An . aH interest: “and to activate them. within the limitations of the operational budget, provided “-a‘technical review is made after a project | has been inoperativ “for. from twelve “ to. eighteen months. aa Bs “Program is continuing to demonstrate high level of efficiency in planning and operation, The modified goals and objectives are viewed satisfactorily i in terms” utilization and development of health manpower and on activities “whose purposes are to stimulate changes j in the organization and delivery of health services is _ : : eee . the student coment ty. in RMP affairs as one productive way of faltering atti~ _ fudeso. oe . 3 “The reviewers had di ifficulty i in assessing ‘the Core renewal request in. isolation cof some of the more advanced Areas and a lesser degree i in the: underfunded Areas : It.was felt, however,’ that in some of’ the later starters, limitation “of: Core funds’ . ~ has’ probably encouraged a certain creativity i in n planning and utilization of * vale resources. SB 2 Ba AKEA ee ct was the consensus of the reviewers that the California Regional Medical of being sdundly based and in agreement with national priorities, . Emphasis on eo . Another point that ‘the teani recommends i is an increase in participation of from the ongoing ‘operational projects. Noted was the impressive ‘productivity 7 ' The large backlog of épproved but unfunded projects . received, considerable attention, It is felt that the CCRMP has the. ‘capability to review. these. projec! "Other observations ond i impressions of the reviewers include the following: continued on page 2 “The California Regional Medical Program is demonstrating outstanding invol¥ement of key members of the. health power structure in the State of California from yolun- -tary and official health agencies, universities, medical schools and consumer par- “ticipation, The region is, in effect, a valuable national laboratory for the solution ‘of urban and rural medical care problems. wi Tae dhe "lt exhibits a wide range of health activities at the community level, and has.actively and efficiently pursued +o volvement of other federal programs such as Model Cities, OEO, CHP, and representatives of ethnic minority groups. _The current progress is the result of vigorous efforts to come to grips with health problems where inadequate services existecs. 4 It has exhibited imagination in developing and training new types of health man- power, including volunteers, to augment available resources and fill the gaps where deficiencies exist. "1 has enormous capacity for the identification of problems, for their isolation and in the design of strategic planning for their solutions. Throughout the region there are exciting examples of innovative and unique approaches to the improvement of delivery of health services. foo re am "The leadership and staffing-of the Program is considered "fi rst-rate, eo *& . * * RMP-COMP ACTIVITY At the request of Comprehensive Health Planning of L.A., AREA V recently assumed_. the responsibility for setting up a site visit, leading the discussions, and preparing _ the reports for a site visit of the Venice Dental Clinic and the Venice Community ~ Family Health Program (both of which were developed by the Venice Health Council). The team--organized and staffed by Marlene Checel, MPH, Asst. Coordinator, Inter-Agency Activities for AREA V--was comprised of Martin D. Shickman, MD of - AREA V and three member: of the Personal Health Services Committee of COMP-LA. A total of five hours was spent inspecting the facilities and meeting with the pro- viders:and community people who were initially involved in setting up the programs. Two very comprehensive reports of their findings have been forwarded to the Com- munity Health Services Program of the California State Dept. of Public Health. This is the first time applications for 314(d) contract funding have been site visited and the additional information will be of assistance fo the people in the State Department who have a total of II9 applications to consider for this funding. | me kok & AREA v REGIONAL MEDICAL PROGRAMS Be Thursday ApH IS “BREA vo ae Friday April o> AREA V . Tuesday, se 20° weaned Ana 2 | AREAV : Set AREAV CALENDAR as April W97l a 7h rong "Risk Factor Screening, Committee’ Chait rmen's s- _ Meeting ey a Areas 1V, y, 1x “Coordinators | : ' ae _ Stat Meeting a oR ae . Chemotherapy Subcommittee a oe faker ES a _RMP Conference Room 7 lb 20 ‘aime ” “RMP Conference Room. , “9,00 - 320,p.m. a RMP Contarence ‘Room . 980 ams. “RMP Conference Room, . 12 noon RMP Conference Room, > COMMITTEE CHAIRMEN MEETINGS, APRIL, “MAY, JUNE _ heel 16 2 a) 4 June ie AREA . ADVISORY GROUP MEETINGS 1a” a | May i “duly 3 September 4 _ November o ~-REPORTS:OF NATIONAL EVALUATION MEETINGS oo By John S. Lloyd, Ph.Di, Asst. Coordinator, Evaluation - a On April 2, | attended the Ist meeting of the RMP Ad Hoc Evaluation Group in Rock-\ "ville, Maryland. This was a group of eight RMP Coordinators ‘and Evaluation Direc- tors from around the country gathered to advise and assist RMPS- generally; and their Office of Program Planning and Evaluation specifically,. with regard to RMP evalua- tion strategies. ss pe an ee oe _ Perhaps most interesting to readers of this newsletter were the introductory remarks by Dr. Harold Margulies, fresh from his meeting with RMP Coordinators in Atlanta the | --previous week. He said that along with, and in addition to, those things for which RMPS was spending earmarked evaluation funds, this ad hoc group should be concerned with the evaluation strategies for five activities: Experimental Health Delivery; Health Maintenance Organizations; Area Health Education Centers; Guidelines of the Inter- ‘Society Commission on Heart Disease; The Relative Merit of Regions Within RMP.. To paraphrase Dr. ‘Margulies’ remarks, whenever officials from HSMHA explore ways - in which the first three of the above listed activities can be implemented, they invari- _ ably have to deal with the RMP mechanism in that part of the country because of its effectiveness in involving the chief providers in the health care delivery-system in each Region. Dr. Margulies appeared to be saying that, inevitably, RMP personnel would be involved in the activities mentioned because, for all intents and purposes, RMP is -the only federal agency that has the manpower and resources capable of carrying out these activities in each Region, a : ; | attended a Workshop on Planning and Evaluation for RMP Anniversary Review at the _.Ohio State University Center for Tomorrow in Columbus, Ohio on March 22-24, 1971. Planning, operation’ and evdluation’Were'seen as three aspects of.a continuous process. Evaluation was defined as that part of the process having to do with delineating, ob- . taining and providing useful information for judging decision alternatives regarding projects and/or programs, The proper role of evaluation and the evaluator in the de- -cision-making process was much discussed, Speakers, panel discussions and small group discussions focused around three reaséns for evaluation: for justification (i.e., to de- fend what has been done), for control (i.e., monitoring an ongoing activity against some standard), and for learriing (i.e., determining the extent-to which an activity - - was worthwhile). There seemed to be a consensus among those attending the workshop regarding the need for a standard reporting format for all Regions. » * * Ok 4 CCU eet According to CCU Program Director Mil- ford G. Wyman, MD, ‘the remaining two 10-week classes in CCU for physicians ze both completely reserved, as well as ie May 3-14 regular 2-week class. There are a few openings left in the July 5-16 class. For information, contact Mrs. Pat Neff at 576-1626. First of the new series of Community Courses in beginning CCU for Nurses, under the guidance of Connie Burgess, RN, Instructor for the AREA V Commun- _ ity CCU Program, began March 29 at Rio Hondo Memorial Hospital, with 20 trainees from the surrounding community. The second class which started Apr. 12, is now under way at the Community Hospital of San Gabriel. Information about forthcoming classes may be ob- tained from Jane Reger at 481-1246. . wk ok OF * CANCER The Radiology Subcommittee of Area V Cancer Committee has two new mem~ 71s: Dr. George M. Campion, Dir- ector of the Radiology Department at St, Joseph Hospital, Burbank; and Paul Moreno, RT, Admin. Radiologic Technologist at Presbyterian Inter- community Hospital. . Mrs. Gail M. White, Asst. Coordina~ tor - Cancer Planning for AREA V has been appointed to five American Can- cer Society Committees-~Professional Education, ‘Service, Public Informa- tion, RMP Liaison, and the Advisory Subcommittee on Cervical Cancer Screening, mt r eo eae COUNCIL OF FREE CLINICS... _ is planning a benefit rock concert in ‘Hollywood Bowl ‘May 1... There will be two 4-hour sessions--2, to 6 in the after- oon and 7 to Il p.m. ‘A dazzling array of top artists are contributing their tal- ents to the program, including Joan Baez and David Harris. Tickets are available at Hollywood Bowl, Mutual Agencies, etc., starting April 16.- now composed of 26 free clinics in So. Calif., has been awarded an EYOA grant which provides them with an ex~ ecutive director, secretary and 7 field workers, assigned to work in the |8 L.A. County clinics. . has moved its office into what they de~ scribe as a “funky bank building” near Washington and La Brea. has been designated delegate agency fo the L. A. Family Planning Council. has named Mrs. Jane Cohen of AREA V staff Interim Chairman of the Advisory Board to the Council which is made up of friends of the clinics--community people who work in them or professionals who support the clinic movement. kK WK AREA V PACEMAKER REGISTRY... was host recently to a business session of the Pacemaker Subcommittee of the Assoc. for the Advancement of Medical Instrumentation during their National Meeting, Mar. 15-20 in L.A. Project. - Director Michael Bilitch, MD, who is-a member of the Subcommittee on Pace- makers and the Aerospace Technical Sub- committee of the Assn. presented a paper on the Registry before the Pace- maker Session. The Registry is launching its own Newsletter-~a copy of the first feena ie enclosed. 5 V minute news "Published by CALIFORNIA REGIONAL MEDICAL PROGRAMS oe nett rt, . . 7 ve AREA V " UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE AREA OFFICE -. 1 West Bay State Street Alhambra, Calif, 91801 Telephone (213) 576-1626 Editor — Elsie McGuff me Witlian A. Markey, MS. ms Frank F. Aguilera, MPLA. © Darathy E. Anderson, MPH. Area Vv Staff a Donald W. Petit, M.D.” “Bruce Barnhill, B.A. : Marlene Checel, M. P. H. Elias Chico . Jane Z. Cohen, B.A. Kay D. Fuller, RN. _ Leon . Hauck, M.P.H. | John S. Lloyd, Ph.D. Elsie M. McGuff Clyde E. Madden, A.C.S.W. Robert E. Randle, M.D. Gai! M. White, M.A. me Area Coordinate” ) “ Deputy Coordinator. Community Programs . Comunity Prograns My Evaluation Inter-Agency Activities Community Programs - Community Programs Nursing Health Data Evaluation Communications Social Work Continuing Education Cancer Planning Cominittee Chairmen Area Advisory Group - Cancer Cardiac * Continuing Education Health Services Delivery Hospital Administrators me Library Services. - Nursing Stroke 2 - Systems & Computers . Social Workers - Chester A. Rude ( Lewis W. Guiss, MD. - George ©. Griffith, M.D. - Phil R. Manning, M.D. Martin D. Shickman, M.D. “Henry B. Dunlap, M.P.H. ; John M. Connor. M.A, . Fotine O'Connor, R.N.° ‘Robert H. Puden2, M.D.. Lee D. Cady, M.D. Or. Barbara Solomon, A.C.S.!