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RMP Oklahoma
RM 000 = 23

JULY/ AUGUST 1974 REVIEW CYCLE

The May 1 application included a request of $1,382,243 for the support

of program staff and staff components ($483,687) and 11 projects.
($898,556). The NAC approved the application in the amount of $1,062,237.
The funding level was set at $1,009,503. In addition, $66,050 was
approved for the pilot arthritis center project.

Application: The Oklahoma application requests $460,735 for the

Support of 3 "new" discrete projects. Two of them requesting total
support of $111,135, relate to two primary program objectives: 1 enhancing
rural hospital management and improving quality; 2) organization of a 5th
Regional Health Development Area Program, for Oklahoma City Metropolitan
area facilities, thus achieving Statewide coverage of voluntary cooperation
among regional health providers, focusing on manpower resources develop-
ment, sharing services, containing costs and improving availability of
services. The third proposal, sponsored by the Oklahoma Health Planning
Commission is broad and comprehensive in. scope, not too well conceived,
systems oriented and far too ambitious. Some elements are routine and
others too comprehensive for achievement in the short time frame. The
areas which build on ORMP program objectives and the RHDAP organizations,
appear to have the greatest potential. Project should be reduced in
scope, and emphasize areas which can have the most impact on the State's
health care activities.

MCO 7/15/74
RMP__ OKLAHOMA

RM 00023

MAY/JUNE 1974 REVIEW
Request: $1,382,243
Committee Recommendation: $1,062,237
Overall assessment by individual reviewers:

Average and below average; the latter was based on review of the application,
before the opportunity to study a comprehensive statement regarding the RHDAP
concept and objectives.

Critique:

Reviewers noted that the program had turned around from a heavily oriented
continuing professional medical education emphasis to health care delivery,
promotion of areawide institutional participation and regionalization, with
primary emphasis on quality of care improvement, sharing of services, and
cost containment.

Concerns were expressed regarding the additional staff requested (7 new
positions) and the vagueness of staff component activities. Questions were
raised as to consumer and community involvement. Staff pointed out that the
RHDAP concept stems from the Health Services Education activities, initiated
through community-wide institutional consortia, beginning with the coronary
care monitoring program and the telelecture conferences, with emphasis on
manpower development. These activities involve community hospitals, local
health institutions and organizations.

Reviewers observed the strengths which result from the furthering of

community hospital and educational institution consortia, with outreach to
rural areas with limited resources.

JULY/AUGUST REVIEW

Estimated request as of May 1974: $448 ,000 MCO 6/4/74
NATIONAL ADVISORY COUNCIL - June 13-14, 1974

Council concurred with Committee recommendation. i

DRMP funding decision - $1,009,305

MCO 7/2/74