Lakes Area Regional Medical Program VOL. VI, NO. 7 AUGUST-SEPTEMBER, 1974 ARD OF $182,040 NARMP Holds First Annual Meeting; Officers Elected The National Association of Regional unded by LARMP FUND 5 PROJECTS Medical Programs, a voluntary The Lakes Area Regional Medica professional and educational association Ambulatory Care Services Program, Inc., received an award of of individuals and institutions associated Model Used In Planning $182,040 from the Division of Regional with the nation's 53 RMPs held its Annual Medical Programs, U.S. Department of Meeting September 3-5 in Denver, Hospital Facility Health, Education and Welfare, which Colorado. will be used to fund five health relate - 'Ver 300 persons representing all the The School of Architecture and En- 5 RMPs attended and participated in vironmental Design, State University of projects benefitting Western New YorK special workshops and discussions aim- New York at Buffalo, has completed an and Northwestern Pennsylvania. ed at developing better understandings eight-month study financed by the Lakes The L.A.R.M.P.'s Regional Advisory of the internal operations of the Area Regional Medical Program, Inc., Group approved on September 12, the programs and mapping plans for the which is being used by the Buffalo funding of five projects that were future. General Hospital to design its new am- previously approved by the L.A.R.M.P. Among the speakers were Herbert bulatory care facilities and to enable but not funded due to lack of funds. The Pahl, Ph.D., Acting RMPS Director, and them to make better administrative new award will provide support for ap- Jerome S. Wagshall, a Washington, D.C., policies and decisions for their hospital. proximately ten months to June 30, 1975. attorney, who represented RMP in legal The cost of the project was $100,000. The projects are: The Regionwide actions resulting in the release of $126 A team of researchers, headed by Genetics Program, which will provide million in RMP appropriated funds il- Associate Professor Gunter Schmitz, education and special diagnostic and legally impounded by the Nixon Ad- developed the model which is based on counseling facilities in the nine county ministration and the Department of about 300 hours of direct observation of region of Western New York and Health, Education and Welfare. Also, patients and employees while in am- Northwestern Pennsylvania; The Primary Robert. Z. Bohan, aide to Colorado bulatory clinics, plus in-depth identifica- Care Nurse Practitioner Program, to ex- Senator Peter Dominick and minority tion of trouble spots and measures used pand the role of the nurse in the healt' counsel to the Senate Budget Corn- to deal with patient-employee problems, related delivery system; Domiciliary Sta f - Data gathered revealed the interac- In-Service Training, to develop an in- mittee, who discussed aspects of pen ding federal health legislation which tions between the formal organization, its service training program to improve ser- affects RMP and other federally funded physical environment, and the behavior vices within domiciliary facilities T he Rehabilitation of Aphasia Patients@ bas_ prog rams. of its personnel. ed at W.C.A. Hospital, Jamestown New " set of by-laws for the N.A.R.M.P. (Cont'd on Page 2) York, to develop a regional center f@r the was adopted by the group. LARMP Grant Sparks treatment of aphasic patients (speech therapy) from throughout Western New ELECTION Training Program In York and Northwestern Pennsylvania; A slate of officers for the Geriatric Rehabilitation and the Centralized Relocation Service National Association of Regional for the Aging, a pilot study designed to Medical Programs was also A $5,000 grant from the Lakes Area decrease the trauma among the elderly elected. The officers are: Chairman Regional Medical Program, Inc. has associated with relocating from one set- - John R.F. lngall, M.D., Lakes made it possible to devise a training ting to a more appropriate one. Area RMP, Buffalo, N.Y.; Vice program that will help the elderly enjoy a Chairman - Donal R. Sparkman, more happy and worthwhile time of life. In This Issue M.D., Seattle, Washington; The training program, under the Secretary - J. Gordon Barrow, Cameron, Elk, McKean, Potter Counties -$182,040 Funds 5 Projects M.D., Atlanta, Georgia; Treasurer Mental Health, Mental Retardation, Drug -NARMP Annual Meeting-Election - Benjamin Morgan, Lakes Area and Alcohol Abuse Program, enables -RMP Accountability Report RMP, Buffalo, New York. Board those serving the elderly to become -Rural Extern Report Members - Paul D. Ward, more effective in dealing with senility in -EMS Project Activity Oakland, California; James W. older people, and to acquaint them with -TLN Schedule - October Culbertson, M.D., Memphis, some basic techniques in geriatric -Geriatric Training Programs -Ambulatory Care Services Model Tennessee; Robert W. Brown, rehabilitation. The program, which -Hurried Response to M.D., Kansas City, Kansas; Charles began on September 12, directs itself Money Offers Out W. Caldwell, Oakdale, Iowa. (Cont'd on Page 2) LAEMS Trains 2,250 EMT's In The Region Since a program to train Emergency Medical Technicians was undertaken by the Lakes Area Emergency Medical Ser- vices in October, 1972, a total of 2,250 persons have been trained throughout the L.A.R.M.P. region. Erie County leads with the number of E.M.T.s trained with 1,806, followed by Cattaraugus County with 120; Allegany with 1 1 4; and Niagara with 60. Two refresher training programs con- ducted over the LARMP's Telephone Lecture Network netted 150 more trained. In another area of L.A.E.M.S. activity, E.J Meyer Memorial Hospital Emergency Room personnel, Dr. Robert Gatewood and the Medical Emergency Radio System, Faye Nardi, R.N., receive radio message from which received about $169,000 in funds from the Lakes Area Regional Medical the ambulance that a patient is on his way for Ambulance attendant Anthony Siracusa Program, Inc. in April, 1974, to purchase treatment. sends a message to a hospital emergency radio equipment, has been used exten- room via the Medical Emergency Radio sively. Radios were installed in hospitals, TLN SCHEDULE-OCT. System as the ambulance rushes a patient commercial, police and emergency October 9-Wednesday to the hospitaL rescue squads to provide instant Corn- MEMBIECAL RECORDS-2:00 P.M. DICAL PRIVACY IN COMPUTER TECHNOLOGY munication. The new system is designed Elemer R. Gabrieli, M.D. Worth Repeating to increase the quality of emergency October 10-Thursday care throughout the area. PHARMACY JOURNAL CLUB-9:00 A.M. "We must keep moving, remain ONCOLOGY FELLOWSHIP DRUGS AND RENAL FAILURE-Part I receptive to new ideas, accepting the The New York State Division, Mary Barto, Pharm. D. Candidate SUNYAB time it,takes for the good ones to American Cancer Society, is offering a 2- MEDICAL LIBRARIANSHIP-11:30 A.M. reach full expression. This time, like week fellowship in the field of Oncology THE HEALTH SCIENCE LIBRARY-A SERVICE, the ages of man, can be divided into for a physician in private practice. NOT A PLACE Helen Yast, M.A.L.S. seven phases: 1) I don't believe it, 2) It The Fellowship provides a two-week Katherine Wimmer, M.A.L.S. (Cont'd on Page 4) won't work, 3) The numbers are not minimum period at Roswell Park Me- statistically significant, 4) It's morial Institute, Buffalo, New York, on AMBULATORYCARE (Cont'dfromPagel) dangerous, 5) it's not possible to a full-time basis as an observer. The make it generally available, and then, program will be individualized according "The importance of using good data in after a little while, 6) Of course, we've to the particular interest of the recipient planning a new facility such as the am- known it all the time, and 7) Actually and will include meetings, conferences, bulatory care facility at the Buffalo we thought of it first ourselves." General Hospital, cannot be From an address by John F. Stokes, ward rounds and visits to laboratories, both with research workers and with overemphasized," says Scott Danford, M.D., University College Hospital, Project Director. "Defining what various London. those responsible for the clinical employees do in their daily routine and management of cancer patients. A sti- when and where they do these things are pend of $1,200 is made available to important. Good data collection can Continuing defray the expenses and loss of income determine, for example, how many in- to the physician during his/her absence terns actually need to be assigned to a Education Programs from practice. The physician must reside clinic, or how many registered nurses Two continuing education workshops within the area of the Division. Inquiries are necessary during certain times of the for health professionals will be to: Chairman, Professional Education day. Or how to shift procedures from one presented by the Lakes Area Regional Committee, American Cancer Society, time of day to another to eliminate Medical Program, Inc. in October. They New York State Division, Inc. @a 6725 bottlenecks and long patient visits." are, Lyons Street, P.O. Box 7, East Sy cuse, "The Ambulatory Care Services OCTOBER 16-17: Health Team Ser- New York 13057. Model, which computerized the data vices - Right of the Elderly - Erie LARMP GRANT (Contd from Page 1) collected is a group of tools which can be County Home and Infirmary, Alden, New toward the staffs, administrators, board used to solve a problem or a group of York - registration limited. members and other local authorities ser- problems. It's necessary to find out OCTOBER 24: Current Concepts In ving both private and public nursing which employees perform certain tasks the Treatment of Uterine Cancer - homes and health facilities. The and where they go to perform them and Wellsville Country Club, Wellsville, New program's objectives Include an ask whether these particular employees York. emphasis on the improvement of ex- should be doing this task. Only when the Another program entitled "Crisis: isting rehabilitation techniques and the problems are identified, be they struc- Death in the Hospital," sponsored jointly development of new ones. Also, through tural or staffing, can a solution be by the WCA Hospital, Jamestown, New the use of films, lectures, discussions devised," Mr. Danford said. York, and the LARMP, will be held and role pfaying, the program hopes to Copies of the Ambulatory Care Ser- November 6 at the First United Methodist educate the personnel of other health vices Model report can be obtained by Church, Buffalo Street at Lakeview related facilities about the needs of the contacting Scott Danford, School of Avenue, Jamestown. elderly, improve communication among Architecture and Environmental Design, For reservations contact: LARMP, the agencies involved with older people, State University of New York at Buffalo, 2929 Main Street, Buffalo, New York and promote better utilization of existing 2917 Main Street, Buffalo, New York 14214, facilties. 14214. Rural Externship Students In Action Fifty-seven health sciences students participated in this summer's eight-week xternship Project, sponsored by Rural E the LARMP, The purpose of the project is to provide students with actual living and working experiences in rural areas where health manpower is in short supp- ly, with hopes they will like the setting and ider setting in one of these rural cons areas after they graduate. Students found the experience challenging and worthwhile, many indicating they like Medical Student Mark Strassberg, right, rural medicine and will consider it after listens as Dr. A.F. Wasilkowskt Assistant Graduation. Jessica Kort, a senior physical therapy stu- Radiologist, WC.A. Hospital, Jamestown, dis- dent, works with a patient at Mt. View cusses an X-ray. Hospital, Lockport, N.Y. .............. ................ ................. . ............ ....... Tumor Registry Report Available The Lakes Area Regional Tumor Ser- 1969 and serves hospitals, physicians area, and to assist in the establishment vice Registry has published a two year and cancer patients in the geographic and maintenance of hospital based report which includes data submitted to area of the LARMP. The project is cancer registries. Copies of the report the Registry by 20 participating hospitals designed to improve patient care are available. Write, Lakes Area during the period from January, 1970 through a careful follow-up system, to Regional Tumor Service Registry, 651 through December, 1972. Funded by the provide a method of continuous evalua- Elm Street, Buffalo, New York 14203 or LARMP, the Registry was organized in tion of the cancer control program in the call 883-7169. From the Director's Desk Hurriedly Constructed Projects In ..................... .. . .. .... ........ .............. ........... .............. Response to Money Offers Is Out A question frequently asked of the things. It is irresponsible for those whose 2. The Lakes Area Regional Advisory RMP is: "Why should we construct a problem is balancing the books to solve Group will not approve the accep- proposal to do things and submit them to their problem; namely the distribution of tance earmarked money by the your organization when there is no money and in so doing create a problem Lakes Area Regional Medical money available to support us? for the community asking to use it. This Program, Inc. in response to a Good proposals well constructed, particular opinion is supported by hastily constructed plan. responding to a well defined need in this resolution of the Board of the Regional 3. The Lakes Area Regional Medical region require construction because of Advisory Group and reads as follows... Program will not compromise the the very existence of that need. Further- WHEREAS the hurried commitment of quality of projects devised by sub- more, good projects require a decent monies towards the end of the fiscal year jecting the administrative staff to a time period to produce a good docu- vitiates responsible planning for their planning obligation in an un- ment; one that stands a much better commitment, and reasonably short time. chance of success in the competitive WHEREAS the resolution of a This RMP will continue to help the funding arena than those projects that problem, namely disbursement of unen- community in defining its needs and are constructed in haste just because cumbered funds at the Federal level documenting its response to them. money has suddenly been made creates conflicts at the community level, There is considerable competence and available. This Is Irresponsible. Where and experience within our organization to projects are submitted to provide com- WHEREAS our private corporate continue to do this. It is an enabling func- munity services or improve medical care function is the response to a regional tion necessary in a community and will delivery, the community itself should plan and review of the technical value of be needed for the future and should be have time and the opportunity to con- that response, and seen as a necessary function irrespec- sider what is being devised in their in- WHEREAS the community accep- tive of the label of the organization which terest. tance of that response and their invest- discharges it. Community input from those involved ment in that response must be JOHN R.F. INGALL, M.D. in the provision of services and equally documented, and Executive Director those recipients of them cannot take WHEREAS the foregoing requires Lakes Area RMP, Inc. place in the time allowed by the Federal time, negotiation, sincere commitment agencies especially at the end of the and a framework which can be fiscal year. It is, therefore, my view that monitored, evaluated and modified. Now Free Booklets we could have well constructed projects therefore Booklets describing the Allegany and programs available in the "top BE IT RESOLVED THAT: County Mobile Health Unit and the Rural drawer" and ready to go rather than to 1. The Lakes Area Regional Advisory Externship Program, both projects fund- construct them hurriedly at the last Group will not respond to requests ed by the Lakes Area Regional Medical minute in response to offers of money. I for proposals in a time-frame seen Program, Inc., are available for the ask- believe money is not the reason for doing as inadequate. ing. Write, Editor, FORUM, for copies. RMP Accomplishments Listed In Booklet CANCER ONCOLOGY/NURSING-12:30 P.M. NURSING MANAGEMENT OF-THE PATIENT RMP BENEFITTING PEOPLE & IM- ... over 80 percent of the almost WITH MELANOMA PLEMENTING LOCAL HEALTH SERV- 1000 RMP projects not designed as Linda Weisbeck, R.N. ICES is the title of a recently prepared "one-time" activities were continued by DIETETICS-2:00 P.M. report describing the nation's RMPs local financing mechanisms at an annual LEGAL ASPECTS OF DIETETIC PRACTICE acomplishments in developing health estimated level of $58 million after RMP Samuel S. Rabkin, L.L.D. delivery systems across the country over funding support was completed. October 17-Thursday the past four years. ... RMPs provided major technical RESPIRATORY THERAPY TECHNOLOGY-11:30 A.M. Findings contained in the report show assistance in over 6000 instances in RESPIRATORY STIMULANTS (Journal Club) that more than 9 million people received creating new health services Robert Moore, ARIT direct health care services in Regional organizations and in securing over $350 David T. Smith, ARIT Medical Program (RMP) activities in million of non-RMP funds: (1) for ot@er VOLUNTEER SERVICES-1:30 P.M. STAFF ATTITUDES AND RELATIONSHIP 1973. An estimated 12 million additional health organizations for needed In- Pearl Ross, B.A., C.V.C. persons benefited as a direct result of provements in local health services , and Marilyn Herrgesall the use of new skills acquired by local (2) for rapid, locally suitable implementa- October 21-Monday health professionals in RMP training tion of new Federal initiatives. programs. Despite a year marked by The report was prepared by the RMP FOOD SERVICE-2:00 P.M. PROFESSIONAL FOOD PREPARATION lack of clarity in health policy at the Public Accountability Reporting (PAR) Dorothy Deering, M.S., R.D. Federal Administration level and illegal Group Council of which Robert J. Miller impoundments of Congressional ap- of LARMP is a member. This 10 member October 22-Tuesday propriations, the RMPs continued to Council was formed to develop descrip- MEDICINE & SURGERY-11:30 A.M. record substantial accomplishments in tive and evaluative information about the NEUROMUSCL)LAR DISORDERS IN INFANTS AND CHILDREN expanding and improving local services nation's 53 RMPS. PAR operates in K. Kalyanaraman, M.D. for people. cooperation with the Division of Regional NURSING-1:30 P.M. Other findings of a March, 1974 Medical Programs and under the PATIENT READINESS TO LEARN national survey of the Nation's 53 RMPs auspices of the Coordinator's Executive Barbara K. Redman, Ph.D., R.N. revealed that in 1973., Committee. EMERGENCY MEDICAL TRAINING-7:00 P.M. . I . over 150,000 health professionals Copies of RMP-BENEFITTING PEO- (Intended for locations designated by the Emer- received training in quality assurance PLE AND IMPLEMENTING LOCAL gency Medical Services Director) medical audit programs, new types of HEALTH SERVICES are available upon October 23-Wednesday health manpower roles (e.g. nurse prac- request. Write, Editor, FORUM. ANESTHESIA-3:15 P.M. titioners, physician assistants and THE ELECTROCARDIOGRAM DURING ANESTHESIA emergency medical technicians) and TLN SCHEDULE (Cont'd from Page 2) Raymond Trudnowski, M.D. new skills (e.g. kidney tissue typing and October 15-Tuesday October 24-Thursday neonatal intensive care). MEDICINE & SURGERY-11:30 A.M. ALLIED HEALTH-1:00 P.M. ... more than 3500 local health care COMPUTERIZED AXIAL TRANSVERSE A TEAM APPROACH TO WORKING WITH AN facilities participated in RMP initiated TOMOGRAPHY AUTISTIC CHILD quality assurance medical audit William R. Kinkel, M.D. Lewis K. Shupe, Ph.D. programs designed to improve specific NURSING-1:30 P.M. Gary Powell, M.S., O.T.R. acts of medical care. Programs frequent- THE AGED ADULT IN THE COMMUNITY October 29-Tuesday ly result also in moderating costs of care. Sister Mary Balthasar, M.S., R.N. MEDICINE & SURGERY-11:30 A.M. EMERGENCY MEDICAL TRAINING-7:00 P.M. DIAGNOSTIC APPROACH TO HEADACHES Since July, 1971: (Intended for locations designated by the Emer- Ellen S. Dickinson, M.D. gency Medical Services Director) NURSING-1:30 P.M. ... the RMPs have initiated almost October 16-Wednesdays NURSING IN A MOBILE HEALTH UNIT 200 .0 major, innovative demonstr at ion Virginia L. Barker, Ed.D. projects. Projects were jointly funded by CANCER ONCOLOGY/PHYSICIANS-11:30 A.M. TREATMENT OF MELANOMA EMERGENCY MEDICAL TRAINING-7:00 P.M. RMPs ($110 million) and other DouQlas E. Holyoke, M.D. (Intended for locations designated by the Emer- organizations ($53 million). Arnold Mittelman, M.D. gency Medical Services Director) Lakes Area Regional Medical Program, Inc. 2929 Main Street Non Profit Org. Buffalo, New York 14214 U.S. Postage P A I D Buffalo, N.Y. Permit No. 271 FORUM is published by the Lakes Area Regional Medical Program, Inc. 2929 Main Street G A L I Buffalo, New York 14214 34 N PFARL ST John R.F. Ingall, M.D. BT)FF ALn ki y 1 4 7(l, 2 Executive Director Anthony Zerbo, Jr., Editor Hugo Unger, Photography TIME VALUE