- minute news vol.2 no.10 . eget mee _ March 11, 1970 EYEBALLING THE CRYSTAL BALL By Donald W. Petit, M.D. Area Coordinator Prophecy has a coterie of martyrs. From Cassandra to Nostradamus to | Malthus to Commoner stretches a common thread of self-bestowed presci- ence accompanied by varying degrees of societal rejection. For me to” attempt to forecast an area as restricted as RMP, opens me to the same ‘problems as other forecasters; it is, however, time to take a look. RMP is up for renewal by Congress in 1970; the guidelines for such re- newal are being formulated by influences from "grass root" organiza- ~ tions, from health planners, from fiscal experts, from politicians, and to a very small extent by the unorganized citizenry. As things now: stard, it looks as though RMP will continue its emphasis on patient care in cer- tain category diseases. For instance, heart, cancer, stroke, emphysema, kidney and other major conditions; (three bills submitted to Congress by Senator Yarborough, Congressman Rogers and Staggers support this ‘concept.) A bill submitted lete in the year by HEW omitted category diseases and emphasized cooperation with Comprehensive Health Planning. This bill ' will probably not be accepted as the final version. What will come out will be retention of category emphasis; plus the spelling out of ways that CHP and RMP can relate at the local level. In Area V we have — official recognition and representation on CHP committees of RMP staff. The use of RMP as an agent for improved patient care by continuing edu- ' cation, cooperative arrangements and demonstration projects will continue, The focus of RMP on patients and medical care providers will remain, Iesues of urban reorganization, social-political-economic effects on : health will be the primary concern of other groups. «There is no doubt . that funding will bea major problem in the next 12 to 24 months. © There will be greater emphasis on development.of totel program ideas and per- haps less on massive project development, © CHAIRS PROJEC. Joy G. Cauffman, PhD, Director of CHAIRS, is pleased to ‘announce the appointment of Mrs. Susan L, Bres-~ lin, as Project Social Worker. Mrs. Breslin brings to the project con- siderable experience with health care services in the LA area and with program planning and development in the health field, Her background in- cludes experience as a Peace Corps volunteer in a Community Development- Health Education project in Colombia, as a worker on a Kibbutz in Israel, and as a member of the training staff for the Peace Corps training center tn Puerto’ Rico. Mrs. Breslin ma- \.. gored in psychology at Stanford Uni- versity and holds a Master's Degree in Social Work from New York. Uni- versity. The Project has moved recently and is now headquartered in Rooms 205 and 205A of the Raulston Building on the Medical Campus of USC. The phone number remains 225-1511-~247. KKK * HOSPITAL MEDICAL STAFF CONFERENCE will feature, for its opening ses- sion on April 23, Andre L. Delbecq, — ‘Ph.D., Associate Professor in the Graduate School of Business and the Industrial Relations Research Institute, U. of Wisconsin, Madi- son. Dr. Delbecq, widely recog- nized for his research on top. management decision-making, and the linkage between decision-making - groups at the executive level and the general administrative system within complex organizations, serves as consultant for industry, government and higher education. kk*KR “Nake St., in Compton, . Vis FRANK F, AGUILERA, - INDIAN HEA® fH The necestary by-laws for incorpo- - vation of the American Indian Free Clinic have been drawn up, report(. > DOROTHY E. ANDERSON and TONI MOORS, but the services of an attorney are required for some of the detail. Any volunteers? . Beginning Mar. 16, Mra. Helene >, Boughton, of Welfare Information S.- vice, will conduct training sessions for the referral process at the fu- ture site of the Clinic at 526 East The first yssion will include a showing of a film "Tell Me Where to Turn.” \eneftt Information is also gener- ously donating one of its director- ies for the use of the clinic. Members of the Board acting on be- half of the Free Clinic have named Rev. Emmett Sarracino as Ghairman; Ben Harjo as Treasurer; Ethel Bellas as Secretary, The Board ic- cludes Mary and Ted Boles; Bea Avila; Mr. and Mrs, Carl Freeman; Pat Moran; Georgia Addigon, RN; Mr.--. and Mrs. Philip Walker; Mrs. Anond . Hernandez; Phil Chopito. . “Yo wk He ok THE SECOND NATIONAL ALLIED HEALTH - CONFERENCE OF RMP. « mf wt will be hosted by the Virginia RME~ ‘and will be held at Airlie House, Warrenton, Virginia, April 26-29,. 1970, The delegate named for AREA DONALD W. “PETIT, MD, has been invited. to - ghair a panel, DOROTHY E, ANDERSON has been requested to continue as a . member of the Planning Committee which presented the first conference at Asilomar in fer of 1969. AREA V REGIONAL MEDICAL PROGRAMS CALENDAR MARCH 1970. Tuesday, March 17. REA Veo. a Area Advisory Group 7 ° I 30° p.m. “RMP Conference Room Wednesday, March 18 ABA V . Lie Project Review Subcommittee 8: 00. a.m. of Social Workers mCveBOTy Ne Conference Room ‘ CCRMP . Meeting . oe 9:00 a.m. to 5:00 p.m. Alirport-Marina L. A. Watts-Willowbrook District Meeting mo 7:30 p.m. Los Angeles Thursday, March 19 . AREA V - Cardiac Co-Chairmen 6:30 p.m. Se Mr. Markey" s office AREA V «~ CCU Continuing Education “4300 to. 6:00 p.m. : for CCU Nurses Good Samaritan Hosp. "Adrenergic Drugs" Willard Zinn, M.D. - AREA V. cps Indian Planning Council +*8:00 p.m. > RMP Conference Room _ \_iday, March 20 AREA V .- . Committee Chairmen's 9". 11: 30. a.m, to: Meeting So, ht. RMP - Conference Room | "AREA ADVISORY GROUP MEETINGS FOR 1970 = ease May 12° July, 1 September 8 _Novenber_ 10. COMMITTEE CHATRNEN'S MEETINGS FOR APRIL, MAY e H ag April, 3° April 17 May. 1 May 15 STAFF MEETINGS SUBJECT TO CHANGES CHECK WITH: OFFICE FOR LATEST TNFORMATION Excerpts frome recent Statement by Paul’ i“ Werd, Executive Director, CORMP, to the Senate Subcommittee on Heal a, in support of §,3355 a bil. by Senator Yarborough and others which we ild amend and extend RMP: "',..We support the broadening of the catugorical approach as expressed in ... §.3355 and would emphasize that we believe any action to eliminate the a categorical approach entirely would cause ‘irreparable harm. . . Signifi- _ cant numbers of people now voluntarily involved would. believe that the Program no longer concerns them and would -be inclined to adopt the atti- ‘tude of ‘let the other guy do it.': The program, thus far, has enjoyed broad. support from the health-related professions, the leadership of . health facilities, and the public. While pursuing its. objectives, rela-. “— tively little adverse reaction has been generated, Additionally, there has been a greater involvement of people on a voluntary basis. than in any other program of recent vintage... "We support the addition of language in $.3355 which would. authorize. con- struction in addition to the present authorization for alteration and reno- vation. Several of the programs in developing needed facilities for edu- _.. Cational purposes, coronary care units and the like have experienced dif- - £feulty with the narrow interpretation placed upon alteration and renova- tion. It should be made clear, however, that construction in this sense could not mean the creation of entire new facilities and centers, since the level of authorization within the bill is not sufficient to contem- plate this type of construction while at the same time supporting the ~ many other planning and operational efforts now being contemplated by the regions. .. "We concur with the proposal in S.3355 which vould: bring RMP into a closer relationship with Comprehensive Health Planning. We would hope, however, that this relationship could be structured at the B Agency level only and ‘that it be constructive in nature... fae Cs We support the proposed addition of lauguage in $.3355 which would empha- size the need to improve primary care and to create a bond between it and specialized care. .., | Lo co oo ". + The real limitation on the program has been the availability of dol- — '. lars once the planning gained momentum, not the authority to engage in an ~~” ' unlimited pursuit of the problems of health care, We believe that the sums . get forth in §.3355 as authorized amiounte are realistic, although more con-- _ Servative than the early planning and development efforts had’ been geared . for, The plateauing of funds now in effect, and the enforced carry-over of funds, has been disastrous to some of our best planning, but our planning could- be re-geared appropriately to meet the levels set forth." aN PACEMAKER REGISTRY PROJECT If current negotiations are success~ _£ul in getting the PACEMAKER REGIS-. ORY PROJECT operational within the next month or so (as anticipated) one of the first persons that will have-to be found is a Pacemaker Registrar, The Registrar will be responsible for controlling the pa- tents in the registry; will collect - all the clinical, electrocardiogra~ phic, and X-ray data necessary for the operation and evaluation of the registry; will work with the sys-~ tems data programming personnel with respect to program setup, evaluation, and modification; will provide liaison with hospitals, phy~ sicians, coroners’ offices, path- ologists, and other groups con- cerned with the project. The Regis- trar will be recruited with a view te being qualified, at the end of the project period, to take over the function of a full-time direc- tor of an ongoing registry program. Because of the unique qualifications — necessary for this position, the £ \4cademic requirements include a “B.S. or B..A. degree and an R.N, Experience in CCU nursing is de~ ‘sirable, As an alternative, an individual with a Master's degree _in one of the physical or ‘biologi~ “sal seiences and two years exper- dence working in the medical field would be a reasonable substitute. Anyone interested in further infor- mation about this position should contact: MRS. KAY D. FULLER, RN, ' who is AREA V staff for this proj- ect, The telephone number is 576-1626, - kk ae KR . March 2. are from the Bureau of Social SOC... L WORKERS ADVISORY COM TTEE & EAST LOS ANGELES The. in-depth review of ELA health problems recently undertaken by AREA V SOCIAL WORKERS has prompted the group, as a first step, to fol- low up on needed improvements in translation services for health care facilities and social agencies, and to urge and assist graduate schools of social work to admit more Mexican American and other minority group students, along with the provision of adequate scholar- ship and financial aid where nec- essary. Some preliminary research on the need for improved commnications, reports CLYDE E, MADDEN, revealed these facts: According to statis- tics provided by the Bureau of ~~ Medical Social Service, Dept. d Hospitals, of 44 medical social workers employed at LAC-USC Med-—~ ical Center, only 5 speak Spanish, and of the 5, 3 are of Spanish descent. Of 95 medical case workers, 26 speak Spanish, 4 of the 26 are of Spanish descent. Recog- nition of the problem at LAG-USC _ Medical Center has resulted in Spanish classes for personnel. This in-service training, conduc-~ ‘ted by Mr.. Ysidro Ibarra from the Mexican American Opportunity Foun~ dation, will be given twice a week. for 10 weeks for a total of 30 hours. - Two classes of 20 students began this special training on ‘Eighteen of the trainees Service. oe ae AREA V is saddened by the death of MARTIL‘ NN W. BACKLAR, long-time mem~ ber o SOCIAL WORKERS COMMITTEE. RRR Area V Staft A, Donald W. Petit, M.D. . William A. Markey, MS. Russell D. Tyler, M.0. : Frank F. Aguilera, MPAA. Vivien E. Wart, RIN. Atea Coordinator Deputy Coordinator - Operations Division Community Programs “Gladys Ancrum, Or. PH... Coronary Cate Proge™™: ~~ Dorothy E. Anderson, M.P.H. ‘Community Programs: “Kay 0. Fuller, RN, Nursing Leon C. Hauck, M.P.H, Health Data Robbie W. Jones Administration John S. Lloyd, ‘Ph.D. Evaluation = Elsie M. McGuff Communications Clyde E. Madden, A.C.S.W. Social Work Toni Moors; BLA. Community Programs | , Luis.A. Pingatron Fast Los Angeles * Coronary Care Programs -., Committee Chainuen Atea Advisory Group Cancer “Chronic Disease - Cardiac: Chester A. Rude, . ° Lewis W. Guiss, M. D. Russell D. Tyler, M.D. George C. Griffith, M.0. - ” ‘Continuing Education ”_-PhiLR. Manning, M.D. : =. #38 ss Hospital Administrators _ Henry-B. Dunlap, MPS : Ss 3 ; boy 5B a Bere 8 Library Services ” John M. Connor, M.A. ~ 3 & aa ® o Musing a Fotine O'Connor, R.N. Ss Si. P fs) & a os é 3 S25 2! Stroke “Robert H, Pudenz, M.D. : : : Z2: 2 Systens & Computers : - : “Lee D. “Cady, M.D. one : Seal Workers 7 _ Bernice W. Hae, ACSW trom eso we ees UNIVERSITY OF SOUTHERN CALIFORNIA = ne Vv minute news