B&B INFORMATION & IMAGE MANAGEMENT 300 Preece Greoaae'’s BOULEVARD Uren MARLSEORS, Marvianp 2o772 ° UBA °* (351) 249-0115 RMP = Texas RM 000 07 JULY/AUGUST 1974 REVIEW CYCLE | Application: This contract application requests $1,401,391 for Support of 34 new contracts. The June Council recommended $2,333,551 for the May application. Contracts fall within the Program's area of emphasis: Health Education, Health Economics and SYSTEMS Demonstration, Health Manpower, health Care Quality, and Regional fisease Manacement. All contracts were referred to CHP by the proposer and comments were addressed by RAG and staff. oe MCO 7/15/74 . CONT? %, “i - 4 A _ Me _ fo Coxe vee ESS" COMPONENT TLTLE moo pore COlO | PROGRAM STAFF SAS 22 RE $ eetece’ 319,111 “" ¢903 PROGSAM STAFF DEVELOPMENT RIO;09 9 21e,ee2 210,000 TT GeTA ENS MANUAL IMPLE 251000 Fa009 302009 30,000 O%-A COMMUNITY HLTH SURSS BBG 59 ero" we 45,500 TT OOA APACHE a 334200 Bo, Pee coeere = 50,606 “"""“ya9g Hoge PT EOUC | 359000 6 35,000 60,006 ‘ ne ae . LO4A PLAN COMMUNITY: RYPT CNTRL . B1L,eeg 42 moran’ 70,00¢ yng Yo nuxaL support .- LBLeS3T Oo i3 taisete 147, 00¢ Fh cae een te tet ve ee semen ea cee me a mi RE com nape ete Ca ce er cere Be - - Le ia nee : 703° HLTH EGUC 206 9409 0 2850409 8 + "T9909 HLTH ECONOMICS AND SYS DEMO 6367240 a 0 sane 4 é "hie HLTH OMNPHR 00 Tae elo C ti under wee mses oo ee wae nas ceeue eo vnay erese cotttuwicre se mew ee a es ~ reyvicy: 111 MELT CAKE QUAL’ BOD TOO G Ong? ya2 aes DIS MGMT 65,000 Q 626d ‘ . - ned MTS. DB cece ce tate cece Cnet tuweweree cen me RECKON TOTALS ce 2 BeOS yO7S Ae TR 0 Medes Bat oc cine ce cine cn eoe s eeens genes eece ce meneage duatiae Gapenee nen none train 648.000 west eee eee etn nnn anaeaec cama ones e eames nats oeinenmcunenire reese Stee see eve we es above request to . be ‘ t MID-CONTINENT OPERATIONS Staff Analysis ~ Mary E. Murphy Texas RMP: RM 00007 May 1 Application Request: — $2,333,551 NAC Funding Recommendation: 2,333,551 DRMP Funding Level: 2,217,270 ($1,400,000 restricted pending review of contracts) July 1 Request: 1,401 ,39] The Regional Medical Program of Texas has submitted 34 contracts which have undergone the full review process. Each proposal sent to the RPT by the proposer was simultaneously sent to the appropriate CHP‘health planner for review. Verbal and written comments on most activities were available for Regional Advisory Group review. Late-arriving comments on approved activities will be considered during contract negotiation. The contract funding request totals $1,401,391. The contract projects approved by the RAG are as follows: . Texas Health Education Project. (Access Program) 108A - Pilot Program of Health Education for the Severely Handicapped $30,000 108B - The Development and Demonstration of a Coordinated Community Health Education Program ; 44,010 108C - Health Education Resource Office (HERO) 30,000 108D - Health Consumer Awareness in the Brazos Valley Reg. 21,857 108E - General Evaluation Model for Audiovisual Health Education Systems 16,000 108F - Estudiantes Para Mejor Salud 30,000 108G - Projecto Comprender 63,568 108H - Assessing Rural Health Education Needs 25,000 1081 - Design and Test a Method of Assessing the Health Status of Small Rural Communities 50,000 108J - Expanded Oral Disease Prevention Project 64,000 "108K - Health/Career Education Programe 20,000 108L - A Model for Improving Access to and Utilization of Regional Health Facilities Through Health Education- Communication Programs 28 ,300 Sub-Total- new projects 422,735 Texas Health Economics and Systems Demonstration Project (Utilization and Availability Programs ) 109.. - Health Personnel Utilization Project 45,000 109B - Dallas County Chronic and Long-Term Care Study 6,035 109C - Permian Basin Regional Planning Council 15,000 109D - The Promotion of Efficiency and Effectivenss in Non-Profit, Acute, Short-Term Hospitals in Texas Through the Development of a Total Management Info. System . 50,000 ‘Texas KhinP - page 2 1OSE ~ Grass-Reots Organization for Utilization of Purchasing and Sharing 20,000 109F - A Coronary Care and Critical Emergency Training Project for Rural Hospitals 12,000 109G - Genetics Services Program 39,833 10SH - Rural Rehabilitation Patient Referral Network 45,000 1091 ~ Regionalization of Primary Health Care 34,000 Sub-total - new projects 266,868 Health Manpower Project (Health Manpower Programs) | 110A - A Cost-Benefit Study of Selected Clinical Education fo Programs for Professional and Allied Health Personnel 46,000 110B - Education and Service Effectiveness (EASE) 20,000: sub-total - new projects 66 000 Texas health Care Quality Program (Continuing Education Programs ) | ; 1TIA‘- A Problem Oriented Health Record for Infants, Children - and Adolescents 15,000 111B - DAHTS. Videocassette Subscriber Service 27 ,087 111C - A Model Program for the Design and Implementation of | a Continuing Medical Education Service for Improving | Quality of Medical Care 31,751 111D - Continuing Education of the Physician, Nurse and Technologist in the Most Effective Use of Blood and , Blood Components 25,000 11TE - Developing Nursing Skills to Improve the Management | of Patients with Disability Problems 55,000 111F - Satellite Centers for Continuing Education 25,000 111G - Development of Self-Instructional Materials in Cancer Education for Health Professionals 25,000 111H - Educational and Informative Communication Systems 30,000 ¥11I - A Plan to Develop an Area-Wide Service to Health ‘Personnel and Health Agencies in the Rural Areas of the Three Texas State Planning Regions of Upper Rio Grande, South Plains and Permian Basin 30,000 ll}ld- - Evaluating the Effectiveness of Selected Continuing Education Programs 30,000 Sub-total - new projects _ 293,838 Regional Disease Management Program (Extension and Local Cooperation Programs 112A - Statewide Neonatal Care Program | 351,950 Sub-total - new projects 351,950 Total request CT ee 1,401,391 Texas RMP - page 3 New project #'s 106D, 108F, 108G, 108H, 1081, 108L ($238,725) and continuation project. #'s 104A and 102B ($95,000) are minority oriented activities. The hational Advisory Council extended to the July Review Committee permission to review and fund the contracts approved without making it necessary for a full Council review in August. The higher request figure is based on the target figure of $2,368,599 versus $2,333,551 (140%). SNe Texas RMP - RMP ru 000 07 MAY /JUNE 1974 REVIEW Request: $23,333,551] Committee Recommendation: — $4 100,000 = = Overall] assessment by individual reviewers: Average-- Below-Average Critique: . Committee recommended that the RMPT submit the RAG-CHP reviewed contract proposals in July for a detailed review by the Review Committee. . Permission would be extended to the next scheduled Review Committee by the June National Advisory Council allowing the Committee to review and extend final approval of the contracts with their accompanying funding requests. The procedure would allow the contracts to initiate in July, rather than September, and would preclude the necessity of a Council review in August. This expediency measure has been considered important from a management standpoint. The RMPT has been most effectively managed by an able Director, Mr. David Ferguson, and a talented staff of very limited size. Reviewers did express concern regarding the capability of the staff to effectively manage and monitor the very ambitious program set forth in the application. Mr. Ferguson, through the select contract mechanism, is expected to follow through most competently by DRMP staff. Concern was expressed regarding the Requests for Proposals, the contract language employed and the sameness in the language used to describe the activities. The submission on July 1 of the form 15 s (narrative) and 16 s (budget) should further alleviate the concerns raised. The relation- ship between the new activities, the expected outcomes and the prospect of future funding for the new activities should be clearly discernible from ‘the July submission. Estimated request as of May 1974: $1,298,599 for contracts not approved for funding in May application. MCO 6/4/74 NATIONAL ADVISORY COUNCIL - June 13-14, 1974 Council recommended that the Texas RMP application be funded at the - requested level of $2,333,551, pending satisfactory review of the specific contrast proposals by the July Review Committee. - DRMP Funding Decision - $2,217,270 MCO 7/2/74