Met. ‘NtusGo? ., Rise

July 23, 1925

Dr. Frankel
Second Yice President

in FG: ou Op: ey

 

The Company appropriated $10,000 for the support of the

Committes on Municipal Health Department Practice. A similar amount was
appropriated by the Milbank Memorial Fund. We have to date spent $6,695
of this $20,000 appropriation. The work of the Committee this year has
been under the following heads:

le The working up of the reports made by the agents of

the Public Health Service of one hundred cities of seventy thousend
population and over. Eighteen chapters are being prepared on all of the
important phases of municipal health department practice, and a new book
will be issued befere the close of the year bringing all this information
up to date.

2- The Committee has worked up the appraisal form until
it is satisfactory to all concerned, that is, to the Committee, the
American Child Health Association, and the various groups of health
officers. This has required many meetings and very great labor and dis-
cretion on the part of our Chairman. The appraisal form now makes pos-
sible a fairly satisfactory rating of the 186 cities which have been sur-
veyed, Such ratings and appraisals will make possible field work on a
fairly large scale beginning this fall and throughout next year.

3. Our Field Director hes made a large number of contacts
with Health Officers, Mayors, and other officials, preparing the ground
for more active cooperation in the fall. The cities of Ghic, Massachu-
setts, New York, Pennsylvania, Memphis, Kansas City, Missouri, Wilkes-
barre, and a number of ethers have been visited, interviews had with the
Health Officer, and public officials, and it ie. expected that out of this
number a choice will be made for an intensive demonstration by our
Field Director, which will result in a qrest improvement in the health

practices in those cities.

4. We have made preparations for the publication of a
number of the Survey Graphic which will be a popular presentation of the
principal findings of the Committee to date and will serve also as en -
appeal to social workers and others who read the Survey to get in touch
with our Committee for advice and guidance in matters of their local
health work. The entire number of the Survey wil] be used for this pur-
pose. . = : =

 
b. \

; More then the feregoing would have been accomplished,
especially in the field of intensive demonstration, but for the change
of our Field Director. As you know, Dr. Renkin resigned to become
associated with the Duke interests in the health work of North Carolina,
and we have for some months been without an active Director. We have
now found in Dr. Walker an ideal person to take hold of this work. He
will teke hold on the first of September. We plan also to continue
Dr. Drake for field work among the Pacifie Coast States. The rest of the

year should see a number of well planned and suceessful demonstrations

along the very lines thet you have slways urged, to show that larger
appropriations can be obtained and direct facilities established through
the spirt of the public, the Metrepoliten agents, and the members of this
Committes &

The programme of 1925 calls for a budget of §25,000, of
which $5,000 will be appropriated by the American Publie Health Associa-

tion itself, and it is heped that the Company will continue its appropri-

ation of $10,000 and thai the Milbank will do likewise. ‘The division of
this budget under bread headings is as follows:

Salaries $16,000
Travel end expenses 4,000
Rent & incidental)

office expenses) 3,000

. Sotel | = $25,000
Our work for next year should be almost entirely in the

field. Our representatives will be concentrated on a group of cities
armed with the complete facts, with appraisals of the work done, and with

many friends lecally to assist in every way. The five years’ work of the

Committee has come now to a head. Everything seems to be ready to gather
in the fruit of much Labor, and I am convinced that this is the strategie
time to support this work and encourage it in every way. ‘There are no
difficulties in sight for the complete working out of our programme.

SOCCHGeoeecee 666

#2 Statistician

 
a

OFFICERS
LOUIS I, DUBLIN, PH.D.
President

E. L. BISHOP, M.D.

Chairman of
Executive Board

KENDELL EMERSON, M.D.

Acting Executive
Secretary

- fr

COMMITTEE

ON

ADMINISTRATIVE
~-PRACTICE

owe

C.-E. A. WINSLOW, DR. P.H.
Chairman

HAVEN EMERSON, M.D.
Vice-Chairman

-L, BISHOP, M.D.
CHn...88.V. CHAPIN, M.D.
MICHAEL M. DAVIS, PH.D.
ALLEN W. FREEMAN, M.D.
JOSFPH W. MOUNTIN, M.D.
, C. NELSON, R.N.
GEORGE T. PALMER, DR. P.H.
W. S. RANKIN, M.D.
JOHN L. RICE, M.D.

R. H. RILEY, M.D.
GEORGE C. RUHLAND, M.D.
HENRY F, VAUGHAN, DR. P.H.
W. F. WALKER, DR. P.H.

LOUIS I. DUBLIN, PH.D.
ex officio

owe

Cc” ME. BUCK, DR. P.H.
‘jeld Director

 

a ceelll

THE AMERIGAN PUBLIG HEALTH ASSOCIATION.

450 SEVENTH AVENUE~ NEW YORK, N. Y.

December 23, 1931

Dr. Louis I. Dudlin,
Metropolitan Life Insurance Company,
1 Madisen Avenue

New York, N. Y.

My dear Dr. Dublin:-

The Committee on Administrative Practice is at
present confronted with a very serious financial problem which
I believe should be called to your attention.

The present staff of the Committee totals six in-
cluding myself, Dr., Wallace, Mrs. Fraas, Miss Tonnele and
two stenographer-clerks. Salaries for this group total
$23,530.00. These salaries together with travel and
maintenance items have been allocated, in accordance with
the following table, to the Health Conservation Contest and
Field. To Field have been allocated all the activities of
the staff, other than those of the Health Conservation Contest,
as well as the activities including travel and maintenance of
the various sub-committees.

Field H.C.Contest

Salaries $11,614 $11,916"
Travel 2,500 6,500. :
Maintenance 1,000 3,000 fi /
Awards = 1,084 / 7 7
Total $15,114 — $22,500 $37,614 :
7

Of this $37,614 total $22,500 is cared for through
the Health Conservation Contest leaving $15,114 (including
$11,614 for salaries and $3,500 for travel and maintenance)
for which no specific funds have thus far been provided.

In addition to these amounts the C.A.P. is charged with
40.6 percent of the total general administrative costs of eC
the A.P.H.A. as a whole which amounts to slightly over 7
$7,000.00. ;

+ q apo

The American Journal of Public Health is the Official Publication of this Association
This means then that the C.A.P. has anticipated expenditures
of $22,114 for which there is no assured income. Under normal conditions
paid surveys plus the overhead charges which may permissibly be charged
to special grants would cover these costs. This year, however, with
the economic depression so widespread there is small chance of any very

_ extensive surveys and there are no special grants. (The Commonwealth _

Fund did not grant the $20,500 which we had expected for the studies of
the sub-committee on the Evaluation of Administrative Practices).

In the past, as you know, we have counted on income from
surveys to cover not only direct and indirect maintenance charges but
also the cost of travel, preparation of reports etc. of the various
sub-committees which did not have special grants. This coming year
these expenses cannot be met in this manner for it is doubtful if ae
come from surveys during the year will exceed $3,000 or $4,000.

(We have no contract for surveys at present).

There seem to be three possible means of solving the problem:-

1. By procuring grants for special projects, the income from
which would be sufficient to maintain the present staff and
assist in carrying on the work of the various sub-committees.

2. By procuring funds for carrying on the specific work of
the sub-committees such as, Record Forms, Rural Health, City
Appraisal Forms etc.

3- To drop the personnel of the staff other than those necessary 7
for carrying on the work of the Health Conservation Contest.

Of the three suggested solutions the third seems the least
desirable in view of the fact that this would mean a discontinuation
of all sub-committee activities as well as all field and consultant
service. If the sub-committees are te function in the future, as

they have in the past, it is imperative that funds be procured not mn. f
only for travel but for office personnel since se much of the detail
work such as the preparation of the revision of the Appraisal Forms pr

and the like must of necessity be carried on in the office.

it would be impossible without maintaining the office staff

to carry out the objectives and policies of the C.A.P. which are: —7<
"The preparation, study, standardization and presentation of scientific Jf Q
public health procedures by the collection of information in regard to

current administrative health practice, the analysis of the material Cot
obtained to derive standards of organization and achievement and the ye pl +
translation of these standards into terms of concrete achievement

through an information bureau and field service placed at the dis-

position of all members of the Association".

It is unquestionably true that the work of the various sub-
committees is of great value to public health progress and it would
seem a real disaster to have to discontinue their activities. As you
know, the work on revising the Appraisal Forms fer City Health work

 
is to be taken up in 1932, and this, of course, cannot be done unless
funds are available.

Likewise the work of the Committees on record forms and
rural health work planned for 1932 will be a valuable contribution to
public health administration and should be continued if possible.

I should very much appreciate from you suggestions with
regard to special projects for which funds mught be procured or which
of the activities of the various sub-committees efforts should be put
forth to get financial aid. Would you also suggest an organization
or organizations that should be approached.

Sincerely yours,
Os

CARL E. BUCK, Dr. P.H.
Field Director