@u T. Macdonald District 7--Malden, Mass. TRI-STATE '-REGIONAL MEDICAL PROGRAM Mr. Macdonald's district is situated within the Tri-State Regional Medical Progra@ which includes the three states of Massachusetts, New Hampshire, and Thode Island. Since a planning grant totalling $439,037 was awarded only three months ago, the program is in its early stages of staffina and planning. The Tri-State Region, through its newly created Medical Care and Educational Foundation, Inc., brings together in a powerful and unprecedented coalition through six medical schools (Harvard, Boston University, Tufts, the University of Massachusetts, Dartmouth, aid Broi,in), with the practicing profession, the university and community hospitals, public health agencies and the public. It is expected that by July 1968 high-level staff will have been appointed and planning and feasibility studies begun. Activities and studies will focus on strength- ening relationships among health institutions, establishing local connunity-wide planning groups, evaluating and expanding resources for continuing education and trainina inventories, patient care facilities C> and services, and demographic studies. Three State Advisory Committees are assisting in local planning, and C, the 30-meeDer Committee, includes outstanding representatives from the key relevant health and medical institutions in the state. A listina is C, attached. @LII)UiNaLij DISTRICT 7 - MALDEN TRI-STATE REGIONAL MEDICAL PROGRAM REGION States of Massachusetts, New Hampshire, and Rhode Island COORDINATING HEADQUARTERS Medical Care and Educational Foundation, Inc. STARTING DATE December 1, 1967 FUNDING Current AiTard: $439,037 Projected Next Year: $1,300,000 OPERATIONAL STATUS Anticipated to begin operational activities in Fiscal Year 1969 PROGRAM COORDINATOR Norman S. Stearns, M.D. Acting Director Medical Care and Educational Foundation, Inc. ADVISORY GROUP 1. Chairman, Mac V. Edds, Jr., Ph.D. Division of Medical Sciences Brown University President, Medical Care and Educational Foundation, Inc. 2. Medical Center Officials, 12; Practicing Physicians, 12; Hospital Administrators, 6; Voluntary Health Agencies, 12; Public Health Officials, 6; Other Health Workers, 7; Public, 11 OrRanization and Staffing Despite the fact that the Tri-State Regional Medical Program has just received its planning grant award, there has been rapid progress in the Region. The need for the systematic involvement of the area'Sgreat medical resources required a significant amount of pre-planning activity. The Medical Care and Educational Foundation, Inc., was founded to act as the focal point for the coordination of regional activity. Dr. Stearns, formerly Associate Director for Continuiiic, Education and Director of the Postgraduate Medical Institute in Boston, is Acting Program Coordinator. The Regional Advisory Group will advise the trustees of the corporation and will review the operational proposals. A central planning unit will be headed by a director who will be responsible for Tri-State - 2 planning finances and administration. He will be assisted by two associate directors responsible for data collection, analysis, medical education, and patient care services. The six medical schools are the corporate members of the corporation and have representatives on many of the committees within the RMP. Subregional Development It is the opinion of the staff and the trustees of the regional program that regional planning for medical care must have two principle foci - the local medical service area and the central regional planning group. While the major element of local planning will be the community hospital, emphasis will be placed upon the involvement of all the health resources in the area. Reaional Advisorv Group The Regional Advisory Group contains representatives from Massachusetts (30) New Hampshire (19) and Rhode Island (15). These members will play a key role in expanding the base of the RMP through involvement of the key health institu- tions in the three State region. Planning Activities Since this program- is now beginning, it is difficult to project its future 0 activities. It is anticipated, however, that by July 1968, they will have completed recruiting for hiah-level staff and will embark upon planning studies in the following areas: C, a) the involvement of institutions and individuals in RMP. b) the establishment of community based planning organizations. c) the evaluation of on-going in-person educational programs. d) the expansion of the Dartmouth TV network to Massachusetts and Rhode Island. e) the expansion of the Postaraduate Medical Institute consultation service program for planning and developing community hospital education programs. f) the development of a consultation service for planning, and the development of education programs for nurses and allied health professionals. g) the development of a consultation service for community hospital medical libraries. h) data collection for medical service area definition. i) demographic studiesi J) inventories of nursing homes, hospitals, and medical manpower. k) inventories of continuing education activities. Relationship-t6 Comprehensive Health Plann@ It is too early to tell how the Tri-State @NIP will relate to Comprehensive Health Planning. Dr. Stearns has indicated that the region will focus on this matter Tri-State - 3 throughout the planning phase. A strong relationship is developing between the Rhode Island group and Dr. Ernest Cook, Director for Comprehensive Health Planning in Rhode Island. ADVISORY COMMITTEE FOR PLANNING FOR REGIONAL MEDICAL PROGRAMS IN MASSACHUSETTS Chairman Mae V.-Edds, Jr., Ph.D. Division of Medical Sciences Brown University President, Medical Care and Educational Foundation, Inc. Dr. Harry T. Phillips Dr. Dorothy J. North Department of Public Health Boston, Massachusetts Dr. W. Warren Babson Dr. Laurence B ' Ellis Massachusetts Medical Society Boston, Massachusetts Mr. Richard T. Viguers Mr. Robert B. Lowry Massachusetts Hospital Association Boston., Massachusetts Nathaniel N. Bennett, M.D. Massachusetts Chapter of the American Academy of General Practice Boston, Massachusetts Dr. Marshall K. Bartlett Massachusetts Chapter of the American College of Surgeons Boston., Massachusetts Miss Mary 0. Halloran Massachusetts Nurses Association New Bedford, Massachusetts Dr. Richard P. Stetson Veterans Administration West Roxburg, Massachusetts John C. Dalton, M.D. Easter Seal Society 10 Boston, Massachusetts 2 Henry C. Meadow Harvard Medical School Boston,- Massachusetts Dr. Alonzo S. Yerby Harvard School of Public Health Boston Massachusetts .9 Dr. Franklin G. Ebaugh, Jr. Boston University School of Medicine Boston, Massachusetts Dr. William F. Maloney Tufts University School of Medicine Boston, Massachusetts Dr. Lamar Soutter School of Medicine University of Massachusetts Boston, Massachusetts Dr. Herbert Minkel Department of Public Welfare Boston., Massachusetts Henry J. Babst, M.D. Massachusetts Public Health Association Boston, Massachusetts I Dr. Frank P. Foster Lahey Clinic Foundation Boston, Massachusetts Dr. Robert P. McCombs Postgraduate Medical Institute Boston, Massachusetts Dr. Leonard N. Donsanto Massachusetts Dental Society Boston,Massachsetts Dr. A. Stone Freedber- C$ Massachusetts Heart Association Boston, Massachusetts Dr. Robert R. Brown Massachusetts Osteopathic Society Newtonville, Massachusetts -3- Mr. John J. Tobin, President Mass. State Association of Plumbers and Pipefitters Boston, Massachusetts Mrs. R. Morton Claflin Bostoni Massachusetts Harrison B. Clapp Springfield, Massachusetts John Quarles, Esq. Boston, Massachusetts Laurens MacLure, V.P. Boston Safe Deposit &Trust Co. Boston, Massachusetts Rt. Rev. Monsg. Augustin C. Dalton St. Kevin's Church Dorchester, Massachusetts Dean K. Webster, Jr. President, Bd. of Trustees Lawrence General Hospital Lawrence, Massachusetts Mrs. Raymond McK. Mitchell Fairhaven, Massachusetts Dr. William A. Miessner American Cancer Society Boston, Massachusetts ADVISORY COMMITTEE FOR PLANNING FOR REGIONAL MEDICAL PROGRAMS IN NEW HAMPSHIRE Charles E. Wilder, M.D. New Hampshire Heart Association Laconia, New.Ha-pqshire William L. Wilson New Hampshire Hospital Association Hanover,, New Hampshire Mrs. Jeannette Bernier New Hampshire Nurses Association Manchester New Ham shire .9 p Miss Mary L. Fernald New Hampshire Nursing League Durham New Hampshire .9 Arthur Niahswander,, Esq. 0 New Hampshire Social Welfare Council Laconia, New Hampshire Dr. Robert W. Christie New Hampshire Society of Patholoaists Lancaster, New Hampshire General Public (by the Governor) 1. Thomas Breslin United Steel Workers of America Concord, New Hampshire 2. Richard Lewis Editor and Publisher Franklin Journal Transcript Franklin, New Hampshire Desmond O'Hara New Hampshire Careers Council Manchester, New Hampshire ADVISORY COMMITTEE ,@iOR PLANNING FOR REGIONAL MEDICAL PROGRAMS IN RHODE ISLAND Mr. George F. Moore, Jr. Department of Education Providence, Rhode Island Mae V. Edda., Jr.P Ph.D. Brown University Providence, Rhode Island Dr. Lester L. Vargas Rhode Island Hospital Providence . Rhode Island Mr. Walter R. Martin Rhode Island Council of Community Services, Inc. East Providence, Rhode Island Robert S. Burgess Rhode Island Council of Community Services, Inc. Providence, Rhode Island Dr. Johannes Virks Rhode Island Medical Center Howard,, Rhode Island Dr4 Louis A. Leone Rhode Island Hospital Providence, Phode Island Dr. Norris D. Wood University of Rhode Island Kingston, Rhode Island Dr. Melvin D. Hoffman Rhode Island Heart Association Providence, Rhode Island Mr. Doughten Cramer Rhode Island Heart Association Providence, Rhode Island Lloyd L. Hughs Rhode. Island Hospital Providence, Rhode Island -2 - Reverend Joseph D. Cassidy, Ph.D. Providence College Providence, Rhode Island George V. Coleman, M.D. Providence College Providence, Rhode Island Harry E. Darrah, M.D. Providence, Rhode Island Thrift Tyson, Jr. American Cancer Society Rhode Islan Division Providence, Rhode Island