*EOO 1031 *




           EXHIBIT 5






                                               PPOCIIAM EVALUATION



                                                 Panel.  Discussion


                                                 Monday  8:00  a.m.
                                                 January  20,  1975



                   Moderator:


                        Gordon R. Engebretson, Ph.D.
                        Deputy Director, Florida RMP
                        Telephone:    813/253-0931
                        Member: Program Accountability Reporting
                              A cooperative group  from  the  RNP's
                              formed to develop national descriptive and
                              evaluative information about rNMP programs.


                   Participants-.

                        0. Lynn Deniston, M.P.H.
                        Program in Health Behavior, SPH 2
                        University of Michigan
                        Telephone:  313/764-9494
                              Evaluation of Michigan program, and others

                        Evelyn V. Hess, M.D., F.A.C.P.
                        Professor of Medicine
                        University  of  Cincinnati  Medical  Center
                        Telephone:    513/872-4701
                              Developer ARA standard data program

                        Carl W. Schwartz
                        PIMA Health Systems
                        Telephone:  602/881-4770
                              Evaluation of Arizona program and others

                   This will.confim our telephone- conversations regarding the need for a
                   panel discussion on program evaluation  at  the  arthritis  con  erence  in
                   Kansas City, January 19 - 20.  The  panel  is  scheduled  on  the  enclosed
                   program for 8:00 a.m. Monday morning, January 20.  This timing is poor
                   with respect to the assistance with program evaluation factors which may
                   be needed in the Sunday workshops.  It is suitable, however, with respect
                   to the crucial conference workshops schedulled immediately after the
                   panel discussion.  The experiences you individually encounter on Sunday
                   may permit specific caimientary during  the  panel  discussion  with  regar
                   to substantive project  evaluation,  as  distinct  from  overall  arthritis
                   program evaluation, or assessment limits.-






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                  Background: The pressures under which  the  arthritis  grant  applications
                  were developed contributed to a generally poor response to  program  eval-
                  uation requirements. Lack of staff at DFI@01 prevents development of  this
                  program element.  The rapid phaseout of DR,"fP, and the transitory position
                  of the I,,',R"s makes foll-owup of arthritis program evaluation impossible.
                  A meeting last November with representatives of the organizations which
                  are sponsoring the conference resulted in consensus and  agreement  to
                  convene the conference, seek to assure that the experiences of  the  grant
                  program are documented, and reinforce the  evaluation/assessment  forces
                  which exist.

                  Panel Problems:  What scale or intensity of evaluation is appropriate
                  with regard to the various kinds of projects  being  undertaken?  What
                  scale, or intensity of assessment is appropriate with respect  to  the
                  total program, or identifiable segments of it? How  should  these  tasks
                  be accomplished?  What resources are available to undertake them?
                  How reasonable are the costs involved?

                  Commentary: I am enclosing for background two of  the  better  suggestions
                  for evaluation which were received in response to our call for  stigges-
                  tions last Fall (No. Carolina, and Colorado-14yoming). If any  of  you
                  have material which might be helpful to project and program  heads,  you
                  may wish to bring handouts (150 copies).  We will have reproduction
                  facilities at the conference, and the Kansas RMP will make  its  facili-
                  ties available if you cannot bring copies.