B&B ImFoRmA,,riom 300 Notice D=st=L-B SOULXVARD Ulosoca Z077Z 0 USA 0 C301) 24@l II c RMP Arkansas RM 000 52 JULY/AUGUST REVIEW CYCLE Application; The Arkansas May 1 application was recommended for approval in the reduced amount of $1,500,000 by the NAC. The funding level was set at $1,425,255. In addition, $100,000 was awarded for the arthritis proposal (#95). The July I application request is for $816,563. If approved in its entirety, funding would remain approximately $30,000 under the targeted figure of $2,272,958. Eighteen new proposals are included in the package-. Six deal with improving access to primary care services for the medically underaerved population (objective 1) #97, 98, 99, 100, 101 & 102. Three deal with coordination and/or sharing expensive secondary and tertiary patient care rd-gources and services (objective #2) #'s 103, 104 & 105. Nine deal with the development of improved health delivery systems and sharing of scarce resources (objective #3) #'s 106 through 113. Major concerns of staffing have been rectified. The evaluation section has-completed its personnel complement by hiring one additional evaluator (3) and three additional monitors (4). M.D. coverage will be available on a 100% basis. No problems with CHP. MCO 7/15/74 CV) CO cn LO ko Lral cn CII) m ci U-) m w m C,4 m C) 00 C> cu I CY) cr) 00 U-) cn I , c-.i c%i to c-,i c) cn C:) ce) u) C:) oc) I 00 cli c::) CNJ ko LO cli ' ' I c; Lc; W; ts C4 C4 001- 4. 1 C,7 CT:, C',i LL ); LC) cli, 0; 0; ci ci c) cn -) 00 C=) r- LO u cc) U-) Ch. 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J z z tu 0 C3 pq i > Lu > > > cc u, 3c -C LU ul In ui Ge w u -i C) c, Ui 9L IL 2: C3 m It 10 ol ol 0- 01 o, C) o o c> o z LU 0 9L z te z j 4j LL :.z Co RMP ARW4SAS RM 000 52 MAY/JUNE 1974 REVIEW Request: $1,830,751 Committee Recommendation: $1,500,000... overall Assessment by Individual Reviewers: The primary and secondary reviewers rated the overall assessment of the Program as average at this point in time. Critique: .This Region had been-considered above average while it was under the direction of Dr. Charles Silverblatt. However, Dr. Silverblatt resigned in February 1974. Reviewers were concerned that the present staff would not be able to significantly expand the Program beyond the current. dollar level of operation. The Search Committee has not yet recommended a replacement for the Coordinator but has appointed Mr. Roger Warner in an acting capacity. (Mr. Warner is one of the four candidates being .considered.) He has been with the Program for four years and has demonstrated expertise in the monitoring and evaluation aspects of the Program. The RA'u remains intact with relatively little turnover. Relations with the CHP, the Grantee, the Arkansas Health Systems Foundation (EHSDS.Program) and the other health provider institutions appeared to be most satisfactory. I Programmatic thrusts covering the 10 identified "umbrella activities" were considered ambitious. Several new project proposals such as sickle cell, audiology and stroke rehabilitation were questioned as to the possibility of obtaining impact in a one-year period. Twelve other- new project proposals were included in the application. A clear evaluation protocol was not included in the application. More information in this area is to be expected in the July 1 application. Also, a clearer staffing pattern is e-xpected in the next application. JULY/AUGUST REVIEW: Estimated request as of May 1974: $800,000 MCO 6/4/74 NATIONAL ADVISORY COUNCIL - June 13-14, 1974 Council concurred with Committee recommendation. DRMP funding decision - $ 1,425,255 MCO 7/2/74