'izho submitted his resignation in Janu ary 1970; the North Subregion by Dr. Lamar E. Crevasse and the Mid-Florida Sub-region by Dr. George L. Buckingham. The Central Office is located in Tampa, with Dr. Granville W. L.arimore as the State Director. Dr. H. Philip Hap..?ton is 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 aw-ard'of $779,085 to support nine operational activities: 1) A.Coutmunity Multitest Health.Screening Center; 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 Tracinos from Cardiovascular Screening Center; 8) Remote Super- vision of Paramedical Personnel via Telemetry and 9) Florida Coronary Care Nurse Training Program. The funds a-tarded represented 75% of the amounts recommended due to current budgetary constraints. The R.egion's first operational supplement, requesting $372,356, was submitted to the April-Ilay 1969 Revie@-i Cycle. The "Core Support" for the program received approval in the amount of $650,000. Approved Pro not Available: ects for i-7hich Pediatric Continu (Approved Ist year $51,690; 2nd year $lt8,495) Sm (Approved Ist yea@ $43, 370; 2nd year $42,'680; 3rd year $45,100) sc@ntative, Chanipaign-Urbana, Illinois (I%'illiam L. Sprinrer, 'Repte Tweiity-Second District) '69: '.-$2,448,000 Current FY 170 Level of S 11 rt: 627,000 The Repion The boundaries of Illinois Regional Medical 15ro-ram coincide for the most C> 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. l,ouis, Missouri, as an example, provides services to parts of Southern Illinois. Gary, and otb-er 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. Oglesby Paul, M.D., Head of Medicine at Passavarit Hospital in Chicago, is Chairman of the 31 member Recional Advisory CQmmittee. C) W. J. Grove, M.D., Dean, University of Ill.inol.s Medical School is Chairman of the Board of Directors. The Executive Director, effective April 1, 1970 will be Morton C. Creditor, II.D. There are six,task forces and toii expert Committees 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. Pre@-iit Activities The Region was approved for operational status by the National. Advisory Council in August 1969. Rene;Tal Core support was provided effective November I; 1969 and tire Board was made as a planning grant since funds were not available for the approved operational projects. Other than Core, the Recion has tx@o olicoinp, activities: "Fducati-on Support 'P@cotjrco-s, Stticiv" at tti.@ of- end Stue@yll The Division of Regional Medical Proyrams is now prepared to fund C> operational projects approved by August Council which consist of the following: #1 Hrme'.Care Service Program #2 Ilultiphasic Screening Industrial Plants @#4 Coordinated Cancer Program #5 Radiation Therapy Treatment #6 Stroke Coordination Program #7 Stroke Rehabilitation Program #8 Endoscopic Study and Training Pro-raiii ru FY 6 9: $4,7501000 Cur@ent FY 70 Level of Support: $1,616,000 The Regio@: The Kansas RMP regional boundary is the state. The Region is often considered a coherent area in terms of problems of economic development, and medical care-patients. population trends, type of agriculture 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 2 Center is-Chairman of the Kansas RAG elected by fellow RAG members. Coordinator.for the Kansas @IP 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 KRNP 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 Loc'al Advisory Group, and will serve as Executive Secretary to the LAG. This person provides I assistance in planning and development of future activities, administrative support for Directors of operational projects in the, subregion, supports cooperative institutional communitlv-based proorams for medical and paramedical C> personnel, and promotes regionalization. Subregionalization will include approximateily95% of the population of the region. 'Each subregion is representcrl 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 "B" 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 Subregional Coordinator. Present operational Activities: The projects are 1) Educational Programs Great Bend; 2) Program for Reactivating Iqurses Great Bend; 3) Circuit Course for Active Nurses Wichita Parsons, a, Concordia, Colby, Garden City, Sabetha; 4) Cardio 'lar Nurse Empori vascu Training; 5) Cardiovascular Work Evaluation - Wichita; 6) Continuing Education for Cardiac Care -.Wichita; 7) Metropolitan Kansas City Nurse Retraining Program - (interregional project with Missouri I*EP); 8) Health Data Bank - Kansas City; 9) Self-instructional Centers - located in small community hospitals; 10) ('t Perceptual Motor Dysfunction Assessment and Treatment - Wichita; 11) Kansas Medical Library System - Wichita; 12) Coordinated System for Continuing Education of Medical and Paramedical Personnel - Emporih; 13) Cancer Care Continuing Educatio Programs - Kansas city, Wichita; 14) Subregional Office,in Topeka; 15) Institute for Di.etitians; 16) Core of Piti-er,@ts @,?itli Fluid Elet-col.yte and r-..c-nal Problems Kaiiszis city. Ap roved Pro for v7l-ii-ch New Mon@is-nO Available: Dietary consultaiit-$.3.,175 ro4ects Cerebrovascular and Neurological Nurse Training-$36,655 Kansas City Council--ori Ile,-ilt'i Careers Health lianpower-$5,1,775- Representative Tim Lee Carter, Tompkinsville, Fifth District OHIO VALLEY:@ Senator 14illiani B. Saxbe, Mer-chanicsburg Support Throug -F" 69: -$I,390,000 Current FY '70 Level Of SLIpport: $779,000 The Region: The boundaries of -the Chio Valley Region include most of the State of Kentucky except the southwestern section, the southeastern portion of Indiana'adjacent to Louisville, the southwestern coi,iie of Ohio surround- r Ing Cincinnati, and the extreme %-j,-,sterii tip of Vlest Virginia. Medical school resources are located at the Universities of Kentucky, Louisville, and Cincinnati. The Regional Advisory Council is composed of 36 members. Ap'roximately one-third are physicians, ore-thit-d are representatives of p various health care interests and one-third are lay conSLI.Ilers. The pre- siding officer of the Council is Mrs. Rex Blazer vic leader from a ci Ashland, Kentucky. The grantee organization is the University of Kentucky Research Foundation. Dr. William f,icbeatii is Program Coordinator.' He and his staff are located in Lexington, Kentucky. The region has been atk!a-rd'd tvio, one-year planning grants, the first of which began in Jaiuary, 19'07. Present Operational Activities: The Region obtained an Op.-rational Aviard of $799,195 on January 1, 1969 to support the administrative staff and six operational project activities: 1) a Comriunity Hospital Staff Development Program; 2).A Regional Stroke Management Demonstration; 3).A Library Extension Services Program; 4) a Drug Infow,,-aation Service Study; 5) a Coordinated University Continuing Education Resources Program; 6) A regional Medical Television Development Program. 1 Additionally, the Tennessee filid-Soutli Regional Medical Program has funded t@io programs in Hopkinsville, Kentucky. One provides an EdLIca- tional Center and the other establishes a Coronary Care-Unit. Funds aiiarded to the Chio Valley Region represented 75% of the amounts recommended due to budgetary constraints. Approved Projects for I,!Ii i ch Nle@@i Money is Not Available: Automated t-ILII@t.aSiC Scre nine (Ap proved $400,000 for tvio years) Rural I.'iulti-County Home Care (Approved Ist year $90,000; 2nd year $127,654; and 3rd year $127,654) I I i .. 1. -Tennessee laid South Tim Lee Carter, Tompkinsville, Kcntucky Sup,eort Thru FY 69: $5,534,000 Current FY 70 Level @f Support: The -Repion: The Tennessee Mid-South Regional. Medical Pro-rpnt encompasses tx,7o'-thi'rds of the State of Tennessee and a twelv6 county area of Southern Kentucky. The counties in Kentucky include: Crittenden, Cald-%,7ell, Trigg, Lyon, Livin ston, C'nristian,, Logan, Simpson, I-larren, Allen, Barren,, Todd. The Regional Advisory Group currently has 58 members from throughout the Region, The President of the Regl@onal Advisory Group is T'nornai... Kennedy, business executive from Nashville. The Grantee is Vanderbilt University on behalf of Vanderbilt University - School of Irledicine and licharry Medical College. The Program Director is Dr. Paul E. Tescban. Dr. Teschan assumed his duties at Ti-.'S/PdT in August 1969. Present P2crational rA@ct.ivities: The Tennessee Iiid-South Pecion received its operational ax%,ard in February 1968, At the present time there are approximately 26 funded opera- tional projects. These include: 1) Continuino Medical Education for Physi- cians - I!eh@irry, 2) Continuing Education Progrii-ii - Vanderbilt, 3) liopkinsville Education Center, 4) Cliattaiioo--a Education Center, 5) Special Trainin- for c@ Practicin- Padiologists, 6) .1 rdiac Eurse Trainino Pro-rnni, 7) School of C> Ca C, -X-R@,y Teclinolo-y - McGarry, 8) X-Ray Technolo,-i-'st Trainin Proarem - Vanderbilt 9) Expansion of School of- Medical Teclinolo-y Chattanoo-@@, 11) Coronary Care Unit - Vandcrl)ilt, 12) Coronary Care Unit Franklin, 13) Coronary Care Unit Hopkinsville, 14) Coronary Care Unit - Clarksville, 15) Coronary Care Unit Y,asliville General, 16) Coronary Care Unit - l.eharry, 17) Coronary Care Unit Murray, 3.8).Coroniry Care Unit - Ctiattenoon,@ii, 19) Coronary Care Unit - Baptist, 20) Coro,-inry Care Unit - Crossville, 21) Coronary Care Unit - Tullalio-o@.a, 22) I,,Ieliarry Supc-r-Volta-e Theripy Pro-ram, 23) Ilealtli Ev@iluz!tion Studies on q Defined Popul,2tion Group - llulti.l)hisic Screeiiinc, 2-41) Patient Care llodel, 25) Nu-cse Specialist Crae-tiate Education Pro-rari, 26) A Computerized Networlc to i%ss'fst Plpniing iii.Radio-,Iier8py. Iroiccts for @'liicii is I-lot t@vnil@11)" 1) ConLitiu-1--lill Education Pro@.-rala in In',-ciisive Care 1,Tursin- for Registered 2) Cardiac Sci:cenin- of'SclAoc)l Children, 3) A D -,i s 'Lrzitio-@l Projec@' in Snccch Tii(,-rii) y r, t Co:i.,munity I!os,,)i-tal, i-,) Health e e C o r el z mine ",cprcsontative Peter ri 1,yros Support ThrouFh FY.' 169: -$2-111,000 Current FY 170 Level of Su2.11 l@t: $1,081,000 The PeL The boundaries of the Re--.ion are coincident with those of the state. Ttie grentee institution is l,',edical Care Development, Inc., end the Pro-,raiii -Coordinator is Ila nu Chatterjec, I.!.D. The Regional Advisory Group (P@G) to this region has 33 men@Ders and they are representative of practicing physl'- cians, hospital associations, voluntary agencies, health and related planniii- agencies, goverri-@ion-@nl health P.-cric@LL-.s, allied health professions C, health insurance industry and con--umcrs. The Chairrlaii of this group is H. Dou-Ios Collins, I'I,D,, a practicing internist. This re-ioii has delineated five subregions, each &bout a,referral center for the piLirpose of developi.n- a system for deliverin- optimu.-Li medical care in the St@"te of I-.iine. This his resulted in the establishment of linkage betx@,een the referral]. centers and co-,i@,nunity hospitals, thus creating broad representation and interest in discussint- and solvino inedic,-jl'c@-ire probl@,.s. Present operational tctix,-ities: 's: Tni-s repion has. received P-,;2rds to fund the folio-linc, activitie Visiting Guest Residency Pro3re.,ti; Yepnebec Vilicy Pe-ional Ilealt'q Agency Prorr-im; Enol,,ing Control; Coronary Care: in;.l Physicians' Continuin'o. Education. Iii)t)rov dairy -@cts for I,.o-,iev is I-,lot Available: Director of 14,edic,-,l Education (Approved I.st year $37,500, 2iid year $67,500, 3td year $123,000, 4th year @166,000, 5th year $164,500). b@ @X (A,)provceL Ist year $43,942, 2nd year $23,301, 3rd year $24,0622 4tli year $24,7652 5th year 25,70'0). Pc@g -oi@il l@C a _(,Appro-,j;2d lst year $75,422, 2nd year $99,516, 3rd year $982722). (Sen. Thomas F. EaRl-eton rt Thru FY 69: $@3,242,000 Current FY 70 Level o @Su @rt $4,ti82,000 The Reg3',on: The boundaries of the Recion are coteriiiinollis 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 PI-111 exist for.the Kansas City area. Close i-yorkin- relationships exist with the Memphis RMP for the Southeast Missouri area. The grantee organization is the University of Missouri whose Comptroller is Mr. R. 11. Bezoni. The Pro-ram Coordinator is Dr. Arthur E. Rikli. The Re-ional Advisory group consists of 12 members, geographically distributed throughout the Stite and i.iicltidii-i- medical, allied organizational and con- sumer interests. Including secretarial and clerical assistance, the central office staff of the Recion consists of 55 people, at about 40 full-time equivalents. Present Operatio-,ial- Activities: This Region has approved activities in a number of areas. There are several projects involving the use of computers and bioenginecriiio. skills to develop innovative devices in early disease detection and health services delivery. There are also a large number of projects which are extendin- comprehensive care, disease prevention, and continuing education for health professionals in the categorical diseases. These involve the entire state. Approved Proiects for 1,Tiiicli New Money Is Not -,@vailable There are five projects involving the same general areas described.above which have been approved but for which no new money was available. NopTBJANDS @nnesota-): Ancb.er'Nelsen, Hutchinson, Second District Support through FY 1969 $2,138,000 Current (FY 1970) Level of Support $1,428,000 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 nin e member Board -of Directors; a representative Regional Advisory Group and a Central Coordinating Committee serving as liaison bet xzeen the two. The nine directors represent the principal organizations and institutions interested in the Program. Domination by any one is precluded. Good liaison exists w-ith.Congrehensive Health Planninc, with whom NMT has cqordinated'data gathering efforts. Present Op@rational-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 Infarctio4; 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 a@ieving operational status, the Region conducted five 'studies: 1) Region,@@de,lntensive Coronary Unit Program; 2) Rural Health Care Study; 3) Study of Postgraduate Education in Pediatric Cardiology; 4) Proposal for Financial Support of Local Ifedi,cal Doctors Being Trained in Home Dialysis and 5) Study to Determine the Feasibility- of Collecting Data a-Lid Inte- grating Care of Pediatric Solid Tumor Patients. Approved Projects for Which New Money is Not Available In August 1969 the Region silibmitted.a supplemental grant application for the funding of four additional projects, to be reviewed during the Noven-ber-Deceuber 1969 Review Cycle. They were: @ Pediatric Continuing Education; 2) Postgr.Aduate Residency Type Education; 3) Intensive Cardiac Care Unit Training for Nurses and 4) Training Oph-th-alm-ol.ogists Assistants. These projects were recommended for fLu)ejinc, in tiie total amount of $24c'),670 (direct cost,.;) . NO@'Til CAIl@k'.)T.ILNA: Picb@ir(isoii T-'reyer, Greensboro Seventh District kg?j)ort Tliru. FY 6 9!: $4,].-65,000 Current ],'Y 70 Level o o r t $2,117,000 The bo,,ii)dirl-c@s of the Nortn Carolina 'Pe.-,!.onal klc@clical Pi-o-ra,.n coincides a on %,!.th those of the State. The procrani is 'ciiiiiiii--tc..I:C-d by the Associ,-Iti for Nor!-.Il Carolina Rec,-ional. el al Pro-ra@-,is. lts meit@oei-ship 6oiisists C, of I-,ake Forest University, Du]-,e University, the Univ@-rsity of North Carolina, and the Medical Society of the State of 'C\ortli Carolina. DLII@E Viii.versity as the fiscal ac,eit for the Association. responsibility for pro-i-.i-,it dcvc,].opi;,iciit rests i-7i.th appointed ic-pris,@,iit@-ttivc-s of the' Asso- ciaLi-ons Board of Directors and its Youlti-repres--iitative regional Advisory Council. The Ilroc,).-ain Coorcliiiitc)r i-E-, 1.1a,--c J. ',%Iussc,-, Yi. D. 'Of f ices of the iNo)-tfi Cirol.iiizi Pegional- Pro-i.-aio, are in Durbaii, '@\ortb Carolina. C, The staff consists of 30 full---tii!7,e Core. erqpl-oyc-es --nd 19 project directors Plus their supporting personnel. ' li) a-,Iclitioii, four coorai.n--tors, one from.., each of the above i,,i--ntic)iied scliools an-(I fropi the. University of I\Iortli Carolina School of Public Yiealtli, are involved in procrcir,.i activities cLi i I)art--time basis. 1'resent Oper@qti-onil. Activities: its inception, the NorLli Co-i-ol-inz,. Pro-rc,,.a has receive $4,966,1.39 C, in planning and op-2rat:ioi,,il funds fro.@-i the Division of Pecion---il, L) For its first fi.sr-al year 1-967 a total of $435,851. a-%,iarcled to tlic! Forth Carol-iiii Pro,rei,,i in initial and funds. For 10,6.3 i\To-ruh Cc@-f--c)]-iiia had avz@il-c-ble a total of $773,674 (-,F.$561,(')05 in acl(li-t-i-oti@tl- r cl s and $21).,86'@ in authorized carry over froii,,, @-lic previous yc!,Ir. O!l 19" 71 ii-ty C c) C,-@re Tr@Li.niti@. Et;iet 1) v c, o,,) f3 Diabetic Cb'l)sultzttioli and I-I'ducatioii@il Services; f,: It Development of a '5 - lic-.dical. I.ibrai-y I' Service; f,,6 v -,:L - Central Cancer I'c stry; Career Iiij'orination".Ceiiter; fi7 Continulitc, Education in I.,iterii,-il- Iledicii-ie; P, -- Coiitintiin stry; C9 Continuin- Education for g Education in Denti Physical Therapist; #10 - State of Franl@lin Coronary Care; #]-I - DC.-velol)- assent of a @lobile Cardiac Intensive Care Capability in.Illay,.Iloocl County; 11.3 - Cl.osied Chest Cai:dj.opul.nionary Pesuscitziti.on Unit; ftl4 - Ileart Con- sult,-Iti.oii and Edup-atioiial. Program; #3.5 - CoDiprebciisive Strol@e Pro-raiR; #16 Ilypertension Project; (Project f,12 was returned for revision). At the beginning of Fiscal 1.970 the Program bad been authorized a total of $2,31.1.,399 which included r. proved carry -over funds in the amount of $].lt2,570 and additional allotment of $2,1.68,829. in addition to Core staff and continuation operational fundiiic, for the previously- authorized 15 projects, Iii-tiitcd fuii(lin- for seven new projects was provided 017 Pegi.onal Center for Gestation Trophobl.astic Neoi)lasiiis (Approved I\Ioveiiibc-r, 1968 Council) P12 - Repional Coronary-Care Uiiit for Physicians and Nurse Education (Approved I\Iovcreber, 1968) Tumor Tissue P@oistry (Approved February, 1968) C, Pr lect'-@-i@ciy 1969 C20 liapioaraphy Teclinol-o,7,5.sts' Peniciial Training Program P21 InnovAtions in Clinic Ntirsin- #22 --Coordinated Oncolo@.-y Chemotherapy Procram #23 Pilot Study Ileart' Sounds Screenin- of School Children A.p@o metal @@L@ccs for i-71iich Nex'? iMo@.), is not Avai.l.abl.ct: fl-9 Pliys-tc)'.ai'is Ass-i-E;t:ant 1.1raii-ii.n5, Pr (Approv@d Au-Lic;t, 3-969' (Approved Ist year $3-83,321; 2nd 169,662; and 3rd $114,220) #24 Dc.,lnonstrcilcioii Pro@ic-ct- @'c,.clical To@ii i@i CoEit-titini.ty C).:i-n3.C (Ilill be -t Core staff operation at an estimated level of $8,000 per year) P25 !)eiuonstration Project: A Prol)lepi-Foctised,@r end COT-iliiui-il.t)-- P, sed Conti-nuiii@ Education @@":!tllocl (Approved I.st year $43,443;' 2nd $41t,371t; 3rd $lt5,309 -afford P. Case Rahway .9uppokt Throug@ Fy 169: .$I,979,000 Current PY '70 Level of S $1,367,000 The I k eo, L@i 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 i.s Alvin A. Florin, @I.D. (The @Joint Cowsiittee 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 plannin,-,. .Present Operational Activities: The nine operational projects are concerned with: doronary care nurse training at Hackensack Hospital, Rutoers-Cooper Hospital, and-Newari@ Fetb Israel Hospital.; a state-wide program in external cardiopulmonary resusci- tation; a training proorani in selective coronary cineangiography; a project. to evaluate the status of i mpl@int'ed pacemakers; a procrari to establish tumor conference boards in the New Jersey hospitals;.a program to provide medical tapes by telepli o-date information regarding dia nosis and treat- one on up-t 9 tient, and to develop P. medical film library; and a traininc, procram for physicians, nurses, and technicians in hemodialysis. Recently approved was a request to add urban health planniiia specialists to core staff to coordi- nate and participate in health planning with Model Cities agcnc3.es in the eight large urban- areas of the state; this is an unfunded $184,276 activity. Approved Projects for which New Money is not Avqil.,ibl.e: Urban Health PI-an i@n Si)ecialists - $1.84,276 Cancer Care Course for Nursel@ $202,723 (3 years support) ALY Jacob K. Ja ts 1\1 'Drk $3,977,000 gurr.i@t FY 70 Level of support: 11,534,000 The geographic area 'Lor the Alb any RL%IP is subdivided into six divisions. Twenty-four counties comprise this area: 21 northeastern counties of Now York, 2 southern counties of Vermont, 1 county (viesteriintost) of Massachusetts. A reason for the delineation of this Region is that it corresponds almost Wholly to that of the Regional Hospital Review and Plaiinin- Council of C) Northeastern I\Ie@y York. The westernmost county of Massachusetts (Berkshire) has -relationship also been included in the proposal bec'ause of its existing close (socioeconomic as well as medi.cal) Lo Albany, and becalise.of the more advantageous geographical relation to Albany in contrast-to Boston.(40 miles vs. 110 miles). @4 The Coordinator of the Albany Pd,[P is Frank M. @loolsey, 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 tlarol.d C. I-Iiggers, Pli.D., Executive Vice President and Dean of the Albany Medical Colle-c of Uni.on University. The Chairmanship is ac(.ttiired by appointment. from the liedi.cal Colle-e '-oard of Trustees. ConSLIltina Crotips review projects and operational SLIgCICSti-ons, lendinc, their particular expertise to the decisions to be made by the Planninc, and Review and the RAG. The Albany P@IP has 10 COIISLIlLinc., groups: Heart Discasei Cancer, Stroke, Nursina I' Lllrlolllry Disease, Dentistry, Library Servi.ce, Medical Technologists, Physical Therapy, and X-ray Technicians, These crOLiPS serve the purpose of augmenting the Size and versatility of the RAG while allowing the RAG to retain a size compatible with effective function. t Operatioiial Activities, III October, 1969 the Albiny P,,'-[P received a heard year operational award of $1,177,809 (direct costs). The projects are: 1) Two-Way Radiocotnn,,uiii-cati.on :;store Expansion - Pro-,rani Prod;-tction; 2) Postcraduate Instruction C, C, i - Pai@CI; 3) Coirii,.tini.ty 'tiospitil Leai-nin- Centers; 4) Coronary Care Demonstration Pr&,,ra,.:is; 5) Coi!iiriiiiiity Hospital Coronary Care Training I)t.--.a,)tistration Prorani Pittsfield; 6) Community Hospital CLII:kliLry Care Traiiiiii@ and Dc.,,@i,@oiistr'atioii Pro-rani - Ilerl@inier; 7) Coordinator for C> in -,clic-,i(-ctidy Area; 8) r)cvel-oi),-.-.ent Of COB',nlLinity Leadership for I*IP Fran,,-Iliii, and F.-ssc!x Counties. CENTRAL NEW YORi'\: Senator Jacob Javitts Support Through FY '69: .$2,3001000 Current FY '70 Level of Support: $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 Foureation of the State University of New York, Albany, New York. Richard H. Lyons, M.,D.. is Program Coordinator. An interested, active 35 member P,@r@G has been organized and 26 of 35 budgeted core staff positions are filled. Presc-iit-O,oeratio..r,:il Activities: The eight operational projects are concerned with: 1) Continuing Education in tIL11-Sing; 2) Rehabilitation Consultation Service; 3) Oneida County Tunior Conference; 4) Family Practice Program; 5) Nursing Coronary Care Training Program at St. Lii.@-e's and St. Elizabeth@s Hospitals, Utica, York; 6) Nev., York State Sigmoic'toscopic Demonstration Te@ching Program; 7) M-edical Briefs by 1'elep.ione at Robe-,,t -Packei- Hospital, Sayre, Pennsylvania; 8) Regional C Learning Resources nLer for Nursing Continuing Education. Approved ProjecLs for which New Mo)iev is not Available: Home Dialysis Training Proq_e@ai - $74,227 Renovation of Teaching Space in Good Samaritan Hosp ital $90,084 @uip,,iir@-nt Grant @tiest for Coril:iflL!ni @X General tiospi tal Syracuse, New York $20,579 Prevention of and Effective Recove frorii CL-.rd!ovascular Illness T[iro@h Kn e Nursing InsLrLICtion @18 NASSAU SUFFOLK: ..Senator Jacob K. Javits Support Through FY '69: $263,000 Current Level of Support FY'70: $330,000 The P, e E,,j.@n The boundaries of this Reg!-on coincide with those of Nassau and Suffolk Counties on Lona Island, New York. The Regional Advisory Committee was formed in June of 1967 and a year later incorporated as the Nassau- Suffolk Reaional Medical Program, Inc. The initial planning grant appl., cation was submitted in September lc"6'8 and approved in December 1968 in the amount of $233,256 (direct costs). The grantee institution is the State University of New York at Ston .y Broolz. Glen E. Hastings, M.D., is the Program Coordinator, and Si-iftund A. I%Tesolo-o@sl@i, M.D. is Chairman of the 57 member Advisory Committee which is representative of rpz'edicine, 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 evaluation. YOyk City Seii 69: T@ru V-Y $4,238 '000. Current r-Y'70 i.eve:f of Support: .$25237,000 Lh e11(@, i@ii:. opolitan Re,, io-Ilal liedical- Procra-@ii covers the f i-ve counties The I,,'c-w Yol-"t-, 11 c-,- t r of York Ci-ty and the contiguous counties of Westchester 'Rocl@latid, ioc)l.s of C-reater ",@ew York orpnce and Putnam. The 1,@Fociatc-!c't -@'i c ct i . c,, t IScl C.@ n as the gral,tce. Its ay,-! the seven Di-eclical schools in func,ti.o the 'Pcc,i'cln ii-icl the Nei-i Yorl@ of I.Ioclicitle. The T)-tistc-es; are. the seven eeaiis and t@ie I)i.i:c-tctor of the t@caclc--@,t 'j'hL- Ti-tisi7c@s Pre respol-tr,4r)le "Y fo-- estc@)I.isliiiic, policies of ope-rc-Lticl-,i, for fi.nincial. i.orit-.-es. They are guid@d by reco,-,i..i,,cn- the scope procra-irt and for sctttiii- Pr dations of the 88 of the Regional Advisory GrotiD. The Director oj' the Procraiii is Dr. 1. Jay llri-gliti-tian. Present operational Activities In June, .1967 the Reoi-oil received their iii5.tial- pl-a-i-ini-i-i,,,, axqard of $967,000. was ii-,icle in the c-tiilc)llt O-L $1,041,61.7 for the second year plani-iin-.' I)uri.nc., the t-i@o ye.,ii:s.of plani-iin-, the Pe-ion i@ia0c cons!-dcra'L)3.e proaresE. towarci the of a so,,iiiJ organization, recrLl:l.ti-rent of a- cliLial-i.fi-ccl staff and in the of necessary coopc,@a-- tive ,.,!.tli the Tiny health z,,-encic,.s in the Yorl@ @'iC-ttropolitaii area. A at@,.-ir(I ties iiiide in 1,@lay, 1-968 to support Itobile Cor(:)iie.,-y Cai:c ljlrl@t Ill.-ojcct ($295,269) and a Pc!di-actr.ic Pul.,.i,@oitary Project ($206,,O,70). Also 5-iii.t-.iat,-!d duriiic, the first yeir Pl.all-@ii-n- graat was the Feasibility SL:iLicly. An a@.7,-ii-d '1110.c; issLiccl i.i-i illo , 3.96S in t@lic of $76,1-00 to continue this project tlirouc@'ll i,:Iay 31, 3-969. c,,.l ly the liati.ciiiaL .@eivi --.o@-y Council- f'@l- Five of the Credit I)rc)iccts, sLibr..ii.ttecl were cit)t)rc)v-1-et. @t SiLl.,)..PorL have to be co-,iti.i-iuc,..d tlll-OL'@-111 tli ...... cl i I . An e@,@arJ was is@s-u@L-,cT iy,,i. ti ia @i ouiit of (d.c.) ancT @291,071 (i.c.) I.n Octob-c@r, 1969,.. Thi--, -L,@.7@:trcT was for support oL-' rLore -LncT Elic@ tl-tree -projects vlifcli fuu@ded ULICTei: tli,e, plaiiiiiiie, i;-t-.int -- D,obllc. Coronary.C,-trc, Pediactric Iluli,-loliary, a@cT. Li-ie...I-lcworicil Ifospit@-d Fe,-L@ibility Study. other proje@t ..appi-o-vc-d but not funded by t'he Ati-ust Council (1969) Le -e: Tile. Car(-- of Patieiits !if, t yc.-t 'r -- @2.5,997 Sei d -car - $29,404 on y I'hitd year $31,052 -@-2) A ethic of Fac5.1.iti.es and Services for ReFpira@r Disease and First year 7 $3@41 000 Second year @69,635 3). Yclucational procra-e., for Allied li@,iltli Professional-- First year - $193,425 second year - $214,800. Third year-$225,042 Council- (1 c,6 9 The f ol.lot-:ino tWo projects 1,7crc- ppproved by the De-cerrtl)er but not funded due to iii!,tiffi-cicilt funds: tlic Chat St. o n of First year $73,f')IO Second year $78,668 Third year $84,3.71 -c - 2) hr o for Col-L@5@t-@L -Ll@Icati.cn and rctt.Lent R,,r for Ciii-LI)erl and Medical Center Li l@i tr,e FI.-ool@lyn First $70,636 Second year -- $69,3-58 Third year $72,330 s F. Hastill s@, Allegany, New York Jacob Y,. Javits New York City, Nek-7 York hr,,t, Fy 69: $23155,000 70 Level of Support: Current FY $1,055,000 on: am includes ten counties in the -illr.p .oc!iester Regional liedical Pro r Wf.,,t(.nl part of New York State. These counties include: Orl eans, ,Aotiroe, Wayne, Livingston, Ontario, Yates, Seneca, Steuben, Schuyler, and clieniting. The Rochester PI-TP is bordered on the West by the New York P-J@IP and on 'the East by the Central New York PIIP. late reZional Advisory Group currently has thirty members from throughout I)c-i;ion. The Chairman of the RAG is @ir. Franl, 'Aariilin, past president of the Rochester Regional Hospital Council and who is presently servina as president of a large farm machinery company. C) I,,ratitc-c institution is the University of Rochester School of !edicine and Dentistry. The Program Coordinator is Dr. Ralph Parker. l'itc Central Core Staff consists of approximately twenty--five positions of wl)icli fourteen are full time and the remainder part-time. Ili-esent' Operational Activities: Ilic present operational activities are: 1) Physicians' Postgraduate It-;tlniii- in Cardioloc, ; 2) Recistr of Patients with Acute Myocardial c'y C> y Itif.ii-cl on; 3) Regional Laboratory fot Education and Training in the Care Of I'aL'ilents with ThroTibotic and Heiuorrhagic Disorders; 4) Intensive Course@ tn Coronary'Care Nursina for Professional Nurses; 5) Early Disease P(--.Lection; 6) Continuing Education Program in Cerebrovascular Disease for I"Ii.vsicians in Rochester Area; 6) Regional Clearinghouse on Cancer; a,,fJ 7) Stati--tical and Evaluation Unit. P for Which ioney is no!LAvailable: T (- Ir.@ 1. -ii.lotic Ef,G Consultation; 2) Decentralized Cancer Education; 3) of a Stroke Team; 4) Neurolo,-ic and Re'Llabilitation Nursing in C. Clironic Renal D sease; 6) Chronic Renal Disease A Procyrain for Patients with Diabetes Ilellitus; 8) Transmission fL'r Reriote Computer Analysis and 9) Automated Cancer Registry. enator Jaco New York. b Javitt@ VIESTERN NEW YORK: Representative J unit F. flasti'n6s Al @@any Support ThroLighl'.FY '69: 12 ...$2,5 000 FY '70 Level of Support: Curren .$I,417,000 The Region. Eight counties represent the qeoqraphic confines of this Region. Seven of these counties are New York's-western-irost 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 tile Pesl-arch Foundation of the State University of New York and John R. F. Ingall, 14.' D., is the Program Coordinator. The Regional PrJvisory Group (RAG) to this -ioti of I,,Iestern Y region is the Health Orgaiiiza' ork, (1101@,li'4Y). 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; Irtimunofluoi,escence Service and Training; Continuing t@,e(lical Education; Tumor Registry; and Planning and EdLlea'L-ion Program in Renal Disease. fpproved Projects for which New Money is Not Available: Topical Cheriothcrapy Treatment for Pi@ecancei,ous Lesions and Cancer of the Si-,in - approver@Cyea@ $47,454, 2nd year $49,684, 3rd year $52,734, 4th '§54; Information Dissemination Service appr I oved lst year .$31,960. year $54 2nd year $31,960, 3rd year $32,554; and Respiratory Intensive Care Unit approved Ist year $197,108. Senator, 'Ifeclianicsburp,) (1,Tilliam B., s@axbe, teriY Ohio esterll 69-@- @l-.,269,000 70 Le@vel of-SuPPort: .e-nt o Love -1 $991,000 -rn Ohio Regional' NecTical Program is comprised of tx?e"tY North@'Tes ft f 8,635 square miles and a total population of counties with a land area o .n industrial area Tjith 907. or more of i,360:,977 people. This is chiefly a gaced in non-agricultural occupations. The th p employed population en ollege of On-io at Toledo.. The initial tral-itp-C organization is the liedital- C ional ax-7ard x-7as s a@.iarded January of i969. First operat planning grant wa Dr. Robert Tittle, Jr. trade in July 1969. The Program Coordinator is The Regional Advisory Group consists of 5o to 55 members that are repre- tentative of the public and health.interests of the region. William T. Collins is chairman Of the Regional Advisory Group. ecruited to develop and A core staff of eleven individuals ha.ve been r zan,qgo this program. Present Ooerational Activities (1) Edicati-onal Program for Tho- initial operational projects approved are: I;Urgc,- and Pr-,I-Iabil-itation Nursing Technicians for traininc, 3- 2) Go..nLiuni ty Educatio and improved n anu tat:ion of pat ents i the early detect-on of uterine cancer; Uterlne Cancer Control- for rdiac Care Trainina Program for Professional- Nurses; (3) Intensi. a Ca are Given Patients cl Care (45 TI P'U rehabilitation o P, and Ilealth for edu tnonary disease; (5) NorLliwest Ohio Action on Smolling (6) A @n the an-ei cation of both lay 9 ionals C> e for Phys3'-- Acces ary @q,-rvice as a Iledical information Resourc ciaiis i.o. available: ney is not Approved projects for @ihich ne@-7 IPO 14one e Senator-,, "Y.I& alia 13.. ni:csburg) Tlir-oti-5tri PY' "65:: L@v@T of -rain located at tYi c Ohio State University fi@@ oh-j.,!O@ @-tate- E16@i c@al' Proct ito@110,@ge t-fecf-t-cine is. locite(f essentially in@ the geographical center of tfic@ acEll-t gn@cf so-ci@tfie@rn- tc%ro-tfi,:rrcT@ of the state.., The grantee organization @l&cT!:cal. College.. The initial planninc, grant ig, tfip-l State wa8@ gvar,cfect' :i@n April 1567., The Program Coor-cTiaator is Dr. Williain Pice. Tf,,e, l@eg7loiig:l AcTvTsory Group coii--Ists of 36 Pieriloers and is consi'clc@red to of the pviT)Iic and health interest of the State. I,., trea,llllg,, Doan, College of Yie,-Ticine is chairman of the Ad@llsory Grotil,. Core staff is, bud,.-eted for 18 positions of which 16@ presently fl.11OCT. t Ailcl@,@oii zIL Ac@.Lv t@e!l projects approved a-re (1) - A Corona e@U@t p-r-o-r-ani for- nurses ancT physicians; (2@) Rehabilitation Tr@liLn@ f,o-r ftealth Professionals to develop and use a model -tro'r-le IC..fkll")ilitcltj-oll d,,--riol-@tration unit as a ni-,anc, throu.-Ti which superior care ty-afn'ri,, CA-ri be offerc-cl,- (3). Careers in Health Science PKo, - - a, _@.- @t t o interest among high school students in health science careers; (4) 'qtfcfdc@ii A Coronai!y Unit xrl-iicb will reduce LnorLality frota ii-..farctioii by stabilizing the patient's condition at the scene Of liis @ttc-tcf,; (5) I'h-e Davel.91-r-3nt@f a Critical Base for Planni.ncl to the health needs and resources of communities served by the Ohio State k-fl"; (6) Li-o- for the Use of Cort-..nuter--Assisted Instruction L@@@e )@i lq-fOrmitf-oti Need,-, of Lo--@-ii @-,i,.raynLLt fleil@b. Practitioners ha--, developed J.,"@brAry of coatiiit-iiii,- education courses for health professionals which- ,t.tri tc tfsc,(l -tt co-,ftl)uter terminals located in hospitals in several- cities; for Coiiti L@t 1- Li -at@q which will develop a Mechanism for Coor(liftat@d proorait,,s of contii-iii-,F-n,-, education; (8) Council. for Contin l@l@iq Fducati.on at Sprintfield @.nd (9) Council for Co-iitiiiuinc, Health ,tt I)'ortsliiouth. -ejects_ for which ne@.,, money is not Pvai).Pble: central. C)Iiiio l')Iionoc@trcii.oscon Screening Pi-oc,,r,-.-,i 01 hn Jarman, Oklahoma City, Fifth District $1,818,000 Current FY 70 Level bf Su ort: $1,260,000 The Region: defined te of Oklahoma. From the beginning this Region has been as the Sta Neither Oklahoma nor its neighboring Regions have rigidly interpreted inter- regional boundary lines. For example, ORNP 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 P.IIP coronary care project, with the approval of the Arkansas PkfP. The Director of the Oklahoma RNP 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 s ort term goals and objectives, and assumina a functional relationship in the Regional activities of the O@IP. Honorary Chairman is Governor Dewey F. .Bartlett and Chaii7man 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 o@T planning and operational pro4ects to insure that the total program is structured to achieve the goals and objectives of the Division of *IP. Present Operational Activities: in May, 1969 the Region rec6ived its first year operational award of $1,121,457. The pro4ects are: 1) Coronary Care Program for Oklahoma -- Oklahoma City, Tulsa, Enid, Carnegie, Anadarko, Lawton, Duncan, Ada, Wewoka, Coalgatti, Atoka, Tishomingo, Madill, Wakita, Lindsay, Nor-man, Chickasha, Anadarko, El Reno,. 017,eebe, Fairview, Collinsville., Nowata, Bartlesville, Sapulpa, Stilwell, TahleVah, Sallisaw, Muskogee, ORmulgee, Pateau; 2) Regional Emphysema Program for Oklahoma - Oklahoma City, Tulsa, Clinton Stillwater; 3) Continuing Education Program for the Enid Area - Alva, Cherokee, Wal@ita, okeene, Fairview; 4) A Cancer Control Program for the Tulsa Area Oklahoma City, Tulsa, Okniul-gee; 5) Regional Program to Improve Library and information Services - Oklahoma City, Tulsa, Enid, Alvi, Cherokee, Fairview, O'k-eene, Muskoace;,6) A Regional Program of C,ty; 7) A ilc,-ional. --q Ei,@iy I) i a-2,iic)s4 s o Caii.,-,c,.i: -@-tli ,;peci a Iasi-s on Progrr-,,. t o P rt Mammography - O'klali-oiiia City, Tulsa; A l@e(,ioi-tal Pi-ocrim in Nutrition and Diabetes for Oklahoma - Bristow, O'kinulgeo, Tulsa; 9) Rc@gional Urology Program with Initial Emphasison Cancer of the Prostate - Lawton, Ada, Muskogee, Tulsa, Ol-,Ialioi-,ia City, Bartlesville, Enid, Ponca City. Yarborou ust--Lii Texas support Thru FY 69: $6,693,000 current PY 70 Level of Support: $2,212,000 The Region: The boundaries of the Texas Regional 14edical Program are the same as those for the State of Texas. 'The rationale for riaking the Region coterniinou8 with the State was that most Texans were car-ed for in Texas, and that existin- State health organizations and a-encies could be most easily adapted to workina within traditional jurisdictions. The C> i Regional Advisory Group coiiA sts of forty-eiglit members i,71io 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 RivL-P. The Chairman is Dr. N. C. Hic,,htox-7er, Director of research and Education Division, Scott and I-.7hite Clinic, Temple, Texas. The University of Texas System is the grantee organization. The Central Core administrative staff which consists of approximately twenty professional persons is located on the University of Texas Campus in Austin. Dr. Charles B. lIcCall has been Pro-rani Coordinator since July, 1969. Operational Activities: The Region presently has twei-ity-two operational projects. These include: 1) liedical Genetics; 2) inhalation Therapy Programs; 3) Regional Consul.tation in Radiation Therapy; 4) Reaional Professional- Consultation Service in Iledical Physics; 5) State-Wide Cancer Registry System; 6) Are,-.-i,7ide Total Respiratory Care; 7) Regional Rehabilitation Procrain.- Baylor University; 8) Regional Rehabilitation Program - University of Texas I'ledical School at San Antonio; 9) Regional Rehabil.itati.on Proaram - University of Texas School of Medicine at Dal.las; 10) Eradication of Cervical Cancer in South Texas; 11) Core Staff for Coordination of Plannina Operations and Fiscal @lanaae-,nent; 12) Long Distance Telephone Consultation; 13) Extendin- Coronary Care Nursina'Trainina to Community 1168pitals; 14) Reducing Complications follot.,-ina Radiotherapy; 15) Development and Distribution of an Inter-.regional and Cooperative Serial Control System in the South Central Library Re-ion; 16) Health Careers Pro-ram; and 17) Dial Access Telephonic Analysis - Iledical Consul.tation Service. Approved Projects for Which New Iloii@ @.Not Avail.@ible: Annual Clinical. Conf erence; 2) A Prooram oil Continuin,- Education for T' for All.i-ce Ly and 5) Expansion of @laKillc, T,--c@i@,l "Iro,'-.iiestic Services. NORTHERN 14EI@l ENGLAND: Senator I,,Ii ris ton L. Prouty, Newport Support.Throuqli FY '69: .$2s379,000 Current FY '70 Level of Support: '$805,000 The Region- The Northern Nev., England Regional Medical Program encompasses the State of Vermont and the three northeastern New York counties: Clinton, Franklin and Essex. The grantee institution is the Un4aversity of Vermont College of Medicine and the Program Coordinator is John E. l@,lentib-crg, M.D. The Regional Advisory Group (RI-tG) has 27 members representative of the State Medical Sociecy, 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 Ilealt'ii Compact, an bi-gaiiiza-L-ion with the overall goal of determining L ho,.i 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 tec'tini- cal support for the purpose of.getting its activities Lindei-viay. Present Opera@Lional 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. 4v fillia (David E. Satterfield RicbrLioiid) S@@6rt TlirouLli FY 169: $1,572,000 Current FY '70 Level of Supp@rt: $820,000 T'ne Region The State of Virginia has been designated as the region to be served by the Virginia Pe-ional Medical Prograin. Tne grantee organization is the I-ledical College of Vir-l'iiia. The initial pliiinii-i- grant -v?as ii-7arde(I on January la 1967. She Program Coordinator is Dr. Eu,,ene Percez. The Region-11 Advisory Croup consists of 20 members -rd is considered to be reporesentntive of the public and health interest of the State. Dr. Ilartz 1. Shanholt,--., Commissioner of Yeilth, is chairman of the Pegioii@l Advisory Group. A competent staff of 13 individuals have been recruited to administrate this progrc-ii-a, Present Operetion-pl Activities The initial operational projects approved are: 1) A ircli2i Infarction Training ProR-rom for physicians and nurses to assist co:-.nLinity hospitals in dc!velopi-nc, Coronary Care units. 2) A Coronary Care Evaluation program C, to provide n-ii analysis of the effectiveness of Cardi,-c'Care provided tlirou,@hou,@- tne state. 3) A pro-rnm to establish Cardiopulmonary Resuscita- tion trainina cen'L-crs at five hospitpl,-. 4) A _,prograr@i to study the incidence and management of stroll@-e in a rural. co.-liuntinity. 5) A program to establish a Pxegional Bio-,,nedical Inforination Center for the Co.!@riioniqealth of Virginia. .A proved Pr, facts for I-,Ihich rc-,7 1',-oney@s -ot Av@jrbl-S 'None. Thi@ region has just entered the opc-ratioi-tzl.]. phase of its pro-rpm. Y@itirrently his tx.,o projects submitted as an operational supplementufor the February-Ilarcli Cycle. There are (1) i TLinor Reo,,istry and (2) IIurses WEST Vil,,GIILI S ta s Support Throu@h FY '69: $659,000 Current FY '70 @-vel o f @u p@t: $589,000 The Re,-,ion: The boundaries of the I-lest Virginia Region are coincident with those of the State. The initial planning grant was awarded to the Recion 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. SI-eell-b, Dean of the School of Medicine, is Chairman of the Advisory Group. The grantee organization is the West Virainia University Medical Center, and the Program Coordinator C, @"is Mr. Charles D. Holland. Operational- Activities: This Rec,ion was recommended for operational status b@ the National Advisory Council on Regional Medical Programs in Au-ust 1969. The approved but'ac; yet unfunded activities are: educational programs for the staffing of cardiac care units; short term trainin- for nurses in the care of stroke patients; and a study of the natural li.fe history of'stroke patients and tlic, effects of therapy thereon. A fa;,irth activity recommended fo-@ continued planning was in medical self-audi.t for physicians; and a fifth activity in the delivery of emergency medical services was recommended contingent upon the submission of additional and revised information. Ai)proved Projects for which New LI@c@ s @o AxTil I a l@. Education Pro,,Yrams for the StaffiiiA of Cardiac Care ljnlts.- $30,963 A Short Term Trainin.R I%Torksbo@) on the Nursing Care of the Stroke Pat)-c-nt $26,71,@ A-@tk@N,@f- the Natural Li,fe Ili.s -o@@@ Stroke and the Effects of Ther.@ -I'-fie-reoii - $31,tloo O' a Helicopter System to li@liver Eme@ ricy @re, PeR!onal est V@Lciai-@ $27,300 (Requested) 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 Milwat;kee, and founded in 1966 by the Presidents of the University of Wisconsin and Marquette University, and Mr. Edmund Fitzoerald. 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 IUIP and CHP. For example, 'viP. Mr. T. A. Duckxqorth is President of 1%1& Inc. and also Council Chairman of CHP. About 37 individuals associated with the WRMP also serve the CIIP Council in various capacities. About 40 major State and local agencies are collaborating with the 14RMP. 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 sch'ools and designed to improve the quality of patient care; a demonstration program for pulnionary,throni- 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 Milwaulcee, 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 Mili%laukee Blood Center; a uterine cytology screeni.n- co-sponsored by the University of Wisconsin, Marshfield Clinic, State Department of Health and Social Services, and the Milxiaukee 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 another project demonstration in better nurse utilization; and a program designed to improve medical library information services in the state. February 1970