in
B.

Cc.

Arthritis
Principal Provisions of DRMP Guidelines

General

i. Purpose of the DRMP program is to support the planning and
' development of pilot arthritis centers.

2. A pilot arthritis center is comprised of an institution, or a
group of institutions and facilities which jointly extend
comprehensive services, and the population area which it/they
principally serve. Pilot projects improve or expand planning
or development of the institution, and/or the mechanisms through
which it reaches the patient population.

3. The character approvable pilot arthritis proposals is
feasibility, or start-up.

"Must" Requirements

1. Proposal must be approved by the RMP's RAG

2. Purpose must relate to defined needs

3, Activities must relate, and build on existing resources, capabilities.

4. Activities must presently, or in projection of impact, result in
improved quality of care, access to care, and/or linkage and

coordination of resources.
‘5, Proposal must relate to a plan which establishes the scope of the

proposal as an effective contribution to broader care organization
and delivery needs.

6. Activities must be capable of completion within the funded period,

- or present evidence of reasonable likelihood of continued support
with non-RMP resources.

7. Proposals must include an evaluation plan, or activity, which
appears pertinent and effective as a means of quantifying/qualify-
ing outcome.

8. Proposals must avoid use of RMP funds for prohibited activities
(outside RMP mission: e.g.; training, research, construction, direct
patient care costs).

9. Proposals must fully comply with Guideline requirements, unless
a full explanation provides a valid reason for deviation.

10. Proposals must have been submitted to CHP for comment. Where
comment is critical, the RAG's disposition, or realignment of the
proposal should be clearly indicated. When the CHP has failed,

-or declined to comment, the file must be appropriately annotated.

"Should" Requirements

1. Both planning and performance of arthritis activities should
reflect wulti-disciplinary involvement.

2. Planning and performance should involve non-arthritis specialties
and comnunity resources.
Proposals should be complete with regard to the. execution of

activities (i.e., what is to be done, when, how, where, and

by whom).
Non-RMP support should be reflected in order that the full

spectrum of work can be discerned in the proposal.
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Identification of the pilot arthritis center. The DRMP authority
addresses planning and development of pilot arthritis centers. The
Guidelines extend the "institution" depiction of a center to include
the medical service area; i.e., the arena in which functions are
performed. In this context,a recent workshop group comprised of
authorities in the arthritis field noted that "a center is an

organizational plan rather than just a facility".

A principal purpose of review of grant applications for DRMP support
of pilot arthritis centers is the segregation of those proposals which
display a “center” profile from those which do not.

Net Cogartes

No. ( Yes
1. The activities are based on, or related to:

a. large community hospital

b. research and teaching institution

. 7 combination of. these i-sGe~< |.
2. The central facility (us) in (1) above
provide individually, or jointly.
a. basic/clinical research
b. research laboratory facilities
c. service laboratory services

d. in-patient clinic

e. out-patient clinic

 

 

£. professional training

g. patient education

h. public education ees enenens

 

 

 
No. Yes
3. The treatment and care resoruces of

“the center include services of:
a. Rheumatologists
b. Orthopaedists
c. Nurse or other Coordinator
d. Nurses et
e. Technicians (lab & other) I
£. Clerks | fe
_g. Secretary (ies) es
h. Physical Therapist | es
i. Occupations1 Therapist :
j. Orthotist (Bucs) tL
k, Neurologist Pe
1. Physiatrist PL
m. Psychiatrist te
n. Podiatrist | LL
obec
o. exygimms/record personnel
p- Social Worker

q. Other (identify)

 

 

 

 

 

 

?

‘
‘

 

Scope of the proposal, The language of the DRMP authority, and the
sense of the Guidelines, require that proposals be "pilot programs";
they cannot properly be Region-wide operational care delivery programs

which attest to Regional advancement beyond the "pilot" stage; neither

- 2-
should they be isolated singlepctivities which fall short of the

"organizational plan" noted in A, above.

1.

The proposal préesents two (2) or more

activity components

Components include the following:

a.

Center facility development
In-patient clinic development
Out-patient clinic development
Multi-hospital service arrangements
Multi-disciplinary consultation
Community teaching clinics

Professional education

Patient/family education

Public education

Community/home care services

Data collection

Standards development

Cost of care analysis

Development of community
provider/consumer bodies

Development of funding sources

Other (specify

 

 

 

No.

 

 

¥es

romans.

 
Resources. Identify the total resources proposed to carry out

the proposals, by source.

Personnel
Rheumatologists
Orthopaedists
Other quekisteed physicians
Fellows
Residents
Nurses
Social Workers
Physical Therapists
Occupational Therapists
Technicians
Administrative and Clerical
Secretarial

Other (specify).

Provided by (indicate number)

Non-RMP RMP

 

 

 

Other
Clinics (space)
Laboratory (space)
Equipment
Furniture

Clinic supplies
Lab supplies

Theranv supplies

$ '
$ ul
‘ i

 

 

 

 
Provided by (indicate number)

Non-RMP RMP
Office supplies & €
Travel

& 4
Meetings/Conferences
Printing & | €

£ 4

Data handling services

Other (specify)

 

 

 

 

 

 

D. Extent of activities proposed. List the items under B.2., above,

 

 

6. for which a "yes" answer was given, and for each, check the proposed
extent.
Region- Sub-Region Selected Selecte
List of B.2. "yes" items wide area Population Communit

E. Categorization of the proposal. The overall proposal is most accurately
portrayed by the following:
1. Definition ‘No Yes |
a. Pilot arthritis center
b. Region -wide care delivery

c. Isolated activity

 

 

 

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2. Quality ( te ce a Dro of }

a. Excellent

 

b. Satisfactory

F, Program description (reviewer discussion)
1. What are the problems?
2. What are the needs?
3. What is proposed to be done?

4. What is (are) the objective {(s)?

G. Evaluation of proposal (reviewer discussion)

1. Background discussion | [sate Satisfact. ‘| Excellent
a. Problems
b. Needs
c. Objective

2. Pian
a. Keyed to needs
b. Involves cooperative

arrangements

 

c. Relates to other RMP programas
d. Develpps community involvement

e. Clearly stated

H. Implementation (vevrewer discassim)

1. Clear timetable

 

 

 

2. Clear methodology

3. Adequate resources

ae
 

4, Feasibility
5. Real achievements

6. Effective evaluation

 

I. Recommendation

 

Disapprove . Approve

Proposal

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J. Suen

 
Division of Regional Medical Programs

Recommended Report Format
Review of Pilot Arthritis Grant Applications
Ad Hoc Technical Review Committee

Applicant:

Re

gion. Prone
rio. =e

 

Background: Briefly discuss content and adequacy of proposal with

respect to the following:

Plan-of

Cc.

d.

Arthritis problems
Needs to overcome problems

Existing arthritis resources

What is proposed to be done?
Objectives
Appropriateness of activities/objectives
Feasibility of activities/objectives
Measurability of objections
Action
Is plan keyed to expressed needs?
Does plan involve necessary Federal, State, local agencies,
including voluntary groups?
Does plan utilize or strengthen existing linkages?

Does plan clearly relate components, and document commitments?

Implementation

ae

D.

Ce

Is a realistic timetable?
Is budget appropriate for executive of the plan?

Adequacy of potential sources of Non-PMP continuing funds.
d. Qualifications of professional and technical personnel

ane will execute the plan.

6. Evaluation

a. What is the evaluation activity. Gul Weel thet ly
b. Is proposed evaluation appropriate/tethe plan?

c. .Are there obvious impediments to _performance-of the
proposed evaluation? .

7. Overall evaluation The DRMP authority addresses planning and
development of pilot arthritis centers. The Arthritis guide-
lines extend the "institution" depiction of a center to include
the medical services area; i.e., the arena in which functions
are performed. In this context, a recent workshop group comprised
of authorities in the arthritis field noted that "a center is an

organizational plan rather than just a facility".
a ¢-
Check approprtate—respeonses below, and briefly justify.
\

   
  
 
   

a. The proposal establishes: planning

and development of a pilot arthritis

  
 

center
b.
ent of a care de
whichNs beyortd the pilot stage
c. Either a. or b. above is recommended for

approval as an appropriate RMP arthritis

activity.
Division of Regional Medical Programs
Ranking of Approved Applications

A. Pilot arthritis center proposals recommended for approval, and

consideration for funding through earmarked RMP funds.

In order of technical Review Committee ranking:

B. Other arthritis proposals recommended for approval, and consideration

for funding through regular RMP funds.

In order of technical Review Committee ranking:

C.

 
 

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