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MEMORANDUM DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE
HEALTH RESOURCES ADMINISTRATION
: BUREAU OF HEALTH! RESOURCES DEVELOPMENT
TO : The record DATE: November 18, 1974

FROM : Matthew Spear

Public Health Advisor

SUBJECT: Organization for a national arthritis conference

A discussion was held at O'Hare International airport, Chicago, Illinois, on

Sunday, November 17, to explore the feasibility of convening a conference to

develop coordinated activities, including program reporting and evaluation,

among 29 Regional Medical Programs (RMP's) conducting pilot arthritis grant
’ programs. Participants in the discussion were:

Dr. Roger D. Mason, discussion moderator; Chairman of the former Arthritis
ad hoc Review Committee .

Mr. Kevin Anderson, staff member, Michigan RMP

Dr. William F. Donaldson, Ist Vice President, American Academy of Ortho-
paedic Surgeons (Pittsburgh) - ;

Dr. Ephraim P. Engleman, UCLA; chairman of the ARA "committee of five"
designated to provide liaison with DRMP (San Francisco)

Dr. Satoru izutsu, Executive Director, Hawaii Ri

Dr. Lawrence M. Petrocelli, Chief Arthritis Activities, NIAMDD

Mr. David Shobe, Arthritis Foundation (Washington, D.C., and N.Y.)

Dr. Clement W. Sledge, Robert Breck Brigham Hospital (Boston)

Dr. Isaac Taylor, Deputy Director, Tri-State RMP ©

Dr. Charles D. Tourtelotte, Chief of Rheumatology, Temple University

(Philadelphia)

From the Division of Regional Medical Programs:

Mr. Gerald T. Gardell, Acting Director
Mr. Matthew Spear, Staff member

The consensusses reached by the discussion participants are the following:

1. There should be a conference to develop coordination, evaluation, and follow-
up activities among the 29 funded pilot arthritis programs.

2. The conference should be convened at a site which results in least cost for
-both the conduct of the conference, and the attendance of the participants.

3. Total cost of the conference proper (site and services costs) should not
exceed $10,000. -
/3,
2, Special resource people should be available in both the workshop, and
plenary sessions. Types (or specialties noted):

demography

program evaluation

program funding

program information disseminators
program image builders

Names mentioned:
demography -~ William Ranke (?), Johns Hopkins, Md.

evaluation -- Dennison, Mich:; Plotz, N.Y.; Dr. Smyth, Colo.;
Confree, Cal.; Joseph Barbaccia, Cal.

funding --- David Rogers, Johnson Foundation
Kellogg Foundation
State Health Department specialists

program delivery -- Ed. Smith, Va.; John Sharp, Houston, and
Smiley, Dallas, Texas; Neustadt, Louiseville;
Ivan Duff, Mich.; Dr. Klineberg, and George
Freo (?), Cal.

program information -~ one or two widely known science writers

program image -- Sen. Cranston; Anne Landers
10.

li.

Conference sponsors will be, jointly:

Arthritis Foundation

American Academy of Orthopaedic Surgeons

National Institute of Arthritis, Metabolism, and Digestive Diseases |
Regional Medical Programs (29 collectively)

The sponsors will jointly contrive to pay the costs of the conference.

Participating program attendees will be required to meet their travel and
other costs from local sources.

Program attendance/participation will be Limited to Coordinators of the
29 RMP's with finded pilot arthritis programs, their arthritis Project
Directors, and others directly associated with the conduct of the
conference.

Special guests, and expert resource personnel will be invited. Their costs
of participation will be reimbursed by the sponsors, when necessary.

The conference will be schedulled for 2 days in the period between
January 18, and February 2, 1975.

DRMP will provide staff support -~ in effect, and Executive Secretariat -~
for development, conduct, and perhaps followup of the conference.

The tentative program structure is:

I. Educational impact
A. Physicians
B. Paramedical
C. Patients

IL. Delivery Impact
A. Demographic aspects
B. Types of services
C. Distribution of services

III. Objective analysis of results
A. Each of the above
B. Functional analysis of therapy

.

IV. Continuation funding

12. The structure relates to the following tentative agenda:

a. short introductory plenary session

b. workshops on sections I, and II

c. plenary session for reports and discussions
d. workshops on sections III, and IV