sa

 
 

PROFILE:

NORTHEAST OHIO REGIONAL MEDICAL PROGRAM

Grantee: Northeast Ohio RMP (a not for

profit corporation)

Current Chief Executive:
Barry Decker, M.D.

Profile originally prepared by:
Michael J. Posta

Original date: December, 1969

Updated:

 
snd

 

II.

III.

IV.

Vi.

VII.

VIII.

TABLE OF CONTENTS

' Map of the Northeast Ohio Regional Medical Program

Geography

Demography Data
Population

Land Area
Health Statistics
Facilities Statistics
Personnel Statistics

Politics

Historical Review

Core Staff

Organizational Makeup

Grand Design (to be completed when Region becomes operational)

Operational Projects

 
NORTHEAST OHIO REGIONAL MEDICAL PROGRAM
12 Counties

and
Principle Cities

Population:
3,781,772 - 1960 Census

4,178,000 - 1967 Estimate
4,517,000 ~ 1970 Estimate

Ashtabula

ASHTABULA CO.

   

GEAUGA CO.

   
 
  
  

 

 
 

 

   
   
   
 
  
   
      
    
   

 

 

 

   

 

Cleveland
Amherst
ELynia CUYAHOGA CO. iddlefiaed
TRUMBULL CO.
LORAIN CO.
MEDINA CO Warren
Medina {SUMMIT CO. | PORTAGE CO.
Aktion Kent Revenna me
Wadswo - Youngstown
MAHONING CO.

 

 

Alliance

East Palestine
COLUMBIANA CO.

STARK CO.

Massiblon
Canton

    

 

Lisbon

 
 

1)

2)

3)

4)

5)

6)

GEOGRAPHY

The Northeast Ohio Regional Medical Program is comprised of the
twelve counties located in the extreme Northeastern section of

_ Ohio.

Principal cities include Cleveland, Akron, Youngstown, Warren,
Ashtabula, Lorraine, Painesville and Salem. (see map on pre-
ceeding page)

The grantee (Northeastern Ohio Regional Medical Program) was
incorporated as "a not for profit" Ohio corporation simultaneously

» with the approval of the initial planning grant award.

The Case Western Reserve University School of Medicine is the sale
Medical College located in the Northeast Ohio Region.

Six geographical sub-regional areas have been established which
provide for local planning and participation in many program

‘activities (see Organizational Chart - Section VI).

Thirty-seven defined subregional postal zones have been utilized
in establishing demography, mortality and hospital utilization data.

 
 

II.

DEMOGRAPHY

1) Population: Estimated 4,178,000 (1967)

a)

b)

Roughly 70% urban; Cuyahoga County is nearly 100% while
Geauga County is only 9.3%; Others range. from 43 to 79%.
Roughly 88% white; Cuyahoga County is 17% non-white;
Mohoning County is 12% non-white; other counties range
from 1 to 8%.

2) Land area: 5,784 Square miles

3) Health Statistics:

a)
b)
c)

Mortality.-rate for Heart Disease-=373/100,000
Rate for Cancer--164/100,000
Rate for CNS Vascular Lesions--90/100,000

4) Facilities Statistics:

a)

b)
c)

d)

Medical School: Case Western Reserve University, Cleveland,
Ohio; enrollment - 340

There are seven schools of nursing

There are eighteen schools of medical technology; six schools
of cytology (5 at hospitals)

As of 1967, there were 72 hospitals with approximately 18,290
beds; two are long-term with 505 beds; 10 are osteopathic
hospitals.

5) Personnel Statistics:

a)
b)

c)
d)
e)
£)}

As of 1969, there were 6,570 MDs practicing in the Region.
Also 345 osteopaths were active.

As of 1969 there were 19,523 registered nurses (12,885 were
employed)

Dentists - 2,150

Physical Therapists - 189

Occupational Therapists - 49

Social Workers - 107 (hospital employed, only)
 

—™

~N

III. POLITICS -- As of August 1969

Senators:

Stephen M. Young (D) - Special Committee on Aging, Aeronautical
and Space Sciences, Armed Services, Public Works

William B. Saxbe (R) - Aeronautical and Space Sciences, Labor &
Public Welfare, Special Committee on Aging

Representatives

J. William Stanton (R) - District 11; Banking and Currency,
Select Committee on Small Business

Charles Mosher (R) - District 13; Merchant Marine & Fisheries;
Science & Astronautics

Frank T. Bow (R) - District 16; Appropriations, Joint Committee
on Reduction ™

Wayne L. Hays (D) - District 18; Foreign Affairs, House Adminis-
tration, Select Committee on Parking

Michael J. Kirwan (D) - District 19; Appropriations, Joint
Committee on Reduction of Federal Expenditures

Michael A. Feighan (D) - District 20; Judiciary, Merchant Marine

and Fisheries; Joint Committee on Immigration and Nationality
Policy

Louis Stohes (D) - District 21; Education & Labor, Internal Security

Charles A. Vanik (D) - District 22; Ways and Means

William E. Minshall (R) - District 23; Appropriations
IV.

 

Sm rey mein acento onetmgengees aera ge

HISTORICAL REVIEW

Spring, 1966

Fall, 1966

February 3, 1967

August 3, 1967

October 10, 11, 1967

Deans of eight medical schools (Cincinnati,

Ohio State, Case Western Reserve, Pittsburgh,
Indiana, Kentucky, West Virginia and Louisville)
met and determined that the geographical area
to be served by these eight shcools was too
extensive and too heterogenious to be organized
into a single regional medical program.

1) The Academy of Medicine of Cleveland ex-
pressed initial interest in establishing a
RMP in Northeast Ohio.

2) “An advisory group of 162 members was formed:
Composition include representatives of the
Academy of Medicine of Cleveland, the Case
Western Reserve University School of Medicine,
presidents from adjacent county medical
societies, the Heart and Cancer Association
of Northeast Ohio and various voluntary health,
lay, labor and business groups.

3) Dr. Ivine Page, Emeritus Consultant, Division
of Research, Cleveland Clinic was elected
Chairman of the advisory group.

1).:-Executive Committee appointed from above
Advisory Group to further explore feasibility
of potential program.

2) Dr. Frederick C. Robbins, Dean, Case Western
Reserve University School of Medicine was
designated Chairman.

Health officials of the twelve county area en-
dorsed the planning grant application.

Initial planning grant approved by DRMP.

1) Reviewers were impressed with the intent
of the application. ,

a) "Medical facilities are extensive with
many outstanding general hospitals"

b) "Cohesive quality is strengthened by
the fact that most of the physicians
are graduates of Case Western Reserve
or undertook residencies and/or intern-
ships in one or another of the hospitals
in the Region.

 
 

January 1, 1968

June 1, 1968

July 1, 1968

First year planning grant awarded for
$267,911 (D.C.).

1)
2)
3)
4)
1)

2)

A "not for profit" Ohio Corporation was
established. .

Former Executive Committee becomes the
first Board of Trustees.

Dr. Barry Decker (present Program Coordina-
tor) was employed.

Until this date, Region experienced problems
in recruiting qualified personnel; therefore:

No planning activities were undertaken during
the initial five months.

A six-month extension to the 01 planning
grant was requested; approved by DRMP.

Progress of 01 year planning (1% years):

yD

2)

3)

350 volunteer physicians, nurses, allied’
health professional and interested members

of the public representing hospitals, agencies,
institutions and communities were organized

in a interdependent committee structure.

Data collection needs were identified and
five well-conceived publications on health
related data were compiled and distributed.
Quantitative studies included:

a) regional inventories of manpower, facili-
ties and training programs. ,

b) physician attitudes toward continuing
education. .

c) demography, mortality and hospital
utilization in 37 defined subregional
zones.

d) study of hospital use in relation to.
medical need.

Internal organization of the Region was
developed (see Organization, Section VII).

meen

ct eg ee
 

May 1969

July 1969

August 1969

November 5, 1969

November 20, 1969

ao
December 1, 1969

4) Strategy (route towards achieving
goals) of the NEORMP established
to include:

a) pre-planning 1967 - June 1968

b) organizational development -
December 1968

c) data gathering - through June 1969

d). Input-output design - august,
‘September 1969

e) Categorical project design based
on available data

f) operational transition - January 1970°
through June 1970

g) project design from September -
July 1970

National Advisory Council approves -
planning grant for 02 year $462,662 (D. c. )
for 7/1/69 ~ 6/30/70.

Division approves expenditure of $10,000
(subcontract) for Library network feasi-

bility study.

DRMP staff approve expenditure for feasi-
bility study concerning laser beam tele-
vision service. ($3,000)

Regional Advisory Group met and formally
voted approval for:

1) The priorities established

2) The initial operational grant request
including 10 projects,

3) The budget with provision for review
by the Board of Trustees before the
newly budgeted positions are filled.

Writer visited Program Coordinator for
details necessary for the preparation of
this profile.

Initial operational grant application sub-
mitted to DRMP.

 
eo . : :
.) —~  Y¥. THE "CORE STAFF" OF THE NEORMP

-The "core staff" of the NEORMP is described by the following table
of organization with newly requested positions starred:

 

- PROGRAM COORDINATOR
DEPUTY PROGRAM COORDINATOR®

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIRECTOR .OF | ‘| DIRECTOR OF
-| ADMINISTRATION : COMMUNICAT TONS*}
- SUPPORT SERVICE CATEGORICAL DISEASE
~~ DIRECTORS AND
SUBREGIONAL COORDINATORS
HEART .
_ EDUCATION _ _ DISEASE = —]— NORTHERN AREA
; ___ | RESPIRATORY
PUBLIC EDUCATION} __ | DISEASE —t— LORAIN AREA
RESEARCH , EASTERN AREA
~ 4 r—~ | STARK AREA
- CANCER
EVALUATION* AND — |. | CENTRAL AREA
~ | STROKE
NURSING _AND LL | cuvarioga AREA.

 

 

 

 

 

ALLIED HEALTH = |

 

 

The persons employed, their location, committee and other responsi-
~~. bilities are described in the following table followed by curriculum vitae for
C) currently employed staff and the chairmen of the RAG and Board of Trustees.

 
 

 

COMMITTEES AND

 

 

 

 

 

 

 

 

 

 

 

 

 

M.S.

 

 

 

POSITION PERSON TIME | LOCATION OTHER RESPONSIBILITIES
Board of Trustees
; * | Regional Advisory Group
rdinator | Barry Decker, M.D. 100% NEO Prograin direction and
Program Coordina , , RMP coordination, liaison
to RMPS: and other
local agencies
Project review activ-
nora to be employed ities, assume coordi-
Coordinator ( 7/1/70 yes) 100% NEORMP nator's responsibility
| in absence of coordi-
} nator
Fiscal Management ,
Director Richard Meloy ~ 100% NEORMP supervision of affil-
Administration lating relationships,’
office management
. to be employed Publications
cere t Or tions C 7 /1/70 ved) 100% NEORMP Internal communications
Public relations
Director E. Bart Johnson, 100% NEORMP Education Committee
Education M.A. and Subcommittee .
o
Director Lowell Bernard, 503 | Cleveland Public Education rg
Public Education M.P.H. Health Museum | Subcommittee oy
_ » RE
Health Service A 2 o
Director ° Committee A
Rescaver, James Suter, M.S. | 100% | — NEORMP Health Data Ei aa
Committee 2 Oth
noe
Jirect (to be employed) Project and Program g at
irector anne . ;
svaluation 7/1/70 100% NEORMP Evaluation 3 2 + :
BOG
“gs
Jirector Nursing (to be employed . Bb
. yed) 0 Allied Health Q
and Allied Health 1/1/70 / 100% NEORMP Subcommittee ft ao
*rograms . ®
aa .
ssi. Director | Arthur Lifson, 100 | NEORMP Neate Diseese

Northern Area

 

 
11

 

 

 

 

 

 

 

 

 

 

 

- | % | COMMITTEES AND
JSITION PERSON TIME LOCATION OTHER RESPONSIBILITIES
Assistant Director | Martha McCrary, R.N.| i995 NEORMP Respiratory Disease] ¢
M.A. - Lorain Area mig
. , HO
ny
Assi ‘ Hiram Nickerson % Cancer
sistant Director | M.A., MPH. 100 NEORMP Stroke Fo
Assistant Director Mary Wheeler 100% NEORMP Cuyahoga Area ~ oS rh
. Mahoning Valley © OS
Assistant Director Jean Baird, R.N., 100% | Health Planning ee is oe
: Stark Area B®
. ' M.S. © Corporation BN
+ ; fue
| Summit-Portage F Q
Assistant Director (to Ae 100% | Health Planning] Central Area fa
_ | Corporation gs -

 

 

 
a

12.

BIOGRAPHICAL INFORMATION

1)

2)

3)

4)

Barry Decker, M.D. - Program Coordinator

a)
b)
c)
da)
e)

£)
8)

Born New York City, 1928

AB, Columbia College, 1948

M.D., N.Y.U. College of Medicine, 1952

M.S., Minnesota, 1958 -

Director, Medical Education, Richmond, Virginia, Memorial
Hospital, 1961 - 1966

Private Practice, Internal Medicine & Pheumatology, 1961 ~- 1964
Medical Director, Chief of Staff, Youngstown, Ohio, Hospital
Association, 1966-1968

Richard C. Meloy - Director of Administration

a)
b)
c)
d)
e)
£)
g)

E.

a)
b)
c)
d)
e)
f)

Born Detroit, Michigan, June 12, 1911

BS, Trinity College, Hartford, Connecticut, 1932

Customer Research Staff, General Motors, 1933-1939

Supervisor of Customer Research, Dayton, Ohio, 1939-1944

Manager, Market Research, Delco Division of General Motors, 1948-56
Marketing Director, Gray Inn Founders Society, Cleveland, 1956-63
Proprieter, National Auto Dealers Service Franchise, Rochester,

New York, 1963-1968

Bart Johnson - Director of Education

Born Clinton, Iowa, March 10, 1926

AB and MA, State Univ. of Iowa, 1951

Ed. D. (Candidate) 1961 - present, Case Western Reserve

Instructor and Admin, Assistant, Medical College of Ga., 1957-59
Research Assoc. & Director, Health Studies Program, Case 1959-63
Assoc. Professor & Counselor, Cuyahoga Community College, 1963-69

James Suter, M.S. - Director of Research

a)
b)
c)
d)
e)

f)

Born London, England, January 30, 1932

AB and MA, Psychology, George Washington U. - 1958

Ph.D. Candidate (expected 1970)

Personnel Management Specialist - Office of S.G., USPHS, 1959-60
Chief, Intramural Research, Div. of Hospital & Medical Facilities -
Bethesda - 1966-1968

Chief, Regional Health Facilities & Services Section, Bethesda,
1968-1969

 
5)

6) -

a

a

Charles L. Hudson, M.D.; Chairman, RAG

-

b)
c)
d)
e)
f)

Born Merrill Michigan, 1904

AB, Alma College, Michigan, 1924

M.D., Univ. of Michigan, 1930

University Hospitals of Cleveland, 1930-1962

Director, University Health Service, Western Reserve Univ., 1958-61
Assoc. Professor Medicine, Cleveland Clinic Educational Foundation,
1962 to date

Frederick C. Robbins, M.D., Chairman, Board of Trustees

a)
b)
c)
d)
e)
f)
g)

Born Auburn, Alabama, August, 1916

AB and BS, University of Missouri, 1938

MD, Harvard, 1940

Intern, Resident, Research Fellow, Harvard, 1940-1950

Pediatrics, Harvard, 1951-1966

Associate Pediatrician, University Hospital, Cleveland, 1952-present
Dean, School of Medicine, Case Western Reserve Univ., 1966-present

 

 
 

VI. Organization of the Northeast Ohio Regional Medical Program

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Regional
© Advisory | ~~ ~~ a
Group \ { { i
' Vertical '
' Categorical , Horizontal
: \ CommiTeses 1 Problem Committee
i t
@) Board of . iv : b
Trustees I
H Cc s R Medical Service
E A T E
A}| [NI [R] [Ss {
Program R C 0 P Education
Coordinator T E K I {
R E R
A F-{ Health Data
T L
_ 0 {
R
(>) |
T
i f
Regional Office Staff
QO I a ce J 4
BY fe) fe] ofst le e
Six o 2 s . ® Pe
Area 5 o B . Q Ho
Committees 3 A c an
7
\
x xe xg xe x x

lop reapers or TENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

. a
A.
B e
Cc.
aa

15

Categorical Disease Committees:

1)
2)

3)

The Heart, Cancer, Stroke and Respiratory Desease Committees
(See above chart) are composed of disease experts from throughout
the twelve county Region.

They consist primarily of physicians who are charged with problem
identification and project design within their respective disease

concerns.

Diabetes and renal disease are assigned to the Heart Committee.

Horizontal Committees:

Because problems of Medical Service, Education and Health Data Collection
transcend beyond disease borders, separate committees, which are broadly
representative of the twelve counties, have been developed to establish
problem identification and project design in their titular areas of con-
cern. :

1)

2)

3)

4)

The

1) The Medical Service Committee is composed of public health officials
hospital or clinic administration representatives, community service.
agencies and medical staff administration personnel.

2) The Education Committee is composed of university teachers, hos-
pital directors of medical education, nurse educators and voluntary
health agency personnel.

3) The Health Data Committee integrates the skills of the statisti-
cian and data processor with the perspective of the physician and
the community or hospital service agency administrator. ©

Area Committees:

Twelve counties of the Region have been subRivided into six areas
having "natural trade and professional relationships."

The percentage of the Region's total population, to each of the six
areas, are noted on the chart above.

Committees were established by local agreement to more effectively
involve the local professionals and their institutions and to more
adequately recognize "grass~root" problems and needs. ,

The six committees represent the health providers of the area.
above three types of committees (A, B & C) functions are:

a) problem identification and project design

b) review of projects submitted by affiliated agencies

c) consultation for other committees

 

 
SO ee ste cone pe eee

16

Program Coordinator and Regional Office Staff (Core):

1)

2)

3)

The

The program coordinator is the primary agent of the Board of
Trustees and, as chief executive officer, is accountable to
the Board for the proper functioning of the NEORMP.

The Core staff is included in the previous Section (V).

Total expenditures for personnel was $300,000 during the 02
planning grant year. (7/1/69 - 6/30/70)

Board of Trustees:

 

1)

2)

3)

The

by

2)

3)

Consists of 14 annually appointed members who elect their
chairman.

Meets monthly. (Hope to have a Board member from each of the

six sub-regional areas and representation for the major disciplines
of medicine, nursing and hospital administration).

The Board was originally the Executive Committee of the RAG and
assumed trustee responsibilities when NEORMP became a not for profit
corporation of Ohio.

The Board:

a) establishes policy and supervises the Program Coordinator's
implementation of these policies.

b) continues to function as Executive Committee of RAG.
ec) recommends priority rating of specific projects.
Regional Advisory Group:

Is representative of health disciplines, disease interest and
geographical areas.

Includes:

a) Chairman and two additional members from each of the 13
committees (A, B, C) = 39

b) ° 14 Members of the Board of Trustees

c) 18 at-large members
The 71 member RAG meets 4 times a year to:
a) receive progress reports

b) review projects and priorities submitted by the Board of Trustees

 

 
 

 

nna Sen aptan

teh |e a ni

Sittin. Hae to

4)

5)

17

All members have detailed prior knowledge of projects which allows
for greater involvement of these participants.

Consists of:

7 Practicing physicians
5 Medical Center Officials
*13 Hospital representatives
15 Medical Societies
4 Other Health Professions
12 Comm. Health Welfare Hosp. Planning Agencies
5 Voluntary Health Agencies
9 Public
1 Health Departments
71 TOTAL

*Two are hospital administrators - balance are M.D.'s, chief's of
hospital staffs and one Director of Medical Education.

Project Initiation and Review Process:

 

Projects can be initiated by any of the Committees of the NEORMP or
oo by any non-profit agency or health organization in Region.

All grant requests have the same review process:

oo ~

1) Staff will initially review all applications to insure the
inclusion of necessary and pertinent material.

2) Referred to appropriate expert Committee or Committees.

3) All go to area Committees for opinions regarding local applica-
bility. Following review, modification and re~review, projects?

4) Are submitted to Board of Trustees for approval, priority rating
and referral to

5) RAG; all approved are submitted to

6) Division of Regional Medical Programs in order of RAG priority.
Worksheets are used in the evaluation of all project applications.
This Grant Evaluation Form is used by staff, appropriate Committees,
the Board and the RAG. Form requires comment on project's
a) concept, b) feasibility, c) need, d) interrelations, e) region-
alization, f) relevance to PL 89-239, g) relative value, h) adequacy
of proposed evaluation. This form creates a cover sheet for each
application and permits each visualization of projects through a
multi-stage evaluation. —

 

 

ees : ee eran ape Pes ETN TT = r 0 ee nee RR NE
 

1)

2)

- 3)

4)

5)

6)

7)

8)

9)

10)

 

VITI..

PROJECT

NEORMP "Core" Support

Hospital Library Consulting Services

Northeast Ohio Regional Program for
Continuing Education of Nurses in
Coronary Care

Rheumatic Fever Prevention by a
Streptococcal Culture Program

Organization for University
Cooperation in Health (OUCH)

Continuing Education for Physical
Therapy

Televised Postgraduate Medical
Education Programs

A Comprehensive Out-Patient Stroke
Rehabilitation Demonstration

Dial Access Lectures

Summer Workshop in Career
Development

11) Medical Taxi Services for

Residents of Rural Geauga
County .

SUMMARY OF PROPO.

NEOVR
PRIORITY

I

II

II

It

II

Til
IIr
IIT

IV

IV

PERATIONAL .PROJECTS

GRANT RECIPIENT
NEORMP

Cleveland Health Sciences Library
Case Western Reserve University

American Heart Association,
Northeast Ohio Chapter

American Heart Association,
Northeast Ohio Chapter

Metropolitan Health Planning
Corporation

Physical Therapy Graduate
Curriculum, Case Western
Reserve University

Cleveland Academy of Medicine

Lake County Society for
Crippled Children and Adults
NEORMP

Cleveland Health Museum -
Kent State University

Geauga County Medical Society

FUNDING DURATION

3

3

Years

Years
Years
Years

Years

Years

Years
Years

Years

Years

Years

8T