DEPARTMENT OF HEALTH, EDUCATION

AND WELFARE
Health Services and Mental Health Administration

Division of Regional Medical Programs

National Advisory Council on

© Regional Medical Programs

Minutes of Meeting
November 25-26, 1968

_. National Institutes cf Health
Conference Room 4
~Building 31
 

 

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
Public Health Service

National Advisory Council on Regional Medical Programs

Minutes of Fourteenth Meeting 1/ 2/
November 25-26, 1968

The National Advisory Council on Regional Medical Programs convened for

~its fourteenth meeting at 8:35 aom., Monday, November 25,.1968, in

Conference Room 4, Building 31, National Institutes of Health, Bethesda,
Maryland. Dr. Stanley W. Olson, Director, Division of Regional Medical
Programs, presided for the Acting Administrator, HSMHA, who was unable
to be present for all of the meeting. oS

The Council members present were:

Dr. Edwin L. Crosby (11/25 only) Dr. George E. Moore (11/25 only)
Dr. Michael E. DeBakey (11/25 only) Dr. Edmund D,. Pellegrino

Dr. Bruce W. Everist Dr. Alfred M, Popma

Dr. John R. Hogness Dre Mack Ie Shanholtz

Dr. James T. Howell Mr. Curtis Treen

Dr. Clark He. Millikan

Public Health Service members attending some of the sessions included:

Dr. Wilfred D, David, National Center for Chronic Disease Control
Mr. Roy L. Davis, Jr., National Center for Chronic Disease Control
Dr. Sam M. Fox, National Center for Chronic Disease Control

Dr. George Goodman, National Center for Chronic Disease Control
Dr. David S. Hathaway, National Center for Chronie Disease Control
Mr. A.A. Hudgins, Office of Program Planning and Evaluation, HSMHA
Mr. Irving J. Lewis, Acting Administrator, HSMHA

Mr. John Pendleton, National Center for Chronic Disease Control
Dr. W.H. Ross, National Center for Chronic Disease Control

1/ Proceedings of meetings are restricted unless cleared by the Office of

the Administrator, HSMHA. The restriction relates to all material submitted

for discussion at the meetings, the supplemental material, and all other
official documents, includiag the agenda, ,

For the record, it is noted that members ahsent themselves from the meeting
when the Council is discussing applications: (a) from their respective
institutions, or (b) in which a conflict of interest might occur. This

procedure does not, of course, apply to en bloc actions--only when the
application is under individual discussion,
 

 

Others Attending:

Dr. Lionel Bernstein, Veterans Administration
Dr. J.H.U. Brown, NIGMS
Mr. N.C, Bowerstock, Arthur D. Little, Inc.
Mr. J.J. Dunlop, Arthur D. Little, Inc.

Dr. Homer Wegercorn, Arthur D. Little, Inc.
Dr. Ian Mitchell, NCI

Dr. N.C. Webb, Jr., Arthur D. Little, Inc.

_.. DRMP Staff Attending:

Mr. Nicholas Cavarocchi, Financial Management Officer

Dr. Donald Chacwick, Teputy Director, TRMP

Mr. Cleveland Chambliss, Assistant Associate Director for Operations

Mr. Edward Friedlander, Assistant to the Director for Communications
and Public Information ‘

“Mes. Eva Handal, Committee Management Officer’

Mr. Charles Hilsenroth, Executive Officer, DRMP
Mr. Gregory Lewis, Chief, Grants Management Branch
Dr. Richard Manegold, Associate Director for Program Development
anc Research
Mr. Roland Peterson, Acting Associate Director for Planning and
Evaluation
Mrs. Martha Phillips, Chief, Grants Review Branch
pr. Alexander Schmidt, Chief, Continuing Education and Training Branch
Dr. Margaret Sloan, Associate Director for Organizational Liaison
Dr. Richard Stephenson, Associate Director for Operations
Mr. Robert Thorner, Acting Assistant to. the Director for Health Data

Miss Rhoda Abrams, Planning and Evaluation Branch

Mr. James Beattie, Grants Management Branch

Mrs. Marilyn Buell, Grants Review Branch

Miss Cecelia Conrath, Continuing Ecucation and Training Branch
Mr. Arthur Curry, Grants Management Branch

Miss Judith Fleisher, Communications and Public Information Office
Mrs. Sheila Gould, Committee Hamagement Office
Mr. George Hinkle, Grants Management Branch

Miss Dona Houseal, Grants Review Branch

Dr. Bryant Jones, Operations Officer

Mr. Robert Jones, Grants Review Branch

Dr. Anthony Komaroff, Operations Officer

Mrs. Dale Kohn, Communications anc Public Information Office
Mr. Ted Zoontz, Planning and Evaluation Branch

Mrs. Lorraine Xyttle, Grants Review Branch

Mr. Glenn Lamson, Operations Officer

Mr. Robert Lawton, Consultant to DRMP

Dr. Hubert Mathewson, Continuing Education and Training Branch
Mr. Rodney Merker, Operations Jf€ficer

Mrs. Patty McPonald, Grants Review Branch

Mr. William McKenna, Financial Management Branch

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Miss Majorie Morrill, Continuing Education and Training Branch
Miss Elsa Nelson, Continuing Education and Training Branch

Miss Leah Resnick, Planning and Evaluation Branch

Mr. Abraham Ringel, Continuing Education and Training Branch
Mr. Richard Russell, Grants Review Branch

Mrs. Jessie Salazar, Grants Review Branch

Dr. Jack Schneider, Continuing Education and Training Branch
_Mr. Harold Seltzer, Communications and Public Information Office
Mrs. Judy Silsbee, Grants Review Branch

Mr. James Suter, Continuing Education and Training Branch

Mr, Lee Teets, Grants Management Branch

Miss Charlotta Turner, Continuing Education and Training Branch
Mr. Frank Van Hee, Continuing Education and Training Branch
Miss, Dawn Zoerner, Office for Operations

CALL TO ORDER AND. OPENING REMARKS

Doctor Olson called the meeting to order at 8:35 a.m.
ANNOUNCEMENTS:

Doctor Olson made general announcements about the Service Desk and
luncheon arrangements, Also, he called attention to the statements

on, "Conflict of Interest," and "Confidentiality of Meetings."

Appreciation was extended to the retiring Council members, Drs. Howell
and Moore, for their many contributions to our program.

Mrs. Florence Wyckoff, who will become a Council member effective

December 1, was welcomed to the meeting as an observer. (Dr. Michael J.
Brennan who will become a Council member effective December 1, also
joined the meeting on November 26 for a short time.)

CONSIDERATION OF FUTURE MEETING DATES

The Council approved the following dates for meetings in 1969:

February 20-21, 1969 (Thursday-Friday)
May 26-27, 1969 (Monday-Tuesday )
August 25-26, 1969 (Monday~Tuesday )
December 15-16, 1969 (Monday~Tuesday  )

CONSIDERATION OF MINUTES OF AUGUST 1968 MEETING

The Council unanimously recommended approval of the Minutes of the
August 26-27, 1968, meeting as written,

Doctor Olson discussed the following new provisions of P.L, 90-574
which extends P,L, 89-239;
 

 

eo 4

Section 105-~Increase in the number of Advisory
, Council members;
Section 107--(a) Addition of practicing dentists; and
(b) Grants to be used to meet the cost of
participation iu Regional Medical Programs
by aw Federal hospital;
Section 910--Project grants for Multiprogram Services.

“ITM. Doctor Schmidt presented the Division's position on the implementation
of Section 910, He presented a draft that might be used to amend the
Cuidelines which was approved by the Council with one change (see second
paragraph with underline) as follows:

Project Grants for Multiprogram Services

Section 910 of the Act authorizes that funds appropriated
under this title shall also be available for grants to any public
or nonprofit agency or institution for services needed by,
or which will be of substantial use to, any two or more
regional medical programs. Grant applications submitted under
this section may be received from any regional medical program
or eligible institution or agency. If the application is

© : for activities to be carried out in specific regions, the
approval of Regional Advisory Groups of all regions covered
by the proposed activity is required by the Division.

lf the application is from an institution or agency seeking

to provide services which may be utilized by two or more
regional medical programs, without _a specific regional focus,
Rezional Advisory Group approval is not necessary s The
application must include evidence documenting the need for the
activity by two or more regions, or show how the proposed
service may be of use to two or more regional medical programs.
If a Regional Medical Program proposes to carry out such

activity, the application must be approved by its Regional
Advisory Group.

VI. PROGRESS IN INTEGRATING DRMP AND THE NATIONAL CENTER FOR CHRONIC
DISEASE INTO, “REGIONAL MSDICAL PROGRAM SERVICES"

A Task Force has been working on the integration of the Division of
Regional Medical Programs and the National Center for Chronic Disease.
With the amalgamation of these two offices, it is now called, "Regional
Medical Program Services." Doctor Chadwick made a report on, "The
Progress of the Task Force."

VIL, DIRECTED EFFORTS IN REGECNAL MEDICAL PROGRAMS

© the Manta 20 Beet 0 Piet Coser En Urban Raverty Areas and
were es : in rhan f eS

Year 1970 for Model Seig: borhoods derives from the strateg

 

 

sy adopted
to relate Model Cities Programs not only to the funds directly
available from the Department of Housing and Urban Development but to
 

VIIT.

identifiable funds from other Federal programs as well, The strategy
adopted for RMP has been to encourage local generation of projects which
strengthen cooperative arrangements, We recognize the Department's
wish to identify funds for Neighborhood Model Cities, but believe the
request to earmark the requested amount of S5-million from Regional
Medical Progrimeis incompatable with the basic method of making grant
awards in this program,

Clinical Field Trials

Doctor Chadwick reported the Division has a small internal task force
at work to determine how this activity can be carried out within the
framework of Regional Medical Programs. A specific recommendation on

this activity may be available at the time of the February Council
meeting. ; .

SUPPORT OF TRAINING ACTIVITIES

A series of training grants originally awarded through the National
Center for Chronic Disease Control have been supported under

Section 314(e), and are now managed through the Community Health
Services. Considerable pressure has been exerted to free-up funds in
314(e) to meet the Secretary's commitment for the support of rodent

- gontrol and of model city neighborhoods, Preliminary indications were

made to grantees that these programs would be phased-out, although

the communication was made verbally and not in writing. The action
has evoked strong reaction from the National Advisory Cancer Council,
the Executive Committee of the American College of Surgeons, and from
a number of individuals concerned with the training of cytology
technicians, radiation technicians, and other specialized personnel

in cancer activities. This matter has been resolved at the level of
the Administrator, HSiHA, by accepting a 20% reduction in funds for
training grants and project grants for FY 1969. This will affect only
those grants still to be awarded, :

BUDGETARY STATUS

A status report of grant funds for Fiscal Year 1969 was given as
follows:

Total funds available, FY 1969 $92,364,603
Awarded, as of November 19, 1968 8,263,668
Balance Available $84,100,935
Continuation requirements for remainder of year 48,747,000
available for new activities $35,353,935

CIMA DS OMArT pen on OR coer ene AT DPOTOMAT MER TOAT RROOTAMEG

A discussion was held of charts giving information on the following
categories:
XI.

 

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b. Those from which an application for an operational
grant has been receiver;

c.° Those which have planning grant awards but have
not yet submitted an operational grant application.

CONSIDERATION OF GRANT APPLICATIONS
3 G03 PM 09016-9182, California Regional Medical Program

The Council recommended a site visit to review, investigate, and
recommend on both projects, with resubmission to Council,

Council was in agreement that the proposal was confusing and needed
clarification before action could be taken, especially with regard to
projects 22 anc 23.

The amount requested for a three year period beginning November 1,
1968, through October 21, 1971, is $639,445, plus appropriate indirect
costs.

Mrs. Wyckoff absented herself.
3. GO2 RM 99040-2282, Colorado-Wyoming Regional Medical Program

The Council recommended approval in the revised amount requested of
$25,331, plus appropriate incirect costs.

This supplemental request was considered in conjunction with the
Region's initial operational grant application. As noted in the report
of the September 26-27, 1968, site visit, the original supplemental of
$121,860 requested was revised downward, and a new budget submitted.
Council considered the findings of the Review Committee and concurred
with the recommendation of approval in the revised amount.

The amount requested for a one year period beginning July 1, 1968,
through June 30, 1969, is $281,527, plus appropriate indirect costs.

3 G93 RM 99904-2251, Albany Regional Medical Program

The Council recommended deferral, with referral to the subcommittee of
the Review Committee for clarification of details of the project, and
assurance from the Region that the program can be accomplished.

Council called for more details concerning the plans for education of
allied health personnel, as well as other approaches to the education
of practicing physicians, area coordinators, etc.

The amount requested for a three year period beginning July 1, 1968,
through June 39, 1971, is $731,95°, plus appropriate indirect costs.

By ee teem

 
 

 

“7

3 GO3 RM 00037-6252, Wisconsin Regional Medical Propram

The Council recommended conditional approval of the applications as
submitted to reflect the following actions:

(a) Approval of projects #5, #8, #11, #12, and #13 at the
decreased level of $332,391 in direct costs for the
first year with recommended future support as requested
except for project #5;

(b) Deferral of projects #6, #7, #9, and #10 until the
January-February 1969 review cycle; and

(c} Recommended future support of component #1 (core
planning and administration) during the next two
years as requested.

The amount requested for a five year period beginning September 1, 1968,
through August 31, 1973, is $4,488,182 (0251), plus appropriate indirect
costs, The amount requested for a three year period beginning

November 1, 1968, through October 31, 1971, in application 37-0252, is
$1,207,109, plus appropriate indirect costs.

3 GO2 RM 00061-0252, Illinois Regional Medical Program

The Council recommended approval in the time and amount requested of
$396,721 for seven months beginning December 1, 1968, through
June 30, 1969.

The amount requested in the revision was slightly less than the original
supplemental request. Council felt that the Illinois Regional Medical
Program needs the additional core staff and better liaison with the
medical centers than these funds would permit.

2 GO2 RM 00013-03, Western New York State Regional Medical Program

The Council concurred with the Review Committee and recommended

approval in the time and amount requested of $921,006 for three years,
plus appropriate indirect costs,

Boctor Moore absented himself.
3 G03 RM 00013-0151, Western New York Regional Medical Program

The Council recommended conditional approval of the application as
submitted to reflect the fcllowing actions:

(a) Approval of projects #3

AP TT fe ' Sop

and #4 at the decreased level of

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requested;
 

Doctor Shanholtz absented aimself

 

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(b) Provision of up to $50,000 each for projects #7 and #8
for one year of planning, the actual amounts. to be
negotiated by the Division; and

(c) Disapproval of projects #5 and #6.

The amount requested for a three year period beginning September 1, 1968,
through August 31, 1971, is $4,788,020, plus appropriate indirect costs.

“Doctor Moore absented himself.

3.603 RM 00038, Washington/Alaska Regional Medical Program

The Council recommended conditional approval of the application as
submitted to reflect the following actions: .

(a) Approval of supplemental core funds and projects #20,
#21, and #22 combined, #24, and #26 at the decreased level
of $225,716 in direct costs for the first year, with

recommended future support as requested except for projects
#21 and #225—

(b) Deferral of project #25; and
(c) Disapproval of project #23,

The amount requested for a three year period is $1,214,635, plus
appropriate indirect costs,

Doctor Hogness absented himself,
1_GOQ3 RM 00049-01, Virginia Regional Medical Program

The Council recommended conditional approval subject to communication
to the region, of the following actions:

(a) Approval of Project #12 (Core Activities);

(b) Action (a) above does not constitute approval of an
operational grant, but such approval represents continuing
support of the planning activities; and

(c) Return for revision by the Region and sponsors of all other

individual projects, to comply with the recommendation of
the site visit team,

The amount requested for a two year period beginning January 1, 1969,

through December 31, 1971, is $4,239,531, plus appropriate indirect
coats. :
 

 

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3 G02 Rif 00035-03, South Carolina Regional Medical Program

The Council concurred in the findings of the Review Committee in
making the recommendation of conditional approval in the decreased
amount of $125,000 in direct costs for one year, plus appropriate
indirect costs,

The amount requested for a one year period beginning January 1, 1969,

through December 21, 1969, is $183,408, plus appropriate indirect

costs.
3 G03 RM 00034-O1R2A1S1, New Mexico Regional Medical Program

The Council recommended approval in the amount requested of $33,927,
contingent upon: (1) clarification of income and fee schedule and

(2) development of an over-all operational plan for the entire region,
encompassing all existing projects, and a description of ways in which
new projects will interrelate with existing ones.

The amount requested for a three year period beginning March 1, 1968,
through February 28, 1971, is $69,440, plus appropriate indirect costs.

1 GO3 RM 00042-01, New Jersey Regional Medical Program

The Council recommended approval for three years funding at a reduced
level and with conditions. The level recommended for the first year
was $668,073.

Council concurred in the Review Committee's recommendation that the
Region be advised about the need for integrating the three coronary

care training projects and the advisability of appointing a single director
for the activity. ,

The amount requested for a three year period beginning December 1, 1968,
through November 30, 1971, is $2,231,651, plus appropriate indirect costs.

1 GO2 RM 00066, Nassau-Suffolk Regional Medical Program

Council recommends approval in the time and umount requested with
clarification by staff of certain items in the budget.

The reviewers favored the identification of the two counties as a
Region and their separation from the Metropolitan New York Region.
They also were favorably impressed with the content of the application.

The amount requested for a two year period is $553,280, plus appropriate
indirect costs.
 

 

3 C03 RM 00009, Missour

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$ Readonal Medical Program
SEAT ri Regions) a

The Council recommended approval at a reduced level for three years,
with a first year level of approximately $313,351; clarification of
certain items including procedures for vtilizing income produced by
several projects, and restriction on funds requested for satellite
facilities in the radloisotope cancer programe

=~ The amount requested for a three year period is $953,277, plus

appropriate indirect costs.

3.603 RM

00002-0282. Kansas Reetonal Medical Program _

The Council recommended deferral with a site vislt and coeensideration:
in the January-February 1969 review cycle.

The Council agreed with the ‘conclusion of the Review Committee that
the over-all application lacked adequate information regarding the
regionalization process in Kansas. While a number of the individual
components were considered worthy of support by the Committee, concern
was expressed as the insufficient evidence of regional planning, the |
absence of defined relationships between planning and the proposed

and inadequate information on how the decision-making

' projects,
process functions including the setting of priorities.

The amount requested for a four year period is $3,117,217, plus
appropriate indirect costs.

1 G03 RM

00001-01, Hawaii Regional Medical Program

The Council recommended conditional approval of the application as
submitted to reflect the following actions;

(a)

(b)

(c)

Approval of the $28,749 in audio-visual equipment and.
restoration of this amount to the core program (project 1)
which is already awarded, and recommended future support
of the core program as requested over the next two years;

Approval in whole or in part of eight of the project
components (2,3,4,7,8,9,10, and 11) in the reduced amount
of $846,815 in direct costs for the first year and future»
support as indicated in the site visit report; and

Return for revision by the Region and sponsors of
projects 5 and 6.

The amount requested for a four year period is $4,610,553, plus

appropriate indirect costs.

 

The Council recommended conditional approval of the application as
 

 

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submitted to reflect the following actions:

l. No funds be allocated for Project 1, Program of Continuing
Education for Qualified Physical Therapists;

2. Project 2, Expansion and Consolidation of Coronary Care
Training for the Northern Portion of the Tri-State Region
to Provide State-wide Service, be funded provided the
project be advised to establish evaluation procedures and
provision of some broader experience};

3, Project 3, Establishment of a Comprehensive Inter-University
Nardiovascular Program in the Department of Health and
Hospitals of the City of Boston, be funded provided that:

(a) at the end of the first six months, the project

be required to submit a progress report which would
clearly define functions of the Community Cardiac
Care Continuity Coordinator, the Acute Cardiac Care
Training Coordinator, the Diagnostic and Therapeutic
Cardiology Coordinator, and the Community Cardio-
vascular Health Facilities Consultant, as well as

a curriculum vitae for each of these individuals;

(b) the project be informed that the subsequent years!
level of funding will be significantly influenced
by the first six months progress report; and

(c) the project be advised that the progress report
‘ submitted as part of the second year continuation
application should include at least preliminary

plans for activities which will be conducted outside
the hospital. ,

The amount requested for a three year period beginning January 1, 1969,
through December 31, 1971, is $1,393,453, plus appropriate indirect costs.

5 G03 RM 09918-02, Tennessee Mid-South Regional Medical Program

The Council recommended conditional approval as indicated by the
following actions:

(a) Approval of renewed core support at $805,077 the first
year; $845,000 the second year; and $826,500 the third year;

(b) Disapproval of the supplemental operational support ($95,931);
and

 

(c) A site visit be Cometicen be rade in the Palt af 1°62, fo

 

ah FPO ae

The amount requested for a three year period beginning February 1, 1969,
through January 31, 1972, is $5,640,521, plus appropriate indirect costs.
 

 

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3 G03 Rif 00012-0152, Oregon Regional Medical Program

The Council recommended approval for three years in the amounts
requested of $129,983, first year; $117,665, second year; and
$116,029, third year, plus appropriate indirect costs.

The following projects were recommended as requested in the above
amounts:

#8, Educational Opportunities for the Oregon. Regional E Physicians in
the Diagnosis and Therapy of Cancer};

#9, Central Oregon Heart, Cancer, and Stroke Pilot Project;
#10, Coronary Care Teaching Aids;

#11, Guiding Patients with Aphasia;

#12, Southern Oregon Diabetic Instruction and Evaluation.

1 GO3 Rid 00048-01, Ohio Valley Regional Medical Program

The Council recommended conditional approval as indicated on the
following actions:

#1 ~ Core Staff be approved provided the RMP University Coordinators
be supported for only 50% time;

#2 = Community Hospital Staff Development be approved, provided the
Region give written clarification of the function of the CONPRED
Directors and their relations to the Director of Continuing
Education at each University, as well as the Core Staff University
RMP Coordinators;

 

#2 -- Regional Medical Television be approved for one year only;

#4 - Library Extension Services be approved in the time and amount
requested;

#5 - University Continuing seeeiheas Resources be approved;

¥ Ne. Sine BA,

#6 = Drug Information gerviea be returned for restudy.

The amount requested for a three year period is $4,062,327, plus
appropriate indirect costs,

1 _GO3_RM _00003~-01, Northern New England Regional Medical Program

The Council rece erect Faves t San ad eth nnad

cts

    

Moe - vd Boe. . . 1 gE os er

further justity budgetary requirements (2) revise the “application

by consolidating budget requests for evaluating personnel under the

Core Program Support; and (3) consider changing the name of the Region
to the Vermont RMP. An 2dditiocnal site visit by staff and/or consultants
 

 

was recommended,

The amount requested for a five year period beginning January 1, 1969,
through December 31, 1974, is $7,847,325, plus appropriate indirect
costs.

3 G03 RM 00005-0183, North Carolina Regional Medical Program

The Council recommended approval of Project 12--Regional Coronary
Care Unit for Physician and Nurse Education--for one year in the
amount requested of $106,645. No indirect costs were requested.

3 GO3 RM _00006-0153..North Carolina Regional Medical Program _

The Council recommended approval of Project 17=-Regional Center for
Gestational Trophoblastic Neoplasma--with advice to the Region that
the project should be encouraged to broaden the scope of the program
to include other diagnostic procedures involving radio-inmune assays,
especially those related to pediatric tumors,

The amount requested for a three year period beginning September 1,
1968, through June 30, 1971, is $131,284, plus appropriate indirect
costs,

3 G02 RM 00043-0351, Indiana Regional Medical Program

The Council recommended approval in the amount and for the time
requested of $242,160 for one year only, pilus appropriate indirect cost.

3 G03 RM 00051-0151, Memphis Regional Medical Program

The Council recommended return for revision of all three components--
#11 - Regional Medical Technology School; #12 - Radiological Diagnostic
Equipment at Crittenden Hospital; and #13 = Demonstration Program in
Preventive Service.

The amount requested for a five year period is $1,776,918, plus
appropriate indirect costs.

3 G03 RM 00054-O1S1, Maine Regional Medical Program

The Council recommended approval for three years for Projects 5 and 6
in the amounts requested of $203,040, first year; $289,384, second year;
$354,301, third year, with appropriate indirect costs.

1 GO3 RM 00043-01, Indiana Regional, Medical Program

The Council recommended approval with the condition that the budget
reauest be reduced, The recormendetton was SE 270.1148 For the first

year.
Council agreed with the Committee that this is a viable region which
is capable of moving inte the operational phase.

 
 

 

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The amount requested for u three year period is $8,992,416, with
indirect costs to be determined at a later date.

1 GO3 RM 0000801, Connecticut Regional Medical Program

The Council recommended approval in a reduced amount for three years,
with specific conditions and excluding any funds for High Energy
Radiation Activities. The recomended level of direct costs for the
first year is, $1,633,978; for the second year, $2,372,333; and the
third year, $2,510,235,

The amount requested for a rive year period beginning July 1, 1968,
through June 30, 1973, is $21,237,593, plus appropriate indirect costes.

1 G03 RM 00040-01, Colorado-Wyoming Regional Medical Program’

The Council recommended conditional approval for a three year program
period to reflect the following actions:

(1) Approval in whole or in part of seven of the project
components (1,2,3,4,6,7, and 8) in the reduced amount
of $893,972 in direct costs for the first year; and

(2) Project 5 not b? funded, and additional planning be
supported through the Core Staff (Project 1).

The amount requested for a five year period is $6,100,322, plus
appropriate indirect costs,

1 GO3 RM 00052-01, Arkansas Regional Medical Program

The Council recommended approval for $807,407 each year for three
years. No funds of Regional Medical Programs may be used to support
the proposed dietitic internship within project 11, or the diagnotic
Xeray equipment for cardiac catherization within project 2.

The amount requested for.- five year period is $4,869,560, plus
appropriate indirect cos.s,.

3 GO3 RM 00027-0181, Iowa Regional Medical Program

The Council recommended approval in the amount of $316,068. Components
of this grant are: Project 10 reduced to $165,900 each year for three
years; project 11 funded in the amount requested for one year only
($58,198); project 12 funded in the amounts requested for three years
($42,870 for the first of th¥ee years); and an additional $30,000 awarded
to support the salary and cther costs of a Director of Demography and.
Epidemiology on the core staff.

Cp ate ae + woe ge ae ale ae wee Bam yey on om te . hee é 1, FP

pius appropriate indirect costs,
 

 

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2 G03 RM 00015-0252, Intermountain Regional Medical Program
ae ALS LG TT EGP SPCR NE PRN Te LRN OO TT ET ee

The Council recommended deferral for revision to sharpen the focus of
the project, with advice and encouragement to the Regio# to resubmit.
This propesal is to be reviewed in conection with the over-all

regional operational continuation application (early February 1969) ane
direct referral to Council.

The amount requested for a three year period beginning September 1, 1968,
through March 31, 1971, is $691,422, plus appropriate indirect costs.

3. G03_ RM. 00031-0181. Metranolitan Washinoron.... D.Ces. Regional,
Medical Program

The Council recommended approval with the condition that the request
be reduced to $866,056 for the first year; $228,530 for the second
year; and $69,500 for the third year. .

The amount requested for nine projects with three year support is
$6,034,751. Indirect costs“@re to be negotiated.

3 GO2 RM 00055, Arizona Regional Medical Program

The Council recommended that this application be returned for revision
and Council expressed concern over a number of issues raised in the
review of this proposal, A major concern was the lack of a definitive
outline of action. Although a state-wide program is mentioned, it was
noted that the on-line computer program, the link between regional
centers and the university, is not to be included and only one regional

‘center is to be established, The role of the University is not clearly

defined. There is no documentation of local physicians’ interest or
participation in the program. Also, of the five hospitals involved,
three are Federal. Council believed it would be advisable for the
Region to resubmit the proposal along with other operational projects
currently being planned. A revised proposal should not only clearly
state its objectives, especially for the first year, but should also
show its relationship to the Regional Medical Program's objectives and
other activities.

The amount requested was $205,688 for one year, plus appropriate
indirect costs,

1 GO3 RM 00057-01, Mississippi Regional Medical Program

The Council recommended approval with the condition that the award
be reduced to $188,900 each year for two years for the Diagnosis
and Treatment of Chronic Disease, and that funds be awarded as a
supplemental planning grant.

  

indirect costs.

 
 

XV.

 

1 Medical Program
reap

ton |
fi hlnaha at

 

 

  

  

The Council recommended conditional approval subject to the following:

1 . . °
(1) Legal ruling of General Counsel that €P? Ragioam may
recelve further Pup operational grants

(2) Approval in aceortauce with site visit recommendations,
in the amount of $959,450, which fiuctudes fvinge benefits,
personne] and other, and fuuling foc Live years, of the
Core portion (Tanject 1)3

(3) Project 3 (Cancer) approved pending the resolution of the
purchase of equipwent (linear accelerator) and negotiation
of the budget in Line with the recomendations of the site
team; and

(4) Project 4 (Stroke) deferred for revision which will reflect
the recommendation of the site visit report.

The amount requested for a five year period beginning November 1, 1968,
through October 31, 1973, is $8,123,165, plus appropriate indirect
costs,

Doctor Popma absented himself.

1 GO3 RM 00047-01, South Dakota Regional Medical Program

The Council recommended approval with the condition that the amount
requested be reduced to $444,235 for the first year; $354,099 for the
second year; and $383,042 for the third year. These funds should be

awarded as a planning grant.

The amount requested for four projects with three to five years’ support
is $5,160,837, with indirect costs to be negotiated.

1 GO3 RM 00042*01, New Jersey Regional Medical Program _
The Council recommended approval for three year funding at a reduced

level and with conditions. The level recommended for the first year
was $668,073. ,

The amount requested for « three year period beginning December 1, 1968,
through November 30, 1971, is $2,231,651, plus appropriate indirect costs,

ADJOURNMENT

The meeting was adjourned at 1:15 p.sm., November 26, 1968.
 

 

Eva M, Handal

Cowwidttoc Tana gemnank
Council Secretary

L hereby certify that, to the best
of my knowledge, the foregoing minutes
are accurate and complete.

ad
~ +, . i
sew of '
~~ v 4
\ . \ { as A A 4 ' Le ‘ rs i

“y an

ALA, Stanley W. Olson, M.D.
Director
Division of Regional Medical Programs

 

AT Cicrar
 

 

Edwin L. Crosby, M.D.
Director ,

American Hospital Association

NATIONAL ADVISORY COUNCIL ON
REGIONAL MEDICAL PROGRAMS |

(71)

Chicago, Illinois 60611

Michael E. DeBakey, M.D. (72)

Vice President for Medical

oe, Affairs of Baylor University
———~——cPprofessor and Chairman

Department cf Surgery
College of Medicine
Houston, Texas 77025

Bruce W. Everist, M.D.

Chief of Pediatrics
Green Clinic

(71)

709 South Vienna Street
Ruston, Louisiana 71270

John R. Hogness, M.D.

(70)

Dean, School of Medicine
University of Washington
Seattle, Washington 98105

James T. Howell, M.D.
Executive Director
Henry Ford Hospital

(68)

Detroit, Michigan 48202

Clark H, Millikan, M.D. (72)

Consultant in N.urology

Mayo Clinic
Rochester, Minnesota

55902

George E. Moore, M.D., Ph.D. (68)
Director, Public Health Research
New York State Department of Health
Roswell Park Memorial Institute

666 Eim Street
Buffalo, New York 14203

Edmund D. Pellegrino, M.D. (70)

Vice President for the Health Sciences
Director of the Center

State University of New York

Stony Brook, New York 11790

Alfred M. Popma, M.D. €70)
Regional Director
Regional Medical Programs
525 West Jefferson Street-
Boise, Idaho 83702

Mack I, Shanholtz, M.D. (70)
State Health Commissioner
State Department of Health
Richmond, Virginia 23219

Mr. Curtis Treen (71)

Director

Pension and Insurance Department

United Rubber, Cork, Linoluem,
and Plastic Workers of America
87 S. High Street

Akron, Ohio 44308

Administrator

Health Services and Mental Health
Administration

4900 -Rockville Pike

Bethesda, Maryland 20014

DRMP/CMO
09/19/68