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‘ OO. Lt - NO,. 29;

  
  

“Wighlights of the CCRMP STAFF CONSULTANTS
meeting on November 6:

Paul D. Ward;.Executive Director, reported
‘indieations that the action by the-Senate
Committee on appropriations will be favor-
-able with regard. to the hoped-for. $100 mil-
lion appropriation for RMP. The provision
in Yarborough and Staggers bills..to extend
RMP suggest that.the programa must take cog-
nizance of other health planning; this leaves
the Adminisrration,free to write whatever
rules and regulations are desired but this
language will probably be modified. Another
view is that RMP and Comprehensive. Health
Planning (COMP) should relate, with RMP
assuming responsibility for planning personal
health care services. Mr.:Ward said there
are indications that provision for RMP repre~
sentation at state and local levels of COMP
might be written into the extension bills.

»-wequest. for funding of $3,720 through the
..chanism of pro-rata sharing from each Area
for a Survey of Radiation Therapy Facilities
in California, endorsed by the Categorical
Cancer Committee, was referred to the Data
Subcommittee for consideration.

There was discussion about the agenda for
the CRMP Statewide Conference acheduled for
November 24 at the Airport Marina Hotel,

Los Angeles. Area Coordinators were re-
quested to prepare papers which would help
to formulate questions regarding present
direction and the effect of this of possible
changes at the national level of RMP.

 

AREA V ADVISORY GROUP, at their November 11

meeting: — .

« welcomed MRS, LILLIAN O'BRIEN, RN, ag the
new representative for California Nurses
Association,. replacing Mrs, Sheila Cadman
who has, taken a, position with Area IV RMP
as Nurse-Coordinator.

. voted to expand membership to include L.A.
County pharmaciats and California Dietetic

rv Association. JESSIE C. OBERT, Ph.D. will
represent the latter.

. decided against formalized bylaws but rec-
ommended. policy to govern replacement of
absentee members.

.« discussed the LACMA Position Paper.

» approved AREA V investigation of what
might be done to assist the work of free
clinics.

 

WILLIAM A, MARKEY, Deputy Coordinator, spoke
for AREA V on November 18 when the Ad Hoc
Committee on Goals and Development of. the TB
end Respiratory Disease Association invited

| AREAS V and IV and Comprehensive Health
Planning to brief them on the current status
of their organizations and to predict probable
future developments for the next decade.

THIS IS WHAT HAPPENED RECENTLY... «

-minute news _

November 19, 1969 _

Highlights of the CCRMP Meeting, Nov. 12 in
San Francisco:

Approved were the following proposals:

Area VIII Rapid Hospitalization for Acute
Myocardial Infarction; Area VIIT Community
Referral and Information Services; Area IV
Nurses Coronary Care Training Program;

Area IV Central Coast Coronary Care System;
Area IV Medical TV Network Continuation
Application; Area I Solano Supplement to
the Proposal for Rehabilitation and Contin-
ulty of Care Services; Area VII Rehabilita-
tion through Education, Assessment and Co-
ordination. Disapproved were: Area IV
Continuing Education of Physicians Project
and Area IV Perinatal Crisis Care Training
and Service.

 

On November 13, CLYDE E. MADDEN, ACSW (Asst.
Coordinator ~ SOCIAL WORK) and Miss Wilma
Gurney, ACSW, (Area IV Advisory Council
representative from the National Council

of Social Workers) made a joint report on
RMP activities in Los Angeles County to the
Health and Medical Services Council of the
Los Angeles Area Chapter of the National
Aasociation of Social Workers. NASW's
Health Council is particularly interested
in AREA V's health transportation study,

in our continuing education programs for
social workers and our consideration of the
possibilities for improving health care in
out-of-house facilities by the use of
social workers.

 

"Mission completed" was the report of the
STROKE LIAISON NURSE TASK FORCE, as they
finished their meeting on November 18.

For their hard work in setting up the

role description of the rehabilitation
liaison nurse, administrative policy
guidelines, curriculum content and method-
ology, AREA V thanks Mra, Marilyn Friedman,
RN, Miss Mary Lindsay, RN, Mrs. Colleen
Madaris, RN, Miss Mary Metzger, RN, Misa
Ann Paes, PRNC, Miss Mary Pratt, RN, Mrs.
Josephine Preisner, RN, Mrs. Karen Schultz,
RN, Miss Anita Beaman, RN. KAY D. FULLER,RN,

“staffed thig project.

 

FRANK F, AGUILERA (Asst. Coordinator, Com-
munity Programs) has been invited to speak
on the subject of "Myths and Attitudes in
the Delivery of Health Care" before the
American Hospital Association Conference on

December 9-10, Theme of the conference is

“The Urban Hospital in the Changing Com-
munity." Other speakers will be: Charles
Hamilton, Ph.D., Department of Political
Science, Columbia University; LISTON
WITHERILL, Deputy Commissioner of Hospitals,
Los Angeles (and AREA ADVISORY MEMBER)
William Grier, MD, Asst. Professor Psychiatry,
Univ, of California Medical Center, 5an
Francisco.
 

 

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STAFF MEETINGS ARE SUBJECT TO SUDDEN CHANGES--PLEASE CHECK WITH OFFICE FOR LATEST. INFORMATION
: ALL MEETINGS ARE IN CONFERENCE ROOM UNLESS OTHERWISE INDICATED

 

BeMe on Valley ty Sportsmen's Lodge

Pee CCRMP Meeting . Airport

ast. East es Healt erence LAC-USC Med. Center

asm. Stat e CRMP erence : Le A. Airport Mar

pM CCRMP Cancer tee San Francisco Airport

 

A REPORT OF- THE. RMP WESTERN COORDINATORS MEETING
November 7-8, 1969 - Seattle, Washington
. From.William A. Markey

For those who had been to the Airlie House Conference II, this meeting was somewhat repetitious;
however, it was valuable to hear different perceptions of what went on at Airlie House and of
RMP's futures | | Vote , ,

Dr. Olson ‘emphasized RMP's role in dealing with the capacity of the health care system. He
stressed needs of the inner-city and used such terms as "continuity of care," “relativity to
the coumunity," etc. He. perceived RMP as a linkage mechanism rather than primarily a project
mechanism, He indicated that RMP could help stress quality and perhaps even work towards
recognition of such things as "incentive reimbursement” for health professionals, The most
significant statement made by Dr. Olson, I feel, was that RMP should deal with the major
health problems of large. groups of people, rather than with peripheral problems.

On. Friday afternoon, our small group discussion dealt with the tight budget situation. No
formalized conclusions were made, but it was felt that core staff groups could and should
address themselves to major health problems of their Regions or Areas, There was some question
as to whether the constituency of the various supporting groups might change as a result of
this shift in emphasis, It was felt that new support would be forthcoming. as explorations into
communities and rural problems went forward. The role of RMP as.a "broker" for existing health
agencies and services was much discussed.

Misa Barbara Kerr, R.N., Chief of the Nursing Program of Intermountain RMP, spoke about the
use of the Multi-Media Training Programs in Coronary Care. Apparently they have found large
numbers of mechanical problems which, in rural areas where a lot of advance scheduling and
travel was involved, proved embarrassing. The equipment frailties were such that they were
not able to depend on leaving the equipment at a hospital for people to use in self-teaching
sessions.. These results were preliminary, but great caution was expressed relative to wide-
spread use of the multi-media equipment as a possible substitute for individual or class
instruction. .

I was most impressed with the presentation "Medex" as one answer to the physician shortage.
This work is being done under a grant from Dr, Sanazaro's area at Bethesda. In the state of
Washingtori there are.15 former military medical corpsmen, trained and experienced in "inde-
pendent duty," who, have had three months of training at the University of Washington and are
now on field assignments with practitioners throughout the state. Some are in rural areas,
some are in a group practice hospital in Seattle. In general, the experience has been favor-
able. Elaborate evaluation of the program is going on, perhaps to the point of distraction of
the practitioner, preceptora and the "students." A general practitioner from a rural area in-
dicated great enthusiasm for the individuals who had come to help him. He reported that in one
of his offices there was a 75% increase in the number of patients seen and treated during
October 1969 (the, first full month of the program) compared with an average of five previous
Octobers; im another office there was an increase of 20%. This: program requires much individ-
ualized attention, and has had passive, if not expressed, support from insurance carriers, the
atate medical association, etc. : oar

the Saturday morning session dealt with examples of RMP activities already being carried on im

the tone set at Airlie House.II. Many of these programs are beginning to show careful study ad
‘cognizance of. vital problems, as perceived. by recipients of health care in many of the areas.

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