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RE EMORANDUM DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE
HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION

® : Chief DATE: February 24, 1972

Grants Management Branch

FROM : Grants Management Officer

SUBJECT: Information Still Required for Completion of Application for Fred
Hutchinson Cancer Research Center in Seattle, Washington

J have recently reviewed all the information forwarded to and from

the Washington/Alaska Regional Medical Program and the Fred Hutchinson
Cancer Research Center in an attempt to answer the question ''where do
we go from here" in Dick Russell's memorandum to the Director, RMPS
dated February 11, 1972.

Included in my review was the application for the Cancer Center submitted

January 14, °.72, the site visit report dated January 24 and 25 by the

entire site visit team, my own site visit report to you dated January 26,

1972, the recommendations on this Cancer Center from the National

Advisory Counc’. of November 10, 1971 and February 8, 1972 and the

questions concerning the proposed Cancer Center to serve HEW Region X
© that was developed by Mr. Ken Raum of RMPS staff.

B.sed on the aforementicned review one of my primary recommendations

would be for a member of RMPS sta.f to cross reference the recommendations
made by Council on November 10, 1971 and Februery 8, 1972 and the questions
raised concerning the proposed Cancer Center to serve HEW Region X by

Mr. Ken Baum to the revised application for this Cancer Center dated
January 14, 1972 and the official site visit report om this Center. By
accomplishment of this task it will then be readily apparent to any and
all concerned as to what questions and concerns have already been

resolved and what questions and concerns have still to be replied to.

At the present time it is impossible to determine this fact since there

is no way, without going through each question individually to all sources
of ir ormation available, to determine whether the proper information
required has already been furnished.

Although I feel in my review of the Council recommendations of

November 1971 and February 1972 and the questions concerning the proposed
Cancer Center developed by Mr. Ken Baum, that it would be of optimal
benefit to RMPS to have all such questions resolved prior to June of this
year to support the issuance of the award of $5 million, I do not feel that
© Page 2 - Gerald T. Gardell

all answers to all questions is either completely necessary prior to

making the award or that such answers would be completely factual since
the Cancer Center would not begin operating before the Spring of 1975 at
the earliest based on the current construction schedules. I am of the
opinion that answers given to many of the questions based on the
circumstances in existence at the present time could change substantially
before the Center actually becomes operational. In addition, since based
on my discussions with the architect when I was on the site visit, the
actual contract for the construction of the facility would probably not
be let to a qualified bidder until June of 1973, there would actually be
no expenditure of funds until such date and much of the information
currently desired could be furnished before the actual obligation of
any funds.

t do feel that it is imperative that certain information be developed and
submitted to us prior to June of 1972 to justify us issuing the award so
as to document obligation of the funds prior to June 30th. This information
would fall into three main groupings which would be as follows:
a. A floor by floor layout or schematic of the facility indicating
what types of activities would be conducted on each floor, a
description of the building and the type of equipment to be
included therein. In my discussions with the architect at the
site visit he indicated that. such information could be furnished

© prior to the first of June 1972.

b. All the information required under VI, page 11 entitled "Technical
and Administrative Requirements" of the document developed by
Mr. Ken Baum entitled "Questions Concerning the Proposed Cancer
Center to Serve HEW Region X."" In my telephone conversations
with Dr. Donal Sparkman of the Washington/Alaska Regional Medical
Program and Mr. Richard Cole of the Facility's Engineering
Construction Agency of Region X in Seattle on February 22, 1972
I indicated that this information be developed for us at the
earliest possible moment.

c. If the grant is going to be made under the 910 mechanism directly
to the Fred Hutchinson Cancer Center it should be decided at the
earliest possible moment whether or not the staff of the Fred
Hutchinson Cancer Center would become the fiscal agent or it
would be more appropriate for the University of Washington to act
as the fiscal agent as they do for Washington/Alaska Regional Medical
Program.

In my conversation with Mr. Cole of the Facility Engineering Construction
Agency I indicated to him firmly that it would be their responsibility to
perform the complete review of the contents of the application. [f informed
Page 3 - Gerald T. Gardell

him that the review performed by the National Advisory Council is solely
review of the total concept contained in the application and not a review
of each constituent part thereof. He appreciated my comments and indicated
that he would assist the Regional Medical Program and staff of the Fred
Hutchinson Cancer Center as requested at the earliest possible moment.

In my conversation with Dr. Sparkman I indicated that the intent of the
award of $50,000 to them was to provide funds as necessary for developing
the information previously mentioned for submittal to us at the earliest
possible moment.

My immediate recommendation is that a letter be drafted to the
Washington/Alaska Regional Medical Program and staff of Fred Hutchinson
Cancer Research Center informing chem cf the information still required
and institute follow-up action on a4 bi-weekly basis to assure that the
information will be developed timely for us to support the issuance of the
award prior to the end of this fiscal_perjod, »

Cope {LC
ET oe DN ene

Rogex Miller

cc:

Dr. Margulies
Dr. Pahl

Mr. Chambliss
Mr. Baum

Mr. Russell
Mr. Moore