gL ALABAMA REGIONAL MEDICAL PROGRAM INSTITUTIONAL SELF STUDY PROGRAM 1965-1973 Prepared by Frank O. Hinckley, Associate Director Evaluation, Alabama Regional Medical Program February 1, 1973 TABLE OF CONTENTS METHODOLOGY AND ACKNOWLEDGEMENTS. . . . . . 2. . «-s LIST OF ILLUSTRATIONS . . . . 2. 2 © © © «© © © ©» « INTRODUCTION. . 2. 2 © 2 © © © © © © © © © wo RECOMMENDATIONS OF THE EXECUTIVE DIRECTOR ..... COMMENTS OF THE EXECUTIVE DIRECTOR. . .... 2... Program Objectives . .......+4.2.+see.-. The Grantee Institution. ...... oe Legal Basis and Operational Concept of the Alabama Regional Medical Program ...... Regionalization. ..... . . . - 2 Historical Development of the Alabama Program Prior to Receipt of Planning Grant ..... The Regional Advisory Council. ........ THE ALABAMA REGIONAL MEDICAL PROGRAM. ...... =. Early Efforts at Regionalization ...... Program Staff Activities ........e..-. Current Approved and Proposed Program Activities . 2... 2... -2.ece. Boe ees oe 8 Cooperative Relationships With Other Organizations. . . .... «2. 2. © «© © «© we ee REFERENCES. .« 2. 2. 2. «© «© «© © © «© © «© © © © © #© © @ 2 APPENDIX I. 2. 2. 2 6 ew we ew ew ew ee ee ee APPENDIX II . 2. . 2 2 6 we ee ew ew ww ww ee APPENDIX III. . ... 2. 2. «© © 2 2 6 6 ew we ww ew we STATISTICAL INFORMATION . ..... 2... «© ©. «© BIBLIOGRAPHY. . . 2... 2. 6 ee we we we we ee elii e WW Ww WO nt CON - 22 . 24 52 62 TABLE OF CONTENTS METHODOLOGY AND ACKNOWLEDGEMENTS. a i LIST OF ILLUSTRATIONS . . 2. 6 2 6 6 ee ee ee ew ew ee Odd INTRODUCTION e s e ° s e e . » e ae a ca e ea e e ° e ° e . . (7,9,10,11) *RECOMMENDATIONS OF THE EXECUTIVE DIRECTOR .....e.. COMMENTS OF THE EXECUTIVE DIRECTOR. . . . ..... « « (1)Program Objectives . . . 2. 2. 2. 2 6 © © © © ee ww ew (2,8)The Grantee Institution. ...... -_ ss 2. ss (2)Legal Basis and Operational Concept of the Alabama Regional’Medical Program ......... Regionalization. ..... oe ee ee ew wt lw (2)Historical Development of the Alabama Program Prior to Receipt of Planning Grant .......s. The Regional Advisory Council. . ......2+2+e-e THE ALABAMA REGIONAL MEDICAL PROGRAM. .~. . . . 2. «© « «© « « Barly Efforts at Regionalization . . .... «2... (4,5)Program Staff Activities . .......-.-..-... (3)Current Approved -and Proposed .Program Activities . 2. 2. 2. 6 2 2.6 © © 5 © © © © © © © eee (8)Cooperative Relationships With Other “Organizations. . . 2. © © «© © «© © «© © «© © © #© © ee REFERENCES... . ee ee we ee ee ee et et APPENDIX I. . 2. 6 1 ete we ee ee ew ee ee ee oe ‘(APPENDIX IIT - - 1 1 ee ee ee ee eee ee ee ee APPENDIX III. ... cote _ See esses ee eas STATISTICAL INFORMATION . . .. ee ee ee ee ee ee BIBLIOGRAPHY. 2. 6 2 6 ee ee ee ew we ee ee ew *Arabic numerals in left hand column refer to report items listed in memorandum from Director, Institutional Study Program dated August 18, 1972. WWW oo 22 22 (24 28 30 52 54 55 60 62 77 METHODOLOGY AND ACKNOWLEDGEMENTS The primary source for this report was the Alabama Regional Medical Program files, including memoranda, corre- spondence, minutes, pertinent legislation and guidelines. The report was prepared and written by Mr. Frank O. Hinckley, Associate Director for Evaluation, under the direction of John M. Packard, M.D., Executive Director of the Alabama Regional Medical Program, with the cooperation and contri- bution of other staff members inéluding: Mr. M. D. Plowden, Deputy Director; Dr. Laurene Gilmore, Associate Director, Manpower Development; Mr. Samuel R. Hernandez, Associate Director, Program Planning and Development; Mr. James L. Robertson, Associate Director, Program Management and Communications; and Dr. Charles M. Van Duyne, Associate Director, Health Care Services. Mr. John Kasberg, Evalua- tion Specialist, developed and prepared the illustrations. Li Figure Figure Figure Figure Figure LIST OF ILLUSTRATIONS j--Per Cent of Actual RAC Membership by Group. 2--ARMP Consultation Patterns 1972 3--ARMP Projects in the Health Planning Areas of Alabama. . . . 4--Key to Objectives for ARMP Projects . 5--ARMP Cooperative Relationships With Other Cities in 1972. iid 15 26 29 31 37 INTRODUCTION This report of the activities of the Alabama Regional Medical Program is part of an Institutional Study Program being conducted by the University of Alabama in Birmingham in preparation for an accreditation visit by the Southern Association of Colleges and Schools to be made in October 1973. It has resulted in a unique opportunity for the management and staff of the Alabama Regional Medical Program to review its progress in relation to a number of factors: The original and extension Regional Medical Pro- gram legislation and guidelines. The change in national priorities, expecially the switch in program emphasis from categorical diseases to improved delivery systems dictated by the budget message for FY 7l. The health care needs of the State of Alabama as perceived by the Program's governing body, the Regional Advisory Council The effectiveness-of:Program:activities.. =ttivitis: The impact of currently funded project activities. A consideration of the cooperative relationships with other organizations. Recommendations of the Executive Director 1. No changes are felt necessary in the goal or objectives of ARMP. The Regional Advisory Council reviews and updates these at intervals. Current efforts to establish short term measurable: sub-objectives should be continued. 2. Ideally, a clearer set of measurable objectives should be established at the national level and used for evaluation. 3. The Program wauld be easier to manage were it possible to have assured funding for intervals longer than one year. 4. "Barmarked" funds Bhould be eliminated nationally. They are often disruptive of ongoing activities during the preparation of the request and in their administration if awarded. Occasionally the earmarked funds relate to national goals which have low priority in Alabama and have proved to be a hindrance to overall goals. 5. If health revenue sharing should become a reality, the Regional Advisory Council would be a natural mechanism for setting priorities and allocating funds, since it has had three years experience in this. 6. It is impractical to provide the requested outline of specific plans and directions for the future of ARMP over the next ten years in view of the Administration's plan to phase out Regional Medical Programs, This intention may be reversed by Congress prior to June 30, 1973. 7. Present relationships of ARMP to UAB are spelled out in the section on Grantee Institutions. With a second state medical school now operational at Mobile, and medical education activities underway at Tuscaloosa and Huntsville it is recommended that consideration again be given to estab- lishing a non-profit corporation to be the grantee institution. Comments of the Executive Director Program Objectives The goal of the Alabama Regional Medical Program relates mainly to service: to improve the health of the citizens of Alabama. Program objectives relating directly to this goal ares To facilitate the delivery of health services so that (ideally) high quality medical services are available to, and utilized by, everyone in the Region. To support the provision of education (as deter- mined by delivery needs) that will increase the é:: appropriate utilization, distribution, and num- ber of health manpower throughout Alabama. To encourage the prompt and effective incorporation of new knowledge and technology into the health care community. To promote health educational programs conducted =” by responsible agencies and organizations for the general public. To improve exchange of health care and health education information both among and between providers, consumers and government at all levels. The Grantee Institution Under RMPS guidelines the UAB, as grantee institution, is responsible for the fiscal and administrative integrity of the Program. In this regard, UAB is concerned with: The initial selection of RAC membership, its chairman, and the ARMP chief executive officer. Starting in 1973, it will also appoint the RAC chairman following RAC nomination. The appointment of a Program staff upon nomina- tion by the chief executive officer, and in accordance with UAB personnel policies. Receiving, administering and accounting for funds. It reviews the operations and activi- ties in light of their eligibility for funding in conformance with RMPS and federal funding requirements. It also assures that programs and projects are in conformity to state and UAB policies and directives. It assesses the affiliate's capabilities to manage funds. It also prescribes fiscal and administrative pro- cedures to safeguard the grantee against audit liabilities. Establishing indirect cost rates. The grantee institution negotiates indirect cost rates with the affiliate and provides those supportive services included in the grantee indirect cost rate. Because the UAB is the principal health science center in Alabama, it has served as a valuable resource in further- ing the goals and objectives established by the Regional Advisory Council, which sets policy for ARMP. Many hours of: faculty and administrative staff time have been devoted to meetings of RAC and its committees and with innumerable pro- jects and studies. Much of this consultation is not reim- bursable as with direct or indirect costs. The ARMP has likewise made significant contributions to the UAB, especially in facilitating new educational pro- grams and in supporting a wide variety of outreach programs. Notable among the new educational programs are the development of the Regional Technical Institute with its 18 affiliated state junior colleges, and the impetus given to the surgeon's and physician's assistants programs. ARMP also assisted in the adoption of the Problem Oriented Medical Record in the University and V.A. hospitals. Ongoing educational programs have benefited by the presence of faculty recruited by ARMP, expecially Drs. J. O. Finney, Harold Schnaper and John M. Packard in the Department of Medicine and J. J. Mason, M.°D. Plowden and S. R. Hernandez in SCAHR. Cardiopulmonary resuscitation courses have been taught to second year students and incoming house staff using ARMP staff, equipment and audiovisual aids. ARMP audiovisual C.P.R. aids have been provided for a self-teaching room in University Hospital and in the School of Nursing. ARMP has supported continuing education programs in the Schools of Medicine, Nursing and Optometry through direct salary support, staff assistance and equipment, and by under- writing certain travel and consultant expenses. The medical student elective and house staff training program at Montgomery was initiated and has been partially supported by ARMP. The most notable among the outreach programs has been the Medical Information Service by Telephone (MIST), which has handled over 41,000 calls in its first three and a half years. The voluntary services donated by the faculty, plus the hardware, telephone lines and operating personnel provided by ARMP, VA and ARC have combined to produce a widely used and appreciated service to the health professionals in the state. In addition, ARMP has staffed and the Executive Director has chaired,the UAB Council of Community Health Services. The Executive Director also serves as Associate Dean for Community Health Affairs in the School of Medicine, providing an additional avenue for outreach. 5 A developing outreach program is the Radiation Dosimetry project which has extended the resources of the Radiation Therapy Department to a number of the larger cities in the State. The SAMA Clinic and the Central City Outreach Clinic of the School of Nursing have also received a small amount of support from ARMP. Finally, it should be mentioned that UAB has received over the past six years $553,763 in faculty salary support (@éxclusive of funded projects) and $868,714 in indirect cost payments for a total of $1,422,477. Legal Basis and Operational Concept of the Alabama Regional Medical Program Pertinent Legislation and Guidelines Recognizing a historical thrust toward regionalization of health resources, and the need to put into practical use knowledge produced by the large and productive national bio- medical research community, the Congress amended Title Ix of the Public Health Service Act to authorize the establishment and maintenance of Regional Medical Programs. Public Law 89-239 was signed by the President on October 6, 1965." The Public Health Service Act amendment provided a vehicle to combat heart disease, cancer, stroke, and related diseases. The original Regional Medical Program Guidelines stated RMP was to be a cooperative arrangement among a group of public or nonprofit institutions or agencies engaged in research, training, diagnosis, and treatment relating to heart disease, cancer, or stroke. Regional cooperative arrangements among medical schools, research institutions and hospitals were to be encouraged and assisted through federal grants in order to disseminate the latest advances in the diagnosis and treatment of these diseases to the medical profession and medical institutions in the nation. These arrangements were to improve generally the health, manpower, and facilities available without interfering with the established structure of health care financing, patient care, professional practice, oer administration of hospitals. On October 30, 1970, the Congress extended the Regional Medical Programs.* In addition to increasing the amount of appropriations authorized, the~-Congress expanded the role of RMP beyond concern. with categorical disease. The Act required promotion and fostering of regional linkages among health care institutions and providers as another means to improve the quality and enhance the capacity of the nation's health manpower and facilities.‘ To facilitate interregional cooperation and develop. improved national capability for delivery of health services, the Secretary was authorized to use funds for programs, services, and activities involving two or more Regional Medical Programs in development or demonstration of methods for con- trol of categorical diseases, collection and study of epide- miologic data related to categorical diseases; and development of training specifically related to diagnosis, treatment and rehabilitation. This portion of the law has not been used to *AS “Of February 1, 1973, there has been no further extension legislation. The present extension legislation, Public Law 91-515, expires June 30, 1973. fund. Authorization was also provided for continuing programs where shortage of trained personnel would otherwise limit application of knowledge and skills important to the control of such diseases, as well as conducting cooperative clinical field trials.> An important section in the original law which directed categorization of hospitals as to quality of facilities to care for patients with categorical diseases was carried for- ward to the new law. Little action was taken-under this provision until.September-1972, when the; joint: commission on accreditation of hospitals started a survey. Regionalization The Regional Medical Program's goal to improve patient care is to be achieved through regional cooperative arrange- ments. These "arrangements" are better known as regionali- gation. In guidelines published by the Health Services and Mental Health Administration for Regional Medical Programs, regionalization was described as a continuous process rather than a plan which is totally developed and then implemented. ° Regionalization as a cooperative arrangement has the following characteristics: it is both functional and geo- graphic; it provides a means for sharing limited health man- power and facilities; and it constitutes a mechanism for coordinating categorical programs with other health programs in the region. As a process, regionalization consists of the following elements: Involvement and commitment of individuals, organi- zations and institutions within. :a.geographic“area- (region) ; 8 Identification of needs and opportunities regard— ing categorical diseases within a region; Assessment of resources in terms of function, size, number and quality; Definition of objectives to meet identified opera- tional needs and opportunities; Setting of priorities consistent with limited man- power, facilities, financing and other resources; Implementation of program objectives following from the base and imperative for action provided in the preceding steps; Evaluation which should provide for a continuous, quantitative and qualitative consideration of each planning and operation activity of the region as well as the overall regional program. As will be noted below under a discussion of the Regional Advisory Council, the Alabama Regional Medical Pro- gram was early concerned with an effective mechanism for achieving regional cooperative arrangements. It provided for health planning regions and funded health planners for each. Health planners are active in the following areas: Birmingham, Mobile, Gadsden-Anniston, Tuscaloosa, Montgomery, and Dothan. Cooperative arrangements remain to be established in the Selma and Tennessee Valley areas. This arrangement is known as area-wide regionalization and provides the broadest base through which regional cooperation can be obtained. Historical Development of the Alabama Program- Prior to Receipt of Planning Grant Interest in a Regional Medical Program for Alabama developed early. In fact, it preceded passage of the law in October 1965. In June of 1965, in response to a request by the American Medical Association, the Medical Association of The State of Alabama appointed a special committee to make recommendations concerning the Regional Medical Program as exemplified by Senate Bill No. S596. This distinguished committee was chaired by Dr. Tinsley R. Harrison. Other members were Drs. J. Garber Galbraith, Julius Michaelson, William Atkinson, Howard Walker, T. Joseph Reeves, and James G. McDonald, ex officio (President, Medical Association of the State of Alabama). Drs. Harrison, Galbraith and Reeves were full time at the Medical Center of the University of Alabama and the rest were physicians in active practice. In one meeting on August 16, 1965, the Committee agreed that there was a need in the state for improvement in teaching, research and patient care, not only in the field of heart diesase, cancer and stroke, but in the broad field of medicine. In this respect, they anticipated developments that were to occur much later in RMP history. The Committee expressed grave doubt that the proposed legislation was a reasonable and adequate mechanism by which existing deficiencies could be met. The Committee was concerned about a proposed regional distribution of federal funds. It proposed that a more logi- cal distribution would be along the lines of existing state boundaries.” The Committee had a fundamental proposal which it felt was a major departure from the existing philosophy for admini- stration and distribution of federal monies as follows: Specifically, it is proposed that a more logical, workable, less wasteful mechanism could be devised by which a separate grant proposal is made by each state designed to meet its own peculiar and unique needs in the areas of health research, teaching and patient care....This precise mechanism by which 10 each state would derive its requirements would be a function of the individual state. In the State of Alabama, and perhaps in all, it is proposed that a State Commission comprised of membership from the state medical college or colleges of that state, representatives of the active medical profession of that state, state public health officers and medical associations be formed.10 The Committee felt that the national policies should be broad, aimed at implementing the intent of Congress; that the discrete policies and decisions would be determined by the individual state.ll Public Law 89-239, as signed by President Johnson in 1965, reflected the wisdom and concern of the Committee. The Act provided sufficient latitude for definition of a geographic area as a state, and for each geographic area to make its own grant proposal. This mechanism was instituted for the RMP's in 1970, when the National Advisory Council delegated final approval for individual projects to the Regional Advisory Groups of "mature" RMP's. The allocation of funds at the local level by a regional advisory group is different in operation from a proposed state commission, but essentially the same in concept. Local allocation of the funds is the «. key. During 1966, a Regional Advisory Committee for Heart, Stroke and Cancer was formed through the joint efforts of the University of Alabama School of Medicine, the Medical Association of the State of Alabama, and Governor George C. Wallace. This Committee was charged with advising the Univer- sity of Alabama School of Medicine in relation to the develop- ment of a regional program under the provisions of Public 11 Law 89-239 #12 The Committee held three critical meetings during 1966. As its first meeting on April 9, 1966, it agreed on the following general principles: Consistent with the legal guidelines the State of Alabama was defined as a geographic unit represent- ing cohesiveness in patterns of referrals of patients and professional interaction among a medical center, a research and training facility, and a network of cooperative hospitals and agencies concerned with the categorical diseases. The intent of the legis- lation was interpreted as an opportunity for coopera- tive arrangements to make available to the patients of physicians the latest advances in diagnosis and treatment of categorical diseases. Other aspects of the legislation would provide a more uniform standard of excellence of patient care. Education was recognized as the predominant characteristic of the Regional Programs. Finally, the Committee recom- mended that the University of Alabama be requested to prepare a grant application for planning regional research centers.** It was unanimously agreed that the University's Medical Center was the logical insti- tution to_be designated as a responsible agent for planning. At the second meeting of the Committee, on May 26, 1966, the opportunities and dangers presented in the development of a Regional Medical Program were discussed at length. Although the Committee report is silent on the nature of the these dangers, it was decided to expand the Committee by the appoint- ment of three additional laymen, to be nominated by the President of the Medical Association and appointed by Governor Wallace. The Governor indicated subsequent to this meeting that he believed his role was that of initiation of the Committee without further responsibility for its action or its continuity.14 * See Appendix I for membership of this committee. **Research centers were authorized in the Senate bill, but not in the final law. Unfortunately, discussion of the Senate bill raised expectations: . 12 The third meeting was held on September 13, 1966. Three additional lay members were appointed to the Committee. They were Mr. Earl M. McGowin, Mr. James H. Crow, Jr. and Mr. Winton M. Blount. During this meeting the Committee also adopted policies regarding the Advisory Committee for Regional Programs which were, in effect, by-laws for its efficient operation. Recognizing the need to expand the Committee by making it more broadly representative of the region, the Committee recommended to the University the appointment of six additional members as follows: Dr. Julian Giles; Dr. Lucius H. Pitts; Dr. Harold T. Dodge; Dr. S. Richardson Hill; Dr. ~ Herschel Hamilton; and Dr. Charles A. McCallum.15 On December 21, 1966, Senator Lister Hill announced that a grant award had been made for the first year, and there would be a two and a half year program to support planning activities for the Regional Medical Program. +6 The Alabama Regional Medical Program became a legal entity and entered its first phase. The Regional Advisory Council* Description and Composition of the Regional Advisory Council From the seven member special committee of MASA, which met to make recommendations concerning Regional Medical Pro- grams, the Alabama Regional Medical Program's governing body, now known as the Regional Advisory Council, has grown to a potential membership of 62. From the beginning of the program *The Regional Advisory Group redesignated itself as a Council in September 1972. Reference to RAG or RAC indicates a time before or after that date. 13 members of the Medical Association of Alabama, the University of Alabama in Birmingham Medical Center and other professional health associations have been active in providing guidance and leadership to the Council in its direction of the Alabama Regional Medical Program. In recent years membership of the Regional Advisory Council has been appointed by the following groups: Medical Association of the State of Alabama University of Alabama Medical Center Alabama Dental Association Alabama Hospital Association Alabama State Nurses Association Alabama Heart Association Alabama Division of the American Cancer Society State Department of Health State: Department: of<=Mental “Health Vocational Rehabilitation Service Veterans Administration CHP 314(b) Agencies. In addition, the grantee organization has appointed members at large. The relative numbers of these organizations have tended to change over the years as illustrated by Figure 1. Successful areawide development by the Advisory Council accounts for most of the changes in trend. Membership in the Council had been relatively-stable since-1967.- Subregionalization efforts ‘of the Council were effectively felt in 1971, with the addition of representation from the areawide advisory groups and an in- crease in the number of members at large. Development of Program Goals As discussed, the Regional Advisory Group was instrumen- tal in the- historical development of the Alabama Regional Medical Program. With the approval of a planning grant availa- ble from January 1, 1967, through June 30, 1969, the Group 14 Representation Trends of RAC Membership at ARMP - Heart & Cancer Ass'n. - CHP (b) agencie — MASA _ Wy - Univ. Ala. at B'Ham - t L Ba - Other Professional Ass'n. Members a ree (i- Vocational Rehabilitation - Vetrans Admin, ' 100% 1 1 i 1 I . \ ' 1 | ' I i 1 75% t \ 1 ' \ i Aq od a w & DS eat a 7 le 2 k @ s 2 . a fe 50% 7 a e s - a y oO LaMar WALKER FAYETTE CALMOUN e@ 7 CLAIR ksenes We 4—1 to Jasper, EFFERSON Spriagy) . P ; EY Phivelr side nniston e— 3 to . Iirminghna mh §, 11 - ~ . @—— + s TALLADEGA F~ CLEBURNE 1 o PICKENS T Fo. y ; USCALOOSA ee TELBY. alfa degen, | RANDOLPH > oF AN, Tuscaloosa p aN 5 ig AN Fe \ Sylaceuga 4 rT at x : ia B1Baf] Wc 5 TALLAPOOSA | CHAMBERS {TON tcodwetey a GREENE HALE Alex. NS city, SUMTER ERR N“ ELMOR : jf UTAUGA \ \ ‘ . Demcpciis a Livi ngston fo MACON MARENGO DALLAS RUSSELL Se\ma cag’ MONTGOMERY yi CHOC TAW LOW bat LG “ Tuskegee N 4 BYLLOCK, oooh : WiLCO * +1 > oy aynewille BARBOUR Camdey / BUTLER PIKE Grove Hil R 7 Clayten é MONROE | Laverne Toy -Cley WASHING TON f . Je sen : as Monroeville, RENSHAW J conree DAL! . @ CONE CUM . . COVINGTON ‘ Chatom Enterprise HOUSTON ESCAMBIA | f i GENEVA MOBILE ALOW! Brewten ° Florala Dothen Mobile vo, ei I Fair pope 8 . ~ ft. Clear 4% y ey f } ate ( Gulf Shores MEIC 38 49 41 om Lawrence County Health Care Project Special Evaluation Through use of time-share computer system and use- oriented programming, a data analysis methodology is to be developed as applicable to the evaluation of health care delivery systems. Project location is Lawrence County with Lamar County as a control unit. The évaluation methodology is being applied to a pro- ject whose long range objectives are to cause and demonstrate a positive change in the health care status of residents of Lawrence County through implementation of an improved health care system. If the evaluation design warrants, it will be applied to other -rural healthcare :déliveryysystems-. Comprehensive Study--Jefferson Tuberculosis Sanatorium Study is designed to determine alternative uses of the Jefferson County Tuberculosis Sanatorium. The Jefferson facility is one of seven TB sanatoriums in the State of *i °° ~ Alabama. The statewide requirements for TB facilities is now being considered by the Health Study Commission. Study money will not be used to determine the number of TB beds needed in Jefferson County, but will study alternative uses which will have statewide application. Suoploo The West Alabama Comprehensive Health’ Planning Agency is working to consolidate and regionalize the capabilities which exist in each of the region's seven county health departments. The Alabama Regional Medical Program has given impetus to the program through a $3,500 grant. The School of Community and Allied Health Resources, U.A.B., is studying the feasibility of an interdisciplinary approach to instruction among its programs. ARMP is assisting this effort with a $2,400 grant. Supportive Activities for Health Care Education in the State of Alabama $10,000 supplied to the Alabama Commission on Higher Fducation to determine the number of health care personnel needed in the state. 22,28 $17500 provided (1969) -to-develop health ‘curricula :for grades K-12. $3,000 provided to assist in implementation of the health education curriculum guide. $3,000 provided for consultant fees used in an educa- tion program for medical students and other medical personnel at Montgomery. 27 $2,400 provided for support of four nursing continuing education programs at the School of Nursing of the University of Alabama in Birmingham. Supportive Activities in the Health Services $15,00 used to identify legal constraints in the devel- opment of health maintenance organizations within the state. The study is a survey of existing Emergency Medical Service facilities in the State of Alabama and the develop- ment of a statewide plan to meet these needs. Survey and planning development are proceeding. Office of Audio-visual Communications, Broadcasting of Medical Grand Rounds and Tumor Conferences The Television Center of the UAB supports the broad- casting of Medical Grand Rounds and tumor conferences. The Center provides broadcast schedules for physicians and others in the UAB Medical Center. It also loans them to remote hospitals in the state out of braadcast range. Financial support purchased additional tape to maintain programs in inventory for longer use. Health Careers Council, A Special Telephone System Consisting of a Toll Free in-coming WATS Line for Use by the Counselors for Information The phone system has enabled the Health Careers Council to provide information concerning health careers to high school and junior college guidance counselors, students and hospital personnel. During the period June l, 1972 to August 31, 1972, the phone system recorded over 745 differenent contacts. As a result of these contacts, -Council..members ‘have appeared on radio talk shows, given lectures to graduate students, enrolled in-counsélor ‘education -¢lasses:and parti* cipated in secondary and college level workshops. Current Approved and Proposed Project Activities The largest share of ARMP furids is allocated to formal project activity.* The historical relationship of requests, project and staff funding is found at Appendix III. ARMP project activities are not uniformly distributed throughout Alabama (see Figure 3). The concentration of projects * Approved and proposed in this context refers to funded and unfunded. 28 “ita € L AUDERDAL FRANKLIN E LIMES TONE MADISON JACKSON IEROKEE || MORGAN — MARSHALL MARION WINSTON CULLMAN OwAH 1 BLOUNT 5 5 59 55 LAMAR WALKER : PICKENS TUSCALOOSA e 2G'e JEFFERSON | TALLADEGA SHELBY (@) a 6188 GREENE HALE SUMTER PERRY MARENGO DALLAS CHOC TAW WILCOX CLARKE 6 MONROE WASHING TON % Pd ESCAMBIA MOBILE BALOWIN CONECUR 3 CHILTON BUTLER a COVINGTON ST CLAIR iS) 8) 6) @ 4 55 URNE RANCOLPH coosa TALLAPOOSA | CHAMBERS @ © ELMORE : @) Moll -RY LOWNDES 58) BULLOC PIKE ®5 e-~ @) BARBOUR ea RUSSELL HENRY CRENSHAW ’ COFFEE OALE os HOUSTON GENEVA Ds ie ws x a ° & z= . ie 4 7 1 Z ec 3 * * MEMEO A.R.M.P. Projects in the Health Planning Areas of Alabama Funded Unfunded © 314. b Agencies XN Statewide Projects a a @) ee @ 4) 150 GOAL & OBJECTIVES Goal: To improve the health of the citizens of Alabama. Objectives: 1. To facilitate the delivery of health services so that (ideally) high quality medical services are available to, and utilized by, everyone in the Region. © @ To support the provision of appropriate education (as determined by delivery needs) that will increase the utili- zation and number of health manpower throughout Alabama. 3. To encourage the effective incorporation of new knowledge and technology into the health care com- munity. To promote health educational programs conducted by responsible agencies and organizations for the general public. @ @ © 5. To improve exchange of health care and health education information both among and between providers, con- sumers, and government at all levels. Color-keys the project location on the map to the objec- tive to which project relates. Some projects may involve more than one objective; in this case, the project is keyed to its primary objective. are a rough measure of the effectiveness of ARMP's areawide regionalization efforts. Regions II, Ill, IV, v and VIIt have very active Comprehensive Health Planning (314 (b)) Agencies which are supported from ARMP program funds. Figure 3 also shows a location of funded and unfunded projects throughout the state. Figure 4 and its attachments represent the key to this impact map. The key is coded to the individual project and indicates the project's objectives, location, title, status, project director, purpose, impact, and status of ARMP funding. The Developmental Component In its Triennium Application (1970), ARMP requested $100,000 annual funding of a Developmental Component. The request was subsequently approved and funded in 1972, at 10 per cent of the previous year's budget ($81,000). The plan for use of developmental funds was based on two prin- ciples: close control and involvement of the RAC in seeking improvement in the quality of delivery of health services; and rapid implementation of worthy proposals. Cooperative Relationships With Other Organizations One of the strengths of the Alabama Regional Medical Program is its cooperative relationships or linkages with other health care organizations. Figure 5 illustrates the location of organizations with which ARMP has currently or recently maintained cooperative working relationships. Following the figure are the corresponding data sheets for each location on the map. Data sheets are from Annual Report and Request: 05 Year. 30 KEY TO OBJECTIVES FOR ARMP PROJECTS Objectives: 1. To facilitate the delivery of health services so that (ideally) high quality medical services are available to, and utilized by, everyone in the Region. To support the provision of appropriate education (as determined by delivery needs) that will increase the utilization and number of health manpower throughout Alabama. To encourage the effective incorporation of new knowledge and technology into the health care community. To promote health educational programs conducted by responsible agencies and organizations for the general public. To improve exchange of health care and health education information both among and between providers, consumers, and government at all levels. Fig. 4 Location and Title and Status Project Director Purpose Impact ARWMP Funding Medical Information Ser- vice via Telephone Funded Objective: 3,1 Birmingham, Ala. Statewide project Project Director: Margaret Klapper, M.D. Audiovisual Materials for Reality Orientation i Funded Objective: 3,1 To provide instantaneous Medical informa- tion to health Providers in Alabama via telephone. More than 15,800 calls from More than 1,066 Physicians recorded in less than three years of Operation. Calls Provide consultation On patient Care from University of Alabama in Birmingham Medical Center. Approximately 90% of calls are from rural areas. To date 37,000 calls have been processed affecting more than 6,000 Patients. 12-31-69 to 12-31. $21,933 4-1-71 to 3-31-7: $20,520 4-1-72 to 4-30.73 $100,690 Tuscaloosa, Ala. Statewide Project Project Director: Dorothy Scarbrough To enable much wider dissemination of reality orientation training throughout the State. Furnishes audiovisual materials to train health care personnel who cannot attend resident course in RO techniques, thus increasing number available to deliver this Specialized patient care, 5-1-72 to 4-30-73 $47,783 26 Model! Cities Nutrition Project Funded Objective: 2,3 27 Regional Radiation Thera- Py Cooperative Treatment Planning and Dosimetry Project Funded Objective: 1,3 Tuskegee, Ala, Macon County Project Director: Bernidine Tolbert Dr. Birmingham, Ala. Statewide Project Project Directors: Robert Roth, M.D, & John R, Durant, M.D. TO provide a Supportive health program with the Capability of combining community health resources to meet the nutrition needs of the people in Macon County area. To improve care of cancer patients through computerized dosimetry systems and to edu- cate the cancer treatment team. In three years, only 2 nutritional assistant classes were held with 22 out of 43 enrollees graduating. Project has been recommended for termination. About 1,700 cancer patients benefit annually from this program with 11 hospitals involved, 33 radi- Ologists, and 8 radiation technicians. 1-1-71 to 3-31-71 $26,104 4-1-71 to 3-31-72 $94,196 4-1-72 to 4-30-73 $90,000 7-1-71 to 3-31-72 $26,000 4-1-72 to 4-30-73 $99,478 Continuing Medical Educa- tion — MASA Funded Objective: 3,5 Montgomery, Ala. Statewide project Project Director: John Chenault, M.D. To assist in the identification, communica- tion, and translation of the continuing medi- cal education needs of Alabama physicians for an effective educational Program. Office of Continuing Medical Education within MASA is Providing a Program responsive to CME needs of physicians. 9-1-72 to 8-31-73 $25,000 35 Coordinated Service Pro. gram Funded Objective: 3,1 Pensacola, Fla., and Mon- roe, Conecuh, Escambia and Baldwin Counties, Ala. Project Schill Director: John To increase effeciency and economy through Shared Purchasing and Patient services among hospitals, A savings of $140,000 shared by 68,980 patients in 19 different hospitals. Also a life-long learning Program has been instituted for employees of the hospitals, Taking the Lid Off the LPN Funded Objective: 2 Continuing Education in Blindness Prevention Funded Objective: 3,1 Phil Campbell, Ala. Northwest Alabama Project Director: James A. Glasgow To alleviate RN shortage by qualifying LPN‘s to take licensure exams through a one-year program. 7-1-71 to 4-30-72 $10,623 4-30-72 to 4-30-73 $27,107 18 out of 23 students graduating from first class Successfully passed the state RN examination, and 30 students are currently enrolled in another class, Birmingham, Ala. Statewide Project Project Director: Peters, O.D. Henry To upgrade through Continuing education the knowledge and skills of the optometrists of Alabama in detection and identification of potentially blinding conditions of the human eye. 39 Optometrists completed 1-week residency pro- gram. 9 participants monitored 5 weeks before seminars reported 63 Patients with Potentially blinding Conditions; in § weeks following Program, 12 optometrists found 235 such Conditions. 7-1-71 to 3-31-72 $35,000 4-1-72 to 4-30-73 $59,563 4-1-71 to 3-31-72 $7,488 4-1-72 to 4-30-73 $18,600 40 41 42 43 44 Location and Title and Status Lawrence County Health Care Project Funded Objective: 4 Electrical Safety in Coro- nary Care Units Funded Objective: 5 Mobile Infirmary Multi- sensory Media Funded Objective: 4,3 Emergency Medical Ser- Vices Demonstration Proj- ect for Alabama Region (11 Funded Objective: 1,2 Alabama Emergency Medi- cal Services Project Funded Objective: 2,1 Project Director Purpose Moulton, Ala. Lawrence County Project Director: David Miles Montgomery, Ala. Statewide Project Project Director: Dean Clay Mobile, Ala. Mobile County Project Director: L. oH. Underwood Birmingham, Ala. Impact ARMpP Funding To develop a comprehensive health care delivery System to improve health status of To demonstrate the need, Production, use and implementation of multi-sensory media relating to Specific health educational areas, 4 teams of 1 doctor and 1 medex have, since July 1971, reached 68.6% more Patients in the county. 8 seminars and workshops for Public health nurses and aides were also held, Will produce recommendations for uniform speci- fications regarding the design and Operation of To establish for Birmingham and Over-the— Mountain Cities coordinated emergency ment of Regional I as Project matures.) Approximately 200 EMT's wil! be trained by late 1973; 12 area hospitals and 6 fire departments are involved, Approx. 4,200 heart and auto accident victims will be helped each year. 4-1-72 to 4-30.73 $16,000 Additional support Appalachia Regio Comm. 5-1-72 to 4-30-73 $5,954 4-1-72 to 4-30-73 $25,878 Po 9-1-72 to 8-31-73 $300,000 Health Area {I| Project Director: Alan Dimick, M.D. Montgomery, Ala. Statewide Project Project Director: Clay Dean To improve State emergency medical services by establishing a sound Statewide EMS System to plan, develop, coordinate, and train local EMS Components to further reduce fatalities and facilitate public use of education in EMS. Montgomery ' Area Health Education System Objective: 2,3,5 Montgomery, Ala. Health Planning Area V Project Director: J. J, Kirschenfeld, M.D, Tuskegee Area Health Education Center--A Com- munity Based Education Program Funded Objective: 2,3,5 Tuskegee, Ala. Macon County Project Director: Cc. iL, Hopper, M.D. To provide additional and better trained health Manpower for the Montgomery area through a cooperative arrangement among educational agencies and institutions, To create an Organized agency to foster an environment in which sound concepts of health care are Promoted in alj phases of education within the Tuskegee area, 1) 3° health Programs are in Progress: 1 in radiology, 1 in nutrition, and 14 in stipends for training social workers in health settings. 2) 16 students are presently enrolled in an under- graduate social worker Program in conjunction with the Tuskegee Institute. 9-1-72 to 8-31-73 $150,000 4-1-72 to 4-1-75 $335,286 47 48 49 50 51 Location and Title and Status Speech Therapy Program in Macon County Objective: 4,1 Project Director Purpose Impact ARMP Funding Tuskegee, Ala. Macon County Project Director: C, |. Hopper, M.D. Macon County which will famitiarize the Macon County, who have speech Problems, Professional community with Modern speech therapy; educate consumers as to the fre- quency of such disorders; and inform Parents of the importance of language in childhood development. To develop a speech therapy Program in Provide therapy for the estimated 800 students in Medica! Faculty-Rural Community Physician Ex. change Program Objective: 3 North Alabama Commu- nity Based Educational Project ° Objectives: 2,3,5 American Management Association Course Funded Objective: 3 Tuskegee, Ala. To provide a mechanism for a rural practi- Will enable rural physician to return to a Medical Macon County tioner to Participate in Post-graduate educa- School to obtain training in new Proceedures while Project Director: C. L. | tion while assuring a continuity of care for Medical School Faculty member replaces him ina Hopper, M.D. his Patients, and Provide practioner ex- Patient care delivery situation, Professional growth Perience for faculty staff. achieved by both should improve quality of care to patient, Huntsville, Ala. To Organize, develop, and implement a Will inventory and assess the nature and pro- Health Planning Area | “Community Based Educationa! Project” ductivity of existing and Proposed health educa- Project Director: C. V. | that will assist in alleviating the lack of | tion and training Programs in the area to deter- McCalister adequate Manpower in the area. mine the exact health Manpower needs, develop an implementation plan fora Commu Based Educational! Project that will be ge toward obtaining local committment. Montgomery, Ala, To make the American Management Associa- | Program will help identify Supervisory ability of Statewide project tion Assessment Center Program available to hospital Personnel and will upgrade Management Project Director: to be interested Alabama hospitals, development, announced. Southwest Alabama Emergency Medical Ser- vice Project Objective: 1,2 Motivational Update for Pharmacists Objective: 3 East Central Alabama Emergency Medical Ser- vice Project Objective: 1,2 Mobile, Ala. Escambia, Baldwin and Mobile counties. Project Director: Jeff Caskey To coordinate a network of improved Emer- gency Medical Services, Organize an areawide disaster System, and facilitate Public entry into EMS by Providing educational Programs. 1973 Birmingham, Ala. Statewide Project Project Director: to be announced. To update and increase involvement of Ala- bama pharmacists in health care delivery through continuing education Programs, Will prepare communit in nursing homes, hospitals, H.M.O.’s etc., Montgomery, Ala, Autauga, Lee, Elmore, Lowndes, Pike, Butler, Montgomery, Macon, Russell, Bullock and Crenshaw counties. Project Director: David W. Carter To develop an 11-county coordinated Emer- gency Medical Service System capable of adapting to changing demands and realistic evaluation necessary for public accounta- bility. Plan to furnish 205 EMS vehicle Stations, 42 EMS vehicles, and 32 EMS communication systems in the area by 1973. Plan to train 1552 EMT'S by 10-24-72 to 4.30.73 $5,000 Location and Title and Status Project Director Purpose ARMP Funding West Alabama Emer- gency Medical Service System Objective: 1,2 Tuscaloosa, Ala. Lamar, Green, Fayette, Pickens, Tuscaloosa, Hale and Bibb counties, Project Director: Eliza- beth Cleino, Ph.D. Plan to train additional EMT's establish an EMS Station in an area hospital, and acquire 3 EMS vehicles, To improve, up-grade, and Coordinate alf aspects of existing Emergency Medical Ser- vices Systems in order to reduce fatalities and prevent further injuries, Emergency Medical Ser. vice Program for Dis- trict 1V Objective: 2,1 Gadsden, Ala. Cherokee, Etowah, Calhoun, Cleburne, Talladega, Clay, Ran. dolph, Tallapoosa and Chambers counties, Project Director: John A, Brown To organize and establish a Coordinated Emergency Medical Service Program, in- Crease EMS Manpower and Promote commu- nity and areawide involvement in the Program, Reality Orientation Out- reach Project Objective: 3,1 Tuscaloosa, Ala. Statewide Project and to improve Care of Project Director: to be an- Patients who are confused and disoriented nounced, from strokes and other causes. Under Previous ARMP funding, 334 trainees at- tended 36 sessions on reality Orientation and special Programs reached on additional 69 health Care personnel. Public Education in Dia- Birmingham, Ala. betes Mellitus Statewide Project Objective: 1,4 Project Director: Dr. Buris R. Boshell Cooperative arrangements are €xpected from tele- Phone and utility companies as Well as the Auburn Univ. Agriculture extension divisions. Upgrading Primary Care for Rural and Urban Poor as it Relates to Midwifery Services Objective: 3,4 Hospital Based Cardiac Outreach Program Objective: 3 Montgomery, Ala. Montgomery County Project Director: to be an- nounced. Plan to teach new and 'Mproved maternal nursing Skills to nurses, to train and council the indigent mothers of Montgomery County in family plan- ning and Maternal pre-natal care, , and pren re and family Plan- ning services for the rural Poor through a demonstration Project. Anniston, Ala. Health Planning District IV Project Director: Bill D, Stout, M.D. To make high quality cardiac diagnostic care available in the area, and provide training in advanced cardiac care proceedures, Will make technologically advanced Cardiac care and diagnosis available in area and reduce Waiting time for such services, Nursing Career Mobility Program: LPN to RN Objective: 2 Rainsville, Ala. Northeast Alabama Project Director: to be an- nounced. Plan to enroll a become RNs. nd train 30 students per year to No. 61 62 63 64 Location and Title and Status Elimination of Cancer in Macon County Objective: 1,4 Study and Planning Project in Health Con- sumer Education Objective: 4 Screening Program: Cancer of the Cervix Objective: 1,4 Pediatric Pulmonary Care Unit Objective: 1,3 Project Di rector Tuskegee, Ala. Macon County Project Director: Shingleton, M.D. Hugh Purpose To Conduct a demonstration Project to Prove that Cooperative efforts of lay persons cancer of the cervex and detect breast and Other cancer in early potentially curable Stages. ARIMP Funding Auburn, Ala. Statewide project Project Director: Edward P. Wegener Mobile, Ala. Mobile County Project Director: Gerald L, Lightsey Tuscaloosa, Ala. Health Planning Area i Project Director: Jerry A, Davis To improve and maintain the health of Ala- bama citizens. To provide educational and medical! service Concerning cervical and breast Cancer to the entire female Population of Mobile County. To lower the Neonatal and infant Mortality rates throughout the West Alabama Region, Alabama Educational TV network, Auburn Univ. Educ. Tv Dept. will Participate. Screen approximately 10,000 women and provide appropriate proposals. ARMP's COOPERATIVE RELATIONSHIPS WITH OTHER CITIES IN 1972 X LAUDERDALE LIMESTONE | MADISON JACKSON COLBERT LAWRENCE FRANKLIN MORGAN OE KALB MARSHALL MARION WINSTON CULLMAN LAMAR | WALKER FAYETTE = TALLADEGA CLEBURNE. ICKENS TUSCALOOSA SHELBY cay | RANOOLPH J / a 4 AS e 8188 \ \ / COOSA TALLAPOOSA | CHAMBERS CHILTON \ { : ~ ( ‘ \ : . SUMTER PERRY \ \. é “ELMORE \ / VN bs MACON "DALLAS “i Ss RUSSELL ‘f ‘ | CHOC TAW LOWNCES BULLOCK f ILCOX BARBOUR ° BUTLER PIKE MONROE WASHINGTON , \ CRENSHAW | COFFEE DALE . CONECUH X COVINGTON \ ESCAMBIA = ’ f GENEVA moste 7% saLowin Xe, co) x \ 5 I * | » WR La # Gy 5 ) Ye . ae? a (of : or menCO Fig. 5 CORE COUPLBRATIVE RELA ie obi o SA ne ee cn abe peli ps pe WITH OTHER ORGANIZATIONS - | 128 i ola SVeia7 ame of Organization Address . ; Southwest Alabama Health Mr. Vernon D. Knight, Director Planning Council Ls P. O. Box 4533 Mobile, Alabama 36604 Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships CHP (b) Advisory Group serves as RMP Subregional Advisory Group. cHP (b) Advisory Group elects two consumer representatives to RAC. Members of Areawide Advisory Group serve on various ARMP categorical committees. ae Area Coordinator serves on ARMP ad hoc Planning Committee for Manpower Conference. ; ARMP staff attends CHP (b) Council meetings when expedient. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis Areawide utilizes data collected by both ARMP and CHP. Project de- velopment reflects use of data mutually gathered. . Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) (b) Agency staff and council members are regular participants in ARMP Conferences and Programs Chairman of Areawide CHP Council are invited to attend meetings of RAC. Staffs cooperate closely in local project development and program planning ARMP staff gives consultation jin the region upon invitation. Summary of Equipment and Facilities Sharing Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. All RMP grant submissions relative to this area are submitted to area~ wide agency for review comment. Areawide shares their projects with ARMP for review and comment. Summary of Other Joint or Cooperative Activities and Relationships - ARMP's assignment of Areawide Coordinator within (b) Agency provides for continued close planning and cooperation between agencies. 38 ' bop tree, ‘ we po : paezi ost ih ss Pocalin izes CORE COOPERATIVE RELATIONSHAPS | Axabana WITH OTHER ORGANIZATIONS i Rame of Organization : Address . . The Council for Comprehensive Area- Mr. Tom McCaskey, Executive Director ‘wide Planning for Health Care in the |P. O. Drawer 2007 Wiregrass Area, Inc. (CAPHWA) Dothan, Alabama 36301 Summary of Interlocking Board or Committee tdemberships or Other Board Level Relationships During the year, Advisory Council serves as RMP Subregional Advisory Group. This perhaps will change in 1973. Advisory Council elects two consumer representatives to RAC. Chairman of CHP Council serves on ARMP Regional Advisory Council and the Executive Committee. -Members of Areawide Council serve on various ARMP categorical committees. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis Areawide Coordinator utilizes data collected by both CHP and ARMP. All data is mutually shared. Summary of Steff Sharing end Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) Staf£ and CHP Council members have been regular participants in ARMP conferences and programs. Chairman of Areawide Advisory Group is invited to attend selected meetings of RAC. Summary of Equipment and Facilitics Sharing An office for the ARMP coordinator is provided by the (b) Agency. ARMP materials resources made available to area staff. ARMP has placed ROCOM Software in this office for distribution. Summary of Coopcrative Mechanisms for Review of Grant Applications, Activity Proposals, Etc. All grant submissions relative to this geographic area are shared for: review and comment: by both agencies. Summary of Other Joint or Cooperative Activities and Relationships ARMP's assignment. of Areawide Coordinator to (b) Agency provides for continued close planning and cooperation. Cooperative efforts in man- power development are increasing and consultations to educational in- stitutions are promoted. 39 oo bere j a aera j | neo, | w10. vR, | AOE ‘ iA 4 f}-e CORE COOPERATIVE RELATIONSHIPS rn (t-? 3-47 405-6 WITH OTHER ORGANIZATIONS | Alabama TL Fons fNeme of Organization . Addrcss . Community Service Council, Inc. Mr. Albert Rohling, Exective Dir. Community Health Planning Commission 3600 So. 8th Ave. (CHP (b) Agency) Birmingham, Alabama —_—_ - Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships ARMP Executive Director, Member of Advisory council. ARMP Executive Director and Deputy Director members of Committee on Health Service to Poor of (b) Agency. One member ARMP staff is member of: Health Research Committee of (b) Aqency. One ARMP staff member of (b) Agency Home Health Care Committee. areawide Advisory Council elects two consumer representatives to ARMP's RAC. Members of Advisory Council on ARMP categorical committees. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis -ARMP has assisted with distribution of "Directory of Community Services" compiled through joint efforts. There is mutual sharing of all data. ARMP selected staff members have participated in designing and conducting ‘of local studies as members of (b) Agency committees. Summary of Staff Sharing end Staff Contacts (Exchide Staff Sharing end Contacts With Grantee Organizations) Executive Director frequent guest at RAC meetings. Staff has ARMP Area~ wide Coordinator as liaison person within the (b) Agency office space. ARMP staff encouraged to attend (b) Advisory Council meetings. {(b) Agency staff and council members have been regular participants in ARMP conferences and programs. ARMP staff members have contributed to planning toward Home Health Care Plan for area through committee participation. Summary of Equipment and Facilities Sharing Staffs have cooperated in development of printed materials such as stationary. ARMP materials resources are made available to the (b) Agency staff. Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. Projects affecting area are shared for review and comment by both agencies. Staffs have cooperated extensively in local: project development and pro- gram planning. ARMP has funded some efforts to give a preliminary survey to some projects such as the Family Health Center Project at Roosevelt city Summary of Other Joint or Cooperative Activities and Relationships ARMP Area Coordinator Membership within (b) Agency staff has resulted in closer planning, coordination, cooperation, and understanding. 40 CORE COOPERATIVE ROLATICONS UPS | Fegcoy bts abated ts et - . ne foe WITH OTHER ORGANIZATIONS | Alabama erelim 7 las Name of Organization Address Dr. Elizabeth Cle ino West Alabama Comprehensive Health Director, Box 148&8 Planning Council ; Tuscaloosa, Ala. 35401 (a C.H.P. (b) Agency) Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships One member of the Executive Committee represents this agency Two members of CHP Council are members of ARMP's RAC (Council appoints two consumer representatives to "RAC) Advisory Council serves as subregional Advisory Council ‘member of Advisory Committee on A.R.M.P. Categorical Committees. Summary of Coopcrative Efforts Relating to Data Collection, Processing or Analysis Utilize data from both CHP and ARMP. ARMP Staff has acted as con- sultants in designing data collection instruments and interpreting of data for local application. Basic date from the National Health Service Corps Questionnaire will enhance future actions. -, Summary of Staff Sharing end Staff Contacts (Exclude Staff Sharing end Contacts \With Grantee Organizations} During the year Director and CHP Council Chairman are invited to attend RAC meetings - ° Staff are frequent participants in ARMP Conferences and Programs Staff cooperate closely in: local project development and program planning (b) Agency staff has ARMP Areawide Coordinator for liaison between agencies ARMP Area Coordinators are housed in CHP (b) Office facilities. Summary of Equipment and Facilities Sharing Alabama Regional Medical Program has placed ROCOM scftware in (b) Agency Office for distribution. Staffs have cooperated in design and reproduction of stationary simple supplies. A.R.M.P. materials resources are made available to (b) Agency staff for distribution. Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. Both Agencies share.all local projects for review and comment. Summary of Other Joint or Cooperative Activiies and Relationships Jointly share activities in Emergency Medical Services, and the develop- ment of Manpower Systems or health services-education activities. Jointly share consultation services to selected educational institutions. 41 CORE COOPERATIVE RELATIGNSENPS WITH OTHER ORGANIZATIONS | Baia Orel Uli Name of Organization Address . IMr. David W. Carter, Director Montgomery Regional Medical P. O. Box 11292 Foundation, Inc. Montgomery, Alabama 36111 Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships CHP (b) Advisory Council serves as RMP Subregional Advisory Group. | Advisory Group elects two consumer representatives to RAC. Director serves as member of Ad hoc ARMP Committee to plan Manpower Conference, . Summary of Coopcrative Efforts Relating to Data Collection, Processing or Analysis Areawide utilizes data collected by both ARMP and CHP. Summary of Staff Sharing end Staff Contacts (Exchide Staff Sharing and Contacts With Grantee Organizations) Staffs cooperate closely in project development and prograin planning. Two meetings jointly sponsored by CHP-RMP for areawide planners. Mem- bers of (b) Agency Council on various ARMP categorical committees. Area Coordinator and Chairman of Areawide Council are invited to attend meetings of RAC. ARMP staff gives consultation in EMS and Manpower Development where indicated. Summary of Equipment and Facilities Sharing Area Coordinator is provided office space in the (b) Agency suite. « Summary of Coupcrative Wiechanisms For Review of Grant Applications, Activity Proposals, Etc. All RMP grant submissions relative to this area are submitted to area- wide agency for comment. Areawide shares their projects with ARMP for review and comment. Summary of Other Joint or Coopcrative Activides and Relationships ARMP's provision of Area Coordinator to areawide agency necessarily re- sults in closer planning functions as well as better cooperation and understanding of each other's mission. , 42. os CORE COOPERATIVE RELATIONSINGS . Alabama fevoy fee pine fo. WITH OTHER ORGANIZATIONS : | a1 8 i? iis fame of Organization Address Alabama Division of the Mr. Jack Gurley, Exec. Vice-Pres. American Cancer Society 2160 Green Springs Highway Birmingham, Alabama 35205 Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships ARMP's Associate Director for Cancer and the Chairman of ARMP's Cancer Committee serve on the Board of the Alabama Chapter as does the Director of ARMP :project #27 in Dosimetry. Members of this organization serve on ARMP's Cancer Committee. Two representatives also serve on RAC. Summary of Coopcrative Efforts Relating to Data Collection, Processing or Analysis ARMP has assisted in dissemination of information as requested. Appro- priate data is being compiled and analyzed in relation. to Project t27- Dosimetry. ot ; Summary of Staff Sharing end Staff Contacts (Exclude Staff Sharing and Contacts With Granice Orgznizations) As described in committee activities. Worked cooperatively in continuing education efforts. Summary of Equipment and Facilities Sharing ARMP is supporting the video-taping of U. A. B. "Cancer Conferences" for inclusion in information exchange. MIST project provides for con- sultation in care of cancer patients. Materials resources related to cancer are disseminated through ARMP. Summary of Cocociative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. Both groups share in implementation of ARMP Project #27 - Regional Radiation Treatment Planning Dosimetry. Representatives of both groups worked coopératively in development of 2 projects in screening for cancer of the cervix. Representatives of the Alabama Chapter as members of ARMP Cancer Committee participate in technical review of ARMP projects related to cancer. —.. Summary of Other Joint or Couperative Activiies and Relationships Further development of hospital coordinators to improve knowledge of hospital and medical staff in care of cancer patients. ARMP has sup- ported efforts toward developmeht of the Lurleen B. Wallace Cancer Treatment Hospital. ° 43 te nt oe CORE COOPERATIVE RELATIONSHIPS Alabama tare ra, a (3-7) PESO T1S-G) Ptr WITH OTHER ORGANIZATIONS Qt 8| YW a2hs Name of Organization Address . ; - Miss Margaret Cotton, Fxecutive Dir. Alabama Heart Association P. O. Box 31085,706% So. 29th St. Rirmingham, Alabama Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships Executive Director is an active member ard Chairman of the Cardio Pulmonar Resuscitation - Fmergency Care Comnittee for Alabama Weart Association. Four representatives of this organization serve as members of RAC. One of these is the President of Alabama Heart Association. Mrs. Grooms, Nurs Consultant for Alabama, is an active member of ARMP's Health Manpower Com- mittee. Several Program staff members are members of the Heart Associa- tion. Summary of Coopcrative Efforts Relating to Data Collection, Processing or Analysis Cooperative efforts to disseminate information related to data as appropri ate and requested. Referral of information as appropriate regarding train ing or continuing education: programs. . Summary of Steff Sharing end Siaff Contacts (Exclude Staff Sharing end Contacts With Grantee Organizations) ; The Executive Director of ARMP has been a leader and active participant in development of emergency care plan for Legion Field Stadium through the Alabama Heart Association. The two agencies continue to cooperatively support the graduate program in "Cardiophysicalogical Nursing" as the U.A.B. School of Nursing. ARMP staff participate in Cardio Pulmonary Resuscitation Programs sponsored by Alabama Heart Association for physi- cians and nurses. Summary of Equipment end Facilities Sharing There has been continued sharing of materials resources, i. e. cardiac test set, Biomedical Field Phobe, films, etc. Resusci-Ann both manual and electronic and other appropriate materials from ARMP utilized in . BP. R. courses. Summary of Cooperative Wicchanisms For Review of Grant Applications, Activity Proposals, Etc. Members of the Heart Association have been involved in the stimulation and/or development of some ARMP projects. ' Summary of Other Joint or Cooperative Activilies and Relationships The two agencies have cooperated in lending leadership to development of emergency medical personnel through the University Medical Center and elsewhere. 44. me eo een A AE RO goes erdai® CORE COOPERATIVE RELATIONSHIPS aa ay net I. WITH OTHER ORGANIZATIONS Alabama bag itl iat fame of Organization Addess Mr. John A. Brown, Exe Northeast Alabama Health Planning 109.South. 8th Street Association Gadsden, Alabama 35902 c: Dir. Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships CHP (b) Council serves as RMP Subregional Advisory Group Advisory Group. elects two consumer representatives to RAC- Staff shared in development of meetings, etc. Summary of Coopcrative Efforts Relating to Data Collection, Processing or Analysis Areawide utilizes data collected by both ARMP and CHP. Summary of Staff Sharing end Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations} Two meetings jointly sponsored by CHP~RMP for areawide planners. Health Planner and Chairman of Areawide Advisory Group are invited to attend meetings of RAC.°- Summary of Equipment and Facilities Sharing Summary of Cooperative Kechanisms For Review of Grant Applications, Activity Proposals, Etc. All RMP grant submissions relative to this area are submitted to aréawide agency for ‘comment. Areawide shares their projects with ARMP for review and -comment. Consultation on mutually developed projects especially Emergency Medical Service. Health service activities are mutually shared. Summary of Other Joint or Cooperative Activities and Relationships ARMP's provision of Area Coordinator to areawide agency results in closer planning. activities. 45 CORE COOPERATIVE RELATIONSHIPS | | ez) | yey visey bey WITH OTRER ORGANIZATIONS | Alabama be Lib - i Viv Narne of Organization: Address Model Cities Tuskegee, Alabama Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships Herman Franklin, Model Cities Director, is a member of Central Alabama (Montgomery) Areawide Health Planning Council (ARMP Subregional Local Advisory Group). Model Cities and ARMP has membership on the Tuskegee Area Health Education Center. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis -. ARMP Project #26, “Model Cities~RMP Nutrition Project, Tuskegee, Alabama," was based on community data drawn together. by an ARMP staff member. Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing end Contacts With Grantee Organizations) Model Cities staff has contributed to the project development in Emergency Medical Services in certain areas. Summary of Equipment and Facilities Sharing Project #26 is an ARMP effort to participate in a part of the Tuskegee Model Cities total health plan. a Summary of Couperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. ARMP's subregional ‘office and advisory group is the A-95 review agency for the Tuskegee Model Cities and, as such, reviews grant applications. Summary of Other Joint or Cooperative Activities and Relationships Besides ARMP and Model Cities, this project has the support of the VA Hospital, the Tuskegee Institute Hospital, the County Health Department, the County Medical Society, Auburn University, CHP (a) and (b) agencies, University of Alabama Division of Nutrition, and local government officials. Other: Cooperation and sharing with the Model Cities Program has not been as extensive as desired. . 46 KMP ) ieee . . | | . CORE COOPERATIVE RELATIONSHIPS se BO. ve ne i OA § GATTO sr2d (34) | WITH OTHER ORGANIZATIONS Alabama 2 Sil Name of Organization - Address . . a ; Preston Blanks, Acting Director Alabama Comprehensive Health Comprehensive Health Planning Planning State Office Bldg., Montg.,Ala. 3610: Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships . ARMP Executive Director 1s ex-officio member CHP (a) Agency Advisory Counc. CHP Acting Director ex-officio member RAC State Mental Health Commissioner is a member of both Advisory groups ARMP Executive Director member of ‘CHP Manpower Committee Ex-officio chairman CHP (a) Agency Council is member of RAC (b) Agency Councils act as local RMP Advisory groups also CHP staff member on ARMP Long-range Planning Committee Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis . . By mutual agreement, data collection, processing and analysis is the responsibility of the CHP (a) Agency with ARMP acting in a cooperative or advisory capacity. There is mutual sharing of data and regular meetings and contact on this subject. Suggestions related to data needs are frequently transmitted to CHP. ARMP staff have been involved in planning a statewide data bank through CHP (a) Agency. Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) All (b) agencies now have ARMP areawide coordinators separate and apart from the (b) agency staff and supported by ARMP to act as liaison between ARMP and CHP (b) Agency activities. The staffs of ARMP and the (b) agencies have cooperated in local project development consultation as well as program development. Both staff'groups have representation at meetings. Ss Summary of Equipment and Facilities Sharing N/A Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Ete. All project proposals are shared for review and comment prior to sub- mission. A liaison staff member has historically been a member of the ARMP Project Review Committee. Summary of Other Joint or Cooperative Activities and Relationships _ARMP subregionalization effort and support has 1) provided for extensive and comprehensive cooperation with the previously existing (b) agencies in B'ham, Mobile, and Montgomery, 2) been instrumental to the develop- ment of offices-in Tuscaloosa, Gadsden, and Dothan as approved (b) agencies. Cooperative efforts continue toward the establishment of similar agencies in the two remaining areas of the state not served at present. . 47 ) ; lo, Vas o, , v te, i CORE COOPERATIVE RELATIONSHIPS Alabama Hoot ttaea) ‘ier! WITH OTHER ORGANIZATIONS (2) Bi Lt 7 12) beng Patt t?7. ct es | Lett i Yas Nome of Organization Address . . Mr. L. P. Patterson, Executive Dir. phe Medical Association of 19 South Jackson Street State of Alabama Montgomery, Alabama 36104 Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships The Executive Director of ARMP serves on the Interspecialty Committee of MASA while the Chairman of the Board of Censors, members of the Board of Trustees, the Chairman of the Medical Education Committee and members of the Board of Censors serve on the Regional Advisory Council. Two physicians who are members of MASA serve on the ARMP Executive Committee. In addition, RAC members also serve as -.local (county) Censors and officers of County Societies. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis Analysis of data related to the Medical Information via Telephone is a continuous part of that project funded by ARMP continuing education needs, number, nature and geographical distribution of information exchange through this service are documented and analyzed. Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) ‘The Executive Director and the Assistant Director for Audiovisuals have participated in the circuit courses for physician continuing education throughout the state. ARMP has assisted-in support of some travel and materials production for these courses. , Summary of Equipment and Facilities Sharing Educational software and hardware have been shared by ARMP for physician continuing education programs. ARMP is building additional collection of television and other non-book learning materials for distribution and utilization for physician continuin education. Assistant Director for Audiovisuals has ‘assisted in taping programs, cancer conferences, and others for distribution. Summary of Covperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. All ARMP projects must include approval by the ‘appropriate medical - societies. oo. Summary of Other Joint or Cooperative Activitics and Relationships ARMP project #28 will provide opportunity for the creation of an office of Director of Continuing Medical Education for MASA which will further enhance the identification of continuing education needs of physicians in Alabama, and the translation of these needs into effective programs throughout the state. 48 oat arn meee — RRP bagear ts TE ‘ Peo. tao. va. p Soe CORE COOPERATIVE RELATIONSHIPS (ez) 3-4) [05-61 [0-95 WITH OTHER ORGANIZATIONS | Alabama 2(8 {1p |7 12 1ois Nome of Organization Address OEO Lowndes County, Alabama Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships Lowndes County OEO Program Director H. H. Meadows, M.D. is a member of ARMP's Regional ‘Advisory Council. Dr. Meadows also serves on the East Central Alabama Health Planning Council. (ARMP's subregion and potential (b) agency.) ; Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis - fhe Developmental Component of this document describes proposed activity in conjunction with this agency which is largely based on data assimulated by the: OEO project. . Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) Effort has been shared in relation to data collection and placement of physician personnel of the National Health Service Corps. Intercooperation with orientation of these National Health Service Corps physicians. Summary of Equipment and Facilities Sharing None Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Ete. In.accordance with the A-95 directive, the Montgomery CHP (b) office reviews grant applications of the OEO project. These relationships ijn other areas need strengthening. Summary of Other Joint or Cooperative Activities and Relationships . Informal relationships between the staff of the two agencies in certain geographic areas have been satisfactory. ARMP has contributed time to professional manpower recruitment for the OEO project, in strengthening communications between the project and the School of Medicine, UAB, and similar activities. The two agencies have worked together in the participation in the development of the Tuskegee Area Health Education Center. 49 Bote. picks YR yous " CORE COOPERATIVE RELATIONSHIPS Alabama (eed Hoa) [sa bias WITH OTHER ORGANIZATIONS i 8) 21 1171 VATE _— Name of Organization , . / Address Veterans Administration Hospital Tuscaloosa, Tuskegee, Birmingham, Montgomery, Alabama Summary of Interlocking Board or Cornmittee Memberships or Other Board Level Relationships Mr. Joe Mason, Tuscaloosa V. A., member of. RAC, and Project Review Comm. Mrs. Florrie Bruton, B'ham V.A., serves on ARMP Health Manpower Comm. Executive Director, ARMP, serves on Advisory Committee to the Tuskegee Area Health Manpower Education Center. a pr. Thomas Sheehy, E'ham V. A. Chief of Medical Services, member of RAC. Mr. C. Cox, B'ham 7. Mr. C. Enquist, Coordinator of Comm. ,V.A. former member 8. Dr. C. Hopper-consultant to VA — very active with ARMP. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis Limited at this point, will probably increase through Tuskegee Area Health Faducation Center and shared consultation on data related to this. Tuskegee AHEC utilized ARMP data collected formerly. Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) Joint consultation and work in developing project #25 to produce audio- visuals for the reality orientation program. .Joint efforts to expand library of Dial Access Tapes for physicians and nurses through Medical Information Service via Telephone and their utilization. Summary of Equipment and Facilities Sharing Birmingham VA continues to provide space for ARMP continuing education programs and has utilized many audio-visuals and staff assistance from ARMP in their own continuing education programs. Both Tuskegee and ‘Puscaloosa VA have hosted RAC meetings. Summary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. ARMP Executive Director and Associate Director for Manpower Development have been active members of TAHEC Advisory Committee. ARMP review cycle has been utilized for review of projects coming to the TAHEC. Have con~ sulted with Tuscaloosa VA in development of AHEC Proposal. RMPS funded $325,000 for three year support of TAHEC-ARMP #45. Two additional pro- jects are in this cycle. Summary of Other Joint or Cooperative Activitics and Relationships Staff from VA Hospitals in Birmingham, Tuskegee, and Tuscaloosa have attended ARMP Conferences and Continuing Education Programs and have served as program planners and participants for ARMP programs.. Continued cooperation in regionalization of VA System in Alabama as Gescribed in Triennial Application April, 1971. , 50 seen ge ee ee - AMP brEMP DATE | HO. | MO. yA, pase j CORE COOPERATIVE RELATIONSIIIPS Alabama tezy [tad piso) Seaces WITH OTHER ORGANIZATIONS | 2 Si ili?) 2\ a5 Nome of Organization Address Mr. John H. Cox, Executive Director Alabama State Nurses Association 227 Professional Center Montgomery, Alabama 36104 Summary of Interlocking Board or Committee Memberships or Other Board Level Relationships The President and one other representative of ASNA serve as members of RAC. Three members of program staff serve on appropriate ASNA Committees. ASNA is represented on all ARMP Committees except the Executive Council. Pro- ‘gram staff serve on the Commission on Nursing, ASNA By-laws Committee, as Chairman and member of the State Convention Planning Committee and member of District #1 Legislative Committee. Chairman of Council of Directors of Nursing Services of ASNA is also Chairman, ARMP Health Manpower Committee. Summary of Cooperative Efforts Relating to Data Collection, Processing or Analysis Dissemination of information to institutions, educational programs and interested consumers. There have been interlacing efforts in consulta- tion to educational programs and data related to..this consultation (li- brary resources, needs, clinical resources.) Summary of Staff Sharing and Staff Contacts (Exclude Staff Sharing and Contacts With Grantee Organizations) Sharing of efforts through Committees as described. Staff served as speaker at regional inservice council meeting. Information exchange program has been extensive. Have worked cooperatively in project de- velopment. Summary of Equipment and Facilities Sharing None as such. Information exchange (Weed Abstract; "Jumpy," Cardio- Pulmonary Resuscitation Manual, Convention brochure and materials) has been cooperatively developed and shared. Materials, resources distribution through schools and nursing services. Suramary of Cooperative Mechanisms For Review of Grant Applications, Activity Proposals, Etc. All projects developed with ARMP assistance related to nursing involve development of an Advisory Committee which includes board nursing rep- resentation. " Summary of Other Joint or Cooperative Activities and Relationships Worked with councils of directors of schools of nursing and directors ef nursing services. Have worked closely with In-service Council at State level. , 51 REFERENCES Jannual Report and Request: 05 Year (5/1/73-4/30/74) (Birmingham: Alabama Regional Medical Program, Nov., 1972), p. 30. 2pivision of Regional Medical Program, HSNHA, Guidelines--Regional Medical Programs (Washington, D.C.: Government Printing Office: Revised May, 1968), p. 1. 3tpbid., P. 26. 4u.S. Code 42 Sec. 299, Heart Disease, Cancer, Stroke, and Kidney Disease Amendments of 1970, Secs. 900 (c), (da). SIbid., Sec. 910. 6Guidelines--Regional Medical Programs, Op. cit., TIpid., p. 4. 8thid., pp. 5-6. Japplication for Planning Grant for Period January l, 1967-June 30, 1967 contained in Alabama Regional Medical Program, Documents (Birmingham: unpublished, Vol. I, II, Ill, March, 1966-August, 1967). 10thid. llipia. 12 Report of the Regional Advisory Committee Heart, Cancer, and Stroke Alabama Region, 1966, Vol. I contained in Alabama Regional Medical Program Documents (Birmingham: unpublished, Vol. I, II, III, March, 1966-August, 1967) p. l. 13tpia,. l4thia:, pp. 1-2. lSipia., pp. 2-3. l6tpid., p. 5. 171968 Activities Report of the Alabama Regional Medical Program (Birmingham: Alabama Regional Medical Program, May, 1969), pp. 7-8. 52 18anniversary Review: Progress Report and Triennial Application (4/1/71-3/31/74) (Birmingham: Alabama Regional Medical Program, November, 1970), Sec. II-III. 19ipia., Sec. II-IV. 20tpid. 2lipid. 221968 Activities Report of the Alabama Régional Medical Program, op. cit., pp. 10-11. 231bid., pp. 9-10. See also Guidelines-~Regional Medical Program, op. cit., Pp. 21-22. 24Bvlaws of the ARMP Regional Advisory Council (Birmingham: Alabama Regional Medical Program, Sept., 1972). 25annual Report and Request: 05 Year, op. cit., p. 30. 26ARMP Project Application Kit (Birmingham: Alabama Regional Medical Program, Aug., 1972), Project Review Criteria. 27aAlabama Regional Medical Program: New Operational Grant: January 1, 1969 (Birmingham: Alabama Regional Medical Program, Nov. 1968), Part I, p- 43. 28tpid., Part II, p. 66. 291968 Activities Report of the Alabama Regional Medical Program., op. cit., p. 45. 30,1 abama Regional Medical Program: New Operational Grant: January 1, 1969, op. cit., Part III, p. 33. 3lanniversary Review: Progress Report and Triennial Application, op. cit., Sec. III-b-~42,43. 32 pp. 104-106. 33anniversary Review: Progress Report and Triennial Application, op. cit., Sec. IV. Annual Report and Request: 05 Year, op. cit., 53 APPENDIX I T. Joseph Reeves, M.D. (Chairman) John M. Chenault, M.D. Charles Crump, M.D. Walter B. Frommeyer, M.D. William A. Maddox, M.D. E. N. Moore, Jr., M.D. John Day Peake, M.D. S. Richardson Hill, Jr., M.D. J. Garber Galbraith; M.D. W. J. Atkinson, M.D. Howard S. J. Walker, M.D. James G. Donald, M.D. Ira L. Myers, M.D. Mr. Michael Pizitz Mr. O. F. Wise 54 APPENDIX ITI ARMP REVIEW PROCESS SEQUENCE The proposing agent, agency or institution should begin the proposal by submitting a letter of intent (not to exceed two pages) which provides, in general terms, the following information: 1. clear statement of the health problem 2. proposed method of solution 3. costs and scope of proposed tasks Sequence The letter of intent will be submitted to review in the following manner: ARMP ACTIVITY NARRATIVE FOR REVIEW Proposing agent 1. Submits letter of intent to ARMP staff member or directly to associate director planning and program development (ADP&PD).- ARMP staff member 2. Forwards letter of intent to ADP&PD with recommendations. Assoc. Director 3. Reviews letter of intent and presents Planning & Program to staff with recommendations. Development Staff Review 4. Suggests alternate funding sources, rejects unapplicable requests, recommends appropriate category for request. Assoc. Director 5. Informs applicant of actions, forwards Planning & Program necessary information and application Development kits. Proposing Agent 6. Submits formal request for financial support. 55 Assoc. Director Planning & Program Development Staff Review Developmental Component Committee Review Committee Executive Committee Regional Advisory Group APPENDIX II, (Cont.) Ja. 7b. Ba. 8b. 8c. 8d. 9a. 9b. 9c. 9d. 10. lla. lib. 12a. Reviews request, schedules staff review meeting; Schedules proposal on schedule board. Approve or disapprove proposal less than $3500 (if approved, can be funded immediately based on avail- ability of funds). Action reported to RAG through Executive Committee. Forward developmental component re- guests to Developmental Component Committee with recommendations. Forward proposals of more than $3500 to Review Committee with recommendations. Forwards to appropriate agencies for their review (CHP, Medical Assoc., CDA, Appalachia). Approve or disapprove developmental component request. Approved request can be funded immediately based on availability of funds. Report actions to RAG through Executive Committee. Establish task force for monitoring funded developmental component requests. Forward to Executive Committee with recommendation proposals requesting more than $3500. Review actions of Developmental Component Committee on developmental component requests and actions of Staff Review of proposals less than $3500. Forward proposals to Regional Advisory Group with recommendations. Reviews the funding of proposals by Developmental Component Committee and Executive Committee. 56 APPENDIX II, (Cont.) 12b. Approves or disapproves project proposals; establishes priorities; approves funding. At any point in the review process, a component of the review system (t.e., Staff Revtew, Developmental Component Committee, Review Committee, Executive Committee, Regtonal Advisory Group) may request that the appltecant supply addittonal informatton coneerning the proposal. Additionally, any component of the revtew system may refer proposals to approprt- ate eategorteal committees or outstde reviewers for technical revtes. Materials Reviewed Staff review, Developmental Component Committee and Review Committee will review total applications submitted. The Executive Committee and Regional Advisory Group will review summaries and budgets on applications. The Executive Committee and Regional Advisory Group may request an entire application for review if they so desire. Appeal Following the disapproval of a request by a component of the review system, the director of ARMP will notify the applicant that his request has been disapproved and state the reasons given by the review component. The director will also inform the applicant that he has 30 days from notification of disapproval to file a written appeal in answer to the objections raised. An appeal would go to the review component which disapproved the application. That review component will then either approve or disapprove the proposal based on the evidence presented in the appeal. If the application is still disapproved, the applicant could then appeal, in writing, to the next higher level in the review process. Appeals for disapprovals by the Regional Advisory Group would be directly to the Group. Responsibilities of Review Components taff Review - Core staff members, including the director, deputy and associate directors, complete this review. All pro- posals are reviewed within six weeks to assure relevance to program goal and objectives, completeness of proposal, and are either recommended for approval or disapproval with comments. (May ask for technical review by appropriate categorical committee. ) Review Committee - This committee, composed of 13 members representing a diversity of health professions, consumers, and 57 APPENDIX II, (Cont.) state government representatives, reviews proposals to determine technical competence and relevance to the ARMP mission. The proposal will receive recommendation for approval or disapproval with additional comments from the committee. (May ask for technical review by appropriate categorical committee or outside reviewer. ) Developmental Component Committee - This committee, composed of the chairman of the Budget & Finance Committee, chairman of the Review Committee, chairman of RAG, one member of RAG appointed by the RAG chairman, and the director of ARMP, will review all requests for developmental component funds. This committee shall have the power to approve and authorize expenditure of funds from the developmental component based on the availability of said funds. All such actions will be reported to the Executive Committee. Each operational activity approved by the Developmental Component Committee will be monitored by a separate task force appointed by the committee and consisting of two RAG members and a staff member whose expertise relates to the specific activity. Fiscal control will be exercised by the associate director for program management and will adhere to the same procedures used for all ARMP projects. Executive Committee - This committee will review all project applications and make recommendations to the Regional Advisory Group concerning these applications. It shall be informed of the decisions reached by Staff Review on proposals less than $3500. It shall also be informed of the decisions reached by the Developmental Component Committee. Regional Advisory Group - The Regional Advisory Group, com- posed of representatives of various health professional associ- ations, provider institutions and other interested citizens from throughout Alabama, make final decisions concerning project applications based on recommendations provided by the various components of the review process. 28 APPENDIX II, (Cont.) REVIEW PROCEDURE FOR SUPPORT REQUESTS Program Staff (Letter of Areawide Coordinators intent) Associate Director (Classify by Planning & Program Development category & obta: formal request) Vv Req'd Review CHP, DLA, Appalachia Staff Review | (Approve) 5 $3,500 (funded Medical Association if $ available) (Approve & Fund) 1 \ I Technical Review |r-7 7-7 | As Required oO} pi Md Y L 31 Ovt st Developmental Review on! Component Committee a Committee AN ms) UO = Executive ¢é--- Committee Yo | Bac | 59 CURREN T YEAR RELATIONSHIP 000 ~ 100 09 2,141,224 885,908 REQUESTED — CURRENT COUNCIL _ |APPROVED | LEVEL TT TTT ICT YT 180,935 1,765,557 3,127,132 1,765,557 05 YEAR B/1/73— 4/30/74 TIT XIGNFadv 4/30/74 /74- APPENDIX III, (Cont. ) 185,000 |,200,936 170 MAO Wy 4,352 ,346 2,249,234 a Oo o ~- 04 YEAR 4//T2 — 4/30/73 Triennium 4/1 ACTUAL 27,99 Lx 188,500 ? STS PROJECTS AND STAFF FUNDING 100 ? bad Wf VD 658 7 fe) Hy 4 MLL 2,312,329 856,652 | ® bt « oO 9 i 03 YEAR ANIL =~ 32/41/72 STATISTICAL INFORMATION ARMP Funding History. - +--+ ++ +62 e eet ee es Breakout of Current (Year 05) Request . - + + + + + + + RMPS Funds Requested. - » + 6 © © © © © © © © # se 8 8 Descriptor Summaries. - . + + + + + ee 8 ee se ees Operational Components Equal Employment Opportunity. »- - - + © + + es © se 8 List of RAC Personnel Categories Summary of Budget Categories by Component - +--+ +++: Source: Office of Systems Management, Regional :Médicalti Programs Service 62 63 64 66 68 72 73 ae ee ea it A re te ct re wD EEE, reel 1 NOVEMBER | ake 1972 REGIONAL MEDICAL PROGRAMS SERVICE - : . . : FUNDING HISTORY LIST RMPS OSM JTOFHL- 2° -_ REGION 28 ALABAMA RMP SUPP YR 04 OPERATIONAL, GRANT (OIRECT COSTS ONLY) ALL REQUEST ANO AWARDS AS OF SEP 30, 1972 on. . _. AWAROED AWARDED AWARDED. “AWARDED | AWARDED ** REQUESTED. __ REQUESTED & REQUESTED _ REQUESTED | COMPONENT ol 02 03 Ce: ae 06 oT + \ aN TITLE. . 064/72 04/73 TOTAL = ** 05/73 04/74 05/74: -O4/75 05/75 04/76 _ T' TOTAL | ‘ , 5 “e 1 __.CC00 PROGRAM STAFF. 542400 686600 618100 a6380a8 2710908 **_ 885908 885908 . ' . 0000 DEVELOPMENTAL C 22939 22935 *# 100000 100000 4 _: Q001 SAWRENCE CG HLT ee ee ne eee _ Coo ceca 8732 8732 ** . \ , D002 ALABAMA HEALTH 25000 25000 *# __,,,0003 NEIGHBORHGOD YO 3000 3000 HH : : "poo4s SPECIAL OUTPATI 15420 15429 ** ; ‘ ' 004 HEALTH MANPOWER 30500 41500 __ 72000 ** i * O05 “REALITY ORIENTA 44800 $8700 103500 ** a . : _. 007 EST NCC TRG BI 89600 88300 177900 ** : ,¢ OL1 RADICISO DXRX S 27700 " 27700 ¥*# \ : 015 MEDICAL INFORMA ; 21909 20500 100690 143099 ** 74640 74640 016 STWO COOP MECHA 39400 36100", ~~ PT 5OQ wee ___.020_ CCNT N ED CC MO 40100 15900 . 56000 ** “—~ 925 PRODUCTION AUDI ; 47783 47783 4% , ; 026 MUDEL CITIES RM - 26100 94200 ~~ «90000 210300 ** . ‘ : O27 REGICNAL RADIAT 26700° 99478 “126178 ** 89548 89548 a __, 028 COKTINUING MEDI 25000 25000 +* 33111 1 33111 ov 035 COCROINATED SER 10700 - 27107 77 ~—«-3 7807 ** ~~~ 16080 16089 Jf w __ 037 TAKING THE LID 25000 59563 84563 ** 70215 70215 : 038 CONTINUING EDUC 7500 18600 26100 ** 42496 ~ 62496 _ 039 LAWRENCE CCUNTY ' * 25000. 25000 ¥* 040 ELECTRICAL SAFE ~ "§954 5954 Hm a _.. 041 IMPROVING HEALT 25878 25878 #* 17259 17259 . oo 042 EMS DEMONSTRATI 300000 ~ 300000 ** 445904 445904 w . ‘043 ALABAMA’ EMERGEN 150000° 150000 ** 358700 ‘. ‘358700 : "044 MONT AREA HEALT ~ _ at 50236 50236 i 1. 045 A COMMUNITY BAS 335286 335286 ** et 047 SPEECH THERAPY — ~ — ae "~~ 36622 —> 36622 048 RURAL COMMUNITY *% 16937 10037 Le 049 N ALA COMMUNITY ~~ od ~ 34499 34499": Lh. 051_S WALA E MS P . ** 125659 125650 : i ‘ 052. MOTIVATIONAL UP ** 31625 31625 . 053 E CENT ALA EM . +e 130434 oe ee 130434 054 WALA EMS PRO ** 140053 140053 055 NE ALA EMS PRO . o* 24000 ene 24000 . 056 REALITY ORIENTA . . ~ ae 36000 * 36000 a 057__ PUBLIC EDUCATIO + 15000 15000 cet vil 058 UPGRADING MIOW! ° ae 18450 18450 oY 059 HOSPITAL BASED nn ee . we 30169 39180 060 NURSING CAREER ae 62300 62300 : . O46L ELIMINATION OF vee cee tusteemeteiinoe +e 104024 oe 194024 se 062 STUCY ANDO PLANN e ee 35704 35704 ee _.. 063 SCREENING PROGR oe 75097 75097 064 PECIATRIC PULMO ° ae 33369 33360 . ' 4% : - TOTAL - + 735000 1002600 856700, 2249234 4843534 ** 3127132 3127132 are eer Ce , ! Py mar - acd wae v ee went g Bak ee Nae Dee. BL La date ete adidas acetate Nata ie Me efet 6 a enrmtetmmme at Wee ua cn eee ne “r : * * ae SI ee . . mr ” = , ¢ on \ ‘ ; wad pee bese se . wo woe ee eal teal a cece alee roe meme vccecneiaci seme wantin iguana Coates nt memeg ot : . . " " , tot OP eee case ote meee we sey eet - foe oe eensny cnemamnap es # ee remengye vee we Sa os epee ei ee ae 3%. a3 | - e . ho yo HOVESBER 18,2972... -.. co eee nee gen ee eee . c cc eeee een eee sence REGION: @, ALABAMA ae ret \ o. , . -. BREAKOUT OF REQUEST ¢ 7 gm 00028 02/73. ~~ PAGR. 1: Gs ' ant —- ~~ OS PROGRAM PERIOD, uo a BAPS~OSE-ITOGI=1 L i i . ‘ \ | DO . (5) 42) Mo MM a ce eee fat | 7: "IDENTIFICATION oF COMPONENT “yp CONT. WITHIN) CONT. BEYOND] APPR. HOT | MEW, MOT {.” CURRENT | CURRENT |. -)5 “bey | - — oP ARPR. PERIOD] APPR. PERIOD] PREVIOUSLY | PREVIOUSLY... |... DIRECT ©} . INDIRECT -[..... TorTaL.. -t. an : 19 | OP suPPORT | OF SUPPORT | FONDED | APPROVED 1. costs 1. costs 1 . a CG | : 1 ty -. wee rewweee D eee: ~ | Loe ee eee { Smee Doe ont am reeeeres Pee ae. 1. : on we ce cteaee seen nnenanan aitot ' |. , C000 PROGBAN STAFF 1 i { ‘5 1: an TY -y | on I $885,908 | 1 i I $995,908 | - $237,920 | $4,123,728 _ } Gt i ' DU0O DEVELOPNENTAL COSPOMENT 1 * 1 1 1 { J 1. : a ae : a t $100,900 i J JS $100,000 3 ! $100,000 1 { ‘ ! - O15 MEDICAL INFO SERV VIA TE 1 I 1 1: 1 ——Y ad G i : LE mst i $74,640 } ? j J 374,680 4 $9,628 ft $84,268 | \ O27 WADIATION THEKAPY COOP BI ( t t 1 : 1. an i Donere h- . 9 X PLANKENG DOSTMETHY 1 lL $69, 542 4 i i $89,548 J $26,622 )} $116,170 4 -- fe . | 028 CONT MED EDUC IN OFFICE 1 t t t 1 1 | new wh ! j —- OF NASAL $33,)11. 4 l j i $33,111 1} ft $33,111} : { yo 035 COORDLRALED SEVICES enet I 1 1 1. { l tie fe > jh - JECT i $216,980 J i \ l $16,080 1 i $16,080 1 { 1. f UL) 037 TAKING THE LID O¥F TIE HI 1 1 t t 1 t . a. Ob . | Q PLN $70,215 J 1 1 i $70,215 J 1 $70,215 1 GS wl 038 CONT EDUC IN BLINDNESS Ft 1 1 ! \ 1 1 hee ; |. REV ENT ION $42,496 | l jl I $42,496 J $13,479 | $55,975 | J. | ov 2 O41 BULIL SENSORY MEDIA FaOSt i j ' 1 { v4 / 4 G | me, f . LECT : $17,259 1 i l $17,259 1 i $17,259. 2. nya | i O42 LES DEMO PRUGECT Fok xii 1 1 : 1 t 1 | . | 1 O KEG _3 1 $445,904 1 i I 1 $445,905 | $99,117 1 $545 ,021..} _ Of | { — O83 ALA EAS PROJECT j 1 | i j { “| i ade to 1 $258,700 1 1 I 1 $358,700 1 t $358,700 | rn ‘ ©. ONN MONT ABEA HEALTH EDUCATIY t | j I i. ! . 7. a | Wye ON_SYSTEN i \ i $50,236 1 j $50,236 ) 1 $50,236 | i ry (047 SPEECH THERAPY PROGRAM 11 | 1 ! \ t ! 7 1 - . fe NR ACGN CO_ 1 Ll $36,622 1 i $36,622 | $11,262 1 $47,899 | 9 : O46 NUKAL COMMUNITY Snysrera 1 l | ! "4 i Ls he . | N_OEYCHANGE FROG RAM 1 . j I $10,037 1 L $10,037 1: $2,836 } $12,873 -} . soy f 045 “WALA COKMUNITY BASED ED} j 1 j i. i 1 owe De wer we, UCATIONAL PROJECT l 1 1 $34,499 I 1 $34,499 4 $152350 1 $49,549 | i rod 051 su ALA EMS FROJECT J I 1 | j ! 1 1 eee be . pet i l ! | $125,650 1 $125,650) I $125,650 | G ' _ OSD ROTIVATIONAL UPDATE FOR } 1 t i { { I lees he ' __-PUANBACISTS I I 1 $31,625 1 $31,625 } | $31,625 } -. _C) 053 2 CENT ALA £ 4 S PROJECT] | 1 1 . 1 1 1: 1 aod & - : ! 1 i | $130,434 | $130,434 J ! $130,434 J ft 054 WwW ALA EB S PROJECT 1 i ! ! ! t | , 1. . m4 ch _- \ I l i $100,053 It $140,053 1 I $140,053 1 | Oo z o| 055 NE ALA EBS PROJECT | { 1 t 1 1. 1 nt ae ' ‘ I i J l $24,000 | $24,000 |} 1! $24,000) . 1 *E O56 WEALLUTY ORIENTATION OUT] I 1 i i" ! | - 4 S yh LEACH EuOdECT \ { ! 1 $36,000 | $36,000 } 1 $36,000}. i 057 PUBLIC EDUCATION IN DLAGL. 1 | ! 1 | 1 - | mo. CP eee meLnLqus j ! ! i $15,000 } $15,000 1 $4,257 |} $14,257 | on re ‘ 05a. UPGRADING HLDWIPEKY CALE { t J j I | | roy : UM AL AND UHHAN [OOR 1 l $18,850 ) $18,450) \ $10,450 4 we oe! | Y 059 HOSPITAL BASED CARDIAC °1 ° 1 ! J | i | | ts I ba UTNEACH PROGRAM 4 1 J $30,180_1 $30,190 J j $30,180 J gee . . . : } | cb Ae e; a 4 { | suai pon emda oa ted “iat aden 9 oath a me oe ” er re white . ae : 7 4 i i y ; ; : . e a : : oe . — . ee eee oe - ’ ° ' | Occ ts . a C : * ~ : , . ‘ : { | NOVESBER VR9972 On ce ee enter semen . a fens eeenepeene meeeeness REGION ~ ALABAKA | va es a % ao" BREAROOT OF REQUEST : RH .00028 02/73. PAGE 2: O So ee » eae NR ea rs tn a ne ee a ‘ ‘ mee et ane wee ee a ae oh neta ee ee eee eee me eee oO oO dO ee ew ee eee ee DE O oO — t- a8 “oO O % =O or a4 OZ=ZQ 0 © GA a oO ~ . ‘IDENTIFICATION oF comronzar “060. "061 062 063 OF THE CERVIX 064 8) ¢.. (2) me | APPR. PERLOD | APPR. {1 OF SUPPORT | ! } OF SUPPORT “WURSING CARZER MOBILITY PLN 10 RN ELIMINATIOU OF CANCER mal con co STUDY AND PLASNING TERE H CONS OMER EDUCATION l SCREENING PKOGRAS caNcERt i, PEDIATRIC PULMONALY wes ERY 1 (4) | FUNDED 05 PROGRAM PERIOD CONT. WITHIN] CONT. BEYOND] APPR. NOT - | PERIOD] PREVIOUSLY j — ——RBPSTOSETY IO GRA qa). NEW, NOT PREVIOUSLY APPBOY ED he ee 362,300 1 ‘ i ' ‘ 4 | CORREST DIRECT _ costs CURRENT INDIRECT costs re ‘ 362.309 , $62, 300. £104,024 $22,820 $126,844 $35,704 $35,704 38,189 $43,893 $75,097 $75,097 $75,097 $33,360 $33,360 333,360 eee ee fee ee be es ee Ob, ee Oe eee me ce ee Pee ee ee pe me we 4 ! ! t | i ' J | i 1 le ee ee a ee en ! t. i le { J . i $104,024 | ! j ! i t ! ! 1. MAP UPR PLP be ! I: 1. 1. t. 1 ! i 1 t ! 1 ! 1 | . . .! weeeeee.. TOTAL. |... . § . $1,969,673 ... $164,188 ., $131,394 .., $861, 877 _, $3,127, 132 _.. $951,380 _33,578 512, a. eeeeeeeeurenene \ " { ae - +. 7 ew oe ee ee eae toe ee eee me ee to - wee { { . + “ we eee a emewes om - Be em eternmmmene nee nee ee Beleee tome ce eee net ee em oe qcrarem eet an vee oe Tame Sm mimics pon the he gence ow arama ahreahcny pee ee , seme ow set oo nee ‘ " ' ‘ i) t- “4 . r r ° oy : ° 7 = niet : | mt { ‘ to { ' ' t ~ 7 ee at twee + oe oe wate she ere’ poe Hoy ay + in a2 1. ' ete > at Sere: tenner ane i ‘e oy to .. ; t rot eb — a me mech ¢ oe hy cme een: Orie mee. mee we towed were eer ne Tome 4 ES wee tips meetin ine Se oe hee Sy mee ~ 2 pt ere e rt rr t*- een eb pee geben are i ; \ ! 1 { to ty i- ‘ ; — ' “ nine ae py : Per ua: co my _ : f JA i: ‘4 to ~ 1 ot tee - caahenmiand tee Ff ee hid et hte T aoe t “ . ee ge te A cee teeth me: toon ea os panies ope ore t- seta SET — . soe . i ' ’ ! | t oO 1. . ( Ln et ee ee een a otter 2 ey mee men oe TA ~~ -s t » ae eg Anne aa tO EEE che tem a Bt Lay ies \ ' { ‘ ' ! + : t jou pS nfm hate atn ¥y: Poe. \ i ' j \ { Df 4 . RE Op ee Ne re le eememames ee emee i cey fee worm geet aed Meenas inet -- Felon 0 Salama bs gen 2 tek ames tt mandy. Pat.. 4 LBA thy Mai SPOT ne er pe “be grr oo : to ' : ' ' § ‘ 5 i Sl aaell aalecheiesl aneincedined Soe ie enn mewn | meets nero me em mne Yreeanne ome meme we pms gon ter mee wares he ane pte emaeie ON tate" anna ween chem! : fe pais - . - es ' “ ’ { { i ' ' ~— o a = ? T ieee t T vereey ree aot ' . Sod Tor Bs ' | 4 t ‘ ! oo viene om mee = - - - ~ . Feta otal mt watt, 10.41 SER eh we UP de AE creel Salts Bibb angs ?: Cirle 8 be fn + tine aan at ee vere th ethaned a eorenes g spec + serem waeey Ss wyRe eh y “t eicrtoat t . “ . ‘ ’ sem ! ‘ : ct | { sn . he we tate nn temas tie ceeds: at a date me tema ee mh mar mh we wk sett tr Fa ee me bbe ee nen eG tedinarrmmne sede hl ce ma Gt etinne cena ge de a qotaes Oten Roe EAE te mene mvs 7 . « ‘ a + ' hee ‘ ea . ‘ t . ‘ po ' t t : i “- -- omen we eee rte eee mee en ce age meee ~~: woe owe - - + ' ° . T 4 ' . ; : : ' . jot . t ,oft oo 7 eee oe rama - “ ‘ + mee oo. ee eee ‘yors ~ r po se tee t Fm rr eg mm ane ee ene mn ere wen enenn oo ‘ ' ‘ ‘ . i sae ' ‘ : boob ae toot ' - . ° ee : o- fo . FeO nen oe Sn feet ene tae eee meee ame men oF ee ore eee —_—_ 1 -. cn genes neo encenreemces ce Renan nee: par cemerer meme © , . red ame a . ‘ ° ane aa . a “s D ¢) = ae ae O Oo oO O 5" ro) ae es oO ee at ee ern wrath. ‘ oo : ' Oo a a _ oe wb _ NOVEMBER 1541972 REGIONAL MEDICAL PROGRAMS: ‘SERVICE , c PAGE 4 i ‘ On re RPPS FUNDS RECUESTED ~~~ RHPS-OSH=LFRREQI=C4—— 7 COE ee ee a _ ~ Scenes ev - Cy REGION 28 ALABAMA RMP supP YR OS PERCENT (OF TOTAL FUNDS REQUESTED) | _ REQUEST FEE. 1973 REVIEW CYCLE oO eee ea ene ne mete ae SqeyAys wwe _ ee -CCRPGNENT AUMEER TITLE RYPS FUADS CTHER SCURCES TOTAL SUPPCRT RHPS 2.) gy : en et ince eremmennten ce REQUESTED ("7 OF SUPPCRT ~~" ALL SCURCES“———"— CP TCTAL Cr coco “PROGRAM STAFF mremeentettees oe cence mee RGAZBgT2B TT Qe ag AE Bg DEE TE EE c “Oo po00 ~ DEVELCPMENTAL” COMPONENT © momen OG te Germ 1000000 8 100° = waters gag corte MEDICAL INFO SERV VIA TELE BIST mmm nnn B49 ZEB a LS . | gay -—— “RADIATION THERAPY COOP RX PLANNING DOSIMETRY °° 777) 116,170 treme es ba wr dee J om 1¢28 0 oT «CONT RED ECUC!IN CFFICE CF MAS A pore 3a, dd cones AB GORT wom 4g 4B as ———— = | oom gag om" COORDINATED SERVICES PRCVJECT came es tome mene menecnmmnnee Gg OBO) Bg B26 nn 2 ALE woes ' . ————" O37" —— TAKIAG THE LIC OFF THE L P NOOO romr een tne metgeme mann nam ceteamrner es Eg BEG om mererrnnme - Oem = 700 215 — "100" crete coe meme - | VOT O28 TTT CONT EDUC TN BLINCHESS FREVENTIER = = me mmm 859 81S Ga BB STE CE a 1 mem gay BOLT T SEKSCRY MECIA PROJECT = 179258 o— 17,259 100 i 1 1Gag TT TT «MS DEMC PROJECT FCR ALA REG 3° ~ eee roe maga C2 mt Qn 545 9 O21 400° O > 043 2 oT CALA EMS PROJECT . Cae nie nee em Bg TOQ TT BEER TEE TE, 1 ORE m1 Cag MCNT AREF HEALTH EDUCATION SYSTEM “$C5226 6 505236 — 100 _ , “e “> gat “~ “--*~ §pEECH THERAPY PROGRAM IN. PACGR CQ) To ree 47,884 ~ wi eee Qt etme se THT, BK TO ACE en “_ Ne 048 RURAL COMMUNITY PHYSICIAN EXCHANGE PROGRAM ee voter ser 2 E72 eet ee emae e GQ teeermmr enn POG BTR mm rm LEG mn L f TTT agg oN ALA CORMURITY BASED ECUCATICAAL PREJECT 45,45 “9 4S ,845 100 me ‘ O52 "TTT S$ WALA E # S PRCJECT gg SQ | TT Qe 1B EEO 1c C Sp G52 TT TTT MOTIVATICNAL UPDATE FCF PHARMACISTS 0 >> 21 ZS Heth g — —--32,625 ~ 7 OO : com 053 Hanne g CEAT ALA EM S$ PROJECT ee 120,424° 0 1200424 ~~ “ice — | Oo. O54 Tn WALA EMS PROJECT. (0 rr memes Bagg QB tere eg em tS B eQ Lt ° D7 7 O85 7 TT NE ALA EMS PROJECT cient or mmon me amen mene: 24 4 COO” o- 24,CC0 100 ‘on I, IIT O56 “Te REALITY ORIENTATICN CUTREACH PROJECT ©“ --- > 36 000 ——— 93,564 1195564 *c— | Zo yo more pe 7S a _ cent eens seciennee ene eas mc cee - ee cee ace ctn ace nae inns wneee pee vermin pemnnmemere VI 2 . _. oe oo eA ater 8 ww ee mae Nh tl ma ee ee Mk ar on ee a ee A a el ee a Lo ¥, mi : TOTAL OF 29. “CCMPCRERTS REGION 28 ALABAMA geht na C92 not eee 7.) NOVEMBER 15,1972 REGICKAL mECICAL PROGRAMS SERVICE RAPS FUNDS REQUESTED oe RNS OSHOLERREGUSC “page 4 - : 7 ___ ANP SUPP YR OS “(PERCENT OF TOTAL FUNDS REQUESTED) | REQUEST FEB. _ 1973 REVIEW cCvcre Ost “7 PUBLIC EDUCATION IN DIABETES MELLITUS CSE * UPGRADIAG MICWIFERY CARE RURAL AND URBAN PCCR NEgAEQ TTT "O59" —--—-- HOSPITAL SASED CARDIAC CUIREACH PRCGRAR ~~ * "oo 38 1 BO” "C6G° 7 TT NURSING CAREER MGEILITY LPNTORN £2,300 07 ~~ BLIMINATICN CF CAACER bACGK co 0620077 STUDY AND PLANNING FEALTK CONSLAER EDUCATION — SCREENIAG FRCGREB CANCER CF THE CEnv Ix * . : oe 064s ~~ PEDIATRIC PueRehany NURSERY ee “Tt 339360 0007 REGION 28 . ZelVEssl2 . “199257 “UU —~" 2209450 “464000 ~~ “ "126,844 ~ ese Chon 42 9883 82 ctee gem te mr UB OG TE ere ce eg eee bee | Qe teeta o7 “319,257 “18 4450 more "£00 _ 126,844 sot alain nena La eeu ae ee See ee “TCT AL oe ne — CCMPCAEAT AUMEER a EG : \ + TITLE _RMPS FUNDS OTHER SCURCES TCTAL SUFFCFT RMPS 3 t con uw cor omens eee ne ee REQUESTED “~~~ OF -SUPPCRT ~~ ALL-SCURCES “CF TCTAL "~ 208,300 ~~" 10” ~2804¢2¢———12@ Seale memes ~~" $8 oO 7 1ee 0 co item “68,986 “OO £16,059 1525 246° 4 9095 9411 $29419 " 9590S7 Te whee yore re) - - ee ee ee = = - - = a 2 ned . ’ 1 cae . 7 is | ‘wa wee. « wwere who cecal. - on ae mee ws eee - ce eee) eee ~~ ad i . t wat i i bey oy . . Aa . : ' ks : o rn . : . = Tee wave ee ees Coe vem ene ie at mea ae creme \ z ; > | . ti co veer ee bet ALD EI legen eee chee . _ od: eo winnsenee Sore wen eee cael bei yo} it vi feet Coa bt ce a Like g 2 ak 7 - on ~ . r) On ee ee sd cone hs 3 a , ‘ yyod : ’ ’ 7 4 Q ~~ eee — 7 — Toe es go i _- Le __ a7 ’ ' wt , t.¢ 1 . we Lo. bee ee ne oe ec *) Ca ei MS TT ~ toi i ‘ Poo mn smn amare eee wee eee os ~ eee _- a en cee ee ee ee epee in emegita ieee ee an wae cee epee nee bE o a : : ~ mest ieee oe nena ie me come mena oe meena ce o s { 2) ° Br eT sree A tens Epes O 0 0-68-38 0: 89 ° o-e— 0 00 GO © ~~ > ~ ~ = —_ — « Oz rm Oo oe nani ERT I of ry ee be Nie neta ~—,, % fo a, oh fee ee NOVEKBER 14,1872 CESK SOUTH CENTRAL AREA _REGION 28 ALABAMA REQUEST NO. CF COMPCNEATS 27 . TOTAL RECUEST ZedE4eTeAY esa eae aaa eres PEGICAAL MEDICAL PROGRAMS SERVICE 7 ‘ DESCRIPTOR SUMMARIES BY REGI JEPERATIONAL COMPONENTS __ PAGE (EXCLUDING | STAPEING/OEVD te eee care senate ON ede fe tee 1 wemremen ee CLRS UNCER a sé6CF . i GESCRIPTOR __.NG COMPS _ AMGUAT — -TCTAL CESCRIFTCR ss NG CCNPS AMOUNT TOTAL il TSECASCE LAT DISEASE CATEGORY , | MECICAL SCROOL . ‘a _3C€,2€2, 23 _ FYPERTEASICA UAIV FEALTE SCKCCL a oe RH FEW/CCAG HRT DIS wa} OTFER EDLC. INST eee Bn 176,4C6 TL, «CFEART CISEASE i ‘1 vile 1 , UNIV AFFIL®C FCSP ZCEsEtE 6 CEKW UTERSBREAST CAN , wmf GIHER HCSPITAL . . a 116,799 8 as CANCER ee 3 318s1h1 14 {VOL HEALTH AGENCY — —— STFCKE ef ” 26,CCC 2 ) pueric (Ccv) FLT aGcy 8 Gee ese. 36. _ KIDNEY OL SEASE . T~ HEALTH PRO SOCIETY. 2 649736 3 ———"" PULMONARY DISEASE. “33,3667 —SO—OCSSC“‘;‘C;S;*;*~*~*~*” _.. OTRER (SPEC) 2 SON OT ae DIABETES an 9e28T WLLIZEFLE (SPEC) SICKLE CELL ANEMIA one YOVAL_ 27 208 E4e7TE4 00 8 CT REF (SFECLFY) eee. _.. ee _ PLETIFLECATEG ACA SPEC 20° 299179 876 ar ee nuts ous we vt we _ — TETAL 21 2238497E4 100 SALE HEALID CARE PROCESS= PRIMARY. Pte LLY HEALIE CLES PRCCESS= SS ECEDEBEY._ ee ce ee __. SCREEA/EARLY CEIECT “37 307,353. 137° SCREEN/EARLY DETECT ra _ TREATMENT oe 1 6159514 - 26 - TREATMENT ; -1 £5eS75 2 RERABILITATICN 1 ~ 3@,CCO = 2, REHABILITATICA ______.. COMPREHENSIVE CARE __. al _ 239360 1 _ COMPREFENSIVE CARE NCT RELEVANT -12 Ay 2629852 SE ACT RELEVADT ne , TCTAL__27_ 203540784 100 TOTAL 554975 20 21 1 geOgRaeHIC SCOPE - ' Nv PRLEARY EEALIE PROYICER LABSét SROUF. . REG/NETRCRK CENESATEL : MOf§ € GR 00'S "1629154 “TF 7 _. REG NCN SATELLITE | GT 1839856 32_0 __. MURSING PERSCNNEL 3 168,515 1 SUBREGICAAL 18 > 1p€02-228 aS ALLIED HLTH EX'G ALRSE ° ENTERREGICAAL ae Se a DENTISTS ele. _. ee et TOTAL = 27 ZedEA TEA 160 FHYSICIANS & KUBSES : . oe et _ _. oe ee _.. NURSING PER 6. ALLIED 92. 1457294 6 e 1 “ ~ CTRER (SPECIFY) 1 TT EER eo ‘3 , _—_ : PULTIFROFESSTONAL 1,614,258 69 aa : NOT RELEVANT i26,ci¢ 5 ema . cece 8 . o bvqeeumtemmess cnt: TOTAL. ee 284704 RCO so) PRIMARY ACTIVITY wee LO _ ge GENERAL CON*T EDUC 2 459504 2 — _TRN EXISTING HLTH: PERL - A S'814,525 1385 see ‘ : : TRA°G NEK CAT PERS * 50. 236 a- F ; : ‘ _ PAT CARE CEL: INCL PAT a E11 £58 | .§ pes CCWBC 1/2' TRN'G 1/2 PA 2 + 134,620 é te : ow, CORD KEALTH SERVICES 0.04 1,004,065 9 43. ed RESEARCE & CEVEL , __. DATA CCLL/STATS 2 _ G3yT42 4 it TOTAL 27 203545784 10¢ ° ‘ ay =o te ‘ ‘ a aac ‘ a4 ‘ son ! t ’ eo be ba rht Nae : Wayetah Olas bis is eo yes hits ote =O + been wh xl ene bureneyaoeay—— 0 REG REQUEST FEB 1973 REVIEW CYCLE ‘ “pirnsindie” 2” CF 9 aot ‘|. he st i} 0 a oF 4 Cc Of OG 0 o G6 Of ZO 0. 0 proce cp 4 _— TET 7 PT OPER a { { | i | . bod ee eee ener tee ete peepee cent oh teen oo 7 : : q : O 4, 1 _ NOVEMBER: 1401972 _ __, REGICKAL MEDICAL PROGRAMS SERVICE __ _ FAGE 2 ‘ | oy DESK SOUTH CENTRAL AREA “~" BESCRIPTCR SUMMARIES BY REGION | RMP-OSM-PEKCOE= Sf —— © i i be _REGION 28 ALABAMA REQUEST. __ LOPERATIONSL COMPONENTS (EXCLEDING STAFFING/DEV) REG RECUEST FE® 1973 REVIEW CYCLE , it NO. OF COMPCNENTS 27 ~ | ch TovaL RECuEST 293542784 en a ee ee ; a oh CIR/INCIR 1 OF OIR/INCIE § 2% CF 4 ; i DESCRIPTOR no comPS ss AMCENT = TCTAL CESCRIFTOR NO COMPS ——— AMOUNT. TOTAL _ , 1 OV val RAClOLZeTk hic GRECUE TEECEI=PBINAEY VII cometh 1 ee GRCLE JAEGEIZSECCREAEY ee, 2se 2 oO ‘ ACK EC22e fos ~~ AYERICAN INCIAN So womens as meee AMERICAN INCEEN | OU , Mor OL SRARTSE SUPRAMED ee ee ce reeeenmeert oe SPAKISH SURNAPED ee a ne ee © poo, ORIENTAL ORTENTAL \ meee .. CHUCASTAN oo ed be BF) CALCASIFR - CTHEAR ; OTHER © : i NCT RELEVANT _ 2€, 243049548 - 98 MCT RELEVAAT. lon . Tota 27 CO 4D TES ~~ 100 TCTAL T 50,236 2 ° “WEIL SPECIAL JABGET POPULATION ASELSEL ‘ /IX CIBER SPECIAL TARSEL Gecurs . , «GCHTECREN 21 8 URCER oo. 290880 Le. INNER C11¥ PCCR oe ge cee ey Qo : AGED OVER €5 RURAL AREAS f "129873 TIS , ne WOMEN a: (2019541 s __ MGRAATS ed ore CLMEC ANY ABCVE 1 - 18945C as CTHER RURAL PCOR” . ° e OD NOT RELEVANT 7 gd 2 C2033 BF CTHER ECCR ee ee Gy TOTAL = 27 Ze2E4e TEAM -320C CCPBC INNER CITY BLRAL 2 68,686 3 5 _ ee eect unennne et ew, NGT RELEVANT Oo 24292730225 $7. . Oo 2 TOTAL 27 Ze2S4e 74 ACC c eee “ ww xT ~RELOTACDSEIE WITH STEER FECERELIY SPLBSGEEQ EECGRAMS : : OD i. MECEL CITIES et See mee pe be ne pen econ te eee tee epee een eS cec : ‘2 £0,226 2 . ue . . , sf : : _., VETERANS ADMIN 0. 2120 9268 pee eee cece qn a “Oo NCESRE ane scr 7 maa © ber CTHEF Se ON AEB A 7 ‘* CCKBO ANY ABOVE TT , 3. NCNE +123 1191729832 BO ae cee lee teeh es eter neeee mnt o TCTAL «9.27 202840704 10¢ : — OS “peassien fEbue gakk bebsuney bLINGOSSEBI ELEY ‘RY SELECTEC LEALIG LABE CELiveRy MEIbODS-SECCNDABY ~ © ot amen AFELLATCRY CAR 7. 29 y2 AMBULATORY CARE tbe: EMERG. SERVICE é 1,523,658 —s60 SS trERGe SERVICE ’ one neers wT . . oo EXTEACEC LCAG TERK CAR , - , EXTERKCEC LCAC TERM CAR a ee oO |} GRCLP FRACTICE GROLP PRACTICE H HEALTE MAINTENANCE FEALTE MAIBTERANCE . - ccc ieateee (eu ten ctiwe ames cemene gh Q HOPE FEALTH CARE . , HCME HEALTH CARE a gy UN=HOSPETAL CARE 2 133,425 6 IN-FOSP ITAL CARE i es 1 . | | INTENSIVE CARE re OD 23,26€C 1 INTENSIVE CARE ; oy Oo. MCBILE UALTS 2, | E7024 “To ., MCBILE UNETS _. -y 545 021 23 oO: OTHER ' 1 55,575 2 CTKEF : — ACA-AFFLICAELE ; 8 _ BEI, 3CS 28 NON APFLICABLE' . ; 2 GTAL 27 223840784 +100 . TOTAL | 545,C21 23 ©; Pot ae Sie eee vee vcete cc cece omega «pee t 9 a o - ann wt Tonnes ey we ce cece eat tt ee ie eames on peepee a en eee egtinnete e e enemgemamaae | rene aemcermeene mcmama ne eae mean seme Tee vii 2 . cone ¢eeceeo nese a voles on even ecucunenne 1. oes : . : 2 a ‘ ns . \ ‘ ‘. : dt cee emesis rae yt stn: 0 A ie fv ntie ee Mg ha oh mant is 4 LL NE I a Te ETN PETER: { . 4 . 4 . i \ 4 { } | ee me nn a ! 1, \ NOVEMBER 14,1972 _ ., REGIONAL MEDICAL PROGRAMS SERVICE. ‘ PAGE 3° yo ' DESK SOUTH CENTRAL AREA DESCRIPTCR SUMMARIES BY REGICN RivF-CSP=FEMOOE-9R to bes _REGION 28 ALABAMA = REQUEST __ CPERATIONAL COMPCNENTS (EXCLUDING STAFF ING/ GEV) REG REQUEST FEG6 1973 REVIEW CYCLE yf TS NGe CF CCHPCNENTS 27 ° io ' TOTAL REQUEST 293f4e784 - . oe @ my men" OR PINDIR & CF eee ——— Dins INCI” & OF ft DESCRIPTCAR VAC CCKFS. AMCUNT —_s TOTAL | CESCRIPTOR NC CCPPS__ __ARPCUAT— TCTAL . yo 4 D XIY eecsecr ELENENIS=PRIMAEY “MEL EECIECI ELEFENIS-=SECORCARY oO wf ACCESS IMPROVERERT _, & 27077996200 46 CCESS IMPROVEMENT 1 126,644 5 nit Y \ AREA FLT ECUG CENTERS 2 SE,izC” 4 AE Lbe FLTH ECUC CEATERS * as 1 D> 1 Lo, Chih TECH FRC CONSUL. Lb AIO CLIN, TECH PRCF CCASUL 842268 4 OO my | DATA SYSTEMS CATA SYSTEMS wo ee CIALYS15 ce cutee lagu s eee ut nas ttn CIALYSIS ere ese ae i 9° DRUGS INFCEMATICA DPUGS INFORMATICN oO aan - ELECTRCNIC COPM | 2 12.16% 5 _ ELECTRCAIC COMM “a. 179265 1 ” | FAPILY FRACTICE FAMILY FRACTICE - iO HLTH TEAP APFECACH 2 AS79024 Pe FLITE TEAM APPROACH Bo ee, 1030859 | 4 ee | . -hLTR COST FINAN * HLTF COST FIREA “1 16,CEC 1” i oe SETDT SERVICES A OEE DL. JCIAT SERVICES ee Qe O61) 28 oY LAB SERVICES t ‘ LAG SERVICES x ' ey Lle € &£CUC RESOURCES 2 £0, 37C 2 Lie & ECUC FESCURCES | ESR =“ ACA-ERER TRANS SERV " NCGN-EMER TRANS SERV g te Fo oP Ow. MANPORER RECRULT ee oe MANPOWER RECRUET ee De oe FO FE 200 PARFCWER CTREF 30° “288,450 e PAKECKER CTHER 27 391,811 17 a _ ORGEN/BLECE BARKS et nee, ORGAN/ELGOO BANKS ne ee i i 2 PAT OF PLELIC ECUC 26,0C0 2 FA1 CR FUBLIC EfuC O } ! PAT MEC RECCRES/AUDITS dt PAT MED RECCROS/ALOLTS Ma \ PAT REFERRAL/FCL LP: rt re FAT PEFERRAL/ECL UP . 5 Lg i te, REGISTRIES buccaneers | REGISTRIES 8 a YW st SAFILES ‘ i ” SAFTLES oo | SYCKIAG AND HEALTH ' SPCKING ANC HEALTE ‘ et ~ . 5 DO ————""""- STABC AAC CUAL CARE : “ STAKD AND QLAL CARE " ” — Oo toy nn Ld FACLLTY __. _ TRIRD* FACULTY 4 pou GTHER , 2 371,272 té CIBER “T “1Cy 215 3 . 1D ne. NONE APPLICAELE. 3 -114,824 __ : _ ACNE AFFLICABLE © ne, eee ‘ TOTAL. 27 ~ 253549784 100 TOTAL 12 “Ye5zi_762 65 — j ' . ace Co Cement es ee eeeamnets scammed ste ne eee oe 3 . . . s —— tif Oe nee net ee tee ee epee nnn fot ng epee v | . beta ‘ i nae a ' ’ a eons | 1 st an t t 2a sme Tost t nema rmmnmecarencs seer sre tere rmememem remmnen carmen eee . 4 ‘ ’ ( 2 | O co Pee ob . ; ve btu : me biae oe a Marat . . : . vee eee ' - - YS OV: 7” . i cee eee nn ans oe ‘ . I fone . ' 9 ~ ; r pon ie ete tr ae —“+; { os | D wees ao ‘ . _ ese uewerneeee meee teerceneme 1 ; . a / oa & Lhe . s . Q - ~~ - ee ee Oe t ee eee a a ee se ee ee eee eee ao as atte ee ee A eo en ee tee ne emer eine mnie ane ee ee ee ee ee ee mE ee teem C. : i : —_— REED awed : ‘ t ; 7 9 _ . 1 eae . : ee cent ee ee ee ee ranean nee tema Id | ‘ | sec ape ante ween oe nbeiane hee Ae ime UTES AES 2 4 | po ce me te wr gstterent bee meen Re a eto bo Men hg Oe A OH, t : . . | s ! ° . ; . 0 coe ec cn negra _ _. mo 1 ____ NOVEMBER: 1451972 _ REGICNAL MEDICAL PROCRAMS SERVICE . PAGE 4 0 CESK SQUTH CENTRAL AREA DESCRIPTCR SUMMARIES EY REGICA a oO. 1 fy REGION 28 ALAEAMA REQUEST _ _GPERATIONSL COMPONENTS (EXCLUDING STAFFING /OEV) REG RECUEST FEB 1973 REVIEW CYCLE 1 hs "NO. OF COMPCNENTS z7 () . TOTAL RECUEST 20384784 ee ee eee ee 4 _CATEGCRY V SUFFLEMEAT.- HEALTH PRC FESSIONAL TARCET GROLPS § ee ee OF %D CATEGORY V TYPE AUPBER CATEGCEY V TYPE NUMEER Q~ Ce enn -ALLIEC EEZLIE EEESCUNEL ee ee ee oe oo, Ww CENTAL EYGIEN/ASSISTAN 1 CCCIGES CF CSTECPATHY 7 i Oe, CHETITIAD RUTRITIONIST 0 De ee oO: i CIETEVIC TECHNICIAB 1 BURSIBG EEESCHNEL ‘ \ ee _ EYETETIC ASSISTANT OR ACE een cent NURSE PRACTI TICKER 2 O HEALTH EDLCATCR ‘ : -RECISTEREC NURSE 10 O°: RE SP/NURSINC/MECICAL CARE ADM 2 PRACTICAL CR VCCATICAAL NURSE 8 ne INHALATION THERAPIST (TECH) 1” NURSING AIDE CROERLY 3 : Oo oe _ MEDICAL LIBRARIAN 1. . . | ; . PECICAL LIERAFIAN &SSISTANT J et MECICAL PECCFO LIERAFIEN 1 _ QIEER ALLIED LEALIH SCRKERS t aa) PECICAL RECORC TECK/AIDE CCRPURETY HEALTH AICE 1 CG: the _ PECICAL TECKNCLOGIST . 1 HOME HEALTH. AIDE . { . MECICAL LAECFATCRY TECH 1 PEC MACHINE TECENICIAN , é . . DO CYT CTECENCLEGIST ; “le __ PECICAL EPERCERCY TECHNICIAN. 6 6 CERTIFIEC LAE ASSISTANT | SCREENING TECHNICIAN . _ _ NUCLEAR MECICINE TECHNCLEGEST ¢ 90s tee _TUMCR REGISTRY SECRETARY | z wo Dn © TTT ORUCLEAR RECICINE TECENICIAN . . " O1KER ; 3 © ; CCCLEATICNAL THERAFIST ves uw eve ae wen ' ' 1h. —_— CCCLPATICNAL TRERAPY ASSISTAKT O ee PHARMACIST pee eeeee Berea menneenee os QWWER PEBSCRREL _ G PLERMACY AICE APBLLAKCE PERSCAAREL 6 ee PRYSICAL TRERAPIST © oN FIREMEN . 1 _ . OQ 77 OBHYSICAL THERAPY ASSISTANT LIFE CUARCS oO: Ef en! FEYSICIAK ASSCCIATESASSISTANT PCLICGPER ‘ 1 ‘ FHYSICTAN AICE “t RESCLE SQUAD ~ TT 2 D oe FACICLOGY TECFNOLOGIS1 EME Be eee CIFEF ee © RACICLCCIC TECHNICIEN(XRAY) 2 m etree), RADIATICN THERAPY TECHACLEGIST.. ceed see wet to ee nena ta emennee E een w SPREGE PATECLOGIST } ay . @ " SCCTAL WORKER , af . TT SCCIAL BCRKER ASST/AIDE we mn yy eae y ' . Dt WECATICNAL REFAB COUNSELOR yoo ee ee pete res a a _. Oe ee alae ate © .t ‘ te ee - ~ _—— - ~- ay ! : . ~ ———— ‘ / Oo i c men h | . ; O| . . ° ~ Yet ads ta Chevihe val Neon oy td vat ae i . 2 __ oe . , oo. ee enen pe eee ne cee ee ee a uot weed! mo ’ 0) . on a a nee een te Cae [ - > j : : ; : t ‘ > Oi bit am mre nee - 7 - --—- - 4 i ye tents . . 1 ° cores yoo ea e ' ‘ GF | : ' al a vs 4 ° ’ 2 econ cee cpupneteinnn eetmaceees —_ O . ce ee ees ene eee ogee ar¢ . ~ 2 oo cee ete eee wa ne weunthevotim tan pcg: womeeeeee ere ceammee Uae apney toticers seater : Dee ee oe ee cree wD : aA MLS ie? ey . ; i Lt carte abe egs nines Se alata Oo BANC Ae embe tenp ine 5 ( ? — OTE Or ee eee ee ¥ 7 aT 7 ~ a — cee eee wt — a ae — . wee “" NOVEMBER 2291972 ° *""REGTONAL MEDICAL PROGRAMS SERVICE ore ee ~RMPS==0SM=-GJJEESS1=11 __ LISTING OF_STAFFe: AUVISORY GROUP AND OTHER COMMITTEES MEMBERS PAGE z REGION 28 ALABAMA . « EQUAL: EMPLOYMENT OPPORTUNITY“TOTAL BY RMP REGION FEBRUARY 1973 REVIEW CYCLE — a aecennceeete ng - . ; aes eee CORE_STAFF _.. . . PROVEGT. STAFF _____ REGIONAL PROFESSIONAL & SECRETARIAL PROFESSIONAL SECRETARIAL ADVISORY OTHER Joo TECHNICAL... ...---. AND CLERICAL... AND. TECHNICAL AND CLERICAL GROUP COMMITTEES —.... NOW ee FTE NOs FTE _. NOs FTE NOe FTE NOs NO» , 4 MEMBERS 3 a 29 BO Be 8.00 3l.e 25.00 106. 8.50 520 5326 ' * se x : . . . ‘ ‘ a. . 7 wALE~~”~*CRO TO “Oe 0000 NB 11.00 Se 3.90 +. 47.~~~S«i«RG FEMALE. Ge 8.20 8. 8.00 186... 14000, Ge OO LL Se 106, ‘ TOTAL MINORITY a 4 ‘ wt. GROUPS ..._ aa 2200 de 1.00 Ge. 2.00 @e ow... 1.50 .-_. oe __..___.. 6 6e \ a | tacks Se 2.00 le 1.00. 6s S—*—= 1 PERSONAL SERVICES . oa __.. SALARIES» WAGES . 236783 21,300..... 354200 28,589 7,200. | 22,909 14,097 309200 tt ~ 1 EMPLOYEE SENEFITS 429621 2800 6336 39431 T44 2750 59436 _ ow! TOTAL 2792404 | 245100 .. 41,536 , 32,020 72944 25,659 _. 14,097 359636 ‘ e a . . Arp TE PATIENT CARE... _. ; . cect we ee vimenave Lee en ef IN-PATIENT 2 _. . OUT-PATIENT meee Ore ee ee eee bees vn eee ne T TOTAL ° ; . 7 ~ . . y . bee ; - q “7 TPE BQUIPMENT . coe . ° - eee ~ oe - . , BUILT=IN Sek . Le . a cg eee wee nue le oe eos ms MOVABLE 449500 181,000 . $00 20718 110 116,800 ALS 78,518" : ' tre at TOTAL 2.442500... 1812000. [500 2 TRB ee BNO By 800, 418 78,518 7 t . . . 1% —! yy) CONSTRUCTION. ee eee te ee ae ee een sens a eterna pe nee se 7 ! | NEW my pe MAD ALT © REN Wee a nee cee ee ee ee ce is een en eee ~ i TOTAL . . a ' eee ws: 2 vice ape eeennaeeee ARE UR e S eee rh Me mmemE emma nie sew mm ame amy meetin ete SS we ere ee ee ee , i Tv" OTHER . OD Lin. CONSULTANTS «462000 | 5,000... . 2,000 . .... 19404 363 &,850 3 50Q 3,600. 44200 7 SUPPLIES 22000 12500 500 300 150 750. B50 3,000 1-700 i whi eoaee. DMST TRAVEL \.__ 22000). ...... 49800 3,000... 280... 19400. 22 855 48 000 2,928. 3,000 _ ' fey FRGN. TRAVEL @ . , > . pee pe. RENT SPACE 8... 6 000 -_ 19800 ae oe ee - a 29400 i a RENT OTHER . ~ | om of ol) MEN ALT & REN Lo. . ne i nee a oe Ce ee : j PUBLICATIONS 12500 70 250 45682 be ceeee CONTRACTUAL uw. _, 133,000 . oo. ___2,000 — oe _. ao " COMMUNICATION 900 700 500 22500 | 1,100 ~ ~ COMPUTERS |. uu. ete wee ceunlacescieueseme 435 . . a ay ~ | OTHER 72,000 15800 i, 000 400 . Yee TOTAL 1229000 1532600 8s200 1,884 _ 19983 8y840 «89850 aT eALO_ 29400 A vI- TRAINEE COSTS 7 . ee — nol STIPENDS ~ _ 4 —-—.. OTHER vee ce ce eee ee - . - . ee . - 3,880 _ | TOTAL 32880 { . TOTAL DIRECT COST 445 490% 3585700 50,236 36,622 101037 342499 125,650 319625 130,434 J . : . ~ 1 ° INDIRECT COST 999117 - 41,9262 2,836 15,350 . : rr |e DIR & IND 545,021 |" 3584700 ' 09236 412884 129873 7 499849 i 5O—~~S~SC« ZS 130,438 ! whee. wn me a nee nee eeaees weet enn cee VY a i 7 . . . | yb . 4 : ~ - - ieee eee ene cena ee cece sneer a pene en ae can EI RC I gr a Tangent ns 4 : pe et emia en AIRY Ren oumgt Cran a a ttn Ag Go Oo ARORA Ma ge { . : Seamer iri cet a mmr me oo * SpA al ha tenelemgai ene ce : Noone ~ . en ere _ 4 a - 3 . ; - . ae - ; ; ; - : 4 a a ~ 2 NOVEMBER 22,1972 oe. REGIONAL HEDICAL PROGRAMS SERVICE ee cee PAGE 3... . oO SUMMARY BUOGET CATEGORIES BY COMPONENT RMPS=OS M-JTOGN2=14 ao Hey —- REGION 28 ALABAMA... ec cents wees en wae ne oe ene REQUEST JAN/FEB 1973 REVIEW CYCLE... 4 cL COMPONENT | COMPONENT COMPONENT COMPONENT COMPONENT COMPONENT. _CDHPONENT.__ COMPONENT __ COMPONENT. as $ NO 054 NO 055 - NO 056 NO 057 NO 0568 NO 059 NO 060 NO O61 NO 062 : : 2 I PERSONAL SERVICES — oe — d SALARIES» WAGES . . 25¢932._..... 122000 291000 105169 15,000 207600, 423000 564800 149060. 2 ' EMPLOYEE BENEFITS 44668 15800 1,831 29250 1,980 10,224 ° 1,044 | : "| on TOTAL 30,600 13.800 29,000 - 124000 174250 224580 422000... = 679024. 152104 mo Me PATIENT CARE - . a eet eee enmedanes ge ' ” IN-PATIENT . : — _—_ QUT-PATIENT 200000000 cn eee ee: _ eee cece ee ne meena nme ces cen mene cnnanemm see TOTA . a onat ‘ oe L1I EQUIPHENT ‘ Aon BUILT-IN 2, 89952 0 ee - ne . ee cette eee vee 1 9 G00 Lae eee meee ok . ) MOVABLE 95201 . 2500 . 5,000 22200 ae — wey pee TOTAL .......-.1049153 WW. eee were 29900 een oe - - 8,600 29200 pees ~ AN. CONSTRUCTION 000) catenin . . ce _ . wes : NEW . . ce MAD ALT BREN oe ae cee nents tree ee oo ae cones canines es ewe eee a a 9 TOTAL a ur ne ine eee cect the ee nee tenement RET St aE treme nece neem manne aor anne mmm EE SE en eee: - "Yh ~ vy OTHER . ~ OY ae CONSULTANTS ........29000.. 0.0 2 oa. : cee oe Ll. sees, 22000 . SUPPLIES 600 . 500 : "600." 7,500 4,800 15,600 eee» . DMST TRAVEL .... 192000... 29400... , 20000"... 3,000 |: 19200. ..._.. 72000 _ 1,000 21700 3,000. ”) FRGN TRAVEL . : . Spey ee RENT SPACE 2p 200 cece eee erro _ ee ccecaneee ae nent te eng aeen RRR RR A : x RENT OTHER g 4 Soo MIN ALT & REN w. coset ee bee neege we we weet Ce cranes see enue « wee PUBLICATIONS 200 1,000 ewe ee = CONTRACTUAL Wn. 71200 Scene ices . . ~ COMMUN IC ATION 500 1,000 1,000 ~ 7 — COMPUTERS nce eee — . cecpecncs a nem munee cane yee sineeneee came ceniememnemn ts eee . . va eee 454 ~ OTHER 800 600 2,000 279300 . i wl cena eusne ee TOTAL , -..59300 .. ... 109200 4,500 3,000 12200 | 7,600. 11,700... 348800 20,600. { \ _ ce WE. TRAINEE COSTS... _. cee cee ve vanun ee _ wa i } STIPENOS , cweeuennane, OTHER ceeeeen ee - . . . cece ce eee ain spunea seme eg neces noe nn nt oe ae _. TOTAL . . . . “TOTAL OIRECT COST — 140,053 24,000 36,000 15,000 - 18,450 30,180 ”” 629300 "194,024. «3SeT0H , % INDIRECT COST 49257 229820 81189 ' tes eee ee wee ne eee - er eee ne eerie : eer vo mI TOTAL DIR & IND 140,053 24,000 36,000 19,257 181450 30,180 625300 126,844 435893 | Cc ~ ~ ee — = _ - ee oe co ae = . ee eee ee = son t ‘ ~ . ~ aes nae cee tn pateeeer eee, . ey ~~ seamen Li 7 oN . . | ~ —_—- a go I were mf . we comets ae seme tent meee some ame rs omic a teem ete ms 1 ~ vv} NOVEMBER 220297200000. REGIONAL MEDICAL PROGRAMS SERVICE 0 ee ee PAGE 4. 4 ] SUMMARY BUDGET CATEGORIES BY COMPONENT RMP S-OSM-JTOGH2~14 pry —_REGION 28 ALABAMA 2 eee ee te —— aa. REQUEST, JAN/FES 1973 REVIEW CYCLE ___ ays COMPONENT _ COMPONENT cece cpt nee aes REGION NO 063 NO 064 TOTALS af . . 4 - oe bane woe ~ ) 7) 7." f PERSONAL SERVICES ; __. SALARIES, WAGES 474850 _...... 145000 .. Sc cevan een ee BAKTIONBSZ i to. EMPLOYEE BENEFITS 5,917 1,680 . ; 2297780 . 4 ‘ fou! TOTAL 53,767 15,6980 a cee . vee ee ee owe 1,700,632 . i a. - AL PATIENT CARE wo coe ee ee ae —- ——— : yo IN-PATIENT . i ee DUTHPATLENT ccc cece eee erent cee mete oot en on sterner ae i ~ + TOTAL ; & . . - - y . IIL EQUIPMENT i ~ * BULLT@IN eee . wae ee ee 129552 Lk ai ‘ MOVABLE 49720 149480 510,265 ' Wy eee TOTAL ccscceemesre 90720 erm nereren B49 BO omic a eee nn ee tome prem ae ee memnmrammnemann me Tae waenne 9829817 | ™ IV CONSTRUCTION. 2... — ee sions vey es deo cceee loses ween ee a 7 | NEW i MAJ ALT & REN... voeereee: cea wee _ ce eee - 1 7 mY TOTAL ! _ oy omer So re eee he ee ence met Hen oe we : rt yee CONSULTANTS .....22100. ..... 19000 - . Lee etneneee 97,117 i. SUPPLIES 59150 . 200 . 912223 ee eee = DST TRAVEL. 20000. 22000 oe ee ee ee ve 1319054 0, | | *, FRGN TRAVEL ‘ tI gee ee RENT SPACE a ee en nt pen re 742.400 a RENT OTHER - ~ MIN ALT & REN WW. ee a pa ee nec —— \ PUBLICATIONS \ 212902 ou. CONTRACTUAL - coe ce a eee BSR ZOO pi om COMMUN IC ATION 1,000 500 59,700 2 TC GMPUTERS 560 ce eg et ee ne es corte re trees — 120995. at to : CTHER 5,800 500 . 162,212 . it Yam een TOTAL . ..... 16610 32200 7 cece es taney nares vartemine coum aneee 1399803 af . . : . [i nee VI. TRAINEE COSTS ..... ee cane neice ene.) ween mines ene mee et — a ” STIPENDS . : : pene teenies OTHER cummin ve ees - oe cece cee et une nee ae cents nme ee ne ana enn ten ate A 39880 7 . 3,880 it Oo. . ToraL st _ | | ’ : . TOTAL OLRECT COST 75,097 339360 301279132 \ ™ INDIRECT COST > . ‘ sree memeezmmarn os TT" 51g BBO L a “". TOTAL DIR & IND 75,097 334360 a STG TBS SIZ | 1 coo . - : cere 4 a oo BIBLIOGRAPHY ARMP Project Application Kit. Birmingham: Alabama Regional Medical Program, Aug. 1972. Alabama Regional Medical Program Continuation Grant Request: April 1, 1970-March 31, 1971. Birmingham: Alabama Regional Medical Program, Feb. 1970. Alabama Regional Medical Program. Documents. Birmingham: Unpublished, Vols. I, II, III, Mar. 1966-Aug. 1967. Alabama Regional Medical Program: New Operational Grant: January 1, 1969. Birmingham: Alabama Regional Medical Program, Nov. 1968. Anniversary Review and Application: 04 Year (4/1/72-3/31/73). Birmingham: Alabama Regional Medical Program, Nov. 1971. Anniversary Review: Progress Report and Triennial Application (4/1/71-3/31/74). Birmingham: Alabama Regional Medical Program, Nov. 1970. Annual Report and Request: 05 Year (5/1/73-4/30/74). Birmingham: Alabama Regional Medical Program, Nov. 1972. Bodenheimer, Thomas S., M.D. "Regional Medical Programs: No Road to Regionalization." Medical Care Review. Vol. 26, No. ll. By-Laws of the ARMP Regional Advisory Council. Birmingham: Alabama Regional Medical Program, Sept. 1972. Division of Regional Medical Programs, HSMHA. Guidelines-— Regional Medical Programs. Washington, D.C.: Government Printing Office, Revised May, 1968. Health Services and Mental Health Administration. Addendum Guidelines--Regional Medical Programs. Washington, D.C.: Government Printing Office, Feb. 1970. Heart Disease, Cancer Stroke, and Kidney Disease Amendments of 1970. (fitie IX Public Health Service Act) U.S. Code 42 Sec. 299 Et. Seq. (1970. 77 1968 Activities Report of the Alabama Regional Medical Pro- gram. Birmingham: Alabama Regional Medical Program, May 1969. Heart Disease, Cancer, Stroke, and Kidney Disease:Amendments. U.S. Code 42 Sec. 299. 78