S. FRIEDEL DISTRICT 7 - BALTIMORE MARYLAND REGIOi4AL MEDICAL PROGRAM The Regional Medical Program is, like most programs, still in the planning stage of development. Advisory Groups and staff have been appointed. Five standing committees--on heart disease, cancer, stroke, continuing education, and statistics and.epidemiology--have been established. These Standing Committees have developed plans for projects covering each of their areas of interest. In addition, feasibility studies have been planned to determine manpower and equipment needs; and patient and physician acceptability.. Illus- trative of the cooperative spurt of the Program is the fact that the State Health Officer is Chairman of' the Advisory Committee with the Program Coordinator from the University Medical School. Current funding is at a level of $412,227 and an additional request for planning totals $386,389. Additional information on the Maryland Regional Medical Program follows. March 1968 S. FRIEDEL DISTRICT 7_BALTIMORE MARYIAND REGIONAL MEDICAL PROGRAM REGION State of Maryland COORDINATING HEADQUARTERS Administrative Committee of the Regional Medical Program for Maryland on behalf of the Maryland Department of Health, The Johns Hopkins University Medical School and the University of Maryland Medical School. STARTING DATE January 1, 1967 FUNDING Current Award: $412,227 Current Request: $386,389 Projected Next Year: $5,500,000 OPERATIONAL STATUS Anticipated FY 69 PROGRAM COORDINATOR Dr. William S. Spicer, Jr. (Acting) University of Maryland Medical School ADVISORY GROUP 1. Chairman: Dr. William@J. Peeples Commissioner State Department of Health 2. Membership: 37. (attached) Practicing M.D.'s 6; Medical Centers 10; Hospital Administrators 2; Voluntary Health Agencies 5; Public Health Officials 3; Other Public Officials 5; Allied Health Personnel 2; Public 4. Orsanization and Sta The Maryland Regional Medical Program is administered by an Administrative Committee consisting of the Deans of the two medical schools and the Commissioner of Health of Maryland. This Committee, under the policy decisions of the Advisory Group' administers the program through the acting coordinator. In addition to the coordinator the Maryland core staff consists of a business manager, and a director of information. Associate Coordinators have also been Maryland -2- designated from each of the participating institutions, namely Johns Hopkins, State Health Department and the University of Maryland. Assistant coordinators that have been recruited cover the areas of audiovisual, medical care administration, and continuing education. As the planning has progressed, each staff member has taken on certain categorical duties in addition to the institutional responsibilities, so there has been no duplication in their professional activities. Subregional Development So far, formal subregionalization has taken place along institutional lines. This trend will probably continue since 21 community hospitals in the region have indicated their interest in the program. Regional Advisory Group The Maryland Advisory Group, presently consisting of 37 members, has played an active role in formulating and carrying out the establishment and operations of the program. There have been five meetings of this group since its formation, four of such meeting having been held in the last half of 1967. An operational review committee has also been established to review proposals before presentation to the Advisory Group. In addition, five standing committees have been established to help plan for the region in the areas of heart disease, cancer, stroke, continuing education and statistics and epidemiology. Planning Activities The major thrust of the region's planning so far has been the activities of t e Standing Committees. Some of the specific planning activities include: (1) Continuing Education - establishment of a unit for evaluation of medical care and continuing education. (2) Data Collection - priority has been given to the establishment of an Epidemiology and Statistics Center. In addition, several hospital surveys are planned. (3) Heart Disease - established priorities include: (a) the establishment of cardiopulmonary resuscitation programs; (b) establishment of cardiac clinics; (c) establishment of rehabilitation program; and (d) establishment of a screening program. (4) Cancer - priorities include assisting in the development of a conjoint cancer. clinic; expanding the cytological services in the region; and establishing facilities for radiation therapy. Maryland -3- (5) Stroke - priorities include developing a functional communications network using closed circuit TV,-and constructing stroke units within the state. In addition to the above, plans have been made for feasibility studies to determine manpower requirements, equipment needs, and patient and physician acceptability. It is anticipated that these studies will permit more realistic operational proposals in the future. Relationship to Comprehensive Health Programs Conferences have been held between members of the Maryland Regional Medical Program staff and representatives of the State Agency for Comprehensive Health Services Planning, which is in the ex'ecutive offices of the Governor. These conversations have been directed towards identification of areas of cooperation between the two programs. Following further appointments by the Governor, more active moves toward coordination will be undertaken. ADVISORY COMMITTEE FOR PLAINNING FOR REGIONAL MEDICAL PROGRAMS IN MARYLAND Chairman Dr. William J. Peeples Commissioner State Department of Health Baltimore,Maryland Mr. J. Cookman Boyd Public Representative Baltimore Maryland .9 Dr. John M. Dennis School of Medicine University of Maryland Baltimore, Maryland Dr. Alexander Dowling Montebello State Hospital Baltimore, Maryland Mr. Harold C. Edelson Executive Director Health and Welfare Council of Baltimore Baltimore, Maryland K. Thomas Everngam, Esq. Maryland State Bar Association Denton, Maryland Dr. Joseph C. Fitzgerald Salisbury, Maryland Dr. A.M. Harvey Johns Hopkins Medical School Baltimore, Maryland Mr. Raleigh C. Hobson Director, State Department of Public Welfare Baltimore, Maryland Mr. Frederic G. Hubbard Director, Baltimore City Hospitals Baltimore, Maryland 2 Dr. Page C. Jett Prince Frederick, Maryland Mr. M. Shakman Katz President, Maryland Council on Social Welfare Baltimore, Maryland Mr. Harvey E. Kettering, II Executive Director Baltimore Goodwill Industries, Inc. Baltimore., Maryland Dr. C. Rodney Layton Maryland Academy of General Practices Centerville, Maryland Dr. Edward F. Lewison American Cancer Society Baltimore, Maryland Dr. Abraham M. Lillienfeld Johns Hopkins University Baltimore, Maryland Dr. Martin Lunin School of Dentistry University of Maryland Baltimore, Maryland Mr. William McMillan Glyndon, Maryland Dr. Erland Nelson Chief of Neurology University Hospital Baltimore.Maryland Dr. Russell A. Nelson President Johns Hopkins Hospital Baltimore, Maryland Dr Austin Pearre Fr;derick, Maryland Dr. J. Morris Reese Baltimore, Maryland Dr. John J. Salley Ex Officio Members Dean, Baltimore College of Dental Surgery Dr. William J. Peeples (Chairman) Baltimore, Maryland Commissioner State Department of Health Dr. James A. Sensenbough Baltimore, Maryland State Superintendent of Schools Baltimore, Maryland Dr. William S. Stone Dean, School of Medicine Dr. Leonard Scherlis University of Maryland Chief of Cardiology Baltimore, Maryland University Hospital Baltimore, Maryland Dean* Johns Hopkins University Dr. Edyth Schoenrich School of Medicine State Department of Health Baltimore, Maryland Baltimore, Maryland Dr. J. Douglas Sheppard *To be appointed as of July 1, 1968 Baltimore, Maryland Dr. John C. Stauffer Hagerstown, Maryland Dr. W. Bird Terwilliger Vocational Rehabilitation State Department of Education Baltimore, Maryland Mrs. Catherine M. Turner Division of Adult Services and Medical Care State Department of Public Welfare Baltimore, Maryland Dr. Theodore E. Woodward Department of Medicine University of Maryland Baltimore, Maryland Dr. George H. Yeager University of Maryland School of Medicine Baltimore, Maryland Dr. Ralph Young Baltimore, Maryland Dr. George D. Zuidema Johns Hopkins Medical School Baltimore, Maryland