ny - PROFILE: Virginia Regional Medical Program _ GRANTEE: Medical College of Virginia 12th and Broad Streets Richmond, Virginia 23219 PROGRAM COORDINATOR: Eugene R. Perez, M.D. 700 East Main Street Richmond, Virginia 23219 Originally prepared by: James A. Smith Operations Officer Original date: September 15, 1969 Up-dated: . Ti. Til. Iv. VI. VII. VIRGINIA Regional Medical Program ‘Table of Contents Geography Demography - Politics Historical Review Core Staff Organization Funded Operational Projects a Geography | The Virginia Regional Medical Program which is headquartered in the State Capital of Richmond, services the entire state of Virginia with a land area of 39,838 square miles. The population of the state is 4,692,675 covering 96 counties (and. 37 independent cities) with an average density of 100 people per square mile. The Virginia Regional Medical Program is divided into five distinct areas which are identical and correspond to the same five regions of the Virginia Hospital Association. VIRGINIA REGIONAL MEDICAL PROGRAM AREA DELINEATION MAP SCALE IN BILES ee : AREA 3 9 weeks unas U. of Va.° School of Medicine v eke sa reaton om faingan asusnveal? ' . - meen Re Ae LUVANGA WN weusom ) , Sw Auncast s TA evenmenan %, eotetount emonsin th \ epomartox ff. Moe. ecOFORe VaAsCwseL _% a 6 SUGHABAN \ \ ‘ Cawpetun We frabond, ORIREE OG! f = xs . GLAKD — “" \ sconoe 5” 42 SOON ne wrnet we wel svaay ; , Oe J? ae LP ‘ ~/ § Ne / y SueenK f aAUSociL : eon oN WYTHE wrvTevivaaia MaLarax BOUTHAMPTON tA sa MAMLE saty, no “ ALA APO RERN DD : 77 ONS om 42 Ocean Alteatle are Wasnineton ao GARACLd aaseTou GAayson wound fo) fs intel Pane TENNE S 5 f - Es NOR T 8 GC AROL SI AREA 5 Medical College of Va. _ o™. . , sooN qr. Demography A. Population: As of 1968, roughly 4.7 million 1. Roughly 57% urban 2. Roughly 81% white 3. Median age: 27.1 years (U.S. - average 29.5 years) Land area: 39,838 square miles - Health statistics: Mortality rate 1. Rate for Heart Disease - 317/100,000 (low) 2. Rate for Cancer - 129/100,000 (low) 3. Rate for CNS vascular lesions - 89/100,000 (low) . Facilities statistics 1. Medical College of Virginia 2. University of Virginia Medical School 3. Within this state, there are 43 nursing schools which offer LPN programs, and 33 that offer RN programs (including 21 Diploma degrees, 6 Associate Degrees, and 6 Baccalaureate Degrees). 4. There are 11 Schools of Medical Technology, 2 of which are affiliated with medical schools (the others are affiliated with hospitals). ©. There are 4 cytotechnology facilities within the state, 2 being affiliated with medical schools and the other 2 being affiliated with hospitals. 6. There are 20 X-ray technology facilities in Virginia, of which 2 are affiliated with medical schools. 7. The total number of hospitals in Virginia is 156 (of which 107 offer general medical services) with 40,116 beds. 8. There are 150 nursing homes within the state (55 having extended care facilities) with 7,879 beds. - Personnel facilities: 1. There are 5,018 M.D."s (123/100,000) and 38 D.0.'s (1/100,000) within this region. 2. There are 15,883 nurses (R.N.) and 5,743 (LPN) nurses. Ilt. Politics A. Governor: Mills E. Godwin, Jr. (D), 1966-1970 B. Senators: 1. Harry F. Byrd, Jr. (D), 1948-1971 2. William B. Spong, Jr. (D), 1966-1973 Member, Public Works Committee C. Congressmen: 1. David E. Satterfield (D) Member, Veterans’ Affairs Committee 2. John O. Marsh, Jr. (D) Member, House Appropriations Committee 3. William L. Scott (R) Member, Veterans' Affairs Committee IV. Historical Review 1965 1966 1966 Physicians, Hospital Administrators, Voluntary Health Agencies and Medical Educators meet to discuss PL 89-239. Governor appoints a Regional Advisory Committee of 14 members comprised of physicians and com- munities leaders. Dr. Mack Shonholtz, Com- missioner of Health, appointed as chairman. Executive committee of 6 formed to do preliminary planning, consider a coordinator and prepare the planning grant application. . Initial Planning Application 1. University of Virginia Medical School desig- nated as the applicant organization. 2. Initial regional boundaries to follow state lines. 3. Preliminary planning calls for the establish- ment of regional cooperative arrangements for research, training demonstration and continuing education in the areas of heart, cancer, stroke and related diseases. Review Committee and Council's critique of planning proposal are as follows: 1. Proposal shows an awareness of the medical need in the region with evidence of joint involvement and participation of the Medical Schools, State Health Department and. practicing physicians. 2. Existing programs in heart, cancer, stroke and continuing education are good and provide a framework for planning. 3. Plans for post-graduate clinical scholarships and traineeships for practicing physicians are impressive. January 1967 June 1967. Fall 1967 January 1968 © March 1968 July 1968 September 1968 aa 01 Planning award - $226,800 DC Both Medical School appoint Regional Medical Program committees. Dr. Eugene R. Perez appointed as full time coordinator of VRMP. Recruitment of staff and office space - slow. VRMP office temporarily located at the Richmond Academy of Medicine. 01 Planning grant extended for 2 months with no additional funds. VRMP office established at 700 East Main Street, Richmond, Virginia. Transfer of fiscal agent from the University of Virginia in Charlottesville to the Medical College of Virginia in Richmond. “New grantee is the Medical College of Virginia. Continuation application submitted as the Asso- ciation for the Virginia Regional Medical Pro- grams - A voluntary non-profit organization.. Submitted first operational proposal. Review Committee recommends site visit to region and resubmission of application in October cycle. Site visit: Dr. Michael E. DeBakey, Mr. John Thompson, Dr. Donald Chadwick, Dr. Bryant Jones, Miss Cecilia Conrath, Jessie F. Salazar. November 1968 February 1969 March 1969 August 1969 Positive features: 1. Strong tie with State Health Department. 2. Good involvement in the Medical Education pro-. grams of the two State Medical Schools. Recommendations: 1. Strengthen VRMP central staff. 2. Increase RAG representation. Review Committee and Council's critique of Operational application. 1. Little relationship between planning and pro- posed operational activities. 2. Noted strong commitment of Medical Society and State Health Department to RMP. 3. Concurred that strengthening of central RMP staff would help produce more effective planning. 4. Lack of broad representation on RAG. Recommendations: Approval of Core activities with continuing support of planning activities rather than becoming operational at this time. Supplemental planning award ~ $475,255 DC Governor of Virginia appoints 9 additional mem~ bers to RAG for a total of 20 members. Four standing committees on heart, cancer, stroke and related diseases formed to replace previous task forces. Operational Grant application submitted to the Division of Regional Medical Programs. V. Core Staff A. The Core staff Regional office is located on 700 East Main Street, in Richmond, Virginia. B. Approximately one half of the Core staff are full time partici- pants in the Regional Medical Program. The remainder of the staff is composed of Medical School representatives serving part time (50%) and the Medical Consultants serving 25% part time. For a more detailed chart of the Core staff, see Appendix. BIOGRAPHICAL INFORMATION 1) ‘ Eugene R. Perez, M.D. a) Born San Juan Bautista, California b) B.A., University of California (Berkeley) c) M.D. and M.S., McGill University (Montreal) d) Surgical Internship and Residency, University of California (San Francisco) e) Past State Director of Pan American Medical Association f) Director of the Virginia Regional Medical Program and Assistant Professor of Medical Education, Medical College of Virginia. 2) David K. Pechmann a) B.S., West. Chester State College b) R.P.T., Medical College of Virginia c) M. Ed., Temple University d) M.H.A., Medical College of Virginia e) Deputy Director, Virginia Regional Medical Program 3) Frederick L. Beamer, Jr. a) B.S. (Rural Sociology) Virginia Polytechnic Institute, 1952 b) M.S. (Rural Sociology) Virginia Polytechnic Institute, 1960 ‘c) Court Social Worker, City of Harrisonburg, Department of Welfare, 1955-1956 d) Field Consultant, Virginia Heart Association, 1956-1969 e) Community Liaison Officer, Virginia Regional Medical Program 4) Mrs. Ann S. Cann a) West Virginia Business College b) Concord State Teachers College c) Virginia Commonwealth University, Academic Division (RPI) d) Director of Public Information, Virginia Heart Association 1963-1968 e) Director of Public Relations, Central YWCA, 1961-1963 f) Assistant Public Relations Director, United Givers Fund 1960-1961 g) Communications and Public Information Officer, Virginia Regional Medical Program. 5) SF) 7) 8) Clark O. Martin a) Born Chicago, Illinois b) B.S., University of Virginia c) Master of Business Administration, George Washington University d) Research Contract Administrator, University of Virginia, 1961-1967 e) Director of Administration, Office of Sponsored Programs, - University of Virginia, 1967-1968. f) Program Development and Management Officer, Virginia Regional Medical Programs Barbara B. Peace a) St. Mary's Junior College, Raleigh, North Carolina b) North Carolina Baptist Hospital School of Medicine Record Library Science, Winston-Salem, North Carolina c) Petersburg Recreation Department; Supervisor, 1961, 1962 d) Petersburg General Hospital; Chief, Medical Records Librarian, 1964-1968 e) Veteran Administration Hospital; Chief, Medical ta Library, 1968-1969 f) Medical Record Officer, Virginia Regional Medical Programs Faye L. Peters, R.N. a) Mary Washington College, Fredericksburg, Virginia b) Medical College of Virginia, Richmond, Virginia c) University of Virginia, Roanoke Center, Roanoke, Virginia d) Past Director, School of Nursing, Community Hospital of Roanoke Valley, School of Nursing e) Past Associate Director, Nursing Education, Lewis-Gale Hospital School of Nursing, Roanoke, Virginia f) Past Instructor, Lewis-Gale Hospital School of Nursing, Roanoke, Virginia g) Nurse and Allied Health Officer, Virginia Regional Medical Programs h) Faculty, Medical College of Virginia, School of Nursing, Department of Continuing Education . Margaret W. Proctor a) A.A., Richmond Bland College, 1965 b) B.S., (Sociology) Richmond Professional Institute, 1968 c) Additional studies in Psychology, Virginia Commonwealth University, 1969 d) Petersburg Recreation Department; Supervisor, 1964 e) Survey Officer, Virginia Regional Medical Programs 9) 10) Wilma W. Schmidt a) University of Pittsburgh b) Arlington County Unit; American Cancer Society, 1955-1967 c) D.C. Tuberculosis and Respiratory Disease Association, 1968-1969 © d) Community Liaison Officer, Virginia Regional Medical Programs Patricia A. Westrick a) A.A., St. Petersburg Junior College b) B.A., (Education) University of Florida c) Palm Beach County Board of Public Instruction; Teacher, 1965-1966 d) Orange County Board of Public Instruction; Teacher, 1966-1968 e) South Carolina Regional Medical Program; Program Representative, 1968-1969 f) Community Liaison Officer, Virginia Regional Medical Programs Vi. Overall Organization A. Chart of organization ~ see attached B. Governor's VRMP Advisory Group 1. 2. 7. 1. 2. Consists of 20 members New members are nominated for the Governor of Virginia's consideration and appointment. RAG has final authority for approval of all activities proposed during the planning and operational phases of the program and on all matters of policy related to the program. Membership of RAG shall be a minimum of 20 Members may be appointed by the Governor to serve for staggered terms of (1) (2) (3) (4) years and shall be eligivle for re-appointment for a full term of four years. Membership must include broad representation of the health and social groups who will be served by the Regional Medical Program. RAG meets 3 times a year on the third Thursday of March, July and November. . Executive Committee Contains 6 members of RAG Authorized to act for RAG in the interims between meetings of the Regional Advisory Group; subject to its approval. Coordinating, Planning and Evaluation Committee 1. 2. Contains 6 members with Dr. Perez, ex-officio Chairman without vote Shall serve one year term and be eligible for re-appointment on an annual basis. . Program Director serves as ex-officio chairman without vote. Has authority to create ad hoc committees as necessary. 5. Membership shall be composed as follows: 1 Representative Medical College of Virginia - RMP Committee 1 Representative University of Virginia Medical School RMP Committee 2 Representatives Medical Society of Virginia's Committee 1 Representative Hospital Association of Virginia 1 Representative from the Chairmen of the Standing Committees of the categorical diseases E. Nominating Committee 1. Membership comprised of not less than 3 nor more than 5 of RAG 2. Shall be appointed each year at least 60 days prior to the November meeting and report to the RAG at the November meeting F. Other Committees 1. Standing committees other than those for categorical diseases, and Ad Hoc committees may be authorized by the RAG; shall be appointed by the chairman of the RAG. G. Standing Committees on Categorical Diseases 1. Membership of 4 categorical committees (Heart Disease, Cancer, Stroke, and Related Diseases) shall be appointed by the Coordinating, Planning and Evaluation Committee. 2. Each standing committee shall consist of no less than 10, nor more than 20 members. H. Medical Society of Virginia Heart, Cancer and Stroke Committee 1. Consists of 10 members 2. Serves as liaison with the Medical Society of Virginia. 3. Provide the opportunity to review projects and keep abreast of plans and projects of the VRMP. ae VIRGINIA REGIONAL MEDICAL PROGRAM . ORGANIZATION CHART FOR PLANNING AND OPERATION rece 3 PTR rated GOVERNOR'S REGIONAL ADVISORY GROUP i. } : | Executive Committee } - } OAT LT HY nie ‘ f * 4 4 i Coordinator - Director . : 3 E ‘ te . is 4 . ees ~Hospital and Related 4. i Administrative i i Medical School LY : Sop eyey u wees 4 ql : E Health Organizations é i Planning Staff 4 i Representatives : . k 5 4 Cake ETS ate ade . 3 } Geter heater aren menses tert & F i . § if iikiscal Agent 3 : aon . , Coordinating, Planning, , op = en 3 Consultants im om me ~~ and . = Medical Society of Virginia i : ; , j Evaluation Committee ; | Heart, Cancer, Stroke Committee = . 7 te x 4 _ . ‘ i ; : 3 MRO NRTA OCEN A tact PD EE ote ss a ey ; , Heart Disease i Cancer . troke i _ & Related Diseases : ; § i a f : ; * : : Committee Committee | * Committee | i Committee 2 ie Se % . - ‘3 4 , a a VII. FUNDED OPERATIONAL PROJECTS #1 -~ Core (based in Richmond, Virginia) Objectives: To support six professional staff, already employed, and thirteen professionals to be named, plus nine secretarial and clerical positions (28 total). APPENDIX He VIRGINIA REGIONAL ME EDICAL PROGRAM Project Development Cycle # 1969 - C . tren Preliminary: (Generation, Informal Written Concept) we, ; ~ / . : : . -. _-: . ee Development: Cycle Cut-off 1 JUN. 1969 3 . _ Concept approval by CPE Committee 1 L JULY 1969 __ 1969. ju L. ot Review and visits by staff, review by consultants or ad hoc committees. “Concurr ence by participants. AUG. _, Rewrite and signatures. | a VRMP Deadline 1 OCT. 1969 for review SEPT. l-— . . . a . Committee Review a, eo Standing committee on Heart20 OCT. 1959 —~OCT. | . — " " | " Cancer 21 OCT. 1959 OS " " Stroke 22 OCT.. 1959 “NOV. a me " " Related Diseases 23 OCT. 1959 Coordinating, Planning and Evaluation Kee NY (Comniittee of Medical Society of Va. 29 OCT. 1969) DEC. . z ~ Committee 6 NOV. "1969 JAN. - Regional Advisory | Group 20 NOV. 1969 FEB. .* - National Deadline 1 DEC. 1969 _DRMP Review Committee 25-25 FEB. 1970 MAR. National Advisory Council 23-24MAR.1970 APR. - . ; (Probable earliest starting date 1 MAY 1970 __) ae : - fe te we a et ee npn conta s atmmenen ce nnn tat nem coe een amenamennenge eta pimgetson eee Evaluation: . REGIONALIZATION Data ty ;Gollection * A Identification of Necds and Opportunities Data Review & bIp-Date . Project ™, Identification Project a peal 4 Evaluation Set Project Mm. Priorities Operate ji bro] cet Ssign O $5 . Project %, Operation Implementation of a Personnel “me Eugene R. Perez, M.D. David K. Pechmann Ann S$. Cann -Faye L. Peters c. O. Martin Barbara Peace Margaret Proctor Wilma Schmidt Frederick Beamer Patricia Westrick To be named "Se named ‘iuvmas Edwards, M.D. Carrington Williams, M.D. David Scott, M.D. James Tromater, Ph.D. W. R. Southward, M.D. M. Pinson Neal, M.D. William Hunt, M.D. . To be named To be named Title of Inst. Position Affil. ‘Director MCV Dty. Dir. MCV Comm. Off. Nurse Off. MCV Proj. Dev. Off. Medical Records Survey Off. Comm. Liaison Off. Comm. Liaison Off. Comm. Liaison Off. Comm. Liaison Off. Comm. Liaison Off. Heart Consultant Cancer Consultant Stroke Consultant Ed. Research, Eval. Biostatistics & Epidemology Med. School Rep. MCV Med. School Rep. UVA Secretary MCV Secretary UVA Time or Efforts ZHrs. 100 100 100 100 100 100 100 100 100 100 100 100 25 25 25 50 50 50 50 50 Salary 33,000 17,600 10,450 11,000 15,400 13,000 9,900 9,900 9,900 9,900 9,900 9,900 6,250 6,250 6,250 5,000 5,000 14,773 14,773 2,851 2,851 Fringe Benefits 3,000 1,600 950 1,000 1,400 900 900 900 900 900 900 900 937 937 937 750 750 2,603 2,603 119 119 Total 36,000 19,200 11,400 12,000 16,800 10,800 10,800 10,800 10,800 10,800 10,800 10, 800 7,187 7,187 7.187 5,750 5.750 17,376 17,376 2,976 2,970 > sonnel me Norma L. Doeppe To be named “Judy F. Moore Daronda Brooks Patricia Clements To be named To be named Title of Position Sr. Secretary Secretary Secretary Secretary Secretary Secretary Secretary Time or Efforts 100 100 100 100 100 100 100 Salary 5,909 4,728 5,253 5,253 5,253 5,253 5,253 Fringe Benefits 247 197 219 219 219 219 219 Total 6,156 4,925 5,472 5,472 5,472 5,472 5,472 - $283,202 athena Malate. Brief Curriculum Vitae | Eugene Reyes Perez, M.D. Birthplace: San Juan Bautista, California Education: Bachelor of Arts University of California (Berkeley). Doctor of Medicine and Master of Surgery McGill University (Montreal). Surgical Internship and Residency University of California Medical School Hospital (San Francisco). Teaching Appointments: Assistant in Surgery Universities of California and McGill. Instructor in Clinical Surgery Stanford University Medical School. Past Experience: U. S. Army Medical Corps 1941-1945, Lt. Col., Chief of Surgery, ‘Private practice of general surgery in San Jose, California 1946-1960. Numerous civic activities, most important being: San Jose Symphony Association, Mayor's Committee for Finance, and Santa Clara County Republican Central Committee. Various positions in Surgery, Administration, and Medical Education 1960 to present. Offices Held and Professional Organizations: past President Northern California Chapter American College of Surgeons and San Jose Surgical Society, and State Director of Pan American Medical Association. Memberships in numerous organizations, most important being: American Medical Association, “American College of Surgeons, American Society of Abdominal Surgeons, American Hospital Association, Association of Hospital Directors of Medica] Education, and Association of American Medical Colleges. Present Position: Director of Virginia Regional Medical Program, and Assistant Professor of Medical Education, Medical College of Virginia. Seem ee rn eer ee Bc amen See eee Brief Curriculum Vitae David K. Pechmann Education: B.S. Degree - West Chester State College R.P.T. Degree - Medical College of Virginia M. Ed, Degree - Temple University M.H.A. Degree - Medical College of Virginia Also studied at: Ursinus College and Northwestern University Teaching Appointments: Guest Lecturer - Virginia Polytechnic Institute Temple University University of Virginia | Teaching Assistant - = University of Vermont. Lecturer ~ Medical College of Virginia a U.S. Navy ~ World War IJ, Korean Conflict & Peace Time . Apprentice Seaman to Lieutenant Senior Grade Public School Teacher; Staff, Assistant Chief and Chief Physical Therapist in Community, University and Veterans Administration Hospitals; Administrative Staff Jefferson Medical College Hospital; Administrator, Vermont Rehabilitation Hospital; Assistant Executive Director, Hospital Council of the National Capital Area; Financial Management Consultant, American Hospital Association. Professional Memberships: American College of Hospital Adininistrators American Hospital Association American Public Health Association Association of Schools of Allied Health Professions Hospital Financial Management Association National Education Association Virginia Hospital Association Present Position: Deputy Director, Virginia Regional Medical Program 2) November 1968 Brief Curriculum Vitae Clark O. Martin Birthplace: Chicago, Illinois Education: Bachelor of Sciences - University of Virginia Master of Business Administration - George Washington University Past Experience: Banking and Accounting, Norfolk, Virginia, 1938-1941 U. S. Navy 1941-1961 Ensign to Commander, Supply Corps University of Virginia 1961-1968 Research Contract Administrator 1961-1967 Director of Administration, Office of Sponsored Programs 1967-1958 Present Position: Project Development and Management Officer; Virginia Regional . © ? o o Medical Program ooo cee ann ian "Sees ine ene pn Brief Curriculum Vitae Mrs. Ann S. Cann Birthplace: Hinton, West Virginia | . Education: West Virginia Business College, Bluefield, West Virginia Concord State Teachers College, Princeton, West Virginia Virginia Commonwealth University, Academic Division (RPI) Richmond, Virginia Past Experience: | Director of Public Information, Virginia Heart Association 1963-1968: Director of Public Relations Central YWCA (and PR Consultant, John Price Johes, Inc.) 1961-1963; Assistant Public Relations Director, United Givers Fund 1960-1961. P:evious experience included three years in administrative positions with the United States Government in Richmond and Ft. Belvoir, Virginia. Professional Memberships: Richmond Public Relations Association (Past member Board of Directors) Associated Business Editors of Virginia (Past member Board of Directors’ Virginia Chapter, American Society for Hospital Public Relations Directors Present Position: Communications and Public Information Officer Virginia Regional Medical Program March 1968 to present crate ehh ea ee CURRICULUM VITAL - . Faye L. Peters, R.N. fo dul cation: Mary Washington College, Fredericksburg, Virginia Medical College of Virginia, Richmond, Virginia ‘ University of Virginia, Roanoke Center, Roanoke, Virginia Past Experience: Director, School of Nursing - Community Hospital of Roanoke Valley School of Nursing, Roanoke, Virginia Associate Director, Nursing E dueation - Lewis-Gale Hospital School of Nursing, Roanoke, Virginia Instructor - Lewis -Gale Hospital School of Nursing, Roanoke, Virginia Current Memberships: American Nurses' Association - Virginia Nurses’ Association National League for Nursing - Virginia League for Nursing Medical College of Virginia - Alumni Association and Nursing Section a rrent Professional Activities: Virginia Nurses’ Association - Headquarter Committee; Chairman, Committee on Convention Program; Short and Long Term Goals Committee Virginia League for Nursing - Membership Committee Medical College of Virginia - Alumni ~ Nursing Section - By- Laws Committee Second Vice President, District V - Virginia Nurses’ Association Virginia Division, American Cancer Society - Professional Education Committee Past Activities: Virginia League for Nursing - President and Board Member Virginia I Nurses’ Association - President and Board of Directors, District II Governor's Mental Health Study Commission National League for Nursing - Council of Diploma Programs Committee on Resolutions Roanoke Chapter, American Red Cross Disaster Committee Roanoke Chapter, American Cancer Society - Professional Education Committee, Chairman of Nurses' Seminar Committee ‘Numerous Committees on State and District Level in Nursing Organizations Present Position: LO Nurse and Allied Health Officer - Virginia Regional Medical Pr ogram Faculty Appointment - Medical College of Virginia, School of Nursing, Department of Continuing Education a SIRT mre enactment aie eens meng an per te crete petit ain cca ee RN RE ER SIE CURES I CER SEU HR ELE EE Gf ERE Eg ER eee trary Rey macrmrmem pers omnes ananar w*