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                                                                             February  8,  1972


                                           PROPOSED @T REVIEW PRO@EDURES
                                                      FOR
                                                KIDNEY PROPOSALS


                 Kidney proposals shall be reviewed in the following manner:
                 1.  Immediately upon an indication of interest in the submission of a
                     Kidney proposal. by a source within an RMP, the RMP should contact the
                     appropriate RNPS Desk to determine whether the proposal is within.the
                     scope of national priorities. At this point, PMS  will  advise  the  RMP
                     whether it is desirable to proceed further.  The RNP may accept or
                     reject this advice.
                 2.  Each RNP submitting a renal disease proposal is expected to provide a
                     technical review of the proposal by a.group which had  not  participated
                     in its development and which includes at least 3 renal  authorities  from
                     outside the Region, prior to submission to RNPS. The  review  group  may
                     be either an ad hoc or standing committee. RMPS will maintain  a  list  of
                     consultants who may be called upon-,to serve in this capacity.
                 3.  Kidney proposals which receive a favorable local technical  review  shall
                     be forwarded by the Regional Advisory Group (RAG) to.MQS  with  the  RAG's
                     comments and to CHP for review and comment. The RAG  shall  consider  and
                     comment on the ability of the PIIP to manage the Kidney project  without
                     hindering the development of the overall PM program, and the reasonable-
                     ness and adequacy of the Kidney budget.  Since Kidney proposals ate
                     separately funded, there is no reason for the RAG to give priority rankings
                     to Kidney proposals in relation to other non-Kidney RMP operational activities.
                     Kidney proposals shall be considered by RMPS in relation to national priorities,
                 4.  The REPS staff review shall include consideration of:
                       a. the contribution of the project toward  national  Kidney  priorities;
                       b.  the comments of the RAG (point 3, above) and the CHP agency  (ies);

                       c.  the preferred method of funding.
                 5.  Applications together with RNPS staff review and local  technical  review
                     shall be provided to the RNPS Review Committee at its option  for  comment
                     on program and regionalization. The Committee shall  not  consider  budget
                     and technical aspects of the --roposal.
                                                  p
                 6.  All Kidney proposals shall be submitted to the National  Advisory  Council
                     for A final recommendation. In keeping with  the,categorical  nature  of
                     the Kidney disease program within RMPS, the Council will review and
                     recommend funding levels for Kidney proposals separately,from the funding
                     level of the specific RMP.