CSU
J, SKUBITZ
DISTRICT 5 —- PITTSBURGH

KANSAS REGIONAL MEDICAL PROGRAM

The State of Kansas was one of the earliest participants ©
in Regional Medical Programs, Its program, which started
July 1, 1966, is now operational and is currently being
funded in the amount of $1,081,479. Dr. Charles E. Lewis, of
the University of Kansas Medical Center, is the program coord:i-

nator...

The program, in an effort to achieve more involvement of
key health leaders throughout the State, is stimulating the
formation of local action groups. These "grass-roots" groups
will advise the program on all its aspects including planning,
project development, and operations.

Several of the operational activities are reaching out

from the Medical Center to the communities. These programs
include a model community educational program for the training
of local medical and paramedical personnel in collaboration with
the University of Kansas Medical Center, a study of the quality
and availability of medical care in Kansas, and Health Sciences
Communication and Information Center which links the health
facilities cf communities such as Parsons, Emporia and Wichita

to the Medical Center.

.

More information on the Kansas Regional Medical Pregram
follows.
J. SKUBITZ
DISTRICT 5 - PITTSBURGH

KANSAS REGIONAL MEDICAL PROGRAM

 

REGION State of Kansas
COORDINATING HEADQUARTERS University of Kansas Medical Center _
STARTING DATE July 1, 1966
FUNDING |
Current Award: $981,479
Current Requests: $1,978,396
Projected Next Year: $3,300,000
OPERATIONAL STATUS Received operational grant June 1, 1967
PROGRAM COORDINATOR , Charles E. Lewis, M. D.
ADVISORY GROUP 1, Chairman: George A. Wolfe, M.D., Dean

2, Membership: Medical Center 4; Practicing
Physicians 4; Hospital Administrators 33
Voluntary Heaith Agencies 2; Public
Health Officials 3; Other Health
Workers 1; Public 5.

.

Pre-planning began when it became apparent that the initial legislation would
become law. The Dean of the Medical Center, Dr. E. Arden Miller, in consultation
with Governor William Avery, began plans to initiate a request for funds for a
planning grant. Governor Avery designated the medical center as the official state
agency to make application for a grant and he appointed the initial members of the
Advisory Council with broad representation from the health fields in Kansas. An
application was developed and Kansas received one of the first five grants in

the nation.

Organization and Staffing
The central professional planning staff now totals nine people with a much

larger number involved in the operational aspects of the program. Positions
filled include an Associate Director of Continuing Education and three Assistant
Kansas ~2-

Directors for Nursing, Health Related Professions, and Institutions and
Administration, There are also positions for specialists in library science,
computers and communications,

The program has also organized a scientific advisory panel which has no veto
power but comments on the merits of proposed projects. The Kansas City
Metropolitan area crosses State lines. To facilitate communication and
coordination between Kansas and Missouri Regional Medical Programs a special
advisory committee has been organized for the area composed of representatives

of the two programs.
Regional Advisory Group

The Regional Advisory Group has been a very active one and has held eight
meetings since its initial formation, It has expanded recently to include more
consumer and public representation. Dr. Lewis has sought to involve the Regional
Advisory Group in the development of a program philosophy.

Subregionalization

In an effort to achieve more involvement of key health leaders from throughout
the State, the program has formed local action groups in various subregions.
These groups advise the program in all its aspects including planning, project
development, and operations.

Planning Activities

A number of planning activities have defined needs and led to operational
projects which are discussed later, Other studies are underway or planned in
health manpower, library facilities, training resources, disease patterns and
patient referral patterns, Feasibility studies are being carried out to evaluate
coronary care units in Kansas City, determine the needs of occupational and
physical therapists for continuing education, and determine the feasibility of

a data bank containing pooled data from the Kansas State Board of Health, Blue
Cross-Blue Shield, Regional Medical Programs, and various other agencies,

Operational Activities : 4
1, Education Programs-~Great Bend, Kansas

To develop a model educational program in a selected community. A full-

time faculty, which will be affiliated with the Kansas Medical Center, will

be in residence, Included among a comprehensive program are plans for

continuing physician and nurse education and clinical traineeships for

health related personnel, Studies will be made of community needs, resources, etc.
@ Kansas -3-

2.

3.

Health Sciences Communication and Information Center

To establish communication linkages vital to education, service, and
research programs undertaken by the University Medical Center and remote
health care installations, Specific projects will include a physician
communications system study, TV teaching studios, electronic linkages,
and Medlars search capacity. Among the communities involved in this
project are Parsons, Emporia and Wichita.

Study of the Quality and Availability of Medical Care

To determine unmet needs for patients, locations, professional education,
and working arrangements of physicians and those in the health related

disciplines.
Hospital Information System and Data Facilities

To conduct studies within the region concerning various aspects of community
resources and needs, epidemiologic data, and participation of health care
personnel in continuing educational programs. A computer system will be used.

Cardiovascular Nurse Training

To develop an in-service training program to prepare nurses with basic
physiological knowledge of coronary care, ability to use instruments and
equipment in coronary care units, experience in home care, and familiarity
with social agencies that can aid in the rehabilitation of patients.

Cancer Detection Program-~Providence Hospital

<

To evaluate the strengths and weaknesses of the Cancer Detection Center

now operating as an area referral center in Providence Hospital in Kansas
City, Kansas. The records of patients will be studied to show effectiveness
and yield of test results, type of personnel who have used the clinic

and their source of referral, and effectiveness of follow-up.

Cardiovascular Work Evaluation

To demonstrate the Cardiac Work Evaluation Unit and show its usefulness
for the evaluation and rehabilitation of the patient; to develop an
effective technique for showing physicians and the community at large the
ability of patients to return to work.

The following projects are contained in the first supplementary operational
request. These have not been through the DRMP dual review,

1, Continuing Education for Cardiac Care

Will be centered around $t. Francis Hospital, St. Joseph Hospital
and the Wesley Medical Center in Wichita.
De

wha
Metropolitan Kansas City Nurse
Retraining Program in the Associated Hospitals of Greater Kansas City.
Development of a Kansas Health Data Bank
Utilizing the State Department of Health and the Kansas Hospital
Association. Initially the project will make use of the computer
facilities at Kansas University in Lawrence,
Self-Instructional Centers
A project to expand the use of self-instruction materials devs oped
under the Great Bend project to other smaller community hospi: .1s in
the region. The locaticns for these centers have not been decided upon,

Training Program for Detection of Cancer of the Gastrointestinal Tract

Involving both short and long term fellows at the Kansas University
Medical Center and the Kansas City Veterans Administration Hospital.
ADVISORY COMMITTEE FOR PLANNING FOR REGIONAL MEDICAL PROGRAMS

IN KANSAS

Chairman

George A. Wolf, Jr., M.D.
Provost and Dean
University of Kansas Medical Center

Kansas City, Kansas

Ivan D. Anderson
Kansas Blue Cross-—Blue Shield
Topeka, Kansas

Robert Anderson

Chairman, Kansas State Board
of Social Welfare,

Ottawa, Kansas

Floyd E, Black
Topeka, Kansas

Arthur H. Cromb
Mission Hills, Kansas

Mrs, Edward Curry
Kansas Heart Association
Topeka, Kansas

Mahlon H. Delp, M.D.
University of Kansas Medical Center

Kansas City, Kansas

Hugh Dierker, M.D.
Director, Kansas State Board of Health
Topeka, Kansas

Frank L. Gentry

Executive Director

Kansas Hospital Association
Topeka, Kansas

Mrs. Tom Gordon
Great Bend, Kansas

Mrs. Georgia Neese Gray
Kansas Division American Cancer Society
Topeka, Kansas
Roy C. House

Administrator, Wesley Hospital and
Medical Center

Wichita, Kansas

Jim Ingwersen
Leroy, Kansas

Charles E, Lewis, M.D.
Coordinator, Kansas Regional Medical Program

Kansas City, Kansas

Russell C. Mills, Ph. D.

Associate Dean

University of Kansas Medical Center
Kansas City, Kansas

John L, Morgan, M.D.
President, Kansas Medical Society
Emporia, Kansas

Robert C. Polson, M.D.
Great Bend, Kansas

William J, Reals, M.D.
Wichita, Kansas

Joseph M. Stein, M.D.
Topeka, Kansas

John Steineger
Kansas City, Kansas

Mrs. Gerald T. Waggoner
Director, School of Nursing
Mt. Carmel Hospital
Pittsburg, Kansas

Robert W. Weber, M.D.

Chairman Committee on Medical Schools
Kansas Medical Society

Salina, Kansas