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                                                             D R A F  T

                                 OUTLINE FOR                    9/20/72


                    REGIONAL MEDICAL  PROGRAM DECISIOM PAPER




                                 ADDENDUM #1






              NARP.ATIVE

             A.  Description of Program


             B.  Criticisms of Program
                                                                        A A
                  1.  Lacks Coordination

                  2.  Brownian Movement

                  3.  No Overall Detectable Stra tegy

                  4.


             C.   Strength of Program
                  1.  Establishment of workable and new acceptable
                      linkage between-Federal Government and the
                      professional providers.
                  2.  Productive dialogue has been established
                      between and among formerly disparate interest
                      in most communities as a consequence of the
                      establishment of the program.


                  Federal Needs

                  1.  Implementation
                                      of quality control- through
                      utilization review, peer  review  and  continuing
                      education.
                  2.  Means for conducting pilot experiments, demonstra-
                      tions and institutional  reforms  working  within
                      the system.






                3.  Implementing de-isions made by CHP Agencies.
                              L

                4.  Promote HEW emphasis, i.e., HMO, EMS.



            ISSUES AND OFTIONS


            Issue l(a)
            Should the lor--al P3!P units be programmectically independent?


            p@ti@n  A  -Yes.  Completely locally responsive.

            Option  B  -Yes, but incentives for working on HEW
                        priori-ties.


            Option C    Most money obligated for HEW priorities
                        or crit,--ria with remaining moneys to be
                        spent on local priorities.