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                          MISSOURI REGIONAL-MEDICAL PROGRAM-


                              HIGHLIGHTS OF THE PROGRAM


                       (Represents only a small sample of some
                       150 projects undertaken by the program)


             Early in the program, pioneered in developing medical use of
             the computer, with emphasis on making  new  medical  knowledge
             and capability available to rural physicians.

             Through demonstration and training projects, led  the  way  in
             bringing cardiac intensive care capability to Missouri.
             Today over 80% of Missouri hospitals  have  this  capability,
             extending the lives of hundreds of cardiac patients each
             year.  Trained over 2,000 nurses i n cardiac  intensive  care
             techniques.

             Through such programs as the School  Heart  Sounds  Screening
             Program, Cardiac Care Missouri, Cervical Cytology, and
             others, helped to educate the public,concerning heart disease,
             cancer, stroke, diabetes, and other killer diseases.

             Developed useful communications tools such  as  Audio  Message
             Center and Telelecture as information resources for
             providers and consumers of health services.

             Through Project Hi Blood in Kansas City, used indigenous personnel
             to screen over 20,000 predominantly black  residents  of  the
             inner city for hypertension.  Provided effective followup care.

             Demonstrated that a radioisotope  diagnostic  facility  could
             be useful and self-supporting in a rural area.

             Provided assistance and support in the develovm  ent of the
             new medical school in Kansas City.

             Demonstrated that 12 small community hospitals, through
             cooperative efforts, could strengthen themselves and
             improve health services for some 200,000 people in
             Northwest Missouri.

             Supported projects which have provided  programs  to  improve
             pharmaceutical services in small hospitals and nursing
             homes throughout Missouri.

             Provided strong support to the development and early operation
             of the Missouri Health Care  Foundation.  Assisted  the  group
             in establishing standards of medical practice.





                                                                    1/8/75





                                           -2-

              Provided technical assistance to most of the CHP lb' Agencies
              now operative.
              Provided technical assistance which    led to the establishment
              of the Western Missouri Area Health   Education Center.
              supported programs designed to extend the capabilities o
              nurses, ie:

                Pediatric Nurse Associate
                Docent Nurse Outreach
                Nurse Associate for the Neuro-Handicapped
              Strongly supported the State EMS Plan,thtough some 19 projects
              throughout the State.  These projects involved community
              assessment and plan development, provision of technical
              support, and training of personnel.
              Supported the organization of A consortium of health
              providers and educational institutions in Central Missouri
              aimed at determining manpower shortages and training personnel
              to satisfy  them.
              Since 1968,.administered the State Renal Disease Program,
              which since then has grown from $100,000 to $1,000,000.
              Served, at the request of HEW, as convenor of Missouri kidney
              authorities.  Developed data, and organized materials which
              have,'been proposed as a basis for a multiregional kidney
              network.


          THIS YEAR
                   operating  77 projects, including 14 staff activities.  These
              are located in  every section of the State.  Areas of program
              emphasis are:
                   Emergency  Medical Services
                   Health Manpower
                   Ambulatory Care
                   Integrated Health Delivery
                   Renal Disease


              NOTE:  Each activity is the product of local initiation, has
                      received careful review before being initiated, and
                      continues to receive technical assistance and monitoring
                      throughout the support period.