NEW
FILE
BEGINS
— Doe #/76

300 Pence Geoeae'’s BOULEVARD
UPPER MARLSORS, MaRYLann 20772 © USA ° (301) 249-0113D

 

 

 
aS C CCRT

Northlands Regional Medical Program
RM #00021

- JULY/AUGUST 1974 REVIEW:

 

Application: This application requests a total of $634,419. Of

this total, $150,000 is contractual services, as a
part of the program staff component, in the areas of Health Education,
Quality Assurance and Hypertension. Support is requested for 16 new
proposals ($484,419). In announcing opportunities to compete for
funds for the 10-month period, 9/1/74-6/30/75, the region limited the
proposers requests to pilot programs in the areas of Health Education,
Quality Assurance and Hypertension. Of the 16 new approved proposals,
10 are in Health Education, 3 in Quality Assurance and 3 in Hypertension.

Although the region has already had input on the original proposals
from the Health Planning Agencies, the CHP review and comment on the
proposals as finally approved by the Review/Monitoring Committee were not _

received in time to be included in this application. The CHP review and

comment will be forwarded, hopefully, in time for review by the Review
Committee.

At the time of the May Review, members of the Review Committee noted that
the region had basically failed to tie the May 1 application ©

to the regional program. Since receipt of the current application, DRMP
has received an addendum which addresses this point. Because of the
limited supply, these have been included only in the primary and secondary
reviewers materials.

DRMP/ OD/7-15-74

JULY COMMITTEE RECOMMENDATION .

 

Critique:

 

 

 
 

| NORTHLANDS REGIONAL MEDICAL PROGRAM
RM 00021

!
f

MAY/JUNE 1974 REVIEW

 

Request: $1,889,395

Committee Recommendation: $1,700,000

 

Overall Assessment by Individual Reviewers: Below Average/Average

 

Critique: | ,

The past performance for this region has been excellent, with internal
management considered to be one of their greatest strengths. Historically
Northlands RMP has been using a contract mechanism to increase extramural
participation, The region is continuing this approach via the active
involvement of the various committees of RAG. These funds have been

used for the most part as’ seed monies of short duration to study and
develop new approaches to the delivery of health care for the constituents
of NRMP. The region has been successful in the past in finding other

' sources of funding after termination of DRMP support. As of June 30,
1973, the Program Coordinator left and the Deputy Director was

appointed to his position. The past Coordinator has remained active

on a.voluntary basis in terms of providing advice and counsel.

Prior to the phase-out this program had an adequately experienced

program staff, Following the rescinding of the phase-out order, the
Board decided to retain a small nucleus of program staff personnel and
purchase by contract the various consultants that would be needed. This
created concern with the reviewers as to the adequacy of staff in

terms of fiscal and program monitoring of the various activities proposed.

In spite of the past record on local support, concern was expressed
by the reviewers relative to the generation of local support for the
proposed AHEC's.

The reviewers felt that good work had been done in terms of the
development of a program call the Foundation for Health Care Evaluation,
but expressed concern as to whether existing staff could properly

guide and monitor such a program, and (expressed concern) as to

the need for further information on this program. The reviewers
generally expressed a concern for the lack of specificity in the programs
presented. To reiterate, the reviewers expressed concern relative to
staffing, lack of activity in primary care, possible fimding in the

PSRO area.

 

The above concerns were considered in arriving at a recommendation by
the Committee. In this application the region has requested funds to
support the initial staffing of two CHP "b'' agencies.

JULY/AUGUST REVIEW
Estimated Request as of May 1974: $600,000

 

SCOB/DRMP
6/6/74

 

 
 

NORTHLANDS RMP

|
|

NATIONAL. ADVISORY COUNCIL: June 13-14, 1974

 

Council concurred with Committee recommendation.

°

DRMP FUNDING DECISION: $1,615,289

 

SCOB/DRMP
7/2/74