AREA
                                @ni
                                          :L nu-t e                          news
                  vol.4        n4%     5.                                          march er    1972
                                                                                             AREA- V'
                                       @REGIONAL MEDICAL PR
                                             IIGI@,
                EMERGENCY MEDICAL SERVICES                 ONE OF THE NEW - RMP DIRECTIONS
                                Conorea  vm  advised  by  President   Nixon   that   he   was   directing   the
           ;.On. Januo '  19,
                        fy                ion,  and  Welfare  to  develop   now   ways   of   organizing   emr-
              Deo - of     Health,'-.Educat
              gency medical services and of providing care to acc7ident victims*  R                     ibility
              for this Sl"cial.knit;q@ive -in emergency medical car* will be lodged in Regional
              Medical  Pr.ogrq.@,@@  'th  $8  million  dollars  earmarked  in  the  1972  budget,,'   and   $15
              milli '           4 budget.  In addi  on
                  on in the@.tV..-                    'ti  ,  special  permission  has  been   given   to   use
              regional funds for projects to improve emergency medical services,
              The magnit@@f t@e,,Problem in Los Angeles County is not clearly defined and
              a  ura                                          e            I     ved            CY
                                                'Table but th    need for 'mpro       emergen      care     has
              long  been  recog  !*d!  @h.ere  is  plenty  of  evidence  of  the  inability  of   patients'cind
              their  families  to,@obtain ,emergency   trdiisp@@ation   (e;ther   through   their   own   lgnor-
              anc@                           le services  or through the inability of the present system
                                                            rooms,  or  multiple   inter-h@tal   tra-   nsfers;
                                                            nd  other  health  professionals,'   or   lack   of
                                                                p@nt'.    no   one   agenIcy  Is   charged   with
                                                                        Ar
                                                              t  '   Committee   on   Emergen cy Medical Cam
                                                               ,Y-
                                                 r             the    County    @rd    of    Stiper'visorsabout
              County controlled activities, an
                                                   d several  individual   groups    are:tryi  to   make    im-
                                                                                            rIq

                      ents
              provem
              A's pcirt Births        ch to 'devel  "a broadly bas        plan'for Implementation of L.A.
                                                   OP
                                        dicol Services System,     AREA  V  is   involved   In   the   planning
              for:an.'E                 ical  Services'C6nfemiic'e',  to   be   t)@6ted   ieintly'   by   three
              Ca                          IV  (UCLA),   V   (USC)   and   IX   (Charles   Dr'ew@   PostOroduate
                        @School)-,, @IP cooperation .,wlth'Coriiprehinsivb  Health   Plan   @ning   Association
                             --A@@nt  Cam                                Medical   Co   ,   and   the    HoWtal
              .,of L      L             'Y      mlttee on Eme  incv                    re
                                 le                                              fu
                  I     of,@h m -6lfomio            'A  g@  fu'nf'opplication  for  nding  of   this   planning
                                                                                                      I ..  t;  I  r
              ccinference  was  prepared  by  the  three   RMP   Amos,   and   submitted   to   the   Callf6rMa
              Committee on RMP,6n March 1.
                                                                                   (continued   on   page    2)



           The  two-day  conference,  scheduled  for  June  19  and  20,  1972,   at   Los   Angeles   Can-
                           will  consider  how  various  aspects  of  the   existing   stem   operate   and
           vention. Center,,                                                       SY
           how  they  can  be  improved.  A  core  of  about  300  invitees  is  planned  but  the  meeting
           will  be  open  to  all  persons  interested  or  involved  in  emergency  care  in  the  County
           and it is anticipated another 200 will attend.
           A first priotity,,,on,which there is already          us,  is  the,n'eed  to  raise  the   base-
           line level of training of 'all 'ambulance and emergency rescue personnel, certain
           policemen,  lifeguards,  and  other  fire  apartment  personnel  in  L.'  A.   county   to   the
           minimum  level  'of  Emergency  &Wical  Tachnitian-1,  to   maintain   this   level   -of   com-
           petence..'and  to  develop   a   career   Incentive   @nism   for   emergency   rescue   person-
           net A  second  component  of  the   RMP   grant   application   requests   funding   to   expand
           (pan, existing prog, arns and  to  develop  new  and  improved  curri  culum  for  EMT-1  train-
           ing,
           In L.  A.  County, of  a  total  of  more  than  I,  IOD  ambulance  and  emergency  rescue  per-
           sonnel,  only  156  have  been  trained  by  the  Dunlop  system  to  the  level  of  EMT-1.  By
           Septetnber,  1972,  another  60  will  have  been  trained  through  the  pilot   program   sup-
           ported by AREA V funds.
           This'  de@nstratioInIprogram  for  the   training   of   ambulance   attendants   was   negotiated
           by AREA V in August,,  1971,r  but  because  of  unavoidable  delays,  _the  first  session  did
           not begin until January 11, 1972.  The course., under the guidance of Gail V.
           Ande rson, M,, !D *', @i rector of Emergency . Medi cal Se rvi ces@ at @  L.  A.  County  -  USC
           Medical  Center,  is  patterned  after  that   developed   by   Dunlop   and   Associates,   and
           requires 80 hours.  to  complete.  A  Registry  exwaincition  is  given  as  a  final  test  and
           successful  @roduates  aftin  an  EMT-1  Certificcft.  Instructor  for   the   AREA   V   course
           is Dr.'Ma@in  Morris  an  'Orthopedic  surgeon  who   researched   the   needs   of   the   program
            personal observation on actual ambulance trips and in,6mergency warcii.
           y
                                                                                                          ty
           The planning initiated  by'the  three  RMP's   since   they   approached   the   L.@   A.   Coun
           Committee  or%  Emergency  Medical  Care  in  December   of   1971   has   now   involved   many
           other agencies, health profess'ona s a      ccxnmunity r         ntatives,,  t   numerous     to
           list here                                     @e,
                  - To mention a few                               however:    George C. Gri      ithMD,
           who is chairman of the advisor               the Confere                     ouc ,    R        V
           Stclff liaiso   and Robert H* Pude            Lee D. Ca4                   Henry B.      Dunlap,
                      Hei   reder, tAD-ore am
           and G                                        o           ni                 on            rgency
           Me&-@l Care hecided by@ Max Hcirry We! I' . MD.  D@ai  We                  MD   is   @'an   e'x-
           offic.io member of the M Hoc Planning Committee, as are ti                   inators   of   Amos
           IV and IX,

           2




                                               PLEASE CIRCULATE AND POST

                      CALIFORNIA REGIONAL MEDICAL  PROGRAMS
                                  AREA V - USC
                              I West Bay State Street
                             Alhambra, California 91801
                                 (213) 576-1626

                              POSITION AVAILABLE

       Project Coordinator--Continuity of Patient Care

       Summary Description:
       The Project Coordinator will assess the state of continuity of patient care in selected
       communities and hospitals; gain the acceptance and participation of five,,@o ten has-
       pitals in developing and presenting workshops designed to meet their pa icular train-
       ing needs; and work with existing continuing education mechanisms to h'ave continuity,
       of patient care training efforts included in their regular offerings, on an on-going
       basis.

       Job Qualifications:
       R.N. (Moster's preferred) or MSW with successful experience wit@ continuity of
       patient.ca're,
       Ability to work with professionals in the medical and health field.
       Ability to organize material and speak and write effectively.
       Ability to identify problems associated with the deliv ry of c,ontinuitIyof tient
                                                             PO
       core and to initiate and implement appropriate courses of action.
         I 'ty to plan conduct, and evaluate educational programs.
       Ab@ll
       Knowledge of research methodology.
       Knowledge of community resources and- referral processes,

       Salary Range:

       Full-time,. @$16,DW - $20,000
       Submit application in writing by May 1 to: Gail M. White.: Assistant Coordinator,
       Area V (see above address)




                                         AREA V PEOPLE
         Jose F. Carl s, representative of the East Los Angeles Health Task Force on the AREA
                   0
         V A visory Council since May, 1969, is leaving the Area Advisory Council to be-
         come Chairman of the Consulting Panel on Health Needs of the Under-served.' -Mr'*
         Carlos is Supervisor of Public Health Investigations for the L. A. County Health
         Deportment, working out of East Los Angeles Health Center'on South Ferris Avenue.
         As a member of AREA V Professional Advisory Group, Mr. Carlos and the members'
         of his Panel (whose appointments will be announced shortly) will represent for AREA
         V such groups as members of ethnic minorities, the poor, the oged, the unemployed,
         and residents of rural areas.
         Newes t addition to the secretarial staff of AREA V is Mrs. Rebecca Sanchez who,
         with special skills in writing and @king Spanish, and a knowledge of the Mexican
                                                                              t L
         American community will be of great assistance to AREA V in its curren projects
         with the East Los Angeles and other Spanish-speaking communities.
         The AREA V Advisory Committee on AHEC'S, chaired by Stanley E. Gunstream        D&,
         is to have two new members--Pauline Rodriguez, RN, k(              e Oc'c'@@u'pation
         Instructor for the Abraham Lincoln High School and Norma De La Hoya, a Public
         Health Nurse connected with the East Los Angeles Child and Youth Center. One of
         the new members is a replacement for Mrs.. Lola Marshall, who is not able to can-
         tinue her commitment with the Committee, The Advisory group has just completed
         a set of criteria for the development of ArecLHealth Education Centers in AREA V,
         and in conjunction with RMP Areas IV, IX and COMP-LA, is working toward de-
         velopment of a group which might perform a similar function on a countywide basis.
                          'you may have found  it difficult to get -the undivided attention of
         One of the reasons
         AREA V staff members of late might be because nearl  all of them have been in-
                                                            y
         valved in writing progress reports and proposals. Progress reports and continuation.
         applications have been prepared for core funds, for four operational projects
         (Pacemaker Evaluation and Information Center, Physician Education in Early Chronic
         Respiratory Disease, Nephrology Training Projectf and American Indian Free -Clinic)
         and for the developmental I component project, Coordination of Free Clinics',' Staff @
         has also been involved in the development and review of objectives fo@ incorporation
                                    nal obie tives for the California RMP. Adding to the
         in the next revision of regio      c
         tem
            po are technical reviews of projects submitted for th6 forthcoming review'. A new
         operational proposal for the Rio Hondo area is also in preparation.



      Antelope Volley Health Planning Council  has  elected  the  following  offlceirs  for  the
      calendar    eIor 1972: As Chairman,  John  Luncblad  (Pastor  of  St.  Stephen's  of  the:
               y
      Valley Lutheran Church, Palmdale; active in the Clergy Counseling Service of Ante-
      looe Va" @y and  in  NEAR,  Antelope  Valley's  free  clinic);  First  Vice-Chairrmn--.'
      Norton N  icho s @t.'  Supeeintendent  Antelope  Valley  High  School   District);   2nd
                                                                                la
        ce Choinw' n' Sally   Harris  (community  worker  of  the  Frederick  Doug  ss   Child
      uevelopment Center.,   active in Headstart programs  in  Antelope  Valleh,-  reelected  as
      Secretary--Constance C  Evans (Senior Health Educator, L. A  County Health Dept.,
      has been active  with  the  Council  since  its  inception.)  Antelope  Valley's  Health
      Council delegate to the  AREA  V  Advisory  Counr-!.l  is  Mrs.  Betty  Valentine,  with
      Dorothy McVann,, M.b., as alternate.

      Two meetings were held at AREA V on February 18 to discuss coordination of health
      manpower data needed in the AHEC programs, and for future planning and evaluation.
      Attending were Mrs. Ann Lewis and Mr. Tom Candelaria, both of Area Vit RMP (San
      Diego  and  Imperial  Counties)  representing  the  Golifomia  Re  ional  Health  Manpower
                                                                     9
      Survey, whic@ was  recently  funded  by  CCRMP,  as  well  as.  members  of  the  AHEC-Los
      Angeles East Task Force on Survey of Health Facilities and Educational Resources and
      Health Manpower, and representatives of th   e  AREA  V  AHEC   projects   Advisory   Com-
      mittee,  and  Comprehensive  Health  Planning.  Further  meetings  to   develop   planning
      are  being  convened  by  AREA  V  staff  members  Dorothy  E.  Anderson,  MPH;  Ray  D.
      Fuller, RN, and Elias Chico.

      Stanley  E.  Gunstrecim,  Ph.D.,  Chairman  of  AREA  V  AHEC   Advisory   Committee   and
      Area Coordinator @onald W. Petit, M.D. have recommended the creation of on. over-
      all Los Angeles County group to tocilitate broader planning and. coordination of,Aroo
      '--Ith Education ICenters in the -County. At a recent meeting of representari ves from
         three  RMP A        IV  (UCLAY  V  (USC)  IX  (Charles  Drew  Pas   roduate   Medical
                       reas--                                            tg
                                      it was agreed that there is a need for ea     adi     vi ty
      -tchool). and from COMP-LA,                                                rly
      on'a countywide basis before programs become operational and less flexible.  @p-
      resentatives of emerging Area  Health  Education  Centers  in  the  County  will;be  asked
      todevel  'membeishipforacmntywideCoordinatingCouncilonAHEC'.so@
      For advance reg*istration in Coli@a Heart Associairion's 1972     Scientift-,t  Sessions
      for Nurses to be held May 181 1972 at the Newporter Inn in Newport Beach
      fomia, contact California  Heart  Association,  1370  Mission  Street,  Son  Fr;'n-cisco
      94103.          thi to ics to be di                                     f  the   .6kriac
                            P            scussed am*. "Nursing Assessment 0
      Patie@ti"  "Psycho-social  Needs  of  the  Cardiac  Patient  at  the  Time  of,Dischdrge
      From the Hospital" and "The Scope of Cardiac Nursing#

                                                                                             @3




                                                                                             Area V SW
                                                                                                          Arei Coordinatc
                                                                           Don,31d vi, Nit,, M.D.

                                                                                                           -P-H- C)
                                                                                         Dwft
                                                                                         FJI$s CkicO
                                                                                            7
                                                                                              (Meet DA.




                                                                                         FrW D.
                                                                                         John S. Ltoyd,.Ph-D.
                                                                                         tifli IL *am
                                                                                         CW*
                                                                                                P@WftfkOl
                                                                                         Telwfj
                                                                                         Gail IL,VAite, MA..:,



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                                                                                         Lew
                                                                                         Stanley E. Gmtron. F'4.0.-
                                                                                               Of@;:cil M' I
                                                                                               IL

                                                                                                 Randle

                                                                                         Dr. Mft