PROFILE: NORTIIWESTEPdi OHIO REGIONAL MEDICAL PROGRAM GRANTEE: Mcdical College of Ohio at Toledo COORDINATOR: C. Robcrt Tittle, Jr., M.D. Originally prepared by: Jamc@s A. Smith Operations Officer Original date: S--pteinbei- 25, 1969 Up-dated: NORTHWESTERN OHIO Regional Medical Program Table of Contents I. Geography II. Demography III. Politics IV. Historical Review V. Core staff VI. Organization VII. Funded Operational Projects Appendix This region comprises twenty counties with an area of 8,635 square miles in Northwestern Ohio with a total population of 1,360,977. This is an industrial area with 90% or more of the employed popula- tion engaged in non-agricultural occupations. Transportation facilities within the region are adequate to assure prompt access to medical facilities principally by Interstate Highways and the Ohio Turnpike. Seven major railroads serve the Region, in addition to two major interstate buslines, and four major airlines. The Northwestern Ohio Regional Medical Program is coterminous with the Ohio State Regional Medical Program, Columbus, Ohio, and North- eastern Ohio Regional Medical Program, Cleveland, Ohio. APPE@TIX A ASHTABULA TRUMBULL 10@@AGI MEDINA SUMMIT i MAHONING CRAWFORD RICHLANI STARK COIUMIIIANA CARROLL ES TUSCARAWAS DELP HAR BELMOR MORGAN INGIO Nc)itliv,,restern Ohio Regional r,,-Iedical Pro,,jram II. Demography A. Population: As of 1965, there were approximately 1.4 million people residing in this region. 1. Roughly 73% urban 2. Roughly 92% white 3. Median age: 29.5 (U.S. average - 29.5 years) B. Land area: 8,635 square miles C. Health statistics: Mortality rate 1. Rate for heart disease: 371/100,000 (high) 2. Rate for cancer: 155/100,000 (high) 3. Rata for CNS vascular lesions: 109/100,000 (high) D. Facilities statistics: 1. Medical College of Ohio at Toledo (first year activity) 2. There are 9 nursing diploma schools (RN's) and 5 schools of practical nursing; also there is one AD Program locateA in Lima Ohio. 3. There are 5 approved schoolf os Medical Technology. 4. There is one Laboratory of Cytotechnology within this region. 5. There are 10 approved schools of X-ray technology. 6. The total number of hospitals is 43 with 5,976 beds. E. Personnel statistics 1. There are 1340 M.D.'s (98/100,000) and 120 D.O.'s 'Within this region. 2. The number of active nurses is 6200 (4531100,000). 3. There are 26 physical therapists, 39 medical social workers, 671 dentists and 1,675 occupational therapists. III. Politics A. Governor: James A. Rhodes (R), 1967-1971 B. Senators: 1. Stephen M. Young (D), 1958-1971 Member, Special Committee on Aging Member, Public Works Committee 2. William B. Saxbe (R), 1968-1975 Member, Labor and Public Welfare Committee Member, Special Committee on Aging C. Congressmen: 1. Charles A. Mosher (R) 2. Thomas L. Ashley (D) 3. Jackson E. Betts (R) 4. Delbert L. Latta (R) 5. William M. McCulloch (R) IV. Historical Review February 1966 First meeting by interested physicians in Toledo area to consider the development of a Regional Medical Program under.Public Law 89-239. "Ad Hoc" Committee formed to establish a Regional Medical Program for Northwestern Ohio. Preliminary inventory of Regional Health Manpower and Facilities. Approximately $19,000 in the form of cash, manpower, and facilities for preplanning have been contributed by various agencies as evi- dence of strong community support for the proposed Regional Medical Program.. May 1966 Meeting held with DRMP to discuss preliminary plans for submitting a planning application. Encouraged by DRMP to continue work toward making a planning application. Summer-Fall 1966 Twenty meetings were held by Ad Hoc Committee during this period. Entire region was covered and discussions were held with practicing physicians and hospitals relative to their desire to participate in the program. April 1967 Because of favorable physician and hospital response it was decided to'organize a tem- porary Regional Advisory Group and proceed with developing a planning grant application. June 1967 RAG elects officers and an Executive Committee with the directive to prepare a Planning Grant application. July 1967 Dr. C. Robert Tittle Jr. Was appointed Coordi- nator. October 1967 First year request $309,180. November 1967 Council and Committee critique of Planning application: 1. Reviewers impressed with the applications which shows considerable pre-planning. 2. Reviewers felt the budget and program period should be rephased over a two-year perperiod to provide time to get tooled up. 3. Some question as to the resources within this twenty county area for making this a viable region. 4. It was noted by the reviewers that financial assistance had been provided by, the Heart Association for the planning phase. January 1968 01 planning award - $274,450 DC Recruitment of Core staff: Mr. Donald Grubb - Assistant Program Coordinator Mr. James L. Pullella - Systems Analyst Mrs. Loalouise Geiger - R.N. Mr. Thomas Browning - Systems Communication Consultant December 1968 02 planning continuation application submitted to DRMP DRMP staff review and comments: 1. Consensus of staff that region is making satisfactory progress toward meeting the objectives stated in original application. 2. Core staff recruitment as planned 3. Possibility of establishing a non-profit corporation to serve as grantee 4. Concern noted that 50% core physicians. who head categorical programs also serve as chairmen of these reference panels. Physicians who are chairmen of Reference Panels are appointed to Medical College faculty and paid $10,000 per year for their activities. They do not really head cate gorical programs but chair panels which review initially all programs in their disease category field. They recommend modifica- tions of the proposals, or recommend the proposal be accepted or not by the RAG. All concepts of regionalization are con- sidered in making such decisions. December 1968 Planning Supplemental Request - $141,655 January 1969 02 Planning award - $271,137 DC January 1969 First operational application submitted $1,530,680 April 1969 Site visit - Mr. Joseph S. Murtaugh, Executive Director, Board on Medicine National Academy on Sciences; William S. Spicer, M.D., Coordinator, Maryland RMP; Richard F. Matting- ly, M.D., Marquette University School of Medicine; DRNP Staff Mr. Robert Jones, Mr. Walter Hangen. Critique and Comments: 1. Noted good interaction with other health related programs. - 2. Key strength of program lies in the active support of program by private medical sector. May 1969 Committee and Councils critique and comments on supplemental and operational request. 1. Agreed with site visit report. 2. Noted high degree of cohesiveness within the region. 3. Cooperative relationships and or-aniza- tional liaisons have been developed with other RMP'S. 4. Suggested that staff be increased to provide additional expertise in bio- statistics and epidemiology to strengthen the substantive management of data. Recommended: approval. July 1969 First operational award $690,702 DC V. Core Staff A. The Core staff is located in the Regional office at 1600 Madison Avenue, Toledo, Ohio. B. The following is a list of the major core staff and their percent of time spent working in the ReQional Medical Program. C. Robert Tittle, Jr., M.D. - Coordinator (100%) Donald A. Grubb, M.B.A. - Assistant Program Coordinator (100%) Loalouise Greiger, R.N. - Nursing Research & Lecturer Associate (100%) James L. Pullella, M.P.H. System Analyst (100%) Thomas H. Browning, B.S. Systems Comniunicat-.t.ons Consultant (100%) Louis Black, M.D. - Heart Disease (50%) Daniel Hanson, M.D. Cancer (50%) Anthony Ionane, M.D. Stroke (50%) Herman W. Reas, M.D. Related Disease (50%) James B. Felkey, B.S. Systems Communications Specialist Cynthia Ann Haskill Nurse Associate BIOGRAPHICAL INFORMATION 1) C. Robert Tittle, Jr., M.D. a) B.S., Pennsylvania State University, 1934 b) M.D., University of Pennsylvania, 1938 c) President, Pennsylvania Society of.Internal Medicine, 1962-63 d) Clinical Professor of Medicine, Ned. College of Ohio at Toledo (July 1967) e) Program Coordinator, Northwestern Ohio IUIP (July 1967) 2) Donald A Grubb a) B.S., Findlay College., 1956 b) -M. B.A., University of Toledo, Ohio, 1963 C) Manager and Grant Coordinator, Institute of Medical Research, 1965-1968 d) Assistant Program Coordinator, NWO/RN:P, 1968 - 3) Loalouise Geiger a) Born May 1925 b) R.N., Robinwood Hospital, School of Nursing, 1946 c) B.A., Baldwin-Wdllace College, 1950 d) Head nurse suygical unit, Elyria Memorial Hospital, 1955-1961 e) Head nurse of surgical unit, Toledo Hospital, 1963-1968 f) Nurse Research/Lecture Associate, Northwestern Ohio RMP, 1968 4) James L. Pullella a) B.A., University of Toledo, 1951 b) M.P.H., University of Michigan, 1962 c) Health Educator with Toledo Health Department, 1962-65 d) Planning Consultant with the Community Planning Council of Northwestern Ohio, 1966-1968 e) Systems Analyst, Northwestern Ohio RMP 5) Herman W. Reas, M.D. a) B.S., St. Joseph's College, 1949 b) M.D., St. Louis University School of Medicine, 1952. c) Rotating internship, Mercy Hospital, Toledo, 1952-53 d) Pediatric residency, St. Louis Children's Hospital, 1955-57. e) Northwestern Ohio Related Diseases 6) James B. Felkey a) Senior IBM operator, Owens Corning Fiberglas Corporation, Toledo, 1959-62 b) Assistaiit Supervisor, American Lincoln Corporation, Toledo, 1962-65 c) Data Processing Supervisor, The Mather Company, 1965-68 d) Shift supervisor, Kaiser Jeep Corporation, Toledo, 1968- e) Systems Communications Specialist, Northwestern Ohio Y@IP 7) Cynthia Ann Haskell a) Born September 1946 b) R.N., Maumee Valley Hospital School of Nursing c) Dialysis R.N., at Maumee Valley Hospital, 1961-1969 d) Nurse Associate, Northwestern Ohio KIP 8) Karl A. Otterland a) Born 1920 Falkoping, Sweden --- b) M.D., University of Stockholm, Sweden, 1950 C) Ph.D., University of Gothenberg, 1960 d) Public Health Medical Inspector for juvenile workers, Gotheiiberg, Sweden, 1955-1961 e) Quarrantine Medical Officer, Gothenberg, Sweden, 1955-1960 OR@NIZAT:ZON CPART RN .iORTliEASTE MICHIGAN OHIO STATE. NORTHWESTERN OHIO OHIO REGIONAL REGIONAL REGIONAL REGIONAL MEDICAL MEDICAL PROGRAM MEDICAL PRO MEDICAL PROGRAlv, PROGRAM REGIONAL BOARD OF DIRECTORS YMICAL COLLEGE ADVISORY 0.0-0-0-0-0-0-0-0-0-0-0-0-0-0- NORTHWESTEIUQ OHIO OF OHIO REGIONAL MEDICAL PROGRAM AT TOLEDO (GRANTEE AGENT) EXECUTIVE COMMITTEE PROGRA REGIONAL ADVISORY GROUP]I COORDINA TANT PROG@ COORDINATOR RELATEDI ICONTINUING SYSTEMS/COMM. PUBLIC HEALTH FIN-zNCE/ SPECIALIST ANALYST PROCUR@NTI ILIARY COMMITTEES .0.0-O..O-O-O-O-O@ @0-0-0@ -0- -0-0@0.0@o. -@0-0- OFF ADVISORY GROUP PARAMEDICAL EDUC. &.1 -0-0-0- -0-@0-0-0- -0@o@O.O..O.o O.&O- .0-o-o- -@o-o- REHABILITATION CMTE EDUCATION COMMITTEE[ -@0- @o.@0- -0-0@0-0-0- .0@0-0-0-0 -0-0-0-0-0-0-0* 0-0-0-0- LEGEND: DIAGNOSTIC AND -0-0-0-0-0-0-0-0-0-0-0-0-0-0- = ADVISORY COOPERATION TliERAPEUTIC NEEDS -0-0-0. -0-0.0-0.0-0- @O.O.O.O.O..O, O.O..O.O-O-O-O- @0-0- COMMITTEE ORITY = DIRECT LINE OF AUTH CO CATIONS AND - - - - - - - - - - - - - - - - -- INFORMATION EXCHANGE PUBLIC INFORMATION -@0- @0-0-0-0-0- @O-@O-O..".O.O.Oo @.0.0.0-@0. .0@0-0- COIOIITTEE ADNIN COOPERATION IRESEARCH C @o O-"-O.O-Oto-o-o.o-o-o-to-o-O 0-01010-010.0 0.0-0-0 - ------------------- OPERATIONAL COOPERATION OMYITTEE FLOW DIAC3RAM - PROJECT APPROVAL PROCESS Stibrnittor Secretariat Peference Panel Receive Register Edit Acknowledge to Subinittor. & Send Copies to Reference Panel Receive Give Decis Approve is% to Submit Principle or Turn Down te in If Approved Modify and etailed Develop Details Appro@e Proposal of Proposal Poll Advisory Group for Approval and Advice If Approved. Send p A, to RMP, Washif)gto.-I D.C. for Approval FIGURE 18 Tl,.c prin),iry project mariagen)ent interest during this planning phase is the status of the I rill)clrtaiit (,Liestions to be 6iiswered ar e: VIfiell will a decision be re,@cherj on this proje,^t? k@@Iiic@re (and for what reason) is this protect delayed? VI. overall Organization A. The Northwestern Ohio Regional Medical Program is administered by a Board of Directors consisting of a balanced representative instrument of the Regional Advisory Group and the Medical College of Ohio. B. The Medical College of Ohio is the Grantee Agent. C. The Board of Directors has administrative cooperation with the Medical College, Advisory cooperation with the RAG, and direct authority over the Program Coordinator and his staff. Membership of the Board of Directors is composed of the following representatives: 1 Immediate Past President of RAG 2 Medical College 1 Advisory Group Chairman; 1 Hospital Administrator 3 District chairman of the Advisory Group (in the three districts not represented by the Advisory Group Chairman) 1 Program Coordinator @IP; 1 Other Health Profession 2. Meetings of the Board of Directors are held at the discretion of the President, but there shall not be less than 6 meetings each,year. D. Medical College serves as fiscal agent of the program, but the responsibility for program development rests with the Board of Directors and the multi-representative Regional Advisory Group. E. The Regional Advisory Group must be broadly representative of the geographic area and of the social groups who will be served by the RMP. F. The Regional Advisory Group will maintain between 50 and 55 members. Functions: a. Review planning activities of the RNP to determine their degree of relevance to the objectives of the program. b. To encourage cooperative arrangements among participating institutions and interested organizations. To advise future directors and progression of the RMP to fulfill regional needs and identification of opportunities to improve patient care. d. To review and approve or disapprove all specific operational proposals submitted to it by the proaram coordinator after initial screeniii- by the appropriate Reference Panel and 0 approval of the Board of Directors. G. The RAG meets not less than 3 times a year with other meetings called as deemed necessary. H. Regional Advisory Group Auxiliary Committees: These committees were appointed early in the initial planning phase to advise on various areas of program development, including recommendations for Program content, assistance in Program implementa- tion, and making recommendations of methods of evaluation of program objectives. They have recently been declared inactive by the Regional Advisory Group. I. Reference Panels 1. Members will be appointed by Program Coordinator on the basis of their special interest and training in the categories of heart disease, cancer, stroke, or related disease. 2. The panels will serve as study groups to discuss and evaluate potential program elements within their specially fields and to recommend whether or not further planning, or a pilot or an opera- tional project should be developed by the RNP. VII. Funded Operational Projects #1 EDUCATIONAL PROGRAM FOR NURSES AND REHABILITATION NURSING TECHNICIANS Objectives: Train registerd and practical nurses and nursing technicians in the rehabilitation of patients with strok@-. #2 COMMUNITY EDUCATION AND IMPROVED UTERINE CANCER CONTROL Objectives: Prevent the occurrence of late cancer through education of physicians, allied health personnel, and the general public to the methods of uterine cancer con- trol. Requests modernization of the Cancer Control Center Operation in Toledo and the enlargement of the cytotechnology training facilities prior to expansion in the entire Region. #4 INTENSIVE CARDIAC CARE TRAINING PROGRAM FOR PROFESSIONAL NURSES Objectives: Train a total of 480 nurses in specialized cardiac care during a 3-year period and establish 5 educational centers within the Region. Training units are to be established in the Counties of Lucas, Allen, Erie, and Defiance. It is stated that at the end of the 3-year request, enough nurses will have been trained to staff all of the cardiac care facilities within this Region. #5 THE IMPROVEMENT OF RESPIRATORY CARE GIVEN PATIENTS IN EXTENDED CARE FACILITIES Objectives: Establish 3 pilot respiratory care centers to rehabilitate patients with chronic pulmonary disease. One of the centers will be developed more fully than the others to increase the capacity for evaluation of the program. Provisions are to be made in this proposal to provide continuing education of both physicians and paramedical personnel in the field of Chronic Pulmonary Disease. The proposal also includes the establishment of a 2-year school of Inhalation Therapy in the Toledo Hospital. NORT157ESTERN OHIO ACTION ON SMOKING AND HEALTH Objectives: Reduce morbidity and mortality caused b exces- y sive smoking. To be accomplished through education of both lay and professional public in order to reduce the number of persons who take up the smoking habit, increase the number of people who give up smoking, and to to determine the usefulness of various educational approaches and withdrawal clinics. #7 A DIAL ACCESS TAPE LIBRARY SERVICE AS A MEDICAL INFORMATION RESOURCE FOR PHYSICIANS AND NURSES IN NORTHWESTERN OHIO Objectives: Utilize the experience of Wisconsin in the development of a Dial Access Library service. Tapes will contain emergency medical information, review of new information and other general information which is difficult to obtain elsewhere. Service would be free to all professional personnel in the Northwestern Ohio RMP service area. APPENDIX APPENDIX'7 CURRICUI-U@/1 VITAE Name: Ja mes L. Pullella Office Address: Northwestern Ohio Regional Medical Program 2313 Madison Avenue Toledo, Ohio 43624 Residence: 141 0 Freerriz,,n Toledo, Ohio 436C)G Present Position: Systems Analyst Education: University of Toledo B.A. Degree, 1951 Majors in Frenci-k and Political Science Many courses in Sociology and Psychology University of Michigan - M;.P.1i. (Health Education) Degree, 1962 Have )I@ost completed requirements for M.A. Degree in Politi- c6i Science from University of Toledo Previous Employment: Planning Consultant with the Community Planning Council of Northwestern Ohio -- 1 966 - 1 9G8. Health Educator with Toledo Ficattli Department - 1962-1965 Housing Sariitarian with Toledo Health Department 1 959 - Profcssion,%l Mcniberiliip: The Society of Public Health E-dLICC"Itors American Public tleE;Ith Association Ohio Public Health Association (Chairman of Flealth Education Section 1964-1965) Ohio Association of Public Health Sanitarians Other Moriberships: Secretary -- Toledo Education Association for the Chronically III and Aged Executive Boz:.-d of Greater Toledo @!Litrition Association Publicat'-o-is: "A New Approach to vn Old Noinesis" (Toledo's Neighbor- hood Conservation Program); Ohio's I-lealtl), Jcjnuary, 1966 In Collaboration v@,ith Mr. George Mc)wrey - "Toledo's Food Service Program"; OI)io's ticaltli, June, 1 965 Article on Lucas County Community Health Study; @hio's Health February, 1967 APPENDI)" 7 CURRICULU,,',A VITAE Nanie: Loalouise Geiger Office Acllress: Northwestern Ohio Regional Medical ProCrat-ii 2313 Madison Avenue Toledo, Ohio 43624 Residence: 1337 South Coy Road Oregon, Ohio 4361B May 12, 1925 Education: 1 961 Western Reserve University Cleveland, Ohio 10 hours toward Masters D@iree 1948 Baldwin-Wal]Fcc College Berea, Ohio .10 B.A. Degree in 1950. favored in Psychology with Minor in 1950 Science and Sociology. Education financed through full tir-ne work as a nurse. Secretary of Spanish Club. 1943 School of Nursing - Robinwood Flospital Toledo, Ohio to Graduated from accredited school of nursing passing the Ohio 1946 State Board of Nursing thereby obtaining my R.N. (Registerr-@d Nurse) certificate. .)yi-nent: 1968 Northwestern Ohio Regional Medical Program Toledo, Ohio to Nurse P@ese@irch/LeCtLire Associ@)t-.. Responsible to @resent to Present the Aflied Health Professionals within North%@vestern Ohio Re- gional Medical Progrei-n, lectures, demonstrations, and training programs; to develop origoiig Continuing Medical Education Programs; arid to develop and solicit cot ,ltinuinj cooperation in a tactful, friendly manner. Work closely with the Reference Panels on Heart-Caticer-Stroke-aiid Related Disease, and with the Committee on Continuing Medical Education. Directly re- sponsible to the Assistant Program Coordinator in Aciminis- trative matters, and for,assign.,nent of worl, projects. 1963 The Toledo Hospital Toledo, Ohio to Flearl nurse unit for one year. liez3d nurse of an 1 968 intensive care unit and Surgical unit for one year. [lead nurse of an intensive care unit and Coronary Care unit for tyro years. Directly involved in planning and establishing both the intensive care and coron M care units. Chairman of the procedures com- mittee for two years. Presented numerous in-se,-vice projrims on team nursing and cardi@-,c nursing. Conducted woi-ksli3pG for intensive care the coronary care unit personnel. ?resented conference on "lri-.pot-terice of tiousr-keepi:ig Wit-iiii a Hospi,al" for State I-IOLISctcepers Associlitioi. APPENDI>'%'7 Loa rise Geiger's CURRICULUtvli VII-AE Ernr 16yrnent Cont'd. Served on doctor-nlirse coi)irnittee for intensive care nursing. Developed philosophy, center procedures and concept of care within intensive care unit. Attended various intensive care and coronary care workshops through the counti-y. 1962 District Nurse Association Toledo, Ohio to Private duty iiursino.. Experience mainly in surgical post oper- 1 963 ative area. 1 961 Cleveland University Hospital Cleveland, Ohio to Head nurse on female surgical division. Experience in open 1962 heart and chest SLirger predominant. Attended medical grand rounds and follow-up conference once a week. Presented in- service programs on team nursing open heart and cliest surgery nursing. Attended many medical clinics on disease entities. Clorleg allied with Doctor Claude S. Beck noted open heart surgeon. 1955 Elyria N,'icmorial Hospital Elyria, Ohio to Head nurse surgical unit. Class advisor for student nurses for 1 961 three years. Presented in-service programs on oxygen therapy, hospital costs and nursing care of surgical patients wine em- phosis on psychological aspects. 1 95 5 Lakewood IOSPital Lakewood, Ohio to 1 9 55 Head nurse operating room. 1 9 50 Cleveland Metropolitan Hospi@if Cleveland,- Ohio to Instructor of Coi-nniunicable Disease Nursing one year. Super- 19 55 visor of Surgical Units for four and half years. Gained valu-:i@le experience in leadership and di. ection of personnel. Attended weekly medical grand rounds and follow-up conference. Worked with physicians on committees formulating policies and stand- ards of patient care. Attended varied nursing in-seivice pro- granis. 1949 Berea Community Flospiial Berea, Ohio to Relief (3-1 1) Supervisor. Gained experience in emergency 1950 roon-, nursing. 1 948 Berea Methodist Childrens Home Berea,- Ohio -to Cared for the children during their childhood diseases. Insti- 1949 tuted a programed approach to their routine care. 1 947 Oakland Veterans Hospit,@i Oakland, California to Staff nurse on medical Surgical mile unit. 1948 194 6 Berea Conit-nun-.ty Berea, Ohio to staff nurse on niccliccil sur(,iica! unit. 1947 AP, ENDIX 7 Lodi c Geiger's CUF-',PICUI-UM VITAE Per@ Background n@d Fnte-rests: Born -)nd raised 'Toledo, Ohio. Daughter of farrner. Attended public schools graduating from Clay High School. Was active in Scouting and 4-11 work during high school. Married Glen Geiger 1951, divorced sai-ne in 1959. Have one thirteen year old son. Presently live with parents. Until January 1969 1 am president of St. Marl,,s Lutheran Church Women. Like to golf, swim, read and collect Negro Angels.' Affiliations: Member of St. Marks Lutheran Church; Baldwin Wallace Alumni Association; St. Lules Alumni Association; District Nurses Association; American Nurses Association; National League Nursing Education; Associate of Art NIIL[Seuni. APPENDIX 7 CURRICL)LUM VITAE Donald Nanic: A. Grubb Office Address: Nortliwestern Ohio Regional Medical Program 2313 Madison Avenue Toledo, Ohio 43624 Residence: 10947 V,,rinslv%pii Road Whitehouse, Ohio 43571 Present Position: Assistant Program Coordinator Birthdate: August 3, 1926 Education: @Uni@ersity of Tol6do, Ohio 1957 Graduate School of Business to Degree of Mastei- of Business Administration in May, 1963 1963 with concentration in Business Manaoernent. Attended Evening School while maintaining a full-time job. Masters Thesis En- fitied, "OEganizing for an Effective Work MeastireinentSystem". 1954 Findlay Col@e Findlay, Ohio to -F@Dogree in 1956. Majored in Business Administration with -@56 Minor in Psychology and Sociology. Education financed through Veterans Bill 50% and pat-time ",ork 50%. Member of Col- lege Fraternal Order. Editor of Year Book. Participated in. intra- mural athletic program. 1 946 Northwestern School of Coi-nmerce Lima, Ohio to Special course in Business Administration and Salesmanship. 1 947 Work study courses in Systems, Personnel, Management De- velopment through Administrative Management Society. Study Seminars in the applications of PERT, CPM and MAP techiii- ques through Manager-neit Development Institute, Inc. Stuay Seminars in@New Product Development. Technical Planning and Management Information Systems through the American Man- agement Association. Nortli@vestern Ohio Regionif Medical Program Toledo, Ohio to Assistant @r r@zim Coordin-@)tor. Responsible for administration, E'rt,setit staff assignments, fiscal responsibility. Directly responsible to Pfograi-n Coordinator in development of Regional Medical Pro- grarn. Assist in regional direction -.nd coordination of all activi- ties. Directly responsible for the adrfiinistration and implemc@nta- tion of: Office Me@, ods and Procedures; S%,stems Procedures; Job Assignments, and Workload Scheduling; Gltiiering end Documentation of Information, Preparation end Dissen)in:)tion of necessary Reports and all other data needed for effective audit; Respois:lble for all personnel Ass:.gni-nents and their complete Docuriientation for Continuity. AP P F D I 7 E)ona A. GrLibb's CURRICULUM VITAE. E-mployi-nont Cont'd. 1965 Institute of Medical Research Toledo, Ohio sibic for administration to Manager and Grant Coordinator, Respon 1968 of Institute. Directly engaged in development of Office Methods, Procedures, Fiscal and Budgetary Control and Formulation. Direct control of all personnel policies and practices. Directly engaged in public relations work with various governmental agencies and coordination of grant rrionies with those agencies. Secretary of Ad tioc Comniittee for the development of @lorth- western Ohio Regional Nfiedical Program; Chief lrivestigaor of The Utilization of Hypnosis in Accelerated Learning -. Presented Papers in this area before Association To Advance Ethical Flyp- nosis. 1 957 Libbey-Owens-Ford Glass Coi-iipaiiy Toledo,'Oliio to As a Work Measurement Analyst. Directly engaged in the 19 65 development and selling of work nieaSLireme.-it programs to employees throughout all ar@@ of the coi-npany. The work measurement activities included: charting, timing; and develop- ing standards of efficiency of clerical workers to' determine in- direct labor recluiremet)ts and costs; developing office methods and procedures; and systems analysis. Also 6,,,orked as a Fac- tory Budget Analyst in developing factory budgets and determin- ing labor costs. 1 954 Imperial Appliance Findlay, Ohio to As an Office Manager. Experienc e also consisted oi selling 1 956 small and heavy appliances. 1 949 Hotel Phoen,x Findlay,'Ohio to As Night Mz!naoer. Gained adr.-iinistrative and promotional ex- 19 5 1 perience as well as meeting an,.l dealing with the Public. Military Service: 1944-1 946 U.S. Navy with duty in the Pacific Theater. 1 946-1 9 51 U.S. Naval Reserve (Active) 19 51 -54 U.S. Airforce. Korean Campaign Recall. Served in l'orea as Acting First Sergeant. Duties also included Job Testing, An- alysis, and Classification. Personal Background nt@e ests: Brought up in Findlay, Ohio. Son of Milk Route O\,iner. At- and tended Public Schools, graduating from Findlay Senior High School. Vlotl@(,@d after school hours on part-time jobs, member of Projection CIL,B in high school. Served as Deacon on Church Council. Married horne-to@,,,n girl, Estlier t@,'iae Critt@,riric-ii, in 1952. Interested in failing, swimniing,SOCialfL]t)ctions, reading, end cc)in collecting. Affiliitiorl-: Member of tt)c American Public Ileattli A!;sociption, Ohio Hos- pital Association; Administrative @,iari@igcnicnt Society; Associ- c':t,lilcal H@,,@-no,-,is; I am -i Cc: t'li ,-,!ion to , ii -@d if-,- The ol rsychi- cal Reseacti; A,-ricrican Association; a:-id ri.citio,)@il of APPENDIX 7 CURRICULU.VI VITAE C. Robert Tittle, Jr., M.D. office Address: Northwestern Ohio Regional Viedical'Pro(_ji-ani 23 ison-Aveiiue Toledo, Ohio 43624 flesiclc!nce: 2921 Hardi)le BOLII,,;vard Toledo, Ohio 43606 f,resc!lit Position: Clinical Professor of Medicine Medical College of Ohio at Toleclo (July, 1 967) Program Coordinator Northwestern Ohio Regional Medical Program (July, 1967) Education: Pennsylvania State University B.S. - 1934 University of Pennsylvania lVi.D. - 1938 I;itertlstiip: Graduate Vlospitat of the University of Pennsylvania 'l 939 - 1940 fiesidet-,c@, -!tl-:J-L@ 1; ov,,: Abington Memorial Hospital 1940 - 1942 Itif-.tr(i-,tor to Professor: Clinical Medicine, Graduate School of the University of Pennsylvania - 1946 - 1964 @f c@f til@-dic:irie of E zition: Maumee Valley Hospital, Toledo, Ohio 1964 - 1968 Pli@,sician: Metabolic & Endocrine Services, Griduate Vlospitat of the University of Pennsylvania Medical Service of th e Abington Memorial Hospital, Abingt n, 0 Pennsylvania American Board of Internal Medicine 1948 of the American College of Physicians 1952 Alpl)a: University of Pennsylvania 1938 mcricah Medical Association A American Fleart Association New York Acadei-riy of Sciences American Diabetic Associgtioi Pennsylvania Society of Internal Medicine 1962 1963