KIDNEY DISEASE Budget Summary 1971. 1972 Pos. Amount Pos. luiiount + or - Direct Operations ....... 38 $4,096,000 33 $4,118,000 +22,000 P.IIP Grants (Est.) ....... -- 1,600,000 -- 1,600,000 -- Total., ............. 38 5,696,000 3@ 5,718,000 +22,000 Program Goals - 1972 Initiate steps on a long-range program to develop an interrelated i ney program to provide therapy for the best medical candidates, 8,000 to 10,000 persons annually. Program operates through award of project contracts to hospitals, medical schools, and research firms and'through grants to Regional Medical Programs. Contracts and Grants (Estimated) 1971 1972 No. Amount No. Amount Home training for Kidney Hemodialysis Centers ........ 12 1/ $2,360,000 12 $2,000,000 Kidney organ procurement projects .................... 7 230,000 -- Model regional integrated dialysis .................... -- 2 i,ooo,ooo Limited care dialysis projects 3 280,QOO 3 150,000 Other major areas ............. /A 500,000 NIA 250,000 Subtotal ................ N/A 3,370,000 N/A 3,400,000 Regional Medical Program Grants (Several project activities ..... I ........... N/A 1,600,000 N/A 600,000 Total ......................... NIA 4,970,000 NIA 5,000,000 I/ Nearly 650 patients have been accepted into these training programs and 350 have graduated to home dialysis. 4/27/71 AwAlt4,r REGIONAL MEDICAL PROGRAMS INCREASE OR REGION 1970 AWARDS. 1971 ESTIMATED AWARDS DECREASE OVER 1970 1. Alabama $1,148,266 $ @50,338 197,928 2. Albany 1,534,208 947,064 587,144 3. Arkansas 983,127 1,246,095 + 262,968 4. Arizona 1,079,200 825,333 7. 253,867 5. Bi-State 1,012,307 683,245 - 329,062 6. California 1,742,652 6,367,329 + 4,624,677 7. Central New York 45,039 524,683 + 479,644 8. Colorad6/Wyoming 1,336,738 1,070,594 - 266,144 9. Connecticut 1,197,354 1,297,148 + 99,794 LO. Plorida 1,756,986 1,264,660 - 492,326 Ll. Georgia 87,270 1,648,717 + 1,561,447 L2. Greater Del. Valley 2,500,033 1,648,722 851,311 L3. Hawaii 914,701 922,436 + 7,735 -4. Illinois 2,216,969 1,189 849 - 1,027,120 '@5. Indiana 1,632,990 1)017,460 - 615,530 L6. Intermountain 3,562,599 2,266,344 - 1,296,255 L7. Iowa 1,144,663 631,133 - 513,530 [.8. Kansas 58,516 1,186,444 + 1)127,928 L9. Louisiana 1,144,180 589,868 - 554,31.2 !O. Maine 453,406 788,280 + 334,874 !I. Maryland 2,325,944 1,860,838 - 465,106 - 438,458 Memphis 1 301 %ill 862,653 - 270,662 Metro. D.C. 1:431,784 1,161,122 - Metro. New York 3,210,923 2,264,843 946,080 !5. Michigan 2,737,658 1,210,870 - 1,526,788 !6. Mississippi 1,811,387 1,172,709 - 638,678 !7. Missouri 4,714,646 2,177,722 - 2,536,924 t8. Mountain States 1,959,224 1,338,902 - 6202322 !9. Nassau/Suffolk 378,263 794,494 + 416,231 @0. Nebraska/S. Dakota 1$162,224 530,861 - 631,363 @l. New Jersey 1,362,417 1,202,654 - 159,763 12. New Mexico --- 1,029,105 + 1,029,105 @3. North Carolina 2,275,014 1,521,957 - 753,057 -- - .72,366 @4. North Dakota 361,371 289,005 - @5. Northeastern Ohio 737,607 702,670 34,937 @6. N. New England 313,788 550,895 + 237@107 @7. Northlands 1,492,265 1,089,061 - 403,204 @8. Northwest Ohio 1,545,276 880,436 - 664,840 @9. Ohio State 422,606 690,463 + 267,857 @0. Ohio Valley 1,141,193 961,542 - 179,651 @l. Oklahoma 1,413,974 912,416 - 5012558 @2. Oregon 8881385 718,706 - 169,679 @3. Puerto Rico 1$070,577 949,424 - 121,153@ @4. Rochester 939,674 611$465 - 328,209 @5. South Carolina 1,234,457 1,187,637 - 462820 *(Comparable to State Tables) 2 INCREASE OR REGION 1970 AWARDS 1971 ESTIMATED AWARDS DECREASE OVER 1970 @6. Susquehanna Valley $ 702,280 $ 530,738 171,542 @7. Tennessee Mid-South 2,668,969 2,131,769 537,200 @8. Texas 2,805,538 l@,617,393 1,188,145 [9. Tri-State 1,587,046 1,705,159 + 118,113 i0. Virginia .696,633 734,765 + 38,132 01. Washington/Alaska 2,035,610 1,533,884 - 501,726 '02. West Virginia 447p9O5 452,152 + 4,247 @3. Western New York 11,271,728 856,815 - 414,913 @4. Western Penna.! 2,359,490 1,000,846 - 1)358, @5. Wisconsin 1,843,868 1,041@582 - 802$286 Subtotals $78,202,039 $65,343,295 -$12,858,744 Additional funds to be awarded in FY 1971 are: South Dakota. 499,194 + 499,194 Nebraska 605,350 + 605,350 Totals $66,447,839 -$11,754,200 4/27/71 @u tV i4 REGIONAL MEDICAL PROGRAMS TOTAL 1971 INCREASE OR DECREASE ESTIMATE BEFORE, OVER ORIGINAL 1971 REGION CUTBACK* 1971 ESTIMATED LEVEL* ESTIMATE 1. Alabama $1$079,930 $ 950,338 -$ 129,592 2. Albany 1 272,344 1,1243,505 - 147,839 3. Arkansas 1,478,774 1$359,077 - 119,697 4. Arizona 991,275 872 ' 322 - 118,953 5. Bi-State 1,250,259 1,,137,632 - 112,627 6. California 9,193,266 8,160,249 -1,033,017 7. Central New York 1,012$270 895,629 - 116,641 8. Colorado/Wyoming 1 270,740 13,122,947 - 147,793 9. Connecticut 1:735,546 , 527,281 - 208,265 .0. Florida 1,664,429 1)464,539 - 199,890 .1. Georgia 2,245,863 1,976,359 - 269,504 ,2. Greater Del. Valley 2,775,914 2,442,803 - 333,111 .3. Hawaii 1,071,198 945,832 - 125,366. ,4. Illinois 1,845,542 1,624,077 - 221,465 .5. Indiana 1 448,302 1,274,506 - 173,796 .6. Intermountain 3:274,768 2,881,795 - 392,973 .7. Iowa 858,568 755,539 - 103,029 @8. Kansas 2,120,413 1,901,602 - 218,811 .9. Louisiana 686,116 603,782 - '82,334 10 aine 906,463 798,973 - 107,490 liiwaryland 2,493,044 2,193,879 - 299,165 ,2. Memphis 1,371,896 1,207,268 - 164,628 :3. Metro. D.C. 1,381,957 1 216,122 - 165,835 '4. Metro. New York 3,008,496 2:647,477 -. 361,019, :5. Michigan 1,900,983 1,672,865 - 2281118 :6. Mississippi 1,332,624 1,172,709 - 159,915 '7. Missouri 2,177,722 - 265,077 '8. Mountain States 1,978,763 1,741,311 - 237,452 :9. Nassau/Suffolk 838,061 794,494 - 43,567 @0. Nebraska/S. Dakota 603,251 530,861 - 72,390 11. New Jersey 1,366,680 11 202,654 - 164)026 1 508,116 p - 12. New Mexico ,347,932 160,184 13. North Carolina 1:864,942 1,713,568 - 151,374. 14. North Dakota 348,170 .308,905 - 39,265 15. Northeastern Ohio 838,940 738,268 - 100,672 16. N. New England 910,109 800,895 - 109,214 17. Northlands 1,421,255 1,250,705 - 170,550 18. Northwest Ohio 1,000,496 880,436 - 120,060 19. Ohio State 786,696 692,293 - 94,403 ,O. Ohio VAlley 1,343,014 1,185)638 - 157,376 .1. Oklahoma 1,036,838 912,416 - 124,422 @2. Oregon- 932,477 885,463 - 47,014 .3. Puerto Rico 1,078,892 949,424 - 129,468 @4. Rochester 694,839 611,465 - 83,374 @5 outh Carolina 1,623,228 1,459,143 - 164,085 REGIONAL MEDICAL PR(idRAMS TOTAL 1971 INCREASE OR DECREASE ESTIMATE BEFORE OVER ORIGINAL 1971 REGION CUTBACK* 1971 ESTIMATED LEVEL* ESTIMATE Susquehanna V. $ 670,930 $ 590,417 80,513 Tennessee Mid.S. 2,422,465 2,131,769 290,696 Texas 2,418,393 2,213,619 204,774 Tri-State 2,070,734 l@822 245 248,489 Virginia 834,961 734,765 100,196 Washington/Alaska 1,834,431 1,628,591 205,840 West Virginia 640,950 564,042 76,908 Western New York 1,325,428 1,166,332 159,096 Western Penna. 1,166,063 1,026,135 139,928 Wisconsin 1,402,026 11242,724 159,302 Subtotals: $87,074,927 $77,234,339 -$9,840,588 Additional funds to be awarded in FY 1971 are: South Dakota 499,194 + 499,194 Nebraska 605,350 + 605,350 Totals: $78,338,883 -$8,736,044 *Includes both Direct and Indirect costs. Estimates also include unobligated balances from 1970. 412 -7/-,) 112@ 1 @ -1 )@ @t @ '@7 / i /I /1 11 I/ I I- o April 27,@ 1971 SUMMARY EVALUATION EARMARKED FUNDS REGIONAL MEDICAL PROG@ SERVICE FY70 FY71 FY72 TOTAL OBLIGATIONAL BASE $58.5 mil. $87@ll. $87@il. TOTAL -LYALUATION TAP $S85,000 $870,010 $870,010 ---------------------------r----------------------------------------------------------------------- Department Share 146,250 217)505 102,505 f@, .9A Share none @17,505 @17PS05- - ---------------------------------------------------------------------------------- ---------------- RMPS Share 438,750 435,000 450,000 Obliaated (191,798) (435,000) (450,000) Balance (246,952) -0- -07 REGIONAL MEDICAL PROGRAMS SERVICE April 27, 1971 FY71 EVALUATION PROJ'E-CT,S Title Institution Purpose Funding Enformation Support System Harvard University To provide RMP coordinators info=.a- -$@75,000 .or Evaluation & Management tion on attitudes of health leaders, communication patterns, CHP, and other socio-poli-Lical factors necessary for program development, priority setting,. and evaluation.' Reporting System for Washington/Alaska Test a satellite information system 80,000 ;valuation for evaluation and compatibility with R\IPS and other RMPS. effect of Coronary Care Medical Care and To.assess the impact,of coronary care 85, Demonstration Activities Education Foundation, activities on sharina of resources )n Reaionalization Inc. (Tri-State and services and other reaionalization C, patterns. -',valuation Conference Ws To acquaint and share among P,,14P coor- 20,000 dinators and evaluators with new and existing concepts and methods for evalu- ation. short-term Trainina U. of Illinois To provide seminars ahd workshops for 75,000 )f Evaluators IW evaluators and staffs on evalua- tion tec@iques. ---------------------------------------------------------------------------------------------------------------- ,valuation of Heart Inter-society Com- To evaluate the utilization, acceptance, 130,000 Guidelines mission on Heart and understanding of Guidelines and (To be funded, Disease develop a plan to evaluate their from FY72 funds) impact on health care.