43c% #EOOO a AREA VY minute news — | September 8, I97| , f { vol.3 no. 14 LICENSURE--PROBLEM OR SOLUTION? By Donald W. Petit, M.D., Area Coordinator The development of Area Health Education Centers--which, to all appearances, ° may become a major occupation of RMP both nationally and locally-~requires as an early step the development of mechanisms for determining health manpower needs, Despite much soul searching by a great many competent people, it is apparent that the various procedures used in the past either lock one into what may be a totally wrong guess, or are so grossly off target as to be useless. . An interesting booklet recently released by HEW and entitled "Accreditation and Certification in Relation to Allied Health Manpower" provides some interesting information in this respect. [t appears, in looking at the national picture, that there are twelve health occupations that are licensed in every state. These are: dental hygienists, dentists, engineers, nurse (practical), nurse (professional), op- tometrists, pharmacists, physician (MD), physician (DO), podiatrists, veterinarians, and physical therapists. The number of health occupations licensed in various states ranges from a low of 14 in the States of Alaska, lowa, Missouri, and Vermont, toa | high of 25 in the State of California. Obviously, one of the major problems facing any group occupied with health man- power néeds is the question of licensure with varying state requirements and vary~ ing recognition of health occupations and an ever-growing list of different kinds of tasks undertaken by health workers. It is no wonder that the licensure morass seems almost hopeless. rn : - One answer to this has been the cry, heard both from the federal and state levels, that all licensure be stopped and that no further groups be granted separate licen- sure status. This, tome, seems a most reasonable request until some of the problems now facing us can be worked out. x &k k CONTINUATION FUNDING... for the period Sept. |, 1971 to Aug. 31, 1972 has been confirmed by RMPS for the following AREA V grants: $575,481 for the core operations (Ist period of our second- year application); $56,390 for Pacemaker Registry & Information Center (2nd period of 3-year grant); $78,112 for Physician Edu~ cation in Early Chronic Respiratory Disease (final period of 3-year grant). An amount of $48,960 has been awarded for a new op~ erational grant for the purpose of training urban American Indians in management and | the health professions, In each case, the figure given represents direct funding only and is designed to reflect funding at 96% © of the previous year's expenditure level. ° wok Oe * , oe Area Coordinator Dr. Donald W. Petit, has announced the appointment of Stanley E, Gunstream, Ph.D. as Chairman of the Consulting Panel on Health Manpower. Dr. Gunstream, in his present capacity - as Administrative Dean for Instruction with . Pasadena City College and previously as - Chairman of the Department of Life Sci- ences, has been deeply involved with de~- velopment of health curriculum, and many of the current aspects of the field of al- tied health; Born and educated in So. California, he has been connected with PCC since 1955 in such posts as counselor, teacher and associate professor. A gradu~ ate of Pasadena City College and Cali~ fornia State College, Los Angeles, Dr. Gunstream received his Ph.D; from USC. * igh Sera, Sirs erie (08 EAP Ra ane ticipation Program, and others.” It-is * * ee AREA Y is undertaking a project to coor~ dinate the recruitment of minority stu- . tet ee tha nombor alectina - Dorothy E. Anderson, to explore the ‘allied Faith programs in operation, or to enter professional and para-professional health related vocations. Area Coordi- nator Dr. Donald W. Petit has asked >, planned, in the educational institutions and health facilities of East Los Angeles, San Antonio and Northeast Health Dis- tricts. Elias Chico is responsible for re- porting on means of recruitment of minor- ity students in the same areas. A meeting of representatives of all the educational institutions involved is planned by Area V - for late September. =~ ke kOe * ‘ _._A follow-up to "East Los Angeles Health “~-A Community Report" has been com~ missioned by AREA V RMP, through a contract with the ELA Health Task Force. Since the report was published in March, 1970,-it has generated much interest nationally as well as locally, and is fre~ quently used as, supporting dgcumentat? >. The follow-up is intended to evaluate - whether the many activities which have ~ been going.on in the health field in the _- ELA community have had any significant ._ effect on the conditions described in the _ first report and to update it as to resources. The original report was'a foint project by staff of AREA V,. Welfare Planning Coun- ” oi], ELA Health Task Force, LA County Health Dept., Neighborhood ‘Adult Par- anticipated that the ELA’ Health Task Force will provide the community out- reach necessary for this important review. ok - & Communities such as East L. A., where bilingual doctors are so sorely needed, will be’ encouraged by the signing of - _~ Assembly Bill 37 into law, as of June 2, i971, The bill, co-sponsored by Assembly- — men Mike Cullen, Frank Lanterman, Gor- don Duffy and Senator Alfred Song, per- mits Americans who graduate from approved medical schools in the Republic of Mexico - . to intern in California hospitals if they pass the same licensing examinations re- quired for graduates of California medi-~ cal schools. It eliminates the Educational Council on Foreign Medical Graduates (ECFMG) requirement that foreign-edu- cated students qualify to practice medicine in the country where they studied before ' returning home. Previously these students. were two years behind the U.S. educated students who finished medical school at the same time due to the requirement for a year's internship, plus another year of social service. In June, AMA Council on Medical Education also adopted a policy establishing a new, additional _ pathway for entrance to AMA approved ‘nternship and residency programs for “foreign medical students or graduates. Frank F, Aguilera, while on the staff of Area V and Elias Chico, worked hard on this project and were responsible for get- ting together Senator Song, LA County Supervisor Debs, Roger O. Egeberg, MD ~ (then Asst. Secretary for Health & Sci- entific Affairs), Franz Bauer, MD (Dean of USC School of Medicine) and other representatives from LAC/USC Medical Center.and the ELA Health Task Force, to explore the feasibility of the program, - oo . " A regional committee on Area Health Education Centers (AHEC's) has been ". organized by CCRMP, met in July, and . agreed that RMP could serve as an or- ganizing base, as a planning body, and as a broker for setting up AHEC's. A joint, regionwide approach to the de~ - velopment of AHEC"'s was thought essen- tial. Three task forces are now drafting the first working papers directed toward a regionwide AHEC program: one is concerned with the actual locations of AHEC's, their number and distribution; the second with the structure and func- Hon of AHEC's in California and de~ - velopment of guidelines; a third was . “asked to develop approaches to measur~ ing the need for various kinds of health manpower which might be the concern of AHEC's. CCRMP is planning the appointment of an advisory committee, composed of representatives of key groups outside RMP who are concerned with AHEC's. A statewide conference on AHEC's is being considered for late fall of this year. Area Coordinator Donald W. Petit, MD, represents Area | Yon the regional committee, which is chaired by William C. Fowkes, Jr., MD (Chairman of the California RMP Manpower Committee). - a? kok * The regional office, which for the past 4 years has been located at 655 Sutter St. in San-Francisco, is.moving on or about Sept. 10 to‘new offices at 7700 Edgewater Dr., Oakland, California i 94621, The new telephone number will be (415) 635-0290. : Area V Staff Donald W. Pett, MD. Area Coordinate Witliam A. Markey, M. s. Deputy Coordinator (- Non-Profit Org. U, S. POSTAGE . PAID ‘Aambra, Calif, Perfilt No. 44 i Professional Advisory Group - Published by CALIFORNIA REGIONAL MEDICAL PROGRAMS SARE “UNIVERSITY OF SOUTHERN CALIFORNIA “BREA OFFICE Pee 1 West Bay State Street _ Alhambra, Calif, 91801 * Telephone (213) 576-1626 Editor - Elsie McGuff” ~ SCHOOL OF MEDICINE WV minute news , Decalty E. ‘Anderson, M.P.H. Elias Chico Jane 2. Cohen, B.A. Kay D. Fuller, R.N. Leon G. Hauck, M.P.H. Joba S. Lloyd, Ph.D, ElsieM Meth Clyde E. Madden, A.C.S.W. Robert £. Randle, M.D. Gail M. White, M.A. Area Advisory Council’ me Chester A. Rude Lee D. Cady, M, D. | - Sohn Connor, M.A, ~ Henry 8. Dunlap, M.P.H. . George C. Griffith, M.D. ~ Lewis W, Guiss, McD. 2 Stanley E. Gunstream, Ph.D. ~ Fotine O'Connor, RN. = Robert H. Pudenz, M.D. Or. Barbara Solomon, ACS, RSS L/EE / ) nyYvitesas a7 aes BE 532% Ge ye5¢ y O 2-3 z UNIVERSITY OF SOUTHERN CALIFORNIA =O 2 = = SCHOOL OF PUBLIC ADMINISTRATION ark 6 CENTER FOR = 2 TRAINING AND DEVELOPMENT we ay $ is es we S° = . . . . a eg in conjunction with ° 2. ~ THE INSTITUTE OF CONTINUING EDUCATION FOR THE NURSE PRACTITIONER DEPARTMENT OF NURSING LOS ANGELES COUNTY— UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER announces Fight two-day workshops Sept., 1971 — June, 1972 — J Ss ae ) i 3 ng For nursing personnel who desire to update 5 BU yy and increase their administrative skills while o 7 > Os at the same time receiving both academic Po gae credit and professional credit towards meet- Os z= ing projected new requirements for licensing Bu me " certification. The SERIES IN ADMINISTRATIVE PRACTICE FOR NURSES is designed to assist the nurse practitioner in developing increased admin- istrative skill by presenting the most recent developments in administrative and mana- gerial science and research in a practical ap- proach. The series is open to all registered nurses who are in administrative and manage- ment positions, or who seek such responsi- bilities within their organization and/or pro- fessional career development. ENROLLMENT Participants may elect to take the total series se- quence, or use selective enrollment in only one or more courses, although some courses have sug- gested pre-requisites. (These may be waived at ihe discretion of the instructor based upon edu- cation and experience of the student.) CREDIT One unit of ‘professional credit’’ will be awarded to each participant successfully completing each two-day course. A “Certificate of Accomplishment” will be awarded to each participant completing all eight courses offered in the Administrative Series, and will carry ., an additional two units of professional credit. The participant may elect io enroll! in each course for one unit of academic credit granted by Uni- versity of Southern California by completing se- lected credit work. This academic credit is full University credit and is transferable; a grade o “ Pass or Fail will be given. LOCATION Center for Training and Development, 311 South Spring Street, Los Angeles. FEE The cost of each two-day course is $75.00. There is a university registration fee of $10.00 charged those taking a course for credit. This fee covers registration for more than one course made at the same time. CANCELLATION The deadline for application is ten days prior to the beginning date of the particular course. Con- firmed reservations cancelled later than this dead- line are subject to a $20.00 cancellation fee. TIME Each seminar day will begin at 9:00 a.m. and will conclude at 5:00 p.m. his program series is supported and ap- proved by the following organizations: +. Bureau of Nursing, California State Department of Public Health California Hospital Association California Nurse’s Association California Regional Medical Program. Area V Hospital Council of Southern California In-Service Education Council of Los Angeles OnkwnD SEMINAR DESCRIPTIONS 1. SEMINAR IN ADMINISTRATIVE BEHAVIOR September 16-17, 1971 The broad goal of this program is to update and improve the knowledge, skills, and attitudes of management personnel. The three major areas of the course will be: 1) leadership as the core of administrative practices, 2) understanding of hu- man behavior—similarities and differences, and 3) dealing with behavior on the job—employee mo- tivation, and the individual and his work group. ll. SELECTION AND UTILIZATION OF PERSONNEL October 21-22, 1971 To assist the participant in developing a syste- matic management approach to better select and ¢“ize nursing personnel. The course will concen- . ae on the process of clarifying job function, re- sponsibilties, and authority, appraisal of perform- ance on the present job, and promotability; as- sessment of new applicants through a screening and interviewing procedure; and the intention of short and long-range staff development goals. Ill. EMPLOYEE EVALUATION AND PERSONNEL DEVELOPMENT November 18-19, 1971 (Preparation recommendations: Course | and 11) To enable the participant to develop: Recognition of the purposes and value of employee evaluation; Skills in application of modern evaluation meth- ods and techniques; Analytical ability in total sys- tems evaluation; Objective problem-identification and solving techniques in resource organization ind staff planning; Recognition and appreciation >f the need for personal, professional, and organi- ration goal integration. IV. MANAGEMENT BY OBJECTIVES January 13-14, 1972 To increase the nurse’s understanding of the ob- jective-setting process, basic to all administrative behavior. Managing by objectives means working toward a pre-determined, well-understood goal. Guidance will be given to help the participant place the goal in the context of her organization, develop criteria for analysis, planning and co- ordination of activities to reach the goal, and final programming of the total objective. Important questions that will be considered include: 1) what are the criteria for objectives? 2) how do we formulate objectives? 3) how can we implement objectives? 4) what are the principles of sound organization planning? VY. CONCEPTS AND THEORIES OF BUDGETING February 24-25, 1972 (Prerequisite recommendation: Course IV) Provides the nurse with an orderly process for - thinking through program objectives and putting them into the complete written form of a projected budget. Each participant will be dealing with her” real situation and will therefore select an objective which will be important to her. The course covers the process of selecting appropriate program ob- jectives, establishment of priorities, financial plan- ning predetermined by organization goals and _ specific objectives, and evaluation systems the will place most plans, programs, and requests foi - , personnel and/or services into reliable financial terms. Vi. MANAGEMENT/ORGANIZATION DIAGNOSIS AND CREATIVE PROBLEM-SOLVING March 30-31, 1972 (Preparation recommendation: Course |, tI, and Hi) To assist nursing administrators in examination of the various forces and processes that affect the growth of their organizations and staff. Various methods of analyzing and diagnosing organiza- tions and their. work units shall be presented. Methods to be included are survey instruments, questionnaires, and ‘tests’ that are used by some of the leading management consultants practicing today. A course emphasis will be that of using the data and information developed for creative problem-solving, by examining traditional prob- -lem-solving / decision-making methods and then dapting them and developing new techniques for application. Vil. MANAGEMENT-EMPLOYEE RELATIONS IN NURSING , April 27-28, 1972 It is vitally important that those nurses responsible for the administration of managemen‘-employee relations be knowledgeable and skillful in their relationships with employee groups and organiza- tions. This course area will focus on: History and development of management-employee relations in the field of nursing; Legal framework for col- lective bargaining; Negotiations and agreements; Disagreements, sanctions, and third-party resolu- tions; and Agreement interpretation and admin- istration. VIII. DEVELOPING AND MANAGING IN-SERVICE TRAINING June 1-2, 1972 In-service education programs are essential to nursing staff stability in upgrading knowledge and “skills and increasing job satisfaction. This pro- gram shall further develop the participant's skills so that she may operate more effectively, pro- ductively, and efficiently as an in-service trainer and educator. The participant shall learn how to determine training needs, how to translate needs ‘o effective programs, and how to conduct pro- "grams through an understanding of training re- sources, theory, and practice. COURSE COORDINATORS Nancy Blee, R.N., M.S. Director, Institute of Continuing Education for the Nurse Practitioner Los Angeles County/U.S.C. Medical Center Los Angeles, California . Michael Kurtz Associate Director Center for Training and Development School of Public Adminstration University of Southern California LZELB-929 (ELT) ELONG BlusOpTeD ‘sajaBuy so} OLp wooy “3g Buds YNOS LLE “SSaugdv “3009 diz (NOILVZINVOYO quauido]aaaq pue Suiurely 10} 19}U9D ‘NOILISOd Cc cs z m U0 x oO Zz mi ZZ6L ‘pL-EL Avenuef saanoa[qg Aq yuawaseuew ‘AI L) ZZ6L ‘Z-L oun -u] BuiSeuew pue Buidojareg “IACI L ad1Alas * Suiures ZLEL ‘8Z-ZZ [dV Heay aadojdwq-juawaseuew “HA (] LZ6L ‘6L-SL AaQWIaAON juawidojaaag jauuosiag pue UOReN|eAy aadojdwy ‘tL! 1 suo . N u Sursun ZL6L ‘LE-O€ YEW Bulajos-waqoig aAHraD LZG6L ‘ZZ-LZ 19qG0}20 jauuosiad JO UOHeZYNN puke uondajas “HW LC) Ofuawaseuew “IA ZL6L ‘S7-¥7 AeMaqad SunaSpng yo sauoay] pue s}daou0 *A Cy SASUNN UOS ADILIVUYd JALLVULSINIWGY NI Salads 943 Ut (s) ZIUPSI pure sisouseiq uone LZ6L ‘ZL-9L saquiaydas JOIARYa BAHRAYSIUIWIPY Ul AeUIWIaS *] sumo ‘NOILVOIIddV LNZW11OUNF O JJ} ayy ul yuRdionied e& se aul JapIsuOd aseaid doysyi0m FACULTY . . Faculty for the Series will be selected from the following resources: Lyndall Birkbeck, R.N., M.S. Nursing Consultant Coordinator, Preventive Medical Program California State Dept. of Public Health Robert M. Bramson, Ph.D. Organization Development Consultant Berkeley, California Edna Brandt, R.N., M.S. Chief, Bureau of Nursing California State Dept. of Public Health Alexander Cloner, Ph.D. Professor of Public Administration University of Southern California Hal Elliott, R.N., President In-Service Education Council of Los Angeles Marshall Fels, M.A. Professional Education Director California State Dept. of Mental Hygiene Eli Glogow, D.P.H. Associate Professor of Public Administration University of Southern California Evelyn M. Hamil, R.N., Director Nursing Services and Education L.A. County/U.S.C. Medical Center Joyce Jones, M.P.A. Senior Program Associate Center for Training and Development School of Public Administration, University of Southern California Melvin J. LeBaron, Ed.D., Director Center for Training and Development School of Public Administration, U.S.C. University of Southern California Al Loeb, Ph.D. Program Budget Manager for Education Systems California State Dept. of Finance Sacramento, California - Thomas Mcindoe, Director Western Center for Continuing Education in Medicine and Health Sciences University of California at Los Angeles David Odell Director of Planning Department of Hospitals County of Los Angeles Richard Ross, Ph.D. Organization Development Consultant, and Dean of Students, California State College at Dominguez Hills Esther Spencer, M.S.S., Director Center for New Health Careers California State Department of Public Health Marjorie Squires, R.N., Director Continuing Education in Nursing University of California at Los Angeles Frank St.-Dennis Assistant Executive Director Hospital Council of Southern California