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DEPARTHERT OF HEALTH, EDUCATION, ARD BEEP ARE

 

KA COT fi ii 4 Ln Po Le EU VETS ARE NEEM
oe “ | RRSERRRRARIOER

Public Health Service - Region I]

ro: fir, Eugene Rubel part; August 5, 1974
Director, Division of CHP dot |
mow: George C. Gardiner, HD. oN
: Regional Health Adainistrator (gu? }
suBject: Pronosed Task for Implenenting lik Legislation yer

Thank you for the opportunity to forrally review the dreft work
pron for inplenentation of the health resources plenning
egislation requested in your duly 22, 1274 letter. 1 eoree

vholeheartedly with your desire to ork together fn the critical

“areas of program development. fy staff has revived the proposals

{n detail and we have discussed that we feel are positive
approaches to the entire proposed craft work pragrem which you

- have given us.

Uitle we note that in your letter you requested thet we refrain

fron the we/they dictotony ee are concerned about the heavy
centralization aspects that are not only suggested but are thorouohly
frolictt throughout the draft, proposed. Such drafts make the

iseue of the dichatocy one thet cannot be avotded tn terns of

our response. It 45 clearly obvious that your staff hes not

quite percetved that the role of the regional office is an integral
part of the adninistration of the propesed program. he need |
fo state some concern that the KAP legislation will raise the
specter of recentrel ization fully, To avotd this ve vould like

to state our concern about what seratices is explicit end
sonstings (¢ dnolict, in your description of the Mott hand

most colua in the kork proarem describing the responsibilities

ag assioned esther to Regtonel Orfice or Central Office, Taken

as a vhole it describes no clear regional office role throughout

 

 

 
the draft docunent. Only one assigrsant ts solely in the purview :
of the regional office, I-know that this is not a suggestion 7
that you had either (rolted or explicitly tanted to relay tn
material that you have sent us. :

At the sma tine, we find with a oreat deal of concern many

tf not most of the present role, relettonshtps end duties of
the regional staffs relegated either solely to central office ie
or in conjunction with it. ss

ke welcoze a close cooperative programmatic relationship with DCHP
Central Office. We would also welcone a better and nore equitable
allocation of responsibility and relationships to the resources we
have, The staff of HRP 1s proposed to be approximately equally
divided between central office and the reotons, Yet ee see no
consonant distribution of the work losd. To accosplish a gare
equitable distribution, we suggest a redrafting of the HO -025
objectives to reflect a better definition of the rote of the regional
offices. | ;

 

Under separate cover we are giving spectfics to that involvenent which
1 trust your staff will take into consideration,

However, because individually they may be subject to discusston, we
would volunteer 2-4 man days of staff tie fron this regtonal office
to clarify the issues therein described on the role of the regional
office visea-vis what needs to be done fron our point of view. Should
you accept our offer, ve would be ald to serve as focal nofnts for
input from other regions and RHA's. If you do accept, please contact
Dr. 2. E. Farag, Director of the Diviston of Health Resources
bevelopnent. |

 

 

 
- Yo feel keenly that the hypothesis under which ve labored that what
went wrong was due to mechanical flaws in the tratenentation of the
CHP program is only partially correct. There ts still a great need
to dafine national policy issues on substantive concerns, on narrowing
the focus of the agency's mission, of the need to ald the agencies as
they develop nethodolagically sound reans of assessing the area need
and describe the nature and scope of the systen's future, and the need
to appropriately amalgamate those plans in state and subnational gays.
Ue vould Tike to be involved in these activittes as well as those
desertbed in your work plan, end we hope that the natton's supply of
staf¢ can ba so divided as to equitably and effectively marshall the
resources to get the Job done for this irportant program,

 

 

 

 

oT anne
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