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                                                 Michigan Regional medical Program
                                                 PM 00053




                JULY/AUGUST 19i-4 REVIEW
                Application: This application requests $1,232,329 for sL,pport of 21
                             now proposals, which the region states are a part of
                a coherent program which meshes with the overall program of the re
                                                                                   ,gion
                and are an integral part of the overall program of the .1-tate of Michigan.
                CHP comments are not included in this application, and i-ere not
                available at the time the application was processed through the RAG.
                Prior to the issuance-of project contracts, MARMP Staff and 'lb" agency
                staff will meet with the appropriate project staff in ai, attempt to
                accommodate the 'lb" agency rec   ndations.

                                                 DEW/IOD/7-15-74


                JULY CXMITM-, RECCI,     FION

                Critique:




                                                     MICIIIGAN RE-GIONAL @IEDICAL PRDGRAM
                                                     RM 000,53



               MAY/JLJNE 1974 REVILIV
               Reque.st:  $3,777,341
               Committee Recommendation:  $2,500,000
               Overall Assessment by Individual Revieivers:  Average/Below Average


               Critique:
               The reviewers had great difficulty assessing the proposal  submitted  by
               the Michigan Association for Re-ional Medical  Programs.  Concerns  were
               expressed regarding the change in program leadership and whether or not
               the current leadership is adequate. Althou,,Th the'RAG has continued  to
               meet on,a reoular basis and at full strength, the  reviewers  questioned
               whether or not they have participated with the same degree of enthusiasm
               and the same critical attitude as it has in the past.
               The reviewers questioned the relevancy to D-@T of some of the project
               activities, and questioned whether the region could realistically
               undertake and complete the amount of activity proposed in a year's time.

               Of particular concern to the reviewers was the reaion's request for
                                                                 Z>
               $750,000 in DIS.  T,iey felt this was a program designed to develop a
               comprehensive state-wide program and thus possibly in conflict with
               new F24S legislation.

               Another concern was the feasibility of funding an.' Automated
               Peritoneal Dialysis' Program.  Concern was expressed about tEe- number of
               new activities and the region's ability to implement and monitor them
               in the time-frame left.


               JULY/AU(-jUST REVIEIV

               Estimated Request as of May 1974:  $800,000

                                                                   SCOB/DRW
                                                                   6/6/74


                - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

               NATIONAL ADVISORY COUNCIL: June 13-14, 1974

               Council concurred with Committee recommendation.

               DRW FUNDING DECISION:  $2,375,425

                                                                   SCOB/DRMP
                                                                   7/2/74