A ** I B&B ImFoRmikriom & ImAmE M^m^ommmNT 300 @lmoz M=Ituc*n nou&xvmw UP'Oncm M&It@Oftc, Mk 041* ZC'77Z a USA * t:90 1) 24@ 1 11 93 RECOMM M ATIONS FOR USE OF UNEXPENDED FUNDS FOR PROGRAM EXPANSION IN-SECOND GRANT YEAR INDIANA 5 G02 RM 00043-02 Carryover recommended by staff: $23,500 Buditei: Grant Year Amount Requested Amount Awarded Expenditures 01 $ - $ 384,750 $209,000 02 606,000 472,500 - Background: The Indiana Regional Medical Program was awarded a planning grant for two and one-half years, beginning January 1, 1967. The initial application included $25,000 each year for two years for a multiphasic screening feasibility study at Flanner House in Indianapolis. This is aimed at the disadvantaged population in the central city with a unique feature for training unemployed residents of the area to administer the 'medical tests. Proposed Use of Funds:, The Program Coordinator has stated that an additional $23,500 4ill be essential to carry out the Planner House studies. This will pay for personnel, equipment and cost of laboratory tests, NORTHLANDS (Minnesota) 5 G02 RM 00021-02' Carryover recommended by staff: $81,200 Budget: Grant Year Ambunt Requested Amount Awarded Expenditures 01 $ - $370,900 $165,000 02 752,000 529,250 Backjzround: A planning grant was awarded for a two and one-half year period, beginning January 1, 1967. During the first year, the Region has been defining its planning organization, recruiting staff, and designing a number of specific planning studies. The Program Director, who has primary administrative responsibility, joined the Northlands staff November 1, 1967. Due to the vacancy.of this positionrand others on the central staff, most of the activities during the first year were generated by volunteer committees who felt that progress need not be'delayed while the staff was being recruited. Rather, specific planning activities, which were in line with the application, were developed by persons available to the Northlands program. Some of these planning studies have been started and others are ready to begin. As a result of this approach to.planning, in the second year continuation application, ,the Region requested an expansion in the level of support in order to cover both the planning studies and the core staff which is now available. 2. NORTHLANDS (continued) ProRosed Use of Funds: The following studies would be supported: 1. A &ion-Wide Intensive Coronary Care Unit Program. 2. Rural Health Care Study. 3. Study in Postgraduate Education in Pediatric Cardiology. 4. Proposal for Financial Support of Local Medical Doctors Being Trained for Home Dialysis. 5. A Study to Determine Feasibility for Collecting Data and Integrating Care of Pediatric Solid Tumor Patients. Based on a study-by-study and line-by-line review of this application with the Program Coordinator, the staff recommends that $81,200 in additional funds be awarded for the second year. - The recommended amount provides for two items involving policy questions. One is $4,600 for stipends for practicing physicians to receive "residendy-like" training at the Mayo Clinic for periods of four weeks to three months. The other is for $9,000 for continuing education for practicing physicians in home dialysis. The Mayo Foundation has a contract for, $270,900 from the Bureau of Disease Prevention and Environmental Control to establish a Home Dialysis Development and Training Center. No funds are currently available to assist practicing physicians to come to the center for training. RMP is requested to provide an average travel reimbursement, supplies, and per them stipend totalling $450 for twenty physicians. OHIO VALLEY (Lexington, Kentucky) 5 G02 RM 00048-02 Carryover recommended by staff: $40,000 Budget: Grant Year Amount Requested Amount Awarded Expenditures 01 $347,000 $347,000 $128,000 02 465,000 347,000 - Background: In recommending the original planning grant for a two-year period, the Council agreed that this was a true medical region not confined to the boundaries of political jurisdiction.. Though the Regional Advisory Group has met three times in the last year, there have been difficulties in recruiting professional staff and in arranging for a suitable subcontract for basic data collection. A suitable candidate for the position of Associate Director has indicated interest in joining the program. Proposed Use of Funds: Based on recent discussions with the Region, the program coordinator's expressed need for an additional $40,000 -from-carryover funds is recommended. The additional funding would support several additional positions for which'candidates are now available. These include an Associate Director (M.D.), a Program Development Specialist (Statistician), and additional clerical support. These new staff personnel would assist in preparing an appropriate supplemental planning application for submission by March or June 1968. GEORGIA 5 G02 RM 00046-02 Carryover rec-, ended by staff: $89,000 Budget: Grant Year Amount Requested Amount Awarded Expenditures 01 $240,000 $240,000 $139,000 92 334,000 229,000 - Background: A planning grant was awarded to this Region for;a two and one-half year program period beginning January 1, 1967. Midwaythrough the first year, all requested positions were filled. Planning activities were under- taken through a series of categorical disease task forces formed under the Regional Advisory Group. In order to augment planning activities and to develop the recommendations of the task forces into operational projects, additional staff positions are being requested in a supplemental planning grant application for $208,031. Proposed Use of Funds: As part of its planned staff increase, the Region also requested a higher level of support in its 02 year continuation of the initial planning award. The Region considered this appropriate because of the large unexpended balance to be carried over from the first year. If approved, carryover funds would be used to staff an Epidemiology Bio- statistics and Evaluation Group. This Group will collect and evaluate health resource base-line data to be used in operational project planning. METROPOLITAN WASHINGTON, D.C. 5 G02 RM 00031-02 Carryover recommended by staff: $35,160 Budget: Grant Year Amount Requested Amount Awarded Expenditures 01 $ - $203,800 $130,600 02 254,800 216,300 - Background: A planning grant was awarded to the District for a two and one-half year period, beginning January 1, 1967. During the first year of planning, efforts were made to recruit staff, develop a sound planning organization,.and prepare the operation application which will be reviewed by this Council. A planning supplement, also currently under review, would support four of five administrative units in the proposed revision of the administrative structure. Proposed Use of Funds: Carryover of unexpended funds is requested for three purposes. First, to pay for an administrative assistant and clerk-typist who will coordinate the RMP with the D.'C. Health Department. This will be the 5th administrative unit in the program's revised planning organization. Second, to pay for a part-time staff director to plan for the area of stroke. Third, to provide for consultants. METROPOLITAN WASHINGTON, D.C. (continued) $14,395 D.C. Health Unit 12,490 Stroke Project Director 8,275 Consultants $35,160 The figures in the Budget portions have been rotfrided. GRB 2/14/68