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                                                                             RT,IP Texa s
                                                                             RII 000  07



                    JULY/,@UI-IUST 1974 REVIEV! CYCLE
                    Application:  This contract application requests $1,4,01,391 for
                    support of 34 nevi contracts.  The June COL(Ilcil recor,,:rietided $2,3')3,551
                    for the f,iay application.  Contracts fall within the Pi-ograni's area of
                    emphasis:   Health Education, Health Ecoiion,.ics and S@,ste,--.,--is Dep,.Io!tc-@L-ration,
                    Health Manpower. @"'caith Care Q.Liality, and Reqional "Iisease t.'.aiiac-'@,-ient.
                    All cci@iti--,cts were referred to CHP by the proposer atid comgiei-i@L-s %.,ere
                    addressed by RAG at-i,ci' staff.

































                                                                          MCO 7/15/74


















                                  7 7


                                                                                                                                                                                                                                                                                                     31 9,1 11
                                                                               @'D    t,
                                                                                                                                                                                                                                                                               i c ,                 21  0,000
                                                           C  0  r,B
                                                                                             @-,TAF-F   Cl--VELOIME,\'T
                                                                                                                                                                                                                                                                                                        30,000
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                                                             S--   A                         Y    @-'LTH.
                                                                                                                                                                                                                                                                                                        45,
                                                                                  C l-E                                                                                                                                                                                                                 50      coc@
                                                                                                                                                                                                                                                                                                        60,006
                                                                           h)SP       PT        EI)U'@-
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                                                                4 @i
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                                                                                                                                                                                                                                                                                                        revi c,,.,

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                                                                                                                                                                                                                                                                                           $48,000
                                                                                                                                                                                                                                                                               above  request
                                                                                                                                                                                                                                                                               bc





                                           -MID-COI,,ITINENT OPERATIONS
                                        Staff Analysis - Mary E. Murphy


                   Texas RI@,P:  Rf,.l 00007

                   May 1 Application Request:          $2,333,551

                   NAC Funding Recommendation:          2,333,551
                   DRMP Funding Level:                 2,217,t@-70       ($1,400,000 restricted pending
                                                                           review of contracts)
                   July  I Request:                    I-,401,391

                   The Regional Medical Program of Texas has submitted 34 contracts which ha@,e
                   undergone the full review process.  Each proposal sent to the R,','IPT by tile
                   proposer was simultaneously sent to the appropriate CHP'health planner for
                   review.  Verbal and written comments on most activities were available
                   for Regional Advisory Group review.  Late-arriving comments on approved
                   activities will be considered during contract negotiation.

                   The contract funding request totals $1,401,391.  The contract projects
                   approved by the RAG are as follows:
                   Texas Health Education Project.(Access Prognam)

                     108A   - Pilot  Program  of  Health  Education  for   the   Severely
                              Handicapped                                                        $30,000
                     108B  -  The  Development  and  Demonstration   of   a   Coordinated
                              Community Health Education Program                                44,010
                     108C  -  Health Education Resource Office (HERO)                           30,000
                     108D  -  Health Consumer Awareness in the Brazos Valley Reg.               21,857
                     108E  -  General Evaluation I-,-Iodel for Audiovisual Health
                              Education Systems                                                 16,000
                     103F  -  Estudiantes Para Mejor Salud                                      30,000
                     108G  -  Projecto Coniprender                                              63,568
                     103H  -  Assessing Rural Health Education Needs                            25,000
                      .108I-  Design and Test a Method of Assessing the Health
                              Status of Small Rural Communities                                 50,000
                     108J  -  Expanded Oral Disease Prevention Project                          64,000
                     108K  -  Health/Career Education Program-                                  20,000
                     108L  -  A  Model  for  Improving  Access  to  and  Utilization   of
                              Regional Health Facilities Through Health Education-
                              Communication Programs                                            28,300
                                                                   Sub-Total-   new   projects   422,735

                   Texas Health Economics and Systems Demonstration Project (Utilization
                   and Availability Programs)

                     109A   - Health Personnel Utilization Project                              45,000
                     109B   - Dallas County Chronic and Long-Term Care Study                       6,035
                     109C   - Permian Basin Regional Planning Council                           15,000
                     109D   - The Promotion of Efficiency and Effectivenss in
                              Non-Pi-ofit, Acu@tp-, Short-Tei-m I-lospitals in Texas Through
                              the  Development  of  a  Total  Management   Info.   System       50,000



                 Texas t,.,@P - page

                   1097-   -C-i-a-'s-Roots Organi7a'ion for Utilization of Purchasing
                          and Sl,,)i-inc.
                                                                                         20,000
                   109F   -A Coi-orai-@, Care and Critical Eff:,-i,gercy Training
                          Project for Rural Hospitals                                    12,000
                   109G   -Genetics Services Program                                     j9,833
                   105H   -Rural Rehabilitation Patient Referral Network                 45,000
                   109I   -Regionalization of Primary Health Care                        @4,000
                                                             Sub-total - new projects    266,868
                   Health t.anpower Project (Health Manpower Programs)
                   IIOA   -A Cost-Beiiefit Study of Selected Clinical Education
                          Programs for Professional and Alli.ed Health Personnel         46,000
                   110B   -Education and  Service  Effectiveness  (EASE)                 20,,OOO.l
                                                        sub-total - new projects         66,ooo-
                Texas lllr--alth Care Quality Program (Continuing Education Proqrams.)
                   111A-- A Problem Oriented Health Record for Infants, Children
                          and Adolescents                                                15,000
                   111B   -DAHTS.Videocassette Subscriber Service                        27,087
                   111C   -A Model Program for the Design and Implementation   of        I
                          a Continuing Medical Education Service for Improving           I
                          Quality of I,,',edical Ca're                                   $1,751
                   ll.lD  -Continuing Education of the Physician, Nurse and
                          Technologist in the Most Effective Use of Blood and
                          Blood Components                                               25,000
                   111E   -Developing Nursing Skills to Improve the Management
                          of Patients with Disability Problems                           55,000
                   111F   -Satellite Centers  for  Continuing  Education                 25,000
                   111G   -Development of Self-Instructional Materials in
                          Cancer Education for Health Professionals                      25,000
                   111H   -Educational and Informative Communication Systems             30,000
                   1,111  -A Plan to Develop an Area-Wide Service to  Health
                          Personnel and Health Agencies in the Rural Areas of
                          the Three Texas State Planning Regions of   Upper Rio
                          Grande, South Plains and Permian Basin                         30,000
                   111J-- Evaluating the Effectiveness of Selected Continuing
                          Education Programs                                             30,000
                                                       Sub-total - new projects           293,838
                   @egional Disease Management Program_(Extension  and  Local   Cooperation
                   Programs
                   112A   Statewide Neonatal  Care Program
                                                                                          351,950
                                                       Sub-total    new projects          351,950
                                                                 Total request       L,401,391







                     -7






                   Texas Rj,',P - page 3
                       project TJY"s 108D, 1 OBF, 108G, 103]i, 108I, 108L ($'41-38,725) and
                   continuation projectl#'s 104A and 102B ($95,000) are minority oriented
                   activities.

                   The I!ational Advisory Council extended to the July Review Committee
                   permission to revie,,,i and fund the contracts approved without making
                   it necessary for a full Council review in August.
                   The higher request figure is based on the target figure of $2,398,599
                   versus $2,333,551 (1400/10).



                                                                            Texe c.


                                                                           c)oo 07


                           -3 9 7 4 11\1 @V f I:lq



                     ]Zcquc!.,it:

                     Coiiii,,ii.t-LL,e P,(-,coinin(,ii(i@ition: $i Ion. oc)n
                     Ovcr@il.] i@;scssmc!iit I)y iiidividuil rc,.vic@k,,cr.,-,:      @ge



                     CriL!(Iiie:
                     Committee recommended that the RMPT submit the RAG-C'HP reviewed
                     contract proposals in July for a detailed review by the Review Committee.
                     Permission would be extended to the next scheduled Review Committee  by  the
                     June National Advisd@y Council allowing the Committee to review  and  extend
                     final approval of the contracts with their accompanying funding requests.
                     The.procedure would allow the contracts to initiate in July, rather than
                     September, and would preclude the necessity of a Council review  in  August.
                     This expediency measure has been considered important from  a  management
                     standpoint.

                     The RMPT has been most effectively managed by an able Director, Mr. David
                     Ferguson, and a talented staff of very limited size.  Reviewers did express
                     concern regarding the capability of the staff to effectively  manage  and
                     monitor the very ambitious program set forth in the application.
                     Mr. Ferguson,.through the select contract mechanism, is expected  to  follow
                     through most competently by DRMP staff.
                     Concern was expressed regarding the Requests for Proposals, the contract
                     language employed and the sameness- in the language used to describe  the
                     activities.  The submission on July 1 of the form 15 s (narrative) and
                     16 s (budget) should further alleviate the concerns  raised.  The  relation-
                     ship between the new activities, the expected outcomes and  the  prospect
                     of future funding for the new activities should be clearly discernible from
                     the.JL!ly submission.
                     Estimated request as of May 1974:   $1,298,599 for contracts not approved for
                     funding in May application.    MCO 6/4/74


                     NATIONAL ADVISORY COUNCIL   June 13-14, 1974
                     Cou6cil recommended that the Texas RMP application be funded at the
                     requested level of $2,333,551, pending satisfactor  review of the
                                                                       y
                     spe.cific contrast proposals by the July Review Committee..

                     DRMP Funding Decision  $2,217,270
                                                                                MCO 7/2/74