AREA ; V minute news vol.3 no. | January 13, 1971 AREA V'S COMMITMENT IN EAST LOS ANGELES INCREASES During the past six months, AREA V's efforts in the East Los Angeles community have been directed to working with existing organizations and programs, increasing the participation of medical professionals in the community, and toward development of a bridge between the professional community and the recipients of medical care. fw Closer working relationships are being developed with other agencies active in the - ; community, such as Model Cities, OEO, Heart Association, Comprehensive Health Planning, LAC/USC Medical Center, and L. A, County Health Department. Frank F, Aguilera, MPA, Asst. Coordinator-Community Programs, reports on the progress being made: "One RMP activity has been to assist the ELA Health Task Force, which has received a planning grant from OEO to plana health service delivery network, Basically, this is a prepayment health insurance plan to provide primary health services as well as backup hospital facilities, with all supporting services. The hope is that the health service network will be able to integrate such existing facilities as White Memorial Hospital and LAC/USC Medical Center with the community-owned health center re- cently funded by Model Cities, with the community health center being planned by _L. A, County Health Department, and with the neighborhood health center intended for outpatient care (planned by the Health Task Force) so that service will be inter- changeable at all facilities and accessible to all residents. "One of the problems anticipated in development of the health service delivery net- oe work is the scarcity of health professionals, particularly physicians. To meet this eae fcege ae situation, meetings have been initiated by RMP between Senator Alfred H, Song, ce Chairman of the Senate Business and Professions Committee, Supervisor Ernest E. Debs, Dean Franz K. Bauer and other members of the Faculty of USC School of Medicine, for the purpose of considering some kind of program which would make if possible for graduates of medical schools in Mexico to intern in California, particularly in Span- ish speaking areas such as ELA and Northeast L. A, (continued on page 5) PROGRESS REPORT ON THE PACEMAKER REGISTRY AND INFORMATION CENTER Project Director Michael Bilitch, MD, reports: "Our stage phasing was projected to start registration of patients at the end of six months. This deadline was met, as of November | and it is estimated that at the present rate, there will be about 300 pa- ¢~ tients registered by January I, 1971. "The Recovery Program started shortly after the project became operational on May I, A total of 98 pacemakers have been recovered from hospitals, pathologists, mortu- _ aries, coroner's offices, etc. There has been a steady increase each month from 8 in May to 2I in the first 23 days of November, 1970. Pacemakers have been checked electronically and by X-Ray and then forwarded to the pacemaker companies. We are now getting information back from the companies and are starting to correlate this with the clinical background, "A survey has been made of 324 hospitals regarding their interest in working with the Registry. To date, 97 hospitals have responded, with 58 evidencing interest in co- operating, (38 do not implant pacemakers). We are now in the process of completing a survey of hospitals which are able to do temporary pacing and permanent pacing. This will be completed by January 15, 1971. "The two main projects are the construction of a teaching display which will be com- pleted by December, 1970 and a movie on permanent pacemaker implantation which will be filmed in January, 1971 and, we hope, be completed by May I, I97I, The letter ts being funded in part by The American Optical Company. "An operational Medical Alert System is now in use at LAC/USC Medical Center. This is an On-Line computer system which identifies patients with pacemakers as soon as they arrive in the hospital Main Emergency Room." (> x * *F * AREA V PEOPLE George C. Griffith, MD, Chairman of AREA V's Cardiac Committee, is to receive the American College of Physicians Distinguished Teacher Award at the 52nd Annual Session of the College, to be held in Denver this spring. Mrs. Lillian O'Brien, AAG representative for the Califorria Nursing Association and formerly Executive Director of the Community Visiting Nurse Assn., Glendale, has been appointed Executive Director with the L. A. Visiting Nurse Association. Three new members on the Cardiac Committee: Mr. A. G, Garris, Consultant for the severely disabled, State Dept. of Rehabilitation; Dr, Harriett Voss, Occupational Health Service, Dept. of Personnel, County of L, A.; Dr. Peter Mahrer, of Southern California Permanente Medical Group. AREA V REGIONAL MEDICAL PROG RAMS Friday, January |5 CCRMP AREA V Tuesday, January |9 CCRMP COMP-LA Wednesday, January 20 AREA V CCRMP Thursday, January 2 AREA V CCRMP Monday, January 25 CCRMP Wednesday, January 27 AREA V CALENDAR January 197] Continuity of Care Committee Chairmen's Meeting Data & Evaluation Personal Health Services Staff Meeting CCU Coordinating Committee Special Stroke Team Stroke Coordinating Cancer Committee Staff Meeting 9:30 a.m, - 12 noon Kona Inn, San Diego 11:30 a.m, RMP Conference Room 2-5 p.m. Marco Polo Room Airport Marina Hotel, L.A. 6:30 p.m. - 621 S. Virgil Los Angeles 9:30 a.m. Conference Room 2-5 p.m, - Suite 255A Airport Marina Hotel, L.A. 10 a.m, RMP Conference Rm, 10:30 a.m. - 2p.m., Airport Marina Hotel, L.A. 5-9 p.m, - Marco Polo Rm. Airport Marina Hotel, L.A. 9:30 a.m. Conference Room COMMITTEE CHAIRMEN MEETINGS FEBRUARY, MARCH, APRIL February 12 March {2 April 9 AREA ADVISORY GROUP MEETINGS 1971 March May II July 13 September 14 November 9 REPORT ON THE CHRONIC RESPIRATORY DISEASE PROJECT Project Director Wilbur Y. Hallett, MD reports: “Over 150 physicians have entered an active role in this project, while over 50 more in the Los Angeles area are ona waiting list to participate. By the end of the project in 1972, some 700 to 900 phy- — sicians will have been exposed to our program of education for early detection and treatment of Chronic Respiratory disease. >) "During this past year, evaluation of tests given to physicians were made concerning their knowledge, attitudes, impressions, and ways of handling early chronic obstruc- tive lung disease. The results point out the importance of the project and its edu- cational objectives. Jt was found that physicians need: - To be more aware of those specific history and physician examination findings which are most relevant to the diagnosis of specific chronic respiratory disease. Pe To utilize those specific laboratory procedures which provide the most data eee in arriving at a correct diagnosis on patients who present apparent respiratory difficulties and they need fo acquire more skill in the interpretation of said data. To apply more therapeutic procedures which offer best prognosis for the treatment ‘of individuals with. chronic respiratory disease. "The program continues to develop into new areas of endeavor. A new teaching . method has been instituted, in which the physician is given an open book examina~ | tion with questions which are directly related to his own patient, who was examined ~ and evaluated by the project faculty. The results of this examination are reviewed with the physician by the faculty along with other teaching methods." k kek k * ee 4 C2) In addition to the six proposals (Health Science Library Services, Radiation Therapy : Network Development, American Indian Free Clinic, Coordination of Free Clinics, Cross Cultural Training Program, and Areawide Training for Care of the Critically II!) previously mentioned in December, AREA V is submitting a proposal requesting " support ‘for continuation of the CRMP-Rand CCU Study. The proposals have been forwarded to CCRMP for technical review and will be presented for approval of AREA V Advisory Group early in 197. a, The last proposal “idea” of 1970 was received from Allen Spett, Medical Social Work Consultant, and member of AREA V Social Workers Advisory Committee. Proposal 3 018 suggests a training program for treating the special problems of patients in ECF's, 7 | ) XN ELA (continued) "A current step in the development of the health service delivery network is the cre~ ation of a Health Foundation, and a Professional Advisory Group. The Foundation will be responsible for receiving and disbursing approximately $4 million for the fis- cal year beginning July, 1971, for the development of the network, The Board of Directors for the Foundation will be composed of a mixture of low-income community people as well as individuals from the fields of business, politics, health, etc., as specified by OEO guidelines. The Professional Advisory Group will counsel the ELA Health Task Force Board of Directors on such activities as their involvement in the Allied Health Recruitment Program, the Mexican American Nurse Recruitment Program, and Project 75. The latter program, sponsored by the National Medical Association, provides approximately $400,000 for recruitment of minority groups in the health pro- fessions. "As of Jan. 4, a new Staff Associate-Community Programs has joined AREA V Staff, to assist the Health Task Force in the development of the new Foundation and the Profes- sional Advisory Group. Mr. Elias Chico, who has been appointed to carry out these activities, is a native and a resident of the ELA area, was previously Community Co- ordinator for the Mexican American Recruitment Program (a joint project of the Health Task Force and Cal State College School of Nursing) and has been heavily involved in ELA community activities for the past three years. "We are also in the process of securing space fo locate the Senior Citizens Clinic in ELA. A meeting has been held with representatives of the voluntary health agencies and of LAC/USC Medical Center to work out cooperative arrangements and referral patterns, Consideration is being given to the utilization of the 8th floor of LAC/USC Medical Center to provide backup service, under a Model Cities grant. Supervisor Ernest E. Debs has indicated his desire for a high priority to be assigned this activity." * *e &k * VISITORS TO AREA V OVER THE HOLIDAYS” Mrs. Bernice C. Harper, formerly Chairman of the Social Workers Committee, took time out while on leave from Washington to spend a whole morning with the Social Workers Committee. a Mrs. Toni Moors, formerly Staff Associate- Community Affairs, paid AREA V a special visit on her way from the Navy Base in Pensecola to her home town of Fresno. The blsssed event the Moors are expecting in February just might be tv-ins! “Another former colleague--Dr. Gladys Ancrum, of AREA V's CCU -Program--chatted by phone with many of the staff while on a brief visit to L. A. Claims she is growing the webbed feet and fins necessary for living in Seattle. . kK ke wk OO “5 V minute news : Published by CALIFORNIA REGIONAL MEDICAL PROGRAMS AREA V UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE AREA OFFICE 1 West Bay State Street Athambra, Calif, 91801 Telephone (213) 576-1626 Editor - Elste McGuff Area V Staff Donald W. Petit, M.D. William A, Markey, M.S. Frank F, Aguilera, M.P.A. Dorothy £. Anderson, M.P.H. Bruce Barnhill, B.A. Marlene Checel, M.P.H. Elias Chico Jane Z. Cohen, B.A. Kay D. Fuller, R.N. Leon C. Hauck, M.P.H. John S. Lloyd, Ph.D. Elsie M. McGuff Clyde E. Madden, A.C.S.W. Robert E. Randle, M.D. “Gail M. White, M.A. Committee Chairmen Ce Area Advisory Group Cancer _ Cardiac Continuing Education Hospital Administrators Library Services Nursing . Stroke Systems & Computers Social Workers Area Coordinator Deputy Coordinator \ Community Programs Community Programs _ Evaluation Inter-Agency Activities — Community Programs Community Programs Nursing Health Data Evaluation Communications Social Work Continuing Education Cancer Planning Chester A. Rude Lewis W. Guiss, M.D. George C. Griffith, M.D. Phil R. Manning, M.D. _ Henry B. Dunlap, M.P.H. . wT John M Connor, M.A. Fotine O'Connor, R.N. Robert H.’Pudenz, M.D. Lee D. Cady, M.D. Dr. Barbara Solomon, A.C.S.W, NLLY “nou SyI0TIOd LAYVOUWW O€€16 WINYOSI TV ‘YYWTAS Y3INID WIIGSW MATA SAI10 0} yoey) pue uo edi iddy 1!eW OLIVE VIEW MEDICAL CENTER presents RESPIRATORY TRAINING INSTITUTE Supported by CALIFORNIA REGIONAL MEDICAL PROGRAMS AREA V USC SCHOOL OF MEDICINE TUBERCULOSIS and RESPIRATORY DISEASE ASSOCIATION OF LOS ANGELES COUNTY To be held at OLIVE VIEW MEDICAL CENTER Sylmar, California 1971 January 11 - 15 February 8 - 12 March 8 - 12 April 12 - 16 May | 10 - 14 June 14 - 18 Norman Berman, M.D. Medical Director of the Project Evelyn Spees, R.N., Project Director . Margaret Pollock, R.N. 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