I.

                           A K  &  A
                                          @no
                                                                          F RNIA SITE@VISI
                                  keen  forward                  Word,' @Ex@cutive'@Director
                               Id  M   rg
                           Oro       a      ulies, Director   of    RMP Servi c@s. The  f@l I'g@i h6, iex'c'@e  a
                         in't6rest:
                               It  was  the consensus   of the  reviewers    that the  California        Regional Medical
                          ro  ram  is   continuing to       demonstrate high                         in  planning and
                         P                                                   level of efficiency,
                            9
                         Cooperation.   The modified goals and objectives are viewed satisfactorily in               term
                         of be@ing@ s@u- n'8[y based and in agreement with national          peiorities,    Emphasis on
                         utilization and development of health manpower and on activities whose purposes
                         are.to stimulate chan;ges@in the organization and           delivery of health     se rvi ce@
                         appropriate.
                          ...     Another     oint that the team recommen@       is an increase    in participation    of
                                        p
                             s u   nt community     @in RMP a   ffa i rs as
                         the  t   de                                      one productive way of alterinci atti
                         tudes,
                          The revi  ewe  rs  ha  ddifficulty  in  asse sin  h e Core
                                                                    s    g t                         u6it  iriisolation
                         from the  -ongoing@operational projects@  Noted wa@                                r6@u@tivi;t@
                         :of  some  of  the   more   advanced   Areas an  a lesser c                                  Are
                         @lt,was,:felt, however 'that in some      of @the  later sta
                         has@ probably en66vroged,a certain        creativity  in  planr  ng  and   utili;   atic
                         @@6va!106le@reso'urces, 0
                              Th6 large      backi   of 6DnrOV d    b t  unfu6d
                                        t                       e     u                            ceived,,con@
                         @atten   tion    i  @fel@ 'that the CCRMP hot     the @'c               revie
                                                                                                        WT[IESE
                         and to activat@   them'wi thin the     limitations of                     a
                         ci  technical  review is made after;a project has  e            nc    erati
                         to   elahteen  months.
                         "Other observations Land impressions Of the          reviewers   i n c i'u a'(; the fo1  ng
                                                                                                conti nuect, on page

                                                     is demonstrating outstanding  involvement
       @"The California       Regional Medical Program
                                                               tate of California from  olun-
              v inembe   'f  the  bIth power structure in the S
         of ke@       r's0       ea
              I                    I I      universities, medical schools and  consumer par-
         tary.and official   health    aencies,
                                   9
                                                    tuable national laboratory for the solution
         ti ipat a   The  re  ion   is, in effect, a va
          c    1 n.
         Of urban and   rural    medical care problems.
                                                   ties at the co  m nit@ level and     has,actively
         "it exhibit             e of health activi             m  u
                    5a wide ra  ng
         and 'efficiently pursue8'i Involvement of other federal programs such as Model Cities,
         OEO  CHP  and representatives of ethni.c minority groups.  The current progress is
         the result of vigorous efforts to 'com6 f66rips with health problems where inadequate
         services exist...
              It has exhibited imagination in developing and training new   types  of   health   man-
         power, including volunteers, to augment available resources and    fi II the gaps where
         deficiencies exi,,t.
         "it has enormous capacity for the identification of problems  -for their isolation and
         in the design of strategic planning for their solutions.  Throughout the region there
         are exciting examples of innovative and unique approaches to the improvement of
         delivery of  health  services.
              The leadership and staffing of the Program is considered "first-rate.
                                   RMP-COMP ACTIVITY
         At the request of Comprehensive   Health Planning of L.A., AREA V     recently  assumed,-
         the responsibility for setting up a site visit, leading the discussions, and preparing
         the reports,for a site visit of the Venice Dental Clinic and the Venice Community
         Family Health Program (both of which were developed by the Venice Health Council).
         The team--organizeo and,staffed by Marlene Checel, MPH, Asst. Coordinator,
         Inter A- ency Activities for AREA V--was comprised of Martin D. Shickman, MD Of
                9
         AREA V and  three  member-,  of  the  Personal  Health  Services  Committee  of  COMP-LA.
         A total of five hours was spent inspecting the facilities and meeting with the pro-
               @o    0 mu    ty p   0     a were      a
         videit3 nd c m    ni    e pie wh         initi lly-involved in setting up the programs.
         Two  very  c.omprehensive.reports of their findings have been forwarded to the Com@
         munity Health Services Program of the California  State  Dept.  of  Public  Health,  This
         is the first time applicationsIfor 314(d) contract funding have been site visited and
         the additional information will be of assistance to the people in  the  State  Department
         who have a total,of 1,19 applications to consider for this funding.
         2

                                       DICAL@ PROGRAMS"-"
                    AREA           V@REGIONAL-ME
                                 CAL NDAR
                                    A
                                   pril 1971.
    @@.Thursd@,  1.15
                                                  12 noon
                               to     ening
      AREA     V          Risk   Fac r Scre
                                                                 Om
                                                  RMP Conference Ro
      Fri d
                                                  I 1 13, 0 @,d
      AREA     V        ,.'I,6mm,ittee Choi rme
                                                  RMP'C6n@ fe'rence Room
                          Meeting'
      Tues
                                                       3.30-pm.
                                 iv"
                          Area        X'
                                                  R     -Con
                                                         i@ee'n"c'!:o7Room
      COMP-LA
                            '@d 6tors
                          Coo i ri
      .Wedi
                                                  '9.30'a.ml
                          Staff Meeting
      AREA,  @v
                                                           '@c
                                                  RMPC   fe@
                                                       on@:
                                                  12 noon
                          Chemotherapy
      AREA  V                                               nce,. Room.
                          .5ubcom@ittee           RMP Confere
                                                     @MAY, JUNE
                              IRMEN MEETINGS, APRIL,
               :COMMITTEE CHA
                                       M
                          'Aiif i 1 16 OY 14 @@Jun6 11
                      AREA ADVISO, @y-,G@90UP@ MEET'it46S l@i
                              1  13 S@te  er        e
                             u y        mb  14           9'@
                                                                        3

                               REPORT-S'--OF NATIONAL EVALUATION MEETINGS
                          B   John S.     Lio d,   Ph.D'..   Asst. Coordinator, Evolua          Ion,
                            y ,              y
           On  Apri  I   2, 1attended     the lst meeti n       f @th -'RMP Ad Hot     Ev                      in  Ro    k-
                                                           q    a   e                     al6ati,o'n"Grou'p          c
           :i vi Ile, Ma  land. @ This was a group of eight RMP Coordinators and Evc
                         ry                                                                           (Iuation       Direc@
           to rs from  around   the@   country   gathered   to   advise   and   assist RMPS--l' 6ri@@  11      @'anj:t'heir
                                                                                              q
           Of                 am Ptgpnipg and Evaluation specifically                with   @ q6rd    to    RMP     evoluo-
               fice  of   Progr                                                 y           re.
           ti on   strategi es
           Perhaps most interesting       to  readers   of   this newsletter were the       introductory     remarks     by
           Dro Harold Margulies, fresh from his meeting with RMP Coordinators in Atl@hf6:'the
                                                                                   n to, those th ngs            hiczh
           Previous week.  He said         that    along    with, and in additio                     i '   for W.
           RMPS was spending earmarked evaluation funds, this ad                    hoc group should be concerned
           witK the evaluation strate       gies for five activities:  Experimental Health Delivery; Health
           Maintenance      Organizations;      Area       Health Education   Centers;    Guidelines    of    the    Inter-
           'Society Commission on Heart Disease; The Relative Merit of, Regions Withiri'RMP.,
           To   paraphrase    Dr.    -Ma    ulies'    remarks,    whenever    officials    from    HSMHA    6xplore    ways
                                       tg
           in which the first three of the above listed activities can be implemented, they invari-
           ably have to deal with the RMP mechanism in that part.of the country because of its
           effectiveness in involving the chief providers in the health care delivery-system in each
           Region.  Dr. Margulies a' peared to be s   ing that, inevitably  RMP                         rsonnel       would
                                           p                    CIY                         If     , pe
           be involved in the..actiV;ties mentioned because, for all intents                  and    purposes,    RMP    is
           the   only   federal   agency   that   has   the   manpower   and   resources   capable,   Of    carrying    out
           these activities in each       Region.
           I attended a Workshop on         Planning and Evaluation         for  RMP    Anniversary    Review    at     the
           -Ohio State University       Center for Tomorrow in        Colum-gus,     Ohio     on     March     22-24,.1971.
           'Planning, operation      and evcitijoticin" -wer'e'-seen   as three"asrects of a continuous process.
           Evaluation  was   defined   as   that   part   of   the   process   having   to   do   with   delineating,   ob-
           taining and providing useful -information for judging decision alternatives regarding
           ,projects and/or programs,         The  pr  er  role   of   -evaluation   and   the   evaluator   in   the   de-
                                                      OP
           cision-making process was much discussed,  Speakers  panel discussio@s.and small group
           discussions focused around        three   reas6ns   for'   evaluations   for"'@   tification'   (ie.   to    de-
                                                                                        I  PS
           fend what has been done),          for control (i.e.,  monitoring         an ongoing activity against
           some standard), and for ]earring (i.e.,, determinin
                                                                            g -the extents to whic  an ac ivi
           was                                                                                a        9
                worthwhile,)'  There seemed to be a consensus among                  those  ttendin      the       workshop
           regarding the need for a standard reporting format for all                Regions.
           4

                                                               COUNCIL OF FREE CLINICS...
       CCU
                                                               is plan ing a ben fit rock co    cert in
       According to' CCU   Program    Director    M                  n           e            n
       ford  G.  Wyman;  MD,,  'the  remaining   two           Hol lywood Bowl May I ",,.,There  wi  I  I  be
       10-7week  classes  in  CCU  for'physi  ians             two 4-hour sessions--2,@to 6  in'  the  after-
                                          c
   ,@e   both    com letely   reserved,   as   well as         noon and 7 to 11 p.m.    A   dazzling    array
                   p
       .'te   May   3-14   regular   2-week,classe             of top artists  are  contributing  their  tal-
       The@                            i  th     July          ents @to the program, including Joan
         e  are  a  few  openings  left,,   n,   e
       5-16  class.   For   information,   contact             Baez  and  David   Harris.          are
                Neff at 576-16                                 available    at    Hollywood    Bowl    Mutual
       Mrs. Pat                  26.
                                                                 encies, etc., startin  April 16.
                                                                                        9
       First  of  -the  new  series  of  Community             now  composed  of  26  free  clinics  in   So.
       Courses  in  beginning   CCU   for   Nurses             Calif., has been awarded an EYOA
       under the guidance of Connie       Burgess,             grant  which  provides  them   with   an   ex-
                                              ommun-
       RN, Instructor for the AREA V     C                     ecutive  director,  secretary  and   7   field
       ity  CCU  Program,  began   March   29   at             workers, assigned to work in the 18
       Rio  Hondo  Memorial  Has  ital,  with   20
                                 p                             L.A. County clinics.
       trainees from the surrounding community.             .  has  moved  its  office  into  what  they  de-
       The  second  class  which  started  Apr.  12,           scribe  as  a  "funky  bank   building"   near
       is  now  under   way   at   the   Community             Washington and La Brea.
       Hospital  of   Son   Gabriel.   Information          0  has  been  designated   delegate   agency   to
       about  forthcoming  classes  may   be   ob-             the L. A. Family Planning Council.
       tained  from  Jane   Reger   at   481-1246.
                                                            0  has  named  Mrs.  Jane   Cohen   of   AREA   V
                                                               staff Interim Chairman of the Ad        visory
       CANCER                                                  Board  to  the  Council  which  is   made   up
       The   Radiology   Subcommittee   of    Area             of friends of the clinics--community
       V  Cancer  Committee   has   two   new   mem-           people who work in them or professionals
       f                                                       who support the clinic movement.
        rs:   Dr.   George   M.   Campion,    Dir-
       @,;tor  of  the  Radiology  Department   at
                                                               AREAVPACEMAKERREGISTRY...
       St.   Joseph   Hospital,    Burbank;    and             was  host  recently  to  a  business   session
       Paul   Moreno,   RT,   Admin.    Radiologic             of   the   Pacemaker   Subcommittee   Of   the
       Technologist   at    Presbyterian    Inter-
       commu  .nity Hospital.                                  Assoc.  for   the   Advancement   of   Medical
                                                               Instrumentation    during    their    National
       Mrs.@ Gai I M.   White,    Asst.    Coordina-           Meeting,   Mar.   15-20   in   L.A.   Project.
       tor  -  Cancer  Planning  for  AREA  V  has             'Director  Michael  Bilitcb,  MD,  who   isila
       been  appointed   to   five   American   Can-           member  of  the   S                n     Pace-
                                                                                 ubcommittee a
       cer    Society     Committees--Professional             makers and the    Aerospace Technical Sub-
       Education   @S'ervice,   Public    Informa-             committee   of   the   Assn.-,   presented   a
       tion,  RMP   Liaison   and   the   Advisory             paper  on  the  Registry  before   the   Pace-
              0           'Cervical         Cancer
       Subc, mmittee on                                        maker Session. The Registry is launching
       Screen,l,ng.,,,                                         its   own    Newsletter7-a Copy of the ft  rst
                                                                        -nriosed.
                                                                                                            5

                                                                                                                       Area V gaff
                                                                                                                                     a     Coordinator
                                                                                             Donald    W. Petit, M.D.@@,          Are
                                                                                                                                  Deputy Coordinator.
                                                                                             .,,,William A.  I&rkey,  M.S.
                                                                                             Frwk     F. Aguilera  M.P.A.         Community     @ograms@l,
                                                                                             D.o.rothy E.  Andef                  @Co     "i@   Programs
                                                                                                                       M.p.H.          mmun
                                                                                                               son,
                                                                                                                                  Evaluation
                                                                                             @Bruce  Barnhill,  B.A.@
                                                                                             Marlene   Checel,    M.P.H.          Inter-Agency Activities
                                                                                                                                  Community     Programs
                                                                                             Elias Chico
                                                                                             Jane  Z.   Cohen,   B.A.             Community     Programs
                                                                                             Kay D. Fuller, R.N.                  Nursing
                                                                                                                                  Health     Data
                                                                                             Leon      C. Hauck, M.P.H.
                                                                                             J       ohn S. Lloyd, Ph.D.          Evaluation
                                                                                                                                  communications
                                                                                             Elsie     M. McGuff
                                                                                             Clyde     E. Madden, A.C.S.W.        Social     Work
                                                                                             Robert    E.  Randle,  M.D.          Continuing Education
                                                                                             Gail M. White, M.A.                  CAncer      Planning
                                                                                                               Cominiffee          Chairmen
                                                                                                                                  Chester   A.    Rude
                                                                                             Area Advisory     Group
                                                                                             Cancer                               Lewis W. Guiss, M.D.
                                        ZE
                                                                                                                                  George C. Griffith, M.D.
                                        Ca                                                   Cardiac
                                                                                                       g       Education          Phil   R. Manning, M.D.
                                                                                             con       tinuin
                                        C.2                  Lu
                     4)                 =                        . "   D;                    Health Services Delivery             Martin 'D. Shickman, M.D.
                                                                                                                                  Henr    B.- Dunlap, M.P,.H.
                                                                                             Hospital  Administrators                 y
                                                             ID         tu
                                        CZ                   cr
                                                    U. C2           r=                       Librar    S                          John M. Connor. M.A.
                                                    Ca CD                                              eivices.
                                                                                                                                  @Fotine O'Connor, R.N.
                                                                                             Nursing
                                                                                                                                      obert H.    P
                                                                                             Stroke                                             udenz, M..D.
                                                                                             Systems     &     Computers          Lee    D. Cady, M.D.
                                                                                                                                                Solomon, A.C.S.@
                                                                                             Social   workers                     Dr.   Barbara