B&B ImFoRmikriom & im^af- MAM^=EMENT 300 @tm=r. M=nuclln MOULXVAMD Ulainest MARLMORM, MAO. 040 US^ 0 (20 1) 249.01 1 0 Octol)er 1970 BRIEF SUMMARY OF AUTO'@@kTED F-EALTH TESTING - IIULTIPHASIC SCREENING ACTIVITIES SUPPORTED BY @FPS At the present time, RMPS supports ten major AMHT-MPS projects. In general these projects use some automated testing equipment, allied health personnel and computers to acquire health data including medical histories, laboratory data and physiologic measurements. Most projects are either part of or closely related to programs for the deliverv of primary care to the medically underprivileged. OEO and Model City neighborhood health centers and 314e clinics are often major sources of patients. Training and employing the underprivileged as a paramedical personnel, the projects attempt to supply to those who deliver care a comprehensive data base from which diagnosis can be made by physicians and treatment initiated and continued. The projects focus heavily on the early detection and prevention of heart disease, cancer, stroke, pulmonary and kidney disease, diabetes and related diseases. Results indicate that approximately 50% of those patients screened have signifi- .cant medical abnormalities. Many of these projects are becoming excellent examples of optimal utilization of funds and resources. Not only do they serve as centers of service and teaching but also as centers of research. Their investi- gations include studies of attitudes and behavior of health providers and patients, utilization of health facilities, clinical epidemiology and other problems of the organization and delivery of health care services. Most projects serve as demonstration and consultation centers which assist others in the Regions in the development of strategies to improve the acquisition of patient data and the organization of future health delivery systems. The Op@rations Research-Systems Analysis Branch of RMPS has served asa consultation resource to at least 20 Regions which are involved in or planning AMHT-MPS activity. This assistance has taken the form of referral to IIPS centers of excellence, planning of projects, correspondence, office and telephonic consultations, visits, development of evaluation protocols and the establishment of liPS committees in Regions. In addition in a number of Regions our consultation has helped to stimulate regional conferences on the role of Alff-IT-i4PS in improving health care delivery. This consultation has paid dividends in the improvement of project proposals, and in the general education of core staffs and project applicants regarding improved methods of patient data acquisition,., optimal use of health facilities, the organization of health care systems and the systems approach to the solution' of health problems, and the short cutting of the planning process. 2 At the present time approximately 8 Regions are actively planning or have submitted project proposals to establish AI-IHT-@IPS centers. Appended is a list of the locations, Regions and present funding of AMHT-MPS projects supported by -@it:R. Mark,L"@M.D. Mars@ J. Keyes, M.D. Fr.i-n ip Chief, Operations Research and Multiphasic Screening Consultant Systems Analysis Branch Operations Research and Systems Analysis Branch PROJECT FUNDING FOR PRESENT OPERATIONAL YEAR Palo Alto, California $ 91,000 Regional Medical Program San Joaquin Valley, California 186,700 Regional Medical Program Gainsville, Florida 179,200 Regional Medical Program Indianapolis, Indiana 265,000 Regional Medical Program Baltimore, Maryland (2 pediatric projects) 101,000 Regional Medical Program Nashville, Tennessee 6043,500 Mid-South Regional Medical Program Memphis, Tennessee 269,500 Memphis Regional Medical Program Northeast, Mississippi 312,600 Memphis Regional Medical Program Rochester, New York 259,900 Rochester Regional Medical Program Salt Lake City, Utah 389,000 Intermountain Regional Medical Program Richmond, Virginia approved but unfunded Virginia Regional Medical Program