B&B INFORMATION & IMAGE MANAGEMENT 300 Premwece BGepener'’s BouULEvaRrD UPPER MARLEORD, MARYLAND 20772 ° WBA * (301) 249-0130 Rie LAKES AREA. RL coc 13 . JULY/AUGUST 1974 ROVITY Application: The Lakes Area May 1 application was recommended for approval in the reduced amount of $1,400,000 by the NAC. The funding level was set at $1,330,238. Although the Arthritis proposal was recommended for approval in the amount of $45,000, arthritis earmarked dollars were not made available to the Region. The July 1 application request is for $297,598 which is approximately $223,000 less than estimated back in early May. ‘ Six new proposals are included in the application: One is a Medical Genetic proposal ($97,500) registry and counseling included; a one-year Nurse Practitioner Project ($83,625) calling for 6 months didactic aid clinical training; a domiciliary staff in-service training project G24,390) geared towards the elderly; a rehabilitation program for aphasia patients ($26,900); a relocation service project for the aging ($45,183); and a Health Planning Project for Erie-Cattaraugus Co. ($20,000) to promote health education in the rural areas. *, i All activities have had CHP-(b) agency review. No problems are evident. E0/7/15/75 JULY COMMITTEE RECOENDATION Critiauve: Te — RMP Lakes Area RM 00013 MAY/ JUNE 1974 REVIEW - Request: $2,072,000 Committee Recommendation: $1,000,000 Overall assessment by individual reviewers: Below average - average Critique: This application requesting two-year funding for five of the 13 projects was discussed in considerable detail by Panel B. The | Regional Advisory Group and review process was considered democratic, elaborate and complex. _, It was noted that the current staff is quite large (45 total, 20 |! professional} but apparently lacking in some needed areas of competence Since funds for six additional professional positions are requested. Staff leadership seemed superior. The reviewers were concerned that staff-directed projects overshadowed activities sponsored by other | agencies, a ratio of five to one in terms of funds. | Based on the review and comments, the CHP-RMP relationships appear healthy and continuous, although the two groups did not agree on all the projects. The RMP's ability to attract other sources of support is quite good. Of particular concern was the request for two years | additional funding for two projects that have been funded by the RMP for a number of years--the Telephone Lecture Network and the Tumor Registry. The Committee's recommendation was to approve the applica- tion at the reduced level of $1 million; this level represents about $400,000 less than the current annualized figure. The Committee felt the .RMP needed a strong message about the practice of continuing to Support projects beyond three years. JULY/AUGUST REVIEW Estimated request as of May 1974: $520,453 ~ £0/5/27/74 NATIONAL ADVISORY COUNCIL - June 13-14, 1974 Council felt that the Committee had been unduly harsh on the Lakes Area RMP, in recommending a funding level that was $400,000 less than the current annualized level. Council believes that the telephone network is a valuable communication resource for the RMP, particularly needed during the winter and that it, as well as the Cancer Registry should not be abruptly terminated. Council recommended that the Lakes Area RMP be funded at $1,400,000. DRMP FUNDING DECISION ~ $1,330,238 E0/7/2/74 .