14 * A R E A -vv s ne. August 26, 1971 vol. 3 n 0. 13 ES? NEW WINE, NEW BOTTL M.D. , Area Coordinator By Donald W. Petit, tin , Regional Medical Progra 's was pri- In July, 1967, when AREA@V began opera o m marily concerned with categorical diseases and with continuing education as a method for improving the care of patients with certain diseases. An organization was formed around that concept by creating committees with expertise in a variety of areas: categorical diseases (Cardiac, Cancer, Stroke and Chronic Disease Committees" disciplines (Nursing, Hospital Administrators, Social Workers Advisory Committees) and technical knowledge (Systems and Computersi Library Committees). The method was the appointment of known experts in AREA V to be Chairmen, who would then gather around them the necessary volunteers to constitute the committees. Support for the committees was provided by the appointment of. an inter-disciplinary core staff.- With the new focus in Regional Medical Programs on health manpower and health care delivery, the present committee structure no longer seems appropriate and, with the assistance and advice of ad hoc committees composed of members of the staff, corr.-- mittees and the Area Advisory Group, we are proposing some changes in structure: Former Committee Chairmen and certain new individuals will now form a group to be known as the Professional Advisory Group, which will have the specific functions of 'rd s n a VI I g the rdinator nd directions; the development of Task Forces and their evaluation,- the development and definition of the role of Consult- ing Panels; priorities of staff activities; the role of staff in response to changes in objectives from CCRMP and RMPS;, the'establishment of individual responsibilities of qroup'members of particular Task Forces; the prior review of proposal. applications that are to be submitted to the Area Advisory Group. One of the more significant changes being made is in the function of the Consulting Panel Chairmen who Will act as an advisory group in monitoring all activities of the staff. This will enable a much more effective use of interdisciplinary approaches to the various programs and activities ongoing and being planned for the area. (continued) Consultin q Panels will be composed of 10-15 volunteers representing various interests quired to give advice to the Coordinator and e*pertise and will be called upon as re and staff on projects related to their field of knowledge and to aid in the develop- ment of priorities, activities and tasks which are undertaken by AREA V. When a task has been selected for development, it will be undertaken by a Task Force "made up of appropriate members of core staff, of the Professional Advisory Group, of the Consulting Panels, and others as needed. A task might be described as an activity with a defined objective, plus a set period of time for achievement. An organizational chart of the new structure shows the relationship of the components: California Con ittee on ram@ fessional rou Task Force@ The names of the new appointees to the Pr6fessional Group, and the names of those who will serve on the Consulting Panels will be announced very shortly. These organizational changes are designed to allow AREA V to work more flexibly in the development of Area Health Education Centers, and the assigned role of RMP d,the m in development of quality of.care standards an onitoring of the performance of HMO'S. It will enable us to carry on with certain categorical projects that AREA V has under- way as wel I as. the development of new projects related to the broader areas of health manpower and health care delivery. DEVELOPMENTAL COMPONENT FUNDING... of $284,491 (direct,and indirect costs) was approved by the California Committee on @RMP at its regular meeting on August.11. The Developmental Component Committee met three times to establish procedures, review proposals, and winnow the 35 appli- cations down to the 15 recommended, 6 of which are concerned with Health Manpower and 9 with Health Service Delivery: A REA REQUESTED FUNDED I Change: A Pilot Project with a Hospitol-Based Population 22,056 17,700 ,III Rural Health Care Center in San Bdnito County 28,684 20,200 Guadalupe Health Center, Daly City 23,217 16,350 IV Extending Health Care Services to Remote Indian Facilities 14i, 978 14,978 Analysis of Health Manpower Needs 25,025 25,025 West Fresno Health Council Planning and Service Devet6pment 27,600 27,600 Utilization of Hospital Discharge Study in Health Care Planning 8,220 1,500 Santa Maria-Guadalupe Continuity of Care System 9r476 9,476 A proposal for the Development of a Mobile Emer- gency adical Care System for Long Beach 14,4.12 14,412 SMA* Health Care Services Evaluation in Urban Ghettos 311005 31,005 VI Action: Minority Students in Health Careers 17,688 17,688 Telemed -- A Personal Health Education Project 24,475 24,475 Continuous Progress Curricula 17,135 17,135 Corpsmen and Improved Training and Certification 9,700 9,700 Consortium: Education of Health Manpower 19,633 19,633 *Golden State Medical Association It was the DeveloIpmental'Component Comm'ittee's decision that two of the AREA V applications, which dealt with the drug problem (Los Angeles Community Liaison Association and Veterans Drug Treatment Program) were inappropriateactivities forl this type of funding. , It is hoped that AREA V will be invited to revise and re-submit its othe r two projects (Core Curriculum for Health Careers le Model for the .- and Ro Nurse Practitioner) for the next funding cycle in December. Applications for the next cycle must be in the CCRMP office by November 1, 1971. 3 Area V 92ff Donald W, Petit, M.D. Area Coordinator William A. tkfkey, M.S. Deputy Coordina or gram@@, Dorothy E. Anderson, M.P.H. Community Pro Marlene Checel, M.P.H. Inter-Agency Activities Elias Chico Community Programs Jane Z. Cohen, B.A. community Programs Kay D. Fullet, R.N. Nursing Leon C. Hauck, M.P.H. Health Data Evaluation J ohn S. Lloyd, Ph.D. Elsie M. McGuff communications Clyde E. Madden, A.C.S.W. Soci a I Work Robert E. Randle, M.D. continuing Education Gail M. White, M.A. Cancer Planning rommittes Chairmen Area Advisory Group Chester A. Rude Lewis W. Guiss, M.D@ Cancer Cardiac George C. Griffith, M.D. C2 -Z Continuing Education Phil R. Manning, M.D. cn 40 0) 0 Hospital Administrators Henry B. Dunlap, M.P.H. tA John M. Connor, M.A. Library Services 4* CD Nursing ine O'Connor, R.N. C2 r= 9 Fot C* CD m -a :S E 10 -C ui Robert H. Pudenz, M.D. Stroke C9 C* Systems & Computers Lee D. Cady, M.D. Social Workers Dr. Barbara Solomon, A.C.' FACULTY - Continued CONFERENCE SM AR TT, Wa I ter,M.D.,C@ief, Vener ea IDiseaseContro IDivi- si(irt, Cointy of Los Angeles Health Departri)er)t, Los Ange- ON les, California. ST. GEME, Joseph, Jr., M,D., Professor and Head, Depart- r'nent of Pediatrics, Harbor General Hospital-UCLA School of Medicine, Torrance, California. T@IRUPP, Lauri D., M.D., Associate Professor of Medicine, INFECTIONS @-lead of Division of Infectious Disease, College of Medicine, tjr@ivcrsity of California, Irvine, California. WANNER, Rudolf G., M.D., fledical Training Officer,Train- A CONTEMPORARY PROBLEM ing Program, CDC, Atlanta, Georgia. WEHRLE, Paul F., M.D., Hastings Professor of Pediatrics, University of Southern California, and Chief Physician, Chil- dren's Division, Los Angeles County-University of Southern California Medical Center, Los Angeles, California. WILLIAMS, Russell B., Vice-President and Executive Direc- tor, 1-iuntington Memorial Hospital, Pasadena, California. OCTOBER 1 and 2, 1971 WRIGHT, James N., B.S., i-iospital Special Representative, Professional Liability, Farmers Insurance Group, Los Angeles, California. LOS ANGELES HILTON HOTEL 930 Wilshire Boulevard Los Angeles, California Co-Sponsored by ALIFORNIA NURSES'ASSOCIATION/CALIFORNIA LEAGUE FOR NURSING INFECTION CONTROL COMMITTEE COUNTY OF LOS ANGELES HEALTH DEPARTMENT HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA REGIONAL MEDICAL PROGRAM, AREA IV REGIONAL MEDICAL PROGRAM, AREA V REGIONAL MEDICAL PROGRAM, AREA IX SOUTHERN CALIFORNIA PHARMACEUTICAL ASSOCIATION, LTD. SOUTHERN CALIFORNIA SOCIETY OF HOSPITAL PHARMACISTS TUBERCULOSIS AND RESPIRATORY DISEASE ASSOCIATION OF LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA GERONTOLOGY CENTER and U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION CENTER FOR DISEASE CONTROL ATLANTA, GEORGIA 30333 7D3082771 PROGRAM INFECTIONS - A CONTEMPORARY PROBLEM FRIDAY, OCTOBER 1, 1971 8:00 a.m. Registration 8:30 Welcome ................................................ Mary Ann Gunderson, R.N. 8:45 Infection, A Worldwide Problem ........................................ Dr. Paul Wehrle 9:15 Magnitude and Etiology of infection ...................................... Dr.Jay Sanford 10:15 Break 10:45 Do You Have a Legal Responsibility? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Joseph Saunders 11:15 Malpractice and Infections, Case Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . James Wright 11:45 Questions and Discussion 12:30 p.m. Lunch Speaker, "Administrative Aspects of Infection Control .. . . . . . . . . . . . . . . . . . . . . . . .Russell Williams 2:00-4:15 Concurrent Sessions 4:30 Social Hour with Buzz Sessions CONCURRENT SESSIONS L ENVIRONMENTAL ASPECTS OF INFECTION CONTROL 2:00 Solid Wastes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Harvey Kern 2:30 Air Conditioners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. John Brown 3@00 Use of Germicides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Sydney Finegold 3:30 Questions IL SURVEILLANCE SYSTEM FOR INFECTION CONTROL 2:00 Infection Control Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Elia Castronova 2:30 Surveillance Systems and Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Grace Emori, R.N. 3-@00 Antibiotic Resistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Kenneth Horowit- 3:40 Questions IIL LAMINAR AIR FLOWSYSTEMS 2:00 Vertical Laminar Air Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Boyd Agnew 2:30 Laminar Air Flow in the Operating Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Doris Porter, R.N. 3@00 Laminar Air Flow in the Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Marshall Gilston 3:30 Laminar Air Flow in the Communicable Disease Unit . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Joseph St. Game 4:00 Questions SATURDAY, OCTOBER 2,1971 8:00 a.m. Information Desk Opens 8:30 Organisms Most Frequently Involved in Hospitinfecti,4nPand Health Department Management of Communicable Disease Patients . . . . . . . . . . . . . . . . . . . . .Dr. John Leedom 9:30 Organisms Involved in Community Health Venereal Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . .Dr. Walter Smartt Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rose Schlicter, R.N. 10:30 Break 11:00 Viruses Involved in Hospital Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Bernard Portnoy 11:45 Questions 12:30 p.m. Lunch 1:30-4:00 Concurrent Sessions 4:00 Adiourn CONCURRENT SESSIO /. CLINICAL ASPECTS 1:30 Urinary Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Lauri Thrupp 2:00 Tracheostomy Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marguerite Hendershott, R.N. 2:30 Intravenous Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bernadette Knoke, R.N. 3:00 Inhalation Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paul Powers 3:30 Questions //. EPIDEMIOLOGICAL ASPECTS 1:30 Investigation of Hospital Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr. Rudolf Wanner 2:15 Role of the Environmentalist and Laboratory ( Public Health and Hospital) in Hospital I nf actions Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .George Mallison 3:00 Joint Commission Standards for I nf action Control . . . . . . . . . . . . . . . . . . . . . . . . Helen Benedikter, R.N. 3-45 Questions A CONFERENCE DESIGNED FOR: REGISTRATION FORM Please mail check for $18.00 per person payable to oPhysicians the TB and RD Association, and this application form oNurses to: oPharmacists The Tuberculosis and Respiratory Disease 0Inhalation Therapists Association of Los Angeles County oLaboratory Personnel Attention: Rose Schlicter *Community Health Personnel 1670 Beverly Boulevard oHospital and Nursing Home Administrators Los Angeles, California 90026 oHospital Engineers and Housekeeping Maintenance oMedical and Paramedical Faculty Members Deadline for registration is September 22, 1971. PURPOSE: NAME To acquaint the audience with the magnitude and MAILING ADDRESS complexity of the existing problems 0To present principles and methods for surveillance, zip prevention, and control of infections oTo motivate participants to strengthen infection POSITION control programs already existing within their institutions and to initiate new programs designed ORGANIZATION to deal more effectively with infections REGISTRATION FEE: NAME o $18.00(includeslunchFridayandSaturday,coffee MAILING ADDRESS and social hour) ZIP GENERAL INFORMATION: POSITION 0Application has been made for credit toward the Physician's Recognition Award of the American ORGANIZATION Medical Association 0A reference material package compiled and sup- plied by the Center for Disease Control, Public Health Service, Atlanta, Georgia, will be given to NAME the participants at no cost 9Hotel reservations should be made early, at lodg- MAILING ADDRESS ings of your choice. oEnrollment will be by pre-registration on the at- ZI tached form and will be limited to 400 persons. 0Enrollment will be acknowledged by mail prior to POSITION the conference. 9Deadline for registration is September 22, 1971 ORGANIZATION 0For further information call the Tuberculosis and If meat-free meals preferred, please indicate number of persons Respiratory Disease Association of Los Angeles FACULTY PLANNING COMMITTEE AGNEW, Boyd, President, Agnew-Higgins, Inc., Garden CHAIRMAN, @Grove, California. MARY ANN GUNDERSON, R.N., Director, Nursing Service, Barlow Sanatorium and Hospital, Los Angeles. BENEDIKTER, Helen, R.N., Director of Nursing, Long Beac Community Hospital, Long Beach, California. BROWN, John, M.D., Medical Consultant, Bureau of Licens- MEMBERS: ing and Certification, State Department of Public Health, Sacramento, California. JACK BAMBERG, R.S.. Supervisor, Health Facilities Services Division, County of Los Angeles Health Department. CASTRONOVA, Elia A., M.D., Co-Director of Laboratory, Barlow Sanatorium, Los Angeles, California. WILLIAM BURKE, M.D., District Health Officer, Hollywood- Wilshire Health District, County of Los Angeles Health De- EMORI, T. Grace, R.N., Nurse Epidemiologist, Loma Linda partment. University Medical Center, Loma Linda, California. GENEVA CLYMER, R.N., Director of Nursing, Hospital of FINEGOLD, Sydney M., M.D., Chief, Infectious Disease Sec- the Good Samaritan, Los Angeles. tion, Wadsworth General Hospital Veterans Administration, Los Angeles, California. ELEANOR FINLAYSON, R.N., Public Health Nursing Con- sultant, Acute Communicable Disease Control Division, Coun- GILSTON, Marshall, Pharm. D., Clinical Pharmacist, City o ty of Los Angeles Health Department. Hope Medical Center, Duarte, California. ALICE GRANT, R.N.. Public Health Nursing Consultant, HENDERSHOTT, Marguerite B., R.N., A.R.I.T., Supervisor, Health Facilities Services Division, County of Los Angeles Inhalation Therapy Departmen t' The Hospital of the Good Health Department Samaritan Medical Center, Los Angeles, California. ICHIRO KAMEJ, M.D., Chief, Acute Communicable Disease HOROWITZ, Kenneth N., Pharm. D., Senior Pharmacist, Control Division, County of Los Angeles Health Department. Satellite Pharmacy Service, Orange County Medical Center, Orange, California. ANN PAES, R.N., Public Health Nursing Consultant, County of Los Angeles Health Department. KERN, Harvey D., R.S., M.S., Senior Sanitarian, Health Fa- cilities Services Division, County of Los Angeles Health De- ROSE SCHLICTER, R.N., Director, Professional Education partment, Los Angeles, California. Services, Tuberculosis and Respiratory Disease Association, Los Angeles County. KNOKE, Bernadette, R.N., Clinical Nurse, Hematology De- partment, City of Hope Medical Center, Duarte, California. EVA STIMPSON, R.N., Public Health Nursing Consultant, Chronic Disease Control Division, County of Los Angeles LEEDOM, John M., M.D., Attending Physician, Medicine and Health Department. Communicable Diseases, Los Angeles County-University of RUDOLF WANNER, M.D., Medical Training Officer, Center Southern California Medical Center, Los Angeles, California. for Disease Control, Atlanta, Georgia. MALLISON, George F., M.P.H., Chief, Microbiological Con- trol Section, Epidemiology Program, CDC, Atlanta, Georgia. PORTER, Doris, R.N., Operating Room Supervisor, Hospital of the Good Samaritan, Los Angeles, California. PORTNOY, Bernard, M.D., Assistant Medical Director, Grade 11, Los Ange les County-University of Southern California Medical Center, Los Angeles, Calfiornia. POWERS, Paul, A.R.I.T., Assistant Supervisor, Inhalation Therapy Department, White Me morial Hospital, Los Angeles, California. SANFORD, Jay Phillip, M.D., Professor of Internal Medicine, The University of Texas Southwest Medical School, Dallas, Texas. SAUNDERS, Joseph A., J.D., Attorney, Musick, Peeler and Garrett, Los Angeles, California. SCHLICTER. Rose, R.N., Director, Professional Education Services, Tuberculosis and Respiratory Disease Association of Los Angeles County, Los Angeles, California.