INO ea . LW! 9 O Wen OUTLINE FOR Khinan), Rats? REGIONAL MEDICAL PROGRAM DECISION PAPER WA ADDENDUM #1 SSL {o AO ~, N 2 ™~ si NO I. NARRATIVE | Oe ache . a o : G A. Description of Program ya. Jo goles : Kerry B. Criticisms of Program . . hey an IS ex (end 1 Lacks Coordination OO”KT j on been | 4. Lbably 'T. je + th wert 2. Brownian Movement pow j 3. No Overall Detectable Strategy -) | pbracithe) : ciple { em? with aie mal gpl a Aff x peek P ta red jai Via, Suc, Ai c. Strength of Program 7 dope sh . Establishment of workable and new acceptable , linkage between.Federal Gov ernment | and th ) drikistionk bA fiat , ge bet f beth i cpt to dead ee Aa beth professional prov viders He oy ¢ | sper we att 2. Productive dialogue has — established rianibed and among formerly disparete interest tn most communities as a conseqeence of the stablis iment of the program. . Vy ae ee! pee FO tet . 7 “A 3: p s ce oe ?: i Loe Vint Peas 8” nhs ote 4 bs He. C is PAS 7 ) DP. Federal Necdst TMAP : Kreg? tpl gama, le, iinplerkentation of quality control through utilization review, peer review end continuing -education. 2. Means for conducting pilot experiments, demonstra- tions and ins stitutional reforms working within “He syst em, 1) fore oe lite mas for Yolk LAD sonietls If. tenes a ete FA ee ae nae ce se etme : cisions made by CHP Agencies. HHO, EMS Ne . . f oifag ato brn tY 3. Implementing 4 de 4. Promote HEW emphasis, i. e. S (/, a 6. Wd mts Hered b pelt ok, ISSUES AND OFTIONS Issue 1 (a) Should the Iccal RMP units be programmatically independent? Completely locally responsive. Option B - Yes, but incentives for working on HEW priorities. Option C ~- Most money obligated for HEW priorities , or criteria with remaining moneys to be spent on local priorities.