a

PROFILE
TENNESSEE MID-SOUTH REGIONAL MEDICAL PROGRAM
Grantee: Vanderbilt University on Behalf of Vanderbilt University School
of Medicine and Meharry Medical College

Program Director: Paul E. Teschan, M.D.

_ Originally Prepared by: Ray Maddox
Operations Officer

Original Date: October 1969

Updated:

 

 

 

 

 
TS

II.
a Ir.

IV.

VI.

VII.

Table of Contents
Geography
Demography
Politics
Historical Review
Core Staff
Organization

Operational Projects

APPENDIX

 
I. GEOGRAPHY

1.

The Tennessee Mid-South Region encompasses two-thirds of the State
of Tennessee and part of Southern Kentucky. The Region extends east

‘into the Appalachian Mountain area. ~

|

The original application included Northern Alabama but during the
planning stage it became apparent that the developing Alabama Region
wished to include all the counties of the State. Therefore, the
Northern Alabama area was dropped from the TMS Region.

Most of the main roads in the Region are being improved steadily but
the secondary road system is not advanced, posing problems for the
rapid transportation of the ill and injured.

 

 

 
II.

DEMOGRAPHY

A.

Population: ‘Roughly 3 million

1. } Roughly 45% Urban

2.. Roughly 90% White

3. Median Age: Approximately 28.5 years (U. S. 29.5)

Land Area: 69,138 square miles (State)

Health Statistics:

1. Mortality rate for heart disease - 329/100,000 (U. S. 375/100 000)
2. Rate for cancer - 128/100,000 (U. S. 151/100,000)

3. Rate for CNS vascular lesions — 136/100,000 (U. S. 107/100,000)
Facilities Statistics:

1. Vanderbilt University School of Medicine, Nashville - 4 year
school ~ Enrollment 206.

2. Meharry Medical College, Nashville - 4 year school - Enrollment 234.

3. Ten institutions and hospitals training nurses and. at least two
are at the degree level.

4. There are 15 Schools of Medical Technology, one school of
Cytotechnology, and eight schools of X-Ray Technology.

5. There are approximately 140 hospitals (112 short term and 28 long
term) in the Region with about 26,000 beds.

Fersounel Statistics:

1. There are approximately 3,000 medical doctors (131/100, 000)
and 45 osteopaths in the Region.

2. There is a total of about 6,600 nurses in the Region, of which
4,800 are active (277/100,000).

 
III, POLITICS

A.

B.
|

Cc.

Governor:

Senators:

Buford Ellington (D) Elected for a four-year
term which expires January 1971

Albert Gore (D) Elected to the Senate in 1952
Present term expires in 1971

Committee: Finance

Howard H. Baker, Jr. (R) Elected to the Senate
in 1966. Present term expires in 1972

Committee: Government Operations

Representatives:

District

First
Second

Third

Fourth

Fifth

Sixth

Seventh

Eighth.

Ninth

James H. Quillen (R) Elected to 88th Congress in
1962, and reelected in 1968

John J. Duncan (R) Elected to the 89th Congress
and reelected to each succeeding Congress

William E. Brock, 3d (R) Elected to the 88th
Congress in 1962, and reelected to each succeeding
Congress

Joe L. Evins (D) Elected to the 80th Congress in
1946, and reelected to each succeeding Congress

Committee: Appropriations

Richard H. Fulton (D) Elected to 88th Congress
in 1962, and reelected to each.succeeding Congress

Committee: Ways and Means

William R. Anderson (D) Elected to the 89th
Congress in 1964, and reelected to each succeeding
Congress .

Ray Blanton (D) Elected to 90th Congress in 1966,
and to each succeeding Congress

Committee: District of Columbia
Vacant .

Dan H. Kuykendall (R) Elected to 90th Congress in
1966, and to each succeeding Congress
ao

IV. HISTORICAL REVIEW
January-May, 1966 -

oy

June, 1966 -

June, '.1966 -

Dean Batson of Vanderbilt University School of
Medicine and Dean Rolfe of Meharry Medical College
jointly explored the potential for establishing

a Regional Medical Program in Tennessee. Consulta-
tion was sought from the Division of Regional Medical
Programs, and information was obtained regarding the
plans of medical schools and medical society groups
for establishing Regional Medical Programs in the
Memphis, Kentucky, North and South Carolina, Georgia
and Alabama areas,

Initial planning application was submitted by
Vanderbilt University and Meharry Medical College
for a planning grant to establish a Regional Medical
Program serving Middle and East Tennessee, Southern
Kentucky and Northern Alabama. Dr. Randolph Batson,
Dean and Director of Medical Affairs at Vanderbilt,

was designated as Coordinator.

Planning application reviewed by a special ad hoc
review group. The following points were of concern
to the reviewers:

1. The Region as defined encompasses areas which
might more logically be served by medical facil-
ities located outside the Nashville area.

2. Of the 33 members named on the Advisory Committee,
32 are from the Nashville area.

3. Firm statements of intent of participation by
at least the major medical care, research; and
training institutions within the Region should
be furnished.

4. The desired qualifications of the Program Coordi-
nator should be identified together with job .
descriptions for other key personnel.

3. Clarification is needed with respect to the ad-
' ministrative relationship to Meharry Medical
College.

6. The operational aspects of the proposal should
be separated from the planning activities and
the funds requested should be phased according
to the needs.
June, 1966

July, 1966

Z

August, 1966

September, 1966

January, 1967

February, 1967

May, 1967

“May, 1967

June, 1967.

June, 1967

July, 1967

National Advisory Council reviews the application
and recommends approval with DRMP consuitatton to
clarify certain items.

DRMP staff meets with representatives of EMS/RMP
to discuss and clarify areas of concern to the
National Advisory Council and ad hoc review group.

Planning grant award made to the TMS /RMP. Vanderbilt
University School of Medicine was designated as the
grantee agency, but the concept of joint sponsorship
with Meharry Medical College was maintained.

(Total award, J-1-66 through 6-30-67, $205,390)

Site visit to the TMS/RMP for the purpose of famil-
iarizing the grantee with certain RMP requirements
such as accounting procedures, etc. DRMP represen-—
tatives: Messrs. J. Beattie, I. Alpert and Dr. J. R.
Hamilton. .

Dr. Stanley W. Olson appointed full time Coordinator
of TMS/RMP.

Approval given Region to subcontract with the
Institute for Social Research of the University of
Michigan to do preliminary planning for an extensive
effort to organize nursing core more effectively.

Planning grant continuation application submitted
and reviewed by DRMP staff.

Site visit to the Region to discuss recently sub-
mitted continuation application as well as an
operational proposal to be submitted in the near
future. ‘

Award made for 02 year planning continuation appli-
cation (July 1, 1967-June 30, 1968). The total
award of $393,458 represents new funding of $328,458
and estimated carry-over of $65,000 for the 01 year.

Application for supplemental funds for 02 year plan-
ning grant received in DRMP. The request was for
an additional $106,090 for expansion of planning
activities.

Operational project application (01 year) submitted

to DRMP hy. the Region.

 
July-August , 1967

August, 1967. 8
aan

September, 1967 -
September, 1967 -
1967

_October-Novenber -

December, 1967 -

a

‘

Review Committee and National Advisory Council
recommend approval as requested of TMS/RMP
supplemental planning application.

Dr. Robert M. Metcalfe joins the TMS/RMP, and
assumes the duties of Head of the Hospital Relations
Section.

Region is awarded $106,090 (dc) for planning supple-
mental application for the remaining ten months of
this current grant period. (September 1, 1967
through June 30, 1968)

Preoperational site visit to the Region. Site
visitors included the following:

1. Mr. Storm Whaley -University of Alabama

2. Dr. Bruce Everist -Creen Clinic, Rustin, La.
Dr. Robert Coon -University of Vermont

College of Medicine
4. Dr. Julius Korein -New York University Medical
Center

5. Dr. Richard Manegold —-DRMP

6. Dr. Jack Hall -DRMP

7. Dr. Philip Klieger ~-DRMP

8. Mrs. Martha Phillips -DRMP

9. Mr. Peter Clepper . -—DRMP

The site visit team recommends that the Region be
approved for operational activities.

Review Committee and National Advisory Council
recommend approval of operational application with
specific conditions regarding individual projects.

Negotiation meeting with representatives of TMS/RMP
to discuss newly approved operational application.

 
January, 1968 .

‘February, 1968 .

|

t
*

February, 1968

April, 1968

May, 1968
June, 1968
August, 1968

' August, 1968

October-November
1968

January-February
1969

February, 1969

Dr. Robert Metcalfe is appointed Associate Director
of TMS/RMP.

Region awarded $1,499,868 (dc) for 01 year opera-
tional projects (February 1, 1968 through January
31, 1969).

Council approves (earmarked) funds to support four
separate two-bed coronary care units in four
hospitals of approximately 100 beds each. (First
year total support - $173,865.)

Planning grant continuation for the period July 1,
1968, to January 31, 1969, is submitted to DRM.
Note: The request is for seven (7) months only ©
so that the planning activities grant periods can
be consolidated with those of the operational
projects.

 

Planning continuation for seven month period
(operational supplement) is reviewed and approved
by National Advisory Council.

Region is awarded $382,279 for seven month period,
7-1-68 through 1-31-69 of planning continuation
application (3 G03 RM 00018-0181) .

Visit to the Region by Mr. Sam Gilmer, new Opera~
tions Officer, for the purpose of becoming acquainted
with over-all TMS/RMP.

Dr. Stanley W. Olson leaves TMS/RMP to become Direc-
tor of Division of Regional Medical Program. Dr.
Robert Metcalfe appointed Acting Director of the
Region.

Review Committee and National Advisory Council ap-
prove TMS/RMP continuation application. The proposed
requested funds for (1) renewal of Core Administra-
tion support for three years; and (2) continued
support for the second and third for 28 operational -
projects.

Review. Committee and National Advisory Council re-
viewed and approved operational projects Nos. 35,
36,37 and 38. Project #39 was disapproved and
action on #40 was deferred.

Region awarded $2,141,110 (dc) for continued support
of Core and operational projects.

 
April, 1969.

April-May, 1969 -

74
J

July, 1969

July-August, 1969

August, 1969

The Region is notified that because of fiscal
constraints, no new funds can be made available

‘for Projects Nos.35, 36, 37 and 38.

Review Committee and National Advisory Council
reviews TMS/RMP operational supplement. Listed

are the projects contained in the supplement plus
Council actions. #41 East Tennessee Training
Program in Cardiopulmonary Resuscitation ~- deferred;
#42 Upper East Tennessee Coronary Care Training
Program - deferred for site visit; #43 TMS Regional
Biomedical Library Program - deferred for site visit;
#44 The Mid-East Tennessee Comprehensive Rehabilita-
tion Program-Approved; #45 Associate Degree Program
in Inhalation Therapy, Mid-Tennessee Area - deferred
for site visit.

Site visit to the Region to further study three

projects reviewed by Committee in April and Council
in May (Projects Nos.42,43, and 45).

The operational projects (42,43 and 45) that were
deferred by Council in May and site visited on
July 14, were returned to Committee and Council.
(#42 - disapproved; #43 = approved for one year
planning; #45 - withdrawn.)

Dr. Paul E. Teschan becomes Director of TMS/RMP.
Vv. CORE STAFF

A. Core Staff Address: Tennessee Mid-South Regional Medical Program
co —_ 1100 Baker Building
te - 110 - 21st Avenue South
Nashville, Tennessee 37203
Phone: Area Code 615 244-2960

B. Core Staff Organization:

 

Central Core

 

 

 

Pr. Teschan and Staff

 

x

 

 

 

 

 

Vanderbilt Core Meharry Core

 

 

 

 

 

' Southwestern Kentucky Area Office

 

 

 

Southeast Tennessee Area Office

 

 

Middle Tennessee Area Office

T
} Mid-East Tennessee Area Office

{ =

Upper East Tennessee Area Office

 

 

 

 

 

C. About 36% or $890,543 of the total direct cost allocated to the
Region is for the core program. ‘

D. As of February 1969, the Core Staff included 21 professional and
executive persons and 22 non professionals.

E. The next page diagrams the key members of the TMS/RMP Core Staff
and the percent of time with RM.
ADMINISTRATION

a?

ORGANIZA

TMS/RMP

TIONAL CHART

SPONSGRING INSTITUTIONS: MEHARRY MEDICAL COLLEGE AND VANDERBILT UNIVERSITY. Fiscal Ageat

POLICY

 

VANDERBILT UNIVERSITY

prantes institution

RANDOLPH BATSON, M.D.
DIRECTOR OF MEDICAL AFFAIRS

 

 

CTOR
pauce.tescuan,m.o, LOOY%

ASSOCIATE DIRECTOR
ROBERT MM, ME

100%

TCALFE, M.D.

 

PROFESSIONAL PROJECTS AND
PROGRAM ASSISTANCE GROUP

RAMAN
PROEERT M. METCALFE, M.D.

pone AFFILIATED HEALTH SCIENCES 8 0%,
RICHARD 0, CANNON, M.0. (HEAD) 'o

rere S. SPROFEIN , AN... 43.4. (ACTING HEAD) 100%,

‘}— enrvemioLocy 25%

AUTH HAGSTROM, M.D, (HEAD)
HOMER SPRAGUE (BIOSTATISTICIAND
YAW CHIN HO ISIOSTATISTICIAN) 7

15%

WILLIAM RUSHING, PH. ©. HEAD)
TERAY HEBB (ASSISTANT SOCIOLOGIST?
THOMAS JAMES ( ASSISTANT SOCIOLOQIET),

[SOCIOLOGY AND BENAVIONAL SCIENCE () 0% 0 OF 0 0%,

MEDICAL ECONOMICS
MICHAEL ZUSKOFF, PH. 0. (HEAD) 5 0%

yrommuniry TH
. Lesule PAU. 0. {MEADI 2 5%

PM nUOn VICKERSTARE. i. Ay orgy, | 00%
oe

re 27

 

dAMES VEINS
LL wwronnarrow

unnesy commantcass 1 O07,

OPERATIONS DIRECTORATE

‘TOR

DIREC
PAUL €. TESCHAN, M.0.

DIRECTOR

ASSOCIA’
ROSEAT M, METCALFE, M.0.

pomn MEHARRY MEDICAL COLLEGE
COMPONENT .

FAANK aul ermeas 50%

jee WANDER BIL T UNIVERSITY
COMPONENT

PAUL SLATON, M.D. 100%

Smee SOUTHWEST KENTUCKY AREA
JULES J. McCNERNEY, M4. Q.
AREA COCROINATOR

100%

pomremnowe MD-TENNESSEE AREA
CHARLES C. THADUE, M.D, 100%
AREA COORDINATOR ‘o

pa PER EAST TENNESSEE AREA
QE C. CHAMBERS, M.0.

AREA COORDINATOR 1 0 0% .

penne MD-EAST TENNESSEE AREA

rouercemarset, LOO%

meme SOUTHEAST TENNESSEE ANEA
SAMED P. PAPPAS, 4.0,
AREA COORDINATOR

100%

 

” SPECIAL PROMCTS OFFICE

* Meharry Component Budget

oo

n

ADMINISTRATIVE SERVICES

ne nuiawn rates LOOG

ADMINISTRATIVE ASSISTANT FOR
OEVELOPMENT AND REVIEW l 0 0%
VIRGINIA TWIOG °

nT
mamesoouaroen  LOO%
LITHOGRAPHER

100%

WAYNE RAGAN

{SUPPORTED BY PROFESSIONAL
PROJECTS SECRETAMIAL STAFFT

AEGIONAL ADVISORY GROUP
WA. TOM KENNEDY, CHAIRMAN
DAVID MECALLIE, M.D. VICE-CHAIAMAN

4
EXECUTIVE COMMITTEE

STUDY GAours
HEART DISEASE
JESSE ADAMS, M.D., CHAIRMAN

|
cancen__|

EDMUND BENZ, M.0., CHAIRMAN

STROKE -
WILLIAM MEACHAM, M.0., CHAIRMAN

EDUCATION, RESEARCH, AND COMMUNICATION —..
RUDOLPH KAMPMEIER, M.0., CHAIRMAN

DENTAL COMMITTEE
THOMAS CARNEY, 0.0.8. CHAIRMAN

 
Biographical Information

 

A.

1.

‘26

3:
4.

5.

6.

Paul, E. Teschan, M.D., Director
Born - 1923 .

B.S., M.B., M.D., M.S. - University of Minnesota

Chief, Renal-Metabolic Service, Walter Reed Hospital, 1966

Director, Division of Medicine, Walter Reed Institute of Research,
1966

Chief, Department of Metabolism, Walter Reed Institute of
Research, 1966

Deputy Director, Division of Surgery , Walter Reed Hospital,
1965-66

Robert M. Metcalfe, M.D., Associate Director

1.
2.
3.
4.
5.
6.

Born - Colorado, 1913

B.S. Geneva College, Beaver Falls, Pennsylvania
M.D. University of Colorado, 1940
M.S. University of Minnesota, 1945

Physician, Crossville, Tennessee, 1940-67

Medical Director, Cumberland Mountain Sanatorium, 1945-49

Randolph Batson, M.D., Director of Medical Affairs, Vanderbilt U.

1.
2.
3.

4.
5.

Born - Hattiesburg, Mississippi, 1916

B.A. and M.D. Vanderbilt University

Dean, Vanderbilt School of Medicine and Director of Medical
Affairs, 1963-69

Acting Chairman, Department of Pediatrics, Vanderbilt, 1962

Professor of Pediatrics, Vanderbilt, 1959-62

Frank Perry, M.D., Associate Coordinator, Meharry

1.

2.

3.
4.
5.
6.

Born - Lake Charles, Louisiana, 1921
M.D. Meharry Medical College, 1945
Assistant Dean, Meharry Medical College, 1968

Professor of Surgery, Meharry Medical College, 1968
Meharry Coordinator of RMP, 1967
Director of Medical Education, Meharry, 1966

Note: See appendix for cpmplete biographical information on

_. Major staff.

 
VI.

ORGANIZATION

A.

c.

Regional Advisory Group

: 1 . :

3.

Appointment of the RAG is the responsibility of the appli-
cant institution, Vanderbilt University. The program,
however, is cosponsored by Meharry Medical College, which
is fully consulted in the appointment of members to the RAG.

The initial RAG was appointed so that one-third would serve
for a term of one year, one-third for a two year tern, and
one-third for a three year term. As the term of each member
expires, a successor shall be appointed for a term of three
years.

Currently has 58 members from throughout the Region, includ-
ing 31 physicians, 4 nurses, 4 hospital administrators, 1
social or behavioral scientist, 12 business or managerial
persons, 1 labor official, and 4 other professionals.

The President of the RAG is Mr. Thomas P. Kennedy, business
executive and President of O'Bryan Brokers, Inc., Nashville.

Meetings are quarterly.

Functions: Has final responsibility for approving all

grant applications and determining broad policy.

Executive Committee

1.

The Executive Committee is made up of nine RAG menbers,
including 2 business executives, 2 physician educators, 1
dentist educator, 1 hospital administrator, 1 PH nurse,
and 2 practicing physicians.

The Executive Committee is appointed by the RAG.

Mr. Thomas Kennedy, President of the RAG, also serves as
-Chairman of the Executive Committee.

Meetings are held quarterly or on call by the Chairman.

Functions: To make interim policy decisions, and to review
_ grant applications, so recommendations can be made to RAG.
Staff recommendations are also endorsed by the Executive
Committee.

Study Groups

1.

There are four study groups in the areas of Heart Disease,
Cancer, Stroke, Education,Research, and Communication, and
a Dental Committee.

 
oN

3.

‘ Heart - 16 members, consisting of three subcommittees:

ae Diagnosis, Screening and Therapy

b. Cardiovascular Surgery

c. Respiratory Disease
Cancer — 16 memhers - Sets up priorities in early detection

and prevention. Includes a subcommittee to estab-
lish eriteria for future cobalt therapy proposals

Stroke - 17 members - The group is establishing

a. Standards of classification, definition, and
terminology

b. Standards for diagnostic, preventive, and
therapeutic measures
Education, Research, Communication - 17 members - Involved
in all levels of education, undergraduaté, graduate,
post graduate, and continuing education

Dental - 9 members — Has recommended that preventive programs
have priority over projects dealing with acute dental
and curative measures

The study groups provide the RAG with professionally oriented
opinions about needs and priorities in their area of interest,
and they review project Proposals for scientific and tech-
nical quality.

Study group members are appointed by the RAG from nominations
received by the Executive Committee.

D. Site Visit Teams

These teams are utilized to review project proposals at the
actual location of the project. These teams are composed of 2
members of the RAG, a study group member, and appropriate staff
members.

Note:

Project Flow Chart attached
Complete RAG listing in Appendices

 
—

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FOR APPLICATION --- OPERATIONAL GRANTS -

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

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|

TMS;RMP 1.69"

 
VII.

od

OPERATIONAL PROJECTS HISTORY ~

Project #1.-

_ (67-1)

Objectives:

Continuing Medical Education for Physicians ~ Meharry
Medical College

To provide refresher courses for practicing minority

_ group physicians in methods of diagnosing and treating

heart disease, cancer and stroke. To provide post-

graduate education through the use of more effective

Project #2 -
~(67-2)

Objectives:

Project #3 -
(67-3)

Objectives:

Project #4 -
(67~4)

Objectives:

Project #5 -
(67-5)

Objectives:

Project #6 -
(67-6)

‘Objectives:

Project #7 -—

(67-7)

Objectives:

means of audiovisual education. To develop methods to
insure the physician's participation in the program.

Continuing Education Program -— Vanderbilt University
School of Medicine

 

To improve the opportunities of physicians in the
Region for continuing education and developing skills
in caring for patients with heart disease, cancer,
stroke and related diseases throughout this region.

Hopkinsville Education Center - Jennie Stuart Memorial
Hospital, Hopkinsville, Kentucky

To improve and develop opportunities for continuing
education for physicians in Hopkinsville, Kentucky, and
its surrounding communities. ,

Chattanooga Education Center - Baroness Erlanger Hospital,
Chattanooga

To improve the opportunity for physician education for
residents and practicing physicians in Chattanooga and
its surrounding communities.

Special Training for Practicing Radiologists -— Vanderbilt
University School of Medicine

 

To improve the opportunity for practicing radiologists
in this region to improve their knowledge and skills in
the newer techniques of diagnostic and therapeutic
radiology.

Cardiac Nurse Training Program - Mid-State Baptist
Hospital, Nashville

 

To provide a training program for coronary care unit
nurses--approximately 30 nurses, three times a year,

 

To establish a School of X-Ray Technology at Meharry
Medical College.

 
Project #8 -
(67-8)

Objectives;

|

Project #9 -
(67-9)

Objectives:

Project #10 -
(67-10)

Objectives:

Project #11 -
(67-11)

Objectives:

Project #12 -
(67-12)

Objectives:

Project #13 -
(67-13)

Objectives:

 

X-Ray Technologist Training Program - Vanderbilt
University School of Medicine

‘To plan, implement, and evaluate an expanded radiology

technologist training program at Vanderbilt University
in cooperation with community hospitals.

Nuclear Medicine Training Program 4 Vanderbilt University
School of Medicine

To provide a training program in techniques of Nuclear
Medicine for physicians and technicians of the Region.

Expansion of School of Medical Technology - Erlanger
Hospital, Chattanooga

 

To expand the School. of Medical Technology at Erlanger
Hospital and develop a school for certified laboratory |
assistants. —

Vanderbilt University Coronary Care Unit - Vanderbilt
University School of Medicine

 

 

To atid in the establishment of coronary care units
distant to metropolitan communities. Vanderbilt will
serve as an information source and important hub in a
coronary care network. Advice will be provided through
direct telephone communications with four other units
and, indirectly, through its faculty, with all partici-
pating units.

 

Franklin Coronary Care Unit - Williamson County Hospital

To establish a two-bed acute coronary care unit in a
100-bed hospital located 30 miles from a relating major
medical center and to evaluate its feasibility in such
an environment.

Hopkinsville, Kentucky, Coronary Care Unit - Jennie
Stuart Memorial Hospital

 

To establish a four-bed coronary care unit communicating
with a medical school hospital and staffed with well-
trained nurses and informed physicians, and to establish
the capability for providing training for nurses and
continuing education for physicians in Hopkinsville and
surrounding smaller hospitals in the management of
patients with acute myocardial infarction.

 

 
Project #14 - Clarksville Coronary Care Unit - Clarksville Memorial

(67-14)

Objectives:

Project #15 —

(67-15)

Objectives:

Project #16
(67-16)

Hospital.

To expand facilities and improve the quality of care
in the acute coronary care unit at the Clarksviile
Memorial Hospital with electronic communication to
Vanderbilt University.

Nashville General Coronary Care Unit -— Nashville
Metropolitan General Hospital

To improve the care of the indigent population of
Metropolitan Nashville by expanding and improving the
facilities for acute coronary care in the Nashville
General Hospital and to participate in the training
program for nurses in coronary care units distant to
the metropolitan community.

~Meharry Medical College Coronary Care Unit - Meharry

Objectives:

Project #17
(67-17)

Objectives:

Project #18
(67-18)

Objectives:

Medical College, Nashville

To improve care of patients with myocardial infarction
at Hubbard Hospital and throughout the region through
the influence on training programs for medical students,
house officers and nurses who receive their training at
Hubbard's Hospital. To develop the potential for
providing the communications and training programs
necessary to aid in the establishment of coronary care
units in smaller community hospitals in this part of
the region. (two beds)

Murray Coronary Care Unit ~ Murray-Calloway County
Hospital ,

To improve patient care, to provide continuing educa-
tion for medical and nursing staffs, to develop methods
of communication with other institutions and to provide
a broader scope of education and experience for student
nurses in a local school of nursing. (two beds)

Chattanooga Coronary Care Unit - Baroness Erlanger
Hospital :

To develop the necessary nurse training staff and cadre
of physicians concerned with acute coronary care to allow
this 700-bed teaching hospital to aid in the establish~-
ment of coronary care units in smaller hospitals neigh-
boring Chattanooga, Tennessae? ‘

 
e

Project #19 - Baptist Hospital Coronary Care Unit - Mid-State Baptist

(67-19).

Objectives: ©

Project #20 -

(67-20)

Objectives:

Project #21 -

(67-21)

Objectives:

Project #25 -

(67-22)

Objectives:

Project #28 -

(67-24)

Objectives:

 

Hospital, Nashville

To expand the existing coronary care unit at Baptist

. H ospital in order to meet patient care demands, provide

necessary personnel and facilities for the training
program for coronary care unit nurses, and aid in the
establishment of on-line communication with coronary
care units at Tullahoma and Crossville, Tennessee. (four
beds)

Crossville Coronary Care Unit - Uplands Cumberland Medical
Center

To establish a two-bed coronary care unit in the 110-bed
Uplands Cumberland Medical Center to serve a large rural
population in east-central Tennessee. To determine the
medical, financial and sociological feasibility of oper-
ating acute coronary care units in rural areas of the
region in cooperation with a Metropolitan Medical Center
that is not formally affiliated with a medical school
(Mid-State Baptist).

Tullahoma Coronary Care Unit - Harton Memorial Hospital
To establish a two-bed coronary'care unit at the 100-bed

Harton Memorial Hospital in Tullahoma and relate its
personnel training and operation to the demonstration

unit at Mid-State Baptist Hospital in Nashville.

Meharry Super ~—Voltage Therapy Program

To improve cancer therapy for a large indigent population
and increase the education potential for undergraduate

and graduate radiology programs at Meharry Medical College.
(Includes assistance in acquisition of cobalt high

energy source.)

Health Evaluation Studies on a Defined Population Group -
Multiphasic Screening Center at Meharry Medical College

To establish a multiphasic screening laboratory with an
Office of Economic Opportunity sponsored Community

Health Center and to evaluate its effectiveness on screen-
ing and treatment of heart, cancer, and stroke, on a
defined inner-city population group.
Project #29 -
(67-25)
Objectives:

Project #32 -
(67-28)

Objectives:

Project #35 -
(68-1)

Objectives:

Project #36 -
(68-2)

Objectives:

Project #37 -
(68-3)

Objectives:

Patient Care Model -— Vanderbilt University Hospital,
St. Thomas Hospital, Mid-State Baptist Hospital, Nash-
ville

To test, refine and implement a model designed to

improve the efficiency and the quality of patient care.
Nurses will perform only clinical tasks, and administra-
tive functions will be handled by persons called
stewardesses, and physicians. Trained nurse specialists .
must be among the nurse group to counsel other nurses.
The underlying concept is of a cohesive group which
will have the capability for maximum effectiveness in
patient care.

A Medical-Surgical Nurse Specialist Graduate Education
Program to Improve Nursing Care of Patients with Heart
Diséase, Cancer and Stroke — Vanderbilt

The purpose of this project is to develop medical-
surgical nurse specialists in order to improve the
nursing care of heart, cancer, and stroke patients.

Core Program

Objectives: To support administrative and planning
function.

Continuing Education Program in Intensive Care Nursing
for Registered Nurses and Technicians - East Tennessee

To provide formal education and clinical experience

for nursing service personnel of patients with cancer,
heart disease, stroke and related diseases requiring
maximum or intensive nursing care; and to prepare
nursing personnel to staff Intensive Care Units in
community hospitals.

Cardiac Screening of School Children - Southeastern
Tennessee

Proposes that the Chattanooga Area Heart Association
study the effectiveness of a program for the mass
screening of school children, many from underprivileged
rural communities, for heart defects by use of the
Phono-Cardio-Scan, an electronic screening instrument.

A Demonstration Project in Speech Therapy at a Community
Hospital

Nashville Memorial Hospital proposes a pilot feasibility
project: (1) to primarily demonstrate the financial
and functional practicality of providing a speech

 

 
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rehabilitation center for aphasics and laryngectomees
in a community hospital; (2) to provide this compre-
hensive rehabilitation center in a side area of Nash-

' ville which presently does not have close access to

|
Project #38 -
(68-4)

Objectives:

Project #40 -
(68-6)

Objectives:

Project #41 -
(68-1) ,

Objectives:

Project #43 -
(69-3)

Objectives:

Project #44 -
(69~4)

Objectives:

 

both speech and physical therapy at one location; (3)
to provide a source of training and education through
observation and participation for students and nurses.

Health Communication System —- Southwestern Kentucky Area

Four community hospitals will establish an inter-insti-
tutional communication system with Jennie Stuart
Memorial Hospital in Hopkinsville as the area hospital
center, and with Vanderbilt University Medical School
as the Regional center.

A Computerized Network to Assist in Planning Radio—
therapy — Vanderbilt University Hospital

Under the leadership of Vanderbilt University, five
hospitals in the Region will develop a telephone-
linked consortium to test the practicality of planning
radiotherapy by means of a dedicated computer and
facsimile. If successful, the network will be extended
to other institutions in the Region.

East Tennessee Training Program in Cardiopulmonary
Resuscitation - East Tennessee Heart Association

 

 

The objective is to establish a comprehensive training”
program in cardiopulmonary resuscitation for members ~
of the medical, dental, nursing, allied health pro-
fessions and health services in twenty-seven east
Tennessee counties.

Tennessee Mid-South Regional Biomedical Library Program
Vanderbilt University

 

The primary purpose of the program is to provide to
physicians, dentists, nurses, and other providers of
health care in the Tennessee Mid-South RMP rapid access
to professional literature, biomedical data, and
printed documents pertaining to heart disease, cancer,
stroke, and related diseases.

The Mid-East Tennessee Comprehensive Rehabilitation
Program — Daniel Arthur Rehabilitation Center, Oak

Ridge, Tennessee

The Daniel Arthur Rehabilitation Center, an eighteen
year old, non-profit, comprehensive rehabilitation
center, proposes to create a model of comprehensive

 
care for patients chronically disabled from stroke
and other neurological. conditions. The program

‘would draw from an identified reservoir of 800

patients in eight predominantly rural and economi-
cally underprivileged counties.

 

 
APPENDIX

I. Listing of Regional Advisory Group Members

II. Curriculum Vitae of Major Staff