October 1970

BRIEF SUMMARY OF AUTOMATED HEALTH TESTING - MULTIPHASIC SCREENING
ACTIVITIES SUPPORTED BY RMPS

At the present time, RMPS supports ten major AMHT-MPS projects. In
general these projects use some automated testing equipment, allied
health personnel and computers to acquire health data including medical
histories, laboratory data and physiologic measurements. Most projects
are either part of or closely related to programs for the delivery of
primary care to the medically underprivileged. OEO and Model City
neighborhood health centers and 314e clinics are often .major sources of
patients. Training and employing the underprivileged as a paramedical
personnel, the projects attempt to supply to those who deliver care a
comprehensive data base from which diagnosis can be made by physicians
and treatment initiated and continued. The projects focus heavily on
the early detection and prevention of heart disease, cancer, stroke,
pulmonary and kidney disease, diabetes and related diseases. Results
indicate that approximately 50% of those patients screened have signifi-
‘cant medical abnormalities.

Many of these projects are becoming excellent examples of optimal
utilization of funds and resources. Not only do they serve as centers

of service and teaching but also as centers of research. Their investi-
gations include studies of attitudes and behavior of health providers and
patients, utilization of health facilities, clinical epidemiology and
other problems of the organization and delivery of health care services.
Most projects serve as demonstration and consultation centers which
assist others in the Regions in the development of strategies to improve
the acquisition of patient data and the organization of future health
delivery systems.

The Operations Research~Systems Analysis Branch of RMPS has served as a
consultation resource to at least 20 Regions which are involved in or
planning AMHT-MPS activity. This assistance has taken the form of
referral to MPS centers of excellence, planning of projects, correspondence,
office and telephonic consultations, visits, development of evaluation
protocols and the establishment of MPS committees in Regions. In

addition in a number of Regions our consultation has helped to stimulate
regional conferences on the role of AMHT-MPS in improving health care
delivery. This consultation has paid dividends in the improvement of
project proposals, and in the general education of core staffs and project
applicants regarding improved methods of patient data acquisition,.
optimat use of health facilities, the organization of health care systems
and the systems approach to the solution of health problems, and the short
cutting of the planning process.

 
 

-~-2-

At the present time approximately 8 Regions are actively planning or
have submitted project proposals to establish AMHT-MPS centers.

Appended is a list of the locations, Regions and present funding of

AMHT-MPS projects supported by RMP,

ss , 3 oj 4 ' ¢
: — AC ih Wack AAD
Frank R. Mark, M.D.
Chief, Operations Research and

Systems Analysis Branch

Ink Sen, .

Marshall J. Keyes, M.D.
Multiphasic Screening Consultant
Operations Research and Systems

Analysis Branch

 
 

PROJECT _ FUNDING FOR PRESENT OPERATIONAL YEAR

 

Palo Alito, California oo. . $ 91,000
Regional Medical Program

San Joaquin Valley, California 186,700
Regional Medical Program

Gainsville, Florida 179,200
Regional Medical Program

Indianapolis, Indiana 265,000
Regional Medical Program

Baltimore, Maryland (2 pediatric projects) 101,000
Regional Medical Program

Nashville, Tennessee oe “604,500
Mid-South Regional Medical Program

Memphis, Tennessee a 269,500
Memphis Regional Medical Program

Northeast, Mississippi 312,600
Memphis Regional Medical Program

Rochester, New York 259,900
Rochester Regional Medical Program

Salt Lake City, Utah 389,000
Intermountain Regional Medical Program

Richmond, Virginia approved but unfunded
Virginia Regional Medical Program