mn “3 Profile ~.: North Carolina Regional Medical Program Grantee: Duke University SL. 3 a. Durham, North Carolina tee ce _ BAF ae “> Program Coordinator: Marc J. Musser, M.D. eee, ; Pe a SEN Us 2’. 3°: Prepared by: Dan Spain - Original Date: Oct. 8, 1969 . 2f we 2 a . 0 Updated: | oh (Q I. oil Til. Ive v. VI. VII. VIII. “GEOGRAPHY = “DEMOGRAPHY POLITICS HISTORICAL REVIEW . “= . an raat CORE STAFF OVERALL ORGANIZATION GRAND DESIGN OPERATIONAL PROJECTS APPENDIX 3 oh 26 7 31 at : 37, os . 3 2 - of * i i . v y . “e — , : . o ’ 1 . ~ a "4 & I. GEOGRAPHY ~ ° _ - ~ . : _ . . 7 7 — -~= wee ee eee meee . 4 a aarone | ce fiagice “a “oMevnt Any Bolin if Kare de °. : ‘ * Weider, Murtreendore’ : twa f, Watnut Ge a) aule : Werth vo were . ‘ a . er Winston-Salem ve NY Auton (% ‘ On * S fan a! “ MN tee 4 Sone _ Hapteraomei fF t Ci “ je Fees ity piety Gaetont!: ‘ : i Ef noertite| | 7 ee ee oe ae, enon aot Fe ee ware ed eee | latent co ’ 1 © Lenings i \ ch arlote. A i Oy, ™ _Mechavite , Thomasvitl | High Point. choeet et win ton “. ty a S — Jee Oiacads . ‘tovea STs eo. i ~~ Mount Otive 8 ae < Rocky Mpent 9 - ‘STerbore aie. Lone fs Newse. Weneets 4 Wadesboro = Raat oS Rast ome ode Me “Lumberton — J Ne \ — “Ts ‘éxocrarny | a . (@ . To The area served d by | this Regional Medical Program is the 2 state - cen North Carolina. wiet PRAM tt Le ines bt a Por health program | development the State of North Carolina Lo is an ideal regional unit. It is an important economic and - political entity with a long history of developmental efforts - - focussed within its boundaries. Its health professionals, opera- ting institutions and agencies have established mechanisms for _Golteborative GEEOrES. wit oo ee * For planning purposes there are . simflarly strong advantages ot ta having the State serve as the region. Needed statistical data »'~. @an.- be secured from the State and its counties which would lack . comparability, and therefore wedi atys if the ‘region extended beyond «She State borders. 7 ae . ult -° "Jy, DEMOGRAPHY (1969) wa o . Land Area: (Square Miles) 49,067 * -1.° Population Statistics (in thousands) 1969 "Gotal: 5,122,000 : belted co Metropolitan areas: (1960) a ‘ ‘1,164 .».. Gn thousands) a Be. ". Asheville, N.C. EY ES 430 “ Charlotte, N.C. woe EP BLT Durham, N.C. 2a ees 12 . . Greensburo-High Point, N.C. 7p 247 -Raleigh, N.C. Dae 2 169 _ Winston-Salem, N.C. eo 189 5 Percent Urban: (1960) ‘3,915 ; } a Age of population: (1960) (in thousands:) L . Median Age . U. S. 29.5 N.C. 25.5 . = Number Percent under 15 | 1,521 "33, "15-24 ee 726 - 16 25-44 | 1,192 - 26 45-64 , 805 18 65 and over 312 7 So Total 4,556 100 2. Health Statistics | Vital Statistics: (1962) . “Death Rates Per 100,000 U.S. N.C. All “diseases . 8 945 830 - + Diseases of the Heart ’ 370 298 ' Malignant Neoplasms 150 106 Vascular Lesions, CNS ' 106 109 General Arteriosclerosis 20 15 Diabetes Mellitus - TS 12 Other Diseases of Cir. System 12 9 at dae bas us "3. Facilities: 7 “Medical Schools: 7 " Schools of Nursing: eg Schools of Medical Technology: fhe Bowman Gray School of “Medicine “Univ. of North Carolina School of Medicine ~ 280 .. Duke. Univ. School of Medicine ” 34 of which 7 are Univ. and d college’ ‘affiliated. « 12 of which 3 are affiliated with Sere .. "5° Other Types Paramedical Training: Oren Cytotechnology - 8 of which 3 are mete 3 Medicas Schools. . Te yagpteete: 4964) “Total 8B Federal 8 & Personnel Statistics Professional Categories _ Physicians '. Osteopaths Physical Therapists . Medical Social Workers Dentists : Registered Nurses ' Occupational Therapists ““s. Number _of Facilities “Short-term the 3 Medical Schools. affiliated with the Beds oo. 18,088 . - Enrollment - 207 tore . . “3,043 ~ 200 (Estimate) ~ . . Numbe# ve 3,850 39 210 ‘4, 570 - 13,025 » * 65 tO IIt. POLITICS ‘11. POLITICS *) Governoy:: aerate ao B. Bverett Jordon ©), "1958- 1973 OO Agrsicurture and Forestry Committee .,. PubIic Works: Committee Oe “ funding of $391, 793 and estimated _ carry over of $209,151 from. the first year of the RMP planning grant __ Ragust, 1967 — Revised Supplemental Planning Grant Approved: -. Direct Costs - $150, 730 Indirect Costs - $22,000 Carga) 30, 1968 ot This award enabled the Region to “enploy additional core e staff. . - 0 _ .. Period 3/1/68-6/30/69 ros +) Direet Costs $1,280,050 feels Indirect Costs - §200, 291 This ‘application requested ‘support ‘for coubining all activities, ad- “ministration, operations, and planning into a a single grant ettective The’ reviewers agreed that ‘this was a . well conceived application. Although several of the proposals are not directly related to the categorical diseases, they reflect regionwide cooperation in meeting locally devel- 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 #5 Medical Library Extension Service #6 Career 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. | gs 1968 - “ supplemental Operational Grant Approval, oe Seis Lindivect Costs - $27,162 “a Stes “Apri, 1968 ~ Supplemental operational Grant Approval, i This award provided requested funds to include ‘the Cherokee Indian. “Hospital to the previously approved and funded State of Franklin Small Hospital Coronary Care Unit Project and for the Development ofa - Mobile Cardiac Intensive Care Capability in Haywood, Sounty. @1). at _° Direct Costs: $25, 455 ~ = t - of eee. This award increased total direct costs to 3 854, 563. wimp eee FZ Ltt Direct Costs - $261,696 eb ett: “Total Direct costs increased to $4, 787, 221 "Included in this award were funds for the following projects: - . #13 Closed Chest Cardiopulmonary Resuscitation Unit #14 Heart Consultation and Education Program _#15 Comprehensive Stroke Program - #16 Bypertension Project re ot | Groject #12, Regional Coronary Care Unit for Physician and 1 Nurse Soe a Education \ was returned zor revision) - November, 1968 - - Council considered a new. supplemental operational ae consisting of two projects, (#12) Regional Coronary :-....,, Gare Unit for Physician and Nurse Education, and eatin - (#17) Regional Center for Gestation Trophoblastic “= - Neoplasms. Project #12 was later funded from un- wee expended funds carried over from the first year Lo operational ‘grant, ,and | #17 was funded from new ‘money. ebruery 7 "application # which requested - Support to supplement Bare - Project #2 - Coronary Care Training and Development *.. |. and for a new project #18 ~ Tumor Tissue Registry. a .. Both requests were recommended for funding. -. Ma ay, 1969 ~ Council considered another operational supplemental _Spplication consisting of a five following new projects: we ae ‘fis Physicians Assistant Training Program ~ recommended to be ‘returned .. ‘for revision. 7 #20 Mammography Technologist’ s Regional Training Progran - approved : as “requested. toe #21 Innovations 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. : oe oe 23. Pilot: “Study: Heart. Sounds Screening « of School children - approved as requested. wos L a oe j ) oe ae | . 7 dunes 1969 - Continuation Operational Application Approval. . ~ €5-GO3RM-00006-02) os wos ek Period -— 7/1/69-6/30/70 | Direct Costs - $1,683,722 '-.. Indirect Costs - $394,674 » Botal J 82, 078, 396 ~ During the second year - of ‘the operational grant “period a total of - ”- $1,883,722 (d.c.) has been made aaah for Support of core staff . and twenty-one projects. ne - Asgast, 1969 - Revised supplemental ¢ ‘Operational Project - (ns) Duke Universities Physician's Assistant Training Program: Council approved this project in the time ' and amount requested with the conditions recommended by the Review Committee. , Me ae Ry, Bere Ls a CORE STAFF ve oe Telephone: 919-477- 0461 4 STAFF “Wecationt 4019 North Roxboro Road, Durham, N. C. : ‘The wee oe this s heptoaal Ueatent Program consists of 30 full- time core employees and 19 project directors, plus their supporting personnel. In addition, four coordinators, one from each medical - School and one from the University of North Carolina School of Eubiicy Health, are involved in program activities part-time. wt ad “he administrative core, under the supervision. of the Executive “ptrcere., lends professional guidance and support of program develop- ment, implementation, and direction. The major elements of this organization are: Cancer Program - ~ Fe M. ‘Simmons Patterson, M. Des Director " seroke Program - - 8B. Lionel Truscott, M. De, Director “. “Heart Disease Program. - Robert N. “Headley, M, :Des Director Education and Training Progran - William DeMaria, M.D. Diréctor Division of Administrative Services -~ William J. McComb F.A.C.H.A., Director : Division of Communications & Information ~ Mrs. Virginia H. Benton, ' ' &B. Ass Director ‘Division of f Wospitals - William W. Lowrance, F. A. C. H.A., Director Division of Research & Evaluation - Harvey Le Smith, Ph.D., Director Name - SO MJ. Musser, 1 M.D. W. J. .McComb - F.M.S,. Patterson, | M. De Wm. Lowrance - : Virginia Benton D.R. Howard, M.D. David Lewis” : Wn. DeMaria, M.D. Rachel Gay - Qttis P. George | Ellen E. Bennett | Judy Cannon Rita B. Beskie ‘Pat. Connor Mary Hicks .. Hilda Parker Linda Newton Betsy Johnson Audrey J. -Booth Lydia Holley Tee Holder, Ph.D. R.N. Headley, M.D. Raymond Sawyer Ben Weaver E.H. Estes, Jr. M. D. Linda Ford | : H.A. Tyroler, M.D. Robert Smith, M.D. Sarah Harrison - Louis Shaffner, M.D. Yois Hoots Minnie Ferrell > Harvey L. Smith, Ph.D. . R.O.. Pickard &.P. Hallman Josef Perry f.R. Banks _ dane Webb ‘Sarah Kaufman Bette F. Rose Maureen R. Avis Linda J. Charkins Katrina Davenport To be determined To be determined To be determined a CORE STAFF PERSONNEL * Title Exec. Dir. Dir. Adm. Ser. . Dir. Cancer. Div. .. Dir. Hosp. Div. '. Dir. Communications Div. . .Assoc. Dir. Prof. Prog. ‘Staff Asst. Prof. Prog. Dir. Ed. & Training - Asst..Com. Dir. - Secretary . Secretary Secretary . Secretary Secretary ‘Secretary - Secretary ' Clerk Typist Secretary _ Assoc. Dir. Ed. & Tra. ‘Assoc. Dir. Ed. & Tra. Com. Act. -Consultant Dir. Heart Div. Arch. Consultant Project Management Institutional Coord. Secretary ‘Institutional Coord. Institutional Coord. Secretary Institutional | Coord. Secretary Secretary Planning Dir. Planning Assoc. Planning Assoc. Survey‘Research Spec. Planning Asst. - Planning Asst. Planning Asst. ‘Research Asst. Secretary Secretary Research Asst. ‘Research Asst. Assoc. (Eval.) — Asst. (Eval.) Inst. Duke Duke = . Duke | Duke Duke Duke Duke Duke Duke Duke. _ Duke Duke Duke . ‘ Duke Duke Duke - Duke ° Duke UNC UNC UNC BG NoMCC Duke Duke UNC UNC . UNC BG ‘BG BG UNC © UNC UNC UNC UNC UNC. UNC UNC UNC UNC UNC UNC UNC UNC ~ 100 -100 7100 - --"100: 100 | 50 ~ 100 100 -100 100 100 © 100 100 100 100 50 25 50 60 100 100 50 50 50 50 100. ~ 50° 50 60 100 ~ ° 100 100 : 100 100 100 100 - 100° 100 100 100 100 100 Born July. 3, "1910, Terre Heute, Indlana . ~, . e 2 CURRICULUM VITAE. Seo Ds oe USSER, Mare: “Je, Me Dd. ke A.B. = Universtty of Wisconsin, Madison, Wisconstn, 1930 M.D. = UnIverst fy of lilsconsIn, Madlson, Wisconsin, 1934 / a [ntornshI pi Kansas Clty General Hospttal, Issourt, 1934-35 RosIdoncy' Internat Hodletne and Nouropsychlotry, Wisconstn Gonorel Hosp lial ‘Madison, Wisconstn, 1935~ 38 noe Corti flods American Board of Internal Medicine, | 1948 Acadenic Appol ntnents . PE BEG are A sre 7 Universlty of Wisconstn Medical School, Madison, Wisconstn . ‘instructor, Neuropsychlatry | ne 498840 | Assistant Professor, Neuropsychtatry = «.-: 940-46 Assistant Professor, ‘Internal’ Medicine 1946-47 — Assoctate Professor, Internal Medicine 1947-53 Professor of Medicine - | oo «1953-58 Baylor Ualverstty College of f Medicine, Houston, Texas a Professor of MedicIne oes 1958-59 o | _ Pe ares vo Th deat ee { Duke University Echool of Medicine _ oo a ABD Se Professor of Medicine © | PS 8 1966. Bowman Gray School of Hedi cine . oe figs : Adjunct Professor of Public Health Administration - ‘1966-— Veterans Adniafstration ON ates oo Consultant, Internal Medictne |S 958-59 © . Director, Professiona!} Services, VA Hospital, Houston, Texas _ 1957-59 Olrector, Research Service, VA Central Office, Washtngton, D. C. 1959-62 Assistant ‘Chief Medical Director for Research’ and Education In Medicine, VA Central Office, Washington, 0. C. ++ 1962-64 Deputy Chief Medical Director, VA Central Office, Hashington, Dd. C. 1964- §6 orth ¢ North Cerol ina Rtegtonal 1 M edical Program Ts ee _ Executive Ofrector a i966~ UATE AND ) PLAGE oF BIRTH: a ont: i | Office: . : . a , : _ Home: mS “MARRIED: CHILOREN: ©” ao | REL IG10Us PREFERENCE: EDUCATION: INTERNSHIP: _ RESIDENCY in SURGERY: ‘ ry nENTS 3. oe" a Ke loupe cute VITAE Ruth Ariel Read, Philadelphia, Penn. 1944 ~ Presbyterian _ Abington. Henériat Hospital, Abington, Penn, 1939 - SPITAL & SURGICAL APPOINT- F, M. Sinsrons Patterson, uM. Ds, F. A. C. $. ~danuary. 13, 1914, New Bern, i 1402 Rhem Avenue; New Bern, | N,. C. 28560. 1507 Tryon Road, mew Bern, N. C. 28560 . oie - oy F. M, -Simnons Patterson, Jr., age 22 years <2:Ls David Read Patterson, age 20 years -y.°. Sohn Stephen Patterson, age 18 years 2/7 Usabel te. Simmons Patterson, age 15 years: . eo Coe we. AY B., Univ of North Carolina, Chapel. Hitt, 1935 oe Me D., Univ of Penn Mevical School, Phila, Pa. 1939 ‘Chiet of Surgery, Scotland County. Memorial Hospital, - Laurinburg, N.C. 1946-52 - Graven County Hospital, New Bern, N.C. 1952-68 (Chief Jil, (Of Staff, 1958-60, Chief of Surgery, 1960- 62 & 1964- - 2, s Local Surgeon, Southern Railway - "-+“Local Surgeon, Atlantic: Seaboard Rallroad «Medical Advisor, Craven County Selective Service Bd. : ". 2. Surgical Staff at Lankenau Hospital & Abington “i Memortal Hospitals, Philadelphia, Penn, 1944-46 “72% Ctintcal Instructor tn Surgery, Temple Unt versity _ Medical School, 1944- 46. “al Abington: Hiemoriat Hospital, Abington,’ Penn. 1941-44 66. OR at ak ete aot . a er ole * iepgichT TONAL, QUALIPICAT TONS RESUME" . - eee WiTTian J. NeCout a9 Bak. Dégres in mglish- Education, The, citader, rest. Graduate, ‘Army Conmanet ‘and General staff School, 1944. cont . Nine sonester Hours ‘eredit in economics and business. Taw, ‘Tulane University, 1959- Sieese . ” gpproxtnatety | is. ‘short training courses “and conferences during ~ Técant years.. ‘Fetlow, Ancrican Goltege se magni “pnshivisiterh = e.. . oe a i clos - : _ + Lo. ~ w . oo . . Cts : . . ae ey =e. 7 wy : omer . - o oe band . . . . . e : - . 7. ~ —_ io a oO AA} ° a “ - ee. - . . . =. . ae eo : . “—— ” e "4946-50: “2, 4950-55: 1955-69: .. South Cerolina a . 1 “7 William W. Lowrance ‘North Carolina Mr. Lowrance is currently President of the North Carolina Hospital Association. = “ “ ‘j 3 . -» CURRICULUM VITAE - Superintendent, The Tuomey Hospital, ‘Sunter, South De a Carolina | Lo 7 . t Administrator, Self Memorial Hospital, Greenwood, Adminfstrator, Memorial Mission Hospital, Asheville, _-— oe “— n ot ar OP Gatouwui vitie OMIM Ion SAL Dongeta Ee or Reh SPP DR Lf be “EDUCATION: © Es - B.S., Untversity.of Connecticut, 1944 a wee os o> 7 5 M.0,, Duke University School of Medicine, 1948, POSTGRADUATE EDUCATION See, AND POSITIONS; . : 7" be, USS. Public Health Service Fellow (Post-Graduate) ne vu “oo 2. January 1948 - December 1949, ae wo Bf Intern, Asststant Restdent and Resident tn ee.) |. Pedtatrics at Duke Hospltal, January’ 1949 EMT Let through. 1951, . a eg eB Instructor tn Pedlatrics, July 1951 to J NE oe as mo Ts aS Assoctate tn Pediatrics, July 1952, no So woe Ss Be Assistant Professor in Pediatriés, 1953, “30 6. Associate Professor In Pediatrics, 1957, eo, (Soe ee St. Te Professor ot Preventive Medicine, 1963, mo Dot El BO Changed to Professor of Community Health PRE ee Jo oT 3 Selences, 1966. Chief, Diviston of Family OS net aS Health. . =e . od 8. Assistant Dean, Continutng Education, 1967. une 1952. TORTS ferme memnce See age ge my ot teens STOR Sr Sone teen plete ee oy ae cee wyoee te ee ee eee DTU Rs cae emanates 6 . ~~ . : 7 : : . a ~* x ss “= oem . 7 . . coe °. * Fae. + a - a. o : sot tien. : oa . . - y {. : - > ee OT ; te, a. - - os . ‘ ~ i ‘« : : : « : * . ! a . oo. : . - a : 7 4. a tol. oe Nn, - a ™~ s 2 MMS i “ . : . -_ a wel Ok, we ‘ . $ toe a 7 - >. = a. a . * - “ . et - oy « ~ oo 6 = aa . se MLO beac - a 1 - + wa: of 7 a « . a . ~ * $ . Dot ’ ‘ e * Jo “ ef - e * a ° . s se . . “eo ~ * ~ . os ete - : + “ me z . oo toate: ° : . tee . : Dee oo : a st « — s mo “. . a. ' 7 . 0 . - . ° = . . . \ . * -— . . ‘ s : oe as. . a: oy « : . i « 5 « a ot an C fon - = irc VIEAE co CE ey Aree \. eet eB’ oe Honey L. Smith, Ph. De : ( gyein ei 7 _Deceinber 2, 1915, New York, New York ke , 7 oT a a! x “MARITAL STATUS: 7? “Married, two childven ‘EDUCATION: = “paiversity. College, University ‘of ‘London ‘Gaglens) 1934- 7 a eo ltt University of Chicago, B.A., 1939) © 2) ft of. 7 4. University of Chicago, M.A., 1947 a ere Teuge ‘University of Chicago, Ph. Des 1949 Se POSITIONS: . oo “University of ‘Chicago, Department | of Sociology, Instructor, os coe Tat te oo -1947-1950. . wo TE Te * Russell Sage Foundation, state, 1950- 1952. o Pol aE: -Uaiversity of North Carolina at Chapel Hill: Department of RD et - Sociology and Anthropology, Associate Professor, 1952; JDP De LE soot. a. Department of Sociology, Professor, 1957 to present; Re dro Ten ete oe “. Department. of Psychiatry, Professor, 1957 to present; ; ye a “Department of Preventive Medicine, School of Medicine, - wos eo a tl tll. Leeturer, 1957 to present... ot So a ty - Mental Health Council, State of North Carolina, Mental MT pen os ‘Health Planning Staff, Executive Director, 1963-1965. oe ae “North Carolina Regional Medical Program on Heart Disease ee wee -..0) Gancer and Stroke, Director of Planning, 1966 to present. re -Center for ‘Communi ty Research and Services, Univeristy of te en TD nee ~s\.« North Carolina at Chapel Hill, Director, 1966 to present. / a ET Social Research Section, University of North Carolina at . Co, oe “ _ Chapel Hill, Director, 1957 to present. , tae . . co cman cae cdtie netete nnn a et tae . 2 NTS : x - > ~ eo - = vy - * e , Bist ; ° Roligion: : : e . : e, a 8 an - i J. . . fm S. re ~ ; Ls Aesoctato Professor of Nourology, ‘Aibany Medical Goltege, bony, : oe Brofessor of Neurology, Albory J Medial College, Jima 3963 - - : -. wt ye wy % + ea wt eee! rate tat . : o te a mes me 7 + ee ee ee ee we TC 7 ee - an : . - ~e too ded) . . ce u a . - ee te - 27 7t ville t * - + ad . - z cyt ~ eR ee : ‘ ees :. ST te 3 e . Sot = . ote : : eo. . * . . ra 2 . ve . Se ~ . : fo. 2 wo Tate 3 . . . 5 a . - - ue . . ” arte e- ate z . € ~ v. - my z *. ° e : 2: * od * me . ‘* . Lo : - - . 8 : . . - 7 ° : 7 . ons -7 ? : . ee eee = “tela ” . a0 : - ye -- - oO. n+ - - ” r= . . . : . . ¢ . - : : ; - we 7 . . : . . - ar . - - . “ * o cd : - - . - we: ° .ct . . 7 = . oe : . . ° . ; t : . : .. . : * . | : . : . . : - 4 . o Z : % : { ‘ : : ' i ; o : : , . i t . ~ 1 j * . — a L “ GULGTEOULOT V CIE nee eo ot gt ahead ~ “ pauostions * “sys Gortitication, American Board of Paychiotry and ‘Neurology . “Instructor” in ‘anatomy (93. 19h) Goorgetoun Ue. Schoo} of - UY onset, Neurology, ond “General Hospit al (army) - Germany 1088. 1960 7. t:; Consultant in Neurology, U.S, Army Europe 1958-1960 “yp js Chief, Neurology, Veterans Bove stratson Hospital, Albany, N. Y. \ MAL. (Gonparative Anat. ) 190, Syracuse ‘University; Syrecuie ¥ Ph. De Neuroanatony | 1943) Yalq. University Be DISD itooCuT Ti “ho ust My “4916 ' a gu G "3 Be nyt “Metnodist ” a we a (Biology) 1939, ‘Drew 1 University, N. i. H.D. Yale University 2950. be Loos goa © Intornship “ty ‘Surgery (1980-2981) Duke Univ., Durhan, N.C. -Residency, in Neurology (1955-2957) Walter Reed Arig: Hospital, Washington, D.C. Meuroiogy), March 398% 2 MLAS US goa PS, a Se. . 4- Medicine, y Washington, D.C. “ , Instructor in Anatomy (191)7- i9h9)" Yale U. "Schoot of Medicine Ass't Professor in Anatomy (Neutoanatomy) Univ. of No. Carolina ‘School of Medicine, Chapel Hild, | No. Carolina. . - Deconber 1960 - N.Y. 5 December 1960-1963... cits iV i# 0 . . . - * ff . . -. (xt. Namez Ghitdrenz 7 . ! . wo Y . . on od . : awe. 8 - vt -- Robert, Neton Headley ‘Robert “Nelson, tre, 1956; “Theresa gaa 1957; “kenneth, Barton, 19595, Rebecca Elizabeth, Bin we fag ae at "9 ~Egucat tone 7 . “ae “High $chool's “Rockivtite, Haryland _ - a . - Colleges: ~ {949-52 ~ University of Maryland, 8. $s. Cum, Laude | o _ Medical: et ne 4952-56 ~ University of Maryland School of! Medicine ae “° Alpha, Omega Alpha TF — ca oe ear “Phi Beta Pi. a RR Bis oP ‘Class Prestdent -“Juntor and Sentor Years : Postgraduate Tratntng and Activities: | (2) 2 1961-62 = Flight Surgeon; 9305th USAF Reserve Recovery ‘Student CouncI'l - Junlor and Sentor Years Mosby ScholarshIp Award : “Student. C Council Key “gss.s7 = Rotating intern, University of Virginia | ~ Hosp ital,, Charlottesviffte, Virginia. “Salem, N.C. ar ; ee in = 1988 -60 ~ Captaln USAF we) Aerospace Medical ~:Haboratory, Wright-Patterson AFB, Ohio. Part-time assignment to Section on Physiology, Mayo Clinic, - Rochester, Minnesota.’ 2: .' 1960-61. + Postgraduate Cardiovascular Tratnee, Rowman _°- “Gray School of Medicine of Wake Forest Col lege, it” Winston-Salem, North Carolina. , -" §960-61 = Consul tant to the United States Air Force : . QWright Patterson AFB) on Biomedical Aspects of Aerospace Vehicle Landing Impact. ola ty 1961-62. - Assistant Resident in Medicine, North Carolina | Baptist Hospital, Winston-Salem, North Carolina. _.. Sqdn.,, Smith-Reynolds Airport, Winston-Salem, N.C. 1961-63. -~ Assistant Resident In Medicine, Bowman Gray 957-58 ~ Fellow th Medicine (Cardioloay), Bowman Gray “| “+ School’ af Medictne of Wake Forest Col lege, WInston- an ~ Schoo! of Medicine, Winston-Salem, N.C. - 1962-6 3 - Major,. U.S. Army Reserve, 312th Evacuation ee ‘Hosptial’, Winston-Satem, N.C. a ae | ee nee, we re . Tr ere 1962-63 ~ Resident tn Medicine, North Carolina Baatist Hosp! tal, Winston-Salem, North Carolina (Partially supported: by Meade~Johnson Scholarship through. American, “Gol lege of’ Physicians). 1962-63 ~ Attending in Internal Medicine, Veteran": s Administration, Nissen Buildino, Winston- Salem, North - Carolina. “1865- 64 - Instructor In Medtcine, Bowman Gray School of - Medicine, Winston-Salem, North Carolina. . . 1963- “Director of Out-Patient Department and Emergenc Room and’ Staff Physician, N.C. Baptist Hospital, Winston-Salem, North Carolina. 1964- Assistant Professor In Internal Medicine; Bowman Gray School of Medicine, Winston- Salem, North t Carolina. __ wee Pe ne ee Ee FT TIT Ee Tes = o ait — —e : a - 7 93 -CURRICULUM VITAE - a . 2, Bestbpiacs & Date: . a "se danuary 19, a btm. pobosn, LEE i : “sty “Badeesst . . ‘Bepartment SF Comminity Health Services 5, University of Michigan School of Public Health | "399 South First Street . WR a ') Ann Arbor, Michigan “! “elephone: -764-9494 (Office) st 665- 5982 Gone) _ Upland, “California 3. Fant ly datat --. fareted (Wifey Charlotts R, Lavare). |e @hildrent 3 boys, 2 girls | Doo fr ee —~ Ay Bdvicatton: ' E-1966-present: University of Michigan School of Public Health -- . Veen “Ttak 2 anticipate completion of Pa.D. in Pubise Health * Administration, 1968 ne: * '1961-632 - Dniversity of Wyoming , College of Education Lot kos. hs (part-time); Candidate for Ph.D. in Adult “| Bducation as of May, 1962. -, 1958: OM P.H. (Public Health Education) ‘University of mo Sane California, Berkeley _ 1953: BLS, (Public Health Sanitation) iniverstty of Cs "California, Berkeley 1968: | ‘AU requivements except dissertation completed m1 7. for Ph.D. at the University of Michigan. Research for dissertation now in Process. _— t 5.. ' Employne ent record: - Be 1967-present: Doctoral program in Public Health Adainistration, University ™ of Michigan; Research Associate, University of Michigan. b. May 1963- “Sept. 1956: National Commission on Community Health Services, Inc., Bethesda, Maryland, Director, Comrunity Action Studies Project (Associate Director from May 1963 to December 19643 Se ane ‘Jen. 1956-Sept. 1957: be ‘Sexe 1953-00, igs: - Employment’ record: (Continued) a ee 1963- 1966: 8 “August 1959-36 fay 1963: go Sept. 1958-August 1959: . tv i Phe - Johns Hopkins university, School of Hygiene &. Public Health, Baltimore, Associate tn Public Health Adnini'stration * (conducted PrP. Administration 8 “Group Approach to Public Health"), or woo a | State of Wyoming Department ‘of Publi Health; “Assistant Director, Division of Community Services and Health Education, State Office Building, Cheyenne, Myoming. - on - an tk wa : wy -- County of Monterey, Calffovnta, Department of Public ‘Health; , Director of Health Education; Salinas, California, Ot om : sf, “Bape, 1957-Sent, i958: ioe oe oe . - “University of Gsittorate, School of Public. Health, » Berkeley, “ graduate student in health” education. | - . . a _ oe 2 ee ee City of ‘Oakland, California, Department ‘of Public Health, _ Public, Realth Sanitarian, Oakland, Californis. _ Vs S.. deoy iartormaster Suoly, osticer ‘he Since 19453 Partially ‘self-employed in farming, Woods County, Oklahoma, - 56 Since 1965: _ Consultant Ain Corwuntty Health Action-Planning (partctine ys a, v: . Jere Oe oc Lo . N, —_ a * wet ee Z woe. o oy " EMPLOYHENT AND EDUCATIONAL BACKGROUND oO er Te, ques: 5 VIRGINIA HALL BENTON ae ne °° ., 1000 Urlin Ave. Oe Columbus, Ohio 43212 : . - - ae a : ., oe 8 ee, i : ett . : 7 - Mar. 7, 1966 to Present: Public Relations Director, United Appeal ‘and - PR Cep TL et United Community Council, Columbus, Ohio. - July 1962-Mar. 7, 1966: Public Relations. Director, Ohio. State Heart © CA dts: ge Association. Pos i _o e : -. Lore am. a “". November 1949-July, 1962: ‘Assistant Executive vivecvot"tm cage of . 2 ae RE Cos. 2 | : fund-raising and public relations, Tuberculosis po “.'-7*1 1 Soelety of Columbus and Franklin County, Inc. aes crs o “Age 52. _ Birthplace: Topsham, Maine | Ce Race: White Ce - Religion: Protestant : : oo - Marital status: Widowed; one son in ‘graduate school : Ba EDUCETION Randolph-Macon Woman" s College, Lynchburg, Va, 1934-1936 B.A., University of Maine, 1938, with honors; majors. English; minor, French . .Mary Ellen Chase Award for Creative Writing, 1937 “Jri-State Award for Creative Writing, 1938 ~ So, - Phi Kappa Phi, national scholastic fraternity ot - Tau Kappa Alpha, national honorary debating fraternity ~". Gamma Phi Beta, national social sorority = an o “VI. OVERALL ORGANIZATION aN VER ve SZ CAF ‘ORGANIZATION “ Bo See ” r The ‘Regional Medical Program in North Carolina is “administered by the Association for North Carolina Regional «Medical Program. Its membership consists of Wake Forest . University, Duke University, the University of North Caro- Jina, and the Medical Society ¢ of the State of North Caro~ nats * 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 mutts-representative Advisory Council. _ "Board of Directors The “Board of Directors of ‘the ‘NCRMP 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 funettons: of the Board of ‘Directors as: d. Approval of all policies, Programs, and activities «Of the Association; Lo 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.); ~~ 4. 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) ve . : Te : 7 ar : Sa > . North Carolina Hospital ‘Association a) -, Medical Care Commission (1) “. $tate Board of Health (1) gt RMP Advisory Council (1); and | ; Jlloss : “RMP Executive Director. - OTs eb oe An Executive Committee ‘of six ¢ menbers is authorized by “the Articles to act for the Board during interim periods. The committee is composed of a representative of each medical school, the State Medical Society, the School of Public Health, and Dr. Musser. It meets monthly and more often, if necessary. "Advisory Council The Advisory Council of the North Carolina RMP meets quarterly, including at least one joint meeting annually .with the Association Board of Diredctors,and may hold additional meetings to fulfill its responsibility to the Program. - Menbers of The Advisory Council (RAG) are appointed either by the Board of Directors or governing body.of a participating organization, institution, or agency, in accordance with the provisions in the Articles of Association. The Articles of the Assoctatton designate the functions of the Advisory Council asi a) Reviewing projects and programs with concern for - thetr relevance to the objectives of the RMP 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; and (4) Reviewing and recommending priorities in health. needs . - and 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 Agenctfes (2) Allied Health Professionals (5) Official Health Agencies (4) - Community Hospitals (5) .N.C. Health Council (1) “38 ~ " N.C. Health Insurance Council (1) " N.C. Blue Cross and Blue Shield (1) N.C. Hospital Association (1) ‘Educational 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 aré ~ appointed by the Board of Directors. The eight committees ‘are: Heart Disease, Cancer, Stroke, Dentistry, Rehabilitation, Education, Cooperating Hospitals and Public Relations. , ‘> * -—— -~“ w# Association for the North Carolina Regional Medical Program faovisorY Counc} — BOARD OF DiRELTOR | - ra Executive 4 a a | Commitiée |. poe ___(PROGRAW SUBCOMMITTEES) | (0? ERATIONAL STAFF)N i . { l { __} { : oo: : FReart Wn Vesa imantet| (Rekabil| [Public | /Educc-| Cooperating) EXECUTIVE, DIRECTG : . (Disecse Cancer SHrOKe Denial) | sation |{Relations| {tion _| [Hospitals | | f : LC - oo | al lal Research, ri0S pitals Professional - Communications Gad} i Eval ation. | —., }Devetopment : 1 feHe9 ea os ae : ‘ . . . » 34. 2. Flow Chart of Project Review “rs Association for the North Carolina " -.Regional Medical Program, Inc. Project | Proposal | Y - — Association | staff | -> Executive Committee|~—> oO. v Board of Directors NCRMP > v ¥y 7 on oo on me Administrative and Technical Screening Scientific Review Advisory Council | > 4 Vv Subcommittee Review and Evaluation National Advisory ‘Council RMP + te mpm. i PE ere asl an ne Poe e . 4 , . . "1 ¢ * , . , 2 © : KB : woe a. Q ae oo * at ‘ coy . ~ © ‘ v. . QO WK, 0 30 a Cited below is an extract “from ‘the ‘Sixth Operational .° .. Proposal submitted for the November-—December Review cycle. ee provides information relative to a "Grand Design" for. woe : Soe tot ts Oe, Te os ee ye re the’ ultimate objective of the “Assocation for the: ‘NCRMP re the delivery to the people of the state the best possible -: health services in heart disease, cancer, stroke, a related i @iseases, tte | Timediate goals are: \ To establish cooperation among 5 public and private insti~ "tutions and agencies for the development of ‘regional medical programs}; ae ‘To make medical services throughout the region more uni- form in quality and more widely available by disseminating information to medical aud allied health Professions; ge | survey the region" s health needs and resources and establish Priorities of en oy : ‘ . : Jo aide nia uleenmemmtirtsinmtymnnis Nirman i Spabtenpr ces oo oe eee - - - * 7 we ee coe : . - t "=. F TOF é L . - e ° * 7 - . a Re AS ce tag eT eee ee one , ae “hu tenes Meas et ea Be Li sites a i tema : sty ia seis ese rete? eT VIII. OPERATIONAL PROJECTS” _ : : OO a re A - -- ‘EDUCATION AND RESEARCH IN COMMUNITY "MEDICAL CARE Objectives: To assign responsibility for developing cooperative arrangements between hospitals and communities and’ _. medical centers to the existing Division of Education “and Research in Community Medical Care of the Univer- “sity 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 -wmedical care administration, health service planning, and resource development. ee RMP will support area-wide planning, transportation, continuing education through TV, etc. : oe, n -— - CORONARY CARE TRATNING AND DEVELOPMENT (E A R u A R K E 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 So a or _ Coronary Care Units and a computer-based system of | oS or medical record keeping will be developed. #3 - 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; ‘to test techniques of data cotmection. #4 -- DEVELOPMENT OF A CENTRAL CANCER REGISTRY _ Objectives: To devise a uniform region-wide cancer reporting con system, integrated with the PAS, the computer~stored data from which can be retrieved to serve a broad range of educations, research, statistical, and other purposes. Coens Sates Wises iis iabii a oe amie Bs: -- - MEDICAL LIBRARY EXTENSION SERVICE |“ Obgectives: Bh 32 +e To bring medical library facilities of the three medical. schools into the daily work of those “T... engaged in medical practice. Local hospital per- | -:° sonnel will be trained to assist medical staff; ‘libraries will be organized into a functional unit ‘for responding to requests for services; a bibli-. 6. -- CANCER INFORMATION CENTER _ Objectives: ographic | zeduest service will be established. ‘To provide practicing physicians with immediate consultation by telephone and follow-up literature. © Each of the three medical schools will be respon- os siete for providing service in its geographic locale. , ce -- CONTINUING EDUCATION IN INTERNAL MEDICINE — . Objectives: ™. To bring practicing internists to the Medical Center for a month of up-to-date training in their sub- specialities. 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 Objectives: . EDUCATION FOR PHYSICAL THERAPISTS 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- pantie te Ratt SK ia a ak Sle eo, #10 -— ‘STATE OF FRANKLIN CORONARY CARE DEMONSTRATION PROJECT - - _& ARMARKE >) oe OAL . Objectives: wild attempt to show the feasibility of estab- on lishing a network of coronary care units in small pte Dk hospitals (50-154 beds) in the rural Appalachian “area of North Carolina. The physician serving as unit director and the unit nurses will be inten- - sively trained. An analytical study of unit effec- - ‘tiveness will be. conducted. A supplemental request . Aneluded USPHS Indian Hospital, Cherokee, 1 North : Carolina in this project. Dees fll -- | MOBILE CARDIAC INTENSIVE CARE CAPABILITY IN APPALACHIA (Peass- . bility Study) CE ARMARKED) "Objectives: “To evaluate the impact of Intensive Coronary care _* ambulances on immediate: survival in acute myocardial -. $nfarction. Two ambulances, will be specially - equipped and Rescue Squad drivers will be appro- oe ; priately trained. Eight physicians will provide a . oo we an __gyoluntary assistance. #12 - -—- REGIONAL CORONARY CARE- ‘UNIT FOR PHYSICIAN AND NURSE EDUCATION . Objectives: To augment teaching facilities for coronary care eS ee ' . training of physicians and nurses by establishing pe ' and equipping an eight-bed coronary care unit. at ae _ Bowman Gray. 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 ' parts of the Region. Support requested is for one ‘year and is for equipment and alterations only. + | “#13 -- CLOSED CHEST CARDIOPULMONARY RESUSCITATION UNIT 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 A -— 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 ‘elinic will be initiated at the Memorial Mission ‘: Hospital in Asheville, The project represents ". @ cooperative arrangement between the hospital - and the Bowman Gray School of Medicine. It will .- Objectives: | _ #16 -- HYPERTENSION Objectives: . #15 -- COMPREHENSIVE STROKE PROGRAM provide a training base for the "State of Franklin" Coronary Care Unit. project, funded in the initial . operational award. ™™! Community development of comprehensive stroke pro- grams will be encouraged through a central coordina- ting unit at Bowman Gray 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 moderti teaching devices in helping patients and their families learn to cope with the tong term effects | of stroke disability. (EARMAR k E D) 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. . #17 -- REGIONAL CENTER FOR GESTATIONAL. TROPHOBLASTIC NEOPLASMS Objectives: The Center at Duke University is now funded as part of a National Cancer Institute program for Chorio- carcinoma Task Forces. RMP support will let 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. — Ty | : / = - - Loo en - ok Loe o ; oy oo . eo f18 “—— NORTH CAROLINA TUMOR TISSUE REGISTRY ‘ a“ . Objectives: The Moses H. Cone Memorial Hospital, Greensboro, N. C. Cc . Se a “ -" proposes to establish a tumor tissue registry, a “directly tied to the NCRMP Central registry. #19 -- _ DUKE UNIVERSITY’ S PHYSICIAN’ Ss ASSISTANT TRAINING PROGRAM , - Objectives: Further develop and expand an ongoing Physician's ~~. Assistant Program at Duke Univ. Provide a well-_ . trained and educated assistant at the intermediate ~ * professional level who, by working with the physi- _ fans, can compliment physician services and thereby _-. Yeduce the physician manpower shortage. Proposed -: that an educational program leading” to a baccalaureate , degree be estab. 20, -~ "MAMMOGRAPHY TECHNOLOGISTS REGIONAL TRAINING PROGRAM - + Objectives: Make available a . qualified technologist. to act as ell: a technical consultant in mammography for the Region; ‘assure the use of satisfactory equipment and properly '. trained personnel in the use of mammography as a diagnostic tool in breast disease; and provide this service to all medical instit. and commun. hosp. in . this Region. #21 ~~ "INNOVATIONS IN CLINIC NURSING: PATIENTS, PERSONNEL AND PRACTICES" ' 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 nurses, members of the health team, who are employed in the clinics (for '.. ambulatory patients) of hearth depts. and hoeps. in the State of N.C. #22 -- "COORDINATED ONCOLOGY CHEMOTHERAPY PROGRAM Objectives: Submitted by the Oncology Center, Bowman Gray 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. a -, #23 -- PILOT STUDY: _MEART- SOUNDS SCREENING OF SCHOOL CHILDREN Ot “Objectives: Submitted by the N.C. Heart Assn., in coop. with Be - Bowman Gray School of Medicine, Charlotte-Mecklen- So -. * burg Co. Heart Assn., Mecklenburg Co. Health Dept. Blue Ridge Health Council and the N.C. State Board - Of Health, proposes a pilot study of heart-sounds -screening of school children using the PhonoCardio- Scan. Will allow systematic study of the estent of heart defects, evaluation of congenital and acquired ‘heart defects, and considerations for organizing — _and managing like programs in other Regions. ,