: _ FILE FO ION & AS GEMENT INGE Beor Levy RYLAND 20 ) 249-51 CALIFORNIA COMMITTEE ON REGIONAL MEDICAL PROGRAM. RM 00019 ° JULY/AUGUST 1974 REVIEW Application: This application requests $5,592,215 for the period, 9/1/74 - 8/31/75 for support of 83 projects which were developed around six program goals. Of the 83 projects, 61 are new, ($4,251,519) and.22 are requests for continued support ($1,340,696). The specific amounts for the six program areas are as follows: Program Element Number of Projects Amount Requested High Blood Pressure , 25* $1,569,931 Health Manpower 6** 489,787 Quality Assurance 2* 156,453 Kidney Disease 13*** 538,681 Access to Care 36* 2,729,033 EMS L** 108,330 TOTAL wee: 83 $5,592,215 * (12 mos. request) i oneeleeeeen es ** (10 mos. request) *kk (6 projects request 12 mos. 7 projects request 7 mos.) The CHP comments received by CCRMP were so numerous they were sent on a 312 page appendix to the application. As of June 20, comments on 57 projects had been received from 12 CHP agencies. According to CCRMP, "In a few cases, there are unresolved issues between project applicants and a local CHP agency which the RAC has instruct- ed the staff to mediate prior to funding of projects in September. In each case, where comments have been received, approved projects have been found to be in accordance with the the area wide agency's plans, goals and objectives." JULY COMMITTEE RECOMMENDATION Critique: WO/DRMP 7/16/74 Ope "oT LOL‘OT ELyS 000’TT quewernoozrg webso pue queTdsuezy Teuorbey —aL80 9T9‘ET €6S ‘OT €z0’E topaeAreseza webzo “ye za}VeIH “weeo v8T’L0z PST’ LOS ” UOTIENTRAT pue *oyuT eseesta AcupTy 980 979'b2 949'%Z s08‘S9 Sweqsds *OFUL eseesta Aoupty 8980 . vpr' TL Axeuow[nd oTzzeTped _.* 80- 6SS’8 6SS'8 A Bory UOTAEUTPIOOD OTUTTO erg £80 TST’ Zz “ uateeH ueppur ueqzn T80 8LS'TZ | 8L9‘'TZ O16 ‘6T _eseesta Azoqerzpdsey eATsueyerduog 690 .| . “-0- qusuodioD tequeudoteaea 000a , . 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(¢) (2) (¢) ( (D uotreottddy [ Atng pue T Aw MEIAMAAO dka VINSOSITYO ¥ ee MAY/JUNE 1974 REVIEW . RMP California RMOOO1S Request: $8,170,374 Committee Recommendation: §7,353,000 Overall assessment by individual reviewers: Above average , 7 Critique: This application requests continued support for staff and 75 ongoing projects. Based on an analysis of the application alone, the reviewers noted that program activities had been developed - around six program goals with priorities defined by the RAG. The staff appeared strong and very active in program development. | The RAG seemed to be'a stable group which depended on the well- developed review process and three special committees. | The RMP has a good track record regarding continuation of activi- ties after grant support is ended. -The reviewers were uncertain about CHP relations and had iquest- ions about the effect of the closing of area offices and ithe elimination of the area advisory groups. “Staff who had recently spent considerable time in California, studying the review process and CHP relations, explained that relations with most of the CHP(b) agencies were good but very strained in the Bay Area and San Diego. The staff also explained the long history of the area offices and the fact that the DHEW . audit recommendation was to reduce the number and improve relationships with central office. Previous site visit teams had also stressed the importance of stronger central direction which is possible under the present organization. Panel B at first recommended that the application be approved at the requested level. However, in its review of actions on 25 RMPs changed the recommendation to approval at the reduced level of $7,353,000. The Committee concurred. JULY/AUGUST REVIEW: Estimated request as of May 1974 $5 ,829 ,533 NATIONAL ADVISORY COUNCIL - June 13 -14, 1974 Council concurred with Committee recommendation. DRMP FUNDING DECISION - $6,986,344