B&B INFORMATION & IMAGE MANAGEMENT
300 Pewce Geoese’s ROULEVARD
UPPER MARLSORD, MaRYLandD 2O772 e USA ° (301) 249-5110

 
 

 

RMP Missouri
RM 000 09

JULY/AUGUST 1974 REVIEW CYCLE

 

The Missouri May 1 application was approved by the NAC in the amount of
$2,364,333 (a reduction from the request of $3,010,113). The funding
level was set at $2,246,518. The request for arthritis pilot center was
not approved. Particular attention was caljed to the EMS activities
which appeared fragmented. The Region advises DRMP that the Governor's
EMS Council will forward a letter to provide evidence of EMS project
approvals. (A restriction was placed on project #119 - PSRO related.)
The Region was informed of concerns regarding the proposal for 6 District
Liaison Officers to coordinate planning, and is modifying its program
budget accordingly.

Application: The Missouri application requests $1,082,381 for 23 projects
(twice the initial estimate of $500,000). To be noted is the shifting in
priority areas: Health Manpower Education and Development is first,
displacing EMS which is now fourth; second and third priority areas
relate to ambulatory care and integrated health delivery systems. Renal
disease activities are fifth.

The projects are arranged by area of program emphasis in order of
priority. The most impressive and those with greatest potential impact
are the education and manpower development activities. The ambulatory
care proposals, with the exception of a few, lack cohesiveness and the
third priority area include a number of routine base data activities
related to planning. The Region recognizes the uncertainty with regard
to the EMS activities. : -

: MCO 7/15/74

 
RMP MISSOURL

 

 

Ri 00099 __
MAY /WUEH 1974 REVIEW
Requests $3,010,113
Commit tee Recommendations $2,364 ,333
Overall assessment. by individual reviewers? _, Average & Superior

 

(The latter is compared with other RMPs)

Critique:

; Continuity of staff is a major strong feature. Program has turned around
from heavy bio-engineeving, computerized-systems analysis approach to
regionalized activities. ‘

Program is considered overambitious, especially in view of the short time
frame. Concerns were expressed regarding staff increases for already well
staffed central office, and proposed new staff component activities. Re-
viewers found the request for new staff for coordinating health resources
planning and development of a pilot model, in anticipation of new Federal
legislation, unnecessary. The data analysis activities proposed for planning
purposes lack imagination and appear to be routine.

Lengthy discussion involved the numerous EMS proposals: continuation of
several ongoing activities and 11 new subcomponents, altogether requiring
ebout $600,000. Reviewers expressed concern about the large proportion of ‘
funding requested for what appear to be fragmented EMS activities. They
stated that the RMP should be certain that there is a State Plan, to assure
‘ that components are coordinated as parts of a comprehensive system.

JULY /AUGUST REVIEW

Estimated request as of May 1974:° $500,000. MCO 6/4/74

 

NATIONAL ADVISORY COUNCIL - June 13-14, 1974
Council concurred with Committee recommendation.

DRMP funding decision - $2,246,518

MCO 7/2/74