I I i . t i i i f i t i I I i I I t A i @, @ i p,w4) 1 Today there are 55 Regional Medical Programs established and funded by the Regional Medical Programs Service of the Health Services and Mental Health Administration These Programs cover the entire country and all of its people. dw As required by a law implemented in 1966, each Program has identified and now serves its own Health Service Region. 32 Programs are entire States; 4 are combinations of entire States; 3 are combinations of States and segments of other States; And 16 are segments of one or more States. Each Regional Medical Program was established following approval and funding of its planning application by the National Advisory Council of the Regional Medical Programs Service. 20@he 7 3 In less than 2 years, all 55 Regions were established and the 55 Programs TODAY set in motion. Prgg A Regional Advisory Group, including representatives of a Region's health institutions and health professions, was formed to provide the policy-making group for each Program. Included were practicing physicians, medical center and medical school officials, members of the allied health professions, hospital administrators, public health and voluntary health agency officials, and members of the public. Subsequent applications for operational grant funds described how each Program would develop activities to meet the needs, priorities, and plans of its own Region, especially in the areas of heart disease, cancer and stroke. Specific interrelated projects were included in operational applications that were approved at the Regional level and sent on to the Washington Office of Regional Medical Programs for review, approval and funding. A pattern for each Program's local cooperation has continued to develop and expand involving more of the health-related institutions and an increasing number of physicians and allied health people of the Region. Today, only four years since the first planning grants were made, all but one of the 55 Regional Medical Programs are already involved in operational activities designed to improve the availability and delivery of quality care to all Americans. REGIONAL MEDICAL PROGRAMS AND LOCATIONS ALABAMA Area II-California 1917 Fifth Avenue, South University of California Birmingham, Ala. 35233 School of Medicine Davis, Calif. 95616 ALBANY Albany Medical College Area III-Cdlifornia of Union University Stanford University 47 New Scotland Avenue 703 Welch Road, Suite G-1 Albany, N.Y. 12208 Palo Alto, Calif. 94304 Area IV-California ARIZONA 13-08 UCLA Rehabilitation University of Arizona Center College of Medicine West Medical Campus Tucson, Ariz. 85711 Los Angeles, Calif. 90024 ARKANSAS Area V-California 500 University Tower Building USC School of Medicine, 12th at University 1 West Bay State Street Little Rock, Ark. 72204 Alhambra, Calif. 91801 BI-STATE Area VI-California 607 North Grand Boulevard Loma Linda University St. Louis, Mo. 63103 School of Medicine Loma Linda, Calif. 92354 CALIFORNIA 655 Sutter Street Area VII-California Room 600 1 144 Si Iverado Street San Francisco, Calif. 94102 La Jolla, Calif. 92037 Area Vill-California Area I-California University of California University of California Calif. College of Medicine 745 Parnassus Avenue 1721 Griffin Avenue San Francisco, Calif. 94122 Irvine, Calif. 92664 Area IX-California HAWAII Watts-Willowbrook District Harkness Pavilion 12012 Compton Avenue 1301 Punchbowl Street Los Angeles, Calif. 90059 Honolulu, Hawaii 96813 ILLINOIS CENTRAL NEW YORK 122 South Michigan Avpnue Upstate Medical Center Suite 939 State University of N.Y. Chicago, 111. 60603 750 East Adams Street Syracuse, N.Y. 13210 INDIANA Indiana University School of Medicine 'COLORADO-WYOMING 1300 Michigan Street University of Colorado Indianapolis, Ind. 46202 Medical Center 410 Franklin Medical Building 2045 Franklin Street INTERMOUNTAIN Denver, Colo. 80205 50 North Medical Drive Salt Lake City, Utah 84112 CONNECTICUT IOWA 272 George Street 308 Melrose Avenue New Haven, Conn. 06510 Iowa City, Iowa 52240 FLORIDA KANSAS 1 Davis Boulevard 3909 Eaton Street Suite 309 Kansas City, Kans. 66103 Tampa, Fla. 33606 LOUISIANA 2714 Canal Street, Suite 401 GEORGIA New Orleans, La. 70119 Medical Association of Georgia- 938 Peachtree Street, N.E. MAINE Atlanta, Ga. 30309 295 Water Street Augusta, Maine 04330 GREATER DELAWARE VALLEY MARYLAND 551 West Lancaster Avenue 550 North Broadway Haverford, Pa. 19041 Baltimore, Md. 21205 iw MEMPHIS Nevada 1300 Medical Center Towers 956 Willow Street 969 Madison Avenue Reno, Nevada 89502 Memphis, Tenn. 38104 METROPOLITAN Wyoming -. WASHINGTON, D.C. 3100 Henderson Drive Medical Society of the Cheyenne, Wyo. 82001 District of Columbia 2007 Eye Street, N.W. Washington, D.C. 20006 NASSAU-SUFFOLK 1919 Middle Country Road Centereach, New York 11720 MICHIGAN 1111 Michigan Avenue Suite 200 NEBRASKA-SOUTH DAKOTA East Lansing, Mich. 48823 1408 Sharp Building Lincoln, Nebr. 68508 MISSISSIPPI University of Mississippi Medical Center South Dakota 2500 North State Street University of South Dakota Jackson, Miss. 39216 Medical School 216 East Clark Street Vermillion, S. Dak. 57069 MISSOURI 406 Turner Avenue Lewis Hall NEW JERSEY University of Missouri 7 Glenwood Avenue Columbia, Mo. 65201 East Orange, N.J. 07017 MOUNTAIN STATES NEW MEXICO 525 West Jefferson Street University of New Mexico Boise, Idaho 83702 Medical School 920 Stanford, N.E. Building 3-A Idaho Albuquerque, N. Mex. 87106 310 Idaho Street Boise, Idaho 83702 NEW YORK METROPOLITAN The Associated Medical Montana Schools of Greater New York Post Office Box 2829 2 East 103rd Street Great Fallsj Mont. 59401 New York, N.Y. 10029 NORTH CAROLINA OKLAHOMA 4019 North Roxboro Road University of Oklahoma Durham, N. C. 27704 Medical Center 800 Northeast 13th Street Oklahoma City, Okla. 73104 NORTH DAKOTA University of North Dakota OREGON 1512 Continental Drive University of Oregon Grand Forks, N. Dak. 58201 Medical School 3181 S.W. Sam Jackson Park Road NORTHEAST OHIO Portland, Oregon 97201 10525 Carnegie Avenue Cleveland, Ohio 44106 PUERTO RICO University of Puerto Rico NORTHERN NEW ENGLAND Post Office Box M.R. University of Vermont Caparra Heights Station College of Medicine Puerto Rico 00922 25 Colchester Avenue Burlington, Vt. 05401 ROCHESTER University of Rochester Medical Center NORTHLANDS 260 Crittenden Boulevard 375 Jackson Street Rochester, N.Y. 14620 Fifth Floor St. Paul, Minn. 55101 SOUTH CAROLINA Medical University of NORTHWESTERN OHIO South Carolina 1600 Madison Avenue 80 Barre Street Toledo, Ohio 43624 Charleston, S.C. 29401 OHIO STATE SUSQUEHANNA VALLEY 1480 West Lane Avenue 1104 Fernwood Avenue Columbus, Ohio 43221 Post Office Box 541 Camp Hill, Pa. 17011 OHIO "LLEY TENNESSEE MID-SOUTH 1718 Alexandria Drive 1100 Baker Building Post Office Box 4025 110 21st Avenue, South Lexington, Ky. 40504 Nashville, Tenn. 37203 TEXAS WASHINGTON/ALASKA 2608 Whitis 500 "U" District Building University Station 1107 Northeast 45th Street Austin, Texas 78712 Seattle, Wash. 98105 Eastern Washington T@I-STATE 1130 Old National Bank Medical Care and Education Building Foundation, Inc. West 422 Riverside Avenue One Boston Place Spokane, Wash. 99201 Suite 2248 Boston, Mass. 02108 Southeastern Alaska Gustavus, Alaska 99826 Eastern Massachusetts Central-Southcentral Alaska Medical Care and Education 825 L Street, Suite #507 Foundation, Inc. Anchorage, Alaska 99501 One Boston Place Suite 2248 Boston, Mass. 02108 WEST VIRGINIA Room 2237 University Hospital Western Massachusetts West Virginia University 45 Gothic Street Medical Center Northampton, Mass. 01060 Morgantown, W. Va. 26506 WESTERN NEW YORK New Hampshire State University of New York 15 Pleasant Street at Buffalo Concord, N.H. 03301 School of Medicine 2929 Maine Street Buffalo, N.Y. 14214 Rhode Island 333 Grotto Avenue WESTERN PENNSYLVANIA Providence, R.I. 02906 3530 Forbes Avenue 501 Flannery Building Pittsburgh, Pa. 15213 VIRGINIA 700 Building, Suite 1025 WISCONSIN 700 East Main Street 1 10 East Wisconsin Avenue Richmond, Va. 23219 Milwaukee, Wis. 53202 Additional publications on Regional Medical Programs available on request are: o DIRECTORY OF REGIONAL MEDICAL PROGRAMS Revised as of June 1, 1970 o GUIDELINES-Regional Medical Programs Revised May 1968 9 GUIDELINES ADDENDUM-February 1970 o GUIDELINES-For Multi-Program Services Project Grants (Section 910) o SELECTED BIBLIOGRAPHY of Regional Medical Programs-Second Revision January 1970 o CUMULATIVE INDEX (May 1967-June 1970) News, Information and Data Publications o PROCEEDINGS-Conference of Coordinators and Chairmen of Regional Advisory Groups of Regional Medical Programs September 27-29, 1969 These publications and other material on Regional Medical Programs may be obtained from: Publications Service Office of Communications and Public Information Regional Medical Programs Service Parklawn Building, Room 11-22 5600 Fishers Lane Rockville, Maryland 20852 'A f F Today, there are 55 Regional Medical Programs as described in the companion brochure. Each Program meets its own Regional needs with a different series of related activities. But all Programs have similarities in that they are devoted to improving the availability of quality care. All are directed toward diagnosis, treatment or prevention of heart disease, cancer, stroke and related diseases. All have patient demonstration projects; All are involved in health manpower utilization and continuing education of physicians and other allied health personnel; And all Regions have full-time Program staffs coordinating their ever- expanding interrelated activities. A few examples of the growing number of activities directly involving physicians presently underway in some of the 55 Regional Medical Programs are. . . . Continuing education activities in medical centers and community hospitals directed by leaders in various aspects of cancer, heart disease, stroke and other related diseases to keep local physicians updated on the latest and most useful diagnostic and therapeutic developments. Establishment of regional telephone, radio and other electronic networks for direct and immediate consultation from specialists. . . . or for remote monitoring of vital needed by practicing signs of patients as physicians, and . . . New and expanded regional and subregional reference libraries for ready access to new information through abstracts, tapes, and other printed and audio-visual informational materials. Availability of physicians to spell solo practitioners to permit them to attend postgraduate courses away from their own communities. Regional network of computer systems to provide immediate and accurate X-ray dosimetry and patient management information. Establishment of coronary care units as training sites for physicians, nurses and related health professions from other hospitals within the Region. Involvement of an ever-increasing number of physicians in continued planning to develop new approaches to increase the quality care available to all people in their own communities. These are only a few examples of how physicians and Regional Medical Programs are directing their attention to the patient by implementing regionalized activities to improve the availability and delivery of quality care to all Americans in the 55 Regions, as promised by Public Law 89-239. * (!PO - 11)70 0 - 404-1 RI m I F Today, there are 55 Regional Medical Programs as described in the companion brochure. Each Program is working toward meeting its own Regional needs by planning and implementing its own series of related activities. But all Programs have similarities in that they are devoted to improving the quality and availability of care as related to The prevention, diagnosis and treatment of heart disease, cancer, stroke and related diseases; All Programs have patient demonstration projects; All Programs are involved in continuing education, and the development and improved utilization of health manpower; And all Regions have Program staffs coordinatingtheir interrelated activities which involve hospitals and all other health facilities and resources of the Region. But it is in the hospitals of the Regions, and with their staffs who provide care and treatment directly to patients, where most Regional Medical Programs have their major thrust. For example ... A growing number of continuing education activities aimed directly at improving patient care are being @onducted both in medical centers and in community hospitals for physicians and allied health personnel from their own and outlying areas. Regional telephone, radio and other electronic networks have been established in community hospitals and medical centers to provide direct, immediate and around-the-clock consultation between local physicians and medical center specialists ... Similar networks for medical center monitoring of vital signs of critically ill patients in community hospitals are now available to local physicians. New radiotherapy services, including computerized X-ray dosimetry and patient management consultation, are nowavailable to community hospitals. Selected resident physicians from medical centers and larger community hospitals are now being utilized as "visiting faculty" to smaller hospitals, and other medical center physicians are temporarily taking over the practice of physicians to permit them to attend postgraduate courses. New and expanded Regional reference libraries have been developed to provide ready access to new information in the form of abstracts, tapes, and other printed and audio-visual materials covering the latest medical and patient care techniques. New Coronary Care Units have been established in Regionally selected hospitals to provide primary training sites so that physicians, nurses and other hea lth prof essiona Is f rom other hospitals of the Region can learn to set up and provide similar services in their own hospitals. These are only a few examples of how hospitals are working within Regional Medical Programs to implement regionalized activities to improve the availability and delivery of quality medical care to all Americans. I I7 fI I r@III 0 1 1 i r no Today, there are 55 Regional Medical Programs as described in the companion brochure. Each Program is working toward meeting its own Regional needs by planning and i mplementi ng its own series of related activities. But all Programs have similarities in that they are devoted to improving the quality and availability of care. All Programs have patient demonstration projects; All Programs are involved in continuing education, and the development and improved utilization of health manpower; All Regions have Program staffs coordinating their interrelated activities Andall Programsaredirectedtowardthe prevention of heart disease, cancer, st ro ke a n d re I ated d i sea ses. A few examples of activities in heart disease presently underway in some of the 55 Programs ... A growing number of continuing education activities designed to improve diagnosis and care of heart disease patients by physicians and allied health personnel are being held in medical centers and community hospitals. Regional reference libraries are being established to provide improved access to new information on the latest medical and patient care techniques in the form of abstracts, tapes, and other printed and audiovisual materials. New Coronary Care Units have been established in selected hospitals in each Region to provide not only care, but to serve as primary training sites where physicians, nurses and others can learn to establish and provide similar services in their own hospitals. Special sessions are being held in community hospitals to alert staff to possible electrical hazards in equipment i n Corona ry Ca re U n its. Regional telephone, radio and ot@ier electronic networks are being established and expanded between cortirnunity hospitals and medical centers to provide direct, imr-riediate and arou@id-the-ciock consultation between local physicians and medical center cardiologists Sirfiilar networks are being used for medical center monitoring of electrocardiographs arid vital signs of critically ill patients in outlving community hospitals. The use of selected house staff including cardiology residents from medical centers and larger community hospitals as "visiting faculty" to smaller hospitals. These are only a few examples of how Regional Medical Prograt-ris are iMplerT!en'Lirig regionalized activities to improve the availability and delivery of quality medical care especially as related to heart disease for all Americans. I Today, there are 55 Regional Medical Programs as described in the companion brochure. Each Program differs in the activities it has initiated to meet its own Regional needs. But all Programs have similarities in that they are devoted to improving the availability of quality care. All are involved in continuing education of physicians and other allied health personnel; All have patient demonstration projects; All have professional staffs coordinating their ever-expanding interrelated activities. And all are directed toward diagnosis, treatment or prevention of heart disease, cancer, stroke or related diseases. A few examples of cancer activities presently underway in some of the 55 Programs are . . . Regional Cancer Information Centers to provide physicians with immediate telephone consultation with all the disciplines involved in diagnosing and treating cancer. Cancer registries to provide data collection and help assure follow-up patient care. Medical center-based radiotherapy services for outlying hospitals including computerized X-ray dosimetry and patient management consultation. Screening of high-risk populations for early detection of cervical and other types of cancer. Teaching sessions in community hospitals directed by visiting cancer specialists for local physicians and allied health personnel. Dentists involvement to seek out and treat oral cancer. Regional clearinghouses to develop methods for data collection and dissemination of new information on cancer. Up-dating physicians for prevention and early diagnosis of cancer in children. These are only some examples of how the "focus is on the (cancer) patient" as promised by the law and implemented as part of the effort of the 55 Regional Medical Programs to improve the availability and delivery of quality care to all Americans. PO t 4,14 l,@ I F Today, there are 55 Regional Medical Programs as described in the companion brochure. Each Program meets its own Regional needs with a different series of related activities. But all Programs have similarities in that they are devoted to improving the quality and availability of care. All Regions have full-time Program staffs coordinating their ever-expanding interrelated activities; All Programs have patient demonstration projects; All Programs are involved in continuing education and health manpower utilization of physicians and other allied health personnel; And all Programs are directed toward prevention, diagnosis and treatment of heart disease, cancer, stroke and related diseases, including rehabilitation of patients who have suffered from these diseases. A few examples of the growing number of rehabilitation activities presently underway in some of the 55 Regional Medical Programs are ... Regional stroke information centers to provide physicians with immediate telephone consultation with neurologists and other specialists concerned with this condition. Computer fact banks for providing practicing physicians with the latest information on diagnosis and care of patients with strokes and related diseases. Regional stroke teams of occupational, physical, and speech therapists who make weekly visits to small community hospitals to develop treatment programs for stroke patients. Continuing education activities in medical centers for allied health personnel from outlying hospitals, to improve the care of heart, cancer, and stroke patients, by combining the unique clinical and educational resources of such centers. Comprehensive stroke units in selected hospita Is as tra i n i ng sites where physicians, nurses, and related health professionals from other hospitals within the Region can learn the application of new techniques for care and treatment. Regional activities to promote better care of diabetic patients through the coordination of appropriate professional and institutional health resources and through continuing professional and public education programs. Demonstration programs of exercise rehabilitation for patients with coronary heart disease and pulmonary diseases. These are only some examples of how Regional Medical Programs are operat- ing in general and specifically directing some of their efforts to the field of rehabilitation by implementing regionalized activities to improve the availability and delivery of quality care to all Americans. i@ C;Pn : l@70 04n4 181