PUBLIC flEALI'll SERVICE ol@ l'O SEE BELOW FRO,NF Acting Associate Director for Grant and Contract Policy, DPJ,.,IP SUJIJEC-F: ouricil'A--tibn-I rfa ,C -Y on TX-C of the Minutes of the Attached is an advance copy of Secti May meetina of the National AdvLsory Council Vnich recc).-Ods'the recorw.-ended ,CD actions on grant applications. 0 In,using this information, pleas6 keep the following in mind: 1. rniese are the actions and the a,-,iounts recora,,i--rded. The decisions as to which are aiarded, to oihat extent, and when, are rode by the Director, RMPS. 2. We Director.'s decisions on funding will be recorded in a series of memr)s numbered in sequen-.e and distributed. 3. Soecific conditions and contingencies relative to the recommendations are recorded here only when they differ from those of the Review Comdttee. 4. The memorandum of record, in each case, is the "blue shee'u," as a,-aerded by -'-Uhis docume,-it. Fi@l editions of the blue sheets, recording these recorwendations individually be placed in the official record. This will be part of the como-l.e@ue Minutes and will be distributed to all staff as soon as it is ready. L. Phillips cc: Do(,,tor Olson Doctor Chadwick Doctor Yaneo@old Mr. Cavarocchi Yws. Silsbee Mr. 'I'horne.- Mr. 1ri.c-@dlar@der Mr. Peterson Mr. JO! IC s PIZ-. lagoon The Council concurred'with the Review Comdttee in recorimendino- approval of an initial operational award to this recxion. They further reco@-ffaended, however, that final award of funds for project #4'be d'eferred pending fart@r study., by the Council, of projects of this kind. The following totals include funds for the core"and five projects: 0.1 - $934iolil; 02 - $91111,376; 03 - $917)363. 2. The following regions have been reco@nded for awards to renew all or portions of their operational gr@ts and, in -som cases, to add new project components. CALIFORNIA REGIONAL MEDICAL PROGRA24 5/69.1 - The Council failed to concur with the recommendations of the site visitors and the Review Comdttee and recommended funding of project #7 for one year only., at the current level $336,ooo. 5/69.2 - The Council concurred with the Co@ttee in recomending approval. of project #35, as requested; and deferral of the balance of the application. 01 $1781840; 02 $183,792. red oiith the Review Corrmittee and ste vis .--5169.3 The Council concur itors and recommended an award to include funds for the 10 components of core. 01 $3,449,ooo; 02 - $3,796,780. 2169.1 - 'Ihe Council concurred with the Review Coffdtte-- in their recommendation for approval in a reduced amount; and agreed that this project is within the relevant guidelines adopted by the,,n at this metino,. ol $435,841; 02 - $382,833; 03 $406,389. ].NIEE,-",OUt4'TAIN R'-PGIOIIA-L @EDICAL PROGFKM '5/69.1 'nie Council concurred with the Review Comdtte'e in recommending an award to include funds for three projects. The budo-et for The one.(#13) requires downward negotiation as prescribed. may not exceed: 01 $284JO35; 02 - $164,68o; 03 - $175,274. In recommending approval of this project, the Council found 'it to be.within the relevant guidelines. The amount is to be adjusted downward by elimination of the costs related to the computer network. The award may not exceed: 01 $324,588; 02 $258j557; O@ $268,,371. KANSAS REGIONAL MEDICAL PROGRAM In concurrence with the Review Condttee, the Council recommnded approval of an award to include funds for repevral of three proects (#l, #3, and #4) for three years and initiation of one additional project (#37) for three years. 01 - $1117,341; 02 $413,667; 03 $473j951. NISSOURI REGIONAL MEDICAL PROGRhi The-Council concurred with the Review Committee's recommendation for rene%,ial for two additional years of project #33, for disapproval of #4o and #42 and to return #41 for revision. 01 $2402061; 02 $246,943. ,NEW JERSEY REGTONAL I'EDICAL PROGRAM Approval for renewal of the core co,,noonent of recomended., in concurrence with the Review C 01 $638 0; 02 $668,700; 03 - $699,loo. il was un;,rill-i@o- to consider the request for the supple 1 st for staff for r4odel Cities planninc- without the advice,o'f the %-i Co,.='ttee. OilIO @IATE REGIOILPTI, NIEDICAL PROGRXvl I'he Council concurred with '.-he Review Co@ttee in recommendi'@a the approval of the continuation of t,@-ro of the four feasibility studies 'tio (#6 and #9) as operational projects; and of one addi nal project 01 - $428,717; 02 $144.,794. OREGON REGIONAL MEDICAL PROGRAM In concurrence with the Review Co@ttee, the Council recommended renewal of the support of the core component of the program and approval of twb new projects (#13 and #14). 01 $228 106; 02 $2483702;'03 $269,o5O. TEXAS REGIONAL MEDICAL PROGRA24 isitors and the Review Condt@ee 5/69.1 -]:n concurrence with the site v - the Council recomended approval of an award to include funds for five projects. 01 - $286 4211; 02 $2893851; 03 $163,,96o .5/69.2 The Council concurred vrith the Review Co@ttee in rec.orrmendi@- -an award to include funds for renewal of support of the central coordinating of fice., the eight plannin- bases, and 11 of the 12 C) operational projects. At the request of the region the co@tment for the second and third years, for the planning bases was not included in the reco,-nended award. oi - $i 8623585; 02 - $961,18o; 03 - $7823564. 5/69.3 - Further, the Council endorsed the Review Coodttee's recommendation of funding for seven of the nine projects included in this application. -01 $431,034; 02 $385,405; 03 $304,751.. WF,STM4 NEW YORK REGIONAL I@ICAL P@ROGF@14 The Council concurred vrith the Review Comdttee in recom-nendi@o- ap@ of an award to renew project #2 for three additional years; and to approve project #10 for three years only. 01 $235,1113; 02 $2111,,Iili6; 03 $219,612. is contingent upon the hospitals, willingness to pay the nursing salaries. project #25 was also approved, pendin- the favorable recomendation of L> 6xpert site visit team and in an amount deemed appropriate by the team. pmject #22 was also recommended for approval in a reduced amount ($150,000 per year) for two years only, with a @or portion of the reduction to be applied to personnel, particularly the academic positions. In concurring with the recommendation for revision of #24, thp Council suggested that assistance be provided either by staff or by outside consultants. Project #21 was disapproved and no RMP funds are to be.used for the project. ,Approved amounts do not include any funding for project #25. ol - $461,387; 02 - $364 818; 03 - $171,585. MICHIGAN REGIO@IAL MEDICAL PROGRAD4 The Council concurred with the Review Co ttee in its recommendations on this application and, in addition, delegated the authority to staff to add funding in an amount sufficient to provide continuity of project #15 until a site visit can determine whether it should be renewed or terminated. ol $486,73.4; 02 $492,530; 03 $487,771. NEW r4EXICO REGIONAL MEDICAL PROG-Rgl .Tn concurring with the Review Comittee's recommendation for approval of this project, the Council specified that the a@rard.be contingent upon the Region's submission of an accept-,able plan for evaluation of the project. 01 $59,237; 02 $61,223. OHIO v@Ey REGib@T D4EDicAi, PRoGRAD4 The Council concurred with the Review Comnittee's recom@end ation on projects #S, #10, and #11. In regard to project #9, they recommended that the application be returned to the region with encouragement to revise and resubmit alon- the lines of the guidelines recormiet-ided by the special radiation therapy corrm"ttee which were endorsed by the Council at this meetirZ. @oject #( was recony,@,ended for approval for two Years only at a level of $200,000 per year pending the submission of a budv@-t and a protocol relevant to that bud,-et oihich can be re-revie,,,,ed by the Cou, Q .Icil in Au.--zst. CO- - $305,000; 02 - $3112,654; 03 - $3112,65LI. a libe Council defer-red action on three applications for 3. renewal of geants in support of all or portions of regional programs, for further review by the Condttee and/or site visitors. They delegated to the staff the authority to extend CD support of ongoing activities in these regions, as necessary to maintain program integrity, until formal action on the renewal applications can.be taken. nal Medical Prograri nal Medical Program Memphis Regional Medical Program North Dakota Re@ional Medical Program 4. The Council concurred with the Review Committee in recommending action on a number of applications from operational Regional Medical ProUams for supplerrental,projects. Arkansas Eegional Medical Program ol--- $167,,956; 02 - $78,6o6; 03 - $78.,CBO. F16rida'ReE,ional Medical P,-o@ No supplemental fundin- and prohibition of use of existing RMP funds for project #18. Greater Dela,,,iare Valley Regional Medical Pro@am 01 $197,1101; 02 $158,362; 03 $159,387. @iana Re-ion-al Medic al Pro@am -jDl - $40,428; 02 - $36,947; 03 -$384720. yland ReZional Medical -Moore No funds and prohibition of use of existing Reg ional Medical Program funds in both #17 and #18. Mountain States Regi6nal Medical Program 01 - $96,593; 02 - @98.1023; 03 - $101,933. North Carolina Regional Medical Program 01 - $219,162; 02 - $2183153; 03 - $i96315 2. South Carolina Regional Medical Propam 5/69.1 arri 5/69.2 01 - $111.1,7119; 02 - $376,2o6; 03 - $28.,947. Use of any @'IW funds in project #24 is prohibited. 5/69.3 No funding Washington/Alaska Regional Medical Pro2am .5/69.1 ol - $681,544;,02 - $595,847; 03 - $151,163. Use of -ohibited. any YU4P funds in projects #@O and #33 are pr 5/69.2 No funding. 5. In recoumndi@o- action on applications from the following regions, Council differed sli@tly from the Review Comdttee. GEORGT-A REGIOYLA.L D4E)ICAL PROGRAM they were in alle_-ment with the Committee concerni@o- the ility of a site visit to this revion sometime duri@o- the summer., C) the Council recomAn--nded that those projects about which there were no substantive questions be approved now (as specified by th6 Co@ttee) rather than after the visit. Tne effect was the @econnendation of an for projects #18S, #19, #20, #22, -tur23, #24 and #28 in amounts not eed: 0 $350,00 02 $350,000, 03 $350,'OC IOVIA REGIONA.L L@ICAL PROG@M Council alleed with the Rev--.ew Co@ttee in approves both the core supplement and project #13, but specified that both be funded in the amounts requested: oi - $196,558; 02 - $190,673; 03 - $53,240. MEI'ROPOLIT.kN, D.C. REGIO@TAT, FRTICAT@ PROC-@M li'he Council concurred with the Review Cor,-v-it@uee in approving the region's reqLie s to rebud@@+.- core 'wids for a proUan, in continuing education, and for projects 'r'23 and #26. In the latter (Iff'26) apor@oval \IAL MF MC REGIO'I -DICAT, PROGRA24 Council was not willincT to arrive at a,.final recommendation on this application on the bas ? of the information at and recommended is its reassessment by the Review Committee. SEE/q@SOUTH REGibNALmEDicAL PRoGRAm 5169.1 The Council concurred with the recomendations of the Review Committee. 01 - $1,54.%458; 02 - $136,,755; 03.- $130,,@22. 2169.1 - The las't recorded recommendation of the Review Comnittee on Pmject #40 was for deferral. The Council believes that in the light of the projects fulfullmept of relevant guidelines, the recommendation of approval- is,in order. 01 $103,658; 02 $37,024; 03 $38,530. 6'. Wo special actions were taken by the Council in a-,oprovina- supplements to the planning grants in two Rea-ions: PUERTO RICO REGIOTIAL MEDICAL PROGF,*L Council approved a request for an increase in core staffin- which CD requires a second year planning Uant award of approximately $18,000 above the amunt co@tted. One year only. NORTHEAST OHIO REGIO@IAL ICFDICPJ, PFOGRA-P4 ----'--'Council approved a request for expanded core staff and for the initiation of one stLidy vihich will require a planning grant for the second grant period of approximately $127,600 more than the amount committed. One year only. C. Consideration of Applications 3.. Four initial operational awards viere recommended: BI-STATE REGIOI@ 14EDICAL PR@RAM In recommending approval the Council concurred with the Review co@ttee except in rega:od to project #4 - Stroke Unit- for which the first year was reduced to approximately $72,800, deleting equipment, hospitalization, and certain related personnel positions. Future year funding remained the same. Projects #1, #3, and #6 are to be returned,for revision.' The followi-n- totals for the supplement t-othe core component and three C> - approved projects (#2, #4, and @5) resulted: 01 $365,728; 02 $287,667; 03 - $298,268. @ISSIPPI REGIONAL MEDICAL PROGRAYI The Council concurred with the recommendations of the site visitors, to whom the responsibility had been delegated. They further recommended, however, that action on Project rlr8 be deferred pending further study, by the Council, of projects of this kind. The folloivina- totals include funds for the core component (excluding C) the eanTarked feasibility studios) are eight projects: 01 $977,24o; o2 - $6313134; 03 - $657,o66. NORIW;j'FST OHIO REGION-AL r4EDICAL PRC)GtW4 5/69.1 - The Council concurred with the Review Coodttee in recommending C> ----the following tbtal award which includes funds for six projects: .01 $567.,070; 02 - $5281,026; 03 - $605,455. 5/69.2 Request for expansion of staff was also recomended. Six mnths only. 01 - $65,200 (Six month amount) All amoLmts are direct costs only and unless otherwise specified refer to 12-month periods. I'he designation 01, 02, etc., relate to the first, second, etc. budoe 4- periods of the stfoject application, not necessarily. the bud,,@eL-1 periods