inlimlillill Prof ile North Carolina,Regional Medical Program Grantee: Duke University Durbam, North Carolina Program Coordinator: Marc J. Musser, M.D. Prepared by: Dan S]2ain Original Date: Oct-. 8, 1969 -Updated: TAILE OF CONTENTS -Page I.- GEOGRAPIri -11. DEMOGRAPHY III. POLITICS IV. HISTORICAL REVIEW 13 V. CORE STAFF VI. OVERALL ORGANIZATION 26 VII. -GRAND DESIGN 30 VIII. OPERATIONAL PROJECTS 31 APPENDIX .37 i ",% . - GEOGRAPHY 0 Lrs% li "Ioe,7 Mq.'h point chi" "41to 1 stwcav'\ R LIWMAIRRIC fo Son C H@s@lf. lfw"t C T 7 pop NAMRANA 'LA' ity S ftf (;Itstm"t "A6@ Chetrlo I i 1%" r 6 @ I 0 Payal . . r Rllckiogh - L., W. sou G EOGRAPHY The area served by this Regional Medical Program is the state of North Carolina. -@...For health program development the State of North Carolina is an ideal regional unit. It is an important economic and opmental efforts political entity with a long history of devel focussed within its boundaries. Its health professionals, opera- ting institutions and agencies have established mechanisms for collaborative efforts. For planning purposes there are similarly strong advantages in baving.the State serve as the region. Needed statistical data be secured from the State and its counties which would lack can 'comparability, and therefore utility, if the region extended beyond the State borders. 11. DEMOGRAPFFY DlallOGRAPHY (1969) Land Area: (Square Miles) 49,067 ulation Statistics (in thousands) 1969 'Total: 5,122,000 '1,164 Metropolitan areas: (1960) (in thousands) -Asheville, N.C. 130 Charlotte, N.C. 317 Durham, N.C. 112 @.247 Greensburo-High Point, N.C. Raleigh, N.C. 169 Winston-Salem, N.C. 189 -3,915 Percent Urban: (1960) Age of population: (1960) (in thousands:) Median Age U.S. 29.5 N.C. 25.5 Number Percent under 15 1,521 33 -15-24 .726 16 25-44 1,192 26 45-64 805 18 65 and over 312 7 Total 4,556 100 2. Health Statistics Vital Statistics: (1962) Death Rates Per 100,000 U.S. N.C. All7diseases 945 830 Diseases of the Heart 370 298 Malignant Neoplasms 150 106 Vascular Lesions, CNS 106 109 General Arteriosclerosis 20 15 Diabetes Mellitus 17 12 Other Diseases of Cir. Syste 12 9 m 5 'Facilities: Medical Schools: .,.Enrollment Bov7man Gray School of Medicine 207 Univ. of North Carolina School of Medicine 280 Duke Univ. School of Medicine 338 Schools o Nursing: --'hf f iliated. 34 of which 7 are Univ. and coll@ge Schools of Medical Technology: 12 of which 3 are affiliated with the 3 Medical Schools. Other Types Param--dical training: Cytotechnology - 8 of which 3are affiliated with the @@3 Medical Schools. Hospitals: (1964) Number of Facilities .,Total Short-term Beds Total -138 18,088 Federal 8 3,043 4. Personnel Statistics Professional Categories Numbe@ A. Physicians 3,850 @Osteopaths 30 Physical Therapists .@210 Medical Social Workers 200 (Estimate) Dentists .1,570 13,025 Registered Nurses Occupational Therapists 65 III. POLITICS POLITICS GovernoY:: W. Isv@ttl- 1969-1973 Rober Senatorg:: Sam J7.. Xr-vih,, Ji-., (D), 1954-1975 @Armed@ SVr-vi-'@@ Cbumi'ttee Government-OFIR@rati6ns Committee 'ry- Committee Judi'cla -Cbmmi@sibn on Intergovernmental'Relations Advi'sory, 'Natibiv@l. @mmi@sibn on Reform of Federal Criminal Laws B. gv6re-tt.' I'cr-d'on (D) 1958-1973 Agr:rc-ul:tur@ and- Forestry Committee Publi:@ Committee Ruleg, and: Adinihi'str@tion Committee Joint -ttAm an the Library Joint- C-bmmittee- on Printing Comm:rssl:on-an Krt and Anticlqities of U.S. Senate The Interparliametary Union Senat& Office- Building Commissio'n -g Congr@s men:: Walter II., 37oneg Agriculture Committee Mereliant @rl:ne and' Fisheries Committee L. Ift.t Fountal:n (D),. Foreign Af-f-A:tr-a Committee Government 'operations Committee Advisory.jCommission on Intergovernmental Relations David: Newton Eenderson (D) Post Office and-Civil Service Committee Public- Works Committee Nick- r7alifianakis (D) Bankin 'and Currency Committee Wilmei David Mizell Agriculture Committee National Memorial Stadium Commission iunsford Richardson Preyer (D) Internal Security Committee Interstate and Foreign Commerce Committee Alton Asa Lennon (D) Armed Services Committee Merchant Marine and'Fisheries Committee Board of Visitors to the Coast Guard Academy Earl B Ruth (R) Education and Labor Committee Charles Raper Jonas (R) :Appropriations Committee James Thomas Broyhill (R) ..Interstate and Foreigh Commerce Committee Select Committee on'Small Business Roy A. Taylor Int-erior and insular Affairs Committee Public and Law Review Commission Science' and Astronautics Committee f: @l \ki . . IV. HISTORICAL REVIEW I.V. HISTORICAL RFVIEW' @n @1965,- The Deans (if the three medical qchools i -Ndrth Carolina had' cT@cfe(f,, prior to the p -239,: to plan together assage of PL @n for postgraduate education i - the state., With the concurrence of-the State- Medical Sac -ety these plane i servecT as a basis for-the development of the fir s t planning fcat:ron for- support und7e-r PL-89-Z29.. appl @June 19-66 - 01 Planning Grant Ap prove& PerfocT:@ 7,/I/'661-61@0/67 Direct Costs @235,.536 Recommendations 1. Clarify- the d:f s tina-t-aon between planning, act:U-vl:ties an& feasibility stucTfes., 2. Clarify the (fis tinction bet-ween feasibility stu&i:es and'operatiandl projects.. 3. Clarify the relationship between Rropo-saI projects and7the i-hter- astg of other NIR and PHS programs.. 4. Ensure that the central planning staff wiTI coordinate a-nd'integrate the efforts undertaken by the,fn&!:vid:ual institutions. Provide for a clearer statement of the goals of individual projects ancT ensure they are based on knowledge. available from previous stucTies. Review'the details of each of the propose& projects to evaluate the need for requested'funffs.. 7. Ensure that adequate attention ancT resources are (fevoted'to developing the- necessary netigork of cooperative arrangements.. December, 1966-- Supplemental Ap ,placation Ap provaI,' Direct Cost:. @,109 .351 This awarcT approved the following proposals:: 1. Support of an executive director2',' 2. Planning for a reg:ron-wfcle program of training for ancl sup port of., ,:E.ntensive coronary care.units in community hospitals;' 3.. Proposal for a state-wide consultation service and program;. ai,.ct Planning for education and research in community medical care. May, 1967 Supplemental Dlannina Grant Request Council recommended that this application be returned for further dy tandino that $55 000 should be and revision Rith the unders tu made available for immediate hiring of.additional core admintstra- -tive staff. Plannin- Junei 1967 02 & Grant Approval The total award of $600,944'represented-new funding of $391,793 and estimate@ carry over of $209,151 from the first year of the RMP planning grant. -7- Revised Supplemental Planning Grant 19(> Approved-. Direct Costs $150,730 Indirect Costs - $22,000 Period: remaining 10 months of grant eriod end ing June p @0, 1968 employ additional or 'This award e abled tlfe Region to n c e staff. 01 February,, '1968 Operational Grant Approval Period 3/l/68-6/30/69 Direct Cost@ $1,280,050 Indirect Costs - $200,291 This application requested support for combining all activities, ad- idinistration, operations, and planning intoa single grant effective July-1, 1968. Although ..The reviewers agreed that this was a well conceived application. several of the proposals are not directly related to the categorical -reflect regionwide cooperation in meeting locally devel- disLeases, they oped priorities for health care resources. -Projects approved were: #1 Education Research in Community Care .#2 Coronary Care Training &Development #3 Diabetic Consultation and Educational Services' .#4 Development of a Central Cancer Registry -Library Extension Service #5 Medical #6 Ca:reer Information Center #7 Continuing Education in Internal Medicine #8 Continuing Education in Dentistry #9'Continuing Education for Physical Therapist #10 State of Franklin Coronary Care Demonstration Project - this project was reviewed and approved by the Subcommittee on Earmarked Funds and Council recommended that it be included in the above cited award. tRril, 1968 Supplemental Operatidnal'Grant Approval This award provided reques ted funds to include'the Cherokee Indian tio p s@tal to the previously'ap roved and funded State of Franklin Small Rosi2ital Co-tona-iy-Care Unit Project and for the Development ofa Mobile Cardiac Intensive Care Capability in Haywood County (#ll). Direct Costs: $25,455 @This award increased total direct costs to $3,854,563. .968 Supplemental Operational Grant Approval @a Direct'Costs - $261,696 Indirect Costs - $27,162 Totbi Direct Costs increased to $4,787,221 Itncluded in this award were funds for the following projects: #13-Closed Chest Cardiopulmonary Resuscitation Unit #14 Heart Consultation and Education Program 115 Comprehensive Stroke Program Hi@rtension Project -(?ro ect #12, Regional Coronary Care Unit for Physician and Nurse Education was returned for revision) Wovember, 1968 Council considered a new-supplemental operational consisting of two projects, (#12) Rec,,ional Coronary Care Unit for Physician and Nurse Education, and (#17) Regional Center for Gestation Trophob astic Neoplasms. Project #12 was later funded from un- expended funds carried over from the first year operational grant, and #17 was funded from new money. i?ebruary, 1969 - Council considered another operational supplement --A2plication which requested'support to supplement Project #2 - Coronary Care Training An _d Development and for a new project #18 -Tumor Tissue Registry. Both requests were recommended for funding. 1969 Council considered another operational supplemental application consisting of the five following new projects; Ph-ysicians Assistant Training Program recommended to be returned --for revision. #20 iqammoaraphy Tecbnologist's Regional Training Program.- approved as -requested. #21 tnno vations in Clinic Nursing approved as requested. #22 Coordinated Oncology Chemotherapy Program - approved for three years, pending satisfactory technical review, in an amount not to exceed that requested. #23,Pilot- Study: Heart Sounds Screening of School Children approved as requested. ..June, 1969 Continuation Operational Application.'Approval. (t.57(;03RM-00006-02) Period - 7/l/69-6/30/70 Direct Costs - $1,683,722 indirect Costs - $394,674 .$2,078,39T Total During the second year of the operational- grant period a total of (!d.c.) has been made available for support of core staff and twent@one projects. ust, 1569 Revised Supplemental Operational Project (#19) Duke Universities Physician's Assistant Training Program: Council approved this Rroj'ect in the time and amount requested with- the conditions recommended by, the Review Committee.. V. CORE STAFF 13 CORE STAFF Location': 4019 North Roxboro Roadi Durham, N.C. Telephone: 919-477-0461 The staff ot this Regional Medical Program consists of 30 full-. time core employees and 19 project directors, plus their supporting In addition, four coordinators, one from each medical personnel. School and one' from the University of North Carolina School of Public Health, are involved in program activities part-time. The administrative core, under the supervision,of the Executive 'Director, lends professional guidance and support of program develop- went, implementation, and direction. 'The major elements of this organization are: -Cancer Program F. M. Simmons Pattei!son, M.D., Di rector Stroke Program B. Lionel Truscott, M.D., Director- Heart Disease Program Robert N. Headley, M.D., Director Education and Training Frogram William DeMaria, M.D. Director Division of Administrative Services William-J. McComb F.A.C.H.A., Director Division of Communications & Information Mrs. Virginia H. Benton, B.A., Director Division of Hospitals William W. Lowrance, T.A.C.H.A., Director Division of Research Evaluation Harvey L.' Smith, Ph.D., Director JL4 CORE S TAFF PERSONNEL Name @Title Inst. N J. Musser, M.D. Exec. Dir. Duke 100 W. J..McComb Dir. Adm. Ser. Duke,-. -100 IF.M., s IPatterson, M.D. Dir. Caticer.Div. -Duke Wm., L6@rance Dir. Hosp. Div. Duke -100 Vfrginia Benton Dir. Communications Div. Duke 100 D.,R. Howard, M.D. Assoc. Dir. Prof. Prog. Duke 50 David Le,4is' Staff Asst. Prof. Prog. Duke 50 Wm...DeMaria, M.D.- Dir. Ed. & Training Duke 50 Rachel Gay Asst..Com. Dir. Duke 100 Qttis-P. George Secretary Duke 100 Ellen E. Bennett Secretary Duke @100 Judy Cannon Secretary Duke 100 Rita B. Beskie .-Secretary Duke 100 -]!at.'Connor Duke 100 Secretary Nary Hicks -_Secretary Duke 100 .,Hild6 Parker Secretary Duke, ioo Linda Newton Clerk Typist Duke- 100 Betsy Johnson Secretary Duke 50 Audrey J.-Booth Assoc. Dir. Ed. Tra. UNC LyOia Holley Assoc..Dir. Ed.& Tra. UNC 25 Lee Holder, Ph.D. Com. Act. -Consultant UNC 50 R.N. Headley, M.D. Dir. Heart Div. BG 60 Raymond Sawyer Arch. Consultant Ncmcc 100 Rea Weaver Project Management ioo I.R. Estes, Jr. M..D. Institutional Coord. Duke 50 Linda Ford Secretary Duke 50 H.A. Tyroler, M.D. Institutional Coord. UNC 50 Robert Smith, M.D. Institutional Coord. UNC 50 Sarah Harrison Secretary UNC' -iooi Louis Shaffner, M.D. Institutional'Cbor4. BG 50- @is Hoots Secretary 50 hinnie Ferrell Secretary BG 50 Harvey L. Smith, Ph.D. Planning Dir. UNC 6o R.O..Pickard Planning Assoc. UNC 100 St-P. Hallman Planning Assoc. UNC 100 Josef Perry Survey'Research Spec. UNC 100 T,.R. Banks Planning Asst.. UNC .100 Xane Webb Planning Asst. UNC 100 -Sarah Kaufman Planning Asst. UNC 100 Bette F. Rose ..Research Asst. UNC 100 14aureen R. Avis Secretary UNC 100' Iiinda J. Charkins Secretary UNC 100 Katrina Davenport Research Asst. UNC 100 'ro be determined -Research Asst. UNC 100 To be determined Assoc. (Eval.) UNC 100 To be determined Asst. (Eval.) UNC 100 CURRICULUM VITAE rre Haufe,, Indiana Universtfy, of Wisconsin, Madison, Wisconsin, 1930 ti.D, Universffy of Wisconsin,. Madison, Wisconsin, 1934 lipfornsfilp: "Kbnsas Ott'y Goner6i Hospital, Missouri, 1934-35 -dicino iD iRo3fdoncy: lnforn r f4v nd NOLiropsychlatry, Wisconsin Gonoral Flosp I ta I tiodloon, Wisconsin, 1935-38 eorfiflod: Amertcan @rd of Internal Medicine, 1948 Acade fmonfs mic Appoln University of W'tsconsln Medical Schoo-1, Madison, Wisconsin @'1938 - -40 Instructor, &Ieuropsychiatry Assistani- Professor, Neuropsychiatry' 1940-46 Assistant Professor, 'Internal:'Medi.cine 1946-47 Associate Professor, Internal Medicine' 1947-53 Professor of Medicine 1953-58 Baylor University Colle ,go of Medicine, Houston, Texas Professor of I!.edicine -.1958-59 Duke University -cboof of Medicine Proiessor of Medicine 1966- @.lm'an Gra' @choot of Mbd-icine y Adjunct Professor of Public Health Administration 1966- Y torans Adriinfsfraflon Consult'ant,' Infernal Medicine 1958-59 Direct- 1957-59 or, Professional Services, VA Hospital, Houston, Texas Directors Research Service, VA Central Office, Washington, D. C.' 1959-62 Assistani-,Chief Medical Director for Research and.Education In @'.edicine,, VA Central Office, Washington, D. C. 1962-64 @-Puiy Chief Medical Director, VA Central Office, Washington, D. C. .1964-66 Executive Director 1966- 17' EDUCATIONAL. Q3jALIFIC@CIONS RF-SUl@,U7. Will,iam J.. @IcCc),-tb Atic.,ust 18, 1909 Onl.-: bbcville,. S' C-. in "sh-Edlication The Ci-Cadel,, 1,931.1 -Graduat(--,, Ax-my Command' and' Ceneral Staff-School,; 1944., N@,ne semester h@-rs'dredi-t in 'conbmics and' bus:Ene'ss law Tul.ane Uni:versi:t-y 1959-1963., Appro-.Kl:mately 16@ short tra:Lri:Ln- courses an(T conferences durin-' cant yea -rd rs F,61iow,;- An, cri:c-zn College of Hospital Admi'ni:strators" CURRICULUM VITAE William V. Lowrange @1946-50: Superintendent, The Tuomey Hospital, Sumter, South Carolina 1950-55: kdministrato'r, Self Memorial Hospital, Greenwood, South Carolina 1955-69: Administrator,, Memorial Mission Hospital, Asheville, -North Carolina Mr. Lowrance is currently President of the North .,Carolina Hospital Association. i9 ICULUt4 V I TAE ia,m J.A. Dem' 'I a' ar AGE; 44. EDUCATION.- univO@sitY-of Connecticut, 1944 14. D.,, D uke University Scho 01 Of Medicine 19,48. P6$T-CR'ADUATE EDUCAT' ION AND POSITIONS; U. S' @ublic tiea I th Ser Ice Fel v low (Post-Graduate) J66uary 1948 -December 1949. esident In 'Infor'n,..Assistant Resident andR Pediatrics at Duke Hospital, January' 1949 through 1951. instructor In Pealatrics, July 1951 to June 1952. 2. 'Associate In Pediatrtcs,.July 195' 5.- Assistant Professor in Pediatrics, 1953. 6. Associate Professor lnpedlatrics, I 957. Professor of Preventtve @ledicine,.1963. Changed fo Pro Iessor of Coffmunity He6fth T Sciences, 1966. Chlef,.Divi@lon of Family Pealth. 8. ..Assistant Dean Continuing Education, 1967. ITAT CU' RRI6 M V Harvey L. Smith".Ph.D. b r,,,VE-AND.-zLAc@PF RTH: Decein er 23. 1915,.New York, New York 7 ttAPITAL STATUS, -ttirried, 't'w ochildren -4ersi y College, University of Lonclo ".(En land) 1934-36 Uni t n J:J)U@ITION University of Chicago, B.A., 1939 University of Chicago, M;A., 1947 'University of Chicagoi Ph.D.' 1949 POSITIONS: lUniiierdity of Chicago, Department of Sociology, Instructor, ..-1947@i950. Russell Sage Foundation, Staff, 1950-1952. m Universit of 14orth Carolina at Chapel Hill: Depart ent'of' y "tociolog and Antbrop'oloo Associate Professor, 1952. y Y Department of Sociology Professor, 1957 to present; -..Depar@ment. of Psychiatr' y, Professor, 1957 to present; @Dbpar"teent of Preventive Ifedicine, School of Fred icine, I&cturer, 1957 to present... ilental Health Council-, State ofnortb Carolina, Mental @Health Planning Staff, Executive Director, 1963-1965. -]North Carolina Regional 74edical Program on Heart Disease Cancer @d Stroke, Director of Plannin 1966 to present. Center' for orr,-uiunity' Research and Services, .Univeristy of North Carolina at Chapel Hill, Director, 1966 to present. :.Social Research Section, 'University of Vorth Carolina at Chapel Hill, Director,'1957 to present. 'Ausu s,.. Its )gi6 Religio n: (Bio:Logy) 1939,p Drew University.,.N.J.- Education'-. -ative i;at') 19LOg Syracuse University' P.W' N.A-b (Comoa i (@-per. -Enbryo:Lo@ 3.9 YAIQ University Ph.D. NeuroanatovV' li3) Yale University internship in Sur r"" i950-1951) ]rule Univ. Durham, N.C go y ( gy' (1955@1057) "ela It' Resid6ney. @ Nourolo er Reed ArtV-Hospital,, Washing'-,6n' D.C. Certification, American 13oard of Psychiatry and Neurolog euro@ogy), March 1950 .',-Toaclilng: Instructor, in Anatov (igl,3-3.,*L5) Georgeto,,in U. School of Medicine, I-lashinptoii, D.C struoto'r in AnatoriV (19li7-i9ll9),Yale U. School of Mddicine, s.1t Professor in Anatomy. (Neui,oahat6rV) Univ. of No. Carolina -School of Yiedicine, Chapel Hill,, No. Carolina. Chief. ReuroloSy.,' 2nd General Hospital (Ar Germany 1958-1960 MY consultant in FieuroloV. U.S. Army Europe IQ58-IQ60 "nistration Hospi@ Chief NeuroloMr., Veterans Ad,-.u .81 Albany, N.Y. Deconb@ii- 1960 Asso'clato Professor of ITeurolo&r. Albany Medical College., Albany,, 'N.Y..., Dece-,nber .:L96o, io63.. Medical College., Juno IQ63 Professor of Neurology; @.lban' y bert. Nel'@on Headley' Name:, -Kenneth hi, lidr7en, Ro66rt flel'son, Jr.,, 1'956.,- Thiaresa Ann, 1957 rton,, l@959;; Rebecczi a Eliz'beth, 1960. u c@@l ri -14igh Scho6 I':: Rcic k@ i'@l I @e, f4a r land 7- y '9 - University f M yl 'nd, Co l@ 1.ecje:- 1, !19-52 a ar a ..Pum Laude I'@ -56 - U s it MiDd'i':ca I':.- niver ool of,t4edicine 952 of Maryland Sch y A pha.Omega Alpha -Ph I' Beta Pi@ Sento lass- -Pribs e' I'd nt -'Junlor6 an r Years :--;'-'Student Ju n ears Counci'l nior and Se' lor Y tiosby Scholarshi'p Award Sf@'d'o'iit Counci'l' Key Postq@aduate.Tra !'nlng and' Act i,v -it ies.:: 11,956-57 Rotati'nq Intern, University of Virginia Charlottesville, Virainia. -tpital. 1,1957-58 Fel low In Medicine (Cardioloqy), Bowm,@.n Cray Schoo I' of' @-led I' I niD of Via k6 Forest Colle _qe, Winston- c 1.,9.58@-60@' Capta.1. USAF (t4C) Aerospace Medic I n a taboratoryi Wright-Patters n AFB, Ohio. Part-tTme 0 m a§.tign ent to Section on Physio.loqy, Mayo Clinic, 13pch@ier, Minnesota. @.:.'-.1960-61 Postqraduate Cardiovascular Traihoe Powman "Gray. Schoo St Cofle'g I of Medicine of %-lake Fore e -Sa Winst64 lem North Carolina. 1,9,60@61 Consultant to the United States kir Force Patterson AF (Wright B) on.8iomedical Aspects of Nerospace Vehicle Landing Impact. 19.61 62.- Assistant Resident in tiedicine, North Carolina Npti@l': Hospi.'al, Winston-Sal'em, North Carolina.' 9305th USAF Reserve Recovery I'-62'- Flic 19,6 i,ht Surqeon Sqoii.,,Shith-.Reynolds Airport, Winston-Salei.,n" N.C. 19.6,1 @63 Assistant Resident In t4edicine, Bowman Gray of t-,ed-itihe,, Winston-Salem, N.C. 19.62-63. t'.aj@r,, U.S. Army Reserve, 312fh Evacuation HO@,ptt@-l,; %,!inston-Salem, t,,'.C. 'I 962-63- - Resident in Medicine, North Carolina Baptist 'Salem North Carolina .(Partially n- fb@p, I t6 l'o. t@, i h S71,6, support6d by Meade-Johnson Scho 0 farship thr uqh American @C61 l.ege of'Phys.icians). '19-62-63 At'endinq in Internal !Iedicine, Veter h's. a !Issen Suildina, Winston-Salem, North Kdm'lni'stration, t -Carolina. '19 -64'-.Instructor I r n @led I n 'r, ay School of' .63 cine, Bowma t-iediciiie.-Winston-Satem, North Carolina. 19@63- I)irector of Out-Patient Department and Emergcnc Room and-'Staff Physician, PI.C. Baptist Hospital,, Winston-Salem, North Carolina. A_ 196.1 Assistant Professor in Internal fled'l;cinc-, Bowman Gray School of @ledicine, V!inston-Salem, North Carolina.- . . - .. I- . I. . .. -@: .. -, 23 CbIU@ICUL@l VIT-KE 0- flealth"S'er'vfcea bapartment f C'ommunity University of Michigan School ot Public Health .21 Soutfi First street Ann@ Arbor,. llichi-an 'Telephone.- .764-@494 (Office) 665-5982 (Hoiii'^) I,. "Ili@thplace F- Date- .. .. .. Upland,,, California ....-.January lg,: 1932 3,&' Pa mily ffata-. t4@rried 04ife;; Charlottc R. La'V, Ch.ileir6n:. 3 boy's, 2 girls 4.lk gdication':. 19.66' ..Present: University'of Michigan School of Public Health anticipate completion of Ph.D., in Public Health Ad ministration, 1968 .,University of Wyomina, College of Education .('Part-time); Candidate for Ph.D..in Adult 7 Education as of Yiay,. 1962. 'H. (Public 11'alth Ed-cation) University of 1958:@ M.P. e u California, Berkeley 1953:@ Bo S. (Public Health Sanitation) University of Coliforhia, Berkeley 1 9 68 All requi:e'ements except dissertation completed for @h.D. at the University of Mi chigan. Research for dissertation.tiow in Rrocess, @16y,-.ent recorcT:' a.. L967-;,rescrht Doctoral P'ocra,-ii in Public Health Adl"linisfration, University of Michigan; Research Associate,, University of Ilichi-an. b. May 1963-Sept. 1966: Hationa'L ConLTission on Co,-.,z,-,Ln@Lty Eealth Services, Inc., Bethesda, L%Iarylana, Director, Co=.unity Action Studies Project (Associate Direc@@o-@ from L%,'ay 19'03 to Dece@oar 1 9 'u EM2 on n or ue 1963-.f966- Thp, .Johns Hopi Runs Univorsity, School of Hygiene &.Public Ilealih, Baltimore. Associate in Pub- lic Health'Adimini:stratio'n (conducted P. R. Administration 8 @'Group Approach to Public Bealthv') d' August 1959 .4tate of Wyoming Department of 'Public Health;, Assistant Director, DiNdsion of Community Services and Health Educ-atio@$ state Office Building, Cheyenne .1-7@oniing. 1958-Au@@List 1959: County of Ilonterey, Califor'nia,@Departlnen@ of Public Health;. Director of Health Education; Salinas, California. .fe s,ept I1957-S 9@59: 'Universit of California,, School of Pu blic Fl@alth,. Berkeley, y dii'ate student in --education' gra health. g@ 'Jan., 1956-SeRt'. 1957: City of Oakland, California,, Department of Public Health,, Public F,"Ith S'anitirian, Oa'"-land California. Sept. 1953-oct. 1955: U, S..@y,,Quart6rm-aster Supply Officer. Since 1946.- Partially 'self- mployed in farming, Woods County.-Oklahoma. Ji §ince 1965: Health Action-Planning 6art-tiwe). Consult-ant i'n Co=unity I. 25 EMPLOYKIENT AND EDUCATIONAL BACKGROUND OF VIRGINIA HALL BENTON 1000 Urlin Ave. Columbus, Ohio 43212 ai 'and' Kar. 7i 1966 to Present: Public Relations Director, United Ap e"' United Community Council, Columbus, Ohio. Jul 1962-Nar. 7, 1966: Public Relations Director, Ohio State Heart Association. Noveraber 1949-July, 1962: Assistant Executive Director, in charge of @fund-raising and public relations, Tuberculosis ...-'Society of Columbus and Franklin County, Inc. PERSONAL Age- 52. lirthplece: Topsham, Maine Race: White Religion: Protestant 14@rit@l-'status: Widowed; one son in graduate school EDUCATION Randolph-Macon Woman's College, Lynchburg, Va., 193471936 ID.A,X University of Maine, 1938, with honors; m'ajor,:Euglish; minor,, French 14ary Ellen Chase Award for Creative Writing, 1937 Trl-State Award for Creative Writing, 1938 Phi Kappa Phi, national scholastic fraternity Tau Kappa Alpha, national honorary debating fraternity, Coma Phi Beta, national social sorority 0 - VI. OVERALL ORGANIZATION O@GANIZA VI* TION The Regional Medical Program in North Carolina is ttdministered by the Association for North Carolina Regional @.,kedical Program. Its membership consists of Wake Porest -Caro- University, Duke University, the University of North lina, and the Medical Society of the State of North Caro lina. Duke University serves as the fiscal agent for the Association. Responsibility for program development rests with appointed representatives of the Associations Board of Directors and its multi-representative Advisory Council. Board of Directors The Board of Directors of the NCRHP meets monthly, or as determined by the Board, and at least once annually in a joint session with the full Advisory Council. The Articles of the Association define the functions of the Board of Directors as: 1. Approval of all policies, programs, and activities of the Association; 2. Consideration of the feasibility and desirability of @all grant applications from individuals, institutions or groups of individuals or institutions; 3. Initiation, review, and approval of applications for grants (Applications for operational grants, after approval by the Board, must be submitted to the Advisory Council for its review and approval.); Employment of such personnel as it may deem advisable, determining and defining the duties and responsibilities of the Executive Director (Program Coordinator), and delegating to the Executive Director the authority to employ a supporting staff to carry out the program. The membership of the Board of Directors is comprised of the following: Medical Schools (6) Medical Society of the State of North Carolina (6) University of North Carolina School of Public Health (2) 27 North Carolina Hospital Association (1) Medi@ Care Commission (1) State Board of Health'(1) RMP Advisory Council (1); and RMP gxe--utive Director. An Xmecutive Committee of six members is authorized'by the Articles to act for the Board during interim period' S. The committee is composed of a representative of each medical school, the State Medical So' ciety, the School of Public Health., and Dr. Musser. It meets monthly and more often, if necessary. Advisoly Council The Advisory Council of the North Carolina RMP meets quarterly, including at least one joint meeting annu ally vith the Association Board of Diredtors,and may hold additional -kam. meetings to fulfill its responsibility to the Prog Members bf The Advisory Council (RAG) are appointed either by the Board of Directors or governing body-of a participating -nization, institution, or agency, in accordance with the arga provisions in the Articles of Association. The Articles of the Association designate the functions of the Advisory Council as: (1) Reviewing projects and programs with concern for their relevance to the objectives of the MfP and for the effec- tiveness-of these objectives attaining improved patient care; (2) Advising as to the future directions and functions of the RMP'; (3) Encouraging cooperation among participating institutions and interested organizations; ancT (4) Reviewing and recommending priorities in health n@eds anct acting on specific proposals submitted by the Board of Directors.. Membership of the Advisory Council Members of the Public (4) Physicians at Large (4) State Medical Society (1) Voluntary Health Agencies (2) Allied Health Professionals (5) Official Health Agencies (4) Community Hospitals (5) .N.C. Health Council (1) th Insurance Council (1) N.C. Heal N.C. Blue Cross and Blue Shield (1) N.C. Hospital Association Educa tional Institutions (7) There are eight categorical committees in the Association. Members of the Committees are designated by various partici pating organizations, institutions and agencies and Are- appointed by the Board of Directors. The eight committees are: Heart Disease, Cancer,.Stroke, Dentistry, Rehabilitation, Education, Cooperating Hospitals and Public Relations. r tli@, No-til Carolina Regional @IPO!ccl Proc,,ram Asso o OF DIR -,OUNC-,IL ADVISQRY C -tiv Execu a Conimitt6e (OP,7:.RATiONAL sT,.-@Fr IROGRA SUL@ C 0 M il!i I T TE S Coooera.ing C-3nccr i'laiioii osp:ltols -one ;ve Research, I Communicn-!,tons 0'rrl c s Siirvey -ci n d Prorjrom lot!' 'n l@r on Ev@ ,,Vc op,.rnent PROJECF REVIEW F ow Char-t-of.Project R6vi6ii -'Assoc'ation for;the North Carolina Regional Medical Program, Inc. Project Proposal. submitted ssociatio Executive Board of d National visory Staff corLmittee Directors Council Advisory NCRMP Council RMP %y Adniinistrative Scientific -ait pubcorm tee and Technical lReview Review and Screening Evaluation ri II I 1-4 @ i . I I 1 i i VII. GRAND-DESIGN GRAND D@$IGN elow ;is@ an extract from the Sixth Oper -ional Cited,b at @l?ro osal submitted for the November-December Review cycle. @Tb;Ls provides information relative to a "Grand Design" for this reE;;Lon. The ultimate objective of the Association for the'NCRMP :to the deli ery to the people of V, the state the best possible bealth services in heart disease, cancer, stroke, and related diseases, -.Immediate goals are: To establish cooperation among public and private insti tutions and agencies for the development of regional iftedical programs; To inalte medical services throughout the region more uni- form In quality and more widely available.by disseminating information to medical and allied health professions; ..To survey the region's health needs and resources and establish priorities of action." VIII. OPERATIONAL PROJECTS 31 VIII. OPERATIONAL PROJECTS tl EDUCATION AND RESEARCH IN COMMUNITY MEDICAL CARE Objectives: To assign responsibility for developing cooperative arranae ents between hospitals and communities and-' m medical centers to the existing Division of Education and Research in Community Medical Care of the Univer- .9ity of North Carolina. Specific projects in both rural and urban areas have been developed through support from other sources than RMP. This RMP pro- ject will complement and expand efforts to improve medical care administration, health service planning, and resource development. -transportation, RMP will support area-wi'd6 planning, continuing education through TV, etc. @#2 CORONARY CARE TRAINING AND DEVELOPMENT (E A R 14 A R KE D) Objectives: To use the project as a medium for developing cooper- ative arrangements among the various elements in the health care community. Initial and continuing educa tion will be provided to nurses and physicians, con- sultation will be available to hospitals in establishing Coronary Care Units and a computer-based system of medical record keeping will be developed. DIABETIC CONSULTATION AND EDUCATIONAL SERVICES Objectives: To establish three medical'teams.to deliver services throughout the state; to assist in expansion of diabetic consultations and teaching clinics; to pro vide seminars for physicians and teaching sessions for nurses and patients to assist in organization of a state Diabetes association and local chapters;.t6 test techniques of data collection. #4 DEVELOPMENT OF A CENTRAL CANCER REGISTRY Objectives: To devise a uniform region-wide cancer reporting system, integrated with the PAS, the computer-stored data from which can be retrieved to serve abroad range of educations, research, statistical, and other purposes. .32 15 MEDICAL LIBRARY EXTENSION SERVICE ectives: To bring medical library facilities of the three medical.schools into the daily work of those engaged in medical practice. Local hospital per- sonnel will be trained to assist medical staff; 'libraries will be organized into a f unctional unit' for responding to requests for services; a bibli og raphic'request service will be established. #6 CANCER INFORMATION CENTER @Objectives: To provide practicing physicians with immediate consultation by telephone and fol'A;ow-up literature. Each of the three medical schools will be respon- sible for providing service in its geographic locale. 07 CONTINUING EDUCATION IN INTERNAL MEDICINE Objectives: To bring practicing internists to the Medical Center -to-date training in their'sub- for a month of up spe cialities. They will share responsibilities with attending 'Physicians and make ward rounds with stu- .-dents, staff, and together. #8 CONTINUING EDUCATION IN DENTISTRY Objectives: To provide physicians and dentists with the know- ledge of mutual concern which will enable them to be more effective members of the health team. Courses will be given at the University of North Carolina and in communities. Studies will be made of facilities needed to provide dental care in hospitals. #9 CONTINUATION EDUCATION FOR PHYSICAL THERAPISTS .-Objectives: To develop and establish continuing education for physical therapists. Subregions will be delineated where needs and interests will be identified and committees will be organized to arrange local activi ties. 3@ ST,&TE OF FRANKLIN CORONARY CARE DEMONSTRATION PROJECT .110 (E A R M A R K E D) Ojectives': Will attempt to show the feasibility of estab lishing a network of coronary care units in small hospitals (50-154 beds) in the rural Appalachian @.'area of North Carolina. The ph sician-servino, as y -un it director and the unit nurses will be 'inten- sively trained. An analytical study of unit effec- tiveness will be.conducted. Asupplemental request included USPHS Indian Hospital, Cherokee, North Carolina in this project. #].I MOBILE CARDIAC !NTENSIVE CARE CAPABILITY IN APPALACHIA (Feasi- bility Study) (E A R M A R K E D) Objectives: To evaluate the impact of Intensive Coronary care amb ulances on immediate-survival in acute myocardial infarction. Two ambulances, will be specially equipped and Rescue Squad drivers will be appro- priately trained. Eight physicians will provide luntary assistance. vo -UNIT FOR PHYSICIAN AND NURSE EDUCATION #12 REGIONAL CORONARY CARE- Objectives: To augment teaching facilities for coronary care training of physicians and nurses by establishing and equipping an eight-be'd coronary care unit-at Bo-vnnan-Cray. The CCU will be removed from its lo- cation in the intensive care unit and given space of its own. Demonstration, training, and continu- ing education will accordingly take place in an -environment similar to CCU's being developed in other rts of the Region. Support requested is for one pa year and is for equipment and alterations only- CLOSED CHEST CARDIOPUL11ONARY RESUSCITATION UNIT #13 Objectives: The project is co-sponsored by the North Carolina Heart Association, which will assign staff members.. It is proposed to initiate a Regional Cardiopulmonary Resuscitation Program to make this technique known and available throughout the Region. A survey will establish the present state of training and the need for further training. A regional training facility will be developed and the appointment of'local CPR hospital coordinators will be encouraged. 34 114 ---HEART CONSULTATION AND EDUCATION PROGRAM Objectives.: In order to bring latest techniques and research findings to the developing network of coronary care units,a monthly consultation-education @@'clinic will be initiated at the Memorial Mission Hospital in Asheville, The project represents a cooperative arrangement between the hospital and the Bowman Gray School of Medicine. It will provide a training base for the "State of Franklin" Coronary Care Uriit.project, funded in the initial operational award. #15 COMPREHENSIVE STROKE PROGRAM Objectives: Community development of comprehensive stroke pro- grams will be encouraged through a central coordina- ting unit at Bowman GNay School of Medicine. Ac- tivities will be: publication of guidelines for community stroke programs, arranging educational activities such-as training programs for nurses, conducting an annual stroke workshop, and develop- ing a family-patient education unit. The latter is a demonstration project to show the usefulness of modern teaching devices in helping patients and their families learn to cope with the long-term effects of stroke disability. .#16 HYPERTENSION (E, AR M A RK E D) Objectives: This project will provide a regularly scheduled series of seminars and lectures concerning hyper- tension to be held in community hospitals in the Durham areas as well as at Duke University. Patients found to have secondary forms of hypertension will be referred by the local.physician to the university for sophisticated laboratory determinations for this type of disease. -117 REGIONAL CENTER FOR GESTATIONAL-TROPHOBLASTIC NEOPLASMS Objectives: The Center at Duke University is now funded as part of a National Cancer Institufe program for Chorio- carcinoma Task Forces. RMP support will'Iet the' Center expand through the application of newer testing techniques involving radioinnumoassays of human chorionic gonadotropin (HCG). Funds would be used for initial equipment acquisition and some increase In staffing. NORTH CAROLINA TUMOR.TISSUE REGISTRY Objectives: The Moses H. Cone Memorial Hospital, Greensboro, N.C. propo@es to establish a tumor tissue registry, @directly tied to the NCRMP Central registry. #19 DUKE UNIVERSITY'S PHYSICIAN'S ASSISTANT TRAINING PROGRAM .,Objectives: Further develop and expand an ongoin gPhysician's Assistant Program at Duke Univ. Provide a well ..trained and educated assistant at the intermediate professional level who, by working with the physi- cians, can compliment physician services and thereby reduce the physician manpower shortage. Proposed that an educational program leading'to a baccalaureate degree be estab. #20 MM*IOGRAPHY TECHNOLOGISTS REGIONAL 'XRAINING PROGRAM Objectives: Make available a qualified technologist to act as a technical consultant in mammography for the Region; assure the use of satisfactory equipment and pro erly p trained personnel in the use of mammography asa diagnostic tool in breast disease; and provide this service to all medical instit. an(f conimun.: hosp. in this Region. #21 "INNOVATIONS IN CLINIC NURSING: PATIENTS, PERSONNEL AND PRACTICES11 Objectives: Three-week course under the direction of the School of Nursing, Univ. of N.C. The course is aimed at up-dating and improving the knowledge and practical skills of those registered nuries, members of the health team, who are employed in the clinics (for ..ambulatory patients) of health depts. and hosps. in the State of N.C. #22 COORDINATED ONCOLOGY CHEMOTHERAPY PROGRAM Objectives: Submitted by the Oncology Center, Bowman Cray School of Med., proposes to develop a mechanism to inform physicians, particularly those remote from immediate consultation of well-designed patterns of@primary and secondary treatment of cancer. 36 .023 PILOT STUDY: HEART-SOUNDS SCREENING OF SCHOOL CHILDREN Objectives: Submitted by the N.C. Heart Assn., in coop. with Bowman Gray School of Medicine, Charlotte-Mecklen- burg Co. Heart Assn., Mecklenburg Co. Health Dept. Blue Ridge Health Council and the N.C. State Board of Health, proposes apilot study of beart-sounds creening of school children using the PbonoCardio- s Scan. Will allow systematic study of the esterit of heart defects, evaluation of congenital and acquired -heart defects, and considerations for organizing -and managing like programs in other Regions.