vy
minute news

vol. 4 no.8 | June 16, 1972

 

CALIFORNIA REGIONAL MEDICAL PROGRAMS « AREA V

     

DEVELOPMENTAL COMPONENT PROJECT FUNDED

AREA V has received approval from CCRMP for funding of $30,050 (direct costs)
for a project which proposes to develop a role model for the application of clini-
cal pharmacy services in extended care facilities. Alan Cheung, Pharm.D.,
MPH, Assistant Professor of Clinical Pharmacy, USC School of Pharmacy, and
principal author of the proposal describes the project os an effort to improve pa-
tient care through the promotion of safe and rational use of drugs. He states: "it
is anticipated that the quality of patient care will be enhanced by reduction of
the incidence of medication errors and adverse drug reactions, while improving
cost~effectiveness through a decrease in cost for the treatment of drug-induced
complications. . :

"The project will employ a clinically-oriented pharmacist full-time for one year
to serve the patients of two or three 100-bed extended care facilities. His activi-
ties will include the evaluation of each patient's clinical response (or lack of
response) to drug therapy, monitoring for adverse drug reactions and interactions,

. . and the provision of drug information and education to the facility staff and pa-

c > tients. The pharmacist will not be involved with the supply of drugs to the facili-
ties engaged in the project. - |

"Five representative extended care facilities will be selected for the project, three
serving as experimental facilities and two as controls. Pharmacy services and drug
management of patients in the facilities will be evaluated at the beginning ond at
the end of the project ond the results will be analyzed by a data analyst from the
Department of Research in Pharmaceutical Education and Services. oe

_ *A logical extension of the project will be the expansion of clinical pharmacy. _
services, not only to serve more patients and more extended care facilities, but -

to encourage the utilization of optimal pharmacy services in other health care’

delivery systems." , ngs ms

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AREA ADVISORY COUNCIL APPROVAL
was given three operational proposals at a special May meeting:

  
 

Adolescent Nurse Practitioner Training Program - a model training program for nurse:
practitioners in the delivery of primary care to adolescents, in order to provide ad=.
ditional health manpower to approach the unmet health needs of adolescents in t../ )
County. The project would test the applicability and utility of sharing training re-""
sources with participating agencies caring for youth, with other allied health pro~

fessions training projects in RMP Areas IV and V, and would explore potentiol we-
fulness for training to other social, educational and governmental agencies ork
toward youth services.

 

 

   
   
     
   
  
    
   

Stroke Volunteer Program - proposes to improve and extend resocialization services.
to the stroke victims and their families living in the West San Gabriel Valley. through. —
the establishment of three community-based volunteer activity centers. The
will provide stroke patients with opportunities for experiences that will enabi,
to regain confidence and respect and to practice daily living and communi caf
skills in a stimulating and accepting environment. oo

L.A. County Emergency Medical Services System Development Program -.a project...
with the long-range goal of improving the delivery of emergency medical. ery
in L.A. County through a planning and development process which includes:by
functidnal and geographic participation, and by raising the baseline level of

ing of all ambulance and emergency rescue personnel, maintaining this level.o
competence, and developing a career incentive mechanism for emergency rescue:
personnal, The project is a cooperative effort of RMP Areas IV, V, and IX...

 

 

   
 
  
  
   
 

Lorin C. Spencer, MD, was appointed as a member-at-large, representing the geo-
graphical area of Pomona. Dr. Spencer, a graduate of the University of Min eso
is a member of a pathology group practicing in the city of Pomona, as well os

of Staff at Pomona Valley Hospital.

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Comprehensive Health Planning of L.A. County has chosen for its new Executfy
Director Mr. Leon L. Miller, former Executive Director of Alameda County Cas
rehensive Health Planning. Mr. Miller is also a lecturer on public health and

comprehensive health planning at the University of Berkeley, where he received
his MPH. His background includes a distinguished career in the Public Health
Department of Alameda County. Area Coordinator Donald W. Petit, MD, repre=.
sents AREA V on the newly~named Board of Directors of COMP-LA, of which... a
Joseph F. Boyle, MD, is President. 2

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REPORT ON THE ALLIED HEALTH CONFERENCE, SUN VALLEY

Robert J. Schroeder, DVM, Chairman of the Nominating Committee for AREA V
Advisory Council reports: " | attempted to observe the conference from the view-
point of the Area Advisory Council. The major things that impressed me were: The
dependence placed on allied health personnel for the success of any health care
delivery systems. The Area Advisory Council must do everything possible to remove
unnecessary constraints in the utilization of allied health personnel, the quality of
care ultimately delivered to the patient being the deciding factor: Emphasis rust
be placed in the future on keeping people heal thy--RMP should stress this need for
health maintenance and preventive medicine. AREA V programs appear to be in
the vanguard in relation to most national efforts such as emergency medical pro-
grams, experimental health service delivery systems, and community involvement
in health programs. While much is to be done, the staff and Advisory Council de-

serve credit for their efforts."

Dorothy E. Anderson, Elias Chico, and Teri Moreno, of AREA V staff concurred in
this synopsis of the meeting: “The major theme revolved around allied health man~
power, its role in health care delivery systems, and what RMP could do to enhance
the involvement and acceptability of allied health personnel. There was general
consensus among speakers that the health care delivery system needs the involvement
of all health professionals and the consumer in order to be acceptable. Perhaps one
of the most significant messages to come out of the Conference, was delivered by
Mr. Gerald Riso, Deputy Administrator, HSMHA. Speaking on “Current HSMHA
Priorities" Mr. Rise stated that governmental reorganization and decentralization
will provide the Administration with resources needed to have direct line control

’ over FDA, NIH, and HSMHA intends to increase the amount of spending in 1974
. by one-third more than at present and is ready to share authority and resources in

order to accommodate locally perceived requirements. In the area of health
revenue sharing, Mr. Riso stated there was a definite transition towards prepaid
capitation and Jess project support. . Mr. Riso described RMP as having respect-

. ability and relevance to the provider element as a research and demonstration |

agency, and capable of playing a vital role asa catalyst. Conferees agreed to ~
strive for representation of allied health on RAG's, Area Councils, task forces,
and committees; to strengthen the relationship between health professionals and
community and to utilize allied health personnel as consultants whenever appro-
priate.

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_. COUNTYWIDE CONFERENCE ON EMERGENCY MEDICAL SERVICES

On June 19 and 20, on anticipated 500 individuals from throughout LA County will
meet in a two-day session to consider ways of improving and providing better coor-
dination of.essential care to all residents of the county. Among the participants will
be physicians, nurses, ambulance personnel, hospital administrators, ‘fire and polie
personnel, county and city officials, paramedics and community representatives. ~~:
The major thrust of the Conference wil! come in workshops through which participants
will present their recommendations on all facets.of emergency medical services. These
recommendations will be refined in subsequent regional and functional sub-conferences.

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Important differences in the level of services provided by both public and private or-
ganizations will be a major consideration. Other areas of concem include public edu-.
cation, the desirability of a countywide communications system and coordination of —
emergency transportation, the impact of contractual arrangements on the services pro-
vided, special problems of minority communities in receiving care, classification dnd
regulation of emergency facilities, and the level of training for emergency personnal.

The Conference was organized by a 40-member group brought together by the L. A:
County Committee on Emergency Medical Care and California RMP Areas IV, V, and
IX. Conference Chairman is George C. Griffith, MD. .

Among other representatives on the planning body are L.A. County Heart Assn., Hos~
pital Council of So. California, L.A. County Medical Assn., L.A. County Depart-
ment of Hospitals, L.A. County & City Fire Departments, the Automobile Club of So.
California, Comprehensive Health Planning of LA County, Community Television of
So. California, local ambulance companies and other emergency facilities and com-=
munity organizations with health delivery interests. oe

"The Conference will be addressed by several emergency medical care specialists lo- ‘ :

cally and nationally--Dr. Max Weil, Chairman of the County Committee on Emer~
gency Medical Care; Dr. Robert Andrews, Asst. Dean of UCLA Graduate School of
Business Manogement; Dr. Henry Clay Huntley, director of emergency medical serv-
ices at HEW; Dr. Samuel Seeley, of the National Research Council, and Dre John
Farquhar, Chairman of the AMA Committee on Emergency Medi calServices. Also -
speaking to the conferees will be Warren Dom, ‘Chairman of the LA County Board of
Supervisors, and Supervisor Kenneth Hahn, Mrs. Carman Guzman, community liai-
son worker with the ELA Health Task Force and board member of COMP-LA, will pre-
sent the consumer point of view. comet fee

AREA V stuff attending the conference will be: Donald W. Petit, MD; Leon C.”
Hauck; Kay D, Fuller, RN; Sonja Deaton, and Elsie M. McGuff. }

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. Angeles Chinatown area. Despite difficulties encountered in finding a perma-

REGIONAL KIDNEY DISEASE PROGRAM

The Transplantation and Organ Procurement component of the California Kidney’
Disease Program has granted $94,800 in 3-year funding to support the activities
of the Renal Transplant Unit at LAC/USC Medical: Center. The Transplant Unit
has béen functioning for three years and has performed 84 cadaver and 10 living .
relative donor homografts to date. According to Thomas V. Beme, MD, Head .
of the Transplantation Section of the Department of Surgery at the Center, the
funds will be used entirely for fraining purposes... The addition of a second
transplant surgeon and a transplant nurse specialist is expected fo double the num-
ber of transplants now being performed. The Transplant Unit has the additional
support of a dialysis program, a large home program, with planning under way for
an ambulatory dialysis center.

The Regional Kidney Disease Program activities from June, 1970 to May, 1972
were reviewed and evaluated at a special meeting held May 30, attended by
members of the Regional Kidney Disease Program Committee and Coordinators
of California RMP Areas. Dr. Petit and Leon C. Hauck attended for AREA V.

COMMUNITY PROGRAMS STAFF

An AREA V exhibit was manned by Fred D. Hubbard at the Health Fair held June 3
at Duarte High School. Sponsored by the Community Awareness Group and the
Community ~ Civic and Political Education Group of Duarte, the event featured

a sickle cell clinic which screened 182 people.

Wai Chow Leong, Administrator of the Chinese Community Free Clinic, reports
that the clinic is still temporarily located in the Chinese Seventh Day Adventist
Church in Alhambra, pending efforts to secure a suitable location in the Los .

nent home, the clinic has been able to refer patients to appropriate health facili-
ties and, in some cases, the necessary transportation has been provided by volun-
teer workers. Personnel from the clinic also participated in an annual information
health screening day in Chinatown and in the Physical Fitness Program held at _
White Memorial Hospital in November, 1971 and in April, 1972. Gail White acts
as liaison with the Chinese Free Clinic. ce ee ag

Reverend Emmett Sarracino, Administrator of the American Indian Free Clinic, |
advises that the American Indian Free Clinic is now settled and operating at full
Capacity in new quarters located at 329 E, Rosecrans in Compton. | Mag eee

 

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Area Advisory Ceascil
Liston A. Witheril!, Chainman

PAID

U.S. POSTAGE
Alhambra, Calif.
Permit No. 12

Non-Profit Org.

Prefessioual Advisory Greup
Lee D. Cady, Jr, M.D.
Jose F. Carlos
John M. Connor, WA.
Hemy B. Dunlap, MLP.H.
Dale C. Garell, M.D.
George C. Griffith, M.D.
Lewis . Guiss, M.D.
Stanley E. Gunstream, Ph.D.
Fotine D. O'Connor, RN.
Robert H. Pudenz, M.D.
Robert E. Randie, M.D.
- Dr. Barbara J. Solomon, ACSW -

 

 

 

Donald W. Petit, M.D,

Staft
Dorothy E. Anderson, MPH,
Etias Chics

Jane Z. Cohen, B.A.

Kay D. Fuller, RLM.

Leon C, Hauck, &.P.H.
Frederick D. Hubbard.
John S, Lloyd, Ph.D.

Elsie M. McGuff
Clyde E. Madden, ACSW
Teresita P. Moreno, 1.S.W.
Gail M. White, WA.

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Asslated by

"Published by
AREAV
- CALIFORNIA REGIONAL MEDICAL PROGRARS
P.O. Box 1390
1 West Bay State Stroet
Alhambra, Calif, 91802 — -
~Telephone (213) 576-1626
Kethryn Holligon & Merjorie Cromp

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Editer = Elate McGuff

 

USC SCHOOL OF MEDICINE