INIRNNPIIIII -- PROFILE: Colorado-Wyoming Regional Medical Program GRANTEE: University of Colorado Medical Center Program Coordinator: Paul R. Hildebrand, M.D. Program Director: Howard W. Doan,.M.D. Prepared by: James A. Smith Operations Officer Original date: September 1969 Up-dated: COLORADO-WYOMING Regional Medical Programs Table of Contents I. Geography II. Demography III. Politics IV. Historical Review V. Core Staff Vi. Organization VII. Funded operational Projects Appendix I. Geography A. The initial planning grant set the boundaries of the proposed region as co-terminal with those of the States of Colorado and Wyoming. The rationale for this proposal was that the University of Colorado Medical Center along with other referral facilities and health services of the greater Denver area serves as a nucleus for most of Colorado and Wyoming. However, since 90% of the population of the region resides in Colorado the boundaries of this sta te will be followed for data-gathering purposes. The adoption of political boundaries of the state of Colorado simplefiqs the collection of data and coordination of the Regional Medical Program with other state health programs. Another factor in this decision is that portions of the. state of Wyoming fall under the influence of three Regional Med- ical Programs: Intermountain, Mountain States and Colorado-Wyoming. Studies have shown that patient referral patterns in some.Wyom g communities reflect allegiance'to all three regions. B. Land area Square miles Population Number of Counties per sq. mi. Colorado: 97,400 17 63 Wyoming 104,006 3 @24 201,400 87 op Urg /i CQ 0 f % @,e/zo"v AIEW AIEX. L E G ENrl S COLOP,P%DO-WYOMIIG cm-@'ti'ESTERN INTERSTATE FOR HIGHER EDUCATION -IIASHINGTON-ORTGON h UTPH MEXICO ,41S-q)URI, OKLAHOilA, NEBRASRA A.'ID YANSAS it!t'ESOTA Demography A. Population: Colorado - Roughly million Wyoming - Roughly .3 million 1. Percent Urban: Colorado - 74% Wyoming - 57% 2. Race: Colorado - Roughly 97% white Wyoming - Roughly 98% white 3. Median Age: Colorado - 27.9 Wyoming - 27.3 B. Land Area: Colorado 97,400 square miles Wyoming 104,000 square miles C. Health statistics: Mortality rate 1. Rate for heart disease: Colorado - 285/100,000 Wyoming - 269/100,000 2. Rate for Cancer: Colorado - 114/100,000 Wyoming - 115/100,000 3. Rate for CNS vascular lesions: Colorado - 84/100,000 Wyoming - 84/100,000 D. Facilities statistics: 1. University of Colorado Medical School 2. In the state of Colorado, there are 3 nursing schools with a baccalaureate program, 4 with diploma programs and 5 giving associate degree programs. In the Wyoming area, there is one baccalaureate programs presented at the University of Wyoming, and two nursing schools with associate degree programs. 3. There are 13 schools of Medical Technology located in Colorado one of which is university based. In Wyoming there is one school of Medical Technology. 4. There is one cytotechnology facility located at the Univer- sity of Colorado Medical School. 5. There are 18 X-Ray Technology facilities located within this region, 16 of which are found in Colorado, all hospital based. 6. There is a total number of 92 hospitals in Colorado, the majority being non-Federal3. with 16,655 beds. In Wyoming, there are 34 hospitals, again the majority being non-Federal, with 3,982 beds. E. Personnel statistics: 1. There are 3,201 M.D.'s (176/100,000) and 240 D.O.'s (13/100,000) in the state of Colorado. In Wyoming, there are 322 M.D.'s (99/100,000) and 16 D.O.'s (5/lOOsOOO). 2. The number of active nurses in Colorado is 7,080 (389/100,000); in Wyoming, there are 1,082 active nurses (321/100,000). III. Politics A. Governor: Colorado: John A. Love (R), 1967-1971 Wyoming: Stanley K. Hathaway (R), 1967-1971 B. Senators: Colorado: Gordon L. Allott (R), 1954-1973 Member, Senate Appropriations Committee Peter H. Dominick (R), 1960-1975 Member, Senate Labor & Public Welfare Committee Member, Select Committee on Nutrition and Human Needs Wyoming: Gale W. McGee (D), 1958-1971 Member, Senate Appropriations Committee Clifford P. Hansen (R) " 1966-1973 Member, Special Committee on Aging C. Congressmen: Colorado: Frank E. Evans (D) Member, House Appropriations Committee IV. Historical Review October 1965 After conferring with Colorado Governor Love, Dr. John J. Conger, Dean of the University'of Colorado Medical School, proposes to the officers of the Colorado Medical Society that committees be established to explore development of a Regional Medical Program for Colorado, possibly to include Wyoming. 1965-1966 Dr. Conger appoints two ad hoc steering committees for this task. Members of the committees are assigned to five working subcommittees, one for each of the areas of heart disease, cancer, stroke, continuing education and community health. Dr. Conger appoints Dr. C. Wesley Eisele, Associate Dean for Postgraduate Medical Education, as regional coordinator. All hospitals in Colorado and Wyoming surveyed to determine present capabilities and programs and cooperative arrangements. September 1966 initial Planning Application 1. University of Colorado Medical Center designated as the applicant organization. 2. Initial regional boundaries to be conterminous with the state boundaries of Colorado and Wyoming with modifications later as more definitive data are gathered. 3. Preliminary planning concepts are for education and progressive program planning through: a. Improvement of the basic graduate facilities and processes throughout the region for all health personnel. b. Development of suitable administrative framework by which appropriate services can be delivered most effectively and efficiently. January 1967 01 Planning Award $297,678 DC Winter 1967 Progress and recruitment very slow with exception of PAS/MAP activity. January 1968 02 Planning Award - $297,678 DC Dr. Paul R. Hildebrand appointed Regional Coordinator; Dr. Howard Doan appointed Program Director. June 1968 02Sl award made for the expansion of existing facilities and capabilities of a pediatric pulmonary program at UCMC. July 1968 Request for supplemental funds of $133,973 deferred for site-visit. September 1968 Site Visit (Dr. W. D. Mayer, Dr. Mack Shanholtz, Dr. Robert Metcalf,,Martha Phillips, James Beattie). 1. Favorable impression of the Region's accomplishments to date. 2. Supplemental request should be considered jointly with the proposed operational appli- cation rather than a supplement to the current planning grant. 3. Approve supplemental planning funds for the month of December in order to bring on new personnel. January 1969 01 Operational award - $849,053 DC The Region proposes to spend 57% of this award on core staff and planning and 43% on seven approved projects. (8 submitted). Also in- cluded is one earmarked project in pediatric pulmonary diseases. June 1969 OlSl supplemental award - $127,801 DC. Funds awarded for support of two related continuing education projects. (4 submitted) July 196 9 Region submits 2nd supplemental request consisting of four projects. August 1969 Council action approves one project and defers three for site visit. October 1969 Site Visit - Dr. Samuel Proger, Dr. Kenneth B. Olsen, Elizabeth Fry (Research Assoc.) and William Reist (Grants Review Branch, DRNP). Site visitors recommended a reduction from the requested amount of $244,173 (first year) to $173,663 for the three projects. December 1969' Regions 3rd supplemental request reviewed by Council. January 1970 02S3 Supplemental Request for $259,873 Recommended for funding at $189,380 level. Region advised that funds for supplemental grant application could not be awarded because of present funding constraints. V Core Staff A. The core staff is located in the Regional Office at 4200 East Ninth Avenue, in Denver. B. The following is a list of the Core staff and their positions. Paul R. Hildebrand, M.D. Coordinator (100%) Howard W. Doan, M.D. - Program Director (100%) Ward Darley, M.D. - Special Consultant (10%) Rex D. Stubblefield - Executive Assistant (100%) Anne Gough, R.N. - Chief of Nursing & Allied Health (100%) Richard E. Boyle, M.D. - Associate Director-(70%) James Syner, M.D. Associate Director (100%) W. C. Morse, Ph.D. Chief, Project Administration (100%) F. R. Normile - Chief, Project Development (100%) Gerald F. Fournier Health Administration Specialist (100%) William 0. Hastings Chief, Project Audit & Control (100%) Norman S.'Holt - Wyoming Liaison Officer (100%) James E. Dyson, Ph.D. - Associate Director (100%) Robert C. Jones, M.D. - Associate Director (100%) Charles H. Lesage, Jr., M.D. Staff Cardiologist (100%) BIOGRAPHICAL INFORMATION 1. Paul R. Hildebrand, M.D. a. Born Harrison County, Indiana - 1906 b. M.D., University of Michigan, 1930 c. Intern, Colorado General Hospital, Denver, 1931 d. Private practitioner, Brush, Colorado - 1931-1967 e. Coordinator, Colorado-Wyoming Regional Medical Program, 1967 f. Director,, University of Colorado Medical Center, Denver, 1/67 - 1/68. 2. Howard W. Doan, M.D. a. Born LaSalle, Illinois - 1907 b. B.A., Drake University, Des Moines, Iowa, 1928 c. M.D., University of Iowa, School of Medicine, 1932 d. Masters, Public Health, University of California, 1949 e. Military service, 1933-1964 f. Director of the Dept. of Hospitals and Med. Facilities, American Medical Association, Chicago, 1964-1968 g. Program Director, Colorado-Wyoming RMP, 1968 - 3. James C. Syner a. Born 1918 b. B.S., Springfield College, Mass., 1941 c. M.D., Boston University, Mass., 1950 d. Internship, Rotating, Walter Reed General Hospital.' 1950-51. e. Residency, Walter Reed General Hospital, 1951-54 f. Associate Director, Colorado-Wyoming RMP 4. Richard E. Boyle, M.D. a. Born Casper, Wyoming, 1920 b. B.A., University of Colorado, 1942 c. M.D., University of Colorado School of Medicine, 1945 d. Internship, Highland-Alameda Cty. Hospitals, Calif., 1945-46 e. Residency, University of Colorado Medical Center, 1948-1950. @f. Director of Medical Education, St. Anthony Hospital, Denver 1960-1967. 9. Associate Director, Division of Professional Activities, Colo'rado-Wyoming RMP and Associate Professor of Medicine for the School of Medicine, 1967 5. James E. Dyson, Jr. a. Born, Des Moines, Iowa, 1926 b. B.A., Drake University, 1947 C. M.S., University of Iowa, 1950 d. Ph.D., University of Michigan, 1954 e. Asst. Professor, Colorado State University, 1954-1958 f. Asst. Professor, West Virginia University Medical Center, 1958-1962 9. Abbott Fellow, U. of Kansas Medical Center, 1962-1963 h. Director, Division of Academic Communication, West Va. U. Medical Center, 1963-1966 i. Educational Communication Specialist, NIH, DRMP, 1966-1967 J. Fellow, Center for the Study of Medical Education, U. of Illinois Medical Center, 1967 k. Associate Director, Colorado-Wyoming RNP 6. Anne M. Gough a. Born Fort Dodge, Iowa, 1918 b. School Health Nursing Consultant, Colorado State Dept. of Public Health, 1960-1966 c. Assistant Chief Public Health Nursing, Colorado State Dept. of Public Health, 1966-1967 d. Nurse Coordinator for Inactive Health Personnel, Colorado Nurses' Association, 1967 e. Chief of Nursing & Allied Health, Colorado-Wyoming 7. Warren C. Morse a. Born 1914 b. B.S., University of New Hampshire, 1941 c. M.S., Northwestern University, 1948 d. Ph.D., Northwestern University, 1954 C. Military Service: 1941-1968 f. Chief, Project Administration, Colorado-Wyoming RMP VI. Organization A. Regional Advisory Group 1. Chosen by nomination from any RAG member (must receive 2i3 vote of membership present and voting) 2. New members elected at the annual meeting or when ordered by Chairman to fill existing vacancies 3. Contains 20-30 members 4. 3-year term of office 5. meets three times per year 6. Contains Administrative Committee and Categorical-committees in Heart, Cancer, Stroke, continuing education and community health. B. Colorado-Wyoming RMP Functions 1. Office of the Coordinator Maintains coordination with health institutions and agencies, the Regional Advisory Group and the public. Directs activities of Core RMP staff Sets CW/RMP objectives Maintains fiscal responsibility Coordinates administrative and fiscal activities 2. CW/RMP Staff review Committee Reviews all proposals developed by staff for recommendation to Administrative Committee and the RAG. Committee composed of (1) Director-Chairman, (2) Project Administration Division Director-Secretary. Official members are Executive Assistant, Communications & Information Chief, and Directors of Divisions. 3. Office of Fiscal & Administration ..Maintains personnel records, fiscal data, and provides administrative support of reproduction, supplies, mail dis- tribution, telephone service, etc. 4. Office of Communication and Information Coordinates and effects @IP publicity; provides editorial assistance to staff; publishes newsletter and supervises all publication projects; maintains addressograph system; coor- dinates conferences and meetings; maintains clip book of @T relevancy and serves as information center for CW/@.. 5. Division of Professional Activities Provides professional advice and assistance tolother CW/RMP staff; initiates proposals for demonstration care projects; performs local site visits and provides consultation services for physicians, nurses and allied health professionals. 6. Division of Project Administration & Health Information System Develops proposals into coordinated applications and presents for committee review; monitors on-going projects through liaison with project directors and coordinates project progress for report submission; completes all applications for funding; provides in-house information data system for staff to effect program planning and evaluation; and provides technical assistance for selection of equipment and instru- mentation to be used b' CW/RMP funded projects; develops y annual and other reports to DRMP. 7. Division of Continuing Education Develops, supervises and operates continuing education efforts of the Region, primarily in aiding agencies, institutions and others in the development of their own programs. 8. Division of Cardiovascular Disease Develops, supervises and operates Cardiovascular efforts of the Region. 9. Regional Advisory Group Reviews immediate and long-range plans of CW/RNP; recommends approval or disapproval of projects submitted for funding support; evaluates program development and implementation; establishes objectives of CW/Me. CWR,%P Organization 8/11/69 DIVISION OF RECIONAI. MEDICAI. PROGRAMS Washington, D. C. FRL-GIONAL ADVISORY GROUPI STANDING CO@IMITTEES ISTRATIVE CC STAFF REVIEW C04@MITTEE Continuing Education Ileart Stroke Cancer OFFICE OF COORDINATORI FISCAL & AD@IINISTRATIVT CONMNICATIONS & INFOPNIATION SERVICES OFFICE OFFICE DIVISION OF PROFESSIONAL DIVISION OF PROJECT DIVISION OF CONTINUING DIVISION OF ACTIVITIES ADMINISTRATION & EDUCATION CARDIOVASCULAR DISEASE IIEALTH INFORMATION SYSTEMS VII. Funded Operational P cts #1 CORE STAFF Ob.ectives: This project is to support core planning and i evaluation activities of the Colorado-Wyoming Regional Medical Program. Staff is divided into four offices and three divisions: (1) Professional Division; (2) Division of Continuing Education; (3) Project Administration and Health Information Systems. Full-time equivalent staff are requested as follows: Office of Coordinator (1), Office of Director (2.2), Office of Executive Assistant (13), Office of Communication and Public Information (3), Division of Professional Activities (7), Division of Planning and Operations (7.75), and Division of Health Data and Program Evaluation (6). Costs include $23,495 for a subcontract with the System Development Corporation to complete the development and collection of community health profile data and $26,749 for PAS/MAP participation charges for 15 hospitals. #2 COLORADO STATE CANCER REGISTRY Objectives: The basic objective of this project is to develop a computerized statewide cancer registry to improve follow-up to as near as 100% as possible and through utilization of registry data, to provide the cancer patients of Colorado with the best care and earliest diagnosis possible. Improved follow-up of (1) treatment failure, (2) second primaries in Kansas Cancer patients, and (3) determination of need for treatment changes in those patients known to have cancer. Extension of registries to all hospitals, improved continuing education and constant evaluation are also goals. This project relates to the third National Cancer Institute Survey of Cancer Incidence and Prevalence and a proposed six-state Rocky Mountain Tumor Registry. The Colorado Department of Public Health will be the headquarters for this activity. #3 MULTI-MEDIA EDUCATION Objectives: This continuing education project will develop a prototype system for videotape exchange and closed-circuit TV involving first, the Denver Medical Society, the University of Colorado Medical Center, Presbyterian Hospital and St. Joseph's Hospital of Denver, and later, seven other Denver hospitals. The TV system will be converted to color later and if CCTV is extended throughout Colorado and Wyoming, (1) will be extended to hospitals through out the Region, (2) produce and distribute videotapes to single hospitals in the Region, (3) produce and distribute concept films, slides and film-strips to Regional hospitals. A catalog of existing educational materials and staff con- sultation to local hospitals are other features of the project. The Office of Audio-Visual Education in the Health Sciences of-the University of Colorado Medical Center is headquarters for the project. #4 HOME DIALYSIS TRAINING PROGRAM Objectives: This project is to improve understanding of health personnel and the public in the treat- ment of kidney disease and of the problems experienced by renal patients, to enhance community involvement in the rehabilitation of patients undergoing home dialysis, to provide consultation to community health personnel, to provide highly specialized laboratory services when required, and to develop the capability to provide emergency services for home dialysis patients. Training plans include: (1) three-day orientation for 30 physicians and 25 public health nurses; (2) five-day orientation for five physicians; (3) ten-day training for five physicians from hospitals planning home dialysis service; (4) two-week training session for seven nurses and for technicians from hospitals planning a service program, three-day training for'ten dieticians; (5) one three-day conference of 20 social workers and rehabilitation personnel; (6) one three-day orientation for five clergy, welfare workers, pharmacists and community leaders; (7) five one-two day conferences for 50 health related and community-oriented individuals; and (8) six-week training for family members of patients. Travel and per them is requested for all these groups. . #6 TRAINING AND APPLIED RESEARCH FOR INTENSIVE AND RFHABILITATI-VE RESPIRATORY CARE Objectives: To (1) familiarize physicians and paramedical personnel of the magnitude of the emphysema- chronic bronchitis problem; (2) disseminate knowledge on the latest advances in the treatment of the problem; (3) to promote and assist in the establishment of respiratory care programs in local communities; (4) obtain greater know- ledge on the effectiveness of home oxygen for both hypbxemia and non-hypoxemia individuals; and (5) increase'the effective- ness of therapy through the development of improved ventilators and nebulization devices as well as the addition of humidi- fication devices to existing oxygen equipment. #7 RADIATION THERAPY AND NUCLEAR MEDICINE Objectives: Technology Training. To reduce the acute shortage of well-trained radiation therapy and nuclear medicine technologists by establishing Associ- ate Degree two-year training programs in radiation therapy and nuclear medicine technology. The programs will be offered by the Denver Community College in conjunction with nine hospitals in the Denver area: (1) Colorado General, (2). Denver General, (3) Fitzsimmons General, (4) Lutheran, (5) Mercy, (6) Presbyterian Medical Center, (7) St. Anthony's, (8) St. Luke's and (9) General Rose Memorial.. It is expected that at least forty students per year will graduate from the training programs. #8 COLORADO INTERAGENCY COUNCIL ON SMOKING AND HEALTH PROGRAM Objectives: To continue support of an Interagency Council on Smoking and Health. The prime source of funding for the Council (which paid the salary of a coordina- tor and a secretary) has been through a Special Project Grant from the Public Health Service. This source of funding is no longer available due to budget limitations. The general objectives of this proposal are: (1) coordination of Council member activities pertaining to smoking and health and pro- motion of more efficient communication between Council agencies; and,(2) continuation of efforts on a long-range program aimed at permanent financing of the Council within the State of Colorado. CONTINUING EDUCATION CORE PROGRAM FOR NURSES Objectives: Based at University of Colorado School of Nursing, would provide integrated training in intensive nursing care. #10 CONTINUING EDUCATION STAFF Objectives: Develop continuing education staff in Colorado- Wyoming RNP to counsel with communities interested in developing local continuing education programs. Staff teams would provide consultation to local hospitals.- Development of local consultation teams would also be encouraged with RMP staff assistance provided to fill gaps in local expertise. #13 PEDIATRIC PULMONARY Objectives: Expand existing facilities and capabilities of pediatric pulmonary program at University of Colorado Medical Center. Program will seek to familiarize the medical personnel in New Mexico, western Kansas, western Nebraska, Colorado, Wyoming, Montana and Utah with the facilities at this Center to attract more and earlier referrals. Will concern itself with comprehensive management and training programs of all acute and chronic neonatal and pediatric pulmonary diseases. #14 THE STATISTICAL DIAGNOSIS AND PROGNOSIS OF CANCERS Objectives: Involves a retrospective study of approximately 300 patients at the Penrose Cancer Hospital to determine-tlie results of 15 routine diagnostic procedures or observations. An aspect of this proposal involves con- tinuing education of the physician. #15 A REGIONAL PEDIATRIC ONCOLOGY CENTER FOR RESEARCH AND TRAINING Objectives: Assist the Children's Hospital of Denver develop as a regional center for pediatric oncology. Involves application and evaluation of new approaches in the treatment of cancer, continued evaluation of currently supported research projects, correlation of data with other research centers, and a continuing education, training and fellowship program. #16 COMPREHENSIVE CARDIAC CARE PROJECT Objectives: Project is to be administered by the Colorado Heart Association through an affiliation agreement with the Colorado-Wyoming RMP. The overall ob- jective of improving the delivery of health care to patients with cardiac disease is to be accomplished by a stepby step plan. #17 A TRAINING PROGRAM FOR THE DEVELOPMENT OF ULTRASONIC TECHNIQUES FOR DIAGNOSTIC USE IN THE COMMUNITY HOSPITAL Objectives: Three community hospitals were selected to be provided with ultrasonic equipment on the basis of their specialized interests in obstetrics and gynecology, neurology, cancer detection, and heart disease. Physicians and technical personnel from the three hospitals are to receive basic training from the University of Colorado Medical Center in the use of ultrasonic equipment. #18 I.%IPROVED CARE OF THE PATIENT WITH ADVANCED CANCER Objectives: This proposal is sponsored by the American Medical Center, a non-profit eighty-five bed hospital which provides care to cancer patients from all over the United States. The purpose of the proposal is to establish a train- ing program for nurses in the care of the advanced cancer patient, and to cultivate in these nursing personnel the more hopeful and challenging aspects of oncological nursing. APPENDIX I. Listing of Regional Advisory Group members II. Project Proposals Procedures III. Curriculum Vitae Applic,--tioTi ber C3) IFT ADVISORY GROUP !DENF _CATION- (R@IP) 17. N)LIIIES, TITLES, DEGREES Ai@iD ADDRESSI:,S OF ADVISORY GROUP Identify required participants by category (See Sec. 903, (b) (4) of P.L. 80 1-239) Prictic'Lng Physiciins I. Paul Isbell, i-f.D. 1801 14i-lli-a-n-s--S-treet, Denver, C-olorau@o S@@-IS Austin 1-@utz, ':I.D. 701 East Colfax Avenue, Denver, Coloraeo O@l-'0203 Thomas Nicholas, I-I.D. 500 I-last Lott Street, Buffalo, I-Tyo-ing 82134 Robert Starks, D.O. 1459 Ogden Street, Denver, Colorado 80206 David E. Bates, M.D.. 200 East First Street, Eaton, Colorado 80615 Iladical Center Officials John J. Conger, Ph.D. Univ. of Colo. tied. Center, Denver, Colorad6 80220 (Vice-President'for I-I.edical Affairs, School of i@'@'e(licin John C. Cobb, M.D. Univ. of Colo. @ted. Center Denver, Colorado 80220 (Prof. and Chairman, Dept. of Prev. @ted. and Com-orel-,en: Health Care) C. Wesley Eisele, M.D. Univ. of Colo. Med. Center, Denver, Colorado 80220 (Prof. of Vied. and Assoc. Dean of Postgraduate !.'Led. Education) Gordon Meiklejohn M,D. Llniv. of Colo. I-led. Center, Denver, Colorado 80220 (Prof. and Chairman of Dept. of !-ed.) E. Stex-7art Taylor, M.D. Univ. of Colo.,Iled. Center,' Denver, Colorado 80220 (Prof. and Chairman of Dept. of Obstetrics and-Gynecol( Hospital Administrators James G. Carr, Jr. Memorial Hospital of Natrona Countv, C-@per, - Wyoming S' Roger Larson 501 East Hampton Avenue, Englewood, Co!-orado 80110 William G. Nichols Memorial Hospital of Laramie County, Cheyenne, WyominF, 82'401 Other Health Professionals William It. Hiatt, D.D.S. 1325 East Sixteenth Avenue, i)etiver, Colorado 30206 (President of Dental Foundatioi of Colorado) 1,@iy Public Chester M. Alter, Ph.D. 300 South York Street, Denver, Colorado 80209 Thomas E. Creighton, L.L.B. Security Life Buildinc, Denver, Colorado George D. Humphrey, Ph.D. University of Wyoming, Laramie, l@yoming 82070 Sebastian C. Owens 1375 Delaware Street, Denver, Colorado 8()204 Tli'o.mas K. Younge, L.L.B. 543 Rood Avenue, Grand Junction, Colorado 81561 VP-dical Societies Robert Spencer, II.D. 1829 High Street, Denver, Colorado 80218 3 o@,@tq e n i@e. James C. Schafer 244 Uni-,7ersity Blvd., Denver, Colorado 80206 (Blue Cro$ Blue Shield) Virginia S. Ward 5453 E. Evans Place, Denver, Colorado (Colo. Nursing As Jo E. Elliott, R;N. Uiiiv. of Colo4 East Campus, 30tli St., Boulder, Coloradc (Nursing Consultant, WICHE) Other Institutions Roy I.. Clcere, It.D. 4210 E* Eleventh Ave., Room 414, Denver, Colorado 80220 (Colo. Dept. of Public Health) NOTP@: The Advisory Group Mll'.It app!:OVC the application for estil)lishirent and operation -il. -il Prograri. of R@..on, c, SIGT-TATUP.E OF CHAI@RL, t@l &o-Al)-V-ISORY GROUP John J. Cmgcz, Vice-Prc3--'@lent for ll"edical Affiirs 16-A -Til-d@y@rotp a-, qii-Lred tor-@ Grant only. Guidelines for Administrative Procedure on Project Proposals* 1. Proposal to cwplqp, 2. Forwarded to Division of Project Administration and Health Information .Systems. 3. Referred to knowledgeable core staff members for determination of merit. 4. Acceptable: Liaison Officer assigned to assist originator in abstract development. 5. Abstract material presented by Liaison Officer to CWIOIP Staff Review Committee for merit and priority. Recommended: Proposal presented by originator, with assistance of Liaison Officer, to Categorical o@ittee. 7. Proposal approved: Presented to RAG, Administrative Committee in broad abstract and broad budget form. 8. Proposal approved: Broad abstract and broad budget revised to conform to Administrative Committee recommendations. 9. Copy of revised broad abstract submitted to each RAG member for review prior to meeting date of RAG. 10. Member of CWK'-IP Core Staff presents finalized proposal to RAG. Approved: CMFP Staff Review February 21, 1969 Approved: Administrative Committee March 7, 1969 Approved: Regional Advisory Group March 28, 1969 Llote: See followin- page for revisions for paragraph 10 as recommended by RAG, 15 June 1969. Irc,@-'Ilrojcct '-D@oposal Prec@ntation to RAG A. li@7o iiiemb(,rr. of, the Re-lonal Advisory Group, designated Primary and Secondary Project Proposal Reviex-7ers, will discuss th(-. pro,-oc-n-I in terms of demon-stra- tion of need, clarity of objectives, achievement potential and scientific merit. B.- CWR&IP Project Originator and Core Staff Members Project originator and core staff member will present, when asked by RAG members, the elements of the proposal under consideration to include: Relevance to the seven specific criteria of P@IP Guidelines to be considered for funding under Public L-aw 89-239. a.' Orientation towards heart disease, cancer, stroke or related diseases. b. Project will foster cooperative arrangement between agencies, institutions and individuals. C. Relevance to other than strictly local needs. d. Project will generate funding from sources other than P,?-IP within a reasonable period of t-Lme. e. Project will use existin- manpower, materials and equipment in the region. f. Initial project funding must not be available from other sources. 9. Project must provide for adequate evaluation of successful programs. 2. A budgetary review which will include a detailed explanation of the economy and realism for the funding requested. 3'. A complete report of.the results of the t,)roposal's passage through the normal review cycle. This report will summarize proposal altera- tions and modifications as recommended by core staff review, and will include formal reports from categorical and/or administrative commit- tees as appropriate. In addition, opinions obtained from special consultants, when called upon, are to be reported. 4. A scoring of core staff priority assessment and an analysis of results. 5 Relevance oil the proposal to the overall program balance with respect to existing operational projects.