EOO 1 294* D, EP A R T M E N T 0 F H E A L T H$ E D U C A T I 0 N A N D W E L F A R E PUBLIC HEALTH SERVICE National Institutes of Health Division of Regional Medical Programs National Advisory Council on Regional Medical Programs Minutes of Meeting April 29-30, 1966 National Institutes of Health Conference Room 114 Building 1 DEPARTMENT OF HEALTH., EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE NATIONAL ADVISORY COUNCIL ON REGIONAL MEDICAL PROGRAMS Minutes of Third Meetingl/ 2/ .April 29-30, 1966 The National Advisory Council on Regional Medical Programs convened for its third meeting at 9:00 a.m., Friday, April 29, 1966, in Conference Room 114, Building 1, National Institutes of Health, Bethesda, Maryland. Dr. Robert Q. Marston, Associate Director, NIH, and Chief, Division of Regional Medical Programs presided. The Council members present were: Dr. Leonidas H. Berry Dr. John W. Hurst (4/29 only) Dr. Mary I. Bunting Dr. Clark H. Millikan (4/29 only) Mr. Gordon R. Cumming Dr. George E. Moore (4 29 only) Dr. Michael E. DeBakey Dr. William J. Peeples (4/30 only) Dr. Bruce W. Everist Dr. Robert J. Slater Dr. James T. Howell Dr. Cornelius H. Traeger Public Health Service members attending some of the sessions included: Dr. William H. Stewart, Surgeon General, PH8 Dr. Ernest M. Allen, Grants Policy Officer, OSG, PHS Dr. James A. Shannon, Director, NIH Dr. Stuart M. Sessoms, Deputy Director, NIH Liaison members: Dr. Edward W. Dempsey, NIGMS Council Dr. Sidney Farber, NCI Council Dri John B. Hickam NHI Council (4/29 only) (Dr. A. B. Baker, NINDB Council--absent) 1/ Proceedings of meetings are restricted unless cleared by the .Office of the Surgeon General. The restriction relates to all material submitted for discussion at the meetings, the agenda for the meetings, the supplemental material, and all other official documents. 2/ For the record, it is noted that members absent themselves from the meeting when the Council is discussing applications: (a) from their respective institutions or (b) in which a conflict of interest might occur. This procedure does not, of course, apply to en bloc actions--only when the application is under individual discussion. 2 Others present were: Mr. Karl D. Yordy, Assistant Chief, DRMP Mr. Stephen J. Ackerman, Chief, Planning and Evaluation Branch, DRMP Mr. James A. Beattie, Chief, Grants Management Branch, DRMP Dr. Carl R. Brewer, Chief, Program Review Branch, DRMP Mr. Charles Hilsenroth, Executive Officer,, DRMP Dr. William D. Mayer, Special Assistant to Chief, DRMP Dr. Kenneth M. Endicott, Director, NCI Dr. Robert P. Grant, Director, NHI Dr. Frederick L. Stone, Director, NIGMS Dr. J. H. U. Brown, NIGMS Dr. Jerome G. Green, NHI Dr. Murray Goldstein, NINDB Dr. R. B. Stephenson, OD-NIH Dr. Wilfred D. David, BSS Dr. C. A. Imboden, BSS Dr. Carl G. Baker, NCI Dr. T. Phillip Waalkes, NCI Dr. Margaret H. Sloan, NCI Mr. Storm Whaley, Consultant., DRMP Dr. Harry F. Robertsi DRMP Dr. John R. Hamilton, III, DRMP Mr. M. E. Odoroff, BRMP Dr. Robert M. O'Bryan, DRMP Mr. Daniel J. Zwick DRMP Mr. George M. Jarboe, OD Mr. Joseph S. Murtaugh, OD-OPP Dr. Herbert H. Rosenberg, OD-OPP Mrs. Jessie F. Salazar,, DRMP Mrs. Mary V. Geisbert, DRMP 1. CALL TO ORDER AND OPENING REMARKS Dr. William H. Stewart, Surgeon General, Public Health Service, and Chairman, ex officio, called the meeting to order at 9:10.a.m. He gave a brief summary of legislative and budget items concerning the Public Health Service. This included information regarding appropriations, International Health Bill, State Grants Program, training, the hospital modernization bill,, etc. The meeting was then turned over to Dr. Marston. II. ANNOUNCEMENTS Dr. Marston made general announcements about the Service Desk and luncheon. He also read the statements on., "Conflict of Interest," and, "Confidentiality of Meetings.11 The Regulations have been in the Federal Reaister for 30 days, and there have been only a few minor suggestions, i.e., concerning patents and the definition of, "practicing physician." 3 III. CONSIDERATION OF FUTURE MEETING DATES The Council approved the following dates for future meetings: June 20-21, 1966 (reaffirmed) August 12-13, 1966 October 14-15, 1966 IV. CONSTE@PATION OF MINUTES OF FEBRUARY 1966 MEETING The Council unanimously recommended approval of the Minutes of the February 24-25, 1966, meeting as written. V. REPORTS FROM LIAISON MEMBERS--Dr. Dempsey for NIGMS Council; Dr. Farber for NCI Council; and Dr. Hickam for Heart Council. None of the Liaison members had reports from their respective Councils. VI. CONSIDER-KTION OF DRAFT GUIDELINES FOR PLANNING AND OPERATIONAL GRANTS Mr. Yordy emphasized that these were still in draft form because we have not had an opportunity to receive comments from all concerned. We will have a combined application for the planning and operational grants. These guidelines will be sent to several hundred organizations including State Departments of Health, medical schools, various health organizations, including AMA, AAMC, ARA, and others. The Council was invited to submit any written comments concerning the guidelines. VII. CONSIDERATION OF RECOBMNDATIONS OF AD HOC ADVISORY GROUP The Council felt that these comments were very important for their orientation in helping to evaluate the grant applications. VIII. CONSIDERATION OF PLIUMING GRANT APPLICATIONS The Counc,il made the following recommendations on each application, with the suggestions that the Division of Regional Medical Programs staff have discussions with each applicant prior to making an award: Application No. 1-SO2-RM-00001-01, University of Hawaii, College of Health Sciences, Honolulu, Hawaii, Dr. Windsor C. Cutting, Program Coordinator The Council felt that this is a precise, concise, planning grant application, and unanimously recommends approval for the time and amount requested for two years in the amounts of $90,005 and $01,978, plus indirect costs. 4 Application No. 1-SO2-RM-,00002-01, University of Kansas, Medical Center, Kansas City, Kansas, Dr. Russell C. Mills, Program Coordinator It was the unanimous recommendation of the Council that this application be approved for the two years and the amounts requested of $180,520 and $244,036, plus indirect costs. Application No. I-SO2-RM-00003-01, University of Vermont, Burlinat6n, Vermont, Dr. Robert J. Slater, Program Coordinator There was much discussion about this application, particularly concerning the systems analysis area. The Council recommends approval of the application with the exception of the systems analysis portion which will be deferred until further review is made by a group of consultants with expertise on the subject. The remaining portion will be awarded for three years in the amounts of $191,698, $203,537, and $234,872, plus indirect costs. Dr..Slater absented himself from the room during this discussion. Application No. I-SO2-RM-00004-01, Albany Medical College of Union University, Albany, New York, Dr. Frank M. Woolsey, Jr., Program Coordinator The Council thought that this application appeared to be more floperational" than "planning," and instructed our staff to separate these aspects of operation and planning within this application, and to clarify the extent to which the application proposed support of ongoing activities. Also, the staff is to seek a suitable basis for supporting a planning.aca.@ity and to conduct a mail ballot of the Council. The amounts requested were: $267,679, $251,575, and $252,486, plus indirect costs. Application No. 1-SO2-RM-00005-01, Cornell University Med ical College, New York, N.Y., Dr. John E. Deitrick, Program Coordinator It was the consensus of the Council that this is an incomplete application because an advisory group has not yet been designated. Further, the application appears to be operational rather than planning, and there is a great deal of emphasis on cancer. This application was administratively withdrawn from further consideration. Dr. Traeger absented himself during this discussion. Application No. I-SO2-RM-00006-01, Duke University, Durham, North Carolina, Dr. Harvey Smith, Program Coordinator The Council expressed concern about several aspects of this application including the need for clarification of the identity and status of the applicant organization. The Council recommends that the operational phase be deleted, and that a mail ballot be 5 made after our staff has had discussions with the applicant. The amounts requested were $900,048, and $979,933, plus indirect costs. ication No. I-SO2-RM-00007-01, University of Texas, Baylor 'University and the Methodist Hospital, Houston, Texas, Drs. Raymond D. Pruitt, and R. Lee Clark, Program Coordinators Since the application involves large operational activities, the Council recommended elimination of the operational phase of the proposal, then have a mail ballot to make the final recommendation. The amounts requested were $1,461,306, $1,577,252, and $133,989, plus indirect costs. Dr. DeBakey absented himself during this discussion. Application No. 1-SO2-RM-00008-01, Yale University School of Medicine, New Haven, Connecticut, and University of Connecticut School of Medicine, Hartford, Connecticut, Dr. Robert P. Lawton Program Coordinator The Council enthusiastically recommends approval of this and stated that it is a model application. The request is for $344,796 and $352,659, plus indirect costs. Application No. 1-SO2-RM-00009-01, University of Missouri School of Medicine, Columbia, Missouri, Dr. Vernon E. Wilson, Program Coordinator The Council recommends complete approval in the amounts of $332,130, $294,500, and $294,500, plus indirect costs. Dr. Mayer absented himself during this discussion. Application No. I-SO2-RM-00010-01, University of Wisconsin Medical School, Madison, Wisconsin, Dr. Peter L. Eichman, Program Coordinator, and Application No. 1-SO2-RM-00011-01, Marquette Unive School of Medicine, Milwaukee, Wisconsin, Dr. John S. Hirschboeck, Program Coordinator Because of the great dependence on systems analysis and the lack of much information concerning these two applications, the Council recommended deferral of both, and suggested that the applicants be advised that they may wish to submit a revised application for future consideration. 6 IX. ADJOURNMENT The meeting was adjourned at 2:35 p.m., April 30, 1966. I hereby certify that, to the best of my knowledge, the foregoing minutes and attachments are accurate and complete. Robert Q. Marston, M.D. Associate Director, NIH, and Chief, Division of Regional Medical Programs Eva M. Handal, Recording Secretary Council Assistant, DRMP REGIONAL MEDICAL PROGRAMS COUNCIL MEMBERS 6/9/66 Dr. Leonidas H. Berry Dr. John Willis Hurst Professor, Cook County Graduate Professor and Chairman School of Medicine, and Department of Medicine Senior Attending Physician Emory University School Michael Reese Hospital of Medicine 412 E. 47th Street Atlanta, Georgia 30303 Chicago, Illinois 60653 1 Dr. Clark H. Millikan Dr. Mary I. Bunting Consultant in Neurology President, Mayo Clinic Radcliffe College Rochester,-, Minnesota 55902 Cambridge, Massachusetts 02138 Dr. George E. Moore Mr. Gordon R ' Cumming Director Administrator, Roswell Park Memorial Institute Sacramento County Hospital 666 Elm Street 2315 Stockton Boulevard Buffalo 3, New York 14203 Sacramento, California Dr. William J. Peeples Dr. Michael E. DeBakey Commissioner of Health Professor and Chairman State Department of Health Department of Surgery State Office Building College of Medicine 301 West Preston Street Baylor University Baltimore, Maryland 21201 Houston, Texas 77025 Dr. Robert J. Slater Dr. Bruce W. Everist Dean, College of Medicine Green Clinic University of Vermont 709 South Vienna Street Burlington, Vermont 05401 Ruston, Louisiana 71270 Dr. Cornelius H. Traeger Dr. James T. Howell 799 Park Avenue Executive Director New York, New York 10021 Henry Ford Hospital Detroit, Michigan 48202 Ex Officio Member Dr. William H. Stewart (Chairman) Surgeon General Public Health Service Bethesda,, Maryland 20014