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PROFILE: CENTRAL NEW YORK REGIONAL MEDICAL PROGRAM

Grantee: The Research Foundation of State
University of New York, Albany, N. Y.

Current Chief Executive: Richard H. Lyons, M.D.
Program Coordinator

Profile Originally prepared by: Frank S. Nash
Original Date: January, 1970

Up~-dated:

 

 
II.
III.

“IV.

VI.

VII.

TABLE OF CONTENTS

Geography
Demography
Politics
Historical Review
Core Staff
Organization

Appendix

 
GEOGRAPHY >

The Central New York Regional Medical Program is comprised of 15 counties

_in Central New. York, plus two counties in adjacent northern Pennsylvania.
’ The boundaries were determined by Medical Trade Areas, Medical Education

and post graduate educational patterns and to conform with the boundaries
of the State Health Department regional efforts.
(See map of Region next page)
‘GEOGRAPHIC DESCRIPTION OF THE REGION

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II.

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B)

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D)

E)

DEMOGRAPHY _

Population: Approximately 2,300,000

1) Approximately 50% urban

2) Approximately 98.3% white

3) Median age approximately 30

Land Area: Approximately 26,016 square miles

Health Statistics:

1) Mortality rate for heart disease *449/100,000 (high)
2) Mortality rate for cancer *184/100,000 (high)

3) Mortality rate for CNS Vascular lesions *89/100,000 (low)

(*Rates for New York State - 1964)
Facilities Statistics:

1) State University of New York, Upstate Medical Center, 4 year,
medical school, enrollment approximately 380.

2) There are 19 schools of nursing, 6 of these collegiate affiliated.

3) There are five college and institute based schools of Medical
Technology.

4) There are 48 (short-term) hospitals, (1 federal) with 7,654 beds
(488 federal).

Personnel Statistics:

1) There are approximately 2,700 M.D.s (133/100,000) and approximately
55 D.0.s

2) There are approximately 15,000 registered nurses of which only
about 9,000 are active.

 

 

 
III. POLITICS
A) Governor: Nelson Rockefeller (R) 1971
B) Senators: Charles E. Goodell (R) 1968-1971

Jacob. K. Javits (R) 1957-1975; Labor & public Welfare,
Select Committee on Nutrition & Human Needs, Joint
Economic Committee

~~ () Representatives:

District 31 - Franklin
St. Lawrence
Jefferson Robert Camercon McEwen (R) 1964
Oswego
Lewis

District 32 - Oneida
Herkimer Alexander Pirne (R) 1958
Madison

District 33 - Tompkins

Tioga Howard Winfield Robison (R) 1958;
Broome Appropriations
District 34 - Onondaga James M. Hanley (D) 1964 Banking &
Currency
District 35 - Cayuga ,
Cortland Samuel S. Stratton (D) 1958
Chenango
District 10 — Bradford Joseph M. McDaide (R) 1962;

(Penna). Susquehanna Appropriations

 

 
IV.

HISTORICAL REVIEW

February 1966

March 1966

October 1966

December 1966
November 1967 (1)

November 1967 (2)

November 1967 (3)

January 1968

June 1968

June 1968

Mr. Yordy, DRMP, meets with groups from Upstate >
Medical Center, State University of New York,
Syracuse, New York, reviews objectives of program,
methods of application, etc.

Upstate Medical Center Council, appointed by

- Governor of New York, appoints 15 member Regional

Advisory Group and approves the Research Founda-
tion of the State University of New York as the

' Fiscal agent for the applicant institution. Dr.

Lyons appointed as acting Program Coordinator.

Planning grant application submitted requesting
two years support. $192,408 for period 1/1/67
-12/31/67 and $211,206 for period 1/1/68-12/31/68.

Planning grant application approved for the time
in amount requested. ’

Continuation application submitted requesting
$302,157 (DC) support for 02 year of planning.

Supplement to Planning grant submitted requesting
additional funds to expand Core & Planning activi-
ties.

Operational Grant Application submitted request-
ing 3 years support for 4 projects: Continuing
Education in Nursing, Rehabilitation Consultation
Service, Oneida County Tumor Conference, Family
Practice Program. $285,569 1st year, $391,393
2nd year, $389,662 3rd year for a total of
$1,066,584 D.C.

Continuation application approved per revised
budget. $211,000 (D.C.) awarded including
carryover of $144,000 plus new funding of
$124,634.

Supplement to planning grant awarded - $138,268
D.C. for period 6/68-12/31/68. .

Operational Status approved and award granted
($372,355) to support 4 projects for period
7/1/68 - 6/30/69. 02 year commitment - $370,633;
03 year commitment - $304,001.

 
- oN

August 1968
August 1968
June 1969

May 1969

August 1969

Supplement to operational grant submitted
requesting support for 7 new projects. Total
of $443,536 for 3 years support for period
4/1/69-3/31/72.

Renewal Planning grant application submitted
requesting Core & Planning support for 5 years;
lst year request $457,171 D.C. -— Total request
for 5 year period — $2,291,800 (D.C.)

Award granted combining Planning and Operational
grants. Support for Core $462,500 and support
for 8 projects. Ist year award - $1,069,762;
committed for 2nd and 3rd years - $674,000,
$370,000, period - October 1, 1970 - September
30, 1972.

Operational supplement application submitted
requesting support for two additional projects.

Operational supplement approved for support of
one project, the other was disapproved. Region
was informed no new RMP funds were available at
this time due to continued deliberations over
the HEW budget fer Fiscal Year 1970.

 

 
CORE STAFF

A) Core Staff headquarters at State University of New York, Upstate
Medical Center, Syracuse, New York.

B) Richard H. Lyons, M.D. is Program Coordinator.

C) As of 12/30/69, 26 of 35 budgeted Core staff positions are filled.

D) See Organization Chart of Core next page.

E) Eleven liaison physicians (distributed throughout the Region) serve
as "area representatives" for Central New York Regional Medical
Program and are reimbursed on a part-time basis.

F) See list of Core Staff positions; filled and vacant plus % of time,

 

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CENTRAL NEW YORK REGIONAL MEDICAL PROGRAM CORE STAFF

NAME

Richard H. Lyons, M.D.
Thomas More, M.D.

John J. Murray

Walter Curry

Margaret Stovie, R.N.
Marjorie Jordahl
Joyce Miller, Jr.
Maria Bernardi

Jo Ann Griffin

_~Sanet Seymour

arry Stevens

James Martin

Wilma Rothstein

John Dunham

Suzanne Murray

To be appointed:

4 Jr. Stenographers
Assistant Nurse Coordinator
Communications Specialist
Health Educator

3 Physicians

TITLE OF POSITION

Coordinator

Associate Coordinator
Assistant Director
Teaching Coordinator
Nurse Coordinator

Adm. Assistant Secretary
Stenographer

Jr. Stenographer

Jr. Stenographer

“Senior Stenographer

Res. Worker

Res. Assistant
Ostomy Tech.
Statistics Clerk

Librarian (Medical)

 

4 OF TIME

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60
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40

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Central New York

 

 

 

 

 

COORDINATOR

 

 

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11 Liaison Physicians
Throughout Region

 

 

 

 

 

3 Physicians to be appointed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Associate Coordinator € >
ia ei Heart Disease
[statistician Stroke
[Clerks] Cancer
vy v aL L L ay + L
Librarian Public Administrative Health Teaching Communications Nurse Assistant
a “ Relatio. s Assistant Educator | | Coordinator Specialist <?| Coordinator} {Coordinator
(to be
appointed)
? Secretaries Electronic Ostomy Vol. Health
—— Technicians Technician Agencies
Publications

ORGANIZATION CHART - CORE STAFF

CENTRAL NEW YORK REGIONAL MEDICAL PROGRAM

 

Hospital

Administrato:

 
VI. ORGANIZATION
A) Regional Advisory Group

1) Composed of 35 members and includes 19 physicians, 1 Registered
Nurse, 5 Hospital Administrators, 1 dentist, 3 social Scientists,
2 managerial and 4 other professionals.

2) Original RAG was appointed by the Council of the Upstate Medical
Center State University of New York.

3) Meets — on call at least six times per year or more often if
necessary.

4) New members are selected by the RAG nominating Committee, approved
by the RAG and confirmed by the Council: Appointments are for
1, 2 or 3 years in accordance with the By-Laws of the RAG.

5) Officers of the RAG are elected by majority vote of RAG membership
and serve for one year or until their successors are elected.
6) Functions:

a) Advises and participates in the implementation of Central
New York Regional Medical Programs.

b) Has full authority to approve all programs and activities

of Central New York RMP.

Determines policy and establishes program priorities.

d) Reviews and approves all Central New York RMP grant
proposals.

e) Clark T. Case, M.D., practicing physician surgeon is
current RAG Chairman.

—_ c)

B) Executive Committee

1) First established May, 1969
2) Consists of a chairman and 4 members of RAG
3) Nominated by committee of RAG and elected by majority vote
of membership.
4) Is responsible to RAG and its actions are subject to RAG
approval.
5) Functions:
Assists in formulating agenda for RAG meetings, recommends
' policy needs or changes to RAG, has assisted in resolving
some personnel problems for Core etc.

C) Categorical or other Committees

 

A reorganization in September, 1969, reduced from 8 to 6 the number
of existing committees: Community Health Education, Evaluation of
Services, Health Manpower, Hospital, Nominating, and Continuing
Medical Education and Special Programs.

These committees assist in identifying needs, recommend priorities,
assist in project development, technical review, evaluation etc.
Committees are appointed by and are responsible to the RAG.
a

D)

Program development

Eligible individuals or institutions may apply to Central New York
Regional Medical Program for project grant support. Core Staff
are available to assist in development of applications. Applications

“are reviewed by Core and the appropriate categorical committee prior

to submission to the RAG. The RAG retains authority for approval or
disapproval of project proposals and determines priority of proposals
to be submitted to Division of Regional Medical Programs.
 

FUNDED OPERATIONAL PROJECTS

#1 -- CONTINUING NURSING EDUCATION

#2 --

Objectives:

Objectives:

To update local nursing skills. Programs will be offered
in several ways: in-center programs and remote
presentations via telecommunications, both followed by
on-site visits; programs at sub-regional centers; and
programs designed to train additional teachers in

the region. There will be continuous planning and
monitoring to identify needs, resources, and the like.

REHABILITATION CONSUETAELON SERVICE

this project would focus on stroke using a mobile team
which would provide consultation, service, and
educational programs in peripheral hospitals and other
health care facilities in the region. The proposed team
would be under the direction of a physician and be
composed of physical and occupational therapists, speech
pathologists, and orthotists. Additional consultative
services would be available from other Departments of
the Upstate Medical Center which has an established
rehabilitation program and is designated as a primary
rehabilitation facility by the state.

#3 -- ONEIDA COUNTY TUMOR CONFERENCE

#4

Objectives:

The proposed series of teaching conferences would build
upon a previously conducted cancer clinic program. It
would initially involve seven cooperating hospitals in
Oneida County, each of which already has appointed a
Cancer Committee. The purpose of this project is
physician and nurse education. Ten monthly conferences
would be presented under the direction of the participating
hospitals on a rotating basis. Outside consultant-
lecturers would be used and the conferences would be open
to the entire medical community. It is anticipated that
the conference program might be extended to four
additional counties in the future.

~- FAMILY PRACTICE PROGRAM - ST. JOSEPH'S HOSPITAL

Objectives:

To provide consultants and lecture services in the |

areas of heart disease, cancer, stroke, and related.
diseases.

 
oo #5 -- NURSING CORONARY CARE TRAINING PROGRAM AT ST. LUKE'S AND ST, ELIZABETH'S
HOSPITALS, UTICA, NEW YORK

Objectives: 20 nurses in Utica area will each receive 20 days of
clinical and didactic training in coronary care each _
year. Because both hospitals are presently supporting
their own coronary care units, this request is primarily
for the additional efforts the nursing supervisors and
physicians will spend in this training program.

* #6 ~- HOME DIALYSIS TRAINING PROGRAM

Objectives: Establishment of home care dialysis training program at
the Upstate Medical Center in Syracuse for training
patients in home dialysis and serving as functional unit
in care of patients for training of public health nurses,
other nurses, physicians and medical students.

* #7 -- RENOVATION OF TEACHING SPACE IN GOOD SAMARITAN HOSPITAL

Objectives: Remodeling ward in Good Samaritan Hospital for
administration and educational purposes.

#8 -- THE NEW YORK STATE SIGMOIDOSCOPIC DEMONSTRATION TEACHING PROGRAM

Objectives: To acquaint physicians with incidence, symptoms and
recognition of common tumors of the rectum; to teach
correct methods for the performance of proctosigmoidoscopic
examinations; to keep adequate records of utilization
and value of the course to the physician; and, to assist

- previous physician-students in their offices if help
is desired. Has been planned by advisory group of
physicians and pilot program has been funded through
the Division of Chronic Diseases.

#9 -- MEDICAL BRIEFS BY TELEPHONE AT ROBERT PACKER HOSPITAL, SAYRE,
PENNSYLVANIA

Objectives: Provide local physician specific and up-to-date
, information on tape recordings available by toll-free
oo telephone. Current information on heart disease,
cancer and stroke will be supplied twenty-four hours
a day.

* #10 -- EQUIPMENT GRANT REQUEST FOR COMMUNITY-GENERAL HOSPITAL, SYRACUSE, N.Y.
Objectives: Purchase of equipment to be used in educational
activities at the Community-General Hospital in

Syracuse, |
\

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_ #11 -- REGIONAL LEARNING RESOURCES CENTER FOR NURSING CONTINUING
EDUCATION

Objectives: Provide teaching guides, reprints, outlines, and
other materials including moving pictures and
videotapes to augment nursing training, particularly
in the smaller hospitals which cannot afford nursing
educators.

#12 -- PREVENTION OF AND EFFECTIVE RECOVERY FROM CARDIOVASCULAR ILLNESSES
THROUGH KNOWLEDGEABLE NURSING INTERVENTION

Objectives: The School of Nursing at Syracurse University will
sponsor a 16-weeks course for the graduate nurse
to increase her knowledge and understanding of CV
_ nursing and to improve her ability to deliver quality
- eare to patients with heart disease.

* Approved but no RMP funds provided,

 

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