DISTRICT 2-OMAHA

                NEBRASKA-SOUTH DAKOTA REGIONAL MEDICAL PROGRAM

              The Regional Medical Program for Nebraska and South Dakota
          has planning funds in the amount of $349,367.  The Advisory
          Committee is large, active and broadly representative of the
          professional health organizations and the public of both
          states.  Task Forces have focused on the subject areas of
          Heart Disease, Cancer, Stroke, Continuing Education, Manpower
          and Community Services.  The use of the latest technology to
          provide early detection of heart defects in school children
          is one of the interesting applications to bring the benefits
          of latest scientific advances to all.

              More detailed information on the Nebraska-South Dakota
          Regional Medical Program can be found in the following
          material.


                                                         G. CUNNINGHAM
                                                         DISTRICT 2 - OMAHA

                             NEBRASKA-SOUTH DAKOTA REGIONAL MEDICAL PROGRAM

      REGION                           Nebraska-South Dakota

      COORDINATING HEADQUARTERS        Nebraska State Medical Association

      STARTING DATE                    January 1, 1967

      FUNDING

           Current Award:              $349,367

           Projected Next  Year:       $2,500,000

      OPERATIONAL STATUS               Anticipated to Begin in early Fiscal Year 1969

      PROGRAM COORDINATOR              Harold S. Morgan, M.D.

      ADVISORY GROUP                   1.  Chairman:  Robert J. Morgan, M.D.,
                                           President Nebraska-South Dakota State Medical
                                           Association, 916 West 10th Street Alliance,
                                           Nebraska  69301

                                       2.  Membership:  63  (attached)   Practicing   Physicians
                                           14; Medical Centers 15; Hospital Administrators
                                           3; Voluntary Health Agencies 6; Public Health
                                           Officials 6; Other Health Workers 8; Public
                                           8; Other 3

      Organization and Staff

      A Regional Executive Committee, made up of members of the Advisory Committee,
      servos as the operational planning and administrative body for the region, subject
      to final approval of its  actions  by  the  Regional  Advisory  Committee.  The  Executive
      Committee has named Harold S. Morgan, M.D., as Program Coordinator and has met monthly
      with him and the core staff.     Approximately ten core staff appointments were filled
      at the end of June, 1967.  Task forces on Heart, Cancer, Stroke, Continuing Education,
      and Manpower and Community Services have been organized.  These have developed ideas
      and submitted projects in outline form which will comprise the basis for pilot
      projects and feasibility studies.  A Regional Planning Committee, composed of
      representatives from both states, has met twice to consider proposals and reports
      submitted by the Program Coordinator.  Some  time  was  spent  orienting  the  members  to
      the work of the various Task Forces.  Two feasibility studies were presented and
      approved. Reports were given  on  emerging  ideas  for  planning  or  feasibility  studies
      and for future operational projects.  The Committee's recommendations were then
      forwarded to the Advisory Committee.


      Nebraska-South Dakota                     -2-

      It is estimated that approximately 200 persons are actively contributing to the
      program either as full or part-timd core staff members$ as consultants, or as
      committee members.

      Regional Advisory Group

      The Regional Advisory Committee is composed of 63 members drawn from the two-
      state region.  It is broadly representative of the professional health organizations
      and of the public of the two states.  The first meeting of the Advisory Committee
      was held in November, 1967 at which time by-laws were adopted and a general
      orientation was given to the Committee members.  The Committee reviewed proposals
      and activities of the Regional Planning and Regional Executive Committees and gave
      its approval to two feasibility studies.  It also reviewed and approved the
      Annual Progress Report for 1968. In  the  future,  the  Regiona  Advisory  Committee
      will meet quarterly to review all actions of the Core Staff and Executive Committee.

      Planning Activities

      Planning for several programs is being carried on.  Comprehensive health     studies
      are in progress in Nebraska and South Dakota.  These are being conducted   by private
      consultants in both states.  It is estimated that data will be compiled and processed
      by March, 1968. Two feasibility studies  are  also  progressing.  One  involves  the
      enlargement of an existing project, a remote E.C.G. Analysis by computer.  Another
  loinv6lves the screening of school children for abnormal heart sounds by the use of
      a Phono-Cardio Scan Machine.  At least fourteen other feasibility studies are
      under consideration by the Core Staff and       Forces.

      Relationship to Comprehensive Health Programs

      Liaison with Comprehensive Health Activities will be achieved  by  reason  of  joint
      membership of some members of the Regional Advisory Committee and the Comprehensive
      Health Advisory Committee.


                ADVISORY COMMITTEE FOR PLANNING FOR REGIONAL MEDICAL PROGRAMS

                                        IN NEBRASKA-SOUTH DAKOT

            Chairman

                 Robert J.  Morgan,  M.D.
                 President Nebraska-South Dakota
                   State Medical Association
                 Alliance,  Nebraska

                 Mr. Richard Anderson*
                 Midcontinent Broadcasting Company
                 Sioux Falls,, South  Dakota

                 Thorwald R. Anderson, M.D.
                 South Dakota Society of Pathologists
                 Sioux Falls,  South  Dakota

                 R. J. Bareis,  M.D.
                 President, South Dakota Society
                   of  Internal  Medicine
                 Rapid City, South Dakota

                 Richard W.  Booth,  M.D.
                 President-Elect
                 Nebraska Heart Association
                 Omaha, Nebraska

                 Mrs. Eva Bowring*
                 FormerU.S.Senator from Nebraska
                 Merriman,  Nebraska

                 Mr. Spencer  Brader
                 President,  Nebraska  State
                   Hospital   Association
                 Omaha, Nebraska

                 Donald Breit,  M.D.
                 President, South Dakota Cancer
                   Society  and  Radiologist
                 Sioux Falls,  South  Dakota

                 Preston Brogdon, M.D.
                 Mitchell,, South  Dakota


                                                                                           2

                Mr. W. Robert Brungard
                Administrator, Lincoln General Hospital
                Lincoln, Nebraska

                David  Buchanan,   M.D.
                President, American Academy of
                   General Practice
                Huron, South Dakota

                Alvin A. Buechler, D.D.S.***
                President, South Dakota Dental Association
                Gettysburg,   South   Dakota

                James H. Chalmers, M.D.
                Chief  of  Medical   Service
                Veterans Administration (East River)
                Sioux  Falls,  South   Dakota

                Mrs.  Bernetha   Damm**
                Executive Director
                South Dakota Nurses' Association
                Sioux Falls.,  South   Dakota

                Richard L. Egan, M.D.*
                Dean,  School  of   Medicine
                Creighton    University
                Omaha, Nebraska

                Mr.  Richard  C.   Brick8on*
                Executive Secretary
                South Dakota State Medical Association'@*
                Sioux  Falls,  South   Dakota

                Richard Fangman, M.D.
                Past-President
                Nebraska Heart Association
                Omaha,, Nebraska

                Katherine Gale,    P.T.
                Member, South Dakota Society
                  of Physiotherapists
                Sioux  Falls,  South   Dakota

                Richard E. Garlinghouse, M.D.
                Past President
                Nebraska State i)4tdical Association
                Lincoln, Nebraska


                John B. Gregg, M.D.4i'@*
                Professor of Otolaryngology
                University of South Dakota Medical School
                Sioux Falls, South Dakota

                Robert L. Grissom, M.D.***
                Past-President
                Nebraska Heart Association
                Omaha,   Nebraska

                Charles B. Gwinn,, M.D.
                President, South Dakota Surgeons and
                  American College of Surgeons
                Rapid City, South Dakota

                Mr. Les Helgeland
                Editor, Yankton Daily Press and Dakotan
                Yankton, South Dakota

                Leo T.  Heywood,  M.D.
                President, Nebraska Division
                American Cancer Society
                Omaha,   Nebraska

                Mr. Ben Hins
                State    Director
                Department of Vocational Rehabilitation
                Pierre,  South  Dakota

                Paul H. Hohm, M.D.i@
                Past-Prosident, South Dakota
                  State Medical Association
                Huron, South Dakota

                Joseph M. Holthaus, M.D.**
                Creighton   University
                School of Medicine
                Omaha,   Nebraska

                Howard  B.  Hunt, M.D.***
                Past    President'Nebraska Division
                American   Cancer Society
                Omaha,   Nebraska

                Mr.  Ted  Hustead
                Member,  South  Dakota
                  Pharmaceutical Association
                Wall, South Dakota


                Ralph L. Ireland, D.D.S.**
                Dean  College of Dentistry
                University of  Nebraska
                Lincoln        I,o
                       ,, Nebras@-

                Mr. Cecil Johnson
                Omaha Board of Trustees
                Omaha,  Nebraska

                W6rren L. Jones, M.D
                Assistant Dean  University of4@*
                  South Dakota Medical School
                Sioux Falls, South  Dakota

                George Knabe, Jr., M.D.
                Dean, University of South Dakota
                  Medical School
                Vermillion, South Dakota

                Nancy Lautzenheiser,  M.D.
                Bureau of Indian Health, USPHS
                Indian Health Area Officer
                Aberdeen, South  Dakota

                Henry M. Lemon, M.D.
                Professor of Internal Medicine
                University of  Nebraska
                Omaha,  Nebraska

                Lawrbnce L. Massa, D.O.
                Member, South,Dakota Osteopathy Society
                Sturgis, South Dakota

                Mr. John P. McQuillen
                Member,, South Dakota Bar Association
                Sioux Palls, South  Dakota

                Chester B. McVay,  M.D4
                Y@ton Clinic
                Yankton, South Dakota

                Milton Michael, Jr.
                Center  Director
                Veterans Administration Center
                Hot Springs, South  Dakota

                Fletcher A. Miller, M.D.
                Professor and  Chairman
                Department of  Medicine
                Creighton Memorial
                Omaha,  Nebraska


                Paul K. Mooring,  M.D.
                University of Nebraska
                Omaha, Nebraska

                Robert J. Morgan, M.D.
                President, Nebraska State Medical Association
                Alliance, Nebraska

                Mr. William T. Murphy**
                Executive Secretary
                South Dakota State Hospital Association
                Pierre, South Dakota

                Mr. Helmuth Neuharth
                Representative of South Dakota State
                  Nursing Home Association
                Wessington Springs, South Dakota

                Daniel A. Nye, M.D.
                Past-President
                Nebraska State Medical Association
                Kearney, Nebraska

                D. K. Phillips, D.D.S.
                President, Nebraska State Dental Association
                Nebraska City, Nebraska

                A4 B. Pittman,  D.V.M.
                Past-President., Nebraska Veterinary
                  Medical  Association
                Omaha, Nebraska

                Brooks Ranney, M.D.
                Yankton Clinic
                Yankton, South  Dakota

                George Rinker, Ph.  D.
                University of South Dakota
                  Medical School
                Vermillioni South Dakota

                E. A. Rogers, M.D., M.P.H.**
                Director of Health
                State Department of Health
                Lincoln, Nebraska

                Robert C. Rosenlof, M.D.*'@*
                President, Nebraska Heart Association
                Kearney, Nebraska


                 Ted Sattler, M.D.
                 University of South Dakota
                   Medical School
                 Vermillion, South Dakota

                 Mr. Thomas B. Schultz
                 State Department of Health
                 Division of Medical Facilities
                 Pierre,, South Dakota

                 Mr. Harold Schunk
                 Bureau of Indian Affairs
                 U.S. Department of Interior
                 Rosebud, South Dakota

                 Harold Severson, D.V.M.
                 Winner, South Dakota

                 Raymond  Shaddy,  D.D.S.
                 Dean, Creighton University Dental School
                 Omaha,,  Nebraska

                 Fay  Smith,  M.D.
                 University  of  Nebraska
                 College of Medicine
                 Omaha,   Nebraska

                 John J.  Stransky,  M.D.
                 President, South State Medical Association
                 Watertown, South Dakota

                 Frank H. Tanner, M.D.
                 President-Elect
                 Nebraska State Medical Association
                 Lincoln, Nebraska

                 G. J. VanHeuv6nlen, M.D.
                 Director, South Dakota State
                   Department  of  Health
                 Pierre, South Dakota

                 Cecil L.  Wittson,  M.D.
                 Dean, College of Medicine
                 University  of  Nebraska
                 Omaha,   Nebraska

                 Mr. Richard Wold
                 Northwestern National Bank
                 Sioux Falls, South Dakota


                Theodore Wrage, M.D.
                President, South Dakota State
                  Heart Association
                Watertown, South Dakota

                Willis D. Wright, M.D.
                Past-President
                Nebraska State Medical Association
                Omaha, Nebraska

              Designates membership on Executive Committee
              Designates membership on Planning Committee
              Designates membership on a Task Force