4 NoTe.—DO NOT USE. THIS ROUTE SLIP TO = FORMAL CLEARANCES OR APPROVALS ay lo ry T : AGENCY BLDG. ROOM Me. CGarndobll Rm. \\-d7 (C APPROVAL C) REVIEW OC PER CONVERSATION (C0 SIGNATURE ( NOTE AND SEE ME [1] AS REQUESTED w/a CO NOTE AND RETURN ((] NECESSARY ACTION FO R YOUR INFORMATION ( PREPARE REPLY FOR SIGNATURE OF. REMARKS: BUILDING Le EELS Form HEW-S30 Rev. 11/56 ROUTE SLIP GPO ; 1973 © - 517-326 MEMOR ANDUM DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE ro FROM SUBJECT: s HEALTH RESOURCES ADMINISTRATION BUREAU OF HEALTH RESOURCES DEVELOPMENT William F. Donaldson, M.D. DATE: December 12, 1974 Lawrence Shulman, M.D. Matthew Spea Public Health Advisor, DRMP Selecting a Chairman for the January Arthritis Conference It would be helpful if the identification of the conference Chairman were resolved soon. The Chairman should be involved in the final development of the conference both for information, and to develop strategy to achieve conference objectives. Several alternatives came to mind: a. AAOS, and ARA representatives alternate in the chair; b. The two share the Chairmanship, as was done at the April 1 meeting in Chicago; c. An individual be selected who is acceptable to all. With regard to the latter, we recommend consideration of Dr. Roger D. Mason. We have found him to be an effective Chairman, and very helpful in resolving problems. He represents objectivity in coming from an RMP which did not apply for an arthritis grant, and involvement as a practicing physician who is a victim of arthritis. On January 1, Dr. Mason will assume directorship of medical affairs for the "Blues", in Omaha, Nebraska. ” MEMORANDUM DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTIT SERVICE HEALTH RESOURCES ADMINISTRATION BUREAU OF HEALTH RESOURCES DEVELOPMENT TO ; See below (Participants in the DATE: December 12, 1974 Nov. 17 Chicago "fly-in") MAE f Ajeet FROM ss: thew Spear Public Health Advisor, DRMP SUBJECT: Plans for the Arthritis Conference, January 19-20, 1975 The enclosed pages present draft plans, conference "play script", etc., for your information, and to elicit suggestions for the final format of the Arthritis Conference. YOUR RESPONSE ON THIS MATERIAL IS NEEDED WITHIN TWO (2) WEEKS to assure that the conference will be acceptably structured and conducted. ; As you go through the material, two factors should be kept foremost. ° The preposed structure will permit pre-conference assignment of par- ticipants to the workshops. For tighter structuring, we could make a pre-conference distribution of workshop guides, and instructions. Secondly, conference attendance will be mixed; i.e., only half of the- participants wiii ve pnysicians speciiscaisy Lunctivning as department heads, or practicing arthritis providers. The remainder will be AF Chapter heads, and RMP Coordinators. Your guidance is particularly needed with respect to the following questions: 1. Who shali chair the workshops? 2. Who should prepare the conference report? 3. How should post-conference action followup be handled? It has been suggested that a short wrap-up meeting on conference plans be held in New York City before or after the ARA Executive Committee meeting on January 10. Who whould be available to attend such a meeting? Please let me have your comments and suggestions at an early date. I will be away from Washington during the week of December 14-21. Page 2 I wish to maintain contact with you, however, and can be contacted at, or through the following numbers: Office: 301/443-1916 301/443-1500 ' Florida: Holiday Inn - Oceanside Vero Beach 305/562-4164 Addressees: Mr. Kevin Anderson Dr. William Donaldson Dr. Ephraim Engleman Mr. Gerald Gardell Dr. Satoru Izutsu Dr. Roger D. Mason Dr. Lawrence Petrocelli Mr. David Shobe Dr. Clement Sledge Dr. isaac LayLor Dr. Charles Tourtelotte For Information: Dr. Robert Brown, Director, Kansas. RMP Mr. Gordon Waller, Executive Director, Kansas City Division AF Arthritis Conference INDEX OF DRAFT MATERIALS Subject Conferemce Operational Assignments, and Estimated Costs Outline of Conference Program Events General First Day Second Day Workehone> Qutdea & Tnetructione First Day (A-1 through A-6) / Second Day (B-1 through B-6) Conference Announcement Mailing List -- Project Directors and Coordinators 1-4 5 -13 5 6 -11 12 -13 VA “ok 14 -23 24 25 -27 28 -36 ARTHRITIS CONFE (ENCE Schedule, Site, Assignments Estimated Costs, aid Related Matters EST. ' (Typed = Spear; other write in PROPOSED ITEMS AMOUN] SOURCES COMMENTS or telephone Spear) A. PLACE: Hotel Muehlebach Kansas City, Missouri B. DATES: January 19-20, 1975 Cc. CONFERENCE HOSTS: Kansas City Division, Arthritis Foundation . Kansas Regional Medical Program D. CONFERENCE SPONSORS: American Academy of Orthopaedic Surgeons Arthritis Foundation . Participating Regional Medical Program E. AVAILABLE RESOURCES: ; 1. Travel/PerDiem of Participants: $21,010 povided by 29 RMP's for participation of Coordinators, and Project Directors. - 2. Others (DRMP, Associations, etc.): Cost pdid by organipation 3. Conference Site/Service Allowances: (} axinums) a. $2,500 American Acaden b. $2,500 Arthritis Found c. $1,000 Kansas RMP, pl d. Staff Support, KC Art e. Staff Support, Div. R epional Medic of Orthopa tion staff supp itis Chaptd Or edic Surgeon ort he al Programs (i) Abbreviations: AAOS Am. Acad. of Ortho. Surgecns AF Arthritis Foundation DRMP Div. of Reg'l Med. Prograns HM Hotel Muehlebach KCAF Kansas City Arth. Chapter KRMP Kansas Reg'l Med. Prog. RMP Participating RMP program(s) (ii) Footnotes: ©* Indicates items which could be partially or wholly charged to participants. 1/ Items not required if costs covered by conference sponsors. EST PROPOSED (Typed = Spear; other write in TEMS AMOUN - SOURCES COMMENTS or telephone Spear) F. ESTIMATED COSTS: i. Facilities: Plenary room, school room style ) HM Blackboard & easel available in room Conf. Admin. Room 0 HM Outlets for typewriters, & tape player 6 Committee Rooms, Schoolroom styld 0 HM Blackboard & easel available in each room Lunch Room 2 days 0 EM * Dining Room 1 night 0 HM Sleeping Rooms for 120 - 150 $17.00 sgl¢ RMP's,otheus 23,00 dbld RMP's,otheus VIP Rooms (2 or 3) 0 HM Post-Conference Work Room 0 HM (same as Admin. Room above) 2. Services: Paging 0 HM Presume hotel will also extend assistance PA system, Plenary Room 0 HM - in flight rescheduling, if necessary Tape Recording, Plenary, Lunch, 0 KRMP-KCAF . and Dinner Rooms Typewriters, typing 0 KRMP~KCAF Secretaries (2-5) (messengers) 0 KRMP-KCAF Reproduction equipment/services 0 KRMP~KCAF Re. Key Question sessions. (see Conference Pre-Conference~ Post Conference 0 DRMP Playscript), need fast service for Reproduction reproduction of documents to go into workshops; also, re. workshop reports : to be presented in Plenary. (ii) Footnotes: -* Indicates items which could (i) Abbreviations; AAOS Am. Acad. of Ortho. Surgecn AF Arthritis Foundation be partially or wholly charged DRMP Div. of Reg'l Med. Prograns to participants. EM Hotel Muehlebach KCAF Kansas City Arth. Chapter i/ Items not required if costs KRMP Kansas Reg'l Med. Prog. covered by conference sponsors. RMP Participating RMP program(s) EST. PROPOSED (Typed = Spear; other write in ITEMS AMOUNT SOURCES COMMENTS or telephone Spear) 3. Travel: * Representatives of 29 RMP $21,009 RMP 's programs * Arthritis AD Hoc Review $ 3,40) fIndividual Committee (14 @ est. $240.00 ea.) VIP's (est. 2 @ $500 travel) $ 50) |AAOS - AF Rep's AAOS, AF, DRMP, NIAMDD 0 Individual Special resource people, Est/3 $ 75) j|AAOS —- AF 4. Meals: * Lunch (2 x $4.50 x 120) $ 1,08) jAAOS — AF ft . * Dinner (1 x $10.00 x 120) $ 1,20) [AAOS ~ AF Estimated at $10.00/per as banquet; could . be cheaper ($8.50/per) if handled as a . buffet "western". * Cocktails (1 x $1.25 x 240) $ 35) 4fAAOS «+ AF Perhaps KCAF can get this tab picked up VIP's, included above ~~ -- Breakfast (2) 0 Individual o * Coffee Breaks (3 times) $ 24) {| AAOS —- AF Prefer this be set up on 1 or 2 carts, Coffee $0.35/serving Taa 0.35/serving Cake 0.40/serving in large urns; might be cheaper in this mode. (i) Abbreviations: AAOS Am. Acad. of Ortho. Surg< ons (ii) Footnotes: * Indicates itmes which could be AF Arthritis Foundation partially or wholly charges to DRMP Div. of Reg'l Med. Progrems participants. HM Hotel Muehlebach KCAF Kansas Gity Arth. Chapter 1/ Items not required if costs KRMP Kansas Reg'l Med. Prog. covered by conference sponsors RMP Participating RMP progran(s) EST. PROPOSED (Typed = Spear; other write in ITEMS AMOUN(' SOURCES COMMENTS or telephone Spear) 5. Supplies: May need to call on KRMP/KCAF if DRMP Name Tags (150) 0 DRMP supply services balk at some of this. Registration Books (2) 0 DRMP 1/ Meal Tickets (450) 0 HM Re. 2 lunches, and 1 dinner. Would need ~ 3 yx 5" pads (500) 0 DRMP if (a) sponors don't desire to fully Plastic Bags (10) 0 DRMP cover meal costs, and/or (b) there is Writing Paper (150) . 0 DRMP is a question of the attendance at the Pencils (200) Est 0 DRMP dinner. Typing Paper 10 ° ) KRMP — KCAF Paper, Reproduction reams 0 KRMP — KCAF Envelopes 0 DRMP Postage 0 DRMP Reproducing Agenda 0 DRMP If these can be drawn up in sufficient 0 DRMP time before the conference; otherwise, Reproducing Dinner Program will have to call on KRMP/KCAF. CONFERENCE ON PILOT ARTHRITIS PROGRAM Nature and Sequence of Events Overall Conference Process: The conference is planned to proceed on the basis of development and discovery. That is, no preconference issue or position papers will be developed. The conference brings together professional individuals each of whom is informed generally on the overall program, and specifically with respect to the project(s) with which each is associated. fhe process will capitalize upon their collective past experiences in the health field, and the current experiences of the pilot arthritis program to: a): define and describe the program; b) identify salient features of note; c) explore its potential; and d) specify a number of feasible activities which can be undertaken individually and jointly to round out the pilot: effort. , The deliberations in the conference will be by the pilot arthritis program leaders, about the parts, and the sum of the program. Thus, the only input papers required are those prepared by assigned program speakers, and special resource people and guests invited to make a formal presentation. Conference outcome is dependent upon the will of the leading program participants with regard to: a) improved program comprehension; b) identification of program potentials; and ¢c) specifica- tion of actions which the assembly agrees to undertake. Ae Conference Program Playscript Proposed First Day, January 19 8:00 a.m. Registration Sign-in books will be available on at least 3 tables, each table (book) representing a separate alphabetical group (e.g-, a- i; j - 43 8 - Z)- The names of the signers will be checked against a listing to identify unexpected attenders. Signers will be handed: 1. a name tag (prepared preconference, insofar as possible), and 2. a piece of paper (possibly color coded) identigy- ing the workshops the individual is assigned to. 3. Conference agenda 9:00 a.m. Call to Order Chairman (who)calls meeting to order in Plenary Room Comment Assignments indicated by color coded, or symbol-marked, slips - need not carry the individual's name. The lists in the hands of the Registrars will indicate what assignment to hand each participant. The name tag can also carry a color mark, or symbol so loss of slip doesn't matter. May be smoother if Dr. Brown (KRNP), or Mr. Waller (KDAF) convenes conference, and introduces Chairman 9:30 Proposed Plenary room is arranged on a schoolroom basis (tables for all). At each place is: . writing pad . several 3" x 5" pads - a pencil . any background documents PWR eH Chairman makes welcoming comments. Chairman makes introductions. Only 1 or 2 other people should be on the podium with the Chairman. Introductions may include special guests present, and individuals to contact for personal help. Chairman makes short talk about conference purpose Chairmen summarizesagenda, pointing out pre-assignment of participants to workshops. a.m. Key Question Period Leader introduced. Describes the purpose of this session; i.e., the experience of the total plenary group is being tapped to assist each subject workshop in completing its assignment. The plenary session will be asked to respond to 2 or 3 "How" questions about each workshop subject (see section under each workshop). Comment Can be another person. Can be another person. Proposed These are “knowledge” questions; the analytical factors of each subject must be developed within the workshop. (Average of 1% - 8% of such responses will turn out to be useable; imagery stimulation to workshop can be quite high, however. Process: Leader will state one "How" question, and will indicate the time allowed to give answers (never over 2 minutes). Participants write their.individual responses on the 3" x 5" pads, tearing off completed sheets (normally, one answer per page). Whatever comes to respondent's mind should be written down. At "TIME", ushers go down the aisles with plasic bags (marked to show what sheets they contain), and collect the 3" x 5" pages. Ushers take the bags to the Administrative room, and return to Plenary with new marked bags. Leader poses a second question, and the above process is repeated. Comment Need minimum of 2 professional people in’ Admin. Room to go over slips; such responses typically fall into categories. Profes- sionals need to set up 2-3 categerizs per question, and select not more than 12 ans- wers per category to be typed on the sheet for the workshop. After master shcet is typed, a copy is run for each member and delivered to workshop leader. There should not be pre-selection by the professionals-- the novel, and the "different", is where this can pay off most. It will not be catastrophic if these sheets reach the workshops after they have convened, ‘Proposed Process is repeated until all "How" questions for the lst day are completed. 10:30 a.m. Coffee Break 10:45 a.m. Reassemble in Plenary Room Presentation of 3 or 4 representative pilot arthritis programs by Coordinator, or Project Director Speakers. Short time allotted to each (15 - 20 min.) is offset by the fact that participants already have in hand a program summary (these were called for by DRMP by memo November 11, 1974). 12:00 Noon - LUNCH Two (2) short presentations on special subjects. Linretipe Suggested: 7 - 1. Demographic applications 2. Evaluating chronic disease programs Comment _ This is a demanding exercise on partici- pants. It is proposed that; a) not more than 3 questions be posed at one time; b) question g¥reups of up to 3 questions each be interposed between program presentations described imnedi- ately below. Coffee - tea - cokes, available in hall-way, or at back of Plenary Roon -on 2 - 3 carts. See above. Fatigue factors associated with, a) answering quesrions, and bi list- ening to speakers can be reduced by inter- spersing the two. E.g., 3 questions 15 min. 1 speaker 15 min. 3 questions 15 min. 1 speaker 15 min. Coffee Break 15 min. 3 questions 15 min. 1 speaker 15 min. 3 questions 15 min. 1 speaker _15 min. 135 min. ott Be pete Pee! Recommend Mr. byen, Director Michigan RMP Recommend speaker from Am. Soc. State Territorial Health Offices 1:30 3:30 3:45 Proposed p.m. Convene Workshops A-1 Physician Education A-2 Paramedical Education A~3 Patient Education A-4 Demographic Factors A-5 Arthritis Services A-6 Service deployment Each member of each workshop has available in the workshop room: 1. Statement of instructions and charge 2. "How responses pertinent to this workshop. p.m. Coffee Break p.m. Reassemble in Plenary Room a. 15 min reports from each of six (6) workshops. b. Plenary discussion of reports. c. Plenary vote/resolution on any positions, or actions conference decides to take. If appropriate, Chairman either 1. designates an individual to follow up conference action notes, or 2. designates a group. --- Adjourn Comment AAOS and AF should recommend workshop leaders. Secretarial service available in Admin. Room to type up Workshop reports insofar as time permits before presentation. A typed workshop report is required in all cases ~- either from tape recording of Plenary report or from Workshop Chairmen's notes. Schedule and reporting responsibilities must be established. rf Proposed 6:00 p.m. Cocktails 7:00 p.m. Dinner If speaker desired, can schedule a) Cranston, or similar, or, b) David Rogers, or similar Comment Ml Proposed Second Day, January 20, 1975 8:00 a.m. Convene in Plenary Room 8:05 a.m. Key Question Period Same as lst day, but relating to 2nd Day's workshops. 8:30 a.m. Presentation of Special Programs Select 3 or 4 from: 1. :2. 3. 4. Michigan geriatric program Galveston minimal care unit North Carolina industrial detection program One of the Wisconsin studies: a. Patient/family education b. Quality of nursing care. New Mexico, or Hawaii discussion of techniques to mobilize lay people. Physician from Philadelphia to briefly highlight pediatric aspects of the pilot initiative. Kansas, Alabama, or other RMP outline of program impact on physician at secondary level of service. Virginia, Utah, or other outline of impact on physician at primary level of service. Summary by Dr. Evelyn Hess on automated reporting opportunities. Orher Comments Recommend interspersing with talks (sce below) as indicated above for Ist day. Schedule is shortened on the 2nd day. This can be accommodated by alternatetively, or jointly: 1. asking fewer questions 2. banking on more efficient operations, given lst day's experience; and/or, 3. sliding schedule downward a bit. If some of these which cannot be schcduled in program are of sufficient interest, maybe desirable to request selected RMP's to submit "abstracts" on these subjects as background papers for the conference. Yl 9:30 9:45 Proposed a.m. Coffee Break a.m. Workshops Convene B-1 Evaluating physician training B-2 Evaluating paramedical training B-3 Evaluating patient training B-4 Evaluating program services B-5 Evaluating special studies B-6 Establishing continuing work groups to follow through on conference recommendations 11:30 a.m. Reassemble in Plenary Workshop reports 1:00 p.m. Lunch 2:30 3:30 4:00 2 short talkson alternative funding opportunities. p.m. Reassemble in Plenary Conference consideration of workshop reports; resolutions or voting on positions, or follow up actions p.m. Plenary Continued Resolution or voting on overall conference positions, or activity plans. p.m. Adjourn Conference -- Post conference: KRMP, KDAF, AAOS, AF, and DRMP representatives must meet in Admin. Room to resolve -- wrap up specific conference cost and action requirements. Comment Who are the key people who are must participants in these workshops? What alternative sequence of work- shops might be better? El 4 WORKSHOP A — 1 Guides and Instructions Subject: Physician Education Chairman: Recorder: Workshop Product: A document which describes: physician education generally undertaken across the country under the pilot arthritis program; indications of potential problems, as well as techniques and opportunities to enhance success; suggestions regarding maintenance of program quality to improve chances for continuity support; indications of subject areas, or training methodology which appears to be potentially most fruitful; the kind of documentation it may be feasible to obtain to record the overall pilot training activities; the recommended source of forms, or format; recommendation of who should centrally, or otherwise collect this information; recommeudation as to who should receive this information, and how it should be disseminated. The workshop report should be dictated in the Administration Room if it is too long to write and have typed for the Plenary report. The Plenary report will necessarily have to be a summarization, but all specific recommendations will have to be acted on in a Plenary session. Discussion guides: Program description and development. What: a. . physician education activities are being undertaken in the pilot arthritis program. b. existing curricula are being employed c. new curricula are being developed d. is the approximate ratio of physicians | being reached _ respectively at the tertiary, secondary, and primary levels of ‘practice. e. | distinctions, if any, are indicated in methodology, and/or ' curricula in reaching different categories of physicians. £. degree of physician service upgrading is being accomplished through: increased knowledge; patient referrals; consulting teams; increased utilization of Allied Health, and lay personnel. Ze are the major problems in obtaining physician cooperation and participation in pilot programs. h. measures are effective in overcoming resistance, or problems. i. Other: i) How: (discussion will be reinforced by responses obtained in Plenary session) can physician resistance to involvement in arthritis treatment be overcome. . b. can teaching methodologies and currisula be made widely available. can individual projects obtain assistance, or counsel on program problems. je . WORKSHOP A ~ 2 Guides and Instructions Subject: Allied Health Education Chairman: Recorder: Workshop Product: A document which describes: Allied Health education generally undertaken across the country under the pilot arthritis progran; indications of potential problems, as well as techniques and opportunities to enhance success; suggestions regarding maintenance of program quality to improve chances for continuity support; indications of subject areas, or training methodology which appears to be potentially most fruitful; the kind of documentation it may be feasible to obtain to record the overall pilot training activities; the recommended source of forms, or format; recommendation of who should centrally, or otherwise collect thie tofawmatioans recommondotion so to whe cheuld rcccle de dave Lawns and how it should be disseminated. The workshop report should be dictated in the Administration Room if it is too long to write and have typed for the Plenary report. The Plenary report will necessarily have to be a summarization, but all specific recommendations will have to be acted on in a Plenary session. Discussion guides: Program description and development. ° What: ao . - a. Allied health education activities are being undertaken in the pilot arthritis program, . b. existing ‘curricula are being employed c¢. new curricula are being developed d. is the approximate ratio of allied health being reached respectively at the tertiary, secondary, and primary levels of practice, e, distinctions, if any, are indicated in methodology, and/or curricula in reaching different categories of : f. degree of allied health service upgrading is being accomplished through: increased knowledge; patient referrals; consulting teams; increased utilization of Allied Health, and lay personnel. Ge are the major problems in obtaining allied health cooperation and participation in pilot programs. h.* measures are effective in overcoming resistance, or problems. i. Other: How: ae Db. c. (discussion will be reinforced by responses obtained in Plenary session) can involvement of the community's allied health population be increased. can allied health capabilities be optimized. can physician extension through utilization of allied health personnel be maximized. t/ ly WORKSHOP A - 3 Guides and Instructions Subject: Patient Education Chairman: Recorder: Workshop Product: - What: a. different arthritis services are being undertaken under the pilot arthritis grant program. b. are their respective frequency rankings. ; Ce impact might the nature and frequency of service types have in terms of short-term, or long-term personnel requirements, costs, patient care needs, etc. d. services appear to possess higher liklihood of attracting ' continuation support. e. kinds of support may be attracted. g. cost-saving factors or practics are various service type ‘.amenable to. h. - other How: (discussion will be reinforced by responses obtained in Plenary session) a. can new arthritis services be integrated with local and state health programs b.* can service types best be compared to identify the most viable under existing circumstances. c. can different service types be effectively merged to reduce personnel and other costs. WORKSHOP A - 6 Guides and Instructions Subject: Arthritis Services (deployment) Chairman: Recorder: Workshop Product: A document which describes: the services being developed under the pilot arthritis program; any apparent differences in services with respect to geographic, demographic, or institutional distinctions; strengths or weaknesses inherent in locating specific types of services in particular sociologic, political or other environments; effective service deployment patterns in terms of grades, or levels of service; characteristics of services which can be effectively located outside institutioned or metropolitan centers; any service size, or intensity effects resulting from different deployment patterns; principal manage- ment concerns ofdeployment; recommendations concerning deployment of arthritis services. Discussion guides: Program description and development What: e. £. ge h. How: is the overall pattern of deployment of services in the pilot arthritis program are the major differences if any, between this deployment, and the pre-grant picture are the major shortcomings and strengths of these deployments are the implications of service deployment via or vis service to different classifications of arthritis patients. are the implications of deployment with respect to providers. deployment is not being developed, but should be. key lessons about service deployment should the pilot program be looking for. who should spearhead such introspection. (discussion will be reinforced by responses obtained in Plenary session) can the deployment of arthritis services be made more attractive to care providers. can the efficacy of service deployment be simply rated, or measured. can local communities attract, or stimulate wider service deployment. ot.) WORKSHOPS, Second Day (B-1 through B-6) Development deferred pending discussion and resolution of draft material submitted. Suggestions and comments should include recommendations about the titles of these workshops, and the critical questions which should be addressed. (See p. 13). fod eee DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEAL.TH SERVICE HEALTH RESOURCES ADMINISTRATION ROCKVILLE, MARYLAND 20852 ' BUREAU OF HEALTH RESOURCES DEVELOPMENT December 9, 1974 TO COORDINATORS OF 29 REGIONAL MEDICAL PROGRAMS WITH FUNDED ARTHRITIS PROGRAMS; PILOT ARTHRITIS PROJECT DIRECTORS}; AD HOC ARTHRITIS REVIEW COMMITTEE MEMBERS! AND REGIONAL HEALTH ADMINISTRATORS (for information, only). SUBJECT: Announcement of a Conference on RMP Pilot Arthritis Program, January 19, and 20, 1975. We are pleased to announce that a conference on the pilot arthritis program presently funded through grants in 29 Regional Medical Programs will be con- vened. Dates: Sunday, and Monday, January 19-20, 1975 Place: Hotel Meuhlebach and Towers Baltimore and Wyandotte at 12th Street, Kansas City, Missouri 64105 (Res. 816/471 - 1400) The conference will begin early Sunday morning, and will continue until about 4:00 p.m., Monday afternoon. A block of rooms has been reserved for conference participants for Satur- day and Sunday nights, January 18-19. Single rooms are $17.00 a night, and doubles are $23.00. Reservations should be made personally. Conference Hosts are the Kansas Regional Medical Program, and the Kansas City Division, Arthritis Foundation. Conference Sponsors are the American Academy of Orthopaedic Surgeons, the Arthritis Foundation, and the participating Regional Medical Programs. The purpose of. the conference is to bring together decision-making indivi- duals associated with the pilot arthritis programs to expedite exchange of experiences and problems, facilitate development of mutual assistance activities, and to identify feasible activities which may be undertaken to enhance program quality, and document the pilot arthritis initiative. It is planned to conduct much of the conference in a workshop format. Thus, it is necessary to limit attendance to the number of key program represen- tatives which can be accommodated in a specified number of committee work groups. It is requested that designated alternates be permitted to attend the conference on behalf of Coordinators and Project Directors who cannot attend. , av. Travel and per diem costs associated with this conference are appropriate obligations under arthritis project coordination and evaluation activities, if funds are available. Followup activities which do not constitute program enlargement, including arthritis program surveillance, reporting, coordina~ tion, and evaluation, were recommended by the National Advisory Council at its June 1974 meeting. The ongoing RMP responsibility for these functions is recognized, and the earmark ceiling on pilot arthritis activities is not considered by us to be violated when arthritis is subjected to the same administrative overview as is addressed to other RMP programs. We would appreciate your completing and returning the enclosed statement of intent to assist development of the conference program. If you have ques- tions about the conference, please contact Mr. Matthew Spear (301/443-1916). Sincergly yours, Gérald T. Gardell Acting Director Division of Regional Medical Programs Enclosure Date: Matthew H. Spear’ Division of Regional Medical Programs Parklawn Building, Room 15-42, 2600 Fishers Lane, Rockville, Maryland 20852 Dear Mr. Spear: I plan to attend the pilot arthritis program conference in Kansas City, on January 19-20, 1975. My principal interests are: (please number in priority sequence) Educational activities Physicians Paramedical Other (Specify) Patients 2 Program delivery - Demographic aspects Types of Services |) []) Service distribution Program reporting Program evaluation Funding alternatives NAME: TITLE: ADDRESS: PILOT ARTHRITIS PROGRAM Project Director Coordinator Alabama Dr. Gene V. Ball Margaret S. Klapper, M.D. Professor of Medicine | Executive Director Division of Clinical Immunology Alabama Regional Medical Program and Rheumatology: 1108 South 20th St. (P.O. Box 3256) University of Alabama in Birmingham Birmingham, Alabama 35205 University Station Birmingham. Alabama 35294 , - Albany Dr. Lee Bartholomew Girard J. Craft, M.D. Albany Medical College Director, Albany Regional Med. Prog. 47 New Scotland Avenue Albany Medical College Albany, New York 12208 Department of Postgraduate Medicine Albany, New York 12208 Arizona Mr. Walter L. Benson Dermont W. Melick, M.D. Southwest Chapter, Arthritis Conrdinatar Foundation Arizona Regional Medical Program 3833 East Second Street 5725 East 5th Street Tucson, Arizona 85716 Tucson, Arizona 85711 Arkansas Colonel Henry Owens Mr. Roger Warner Arkansas Regional Medical Program Acting Coordinator Evergreen Place, Suite 215 Arkansas Regional Medical Program 1100 North University Evergreen Place, Suite 215 Little Rock, Arkansas 72207 Evergreen at University Avenue . Little Rock, Arkansas 72207 Kelsy J. Caplinger, M.D. President Arkansas Chapter Arthritis Foundation P.O. Box 125 Little Rock, Arkansas 72203 PROJECT DIRECTOR COORDINATOR California Same Mr. Paul D. Ward Executive Director Ms. Margaret Griffith California Committee on 731 Market Street Regional Medical Programs San Francisco, Calif. 94103 7700 Edgewater Drive Oakland, Calif. 94621 Dr. James J. Castles Associate Professor of Internal Medicine Univ. of Calif., School of Medicine Davis, Calif. 95616 Dr. Ephraim P. Engleman Clinical Professor of Medicine Room 671, HSE Univ. of Calif., San Francisco San Francisco, Calif. 94143 Dr. Richard B. Welch St Mary's Hospital and Medical Center 2200 Hayes Street San Francisco, Calif. 94117 Dr. George J. Friou Professor of Medicine Wate of Cnuthern Coli f, Medieal Schall 2025 Zonal Avenue Los Angeles, Calif. 90033 Dr. Michael D. Reynolds Asst. Professor, Rheumatology Division Orange County Medical Center 101 The City Drive, S. Orange, Calif. 92668 Dr. H. Walter Emori Assistant Professor of Medicine Loma Linda University, School of Medicine Loma Linda, Calif. 92354 Dr. F. Richard Convery Associate Professor and Director of Rehabilitation University Hospital 225 W. Dickinson Street San Diego, Calif. 92103 Project Director Coordinator Central New York Edward T. Clark Mr. John J. Murray Central New York Chapter of Director the Arthritis Foundation Central New York Regional Med. Prog. 627 W. Genesee Street 716 East Washington Street Syracuse, New York 13204 Syracuse, New York 13210 Colorado-Wyoming Charley J. Smyth, M.D. Thomas A. Nicholas, M.D. Professor of Medicine and Head, Executive Director Division of Rheumatic Diseases Colorado-Wyoming Regional Med. Prog. University of Colorado School of 410 Franklin Medical Building Medicine 2045 Franklin Street 4200 East 9th Street Denver, Colorado 80205 Denver, Colorado 80220 Georgia Mr. Donald J. Trantow J. Gordon Barrow, M.D. Georgia Regional Medical Program Director 938 Peachtree Street, N.E. Georgia Regional Medical Program Atlanta, Georgia 30309 938 Peachtree Street, N.E. Atlante Nanrais AN ANG Greater Delaware Valley Leonard N. Wolf, M.D. Executive Director Same Greater Delaware Valley Regional Medical Program 551 West Lancaster Avenue ~ Haverford, Penna. 19041 Warren J. Salmon, M.S. Medical Care Organization & Business Admin. Hahnemann Medical College & Hospital Philadelphia, Penna. 19102 Rodanthi Kitridou, M.D. Director, Div. of Rheumatology Hahnemann Medical College & Hospital Philadelphia, Penna. 19102 Charles D. Tourtelotte, M.D. Chief of Rheumatology Temple University School of Medicine 3401 No. Broad Street Philadelphia, Penna. 19140 ~4- Greater Delaware Valley (Cont'd) Project Directors Coordinators Allen Myers, M. D. Chief, Rheumatology Section Dept. of Medicine Univ. of Penna., School of Medicine 210 Maloney Bldg. Philadelphia, Penna 19174 George E. Ertlich, M.D. Director of the Arthritis Center Albert Einstein Medical Center York and Tabor Roads Philadelphia, Perna. 19141 Balu Athreya, M.D. Chief of Rheumatology Children's Hospital 18th & Bainbridge Streets Philadelphia, Penna 19146 Hawaii Terence A. Rogers, Ph.D. Satoru Izutsu, Ph.D. University of Hawaii 6chool of Medicin< Executive Director 1960 East-West Road; Regional Medical Program of Honolulu, Hawaii Hawaii, American Samoa, Guam, aud tus Pause Teisivvuiy VL fhe Pacific Islands 770 Kapliolani Boulevard Honolulu, Hawaii 96813 Intermountain Ward Studt, M. D, Ward Studt, M.D. Executive Director. Intermountain RMP :.. 540 Arapeen Drive Salt Lake City, Utah 84112 Iowa Merlin Paul Strottmann, M.D. Charles W. Caldwell Asst. Prof., Dept. of Internal Medicine JIowa RMP University Hospitals The University Iowa City, Iowa 52242 Oakdale Hospital Oakdale, Iowa 5231 Kansas Robert Godfrey, M.D. Robert W. Brown, M.D. University of Kansas Medical Center Director 39th and Rainbow Boulevard Kansas Regional Medical Program Kansas City, Kansas 66103 4125 Rainbow Boulevard Kansas City, Kansas 66103 Daniel Stechschulite, M.C. University of Kansas Medical Center - 39th &Rainbow Boulevard Kansas City, Kansas 66103 Project Director Kansas (Cont'd) John S. Lynch, M.D. Stormont~Vail Hospital 10th & Washburn Topeka, Kansas 66606 E. Dean Bray, M.D. St. John's Hospital P.O. Box 214 Salina, Kansas 67401 Frederick Wolfe, M.D. Coordinator The Arthritis Foundation, Kansas Chapter 240 Greenwood Wichita, Kansas 67211 Metropolitan D.C. Kenneth I. Austin, M.D. Freedmen's Hospital-College of Medicine Howard University . 6th and Bryant Street, N.W. Washington, D. C. 20001 Werner F. Barth, M.D. Chairman, Section of Rheumatology Washington Hospital Center 110 Irving Street, N.W. Washington, D. C. 20010 Michigan Ivan F. Duff, M.D. Professor of Internal Medicine and Physician-in Charge, Arthritis Div. University Hospital Ann Arbor, Michigan 48104 Mississippi Guy T. Vise, Jr., M.D. Suite 425 971 Lakeland Drive Jackson, Mississippi 39216 Mr. Vaughan Choate Acting Coordinator Metropolitan Washington Regional Medical Program 2007 Eye Street, N.W. Washington, D.C. 20006 William Graham-Welke, Ph.D. Executive Director Michigan Association for Regional Medical Program 1111 Michigan Avenue, Suite 200 East Lansing, Michigan 48823 Theodore D. Lampton, M.D. Coordinator Mississippi Regional Medical Prog. 880 Lakeland Drive Jackson, Mississippi 39216 PROJECT DIRECTOR New Mexico David A. Bennahum, M.D. Univ. of New Mexico School of Medicine Albuquerque, New Mexico 87131 North Carolina William J. Yount, M.D. Dept. of Medicine, UNC School of Medicine N.C. Memorial Hospital Chapel Hill, N.C. 27514 Jesse Earle Roberts, Jr., M.D. Duke University Medical Center Durham, N.C. 27704 Joh Kline N.C. Arthritis Foundation Durham, N.C. 27704 Paul Young, M.D. Bldg. 3, Suite G Doctors Park 399 Biltmore Avenue Asheville, N.C. 28801 Robert A. Turner, M.D. Assistant Professor of Medicine Chief of Rheumatology Bowman Gray School of Medicine Winston-Salem, N.C. 27103 North Dakota Ohio John L. Magness, M.D. 901 Southwood Drive Fargo, North Dakota David H. Neustadt, M.D. Chief, Section on Rheumatic Diseases Univ. of Louisville School of Medicine Louisville, Kentucky 40201 COORDINATOR Richard Walsh, M.D. Coordinator New Mexico RMP 2701 Frontier N.E. UNM Health Sciences Center Albuquerque, New Mexico 87106 Mr. Ben Weaver Executive Director Association for the N.C. Regional Medical Programs P.O. Box 8248 Durham, North Carolina 27704 Charles A. Arneson, M.D. Executive Director North Dakota RMP 2200 Library Circle Grand Forks, N.D. 58201 , Mrs. E.L. Hebbeler Director Ohio Valley RMP 1733 Harrodsburg Road P.O. Box 4098 Lexington, Kentucky 40504 Project Director Oklahoma-- Puerto R. T. Schultz, M.D. Okla University Health Sciences Center P. O. Box 26901 ‘ Ohlahoma City, Ohkahoma 73190 Rico Dr. Esther Ganzalez Pares University of puerto Rico, School of Medicaine P.OBox 5067 San Juan, Puerto Rico 00936 Tennessee Mid-South Texas Edward J. Eyring,.M.D., Ph.D. East Tenn Children Hospital VUunanvrwt TA Eharles E, Richardson, M.D. Director of Internal Medicine Baroness Erlanger Hospital 261 Wiehl St. Chattanoogo, Tenn. 37403 William Sale, M.D. Department of Orthgpedics & Rehabilitation Vanderbilt University Nashville, Tenn.. 37232 Frank Emery, M.D. Univ. of Texas Medical Branch at Galveston Galveston, Texas 77550 Bruce Bartholemew, M.D. Texas Tech. Univ. School of Medicine Lubbock, Texas Glimer E. Walker, Jr. South Central Arth. Foundation 4814 West Ave. San Antonio, Texas 78213 Coordinator Albert M. Donnell Director Oklahoma Regional Medical Prog. University of Oklahoma Health Sciences Center P. O. Box 26901 Oklahoma City, Okla. 73104 Rafael Rivera Castano, M.D. Coordinator Puerto Rico RMP Box GG, Caparra Heights San Juan, PUerto Rico 00922 Richard 0. Cannon, M.D. Director mi. TMOUNSSS CS Medical Program 110 - 21st Avenue, South Nashville, Tenn 37203 are ton clon . “ Bam LTE Wee eid t D. K. ferguson Director Regional Medical Program 4200 North Lamar Boulevard, Suite 200 Austin, Texas 87856 ‘ys Project Director Texas (Cont'd) John Sharp, M.D. Prof. of Internal Medicine Baylor College of Medicine Texas Medical Center Houston, Texas 77025 John D. Smiley Coordinator Univ. of Texas Health Science Center at Dallas Dallas, Texas Tri-State Edgar S. Cathcart, M.D. Assoc Professor of Medicine Boston Univ. School of Medicine Boston, Mass Vincent Agnello, M.D. Chief, Div Rheumatology & Clinican Immunology Tufts, New England Medical Center Boston, Mass. Virginia Edward Smith, M.D. IILAN mT. ¢ .t nt 7 wee bee a Woe ee Newport News, Virginia 23604 Washington-Alaska Robert Vukich Western Washington Chapter Arthritis Foundation 506 Second Avenue Seattle, Washington 98101 Western Pennsylvania Carl H. Eisenbeis, Jr., M.D. Medical Director Dept. of Comprehensive Medicine & Rehab. St. Margaret Memorial Hospital 265 Forty-Sixth Street Pittsburgh, Pennsylvania 15201 Mr. Robert W. Murphy Executive Director Tri-State Regional Medical Program Medical Care and EDucation Foundation, Inc. 1 Boston Place, Suite 2248 Boston, Mass 02108 Eugene R. Perez, M.D. VLLECLOL Virginia Regional Medical Program. 700 East Main St., Suite 1025 Richmond, Virginia 23219 Donal R. Sparkman, M.D. Director Washington/Alaska Regional Medical Program 1107 N.E. 45th Street Seattle, Washington 98105 David E. Reed, M.D. Director Western Penns. Regional Med. Prog. 200 Meyran Avenue Pittsburgh. Penna 15213 Project Director Wisconsin Mr. Donald McNeil Executive Director Arthritis Foundation of Wisc. 225 E. Michigan Street Milwaukee, Wiconsin 53202 Coordinator Mr. Charles W. Lemke Coordinator , Wisconsin Regional Megdical Program 5721 Odana Road Madison, Wisconsin 53719