B&B INFORmikriom ImAj3E MAkmAk=MMENT 300 Voodoo MmitOL"n wou ^MD upoomen M,&NLBO$tog P4^wy"*40 Z077Z 0 USA 0 tzol) 24@l 10 CALIFORNIA COMMITTEE ON REGIONAL MEDICAL PROGRAY@ RM 00019 JULY/AUGUST 1974 REVIEW Application: This application requests $5,592,215 for the period, 9/l/74 - 8/31/75 for support of 83 projects which were developed around six program goals. Of the 83 projects, 61 are new, ($4,251,519) and.22'are requests for continued supporV ($1,340,696). The specific amounts for the six program areas are as follows: Program Element Number of Proiects Amount Requested High Blood Pressure 25* $1,569,931 Health Manpower 6** 489,787 Quality Assurance 2* 156,453 Kidney Disease 13*** 538,681 Access to Care 36* 2,729,033 EMS J** 108,330 TOTAL 83 @@5,592,215 (12 mos. request) (10 mos. request) (6 projects request 12 mos. 7 projects request 7 mos.) The@CBP comments received by CCRNP were so numerous they were sent on a 312 page appendix to the application. As of LTune 20, comments on 57 projects had been received from 12 CHP agencies. According to CCRMP, "In a few cases, there are unresolved issues between project applicants and a local CBP agency which the RAC has instruct- ed the staff to mediate prior to funding of projects in September. In each case, where comments have been received, approved projects have been found to be in accordance with the the area wide agency's plans, goals and objectives." OMY COMMITTEE RECOMMENDATION Critique: WO/DRMP 7/16/74 F-4 tn OD r- tn co r-i tn tn 'IO rq tD C,4 r-i r-i C)O r- cn Ca C,4 0 r-i r-i p tD C4 C:) E-4 ce) E-4 0 CC) C)N %D fn r4 in r- 0 r4 r-I C't %D CY) cn tn C%i LO to C) r4 r4 400 CV) cn a C%i CY r4 rq (D in 0 C) to in C4 tn C) C4 r- r4 I co le C3 CD (n co C) 0 -H r- (D 4m 0 C4 1 Cd CQ ko cn 0% C4 rq to rq I co r- to m 43 m fd r4 0) 14 > $4 41 43 14 P4 P4 0 43 0 fl4 P4 44 a ri Ck a (d 9 r. 0 (1) (d $4 r. 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Based on an analysis of the application alone, the reviewers noted-that program activities had been developed around six program goals with priorities defined by the RAG. The staff appeared strong and very active in program development. The RAG seemed to be'a stable group which depended on the well- developed review process and three special committees. The RMP has a good track record regarding continuation o@ activi- ties after grant-support is ended. The reviewers were uncertain about CEP relations and hadlquest- ions about the effect of the closing of area offices andlthe elimination of the area advisory groups. Staff who had recently spent considerable time in California, studying the review process and CHP relations, explained that relations with most of the - CHP (b) agencies were good but very strained in the Bay Area and San Diego. The staff also e@lained the long history of the area offices and the fact that the DHEW audit recommendation was to reduce'the number and improve relationships with central office. Previous site visit teams had also stressed the importance of stronger central direction which is possible under the present organization. Panel B at first recommended that the application be approved at the requested level- However, in its review of actions on 25 RMPs changed the recommendation to approval at the-reduced level of $7,353,000. The Committee concurred. JMY/AUGUST REVIEW: Estimated request as of May 1974 $5,829,533 NATIONAL ADVISORY COITNCIL - June 13 -14, 1974 Council concurred with Committee recommendation. DP,IIP FUNDING DECISION $6,986,344