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                                                         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