I. A K & A @no F RNIA SITE@VISI keen forward Word,' @Ex@cutive'@Director Id M rg Oro a ulies, Director of RMP Servi c@s. The f@l I'g@i h6, iex'c'@e a in't6rest: It was the consensus of the reviewers that the California Regional Medical ro ram is continuing to demonstrate high in planning and P level of efficiency, 9 Cooperation. The modified goals and objectives are viewed satisfactorily in term of be@ing@ s@u- n'8[y based and in agreement with national peiorities, Emphasis on utilization and development of health manpower and on activities whose purposes are.to stimulate chan;ges@in the organization and delivery of health se rvi ce@ appropriate. ... Another oint that the team recommen@ is an increase in participation of p s u nt community @in RMP a ffa i rs as the t de one productive way of alterinci atti tudes, The revi ewe rs ha ddifficulty in asse sin h e Core s g t u6it iriisolation from the -ongoing@operational projects@ Noted wa@ r6@u@tivi;t@ :of some of the more advanced Areas an a lesser c Are @lt,was,:felt, however 'that in some of @the later sta has@ probably en66vroged,a certain creativity in planr ng and utili; atic @@6va!106le@reso'urces, 0 Th6 large backi of 6DnrOV d b t unfu6d t e u ceived,,con@ @atten tion i @fel@ 'that the CCRMP hot the @'c revie WT[IESE and to activat@ them'wi thin the limitations of a ci technical review is made after;a project has e nc erati to elahteen months. "Other observations Land impressions Of the reviewers i n c i'u a'(; the fo1 ng conti nuect, on page is demonstrating outstanding involvement @"The California Regional Medical Program tate of California from olun- v inembe 'f the bIth power structure in the S of ke@ r's0 ea I I I universities, medical schools and consumer par- tary.and official health aencies, 9 tuable national laboratory for the solution ti ipat a The re ion is, in effect, a va c 1 n. Of urban and rural medical care problems. ties at the co m nit@ level and has,actively "it exhibit e of health activi m u 5a wide ra ng and 'efficiently pursue8'i Involvement of other federal programs such as Model Cities, OEO CHP and representatives of ethni.c minority groups. The current progress is the result of vigorous efforts to 'com6 f66rips with health problems where inadequate services exist... It has exhibited imagination in developing and training new types of health man- power, including volunteers, to augment available resources and fi II the gaps where deficiencies exi,,t. "it 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. The leadership and staffing of the Program is considered "first-rate. 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--organizeo and,staffed by Marlene Checel, MPH, Asst. Coordinator, Inter A- ency Activities for AREA V--was comprised of Martin D. Shickman, MD Of 9 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- @o 0 mu ty p 0 a were a videit3 nd c m ni e pie wh initi lly-involved in setting up the programs. Two very c.omprehensive.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 applicationsIfor 314(d) contract funding have been site visited and the additional information will be of assistance to the people in the State Department who have a total,of 1,19 applications to consider for this funding. 2 DICAL@ PROGRAMS"-" AREA V@REGIONAL-ME CAL NDAR A pril 1971. @@.Thursd@, 1.15 12 noon to ening AREA V Risk Fac r Scre Om RMP Conference Ro Fri d I 1 13, 0 @,d AREA V ,.'I,6mm,ittee Choi rme RMP'C6n@ fe'rence Room Meeting' Tues 3.30-pm. iv" Area X' R -Con i@ee'n"c'!:o7Room COMP-LA '@d 6tors Coo i ri .Wedi '9.30'a.ml Staff Meeting AREA, @v '@c RMPC fe@ on@: 12 noon Chemotherapy AREA V nce,. Room. .5ubcom@ittee RMP Confere @MAY, JUNE IRMEN MEETINGS, APRIL, :COMMITTEE CHA M 'Aiif i 1 16 OY 14 @@Jun6 11 AREA ADVISO, @y-,G@90UP@ MEET'it46S l@i 1 13 S@te er e u y mb 14 9'@ 3 REPORT-S'--OF NATIONAL EVALUATION MEETINGS B John S. Lio d, Ph.D'.. Asst. Coordinator, Evolua Ion, y , y On Apri I 2, 1attended the lst meeti n f @th -'RMP Ad Hot Ev in Ro k- q a e al6ati,o'n"Grou'p c :i vi Ile, Ma land. @ This was a group of eight RMP Coordinators and Evc ry (Iuation Direc@ to rs from around the@ country gathered to advise and assist RMPS--l' 6ri@@ 11 @'anj:t'heir q Of am Ptgpnipg and Evaluation specifically with @ q6rd to RMP evoluo- fice of Progr y re. ti on strategi es Perhaps most interesting to readers of this newsletter were the introductory remarks by Dro Harold Margulies, fresh from his meeting with RMP Coordinators in Atl@hf6:'the n to, those th ngs hiczh Previous week. He said that along with, and in additio i ' for W. RMPS was spending earmarked evaluation funds, this ad hoc group should be concerned witK the evaluation strate gies 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 Withiri'RMP., To paraphrase Dr. -Ma ulies' remarks, whenever officials from HSMHA 6xplore ways tg 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 a' peared to be s ing that, inevitably RMP rsonnel would p CIY If , pe be involved in the..actiV;ties 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. I attended a Workshop on Planning and Evaluation for RMP Anniversary Review at the -Ohio State University Center for Tomorrow in Colum-gus, Ohio on March 22-24,.1971. 'Planning, operation and evcitijoticin" -wer'e'-seen as three"asrects 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 pr er role of -evaluation and the evaluator in the de- OP cision-making process was much discussed, Speakers panel discussio@s.and small group discussions focused around three reas6ns for' evaluations for"'@ tification' (ie. to de- I PS fend what has been done), for control (i.e., monitoring an ongoing activity against some standard), and for ]earring (i.e.,, determinin g -the extents to whic an ac ivi was a 9 worthwhile,)' There seemed to be a consensus among those ttendin the workshop regarding the need for a standard reporting format for all Regions. 4 COUNCIL OF FREE CLINICS... CCU is plan ing a ben fit rock co cert in According to' CCU Program Director M n e n ford G. Wyman; MD,, 'the remaining two Hol lywood Bowl May I ",,.,There wi I I be 10-7week classes in CCU for'physi ians two 4-hour sessions--2,@to 6 in' the after- c ,@e both com letely reserved, as well as noon and 7 to 11 p.m. A dazzling array p .'te May 3-14 regular 2-week,classe of top artists are contributing their tal- The@ i th July ents @to the program, including Joan e are a few openings left,, n, e 5-16 class. For information, contact Baez and David Harris. are Neff at 576-16 available at Hollywood Bowl Mutual Mrs. Pat 26. encies, etc., startin April 16. 9 First of -the new series of Community now composed of 26 free clinics in So. Courses in beginning CCU for Nurses Calif., has been awarded an EYOA under the guidance of Connie Burgess, grant which provides them with an ex- ommun- RN, Instructor for the AREA V C ecutive director, secretary and 7 field ity CCU Program, began March 29 at workers, assigned to work in the 18 Rio Hondo Memorial Has ital, with 20 p L.A. County clinics. trainees from the surrounding community. . has moved its office into what they de- The second class which started Apr. 12, scribe as a "funky bank building" near is now under way at the Community Washington and La Brea. Hospital of Son Gabriel. Information 0 has been designated delegate agency to about forthcoming classes may be ob- the L. A. Family Planning Council. tained from Jane Reger at 481-1246. 0 has named Mrs. Jane Cohen of AREA V staff Interim Chairman of the Ad visory CANCER Board to the Council which is made up The Radiology Subcommittee of Area of friends of the clinics--community V Cancer Committee has two new mem- people who work in them or professionals f who support the clinic movement. rs: Dr. George M. Campion, Dir- @,;tor of the Radiology Department at AREAVPACEMAKERREGISTRY... St. Joseph Hospital, Burbank; and was host recently to a business session Paul Moreno, RT, Admin. Radiologic of the Pacemaker Subcommittee Of the Technologist at Presbyterian Inter- commu .nity Hospital. Assoc. for the Advancement of Medical Instrumentation during their National Mrs.@ Gai I M. White, Asst. Coordina- Meeting, Mar. 15-20 in L.A. Project. tor - Cancer Planning for AREA V has 'Director Michael Bilitcb, MD, who isila been appointed to five American Can- member of the S n Pace- ubcommittee a cer Society Committees--Professional makers and the Aerospace Technical Sub- Education @S'ervice, Public Informa- committee of the Assn.-, presented a tion, RMP Liaison and the Advisory paper on the Registry before the Pace- 0 'Cervical Cancer Subc, mmittee on maker Session. The Registry is launching Screen,l,ng.,,, its own Newsletter7-a Copy of the ft rst -nriosed. 5 Area V gaff a Coordinator Donald W. Petit, M.D.@@, Are Deputy Coordinator. .,,,William A. I&rkey, M.S. Frwk F. Aguilera M.P.A. Community @ograms@l, D.o.rothy E. Andef @Co "i@ Programs M.p.H. mmun son, Evaluation @Bruce Barnhill, B.A.@ Marlene Checel, M.P.H. Inter-Agency Activities Community Programs Elias Chico Jane Z. Cohen, B.A. Community Programs Kay D. Fuller, R.N. Nursing Health Data Leon C. Hauck, M.P.H. J ohn S. Lloyd, Ph.D. Evaluation communications Elsie M. McGuff Clyde E. Madden, A.C.S.W. Social Work Robert E. Randle, M.D. Continuing Education Gail M. White, M.A. CAncer Planning Cominiffee Chairmen Chester A. Rude Area Advisory Group Cancer Lewis W. Guiss, M.D. ZE George C. Griffith, M.D. Ca Cardiac g Education Phil R. Manning, M.D. con tinuin C.2 Lu 4) = . " D; Health Services Delivery Martin 'D. Shickman, M.D. Henr B.- Dunlap, M.P,.H. Hospital Administrators y ID tu CZ cr U. C2 r= Librar S John M. Connor. M.A. Ca CD eivices. @Fotine O'Connor, R.N. Nursing obert H. P Stroke udenz, M..D. Systems & Computers Lee D. Cady, M.D. Solomon, A.C.S.@ Social workers Dr. Barbara