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•
INNOVATION:
KEY TO BETTER. HEALTH AND EDUCATION
Remarks by Dr. Russell G. Mawby
President, W. K. Kellogg Foundation
at the
First American Health Congress
Chicago, Illinois
August 9, 1972
I
I am delighted to be with you this morning.
Thank you for the privilege
of participating in the program of the American Health
As many of you know, I am a
r~lative
Congres~
'72.
newcomer to our Foundation's staff
and particularly to my current responsibilities.
This is my first oppor-
tunity t.o attend a national conference i.n the health field.
Accordingly, as
a part of my own personal program of continuing education, I welcome the op portunity to participate in the various sessions of this Congress , to view
and discuss the exhibits and, especially, to meet and visit with so many of
you informally.
It is exhilarating and gratifying to be a part of a -pioneering event such
as this first Congress.
I join others in expressing congratulations to your
four organizations--the American Hospital Association, the Catholic Hospital
Association, the American Nursing Home Association, and the Health Industries
Association--for their vision and leadership in bringing about this joint
annual professional meeting.
Too many of our efforts in the complex area of
health a r e characterized by fragmentation and diversity, rather than comprehensiveness and coordination.
This Congress is a tangible recognition of the
commonality of concern, purpose, and interest of your four constituent groups.
I commend you.
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comprehensiYeness of care; delivery systems; financing; community focus;
and operational effectiveness.
It is to issues such as these that innovative efforts in health care
must be directed.
IV
In the pluralistic tradition of our American society, the particular role
of private philanthropy to societal progress is the encouragement of innovation.
While philanthropic resources are almost miniscule in relation to total expenditures of the American public fOl health, philanthropic funds represent the risk
capital which has been responsible for many irillovations in health technology,
education, and delivery.
While the operating 'budge t s of many of the institutions
which you represent are larger than the budget of the Kellogg Foundation, our
funds are essentially "unr-estr-Lc t.ed" whereas the typical institutional budget
is pre-connnitted, with little flexibility or- option for creative and uncertain
undertakings.
As a part of your institutional situation, it is apparent that the present
pattern of reimbursement by third-party payers constrains managerial flexibility
and responsiYeness and inhibits experimentation and change.
It does not seem
ulll'easonable to expect you, as health care leaders, to take an initiating responsibility in bringing about improvement in reimbursement arrangements, including
the institutionalization of the costs of new techniques or patterns once their
value has been verified.
To do less is a dereliction of your pr-of'e s s i.ona.L prerogative.
Obviously, because there is great diversity in the purposes, philosophies,
and procedtJes of the foundations of this country, I cannot speak for all.
It
is a safe generalization, howe,rer, that private foundations are concerned that
their limited resources be directed not to general operational purposes or to
"more of the same" but rather to significant pioneering vent.ur es ,
�'I
To i llus t r a te the contribution of philanthropy in health care, I will
use t h e foundatio n wi th which I am as sociated and wi t h whi ch I am most
familiar.
As those of you who know our Foundation appreciate, we are
concerned with the application of kn owledg e t o the problems of peop le.
do not support research per see
We
Rather, our orientation grows out of the
r e cogni t i on of the fact that one of t h e problems of our society is t he effe ctive utilization of available kno,rledge, in effect putting to use that
which is known.
Beyond this, we are people-oriented, focusing upon signifi-
cant problems which relate to human well-being.
In t he endeavors we support,
we are concerned with the potential for replication of ideas successfully
demonstrated and with the cost-bene f i t ratio of the expenditure.
One example of such suppor t was the development of the intensive care
unit as a s ignificant advancement in the hospital fi eld.
The Foundation's
aid was extended to a selected number of hospitals when the idea was in its
infancy.
The experiences of these pioneer units were car efl1lly evaluated, and
in ke.ep i.ng with the Foundat i on ' s concern vith dissemi nation, were l<rio.ely dist :;:'ibuted t o the f i el d.
Another exampl e- - r e coga i zi ng the importance of the
contribution of management engineering to both patient care and cost cont a i nment , the Foundation was an ear l y supporte:c of program efforts to t.h i.s end ,
particula rly using the approach of multiple hospitals sponsorship.
Finally,
for many years the Foundation has encouraged the sharing of resources by
health care institutions and organizations.
Currently we are aiding a number
o f "shared. services models" in various parts of the country .
The hope is that
the exp eriences of thes e selected programs will be of assistance to the field
at l ar ge in terms of their consideration of like endeavors.
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series of specialty-oriented clinics to a more comprehensive
family-centered health service unit utilizing such qualified per-sonnel as lliITSe practitioners and physicians assistants for health
maintenance functions, preventive health programs, and long-term
supervision of chronic conditions.
In this regard, perhaps thought
should be given to the implementation of the concept of vertical
car e , ,;·lith an ambitious implementation of the principles of p:ceventive medicine and provision of quality health care in the
Leas t-cco s t manner and c i.rcumst.ance .
2. Development of institution-based outreach programs, such as home
care, primary care clinics in under-served areas. and appr-oprLat.e
linkages or relationships with other c.are providers, such a.s
nursing homes.
3. Adoption of the problem-oriented medical reeord and approach to
medical practice, not only for in-patient services but for ambu.l.at.or y
and out-·patient programs as well.
4. Development of rational patterns for handling true emergency medical
prob.Lems , with the division of labor amongst institutions along
rational lines and with an integrated transportation and communications system.
c;
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management, with an improvement of the patient's understanding of
his problem and the procedures that will be performed, and with an
�12
"
emphasis upon the patient's appropriate responsibility for his
individual rehabilitation and continuing health maintenance.
6. Further development and systemization of the relationship of
education and service in the health fields.
Not only must there
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by which people become qualified and prepared for health careers;
there must also be improvement in relationships between educational
institutions and health service institutions and settings.
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we must bring to reality the much-discussed concept of a health
delivery network
delivery.
HS
it r el at e s to both educ ation and health care
St.art.Lng with the health needs of the individual, this
must consider the totality and multiplicity of components in the
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the individual private practitioner, the local
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and the great teaching and research centers.
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but failures in coordination, continuity, comprehensiveness, compassion,
too often leave the individual confused and inadequately attended.
7. Enhancement of preservice and inservice education in the hospital
setting for hea.Lt h personnel.
This setting is not only appropria.te
but essential for certain aspects of education and training.
Hospitals
are becoming more conscious of their educational r ole and in many
instances are beginning to establish institution-wide education and
t l'aining programs.
Such programs encompass employee orientation,
on-the-job training, supervisory development, car e er mobility,
clinical instruction, inservice education, patient educat::'on, and
c0mmunity education.
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Russell Mawby Papers
Subject
The topic of the resource
Charities
Family foundations--Michigan
Philanthropy and society
Description
An account of the resource
The Russell Mawby papers document the life and work of Michigan-born Russell Mawby from 1928 to the present. Mawby was the Chief Executive Officer and Chairman of the W. K. Kellogg Foundation for twenty-five years and is recognized for his work in the area of philanthropy in the United States, Latin America, and Europe.
The digital collection includes a selection of field notes, speeches, itineraries, and other materials.
Creator
An entity primarily responsible for making the resource
Mawby, Russell G.
W.K. Kellogg Foundation
Source
A related resource from which the described resource is derived
<a href="https://gvsu.lyrasistechnology.org/repositories/2/resources/432">Russell Mawby Papers (JCPA-01). Johnson Center for Philanthropy Archives</a>
Publisher
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Grand Valley State University. University Libraries. Special Collections & University Archives.
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Johnson Center for Philanthropy
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<a href="http://rightsstatements.org/page/InC/1.0/?language=en">In Copyright</a>
Format
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application/pdf
Language
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eng
Type
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Text
Identifier
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JCPA-01
Coverage
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1938-2012
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Source
<a href="https://gvsu.lyrasistechnology.org/repositories/2/resources/432">Russell Mawby papers, JCPA-01</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
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JCPA-01_1972-08-09_RMawby_SPE
Title
A name given to the resource
Russell Mawby speech, Innovation: Key to Better Health and Education
Creator
An entity primarily responsible for making the resource
Mawby, Russell
Description
An account of the resource
Speech given August 9, 1972 for the W. K. Kellogg Foundation at the First American Health Congress.
Contributor
An entity responsible for making contributions to the resource
Grand Valley State University Special Collections & University Archives
Dorothy A. Johnson Center for Philanthropy and Nonprofit Leadership
Publisher
An entity responsible for making the resource available
Grand Valley State University Libraries, Special Collections and University Archives, 1 Campus Drive, Allendale, MI, 49401
Subject
The topic of the resource
Philanthropy and society
Family foundations--Michigan
Charities
W. K. Kellogg Foundation
Speeches, addresses, etc.
Education
Health
Language
A language of the resource
eng
Rights
Information about rights held in and over the resource
<a href="http://rightsstatements.org/page/InC/1.0/?language=en">In Copyright</a>
Date
A point or period of time associated with an event in the lifecycle of the resource
1972-08-09
Format
The file format, physical medium, or dimensions of the resource
application/pdf
Type
The nature or genre of the resource
Text
-
https://digitalcollections.library.gvsu.edu/files/original/7fe2223ae3226ba806db158b2ad5d5a6.pdf
1df47facfe458c190d7f01a65e1c855b
PDF Text
Text
Remarks by
Dr. Russell G. Maw"ty, President, W. K. Kellogg Fcundat i on
at the
27th Nati onal Conf'e r er.c e on Rural Eeal t.h
Detroit, Michigan
April 25, 1974
I
It is a privilege to b e a part of the progr8.I!l of thi s 27t h
National Conference on Rural Health.
We are pleased indeed that this
year' s confer ence is bei ng held in Mich igan a nd I would ex pr e s s lliy
complimen t.s t o the Counc i l on Rural Heal t h of the Americ an Meci.i cal
Association for the ex c ell enc e of the pr ogram t hey have planned f or
U3.
Certainly the conference t heme , "Rural Heal th i s a Community ;\.ffs.ir,"
is timely and significant, and we a.re fo r t un ate t o have so ma r:y outstanding resource people participating in the various confer ence
sessions.
I enjoyed very much the opportunity of attending this mor ning ' s
session, with the keynot e address by Dr. Budd and the stimulat ing symPOS iUID 0 :1
"Di :cections f or t he Fu ture."
practi~ al
S U8~ e st i on s
~ha:ce d
I especially welc omed the
with us by Dr . Budd and by the symposium
participants related to the development of family practice programs,
extending the role of the nurse, and exploring the potentials for rural
g=oup practice.
II
My remarks, with the title, "Our Conc erns for Rural Health," have
duo perspec tives:
i i r s t. fl' om the at.a ndpo irrt of the program ini:: erests
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administrator and members of the hospital staff and board of trustees,
and interested citizens in the community, have undertaken a systematic
program to improve the health situation in their community.
In conse-
quence, illany positive changes have taken place in recent months.
But this little anecdote of a true experience summarizes many of
the things which
this country.
conce~n
us about the health care delivery system in
We are concerned with issues vh ich are described in
phrases like accessibility, continuity, comprehensiveness, and quality
of care; delivery systems; financing arrangements; a corrmunity and preventive dimension to our health systems; operational effectiveness.
Relating further specifically to the rural scene, certain issues
come to the fore:
- The critical shortage of health wanpower -- physicians, nurses,
dentists, pharmacists, allied health personnel, etc.
- Distances to health resources
the "s oc i a.L cost" of space.
- The distressed situation of many rural hospitals -- losing
medical staffs, inadequate professional and auxiliary personnel, declining patient populations -- with many institutions
on the verge of bankruptcy.
- Health professionals increasingly concerned with professional
"isolation" in rural practice--with the parallel
desire to
locate where there is ease of referral and the stimulation of
professional contact, with easier access to a wide range of
resources.
You know these problems and others better than I--and many of your
sessions here will focus on solutions to such specific issues.
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�5
A
s ex
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fc
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tF
o
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d
a
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r
o
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ch h
av
e
p
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u
l
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rr
e
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a
n
c
et
or
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r
a
lh
e
a
l
t
hc
o
n
c
e
r
n
s
,Im
igh
tm
en
t
ion t
h
ef
o
l
low
ingf
romt
h
el
t
i
c
h
i
g
a
ns
c
en
ea
si
l
l
u
s
t
r
a
t
i
v
e
:
Ac
o
n
t
i
n
u
i
n
ge
d
u
c
a
t
i
o
np
rog
r
am f
o
rn
u
r
s
e
si
nt
h
eS
ag
in
aw V
a
l
l
e
y
,
condu
c
t
edbyl
t
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c
h
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g
a
nS
t
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t
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n
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v
e
r
s
i
t
y
;
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rog
r
am o
ft
h
e~~ichi
an
H
e
a
l
t
h Coun
c
i
lt
or
e
c
r
u
i
tyoung p
e
o
p
l
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f
o
rc
a
r
e
e
r
si
nt
h
e~ll i e d h
e
a
l
t
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i
e
l
d
s
;
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rog
r
amo
ft
h
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ch
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an D
ep
a
r
tm
en
to
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e
a
l
t
h andt
h
e
two c
o
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l
e
g
e
so
fm.
e
d
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c
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tM
i
ch
ig
an S
t
a
t
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n
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v
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r
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yi
nd
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v
e
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op
ing a c
o
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r
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v
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s l
o
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r
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andt
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er
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ch
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hi
np
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no
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m
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d
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c
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ls
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n
t
s
;
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rog
r
am a
tG
r
and R
ap
id
sS
t
.M
a
ry
'
s H
o
s
p
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t
a
lt
od
ev
e
lop a
r
e
s
i
d
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n
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yt
e
a
c
h
i
n
gp
rog
r
am i
nf
a
m
i
ly p
r
a
c
t
i
c
eand an e
x
p
e
r
im
e
n
t
a
l
ambu
l
a
to
ryh
e
a
l
t
hc
a
r
ep
rog
r
am
;
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e
r
g
r
a
d
u
a
t
ep
rog
r
am i
nd
i
e
t
e
t
i
c
sa
tE
a
s
t
e
r
nM
i
ch
ig
an U
n
i
v
e
r
s
i
t
y
;
-A
s
s
i
s
t
a
n
c
et
ot
h
eU
n
i
v
e
r
s
i
t
yo
fM
i
ch
ig
an i
ne
s
t
a
b
l
i
s
h
i
n
ga
s
t
a
t
ew
i
d
esy
s
t
emo
fc
o
r
o
n
a
r
yc
a
r
eu
n
i
t
si
nM
i
ch
ig
an h
o
s
p
i
t
a
l
s
,
w
i
t
hi
n
s
t
i
t
u
t
i
o
n
a
l ra~ts o
f30 r
u
r
a
lcommun
i
tyh
o
s
p
i
t
a
l
s
t
h
r
o
u
g
h
o
u
tt
h
eS
t
a
t
e
; and
- An
u
r
s
i
n
g hom
em
an
ag
em
en
t e
d
u
c
a
t
i
o
np
rog
r
am a
tL
a
k
e
,S
u
p
e
r
i
o
r
S
t
a
t
eC
o
l
l
e
g
e
.
�6
Beyond Michigan we could mention further examples:
- An effort to improve the transport capac i ty of the Samaritan
Health System in Arizona;
- The involvement of the University Health Center and professional
schools of the University of Iowa in a program at guscatine to
improve health care delivery and provide i mproved
ed~cational
opportunities for medical students;
- A demonstration of the training and use of nurse practitioners
in the rural area of Treasure Valley, Idaho, and the illvolvement
of Boise State College in their educational curriculum for the
preparation of nurse practitioners and clinical specialists for
rural areas;
- The training of family practice residents, with emphasis on
individual location in smaller communities and rural areas in
California; and
An effort to improve hospital emergency services in rural com-
munities of South Carolina.
IV
To comment briefly on innovations which may contribute to improved
health care in rural communities, it is necessary to refer back to the
problems which concern us--issues such as access and availability of care,
continuity and comprehensiveness of care, productivity of various elements of the system, cost and financing, quality.
With these central
issues in mind, from our vantage point we see such promising opportuniti es
as the following:
�7
1. Reo.!:f:ani zation of ambulatory healt..h services mray from an
endless series of specialty-oriented clinics to a more comprehensive family-centered health service unit utilizing
such qualified personnel as nurse practitioners and physicians assistants for health mainten ance functions, preventive health programs, and long-term supervision of chronic
conditions.
2.
Development of institution-based (hospital) outreach programs,
such as home care, primary care clinics in under-served areas,
and appropriate linkages or relationships with other care providers, such as nursing homes.
3.
Development of rational patterns f or handling true emergency
medical problems, with the division of labor among institutions
along rational lines and with an integrated transportation and
communications system.
4. Development of effective programs of in-patient education for
illness management, with an improvement of the patient's understanding of his problem and the procedures that will be performed,
and with an emphasis upon the patient's appropriate responsibility
for his individual rehabilitation and continuing health maintenance.
5. Further development and systemization of the relat.ionship of
education and service in the health fields.
Not only must
there be dramatic changes in the educational processes and
relationships by which people become qualified and prepared
for health careers, there must also be improvement in
�8
l
e
l
a
t
i
o
n
s
h
i
p
sb
e
tw
e
en e
d
u
c
a
t
i
o
n
a
li
n
s
t
i
t
u
t
i
o
n
sandh
e
a
l
t
h
s
e
r
v
i
c
ei
n
s
t
i
t
u
t
i
o
n
sands
e
t
t
i
n
g
s
. Som
ehow w
e mu
s
tb
r
i
n
g
t
o
r
e
a
l
i
t
yt
h
emu
ch
-d
i
s
cu
ss
e
dcon
c
ep
to
fa h
e
a
l
t
hd
e
l
i
v
e
r
y
n
e
two
rk a
si
tr
e
l
a
t
e
st
ob
o
t
he
d
u
c
a
t
i
o
nandh
e
a
l
t
hc
a
r
e
d
e
l
i
v
e
r
y
. U
n
i
v
e
r
s
i
t
ie
sh
av
eb
eenp
r
e
o
c
c
u
p
i
e
dw
i
t
hm
e
d
i
c
a
l
s
c
i
e
n
c
eandr
e
s
e
a
r
c
h
;h
o
p
e
f
u
l
l
y
, mo
r
eo
ft
h
e
i
ra
t
t
e
n
t
i
o
nand
r
e
s
o
u
r
c
e
sw
i
l
lb
ed
i
r
e
c
t
e
dt
ot
h
eimp
rov
em
en
to
fh
e
a
l
t
hc
a
r
e
d
e
l
i
v
e
r
y
.
6
.
nha~~e ent o~e ser ice ~~i ins~
s
e
t
t
inF5
.f
o
rh ea
th ~~rsonnel
ice e d~ c ~~ i o n i
nt
h
ewo
rk
Th
i
ss
e
t
t
i
n
gi
sn
o
to
n
l
ya
p
p
r
o
-
p
r
i
a
t
eb
u
te
s
s
e
n
t
i
a
lf
o
rc
e
r
t
a
i
na
s
p
e
c
t
so
fe
d
u
c
a
t
i
o
nand
t
r
a
i
n
i
n
g
.A
s an ex
amp
l
e
,h
o
s
p
i
ta
l
sa
r
eb
e
com
ing mo
r
e con
s
c
iou
s
o
ft
h
e
i
re
d
u
c
a
t
i
o
n
a
lr
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eand i
nm
any i
n
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t
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n
c
e
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r
eb
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n
n
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g
t
oe
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t
a
b
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i
s
hi
n
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i
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t
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o
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-w
i
d
ee
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u
c
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t
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o
nandt
r
a
i
n
i
n
gp
roG
r
am
s
.
Su
ch p
rog
r
am
s en
comp
a
s
s emp
loy
e
eo
r
i
e
n
t
a
t
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o
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n
t
h
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j
o
bt
r
a
i
n
i
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g
,
s
u
p
e
r
v
i
s
o
r
yd
ev
e
lopm
en
t
,c
a
r
e
e
rm
o
b
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l
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t
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, c
l
i
n
i
c
a
li
n
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t
r
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c
t
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o
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,
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n
s
e
r
v
i
c
ee
d
u
c
a
t
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o
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a
t
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te
d
u
c
a
t
i
o
n
, and commun
i
ty e
d
u
c
a
t
i
o
n
.
7
.
Exp
e
r
im
e
n
t
a
t
i
o
nr
e
ga
r
d
i
n
gt
h
eh
o
s
p
i
t
a
lr
o
l
ei
nt
h
ep
r
o
v
i
s
i
o
no
f
p
r
im
a
r
yc
a
r
e
,t
h
ecompon
en
to
fcomp
r
eh
en
s
iv
ec
a
r
ep
e
r
h
a
p
s
l
e
a
s
t
-w
e
l
ls
e
r
v
e
dc
u
r
r
e
n
t
l
y
. Th
ep
u
b
l
i
c
,i
ns
e
a
r
c
hf
o
rsu
ch
c
a
r
e
,h
a
st
u
r
n
e
dt
ot
h
ecommun
i
ty h
o
s
p
i
t
a
l
,v
i
at
h
eem
e
rg
en
cy
room
. Bu
tt
h
eem
e
rg
en
cy roomi
sn
o
tt
h
ep
r
o
p
e
rs
e
t
t
i
n
gf
o
r
q
u
a
l
i
t
yp
r
im
a
r
yc
a
r
e
,f
o
rem
e
rg
en
cy roomc
a
r
et
e
n
d
st
ob
ee
p
i
s
o
d
i
candv
e
r
ye
x
p
e
n
s
i
v
e
. B
e
t
t
e
r a~ls
ers
a
r
ea
v
a
i
l
a
b
l
e
,a
r
e
b
e
i
n
gd
em
o
n
s
t
r
a
t
e
di
nsom
ei
s
o
l
a
t
e
di
n
s
t
a
n
c
e
s
,and s
h
o
u
l
db
e
mo
r
e c
h
a
r
a
c
t
e
r
i
s
t
i
co
ft
h
ed
e
l
i
v
e
r
y sy
s
t
em
.
�9
8. Whenever resources are scarce in relation to ne eds, the
usual situation in rural areas, ever bet t e r manag ement is
.
i
required as priorities are estatlished and allocations
made.
A long-standing orientation of this Foundation
has been to improved management and a dmi n i s t r at ion , in
the health fields as well as in other fields of Foundation
ende avor.
We have been particularly impressed with bene-
fits achieved through sharing of services by hospitals and
the application of management engineering techniques in the
liealth care delivery system.
9.
Elaboration of the role of the trust ee in the health care system.
The institutional board of trustees, if representative, well
qualified, and well informed, is an essential element in
responsive institutional administration.
Trustees can assist
in keeping the endeavor oriented to the ultimate
p~poses
of
the institution, above the more vested interests of the institution itself, its professional components, and its personnel.
One could go on virtually ad infinitum with innovative options.
But
underlying issues such as these are two basic considerations:
A. The problem of fragmentation, both in terms of care as it is
available to the individual person and fragmentation of efforts
of the various elements of our health system.
There is almost
a desparate need for greater cooperation and coordination of
the efforts of the individuals, institutions, and organizations
involved with rural health--health departments, state and
local; hospitals and other institutions, public and private;
�10
p
r
o
f
e
s
s
i
o
n
a
l
s
,b
o
t
hi
n
d
i
v
i
d
u
a
l
l
yandt
h
r
ough t
h
e
i
rO
l
"g
an
i
z
a
t
i
o
n
s
;e
d
u
c
a
t
i
o
n
a
li
n
s
t
i
t
u
t
i
o
n
s
,i
n
c
l
u
di
n
gc
o
l
l
e
g
e
sand
u
n
i
v
e
r
s
i
t
i
e
s
,f
o
u
r
y
e
a
randtw
o
y
e
a
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�11
plays a significant positive role in heart disease, cancer, stroke, and accidents--the four leading causes of death
in America tocay.
"Indeed, if all Americans could be convinced to adopt
a healthful style of life--eating correctly, not smoking,
controlling pollutants, driving safely--the positive effect
of the nation's health would be far mor e dramatic than could
be accomplished through the construction of thousands of
new hospitals and the production of many thousands of additional physicians."
There is some slight encouraging evidence that progress may be
forthcoming in this area.
For example, in 1969 the Michigan Legisla-
ture enacted the "Critical Health Problems Education Bill."
This
legislation provides for health education for Michigan youth in elementary and secondary schools, including sucr. areas as mental health;
dental health; vision care; drugs, narcotics, alcohol, tobacco; disease
prevention and control; accident prevention; nutrition.
Hopefully
this dimension of education will be incorporated in our local school
systems.
Another encouraging step in health education is an apparent recommitment to health education by the Cooperative Extension Service.
As
you know, the Extension Service has personnel and programs serving every
county in the United States.
With appropriate linkage to university
resources in the medical-health fields and close relationships with
local professionals and institutions, this Extension emphasis should
�12
represent a very positive influence in fostering proerams of health
education.
You have other ideas, too, that are being us ed in your local
communities; programs and displays of hospital auxiliaries, health
museums, special health education activities.
But what we need is a positive and comprehensive approach to
health education.
v
In rural health, as in most ar-eas of human endeavor, we know
better than we do.
The challenge is to use that which is known, to
utilize fully the know.Ledge resources which are available.
We need not more plans but more action; not more criti'lues and
critics but better examples.
This requires imagination, innovation,
creativity, resourcefulness--in sum, leadership--not from on high,
but in home communities, where the action really is.
The greatest danger in a conference of this kind is that we
each go home to a busy schedule and an accumulated backlog--and we
settle back into old and easier patterns.
The challenge to you and
me individually is that our being here should make a difference in our
part of the world, in our individual sphere of activity.
The challenge
then is that you, through your individual efforts, help move "what is"
in rural health a bit further toward the goal of "what could--and should
be. "
I wish you well.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Russell Mawby Papers
Subject
The topic of the resource
Charities
Family foundations--Michigan
Philanthropy and society
Description
An account of the resource
The Russell Mawby papers document the life and work of Michigan-born Russell Mawby from 1928 to the present. Mawby was the Chief Executive Officer and Chairman of the W. K. Kellogg Foundation for twenty-five years and is recognized for his work in the area of philanthropy in the United States, Latin America, and Europe.
The digital collection includes a selection of field notes, speeches, itineraries, and other materials.
Creator
An entity primarily responsible for making the resource
Mawby, Russell G.
W.K. Kellogg Foundation
Source
A related resource from which the described resource is derived
<a href="https://gvsu.lyrasistechnology.org/repositories/2/resources/432">Russell Mawby Papers (JCPA-01). Johnson Center for Philanthropy Archives</a>
Publisher
An entity responsible for making the resource available
Grand Valley State University. University Libraries. Special Collections & University Archives.
Contributor
An entity responsible for making contributions to the resource
Johnson Center for Philanthropy
Rights
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<a href="http://rightsstatements.org/page/InC/1.0/?language=en">In Copyright</a>
Format
The file format, physical medium, or dimensions of the resource
application/pdf
Language
A language of the resource
eng
Type
The nature or genre of the resource
Text
Identifier
An unambiguous reference to the resource within a given context
JCPA-01
Coverage
The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant
1938-2012
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Source
<a href="https://gvsu.lyrasistechnology.org/repositories/2/resources/432">Russell Mawby papers, JCPA-01</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Identifier
An unambiguous reference to the resource within a given context
JCPA-01_1974-04-25_RMawby_SPE
Title
A name given to the resource
Russell Mawby speech at the 27th National Conference on Rural Health
Creator
An entity primarily responsible for making the resource
Mawby, Russell
Description
An account of the resource
Speech given April 25, 1974 for the W. K. Kellogg Foundation at the 27th National Conference on Rural Health of the American Medical Association.
Contributor
An entity responsible for making contributions to the resource
Grand Valley State University Special Collections & University Archives
Dorothy A. Johnson Center for Philanthropy and Nonprofit Leadership
Publisher
An entity responsible for making the resource available
Grand Valley State University Libraries, Special Collections and University Archives, 1 Campus Drive, Allendale, MI, 49401
Subject
The topic of the resource
Philanthropy and society
Family foundations--Michigan
Charities
W. K. Kellogg Foundation
Speeches, addresses, etc.
Health
Language
A language of the resource
eng
Rights
Information about rights held in and over the resource
<a href="http://rightsstatements.org/page/InC/1.0/?language=en">In Copyright</a>
Date
A point or period of time associated with an event in the lifecycle of the resource
1974-04-25
Format
The file format, physical medium, or dimensions of the resource
application/pdf
Type
The nature or genre of the resource
Text