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li-1 MISSION STATEMONT, RE SCICRAL MEDICAL PROGRAMS

Prey UTNE ae ely st TH IARI
THER COU “TL ANY PURPS: Su

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The juitiel concept of Kegional Medical Pregrais Was in previde
a vehicle by which scicncific knowledge could be more. readily
transferred to the providers of health services and, by so Going,
improve the rality of care provided with a strong emphasis ion
heart disease, cancer, stroke, and related diseases.

The implementation and experience of Re
the broadening of the i
the most xr 1

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al prem: ch it is based--nanely, the prov
care in the private sector, given the opportunities, have bath
the innate capacity and the will to provide quality care to jal

Americans.

Given this premise, the purpose of this sta rComent is to spec
(1) what Regional Medical Programs are vt j

: C
me Sone a ea rey swf 68 -% Wee fet . ‘Sie 1 724 A
siesion kas pecome, and (3) the basis’ on which a Will be

 

 

ucced
RP--TEE Me
RMP is a functioning and action-oriented consortium of provicers
responsive te health needs and problers. It is aimed at doing
things which must be done to resolve those problems.

i

RNP is a framework or organization within which all providers

can come together to mect hedith needs that cannot be met by
individual practitioners, health professionals, hospitals and
other institutions acting alone. It also is a structure éelib-
craves designed to take anto account local resources, patterns

practice and referrals, and needs. As such it is a potentially
ameaeee force for bringing sbout and assisting with changes in
s and care.

the provision of persenal health service

ss in which provicoers werk Sey and

in a structure which offers them considerable flexibility and
autonomy in determining vhat it is they will do to improve health
care for their communities and peticnts, and how it is to be done.
As such, it gives the health provicers of this country an opportun-
ity to cxert leadership ‘in addressing health peoosens end needs

and provides them with a means for doing so. RMP places a great
corollary responsibility upon provicers for identifying: the health
problems and needs which they must help to meet and which concern

and affect all the people.

zlso is a way or proce
fer

 

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pam WT PCPaCTON
PED~-THE LE SSTON
fe pee De eee

he

LL. RMP is primeri

eb ue ESIGN SLA TREAT

RMP shores with all health groups, {nsticutions, and PrOBT ans »
private end public, the brea’ overall goals of {1} inercasing
availability of cara, (2) enhancing its quality, and (3) nod
erating its coste--mcking che organization of services and
delivery of care. more efficient.

Among government progvams REP is unique in certain of its
salient characteristics and particular eppr -oaches. Specifically:

jiy Linked to and works through providers,
c

especially preciicing health professionals; thie means the
private sector lc repely.

2. RMP essentially is a voluntary approach drawing heavily
upon existing health resources.

‘3. ‘Though RMP continues to have a catego orical emphasis, to.

be effective that emphasis frequently must be subsume
within or made subservient to broader and more comarehen-

re aes <4

SiVe appros 10h: Gs.

Principal Objectives |

te is chess broad, shared goals on the one hand and the
characteristics aad i approaches unigue to REP oa the other
that shape its more specific mission and objectives. whe

principal of these are to;
t the local level
ary patterns for

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both new techniques and innevat

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1. Promote and demonstrate among p

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improving the accessibility, cf ici , and cffectiveness
of health care. At this time the Latter would include, for —
example, encouraging provicer acceptance of snd extending
resources supportive of Health Maintenance Organizations.

2. Stimulate and susport those ectivities that will both help
existing health manpower to provide more and better. care
and will resulé in the wore effective utilization of new
kinds (or combinations) of health manpover. Further, to
do this in a way that will insure that professional, scien-
tific, and technical activities of all kinds (e.g.,
informational, training) do indeed lead to professional
growth and deve lopment and ere appropriately placed within
the context of medical practice and the community. At this
time emphasis will be on activities which most effectively
and jimsediately lead to provision of care in urban and

rural areas prosently underserved. °
TL-1 ile ke MO OSTATEROY

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3, Encourage providers to accept and ensble them co initiare
regionalization c£ heal ch facilities, manpower, and other
resources so that more appropriate and better care will
be accessible and available at the local and regional
levels. In fields whore there are marked scarcities of
resources, such as kidney disease perticular stress will

en

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be placed on regionalization so the st the costs o
may be moderated. .

such care

4, Identify or assist to develop and facilitate the implemen-
tation of new and specific mechanisms that provide quality
control and improved standards of care. Such guality
guidelines and performance review mechanisms will be re-

quired especially in relation to new and more cfifective
comprehensive systems of health services.

Interercucy Cooperation « ; , oO oy

Even in its more specific mission and objectives, RMP cannot
ad J

function in isolatiow, but only by working with and contributing
‘to related Federal and other efforts at the local, state, and

repional levels, particularly state and arcawide Couprehensive
Health Planning " setivities.

Svin-Off and Continuad Support

Moreover, to be maximally effective requires that most REP-sup-

Lv
ported endeavors make adequete provision for continuation
support ence initial segional sedtcal Program grant support is
terminated; that is, ther e gonerally muse be assurance thet

future operating costs ap be absorbed within the regular health
care financing system within a reasonable end agreed upon period.
Only in this way cana REP funds be regularly re-invested.

1-4 RMP--THE MEASURE

A.

Criteria For Assessment

 

It follows that the weasure of a Regional Medical, Progren,
reflecting as it does both mission and mochanian, must take
into account a varicty of factors and utilize a won of
criteria. The criteria by which RMPs will be assessed relate

to (1) intended results of its program, (2) past accomplish-
ments and perfe :o, and (3) the structure and process

 

developed by the Kiri? to date.

1. Program Criteria
pension

a. Criteria relating to a Regional Medical Program's
proposed propren, and the intended or anticipated
esults of its future ectivities, will include:

. oe
Vie) BLSSTOU Starenene

(1) The extent to which they reflect a provider
action-plan of high priority neeas and are
congruent with the overall t aission and ob~
jectives of RHP.

(2) The degree to which new or improved tech-
niques tand knowledge are to be more bsoadly
dispersed so that larger numbers of people
will receive better care.

(3) The extent to which the activities will lead
to increased utilization and effectiveness of
community health facilities and mane ar, ese

‘pecially new or existing kinds of allied health |
erscnne]l, in ways that will * Seviate the
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present maldis trioution of He alta. services.

(4) Whether health maintenance, disease preven-
tion, and early detection activities are!
integral components of the ac étion-plans ||

(5) The degree to which expanded an ulatory care
and cui-patieat di agnosis and treatment dan
be expected to resuic.

(6) Whether they will s rengthen and improve the
relationship between primary and secondary. care,
thus resulting in greater continuit y and acces-
sibility of care. ;

b. There are, moreovpr, other prog rem erit eria ‘of a more”

“general character that also wild. ‘be used. Specifically:
(1) The extent to which more jmmediate pay-off in terms
of accessibility, quality, end cost moderation,
will be achieved by the activities propo osad.
(2) The degree to' which they lin and strengthen
the ability of nultiple health instilutions and/or
“professions (as opposed to single institutions
or greups) to provide care.

(3) The extent to which they will tap local, state
aad otier funds or, conversely, are designed to
be supportive of other Federal efforts.

Performence Criteria

 

Performance criteria will ine lude:

: *

a. Whether a in establi¢ shing its

  
 
 
 

et ae A uu raeeiry
rt we la tee

b.. The extent to which activitics previously under- .
teken bave pecs productive ia forms of the spceific

nd the degree to which activities stimulated

¢. bkhether a
and initially supported by RMP have been eBsorbed with-
in the regular health care financing system.
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a. The viability and effectiveness of an REP as a
functioning organization, staff, and advisory
structure. ,

b. The extent to which all the he elth releted interests,

institutions and profession of a region are comnitted.
-to and actively pa?ticipating in the program.

c. The degree to which there is an ade equate | functioning
planning oxganization and endeavo , developed sep-
acately or in conjunction with CHP. at the local

(or ‘subregional) level.

 

d, ‘The degree tow is a systemetie and cngolug
identification end assessment of neads, problems, and
resources; and hew these are being transleted into the
region's continuously evolving plans end priorities.

e. The adequacy of the region's own manage ment and eval-
vation processes and efferts to date in terms of
feedback designed/to validate, modify, or eliminate
activities.