11 i. J. SKUBITZ DISTRICT 5 - PITTSBURGH KANSAS REGIONAL MEDICAL PROGRAM The State of Kansas was one of the earliest participants in Regional Medical Programs. Its program, which started July 1, 1966, is now operational and is currently being funded in the amount of $1,081,479. Dr. Charles E. Lewis, of the University of Kansas Medical Center, is the program coord-'@- iiat--or,,-, The program, in an effort to achieve more involvement of key health leaders throughout the State, is stimulating the formation of local action groups. These "grass-rcots" groups will advise the program on all its aspects including planning, project development, and operations. Several of the operational activities are reaching out from the Medical Center to the communities. These programs include a model community educational program for the training of local medical and paramedical personnel in collaboration with the University of Kansas Medical Center, a study of the quality and availability of medical care in Kansas, and Health Sciences Communication and Information Center which links the health facilities of communities such as Pat-sons, Emporia and Wichita to the Medical Center. more information on the Kansas Regional Medical Prcgra-,Tt follows. J. SKUBITZ DISTRICT 5 - PITTSBURGH KANSAS REGIONAL MEDICAL PROGRAM REGION State of Kansas COORDINATING HEADQUARTERS University of Kansas Medical Center STARTING DATE July 1, 1966 FUNDING Current Award: $981,479 Current ests: $1,978,396 Prbjected Next Year: $3,300,000 OPERATIO,QAL STATUS Received operational grant June 1, 1967 PROGRAM COORDINATOR Charles E. Lewis M. D. ADVISORY GROUP 1. Chairman: George A. Wolfe, M.D., Dean 2. Membership: Medical Center 4; Practicing Physicians 4; Hospital. Administrators 3; Voluntary Health Agencies 2; Public Health Officials 3; Other Health Workers 1; Public 5. Pre-planning began when it became apparent that th e initial legislation would become law. The Dean of the Medical Center, Dr. E. Arden Miller, in consultation with Governor William Avery, began plans to initiate a request for funds for a planning arant. Governor Avery designated the medical center as the official state agency to make application for a grant and he appointed the initial members of the Advisory Council with broad representation from the health fields in Kansas. An application was developed and Kansas received one of the first five grants in the nation. Or@anizat.ion and Staffing The central professional planning staff now totals nine people with a much larger number involved in the operational aspects of the Drogram. Pos-Ltions filled include an Assoqiate Director of Continuing Education and three Assistant Kansas -2- Directors for Nursing, Health Related Professions, and Institutions and Administration. There are also positions for specialists in library science, computers and communications, The program has a Iso organized a scientific advisory panel which has no veto power but comments on the merits of proposed projects. The Kansas City Metropolitan area crosses State lines. To facilitate communication and coordination between Kansas and Missouri Regional Medical Programs a special advisory committee has been organized for the area composed of representatives of the two programs. Regional Advisory Group The Regional Advisory Group has been a very active one and has held ei,-,ht meetings since its initial formation. It has expanded recently to include more consumer and public representation. Dr. Lewis has sought to involve the Regional Advisory Group in the development of a program philosophy. Subregionalization In an effort to achieve more involvement of key health leaders from throughout the State, the program has formed local action groups in various subregions. These groups advise the program in all its aspects including planning, project development, and operations. Planning Activities A number of planning activities have defined needs and led to operations projects which are discussed later. Other studies are underway or planned in health manpower, library facilities, training resources, disease patterns and patient referral patterns. Feasibility studies are being carried out to evaluate coronary care units in Kansas City, determine the needs of occupational and physical therapists for continuing education, and determine the feasibility of a data bank containing pooled data from the Kansas State Board of Health, Blue Cross-Blue Shield, Regional Medical Proarams, and various other agencies. C, Operational Activities 10 Education Prograins--Great Bend, Kansas To develop a model educational program in a selected community. A full- time faculty, which will be affiliated with the Kansas Medical Center, will be in residence. Included amon- a comprehensive program are plans for continuing physician and nurse education and clinical traineeships for health related personnel. Studies will be made of community needs, resources, etc. Kansas -3- 2. Health Sciences Communication and Information Center To establish communication linkages vital to education, service, and research programs undertaken by the University Medical Center and remote health care installations. Specific projects will include a physician communications system study, TV teaching studios, electronic linkages, and Medlars search capacity. Among the communities involved in this project are Parsons, Emporia and Wichita. 3. Study of the QualitZ and Availability_of Medical Care To determine urLnet needs for patients, locations, professional education, and working arrangements of physicians and those in the health related disciplines. 4. Hospital Information System and Data Facilities To conduct studies within the region concerning various aspects of community resources and needs, epidemiologic data, and participation of health care personnel in continuing educational programs. A computer system will be used. 5. Cardiovascular Nurs 0 To develop an in-service training program to prepare nurses with basic physiological knowledge of coronary care, ability to use instruments and equipment in coronary care units, experience in home care, and familiarity with social agencies that can aid in the rehabilitation of patients. 6. Cancer Detection Program--Providence Hospital To evaluate the strengths and weaknesses of the Cancer Detection Center now operating as an area referral center in Providence Hospital in Kansas City, Kansas. The records of patients will be studied to show effectiveness and yield of test results, type of personnel who have used the clinic and their source of referral, and effectiveness of follow-up. 7. Cardiovascular Work Evaluation To demonstrate the Cardiac Work Evaluation Unit and show its usefulness for the evaluation and rehabilitation of the patient; to develop an effective technique for showina physicians and the community at large the C> ability of patients to return to work. The following projects are contained in the first supplementary operational request. These have not been through the Dr@iP dual review. 1. Continuing Education for Cardiac Care Will be centered around St. Francis Hospital., St.. Joseph Hospital and the Wesley Medical Center in W--chita. Kansas -4- 2. Metropolitan Kansas City Nurse Retraining Program in the Associated Hospitals of Greater Kansas City. 3. Development of a Kansas Health Data Bank Utilizing the State Department of Health and the Kansas Hospital Association. Initially the project will make use of the computer facilities at Kansas University in Lawrence. 4. Self-Instructional Centers A project to expand the use of self-instruction materials developed under the Great Bend project to other smaller community hospitals in the region. The locations for these centers have not been de.Il-,-'.ded upon. 5. Training Program for Detection of Cancer of the Gastrointestinal Tract Involving both short and long term fellows at the Kansas University Medical Center and the Kansas City Veterans Administration Hospital. ADVISORY COMMITTEE FOR PLAINNDIG FOR REGIONAL MEDICAL PROGRAMS IN KANSAS Chairman Georve A. Wolf, Jr., M.D. C, Provost and Dean University of Kansas Medical Center Kansas City, Kansas Ivan D. Anderson Kansas Blue Cross-Blue Shield Topeka, Kansas Robert Anderson Chairman, Kansas State Board of Social Welfare, Ottawa, Kansas Floyd E. Black Topeka, Kansas Arthur H. Cromb Mission Hills, Kansas Mrs. Edward Curry Kansas Heart Association Topeka, Kansas Mahlon H. Delp, M.D. University of Kansas Medical Center Kansas City, Kansas Hugh Dierker, M.D. Director, Kansas State Board of Health Topeka, Kansas Frank L. Gentry Executive Director Kansas Hospital Association Topeka, Kansas Mrs. Tom Gordon Great Bend, Kansas Mrs. Georgia Neese Gray Kansas Division American Cancer Society Topeka, Kansas 2 Roy C. House Administrator, Wesley Hospital and Medical Center Wichita., Kansas Jim Irigwersen Leroy, Kansas Charles E. Lewis, M.D. Coordinator, Kansas Regional Medical Program Kansas City, Kansas Russell C. Mills, Ph. D. Associate Dean University of Kansas Medical Center Kansas City, Kansas John L. Morgan, M.D. President, Kansas Medical Society Emporia, Kansas Robert C. Polson, M.D. Great Bend, Kansas William J. Reals, M.D. Wichita, Kansas Joseph M. Stein, M.D. Topeka, Kansas John Steineger Kansas City, Kansas Mrs. Gerald T. Waggoner Director, School of Nursing Mt. Carrael Hospital Pittsburg, Kansas 0 Robert W. Weber, M.D. Chairman Committee on Medical Schools Kansas Medical Society Salina, Kansas