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This is an incomplete edition of VOLUME 1,
PROPOSAL FOR COMPREHENSIVE
HEALTH PLANNING
All pages considered crucial to the intent
of the proposal are included here. Other
work, denoted here by missing pages, is in
process of completion.
Foreword to the Proposal
THIS PROPOSAL REPORTS WORK SUPPORTED BY AN ORGANIZATIONAL GRANT TO THE
COMMUNITY COUNCIL OF THE ATLANTA AREA FROM THE U. S. PUBLIC HEALTH SERVICE,
AND CONTAINS RECOMMENDATIONS FOR THE ESTABLISHMENT OF A PERMANENT COMPREHENSIVE
HEALTH PLANNING AGENCY FOR THE METROPOLITAN ATLANTA AREA. THE PROPOSAL
CONSISTS OF THREE VOLUMES: PROJECT SUMMARY, BUDGET AND STAFF, AND TASK FORCE
REPORTS.
Agency Responsible
The Community Council of the Atlanta Area, supported by organizational grant
No. 41008—01-69 from the U. S. Public Health Service, has been the agency
responsible for conducting the work and, with the cooperation of many other
offices, groups, and organizations, making the recommendations herein for
the establishment of a permanent comprehensive health planning agency for
the MetrOpolitan Atlanta Area.
Staff
The material was prepared by the Comprehensive Health Planning Project staff,
directed by Raphael B. levine, Ph. D., under the general supervision of
Duane W. Beck, Executive Director of the Community Council of the Atlanta Area.
Consultation and Other Assistance
A number of persons gave continuing support to the Project on consultant basis,
and several hundred persons from governments, health professions, educational
institutions, commerce, and the population of health "consumers” gave invaluable
assistance in the compilation of information and in the formulation of
conclusions. The staff tenders its sincere thanks to all these individuals.
Funding
50% of the costs of this effort were borne by the Public Health Service grant
mentioned above. The remainder was contributed by local sources, including
county governments, foundations and the Community Chest, public, private, and
voluntary health organizations, and individuals. The community owes much
gratitude to these donors.
Organization of the Proposal
The proposal is divided into three volumes: project summary, budget and staff,
and task force reports. Each pair of facing pages makes up a self—contained
”story". The gist of each "story" may be gained from the bordered summary
material alone, with details added in the text and illustrative material.
COMMUNITY COUNCIL OF THE ATLANTA AREA
Eugene T. Branch, Chairman of the Board
Duane W. Beck, Executive Director
A. B. Padgett, Chairman, Committee on
Comprehensive Health Planning
COMPREHENSIVE HEALTH PLANNING PROJECT'
Raphael B. Levine, Ph. D., Director
Alloys F. Branton, M.B.A., Assoc. Director
Harriet E. Bush, Director of Research Mary Lou Ashton, Senior Secretary
Clifford Alexander, Jr., Environmental Mildred W. Thorpe, Secretary
Planner
Katharine B. Crawford, Organization Liaison
OINSULTANTS ( on continuing basis)
Frank A. Smith, Atlanta MetrOpolitan Mental Health Assoc.
Loretta B. Roberts, RN, Community Council of the Atlanta Area
Ella Mae Brayboy, Community Council of the Atlanta Area
William F. Thompson, Administrator, Cobb County Health Department
Carolyn L. Clarke, Health Educator, Gwinnett County Health Department
Edna B. Tate, Health Coordinator, Economic Opportunity Atlanta
ORGANIZATION OF THE PROPOSAL
Volume 1. Summary of Project ~
Section 1. Introduction and Supportive Material
Section 2. Narrative Project Summary
Section 3. Appendices
Volume II. Budget and Staff
Section 1. Budgetary Material
Section 2. Personnel
Volume III. Task Force Reports
ii
.TABLE OF CONTENTS
Foreword to the Proposal . . . . . . . . . .
SECTION 1. INTRODUCTION AND SUPPORTIVE MATERIAL
A. Description of the Area
Planning for Planning: Technical and Community
Involvement Aspects . . . . . . . . . . .
The Atlanta Area, the Planning Area . . . . .
Atlanta Area Governmental Units, Current
Population . . . . . . . . . . . . . . .
Standard Metropolitan Statistical Areas Clean
to the Atlanta Area . . . . . . . . .
Atlanta Area, a Place of Growth and Variation
P0pulation Trends Require Review of Health
Needs 0 I I I I I Q I I I I I I I I I I
The Planning'Area Observes Other Programs
and Anticipated Expansion . . . . J . . .
Organizational and Procedural Arrangements for
Comprehensive Health Planning . . . . . .
Cooperative Arrangements.made for Funds, Per-
sonnel, Facilities and Services . . . . .
Planning is Based on Commonly Available Date . . .
s.
B. The Atlanta Area's Need for and Ability to Support
COmErehensive Health Planning
' Principal Teaching and.Service Facilities in _
the Atlanta Planning Area , . . . . . . . . .
Implications for Comprehensive Health Planning
"in Environmental Health Fields . . . . . . .
Atlantals Urban Redevelopment Project Program . .
Atlanta's Model Cities Program . . . . .
Relationships with thethorgia Regional
Medical Program .'. . . . . . . . . . . .-.
The Urban Life Center: A Solver of Urban Health
Problems for the Future . . . . . . . . . .
Local Health Departments in the Atlanta Area .
Major Voluntary Health Groups and Professional
Associations in the Atlanta Area . . . . .
Water and Sewer Districts. . . . . . . . . . . .
Facilities, including HOSpitals, Nursing Homes,
Outpatient Clinics and Neighborhood Health
Centers . . . . . . . . . . . . . . . . .
Existing Manpower Rescurces . . . . . . .
Economics of the Atlanta Area as Relates to
Health Services . . . . . . . . . . . . .
SECTION 2. NARRATIVE PROJECT SUMMARY
A. Project Outline
Goals and Objectives of Comprehensive_Health
Planning. . . . . . . . . . . . . . . . L
Community Council has Extensive Involvement in
Health and Planning . . .'. . . . . . . .
Organizational History of the Applicant . . .
_Scope of Program Health Concerns . . . . . . .
Cooperative Arrangements with Participating
Agencies . . . . . . . . . .‘3 . .'. . . .
Health Planning Process: Systems and Retrieval.
Information Gathering and Analysis Techniques .
The Need for Planning,Programming System for
' ZCOmprehensive Health Planning . . . . . . ,
Procedure for Policy Implementation . . . . . .
Example of Experience: Cobb County Comprehensive
Health Planning . . . . . . . . . . . . . .
Community Involvement in Comprehensive Health
Planning . . . . . . . . . . . . .
Atlanta Area Coordinatibh with the Office of
Comprehensive Health Planning, Georgia
Department of Public Health . . . . . .
_Faci1ities and Equipment Available for the
Page
Staff of the Applicant Agency a
B. figp orting Data
The Plan has Continuing Input from Existing
Rejources . . . . . . . . .
Personal Publications. . . . . .
C. Work Program
surrent Problems Carried Over. .
First Year Activities. . . . . .
Phasing into Systems Analysis .
Future Development . . . . . . .
D. Agency Organization
Staff Organization ... . . . . .
Council Organization . . . . . .
Council Membership . . . . . . .
Nominating Procedures. . . . . .
Training for Council Effectiveness
By-Laws of the Council . . . . .
?2
74
76
?8
80
84'
86
'88
90
92
94
96
98
Planning for Planning: Technical and Community Involvement Aspects
SUMMARY :
IN ORGANIZING THE ATLANTA METROPOLITAN COMMUNITY FOR COMPREHENSIVE HEALTH
PLANNING, EXTENSIVE ACTIVITIES IN TWO MAJOR ASPECTS HAVE BEEN NECESSARY:
THE TECHNICAL ASPECTS OF IDENTIFYING, PROJECTING AND SEEKING POSSIBLE SOLU—
TIONS TO HEALTH PROBLEMS AND THE COMMUNITY INVOLVEMENT ASPECTS OF BRINGING
TOGETHER THE VARIED ELEMENTS OF THE COMMUNITY INTO A PARTNERSHIP FOR HEALTH
PLANNING AND POLICY-MAKING.
Technical Aspects
The technical objectives of this project have been (1) to identify the com-
munity's principal health problems and the probable, most urgent planning
efforts which will have to be undertaken by the permanent organization during
its first year of existence-— 1970; and (2) to specify the numbers and qualifi-
cations of the technical staff who.~ will be needed to carry out such planning.
Some of the activities bearing on these objectives have been:
identification and seeping of health problems through the medium of
technical "task forces;" some 25-30 of these groups have worked up
descriptions of problem areas, trends, resources, obstacles and
suggested solutions to the problems;
identification of planners and planning groups whose work is directly
or indirectly in health areas; some 50 of these have been named and
approached for fuller understanding of their work; a major portion of
the technical task of the metropolitan planning staff will be to coor—
dinate the activities of these planners to avoid duplication and to
"cross—fertilize" their activities;
developing a "systems approach to planning for the health field;" this
involves cost-benefit analyses, the building of community health
"system"models, etc.;
education of as many citizens of the community (and being educated by them)
about health problems and comprehensive health planning as possible;
Community Involvement Aspects
The organizational objectives of this project have been (1) to develop the
largest possible degree of cemmunity involvement in establishing and
operating a comprehensive health planning organization and (2) to formulate
an organizational structure for such operation, including corporate identity,
policy Council and its selection,and by—laws. Some of the activities bearing
on these objectives are:
identification of community interest and decision groups involved in
health activities; -
holding small and large meetings of such groups and selection of a
"steering committee" to recommend detailed structures and policies;
working with the steering committee in the development of a corporate
mechanism capable of operating a comprehensiva health planning agency;
working with the steering committee in the formulation of a policy Council
and methods for naming its members, together with the various health
interest and action groups in the community; writing by-laws;
obtaining acceptance and endorsement of these plans by the interest and
action groups in the community-—-governments, health agencies, consumers’
groups, other planning groups, etc.
selflEing and convening a council for action on this proposal.
ESTABLISHMENT OF METROPOLITAN COMPREHENSIVE
HEALTH PLANNING AGENCY
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Technical
ASpects
CHP
Permanent
Staff
'brganizational" funding
Community
Council’of the
Atlanta Area
20 Jun 69
IIIHHHHHHHIIII
METROPOLITAN CHP AGENCY
- 3 -
Community
Involvement
Aspects
The Atlanta Area
SlMflHAHY:
THE ATLANTA AREA, PRESENTLY INCLUDES SIX COUNTIES. THIS IS NOT IDENTICAL
WITH THE OFFICIAL BOUNDARIES OF THE CENSUS BUREAU, WHICH DEFINES THE ATLANTA
AREA AS A STANDARD METROPOLITAN STATISTICAL AREA CONSISTING OF FIVE COUNTIES.
TO MAKE THIS DISTINCTION THESE BOUNDARIES ARE DEFINED.
BOUNDARIES: Atlanta Area: Douglas, Clayton, Cobb, DeKalb, Fulton and
Gwinnett counties.
Atlanta Area (SMSA): Clayton, Cobb, DeKalb, Fulton and
Gwinnett counties.
PRESENTLY:
ATLANTA AREA IS:
0 the "regional capital" of the Southeastern United States resulting from
continued growth and a central transportation network;
. the"major growth center" in the State of Georgia; and
. the central "regional city" for the ATLANTA AREA and contiguous
counties.
.the I'medical center" for the surrounding counties.
\
THE ATLANTA AREA COMPREHENSIVE HEALTH PLANNING DESIGN:
permits addition of contiguous counties or other planning areas
whenever feasibility or desirability are indicated. (Douglas
County, the newest member of the ATLANTA AREA has shown initia—
tive and set a precedent for non-SNEA‘S joining its sister
counties for health planning.)
Atlanta Area Governmental Units and Current Population
SUMMARY:
BESIDES THE SIX COUNTIES, THE ATLANTA AREA CONTAINS APPROXIMATELY 50 INCORPORATED
MUNICIPALITIES, OF WHICH 10 HAVE POPULATIONS OF MORE THAN 4,500. THE LARGEST CITY,
ATLANTA, COVERS PORTIONS OF FULTON AND DEKALB COUNTIES, AND HAS A POPULATION IN
EXCESS OF 500,000. THE TOTAL POPULATION APPROXIMATES 1,300,000.
The Atlanta Area, Compared with the Standard Metropolitan Statistical Area
The Atlanta Area SMSA is comSposed of five counties:
County Population (1968)
Fulton 605,400
DeKalb 353,500
Cobb 174,600
Clayton 78,700
Gwinnett 59,800
Douglas County, with a population of 23,900, is the sixth county that makes up
the entire six—county ATLANTA AREA for purposes of comprehensive health planning.
Principal Cities in the Atlanta Area
The largest city, Atlanta, extends into Fulton and DeKalb counties and
had a population of about 500,000 in 1968. Other principal cities, their
counties, and size are as follows (See Appendix for complete list of
municipalities and population distribution.):
MUNICIPALITY COUNTY POPULATION (1968)
College Park Fulton 20,691
East Point Fulton 39,257
Hapeville Fulton 9,268
Decatur DeKalb 20,943
Forest Park Clayton 18,766
Marietta Cobb 28,003
Smyrna Cobb 16,365
Lawrenceville Gwinnett 4,561
Douglasville Douglas 6,000
NOTE: These figures are estimates made by the Atlanta Region Metropolitan
Planning Commission, 1 April 1968.
ATLANTA AREA
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Nearby Cities Affect the Market and Service Patterns of the Atlanta Area
STANDARD METROPOLITAN STATISTICAL AREAS CLOSE TO THE ATLANTA AREA:
Within a 100—mile radius of the ATLANTA AREA (SMSA) there are
14 smaller SMSA's which are close enough to affect the economy,
commerce and health service trade patterns of the ATLANTA AREA.
These are:
Macon Huntsville
Columbus Gadsden
Chattanooga Greenville
Albany Asheville
Augusta—Columbia Charlotte
Birmingham—Tuscaloosa Knoxville
Montgomery Nashville
Atlanta Area, 3 Place of Growth and Variation
SUMMARY:
THE ATLANTA AREA IS A RAPIDLY GROWING NETROPOLIS WITH BOTH URBAN
AND RURAL TERRAIN AND WAYS OF LIFE. THE MAJOR DEMOGRAPHIC CHAR-
ACTERISTICS INDICATE A CONTINUING PRESSURE AND A GREAT CAPACITY
FOR INCREASED AND APPROPRIATE SERVICES.
Major Characteristics:
AGE of the population is young: The number between 20 and 29 will
double between 1960 and 1980.
DENSITY of population covers a wide range: 5 to 52 persons per
acre.
SIZE is expanding: 27% increase from 1960 to 1967, passing 2
million by 1980.
CLIMATE is warm and humid: 48 inches annual precipitation.
URBANIZATION is increasing moderately: 6% from 1960 to 1967.
EDUCATIONAL opportunities are numerous: About 175 schools, nine A-yr,
colleges, 6 special purpose institutions, 3 area technical
schools.
OCCUPATION‘s largest demand is in retail and wholesale trade,
government, service business, manufacturing.
INCOME varies greatly: One county with 36% over $10,000 another
with 25% below $3,000.
CAPITAL INVESTMENT was near 300 million from 1963-1967, much of
this for transportation equipment.
TRADE is active: 3 interstate highways intersect, 8 airports with
800 daily flights, 13 railroad lines of 7 systems.
FINANCIAL headquarters of Sixth Federal Resarve District.
OFFICE SPACE abundant: Fifth in nation. .
COMMUNICATIONS extensive via telephones, mail, 4 daily and 20 weekly
newspapers, 5 television and 19 radio stations.
Note: This information taken from "Atlanta Silhouettes," ARMPC, Atlanta,
Georgia n.d.; "The Georgia Piedmont Regional Economic Investment Plan,"
State Planning Bureau, Office of the Governor, Atlanta, Georgia, n.d.
1960 — 1980 Population, Estimates and Projections
County 1960(1) 1965(2) 1970 1975
Fulton 556,326 599,300 649,425 704,046
DeKalb 256,782 350,400 485,541 658,520
Cobb 114,174 150,900 209,722 281,481
Clayton 46,365 66,000 93,483 135,988
Gwinnett 43,541 54,600 58,077 66,192
Douglas(3) 16,741 21,339 29,700 36,500
Total 1,033,929 1,242,539 1,525,949 1,882,727 2,
(1) U.S. Census
(2) Long—Range Plan, Hospital and Health Planning Dept., CCAA, Atlanta, 69.,
Jan. 1968, p. 6 (mimeographed).
(3) Douglas County Figures, 1965—1980, interpolated from Land Needs, 1968,
Douglas County, Ga., ARMPC, Table D.
DIRECTIONS OF POPULATION GROWTH 1960-1968
ATLANTA SMSA
FORSYTH
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CLAYTON
1980
829,163
757,518
337,019
161,126
76,094
45,000
205,920
NOTE: Percentages show share of SMSA
(including Douglas County) growth
that has occurred in each direction.
SPALDING
Population Trends Require Continuous Review of Health Needs.
SUMMARY:
THE NUMBER OF PEOPLE IN THE AREA IS GROWING AT A RATE OF 2.8% ANNUALLY.
THERE IS ALSO A MARKED INCREASE OF YOUNGER AND OF OLDER PERSONS. THE
MIGRATION OF PERSONS INTO THE AREA FROM NEARBY TOWNS AND PLACES IS ACCOM—
PANIED BY A GROWTH TOWARD THE OUTER COUNTIES,
Text:
The needs for health facilities, manpower and services must be antici—
pated well in advance.
Present information allows a reasonable prediction of the size, con—
stituency and settlement patterns of groups of people.
An increase in numbers of people indicates a greater demand on the
amount of facilities, manpower and services.
A change in the proportion of people in certain age groups indicates a
change in the need for particular types of care - home care, impairments,
maternal and child care, etc.
A change in the geographical distribution of people indicates a need for
review of environmental health, communicable diseases, etc.
Census
U4 S.
Rand Corp.
o
0
6
9
1
1975:
Under 1
The Planning Area Boundaries Observe other Programs,
Anticipate Expansion
SUMMARY:
THE STATE OF GEORGIA IS DIVIDED INTO MANY DIFFERENT AREAS, DISTRICTS
AND REGIONS FOR SPECIAL PLANNING OR IMPLEMENTATION OF PROGRAMS AND
ACTIVITIES, SOMETIMES THE FIVE COUNTY "STANDARD METROPOLITAN STA—
TISTICAL AREA" OF ATLANTA IS USED AS A UNIT. SOMETIMES PROGRAMS ARE
SUBDIVIDED BY COUNTIES 0R COUNTIES ARE COMBINED IN OTHER WAYS. THE
SIMILAR JURISDICTIONAL AREAS ARE CONVENIENT AND THERE IS A TENDENCY
TOWARD MAKING BOUNDARIES OF RELATED PROGRAMS IDENTICAL. IN ANTICIPA-
TION OF THIS TREND AND EXPANSION OF ATLANTA (SMSA) BY THE BUREAU OF
CENSUS, THE COMPREHENSIVE HEALTH PLAN WILL HAVE ADJUSTABLE BOUNDARIES.
(1)
1
( Much of this material taken from An Atlas of Multi-County Organizational
Units, Department of Geography, Univ. of (38., 1968
PROBLEMS IN DELINEATING REGIONS
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PROGRAMS, REGIONSI AREAS, AND DISTRICTS
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Civil Defense; o‘erational Areas Control Centers
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State Nurses Assoc. Districts
Community Action Agencies
State Representative Districts
Congressional Dis tric ts
State Senatorial Districts
Cooperative Extension Service Districts
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Soil & Water Conservation Districts
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State Em-lo ent Service Districts
office of Economic Opportunity (0
Community Council Social Planning Areas
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Farmers Home Administration Districts
Soil Conservation Districts I
Federal _J_udic ial Distric tsO
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Federal Land Bank Association Districts
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Georgia Bureau of Investigation Districts
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Does not participate (I) N Northern District (O) T Tallatoona
Pk) Appalachia & Piedmont (0) WC West Central District
(if) A Atlanta District (O) Ca Carrollton District
([1) D Decatur District Cl Clayton District
M Marietta District
Organizational and Procedural Arrangements for Comprehensive
Health Planning
SUMMARY:
THE PROPOSED COMPREHENSIVE HEALTH PLANNING AGENCY WILL BE STRUGTURED SO
AS TO BE IN CLOSE COORDINATION WITH THE METROPOLITAN ATLANTA COUNCIL OF
LOCAL GOVERNMENTS AND WITH THE COMMUNITY COUNCIL OF THE ATLANTA AREA.
THE ARRANGEMENT ALSO ENCOURAGES COOPERATION AND COORDINATION WITH THE
ATLANTA REGION METROPOLITAN PLANNING COMMISSION, THUS INVOLVING ALL THE
AREA'S MAJOR PLANNING AGENCIES. OTHER PLANNERS IN HEALTH OR HEALTH-
RELATED FIELDS WILL BE INVOLVED T0 VARYING DEGREES.
Applicant:
In order to facilitate interaction of the major planning groups in
the metr0politan area, the Metropolitan Atlanta Council of Local Govern—
ments OAACLOG) will be the applicant agency for comprehensive health plan-
ning. In order to do this, MACLOG is taking action to change its status
as a voluntary association and become an incorporated entity. In the event
that the necessary legal arrangements require more time than is available
prior to submission of this proposal, the interim applicant agency will be
the Community Council of the Atlanta Area, Inc. (CCAA). The organization
for supervising and conducting comprehensive health planning is indicated
herein as the Metropolitan Comprehensive Health Planning Council (Metro
CHP Council).
Relationships among MACLOG, Metro CHP Council, and CCAA:
Using as a model the relationship between the Georgia Regional Medical
Program and the Medical Association of Georgia, in which the latter is the
applicant agency, and the former actually conducts the program, including
final policy formulation, the proposed relationship is that MACLOG will be
the applicant agency, Metro CHP Council conducts the program and formulates
policy, and administrative support is provided by the CCAA. There will be
individuals serving on the CHP Council who are also members of MACLOG or
the Board of CCAA. To insure cooperative efforts and joint planning in
overlapping projects, it is planned to establish a "MetrOpolitan Conference
of Planning Chairmen“, bringing together the Chairmen of MACLOG, CCAA, CHP
Council, and Atlanta Region Metropolitan Planning Commission ARMPC). In
addition, there will be a "metropolitan Conference of Planning Directors”,
bringing together the executives of the four agencies. From time to time,
other planners will be invited to participate in these conferences. It is
anticipated that joint staff activities will occur where projects involve
physical planning (ARMPC), social planning (CCAA), health planning (CHP),
and other forms of planning such as crime and delinquency (MACLOG). Of
course, major portions of health planning will continue to be done in
other planning staffs, such as hospital authorities, city and county plan-
ning offices, etc. These will be coordinated, insofar as health aspects
are concerned, by the Metro CHP staff.
Facilities:
MACLOG, CCAA, ARMPC, and UHF will be housed in the same building.
This close proximity will make possible sharing of numerous facilities,
such as library, public information, duplication and mailing, etc.
For additional information, see the section on Facilities in the sec-
ond Section of this prepossl volume.
_ 16 a
ORGANIZATION FOR COMPREHENSIVE HEALTH PLANNING
confreo‘l’ual
relaiion
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Abbreviations:
ARMPC Atlanta Region Metro. Planning Commission
CCAA Community Council of the Atlanta Area
CHP Comprehensive Health Planning
DHEW (U.S.) Department of Health,Education & Welfare
MACLDG Metro. Atlanta Council of Local Governments
Bd Board
Conf Conference
Dir's Directors
Chmn Chairmen
Plng Planning
Cooperative Arrangements made for funds, personnel, services,
Title:
facilities
SUMMARY:
THE COMPREHENSIVE HEALTH PLAN IS AND WILL BE LINKED FORMALLY WITH THE
APPROPRIATE ORGANIZATIONS TO ASSURE THE JOINING OF ALL HEALTH EFFORTS
TO COMMON RESOURCES.
COOPERATPVE ARRANGEMENTS WITH OTHER PROGRAMS
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DHLW
Dept. Health,
Education &
Welfare
Local Health Agencies
letro Atlanta
Council of
Local Govts.
Metro Comprehensive
Health Planning
Council
*See Appendix for Details.
a personnel
MACLOG
.technical
assistance
Comprehensive Health
Planning Staff
Community Council
' of the Atlanta
Area, Inc.
Administrative Services'
Housing, Furniture,supplkm
Personnel policies*
Ancillary Services—m
library, duplicating,
mailing, etc.
Planning is Based Upon Commonly Available Data
SUMMARY:
THE LOCAL RESOURCES FOR QUANTITATIVE DATA IN THE HEALTH CARE FIELD ARE
RATHER LIMITED BOTH IN AMOUNT, AVAILABILITY, AND COMPARABILITY, THE COM—
PILATION OF INFORMATION IN A CENTRAL CENTER WARRANTS PRIORITY FOR FUTURE
PROBLEM—SOLVING. SOCIAL, ECONOMIC, AND DEMOGRAPHIC STATISTICS ARE MORE
FULLY DEVELOPED THAN HEALTH DATA. BOTH ARE OFTEN SCATTERED AND FAR
FROM IDEAL. INFORMATION ALONG THESE LINES IS AVAILABLE AND COMMONLY USED
FROM MORE THAN A DOZEN SOURCES.
Implications for Comprehensive Health Planning in Environmental
Health Fields
SUMMARY:
THE METROPOLITAN ATLANTA AREA HAS MADE NOTABLE STRIDES TO IMPROVE EN-
VIRONMENTAL FACTORS IN RECENT YEARS. NEARLY EVERY AREA CONCERNED HAS
HAD SOME PREVIOUS WELL-PLANNED PROGRAMS. THE ROLE OF COMPREHENSIVE
HEALTH PLANNING WILL BE THAT OF COORDINATING EFFORTS, ENCOURAGING IM—
PLEMENTATION, AND INCREASING EFFICIENCY IN OPERATION.
Text:
Environmental Health programs being developed or recommended for
the Metropolitan area include:
1. Water and sewer plan implementation - a natural follow-up
to current water and seWar planning should include recom-
mendations for long range pollution control systems and
management of water resources.
Up-dating open space and recreation plan and program for the
metropolitan area.
Capital improvements programming: a continuation of the work
ARMTC is doing now.
Metropolitan Solid Waste Plan — MACLOG.
Mobile Home Park - ARMTC — Study of requirements on location.
Vector Control Program - EDA - Demolition Project.
Comprehensive study of problems and possible long-range
solution for solid waste and garbage collection and disposal.
Development of a long—range plan for industrial and office
parks throughout the area - ARMTC.
A study of future housing requirements: as they relate to
population forecasts, income, employment, and location.
This study is now being held in sbeyance.
Up—dating of Airport Plan - ARMTC.
Study, up-date and revise all elements of land development
and facilities plans.
ARMTC - The need for nature preserves and related outdoor
recreation facilities has been established. Implementation
is now needed.
Flood control project by Corps of Engineers.
Atlanta Housing Authority: re-develop public housing area;
rat control; health clinics for project area; and neighbor-
hood renewsl project (yearly basis).
Georgia Safety Council: organizing Teen Safety Councils in
all high schools in the state of Georgia; conducting industry
safety seminars throughout the state; driver improvement for
truck drivers; driver improvement through the defensive driver
course; conducting injury control program.
The Urban Life Center — A Solver of Urban Health Problems
For the Future
SUMMARY:
THE NEWLY ORGANIZED URBAN LIFE CENTER AT GEORGIA STATE COLLEGE, WHEN
FULLY OPERATIONAL, WILL PROVIDE A DYNAMIC INSTRUMENT FOR SOLUTION AND
PREVENTION OF HEALTH AND HEALTH RELATED PROBLEMS. IT FOCUSES THE RE-
SOURCES OF THE MAJOR EDUCATIONAL INSTITUTIONS IN THE ATLANTA AREA AND
THE STATE OF GEORGIA ON BROADENING THE INTELLECTUAL BASE OF THE POPU—
LATION, ENHANCING THE PROFESSIONAL AND CULTURAL COMMUNITY, INTENSIFYING
AND DIRECTING MOTIVATIONAL POTENTIAL AND PROVIDING SERVICES INVOLVING
PEOPLE AS INDIVIDUALS AND GROUPS.
Purpose:
Early in January, 1969, the Urban Life Center and the City of
Atlanta were designated one of six national research centers on urban
problems. (These centers were selected by the National League of
Cities acting under contract with Departments of Housing and Urban
Development and Health, Education and Welfare.) This network of
"Urban Observatories" represents an effort to concentrate efficiently
and economically the resources of higher education in the assault on
urban problems.
Concept:
The guiding concept is that the new problems of the cities neces—
sitate new approaches to academic organization and operation. An
important feature is the inter-disciplinary approach to the study and
solution of urban problems. Emphasis is placed upon the concentration
and coordination of talents from all relevant disciplines and organi~
zational units to effect sound solutions to urban problems.
The Urban Life Center embodies four basic organizational components:
<> The School of Urban Studies which provides the academic
training and research foundations.
<> The Urban Public Service Division is structured to
provide specialized activities, including short courses. in—
stitutes, conferences, public seminars, lecture series,
workshops. community extension service activities, etc.
<> The Inter—University Urban Cooperative seeks to coordinate
and direct the resources of all the institutions of higher
learning, in the surrounding area, aiming for cooperation
with a minimum of effort duplication.
C) The Observatory will facilitate the effective operation
of the other components of the Urban Life Center. Data col—
lected by the Observatory will serve as one of the bases for
training programs in the School of Urban Studies and those
conducted by the Division of Urban Public Service. It is de—
signed to work systematically with community agencies and
organizations to coordinate data and develop meaningful working
relationships relevant to urban problem-solving.
-32—
THE URBAN I.IFE CENTER
BOARD
OF
REGENTS
GRADY
HOSPITAL
GEORGIA
STATE
STATE COLLEGE LOCAL
GOVERMNT GOVERNMENT
AGENCIES AGENCIES
DIVISION OF
URBAN PUBLIC
SERVICE
SCHOOL OF
URBAN STUDIES
INTER-UNIVERSITY
URBAN COOPERATIVE
URBAN
OBSERVATORY
HEALTH
AND
HEALTH RELATED
INSTITUTIONS
_ 33 _
Local Health Departments, Atlanta Area
CENTERS AND CLINICS
Fulton County Cobb County (cont‘d.)
Main Center & offices Austell
Adamsville Mableton
Alpharetta Powder Springs
.Ben Hill Smyrna
Buckhead
Center Hill
College Park Clayton County
Collins
East Point ' Main Office
Fairburn Forest Park
Hapeville College Park
Howell Mill Fayetteville
Jere Wells
Lakewood
Roy W. McGee
Neighborhood Union
Northeast Main Center
Palmetto Buford
Red Oak Norcross
Rockdale - Duluth
Roswell
Sandy Springs
South Fulton
Techwood
we
mew
Main Center,
Douglaaville
DeKalb County
Main Center & offices
Doraville
Kirkwood
Lithonia
North DeKalb
Scobtdale
Southwest Dekalb
Stone Mountain
Tucker
Cobb County
Marietta
Acworth
County Financing Slate Allotments
July '67 — June '68
I-‘ulton $ 403, 181—
nch'alb 269, 127—
(‘obb 122,271—
Clnylon 52,049lll
Gwinnett 18,760-
I)nuglas 21,119-
#1101; readily available
4mm: n1
Centers
6099 £fi5~§mnf
PUBLIC HEALTH CENTERS
WW
Metropol 1 tan At lanta Area
are!
Manpower
425
199
47
38
21
8
Admission by Service
Mental Health V.D.
T.
B.
7,479 83,109 6,91‘1
2,925 63
2,169 128
964 6
484 4
*__E
GUINNETT
SP3
I
1
I
‘ fitment LLI
3
1
a.
.363
,089
5]":r
59?.
0 HEALTH CENTERS
SINCE 1967
4: HEALTH CENTERS
WATER. AND SEWER DISTRICTS IN THE ATLANTA AREA.
_ \ -
N‘K
QDACUL an
“-. \
' I
I “1"?‘fifih LE U a | :I 1 4 s
h' ' -:-:—
/_¢ '1 LEGE 'II ’I ‘ ‘f mu Inn-us
I ‘Rfi! ‘JIINIDUNI‘UU NC“
’ “JUN All fill. HMIYS
fil
,
J I I EXISTING FACILITIES
. Atlanta — II. :1. Clayton [1.1.1:
. Atlanta — Sandy :YEfl. Plan:
. ntlonn - Dray Crook Plant
. Atlanta - South River Plan:
. Atlanta — Intrnnch-onl: Creel. Flnnl.
. Atlantl - Illa: River “not
Fulton County — Industrial Hnn Plant
Fulton county - Norah Creek Pllnt
ll
\ kg”
,,
c N
. Fulton County - Morning Creek Lagoon
[
L
L .
co. ‘ ¢
. Jointly Owned Cm crook Plan:
/'
”‘7 ' \q l 11. Fairburn _ north-jun Plan:
I L. 12. FnlrhurnvSourhnide Plant
F L l N T R I V 13. val-en: Plant
. l
I
{possesses
A
fie
7p:
~71.
u.
D‘UWHIUNM’WMH
u. Alon-tetra Lagoon
15. Cullen Fork - Southeast Plan:
16. Clayton Gout: _ Flint Riva: Plan:
1?. Elly-ton Cnuntr - Rock Out Rood Luann
l 2*. Atlanta Am Depot Plan:
35. noon County — Shoal Creek Plant
26. noxalh County — Snapflnnor Greek 'Plont
23'. Mall: County - Lngnon
28. Lithonia — loot Sever Outlet
M 29. Lithonia - South Sour Outlet
Y SEWAGE TREATMENT 30. Conn“ — South Sou-u Outlet
. SECONDAR 11. Congo“ — North Sm: Outlet
TR TMENT 32. Foreman Lagoon
o PRIMER?! SEWAGE E1“ 3]. Laurence-ville Plan:
E 34‘:- mronoovll 1e Lennon
0 UNTREATED SEWAG :5. Mord Hm
u: > TA 36. L‘s-ins, Luoonn
POTABLE WATER IN KE 31'. Acworth Plant
35. Kenna-nu Plant
“w“, "a,” nugmmu. um Luna‘s-5': 39. Hal-1on- - Hon: Side Plant
In or... hum-o “"‘" ““""‘ ‘0. Bil—lotto — South Slat Plant
u. Hal-lau- - Root Side Plant
#2. Marietta — Southmt Side Plan:
U. Inokhatd Flank
In. Cobb County - Church Road Plant
#5. Cobb County — South Cobb Plan:
is. Sawm- - [inhumane Crook Plan:
I“. Aunt-:11 Plant
is. Dougluvlue Plant
State Health
Planning Council
Advises ”A"
Agency in
carrying out
its goals
C omprehensive State Health
Planning'Agencx - "A" Agency
Develops comprehensive state health
plan. .
Identifies health problems. ‘
Recommends policies and programs.
Provides consultation and coordinates
programs.
Areawide Planning Agencies -
"B" Agencies
Relates health programs in anarea
within a comprehensive frame-
work.
Liaison with appropriate health
agencies in an area to help carry
out goals.
Conduct periodic evaluations and
studies.
Review local grant applications.
Gathers and analyzes data.
Public Voluntary
health health
agencies agencies
(local) (local)
. EUGENE T. BRANCH. Chufmnt-I u! :F'IL' ”mm! m‘ him-nun
@m‘glfirfiufififilfifi? cscu. ALEXANDER, I'm: anniml'."
C JOHN IZARD. I'Ix'e Chain-”hm - ‘
. Q I— .
_ ‘1'“ r:._ a .a ‘ MR-o. THOMAS H. GIBSON, Autumn
Q ”‘k‘xacflfi 0% like DONALD H. GAREIs. {roman-Ir
Assamese
A. '
yea Inc. ‘ DUANE W. BECK. Ewwrh‘t' Duet-m:-
ONE THOUSAND GLENN BUILDING. 120 NIARIETTA ST“ N. w. ATLANTA. GEORG‘A 30393 TELEPHONE 577-.
May 23, 1969
Donald F. Spille, Ph.D.
Executive Director of Metropolitan Atlanta
Mental Health Association
209 Henry Grady Building
Atlanta, Georgia 30303
Dear Dr. Spills:
As you know a proposal will be sent to HEW, Washington,
in early June, setting up a mechanism for comprehensive
health planning in the metropolitan Atlanta area, and
requesting a 5-year grant to assist with such planning.
HEW must be assured that the proposed COmprehensive health
planning will have cooperation of all parties and agencies
involved.
This is to request that you write us a letter, as soon as
possible, assuring us of your cooperation in this project.
Sincerely yours,
Wfim
Rap ael B. Levin , Ph.D.
:Director, Comprehensive
Areawide Health Planning
RBL:az
Encl.
--69-
Community Involvement in Comprehensive Health Planning
SUMMARY:
DOCUMENTED HEREIN (SEE APPENDIX) ARE INDICATIONS OF SUPPORT FOR
COMPREHENSIVE HEALTH PLANNING FROM COMMUNITY ORGANIZATIONS AND
GOVERNMENTAL AGENCIES. IT IS ANTICIPATED THAT COMPLEMENTARY RE-
LATIONSHIPS OF MUTUAL BENEFIT WILL BE SOLIDIFIED IN THE EARLY
STAGES OF PERMANENT OPERATION.
Note: Letter of the opposite page has been sent to following
groups in the six-county area:
County Commissions
Mayors of Cities
Medical and Dental Societies
Nursing Associations
Hospital Council
Nursing Home Association
Chamber of Commerce
Colleges and Universities
Health Care Centers
Voluntary Health Agencies
Representative Organizations of the Poor and Near-Poor
ORGANIZATIONAL CHART OF COMMUNITY DEVELOPMENT IN
COMPREHENSIVE HEALTH PLANNING
25-member core of planning efforts to direct task
force assignments.
Chamber of Commerce Board of Directors.
Local County communities. These communities will be analyzed
and local citizens (with a wide range of representative types)
will be asked to participate in discussions. Some representa—
tives to consider will be age, race, sex, income, geOgraphic location, etc.
The basic philosophy is to establish task force and community
involvement simultaneously and then pool these thoughts into final recom-
mendations. This obviously is an oversimplification of the process and
many problems will have to be overcome if efforts are to be successful.
-67 _
Sub—Areal Health Councils. Cobb County: Example in Experience
SUMMARY:
COMPREHENSIVE HEALTH PLANNING EFFORTS IN COBB COUNTY, AS IN OTHER AREAS
OF METROPOLITAN ATLANTA, ARE IN THE NEOPHYTE STAGE. ORGANIZATION OF A
COBB COUNTY HEALTH COUNCIL HAS MET WITH ENTHUSIASTIC COMMUNITY SUPPORT.
COOPERATION AND EFFECTIVE COMMUNICATION WITH THE METROPOLITAN COMPRE-
HENSIVE HEALTH PLANNING COUNCIL WILL PRODUCE AN EXEMTLARY RELATIONSHIP
IN EFFORTS TO MEET HEALTH NEEDS OF THE AREA.
History of Cobb County Health Council:
While in recent years much progress has been made, gaps in Cobb County's
health services have been dramatically evident. For example, a new family
found the nearest physician twenty miles away. One hospital is often over-
crowded while another has many available beds. Solutions to these and other
problems are necessarily a task for large scale cooperative planning.
The present twenty-five member CCHC had its beginning in February, 1969,
with a meeting of five health-oriented community leaders under auspices of
the Chamber of Commerce. Health problems were recognized in four basic
categories:
Services
Facilities
Manpower
Financing
Task forces of the Council and other community members have been assigned
to determine needs, resources, and possible solutions in these areas.
Implications for Success:
1. The Chamber of Commerce has had a leading and beneficial
role in organizing the CCHC. Support and participation
have already been secured from major segments of the com-
munity.
2. Planning involves government officials, health providers,
and consumers working together to improve the total health
system.
3. From the beginning, members of the CCHC have recognized the
potential for inter-relationship with the Metropolitan Council.
Understanding and coordination of efforts will combine resources
leading to the solution of health problems.
Implications for Overall Local Liaison
The Cobb County Health Council is farther advanced than those in other
counties and neighborhoods, although beginnings have also been made in Gwinnett
and Clayton Counties. Basically, these local Councils serve two major purposes:
(1) they extend the capability of the metro Council to spotlight special needs
in local areas, and (2) they bring into participation additional citizens who
generate citizen information activities and bull support for CHP. -
-56—
POLICY - RECOGNITION - SUPPORT - ACTION
$ FOR PROJECTS $ FOR PROJECTS
' ROJECT APPROVALS
REGOGN IT ION
$ FOR
PLANN ING ( 50%)
RECOGNITION 5 cup AGENCY $ ma PLANNING
W
HEALTH CARE $ FDR COUNCIL, LOCAL
AGENCIES PLANNING STAFF
E RECOMNDATIONS
IN TECH. ASSISTANCE l FitEOOGNITION RECOGNITI N T
(___i s
@913
fl m
GOVERNMENTS
l.
'42»
*‘o
429
$ FOR PLANNING
CHAMBER OF COMMERCE
FOUNDATIONS
$ FOR PROJECTS OTHER BUSINESS INDUSTRY
ACTION . (IMMUNITY CHEST
E LOCAL GROUPS
PROJECTS ETC.
Procedure for Policy Implementation
SUMMARY:
FUNCTIONS OF THE METROPOLITAN CHP AGENCY WILL INCLUDE RESEARCH, COORDINATION OF VARIOUS
GROUPS, AND POLICY DECISIONS IN THE HEALTH FIELD. AS A PLANNING BODY, THE COUNCIL AND
STAFF WILL DEPEND UPON ACTION GROUPS FOR IMPLEMENTATION OF ITS POLICY. FEDERAL, STATE
AND LOCAL GOVERNMENT RECOGNITION OF THE AGENCY WILL BE KEY FACTORS IN THE ABILITY TO
INFLUENCE ACTION WHICH WILL IMPROVE HEALTH FACILITIES AND SERVICES.
The following functions and relationships will provide a basis for ensuring implementation
of policy.
Functions of the CHP Agency (Policy Board and Staff):
1. Conduct research in community health problems.
2. Develop background for policynmaking; use systems analyses, cost-benefit analyses,
etc.
Coordinate activities of all health planners in the community.
Review health action projects originating in the community.
Provide technical assistance to action agencies.
Originate health action projects where needed.
Conduct community liaison and education in health matters.
Give adjacent areas assistance in health planning on contract basis.
. Make policy decisions for the community in health matters.
Relationships between the Agency and other groups:
The CHP policy Councfl_will be representative of all health concerns in the
Metropolitan Atlanta area.
Recognition of CHP Agency responsibility and authority in planning areas is
expected on all levels of governmental and health—concerned group involvement.
Funds for exercising agency functions will be sought from federal, state and
local governments, Their support will indicate recognition and delegation of
health planning policy decisions to this agency.
Foundations, business and voluntary health organizations may be expected to provide
some funds for planning. .
Local governments and independent health agencies will receive benefits from CH
through technical assistance in planning, coordination of efforts and recommenda-
tion of priorities.
6. Federal funds for any given project will need approval of the CHP Agency for
allocation.
The above being factors, respect for the CHP Agency will be an inherent trait necessary
and present for implementation of policy decisions. Recommendations made to governments,
other planning agencies, hospital authorities and the like, wiIl be carried out by those
groups with desired assistance of the CHP staff.
Effectiveness of comprehensive health planning:
The interrelationships among CHP and other local governments and agencies is designed to
insure mutual respect and dependence. Whereas the CHP Agency depends for its existence
on the recognition and financial support of the other groups, they, in turn, depend on
the existence and recognition by State and Federal offices of the CHP Agency for much
of the Federal funding they require. And whereas the CHP Agency depends on the reapect
for its competence and fairness by local grOups for its effectiveness in originating
new plans, the local groups depend on the CHP Agency review for implementation of
plans which they originate. Thus, it is in the interests of all that relationships
begin and continue on a harmonious and mutually helpful basis.
- 54 _
CHOICE CHOICE 0
OF FUNDING 0F PR’OGRAM
LEVEL ALTERNATIVE
EFFECTIVENESS"
M
nesouncas PROGRAM - OUTPUT - IMPACT '
“~___——F-“W¢’_‘—-—__ur’
o MONEY
0 PEOPLE
OFACI LI TIES
PROGRAM GOALS
OUTPUT .
EF =
FICIENCY INPUT ACTIVITY LEVEL
DETERMNANTS*
a REQUIREMENT
.NEED
9 DESIRED LEVEL
COMPREHENSIVE HEALTH SERVICE-
MULTIYEAR PROGRAM AN
'I
II
M
I"
WI!
'0‘”!
f
79
"99’
w
III
":0
(Ill/ll.
"ill/fly;
VIIIIIIIIII
on."
m...
'l
'I'IA
'3'
I'll."
The Need fnr Planning Programming System for Comprehensive
Health Planning
SUMMARY:
PLANNING AND PROGRAMMING SYSTEMS OFFER GREAT PROMISE TO AREAWIDE PLANNING
AND OTHER GOVERNMENTAL ORGANIZATIONS AS A MEANS OF SYSTEMATICALLY RELAT—
ING PROJECT OR PROGRAM PLANNING WITH FINANCIAL PLANNING. IT IS A METHOD
OF OBTAINING THE MAXIMUM BENEFIT AND EFFECTIVENESS FROM RELATED HEALTH
PROGRAMS THROUGH THE EFFICIENT GOAL—ORIENTED APPLICATION OF AREAWIDE RE—
SOURCES.
Basic Purpose:
The basic purposes of a planning and programming system are to:
'tpermit rational choosing between objectives,
*oermit rational choosing between programs,
ifacilitate selecting rational levels of programs,
ifacilitate review and evaluation of program accomplishment.
Major Characteristics are:
ithe identification of the fundamental goals and objectives
of the area;
isystematic analysis of alternative ways of meeting the area-
wide goals and objectives;
“Ithe presentation of alternatives to the decisionfinaker;
-kexplicit consideration of future year fiscal implications
(5-year program goals) at;
— preferred funding level, or
- stringent funding level: and
ithat proposals and decisions are properly supported by docu—
mented evidence.
Benefits:
In general an integrated system of planning, programming, offers:
An improved process for decision—making, policy formation and
for analyzing major issues.
A Systematic method of exploring alternative ways (more effective
or less costly) for getting the health and health related busi—
ness done.
A procedure for coordination of health programs in the light of
identified common or single goals and objectives.
An examination of fundamental goals and objectives of the Atlanta
Area and the role of individual programs in meeting those goals
and objectives.
A strengthening of the initiative of the areawide and local govern—
ments in policy formulation.
A method of relating areawide planning and programming to the
financial process of the State and local communities.
-62—
_'[9_
'nm 1; 1' on
Air
Wa te r /
.Fffifd—P Karmic—e [m1 / '\
/ ‘
____ Rodi a ti n /
rLS§_t';_1'-.1..elfl.e_1}t5 KES1-—.flaenc‘3l/- I; ‘31 in \
1 .
'_, ’- aw" Waste disposal on
I . ‘ I C’ -§F ,, - ,
"_ :I/[l _
Title: Information Gathering and Analysis Systems and Technigues to be Used
SUMMARY:
THE BASIC INFORMATION SYSTEM WILL INCLUDE THE (A) COLLECTION, (B) QUANTI-
FICATION, (C) STORAGE, AND (D) UTILIZATION OF DATA PERTINENT TO THE OTHER
PHASES OF THE PLANNING PROCESS, PROBLEM AND RESOURCE DETERMINATION, IM-
PLEMENTATION, AND EVALUATION. EVALUATION OF THE PLANNING ITSELF SHALL BE
DONE BY THE COMMUNITY AT LARGE THROUGH ITS EXERCISE OF SUPPORT. EVALUA-
TION OF PARTICULAR PHASES OR OPERATIONS WILL BE BUILT INTO COSTS-BENEFITS
ANALYSIS AND SUPPLEMENTED BY INDEPENDENT INVESTIGATION.
Research Technigue
Data shall be organized according to a total functional model; i.e.,
under a scheme which takes into account units, their relationship to each
other, and their relationship to a larger whole.
The units or subsystems of the health system, the entire health system,
the total environment, and the "functional flow" of the user through it is
suggested in the diagram on the opposite page.
This technique provides a basis for costs-benefits analysis of alter—
native plans for action.
Evaluation Technigue:
A baseline for measurement of impact will be the purpose of an initial
collection of information.
A systematic, continuous feed-back on effectivenss of programs will
be built into each program in a simple manner.
Elaborate evaluations of particular phases or troublesome operations
will be conducted. '
Both the subjective and objective appraisal of efforts in terms of
their impact upon the particular problem and the long-range goal will be
made.
The entire planning process will be subject to the periodic evaluation
of the organized community in the form of their extending or withdrawing
financial and cooperative support.
The decision makers themselves will be subject to evaluation by
"recall" or failure to election to the OH? Board by their respective
groups.
The "public" will be an implicit'evaluator through its usa and non-use
of programs.
PRIORITY AREAS FOR COMPREHENSIVE HEALTH PLANNING EFFORTS
Loading on health manpower - quantity and utilization.
Loading on health facilities - quantity and utilization.
Discrepancy between needs and care received by the poor.
Maternal and child health; family planning.
Mental Health
Environmental sanitation; pollution, waste disposal.
Public health and prevention; vector control;
Emergency health services.
Injury control.
Dental problems.
Drug abuse and alcoholism.
Degenerative and chronic diseases.
Citizen role in prevention and care.
Costs of health care; insurance patterns.
Scope of Program Health Concerns
SUMMARY:
A PRINCIPAL EFFORT DURING THE ORGANIZATIONAL PERIOD HAS BEEN TO IDENTIFY THE
HEALTH PROBLEM AREAS OF THIS COMMUNITY WITH SUFFICIENT PRECISION To BE ABLE
TO PROJECT THE SCOPE OF THE PERMANENT PLANNING AGENCY'S FIRST YEAR OF OPERATIONS,
AND DETERMINE THE STAFF NEEDS THESE OPERATIONS ENTAIL. OF THE MORE THAN 40
SUCH PROBLEM AREAS IDENTIFIED BY THE STAFF, 27 HERE STUDIED IN SOME DETAIL
WITH THE ASSISTANCE OF AS MANY ”TASK FORCES”, DRAWN FROM THE COMMUNITY AT LARGE,
AND INCLUDING HEALTH CONSUMERS AS WELL AS HEALTH PROVIDERS. SOME 14 PROBLEM
AREAS HAVE SEEN IDENTIFIED AS MOST LIKELY To DEFINE THE SCOPE OF THE FIRST
YEAR‘S PROGRAM.
Need for Identification of Health Problem Areas
Although the staff during this organizational period is not in a position to
perform actual planning for this community, and therefore does not need
the detailed information about community health problems and prevention and
care mechanisms which will be necessary for a systems analytical approach to
planning, it was necessary to identify the health problems with sufficient
precision to be able to project the scope of the permanent planning agency's
first year of Operations. This scope, in turn, determines the size and skills
which will be needed in the permanent staff.
Study of Health Problem Areas
During initial staff conferences, augmented by consultants from a number of
health fields, and through the mechanism of two large-community"technical
aspects" meetings, more than 40 problem areas were identified as needing
attention and improvement in the metropolitan health picture. These were
divided into priority categories on the basis of the impressions deveIOped
to that time, and about half of them were designated as needing further
study. This, in turn; was accomplished through the mechanism of problem
area "task forces".
Problem Area Task Forces
Groups of interested and knowledgable persons in the community were asked by
the various staff members to form "task forces", each of which was to study
one of the assigned problem areas in the detail necessary for determining
the scope of the 1970 comprehensive health planning effort. The task forces
ranged in size from two or three individuals to more than 20. They were given
instructions as to how to go about gathering their data and how to report
their findings (see Appendix ), and were assisted and encouraged by one
of the Staff. Some 27 of these task forces were eventually formed, and their
reports, in many cases quite voluminous, are presented in Volume III of this
proposal (in condensed form). A great deal of thanks is due to these hundreds
of people, health providers and consumers alike, for the insight which they
contributed to the understanding of this community's problems.
Scope of the 1970 Effort
The 14 problem areas shown on the facing page now seem likely to define the
scope of the first year's efforts of the permanent comprehensive health planning
agency.
-54—
COMBMNITT INVOLVEMENT ROUTE FOR BUILDING A POLICY BOARD BY CONSENSUS
(‘\_'!\A FCMS COM J CA] [PA
a I ’10 Community Involvement Panel
FFMS , .
At.COC C s 01 C #70
1 meetings 2 meetings 1 meeting 2 meetings
meeting
Community Involvement
Community Involvement
Steering Committee
Steering Committee
‘36 ‘34
meeting Ad Hoc Nominating Groups
WM“-
6 meetings
Smnll Groups
(many)
_ CCAA Community Council of the
Comprehen51ve Health Atlanta Area. Inc.
Planning Council Atcoc Atlanta Chamber
Org. of Commerce
o 10 Local Governments CISCXC
3 Major Planning Agencies
50 Orgs. 20 Health Providers
- 2 Business and Labor
1 eetin '
m g 1 meeting Beeh' 17 Poor and Near-Poor FCMS Fulton County
35 Medical Society
Community Involvement
Steering Committee
Executive Committee
C's of C Chamber‘s of Commerce
JCAHPA Joint Committee of Area
1 indicate number of people at meeting(s). Health Professional
Associations
Notes:
D several members per organization
Organizational History of the Applicant
SUMMARY
THE COMMUNITY COUNCIL OF THE ATLANTA AREA, INC., A NON-PROFIT
CORPORATION CHARTERED UNUER THE LAWS OF THE STATE OF GEORGIA WILL
ACT AS THE APPLICANT AGENCY FOR COMPREHENSIVE HEALTH PLANNING. POLICY
IN THE HEALTH ACTIVITIES WILL BE FORMULATED BY THE COMPREHENSIVE
HEALTH PLANNING COUNCIL (CHP COUNCIL), WHICH WAS BROUGHT INTO BEING
BY A COMMUNITY INVOLVEMENT PROCEEDURE RESULTING IN SUBSTANTIAL CONCEN-
SUS. THE STAFF WILL CONSIST OF THE CHP ORGANIZATIONAL STAFF, AUGMENTED
BY ADDITIONAL PROFESSIONAL AND SUB-PROFESSIONAL MEMBERS.
COMMUNITY COUNCIL OF THE ATLANTA AREAI INC;
The Community Council of the Atlanta Area, Inc., was established as
a community planning agency :m 1960; previous to that date it was the
Planning Division of the Atlanta United Fund. In 1963, the Council
Launched the West End Demonstration Project with the purpose of finding "new
ways of solving economic dependency (poverty)"; the activities of this
Project let to the design of the initial application by Atlanta and Fulton
County for funds from the Office of Economic Opportunity. The result was
the Economic Opportunity Atlanta (EOA) agency was established. In 1965,
the Council entered into a contract with Atlanta to deveIOp a long range
plan for Urban Renewal under the Community Improvement Project (CIP) which
producaithe information, development plan, and method of "grass roots"
resident participation in urban renewal planning. In 1965, the Council
applied for and received a Hill-Burton facilities planning grant of $112,000
for a three year period.
COMPREHENSIVE HEALTH PLANNING COUNCIL (CHE;
The CHP will come into existence on June 5, 1969, and will assume the
active role of policy making in health matters when the permanent agency
is established January 1, 1970. This Council was brought into being through
extensive process of community involvement and concensus-seeking. After
several preliminary meetings of possible sponsors, a group of "convenors"
brought together a "Community Involvement Panel" representing 170 offices,
agencies, and organizations Concerned with health. This Panel on March 13,
1969 elected a "Community Involvement Steering Committee" of 36 members,
and an Executive Committee. Thus the development of organizational guide-
lines, the methods of reaching them, the nomination and selection of
permanent members of the Council became the goal of this Steering Committee,
which in turn resulted in the formation of a Comprehensive Health Planning
Council on June 5, 1969. The membership (as shown on the opposite page)
is drawn frOm five broad categories of community groups; well-distributed
by geographic areas, socioeconomic status, ethnic backgroup, providers and
consumers, public and private sectors. (Members of (HP, representation,
organizations and functions are on pp. 80-85.)
STAFF
Hembers of the Organizational Staff and titles and descriptions to
staff to be recruited to become the permanent staff of the planning
agency are listed On pages 78 and 79.
-52-
BACKGROUND OF HEALTH PLANNING EFFORTS
(1)
Planning with:
Economic Opportunity, Atlanta, 1964.
Hill-Burton and National Institute of Mental Health, continuous.
Georgia Regional Medical Program, continuous.
Home Health Care Service, 1969.
Nursing Homes, 1967
Ga. State College, Kennesaw College, DeKalb College, Clayton
Junior College, medical personnel training, 1967.
Fulton County Medical Society: Southside Comprehensive Health Center,
Vine City Health Services. 1967.
Appalachian Funds, 1967.
Model Cities Program, 1968.
Areawide Comprehensive Health Planning, 1969.
Studies: hospitals, nursing homes, services, patients, physicians,
senior citizens.
(1)
Related Planning:
Community Improvement Program: Atlanta Urban Renewal
Senior Citizens Agency
Alcoholics Program
Information and Referral
Recreation: Atlanta'Parks and Recreation
Community Participation organizations
Neighborhood Central Information Files.
(1) See Appendix for more complete descriptions.
Community Council Has Extensive Involvement in Health and Planning
SUMMARY:
ONE OF THE PRIMARY INTERESTS OF THE COMMUNITY COUNCIL, ATLANTA AREA, INC.,
IS THE HEALTH OF THE COMMUNITIES, THE FAMILIES, AND THE INDIVIDUALS OF
THE METROPOLITAN AREA. ACTIVE SUPPORT AND PARTICIPATION IN PLANS AND PRO—
GRAMS RELATED TO HEALTH HAVE BEEN CONDUCTED SINCE 1960. THE COUNCIL HAS
WORKED CLOSELY WITH FEDERAL, STATE, AND COUNTY AND CITY AGENCIES, PRO-
FESSIONAL AND VOLUNTARY GROUPS AND INDIVIDUALS TO RAISE THE LEVEL OF HEALTH.
Current Status:
The following paragraph taken from "Narrative Plan for Comprehensive
Health Planning" by which the Governor designated the Georgia Department
of Public Health as planning agent for the Siate of Georgia attests to
the capacity of the applicant planning group:
"There are only three staffed organizations in the state
directed by boards adequately representative of the total
community which are engaged in human resources-health
planning. These are the Community Council of the A1lanta
Area Inc. the Uniied Community Service of Savannah-
Chatham County. Inc., and the Georgia—Tennessee Regional
Health Commission. The Department has maintained liaison
with these agencies throughout their existence because of
their broad inierest in human resources planning This re—
la1ionship is expecied to continue."
0
Goals and Aims of the Planning Project:
SUMMARY:
THE PRINCIPAL GOAL OF AREAWIDE COMPREHENSIVE HEALTH PLANNING IS THE SAME AS THAT
FOR STATE AND NATIONAL LEVELS: "PROMOTING AND ASSURING THE HIGHEST LEVEL OF
HEALTH ATTAINASLE FOR EVERY PERSON". LOCALLY, THIS MEANS DEVISING AND ADOPTING
STRATEGIES FOR THE USE OF HEALTH RESOURCES WHICH HILL MATERIALLY RAISE THE
LEVEL OF HEALTH, PROGRESSIVELY, IN THE ENTIRE COMMUNITY. SUCH A TASK IS SEEN
AS A PROBLEM IN ”SYSTEMS" ANALYSIS AND DEVELOPMENT, BY WHICH BACKGROUND FOR
POLICY DECISIONS MAY BE GENERATED. MAXIMUM PARTICIPATION BY ALL CDNCERNED
ELEMENTS IN THE COMMUNITY WILL BE NECESSARY FOR SUCCESSFUL IMPLEMENTATION OF
POLICY.
In 1966, the United States Congress enacted Public Law 89-749, the "Partner-
ship for Health" act. Under this law, the States, and.through them, areas
within the States, must assume responsibility for comprehensive health
planning. The Congress declared that "fulfillment of our national purpose
depends on promoting and assuring the highest level of health attainable
for every person, in an environment which contributes positively to healthful
individual and family living; that attainment of this goal depends on an
effective partnership, involving close intergovernmental collaboration, official
and voluntary efforts. and participation of individuals and organizations;
that Federal financial assistance must be directed to support the marshalling
of all health resources-—nationsl, State , and local--to assure comprehensive
health services of high quality for every person, but without interference
with existing patterns of private professional practice of medicine, dentistry,
and related healing arts".
The term "comprehensive" means that every aspect of the health picture in
the six-county metropolitan area must be taken into account in the planning
process. This includes not only-the treatment of illness and injury, but
their prevention, and the compensation for any lasting effects which they
may leave. Thus, in addition to the manifold activities of medical and
paramedical personnel in the variety of health treatment facilities, planning
must consider environmental controls of the air, water, soil, food. diaeasa
vectors, housing codes and construction, waste disposal, etc. It must
consider needs for the training of health personnel, for the improvement of
manpower and facilities utilization, and for the access to health care.
It includes the fields of mental health, dental health, and rehabilitation.
It must be concerned with the means of paying for preventive measures and
for health care. '
The term "planning" means, first, that problem areas and potential problem
areas in the entire field must be identified,and their magnitudes assessed.
The trends of the problems must also be assessed, and projected for future
years. Technical and organizational bottlenecks must be identified, and
planned around . Second, the community's resources-in meeting its health
needs must be equally carefully identified and projected, in terms of pro-
feesional and subprofessional skills, facilities, and financial resources.
-43-
Third, since a considerable amount of planning is already being done for a
number of projects, hospital authorities, counties, and municipalities,
which affects the community‘s health picture, ways must be found to make
maximum use of this capability, and coordinate it into a community-wide
comprehensive planning effort. Finally, planning must preserve and encourage
the highest level of professional competence in the entire health system,
and must make use of the insights of all concerned in the community health
system.
The overall task of putting together such an organization is thus seen to be
a problem in "systems" analysis and development. Since the total resources
of the community are likely to remain smaller than the demands which an ideal
health system will place on the resources, rational and just methods of
. assigning priorities to the various needs must be developed. A cost-benefit
analysis is essential to any auch decision process, and, considering the
literally hundreds of specific health needs in the community, it is likely
that the cost-benefit model must rather Boon make use of modern computer
techniques.
The Partnership for Health law requires that such planning be done with
people rather than for people. Therefore, maximum participation of health
"consumers", health professionals, governmental units and agencies, and other
community organizations is a necessity. The law is telling the States and
communities that they will be given increasing responsibility and power to
determine their own best health interests. In order to exercise this power
most effectively, a maximum degree of concensus must be attained among those
community elements concerned with health. To this end, participation of
such elements is mandatory, so that a true'partnership for health" among
governments, health providers and consumers, rich and poor, black and white,
urban and rural, may‘be achieved.
* *
GOAL FOR 1975:
WIMBLE, 1 HAVE CALLED THIS
MEETING TO INFORM YOU THAT SE28? SQESN’éIAPcfisrz-TFNSASEE
THE CLAUDE CLAY LOCAL SHOOT-OUTS ARE DOWN
UNDERTAKING PARLOR 73%... THE ACCIDENT RATE HA9
'5 'N THE THROES 0F DROPPED TO AN ABSURD LEUELL.
; PLAGUES ARE AT AN ALL-TLME
_ as? ' LOW! IN'SHORT} AT—
. - mm ,IS IN THE
CLUTCH ES OF A GLOW
OF HEALTH 0F
NEAR EPIDEMIC
., PROPORTIONS'
.._.......---—--‘-""h-t
from Atlanta Journal and Constitution
25 May 1969
”Tumbleweeds" by Tom K. Ryan
STATE OF GEORGIA. government
NUMBER OF FEDERAL AGENCIES
SERVING STATES FROM ATLANTA
REGIONAL HEADQUARTERS.
nnnnnn
ATLANTA POPULATION
1940
1350
1950
NEXT 25
YEARS 2 MILLION
V2 1 l V: 2
Number 0! People (In Millions}
REGIONAL CAPITAL OF THE SOUTHEAST
-47-
uuuuu
........
.........
.......
-----
RAPID TRANSIT STATIONS
0N INIY'M $‘5‘EM
n r=0
u
. at new“:
. ,, o.” nun-u;
um . o.u
F—'_'_.
.n u :;-. .: ,.
provides jobs for over 13.5 percent of all non-agricultural wage
and salary workers;
capital for the State of Georgia;
houses federal and state, regional and district governmental
offices;
military installations such as Third Army Headquarters, Dobbins
Air Force Base, Naval Air Station, etc.;
U.S. Federal Penitentiary.
Wholesale Trade
- Concentration of wholesale trade is the most important single index
to metropolitan status
— 4 billion dollar business - ranks 13th in the nation; the big four
in wholesaling are:
motor vehicles and automotive equipment
groceries and related products
drugs, chemicals and allied products-
machinery, equipment and supplies
Manufacturing
Atlanta's production activities have been growing rapidly.
- Atlanta is Second only to Louisville, Ky. in the southeast in the
number of production workers or in value added by manufacture.
— Durable goods employment has risen 39% of the 1952 total to pre-
sent 4?. 5%
- Major items in transportation are automobile (GM & Ford) and air-
craft (Lockheed).
Communications
- Atlanta Area is one of the largest telephone switching centers in
the U.S.
Only Class I toll center in Southeast
Headquarters for Southern Bell Telephone & Telegraph Co. which
serves nine states and Southeastern headquarters of American Tel-
ephone & Telegraph Co. I
Atlanta Western Union office is one of 15 automatic high speed
switching centers in the nation (it handles approximately 2 million
telegrams a month)
Gross postal receipts amount to 25 million per year
Atlanta has 3 commercial, 2 educational TV statioas; over 19 radio
stations, news coverage by 3 national TV networks, 20 weekly news—
papers and regional operators of AP, UPI, Wall Street Journal, New
York Times, Time Magazine, Newsweek and Business Week.
Higher Education
A major regional function of the Atlanta Area (SMSA).
- Headquarters of the Southern Regional Education Board
and for the Southern Association of Colleges and Sec-
ondary Schools.
- There are a number of recognized colleges and universi-
ties in the Area of great importance to its economic potential.
The Economic Status of the Atlanta Area
SUMMARY:
THE ATLANTA AREA HAS MANY SPECIFIC URBAN PROBLEMS. WHILE GENERALLY PROS-
PEROUS DUE TO ITS GROWTH AS AN INDUSTRIAL, BUSINESS, FINANCIAL, EDUCA—
TION, COMMUNICATION AND TRANSPORTATION CENTER, THERE ARE SIGNIFICANT AREAS
OF BLIGHT, UNEMPLOYMENT AND INADEQUATE COMMUNITY FACILITIES. THE VARIETY
AND QUANTITY OF INTERNAL TRAFFIC FLOW PROBLEMS IN THE VITAL MOVEMENT OF
GOODS AND PEOPLE CONTINUOUSLY REQUIRE THE DESIGN AND CONSTRUCTION OF MASS
TRANSIT AND CIRCUMFERENTIAL HIGHWAY SYSTEMS. POPULATION INCREASES, IM-
-MIGRATION OF WORKERS FROM RURAL AND OTHER URBAN CENTERS, LONGER LIFE SPAN,
TECHNOLOGICAL INNOVATION AND MEDICAL ADVANCEMENTS HAVE CREATED HEAVIER
BURDENS ON HEALTH AND HEALTH RELATED SERVICES AND FACILITIES, BOTH SHORT
AND LONG TERM. THE ATLANTA AREA PRESENTLY NEEDS APPROXIMATELY 1800 BEDS FOR
MEDICARE, MEDICAID AND TREATMENT FOR THE "MEDICALLY INDIGENT". AS TRENDS
INDICATE CONTINUED ECONOMIC GROWTH WITH RELATED POPULATION INCREASE, THERE
WILL BE EVEN GREATER NEED FOR ADDITIONAL HEALTH FACILITIES AND MANPOWER
RESEARCH TO SOLVE UNEMPLOYMENT, LABOR AND HEALTH RELATED PROBLEMS.
Topography:
The Atlanta Area is centrally located in the Southeast and stands
alone as the only metropolis in its population class south of Washington
and east of Dallas and Houston.
— Economically similar to other inland regional centers such
as Kansas City, Minneapolis, St. Paul and Dallas.
- Developable land areas abound in every direction.
- Physically, the Atlanta Area is:
——located in the Piedmont region which lies south
of the Appalachian region and north of the Coastal
Plains region;
--north of Georgia's fall line and bisected to some
extent by the Brevard fault;
--characterized by low rolling hills containing
metamorphic and igneous type rocks;
--generally blessed with a warm, humid climate
(average winter low=45°; average summer high=77°)
--ideally suited for impoundment of almost any size
lakes due to its annual average precipitation of
48 inches:
- Pine and a few other hardwood trees are found throughout the Area.
- Water for the Area comes from the Chattahoochee River, several
creeks and lakes.
--Lake Lanier and Allatoona Lake are within 50 miles of Atlanta
The reddish clay-soil of the Area is moderately fertile, but
susceptibility to erosion has diverted much of the land to less
demanding uses such as pasture and forests.
- Notable Features:
--Stone Mountain (a granite peak and State Park), reputedly
the world‘s largest granite monolith
-—Kennesaw Mountain, an historic Civil War battle site
Transportation
Key to the Area's economic growth.
-Rai1roads - 13 main lines of 7 railroad systems radiating in
all directions.
~Interstate Expressways — Six legs scheduled to go through the area
-Air Transport - Six major airlines serve the area; two of the air-
lines are headquartered in Atlanta. 800 scheduled arrivals and de-
partures daily.
-Naterway Transport - has potential for both recreation and trade.
Finance
One of the most significant forces in the ATLANTA AREA (SMSA) is its
economic growth as a financial center. Factors effecting the financial
growth are:
— selection for Federal Reserve bank (based on flow of trade in 1914)
- headquarters for Sixth Federal Rserve District
- growth in Atlanta's correspondent bank relationships
Business
ATLANTA AREA (SMSA) is an office "Headquarters city" with continued
business growth indicated for the future.
- since WW II more than 8 million square feet of rentable office
Space has been built
- leader in advertising, blueprinting, photocOpying, research,
and development, etc., in Southeastern United States.
Manpower
(See chart page 52 , Health Manpower Resources, 1968)
(See chart page 13 , Population Distribution by Age and Sex)
Major problems in the Area's working population will arise from:
- inexperienced individuals, in large numbers, born in the
40‘s and 50's who will enter the job market in the 60's
and 70's; . .
women, who increasingly tend to accept regular employment;
middle—aged males, industry‘s supervisory personnel pool,
who will scarcely increase in number;
older people, growing in numbers, who will create a demand
for retirement homes, medical care facilities and passive
recreation equipment; this will affect construction and
industrial production;
impact of automation which will accelerate competition for
available jobs.
Government
Government is big business in the ATLANTA AREA.
SELECTED RANKINGS & CHARACTERISTIC
OF GEORGIA (From State Data & State
Rankings, Part 2 of 1966—67 edition
of Welfare Trends)
HEALTH MANPOWER
U.Sfiank
Physicians 38
Dentists 48
Professional Nurses 43
General & Special
Hospital Admissions 48
Mental Hospital
Admissions 19
Tuberculosis 27
Expenses (total) 47
Expenses (General
Short—term) 39
Expenses (General
Long-term) 2
Expenses (Mental) 46
-43..—
Existing Manpower
SUMMARY:
THE NUMBER OF PRIVATE PHYSICIANS AND DENTISTS AVAILABLE TO THE PATIENT IN THE
6—COUNTY AREA IS AIMDST THE SAME AS THE NATIONAL RATIO. OTHER PARTS OF GEORGIA
HAVE RELATIVELY FEWER PHYSICIANS AND ABOUT HALF AS MANY DENTISTS FOR THE POPUr
LATION. REGISTERED NURSES ARE CONSIDERABLY MORE ABUNDANT IN THE ATLANTA AREA
THAN NATIONALLY OR ELSEWHERE OVER GEORGIA. THE NUMBER OF SANITARIANS ALSO
COMPARES FAVORABLY WITH OTHER AREAS.
THE COMPARISIONS MADE HERE ARE NOT RELATED TO NEEDS, WHICH IN MANY CASES IS
GREATER IN METROPOLITAN AREAS, THAN IN SMALLER AREAS.
HEALTH MANPOWER RESOURCES, 1968
L
Area Ph 51c1ans | Dentists H Registered Nurses 3' Sanitarians
Private IPersans IRegistered? Persons» Active Persons per
per M Active Nurse
t
Douglas M S
Gwinnett 16 g ' 6478i 81
. 5
12
Cobb 135 1294 .3242? 35s
DeKalb 216 1637 E 109 3452‘ 1,571
Fulton 864
_6 County 1257 1031 .
Georgia 3165 1143 1296 1 3744 312,368
U.S. 188772 1036 I'90716 2157 909,131
m
Clayton 20 3935 - 14 5564'
52
National & State data are taken from Health Resources Statistics,1968,U.S. Dept. HEN
Sanitarians: Provided by Mr. Furman B. Hendrix, R.S., Ga. Society of Professional
Sanitarians, May, 1969.
____._____I__________I__________________.________________.____.____.___._________________
Nurses: Roster of Registered Prof. Nurses, Board of Examiners of Nurses for Ga.,1968.
Dentists: Office of Dental Health, Ga. Dept Public Health, June, 1968.
Physicians: Bio-Statistics Service, Ga. Dept. Public Health
For more complete table see Appendix.
A PROFILE OF PERCENTAGE OF NEEDS
MET AND UNMET FOR HEALTH FACILITIES
IN HILL—BURTON SERVICE AREAS,
ATLANTA, SMSA, 1968
UOHEJIIECIE’VBH
8193 11119; 81101
‘2. Met Needs I
IEJIdSOH Iezeuag
2. Unmet Needs U
anew: 93:1,}, pus on songs“;
We
209,200
SOUTH FULTON AREA 221,200
I Scuth Fulton, Clayton
Coweta, Fayette
DECATUR AREA
DeKalb, Rockdale
North Fulton
CITY OF ATLANTA AREA 460,000
LAWRENCEVILLE AREA 95,800
Gwinnett, Barrow, Walton
1’: Based on the Georgia State Plan for Hospitals and Related
Facilities, Revised ?/1/68, Branch of Medical Services and
Facilities Planning, Georgia Department of Public Health
...41.
Facilities: ludluding Hospitals, Nursing Homes. Outpatient Clinics
and Neighborhood Health Centers
SUMMARY:
THERE MUST BE DESIGNED A COMMUNITY PLAN FOR THE USE OF FACILITIES
IN AN ORGANIZED ARRANGEMENT OF MEDICAL RESOURCES 80 AS TO BRING THE
INDIVIDUAL, WHEREVER LOCATED, INTO CONTACT WITH HIS PHYSICIAN AND
OTHER MEMBERS OF THE HEALTH CARE TEAM AT THE LEVEL OF CARE THAT HE
REALISTICALLY NEEDS.
Problem:
1. General shortage of medical and surgical beds and a corresponding
underutilization of obstetrical beds and pediatric beds
2. Need for development of rehabilitation services which prevent or
lesson the demand for acute health care. (see Profile)
Lack of extensive diagnostic and treatment centers, and of night
clinics to serve the poor who work during the day.
Lack of agreement on providing expensive facilities such as a
.community radiological treatment center. '
Lack of geographical distribution of 24 hour emergency care services;
need for an independently powered radio communications system between
hospitals in the event of a major disaster.
6. Lack of nursing home facilities (2*3000) in the medium price range,
and particularly in counties outside Fulton.
Current Status
1. Utilization of general hospitals has far exceeded the population
trend; particularly in metropolitan areas have increased population
brought additional demand for services.
2. The average patient stay has increased since 1962 due to Kerr-Mills
and Medicare programs.
3. The cost per patient day (average) has increased from $12.95 in
1950 to $43.97 in 1967 and still going up.
Trends
1. At least six major hospitals are building or planning nursing home
units and two are planning ambulatory care units.
2. Organized Home Care and Homemakers services are beginning to be sought.
3. Hospitals are developing emergency care 24 hour services with full-
time paid physicians.
4. Utilization committees in hospitals and nursing homes are gaining status.
Obstacles
1. Traditions in patient management which waste manpower and facilities.
2. Lack of money for major changes in the health care system.
3. Underutilization of manpower and delegation of functions to lesser
trained patient care personnel.
4. Distorted insurance benefit structure which require inpatient status
to pay for diagnostic services.
Possible Solutions
Build new hospital and nursing home beds only based on effective demand.
Give greater attention to rehabilitation of patients.
Develop progressive care facilities Such as ambulatory self care.
Develop»"Day HOSpitals" diagnostic outpatient services, night clinics.
. Operate full services of the hospital on Saturdays and Sundays, or
”round the clock" double shifts for surgery etc.
Remove the stipulation that the patient occupy an inpatient bed in
order to get insurance coverage for diagnostic and minor treatment
services.
-'---.- ._.__,...,_ _ _ __ . ._ .._..‘__ ‘_ _, _ _' __ ____ _ ,___ ._.,_,‘.
SUMMARY;
NOT ONLY HAS THE INVOLVEMENT OP RELATED GROUPS REDUCED THE THREAT OF CHANGE,
BUT IT HAS BROUGHT INTO REALITY THE BASIC THENE OF THIS PROPOSAL: PARTNER—
SHIP -— SOUGHT AND DEVELOPED. THE COMMUNITY COUNCIL'S HOSPITAL AND HEALTH
PLANNING STAFF HAS SEEN IN CLOSE TOUCH, BOTH FORMALLY AND INFORMALLY, RITE
OTHER RELATED PROGRAMS, PROJECTS, ACTIVITIES AND RESOURCES. NUMEROUS PRIVATE
AND PUBLIC ORGANIZATIONS HAVE CONTRIBUTED IN SIGNIFICANT WAYS TO THE PREPARAJ
TION OF THIS PLAN AND HAVE BEEN INCORPORATED INTO THE DESIGN FOR_A CONTINUING
PLANNING PROCESS TO IMPROVE THE LEVEL OF HEALTH IN THE ATLANTA AREA.
“mt? .-
Methods of Involvement:
Joint board members (mandatory and voluntary)
Staff exchange
Review procedures
Referral arrangements
Information exchange
Consultation (formal and informal) (l)
Umbrella organizations
Staff meetings (regular and called) (1)
Committee and Task Force memberships
(1) See Appendix for Chart of INTERAGENCY RELATIONSHIPS: HEALTH PLANNING,
which lists some Spacific contacts.
Current Resources:
AREA
a
_... _....._._.._........_.- -_.—...«....,... ‘..... ....._.._._.,, .._.._..,,_._=_,._.__:..__.-
.._.,_......\_....__.__is_.._..1-.__...ej _'...'_.-..'_.-.-..__..‘_,;..:'_"¢'g 223;... _.'._..:.r_;___’ _.£_“' ‘.fl. 5.... u. _. _
iDept. Health, P‘ducation, hell'aic, Community
Profile Center (info. exchann:e, consultation‘
Comwunic.ab1e Disease ContCI (consultnlion) j1J
-_...._._.._.. _..-.. .. ..._. WM.-.”
.2... 4..__._._-..fi._-.....a‘- _1M..u......u- ..__-...._ ...-
FEDERAL
Office Economic Opportunity (info. exchange) {_
. Dept. Health, Education, Welfaie (info. exchange, consu].— j
_.._.,
tation)
' Dept. of Labor, Dept. of Labor Statistics (consultation,
info exchange)
:Emory Universitv Medical Schocl (consu11ation)
-_._.....—.,....._ -.-..-..~.»..._.~._..._..._..
REGION
wwwqfi.“ _. _1_.__ ......_.. _..—.fifi _.. .'
fl»...- ._ ”_....- ..__ .4_.1L._..'.‘.-...¢:_. __._4. 4.3.1.4;1”. __" -
.._,.._ ......._..._—._—.,._ _.....__.,‘._,,_.... ..... ,
LL,..L...a-_.._..._.a.;....4._a _.....— .. _..-22...... [_’..-n.
.. _Ir...—-".—.—.-._._..._..._..,.., - . .., _ _.-.4 _.
i...”- 2...... “_..—4.-.”. W .‘L. -. 2&2. -“MEEL .
{Dept. of Public Health: Plannilg Ofiice, Oll'ice of Cnmlpthani\L
Health Planning, Office of Bio~Statistics,l1anch oi anjtnnu
mental Health,Facilities and Construction Division, Licensure
Division (info. exchange, consultation, board members, review}
STATE Univ. of Ga. Center for Management Systems, (info. exchange, con—
- sultation), Georgia State College (consultation), Ga. Tech,
School of Sanitary Engineering (consultation, info. exchange)
Georgia Hospital Association (consultation)
Medical Association of Georgia (c0nsu1tation)
Ga. State League for NUrsing (staff exchange)
Ga. Nursing Home Assoc. (staff exchange)
Health Insurance Council (info. exchange)
- . 4...... . .. ;:mmff W3
- “3' ‘ ' ‘ ' ' W::'|.1“::.-...’"’T::::_ mmxmtmmm‘”;ww
Atlanta Region Metropolitan Planning Commission (info exchan_re, con:
sultation, board members)
Georgia Regional Medical Program (umbrella organization,rcviow)
Georgia District Hospital Association (consultation, joint board )
Atlanta Area Society of Registered Professional Sanitarians (info.
exchange, consultation)
Metro. Atlanta Mental Health Association (staff exchange)
Ga. Society for crippled Children & Adults (consultation, info.
exchange, staff exchange, joint board) . '
Visiting Nurses Association (staff exchange, joint board)
Ga. State Nurses Association Training Program (staff exchange)
Blue Shield & Blue Cross (info.exchange, consultation)
American Cancer Society, Georgia Div. (joint board, consultation)
_ Ga. Heart Association, Inc., (joint board, consultation) _
1 Community Chest, Agency Relations & Allocations Division (joint
{ board/staff)
I Senior_Clt17ens Service of Metro Atlanta,_
#4.“..bF-o—4—d-‘AH':
Model Cities 'consultaiion st1if'exch1nge)
Atlanta University (consultation)
Economic Opportunity Atlanta (staff exchange, consultation, joint board)
County Public Health Depts. (staff exchange)
Fulton County Medical Society (consultation, joint boards)
Cobb County Medical Society (consultation) '
City of Atlanta, Air Pollution Control Division (consultation, joint board)i
‘ Atlanta School System, P. T. Association and Ad,U1F Education (1nf23592CV{vjc?f
II:
The Comprehensive Health Planning Staff
—,a—..~.._—:_-—, _ -w,-_ _....-_.__..._._..,‘__...,-‘_._.. _ 1...... “Farr—_..-.. _..—'..... - ._......,__, ”_.....” ._._.... .__.,_H.1_.W.—..«— .
_rfiflm--._.-....s_. _.....m-..»._._....._,-_-._._.._..._._....-_‘-.. M... l -1 _..... - _..-_..... --.... .-_..»_a...; -._.L. s-e_.-..__‘.‘....=_._.-_-._.._:_.J..._......a_n.m
SUMMARY: -
THE FUNCTIONS OF THE COMPREHENSIVE HEALTH PLANNING STAFF ARE (A) TO CONDUCT
RESEARCH IN COMMUNITY HEALTH PROBLEMS, (B) TO DEVELOP BACKGROUND FOR POLICY-
MAKING THROUGH SYSTEMS ANALYTICAL METHODS, (C) TO COORDINATE THE ACTIVITIES
OF ALL HEALTH PLANNERS IN THE AREA; AND (D) TO PERFORM CONTRACT SERVICES
AND TECHNICAL ASSISTANCE ACTIVITIES. THE STAFF INCLUDES A DIRECTOR OF
COMPREHENSIVE AREAWIDE HEALTH PLANNING AND OTHER PROFESSIONAL AND SUB—PROFESSIONAL.
PERSONS.
- - - _. "_-"'~ - - 'WT "- ' ""'"'- -‘ '-'-" W! 1.“ '-"7 "m’_-L""’M‘—nu4" '-
'..1.._x- Mflwmmslmh " _..... 4- -
Planning Functions
The planning functions of the staff consist of two major sections: (a) the
coordination and review of plans originating in the health and health~related
offices thrOughout the community, and (b) the origination of plans in areas
not covered by other offices and agencies. The latter is expected to consist
in large part of systems~ana1ytica1 studies, including cost—benefit analyses,
which cover the entire range of health problems and possible solutions.
I N C O M P,L E T E
conumnasns IVE HEALTH PLANNING STAFF
INITIAL ORGANIZATION '
Director
Secretary 4
Associate Director . Associate Director ’
Systems Research & Evaluation Admin. & Organizational Liaison
Systems Analyst Organization Liaison
Research/Evaluation Planner Neighborhood Liaison
Environmental Health Planner Plan Review/ Technical Assistance
Liaison Planner Secretary 3
Statistician
Secretary 3
Secretary 2
_ 39 _
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The-Metropolitan Atlanta Council for Health (Comprehensive Health Planning Council)
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SUMMARY:
THE FUNCTIONS OF THE METROPOLITAN ATLANTA COUNCIL FOR HEALTH ARE (A) TO
MAKE POLICY FOR THE METROPOLITAN_COMMUNITY IN HEALTH MATTERS AND (B) TO
SET POLICY FOR GUIDANCE OF STAFF ACTIVITIES. THE COUNCIL'REVIEWS HEALTH
ACTION PROJECT PLANS ORIGINATING WITHIN THE COMMUNITY, AND ORIGINATES
HEALTH ACTION PLANS WHERE NEEDED. THE COUNCIL .IS RESPONSIBLE FOR CONDUCTING
COMMUNITY LIAISON AND EDUCATION IN HEALTH MATTERS.
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Council Structure
As provided in the By—Laws, the Council is structured as a "working board".
All policy matters are decided by the full Council. To facilitate such
activity, the Council will form several groups of committees for Specific
tasks, each group supervised by a vice president. The committees will
report to the Council, and recommend actiOns in their areas of competence.
A number of the committees will work closely with the staff in such areas
as project review and community liaison.
INCOMPLETE
COMPREHENSIVE HEALTH PLANNING COUNCIL H STRUCTURE
Council
President
r—HMT‘“ ’T—T' ‘T‘__ l
VicePresident ' Vice—President Vice—president Vice—PreSIdentV1ce—Pre51dent
Project Review Counc. Function Specia1 Needs Liaison & PR Administration
Facilities Organization _Ieighborhood State & Fed. Budget & Finance
proj. rev. review liaison liaison
Environmental Program & Needs of the Local Council Personnel
proj. rev. orientation disadvantaged liaiSOn
Mental Health Long—range Needs of Public relations Fund Raising
proj. rev. planning youth & information
CONE’IITTEES *
Manpower I .Legal counsel
proj. rev.
*Earh committee is chaired by a Council member; Vice -Presidents
of Counci.1 oversee and encourage activities of the
groufisof committees shown.
:I::z:::::::::: - - ~ ~ Tfizzzt‘""*“vr"EtExzLz2EL.Mz3zE2zzzzszzzzzzzszzszzmmufllfla
Executive Committee: Nominating Committee:
President of Council Selected from membership of Council,
A with due regard to makeup of the Council.
Vice—Presidents (5)
Duties: .
Nominate a slate of officers prior to
the annual meeting
Duties: - Nominate a new nominating committee
Carry on activities between ' prior to the annual meeting
Council meetings; recommend— Nominate organizations, on a rotating
ations subject to Council basis, which will name members of
review the Council to take office at the
next annual meeting
Nominate replacements for vacancies
as they occur
Secretary
Personnel Committee
Selected from Council membership
and community at large.
Duties:
Recommend selection and salary
of Director for Council action
Formulate personnel policies, in—
cluding salary ranges
_ 91 _
Membership on the Council
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SLE'L‘ILARY:
MEMBERSHIP ON THE COUNCIL SHALL BE DRAWN FROM TWO MAJOR GROUPINGS: THOSE WHO
WILL-SERVE BY VIRTUE OF OFFICE IN -A MAJOR PLANNING ORGANIZATION OR LOCAL
GOVERNMENT, AND THOSE WHO SERVE THROUGH BEING NMIED BY APPROPRIATE ORGANIZATIONS
0F ImALTH PROVIDERS AND CONSUMERS. MEMBERSHIP IS DRAI'L’N FROM SOURCES BROADLY
REPRESENTING THE ECONOMIC, ETHNIC, AND GEOGRAPHIC BACKGROUND OF THE COMMUNITY.
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INCOMPLETE
MEMBERSHIP ON COUNCIL — Scheme 6
Number Group Selected/electedvby '
3 _ MACLOG, CCAA, ARMPC virtue of office (chairmen)
26 ' ' County commissions virtue of office (chairmen)
1 City of Atlanta virtue of office (mayor)
3 ' Municipal governments F municipal associations or
of counties ' county commissions (in rotation) I
20 Herlth providers:
4 MD's medical societies (in rotation)
1 MD, psychiatry Ga. Psychiatric Assoc.
2 DDS's dental societies (in rotation)
2 Public health public health departments (in rotation)
(recommended: 1 MD, 1 other Specialty)
2 Health facilities hospital, nursing home associations, etc.l
(both private and authorityw— in
rotation) .
1 Medical educator school of medicine .
1 Paramedical educator allied sciences schools, etc. (1h rotation
1 RN nursing associations (in_rotation)
2 Voluntary health agencies CCAA Permanent Conference and State
Association of voluntary agencies _
(in rotation) f
1 Social worker NASW local chapter [
1 Skilled paramedical technical associations (in rotation)
1 Semi—Skilled paramedical organizations,-if any; otherwise _
‘ . ' nominated as an individual ;
1 Health ins. industry “ Health Insurance Council ’
17 Poor and nearspoor '
7 EOA's Atl-Gwinnett, Clayton, DeKalb-Rockdale
2 Model Cities ' ' I
3 PTA‘s . Cabbagetown, Cobb, Douglas (others in
- ' rotation) l
5 other organizations NWRO, Southside Health Center, TUFF,
_ NAACP, Urban League (1 each) (others
in rotation)
2 Business and labor Chambers of commerce, unions (in
.' rotation)
52 ’ TOTAL
The term of "virtue of office" members to coincide with occupancy of office. Team
of other members, three years, one—third rotating off each year. "In rotation"
indicates that at successive elections different organizations or groups within '
the same category will be asked to select members.
A nominating committee of the Council will be responsible for assuring such rotation.
For the first election ad hoc nominating committees in the major categories above
are being asked to submit names of organizations, for review by CCAA Executive Committee.
-93—
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Title: Working to EnSUre Effectiveness of the CH? Council _
SUMMARY:
TEE METROPOLITAN COFmREHENs‘IvE HEALTH PLANNING COUNCIL IS A NEW
KIND OF POLICY MAKING GROUP. EFFECTIVENESS WILL BE MEASURED BY TEE ,
EXTENT TO NHICH NENEERS PERFORM SPECIFIED FUNCTIONS OF BOARD NEFmER— '
SHIP. A NIDE RANGE OF COMMUNITY RESOURCES NILL BE USED IN TRAINING H
FOR BOARD ACHIEVEMENT.
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Characteristics of the CHPC Board:
7K7 Censumers and providers, economic and ethnic mix, geographic
distribution.
(3} Veteran policy—makers and persons with little group and no
policy—making experience.
Wide range of educational and social backgrounds.
Traditionally, health providers and consumers (particularly low
insure groups) have not planned together or Worked as equals.
Perception of health problems will be influenced by the special
interest which each member represents.
Thus, successful functioning of the Board will depend upon effec-
tive participation of members both as representatives of subgroups and
as citizens in the community of solution. '
Some Specific Training and Familiarization Activities
After the Council's initial action of accepting responsibility
for the policy aspects of comprehensive areawide health planning in
this metropolitan community, beginning 1 January 1970, some 6% months
_will elapse before the Council is called on for official functioning.-
During this period, a number of activities are planned for the purpose
of familiarizing the Council members with the extent of the health
planning actions which they will be called on to evaluate and
guide. The period will also be used to vauaint the Council members,
one with another, so that they can select Personnel Committee and
Nominating Committee members most effectively, several months
prior to the Annual Meeting in January, 1970.
Some of the training and familiarization activities contemplated are:
0 introduction to principal health problems in the area
0 field trips to health facilities and areas of severe health need
0 training in effective Council and committee participation
0 experience (with Community Council staff) in reviewing planning projects
0 introduction to systems analytical procedures, and methods of basing
decisions on cost—benefit analyses, etc. '
0 joint meetings with other planning groups and with health activity staffs
_ 96 -
_ _W._._._._.._.._._._.___.___. .. v... _ . ..
_,.'_..__ ._ _
”FERMME‘JQ 'forr @GMM‘HEBHIL EFFEMWENESS-
I MPLEMENT
LEARNING
EXPERI ENCE
LEARNING
EXPERIENCE
EVALUATE EXPERIENCE
THROUGH COUNCIL
MEMBERS’ BEHAVIONS
DETERMINE NEEDS
(ASSESS STATUS OF
COUNCIL IN FUNCTION)
COUNCIL
MEMBERSHIP
FUNCTION
- 97_—
By—Laws of the Council
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SUI-E-mRY:
THE BY—LAWS OF THE COUNCIL ARE DESIGNED To FACILITATE MAXIMUM POSSIBLE
PARTICIPATION IN HEALTH POLICY EHITTERS BY THE MEMBERS OF THE COUNCIL, AND
To "BUILD BRIDGES“ To LOCAL ORGANIZATIONS CONoanED WITH HEALTH MATTERS.
THEY SPECIFY TEE BROAD FUNCTIONS OF THE COUNCIL AND STAFF, EUT ARE INTENDED
TO PROVIDE FOR SUFFICIENT FLEXIBILITY THAT THE COUNCIL CAN COPE wITH
CHANGING AREA CONFIGURATIONS AND HEALTH NEEDS. --
m
.The By—Laws consist of 13 Articles:
I. Name ané Location
II. Purpose
III. Membership
IV. Duties and Powers of the Council
V. Meetings
VI. Officers and Executive Committee
Committees
Legal Counsel
Audit
General
Adoption
Associate and Affiliate Memberships
Ammendments
Important ProvisiOns:
Some of the principal by—law provisions are Shown on the facing page (99).
Other By~Laws: .
Current BynLaws of the Metropolitan Atlanta Council of Local Governments and
. of the Community Council of the Atlanta Area, Inc. are included in the
Appendices to this volume of the proposal.
CHP COUNCIL — PRINCIPAL BY—LAW PROVISIONS
A. Council Membership and Terms
1. Chairmen of majOr agencies (3) and of county commissions shall serve for the
duration of their terms ‘
Representatives of organizations shall serve three—year term: (except for
some elected at the first election); 1/3 of these shall be selected each year.
Two three—year terms, maximum
Majority shall be health "consumers"
Approximately 1/3 shall be poor and near-poor consumers
Selection process shall Lake into account geographic and ethnic distributions in
the community
Selection process shall be determined by a nominating committee made up of
Council members. In selecting organizations and groups who will name members
to the council, the nominating committee shall achieve rotation among eligible
groups and organizations Typical eligible organizations or gror s air indicated
in the following:
a. municipal governments group: municipal associations
b. health providers group: medical societies, denial societies, hospitals and
other_faci1ities, mental health professional organizations, public health
_departments,-Voluntary health organizatiOns, nursing associations,
skilled paramedical-associations, unskilled paramedical groups, social
work agencies, educational institutions, insurance councils.
business and labor groups: chambers of commerce, labor organizations
poor and nearwpoor: EOA‘S, PTA‘s, HUD projects (e.g. Model Cities),
voluntary agencies (e.g. Urban League, Legal Aid),- spontaneous
organizations (e.g. Welfare Rights, TUFF, etc.) ' ‘
8. Alternates may be designated; specifically understood that they act for regular members
Council Meetings
At leaSt six per year (contemplate'monthly)
Quorum is 20 voting_members .
Majority of voting members shall decide
Roberts Rules govern
Council Structure
,1. Officers nominated by neminating committee, or from floor; elected by majority
vote of Council _'A
2. Executive Committee shall consist of the officers (7)
handles business between COuncil meetings _
actions subject to review by Council at next meeting
3. Nominating Committee selected from members of the Council
4. Personnel Committee selected from Council members and others
5. Other standing and ad hoc committees as needed .
BY—LAWS
ARTICLE I '— NAME AND LOCATION
1. The name of this organization shall be "The Metropolitan
- Atlanta Council for Health", hereinafter referred to as the "Council".
2. The Council's principal office shall be located in the
City of At‘anta, Georgia.
ARTICLE II — PURPOSE
The principal objectives and purposes of the Council are:
A. To establish and maintain comprehensive areawide
health planning activities, identifying health
needs and goals of the overall community and its
sub—areas to stimulate action to coordinate and
'make maximum use of existing and planned facili—
ties, services and manpower in the fields of
physical, mental and environmental health.
To establish a system for gathering and analyzing
data on the characteristics of health problems in
this area.
To recommend goals and methods of achieving them,
and to make policy decisions for the community in
health planning matters.
To coordinate activities_of all health plannerS'in
the community.
To collaborate with adjacent health planning areas,
and to perform health planning serviCes on a contract
basis for adjacent area units, as requested.
To review health action project plans originating in
the community.
To provide technical assistance to public and voluntary
action agencies in preparing plans and procedures for the
attainment of health goals; to provide similar assist~
ance to Georgia State health planning efforts.
To originate health action project plans where needed.
To provide continuing liaison and informational ser-
vices to ensure communication of planning progress to
the general public and the appropriate agencies and
organizations involved in carrying out the intent of
Congresa as set forth in Public Law 89—749 relating to
comprehensive areawide health planning.
* 100 —
ARTICLE III - MEMBERSHIP
l. The Council shall be composed of not less than thirty—five—
(35), nor more than fifty~five (55) members. Members shall be drawn from
the following organizations and community groups, broadly reflecting
economic, ethnic, and geographip,background distribution of the area:
I
A. Members by virtue of office shall serve fer the
duration of their terms of elective office:
1) Chairmen of County Commissions
2) Chairmen of major planning agencies
3) Mayor of the City of Atlanta
Members named by community agencies and organizations
1) Organizations naming members shall be designated
in the following categories:
a) Municipal governments
b) Health providers
c) Business and labor
d) Poor and near—poor consumers
At the first election, the term of office for
one-third of theso members shall be fixed at three
years; the term of an additional onejthird of these
members shall be fixed at two years; and the term
of the final one-third of these members shall be fix—
ed at one year. At the expiration of the initial
term of office of each reSpective member, his
successor shall be named to serve a term of three
-years. Members shall serve until their succesaors
have been elected and qualified. No member shall
serve more than two (2) consecutive three—year
terms.
The Selection proness for these members shall be
determined by a Nominating Committee of Council
' members. In selecting organizations and groups
who will name members to the Council, the
Nominating Committee shall achieve rotation among
eligible groups and organizations. I
A majority of the Council members shall be non—providers
of health services.
Approximately one—third of Council members shall be poor
and nearnpoor consumers.
Each organization shall be authorized to file with the
Secretary of the Council the names of alternate members,
not to exceed the number of representatives to which it
is entitled. Any regular member of the Council may call
upon alternate(s) from his organization to attend and
'— 101-
to vote in his stead at any meeting which the regular
member is unable to attend.
Organizations other than those constituting the Council
at the time these rules and regulations are adopted may
be invited to name representatives in a stated number to
the Council uptn recommendation by the Nominating Committee
and approval by the Council at any meeting of the Council,
provided that ten (10) days advance notice of such pro—
posed action is mailed to each member at his last known
post office addreSH,
ARTICLE IV - DUTIES AND POWERS OF THE COUNCIL
1. The Council shall be the final authority for approval of
activities proposed in planning actions, and on all matters of policy related
to comprehensive areawide health planning.
2. The Council shall consider the annual budget prescn.ed by the
Budget and Finance Committee, and after any revision, it may determine to be
advisable, it shall adopt the same. It shall make such subsequent revision on
the budget as it may deem advisable after consultation with the Budget and
Finance Committee and the Director of Comprehensive Areawide Health Planning.
3. It shall have the power of approval of the President‘s appointments
of committee chairmen and legal counsel.
4. It shall appoint the Director of Comprehensive Areawide Health
Planning, and fix the terms of his compensation, tenure, and reSponsibilities,
giving due consideration to the recommendations of the President and the Personnel
Committee. . ‘_ .
- 5'. It' shall appoint the auditor as provided in Article IX of these
BY—LAWS. '
_ 6. It shall require periodic reports on Operations from the various
committees and_from.the Director of Comprehensive Areawide Health Planning.
7. It shall fix the time and place of the Annual Meeting of the
Council.
8. _It shall pass on applications for admission to the Council of
additional adjacent areas deSiring to participate in comprehensive health
planning with the metropolitan Atlanta area.
ARTICLE V — MEETINGS
1. The Council shall hold at least six (6) regular meetings per
year, to be called for the first Thursday in the scheduled month, or on such
other convenient day as may be decided from time to time by majority vote.
2._ Special meetings may be called by the Presidentand shall be
called by the Secretary at the request of.fifteen (15) members of the Council.
g-102 _
3. Notice of each meeting shall be mailed to each member of the Council
at his last known post office address at least ten (10) days in advance of-the
meeting.
4. Twenty (20) members,of the Council shall constitute-a quorum for
the transaction of business at any meeting of the Council; the presence of less
than a quorum may adjourn a meeting until such time as a quorum islpresent.
5. A majority in number of members present and voting at a meeting
at which a quorum is present shall be_required for approval of any action by
the Council.
6. Each member of the Council is entitled to one (1) vote at any
meeting at which he is present.
7. he proxy votes Shall be allowed. A duly appointed alternate
member, however, may vote in the absence of a regular member representing the
organization for which he is designated alternate. In such case, the alter—
nate member shall be considered a member for the purpose of determining a
quorum .
8. The Council may act by mail, wire, or telephone between regular
meetings, but in such case the concurrence of a majority in number of members
shall be necessary and shall be subject to confirmation at the next meeting of
the Council so that such action shall be recorded in the minutes.
9. The first meeting of the Council, after January 1 each year, shall
be Considered the Annual Meeting for the seating of new members named by organiza—
tions,and election of officers and nominating committee members.
10. The Administrative Year of the Council shall extend from Annual
Meeting to Annual Meeting. ‘ ' '
'\
ARTICLE VI - OFFICERS AND EXECUTIVE COmMITTEE
1. Officers
A. Officers of the Council shall be a President, five (5)
Vice-Presidents, and a Secretary, who shall be elected
annually from among members of the Council by a majority
vote of members present and voting at the Annual Meeting._
Officers so elected shall serve for one year, or until their
successors have been elected. No officer shall hold the
same office for more than three (3) consecutive terms.
Vacancies in offices oceuring between Annual Meetings of
the Council may be filled by election by a majority vote
of members present and voting at any meeting of the Council.
figgicers ¥otfiée8ted phall serve until the next Annual
1mg 0 ounc
2. President
A. The President of the Council shall be the chief officer
~ 103 —
of the organization and shall preside at all meetings of
the Council and Executive Committee. The President shall,
subject to the approval of the Council, appoint the
chairmen of all committees, except the Nominating Committee,
and shall be a member, ex—officio, of all committees; and
shall, with the Secretary, Sign all obligations authorized
by the Council which may be beyond the authority of the
Director of Comprehensive Areawide Health Planning; and
shall, with the approval of the council, appoint legal
counsel.
3. Vice Presidents
A. There shall be five or more vice presidents, who shall
assiSt the President, and shall coordinate the activities
of grOUpS of committees of the Council. These off‘cers shall
be designated Vice—President for Council Function, Vice
President for Liaison and Public Relations, Vice President
for Special Needs, Vice President for Project Review, Vice
President for Administration, and such others as the
Council may designate. '
4. Vice Presidents may preside
A. A Vice President shall pre91de at any meeting of the
Council or Executive Committee in the absence of the
President, and in such case shall have all the responsi—
bilities and perform all the duties of the President.
The order of precedence for this—function shall be:
Vice President for Council Function, Vice President for
Liaison and Public Relations, Vice President for Special'
Needs, Vice President for Project Review, and Vice Presi-
dent for Administration.
B. The Vice Presidents shall have and perform such other
' 'duties as may be assigned by the President or by the
-Councili '
5. Secretary
A. The Secretary of the Council shall handle the general
' correSpondence of the Council and shall cause notices
'to be sent of all regular or special meetings of the
Council. ' -
B. he shall cause minutes to be kept of all meetings of the
-- l t. . - ‘ S - ' ' '
Egufléatéringrst‘fiélcgfifici “$1 hieamzié‘l‘éfinasfg fiéiié'ébsied
time after each meeting.
I
C. He shall preside at meetings of the Council in the
absence of the President and the Vice Presidents and in
such case shall have all the responsibilities and perform
-.all the duties of the President.
- 104 -
D. The Secretary shall have and perform such other duties as
'may be assigned by the President or the Council.
5. Executive Committee
A. The Executive Committee shall consist of the President,
Vice Presidents and secretary of the Council.
Duties of the Executive Committee shall be to handle matters
pertinent to Council business during intervals between
meetings of the Council.
Actions and recommendations of the Executive Committee,
shall be subject to Council review and rapproval at the
next.meeting of the Council.
ARTICLE VII H COMMITTEES
1. Statutory Committees
A. A Nominatin; CJMthiCG shall be elected from members
of the Council, with due regard to the makeup of the
Council. The duties of the Nominating Committee shall
ine‘ ude:
1. Nominating a slate of officers prior to the
Annual Meeting.
Nominating a new Nominating Committee prior to
the Annual Meeting.
Nominating organizations, on a rotating basis, which
will name members of the Council to take office at the
next Annual Meeting.
4. Nominating replacements for vacancies as they cecur.
B.' A Personnel Committee shall be elected from Council
membership and the community at large. The duties of
the Personnel Committee shall include:
1. Recommending selection and salary of Director
for Council action.
2. Formulating personnel policies, including
salary ranges. '
The Chairman of the Personnel Committee shall be a member
of the Council.
2. Other Committees
3A. Other standing and ad hoc committees may be designated,
elected or appointed, as needed. Chairmen of all standing
committees shall be members of the Council.
ARTICLE VIII" LEGAL COUNSEL
1. Legal counsel shall be appointed by the President with the
approval of the Council. All matters involving interpretation of State and
'Federal law, local ordinances, and tax questions shall be promptly referred
‘ to such counsel for opinion and advice. '
ARTICLE IX — AUDIT
l. The fiscal records of the comprehenSive areawide health planning
'activities shall be audited annually by a certified public accountant, appointed
by the Council. The auditor‘s report shall be filed with the records of the"
organization.
ARTICLE x - GENERAL
A. Any notice required to be given by these By—Laws
may be waived by the person entitled thereto.
2. Contravention
Nothing in these By-Laws Shall contravene applicable
rules and regulations, procedures, or policies of the
U. S. Public Health Service, or of the Georgia Office
of Comprehensive Health Planning.
Parliamentary Procedure
A. The latest revision of Robert's Rules of Order shall
cover the parliamentary procedure at all meetings of the
Council and of the Committees, where not in conflict with
these ByuLaws.
4._ Publicity
A. No publicity releases to the media shall be made or
authorized by any organization represented on the Council,
or by any member of the Council without prior clearance
by the Director of Comprehensive Areawide Health Planning.
Acceptance of By-Laws
A. Any organization accepting invitation to designate
membership on the Council shall by their acceptance attest
to their active participation and to their agreement to
- abide by these By—Laws.
ARTICLE XI.— ADOPTION
Effective date
A. These By—Laws shall become effective immediately upon
adoption by the Council.
- 106 —
ARTICLE_XII — ASSOCIATE AND AFFILIATE MEMBERSHIPS
1. Associate Membership
A. At the discretion of the Council, sub~areal compre—
hensive'health councils may be admitted to associate member—
ship in the Council. The Council shall fix general quali—
fications for such associate membership.
B. As a condition of associate membership, sub~area1 compre~
hensivo health councils shall admit to membership all
members of the Council residing in the area of the sub“
areal council.
0. Each associate member council is entitled to send an
observer to meetings 0? the Council.
' 2. Affiliate Membership
A. At the discretion of the Council, organizations other
than sub~aroal comprehensive health councils may be
admitted to affiliate membership in the Council. These
may include such organizations as voluntary health agencies,
professional societies, citizens‘ associations for health
concerns, etc. The Council shall fix general qualifi—
cations for such affiliate membership. '
B. Each affiliate member organization is entitled to send
an observer to meetings of the Council.
ARTICLE XIII - AMENDMENTS
1. 'Method
A. These.By-Laws may be amended or repealed by a majority
vote of the members of the Council present, and voting
at any meeting of the Council at which a quorum is present,
provided that written notice of such proposed changes
Shall have been sent to all members not less than ten (10)
days prior to the date of such meeting.
— 107 -
STEERING COMMITTEE
Mrs. Thelma Abbott Dr. Napier Burson, Jr. *
521 W. Columbia Avenue Baptist Professional Building
' College Park, Georgia 340 Boulevard, N. E.
I ‘ _' Atlanta, Georgia 30312
Hon.:S. S. Abercrombie, Chairman' -
Clayton County Commission Hon. T. M. Callaway, Jr.
Clayton County Courthouse DeKalb County Commission
Jonesboro, Georgia 30236 c/o Callaway Motors
. ; 231 West Ponce de Leon Avenue
Hon. L. H. Atherton, Jr. Decatur, Georgia 30030
'Mayor of Marietta
P.0. Box 609 Mrs. Mary June Cofer
Marietta, Georgia 30060 443 Oakland Avenue
' Atlanta, Georgia 30312
Miss Dorothy Barfield, R. N.
Chief Coordinator of Nursing Services Mr. Gary Cutini, Regional Rep.
Georgia Department of Public Health Health Insurance Council
47 Trinity Avenue Life of Georgia Building
Atlanta, Georgia 30334 600 W. Peachtree
. Atlanta, Georgia 30308
Mr. G. X. Barker, Ex. V. P. '
International Brotherhood of Electrical Dr. F. William Dowda
Workers 490 Peachtree Street, N. E.
Fifth District Office 1 Atlanta, Georgia 30308
I421 Peachtree Street, N. E.
Atlanta, Georgia 30309 Mr. J. Wm. Fortune
.' ' Mayor oi Lawrenceville
Hon. Ernest Barrett, Chairman 290 Old Timber Road, S. W.
Cobb County Commission ' Lawrenceville, Georgia 30245
P. O. Box 649
Marietta, Georgia 30060 Mr. Drew Fuller
' _ ' Fuller 8; Deleach
Dr. J. Gordon Barr-ow, Director 1726 Fulton National Bank Bldg.
Georgia Regional Medical Program Atlanta, Georgia 30303
938 Peachtree Street, N. E. _ .
Atlanta, Georgia 30309 Miss Jo Ann Goodson, R. N.
- - I , " Wesley Woods '
Mr. M. Linwood Beck, Executive Director 1825 Clifton Road, N. E.
Georgia heart Association Atlanta, Georgia 30333
2581 Piedmont Road, N. E. _ . .
Atlanta, Georgia 30324 ’Mr. Fred J. Gunter, Administrator
- _ , I~ South Fulton Hospital
Mr. Herschel T. Bomar, Chairman 1170 Cleveland Avenue
Douglas County Commission ' . East Point, Georgia 30344
Douglas County Courthouse I ‘
DouglaSville, Georgia 30134 Dean Rhodes Haverty
' - 1 - Georgia State College
Hon. William H. Breen, Jr. ' School of Allied Sciences
Mayor of Decatur 33 Gilmer St., S. E.
c/o First National Bank Building Atlanta, Georgia 30303
Decatur, Georgia 30030
Appendix E—l
Page 2 — Steering Committee
Mr. Maynard Jackson Mr. Lyndon A. Wade, Executive Dir.
Emory Community Law Firm A1lanta Urban League
, 551 Forrest Road, N. E. 239 Auburn Avenue, N. E.
Atlanta, Georgia 30312 Room 400
" ' Atlanta, Georgia 30303
Mr. Purch Lu Jarrell :
Route # 1 ' Dr. Robert E. Wells,
Box 24 1938 Peachtree Road, N. W.
Duluth, Georgia 30136 Atlanta, Gcorgia 30309
‘Hon. Walter M. Mitchell, Chairman Joseph A. Wilbur, M. D.
Fulton County Commission 615 Peachtres Street, N. E.
409 Administration Building Atlanta, Georgia 30308
165 Central Avenue, S. W. .
Atlanta, Georgia 30303 Mrs. Daisy Bigshy
585 Gibbons Drive
Mr. John L. Moore, Jr. Scottdale, Georgia
Attorney—athLaw
C & S National Bank Building
Room 1220
Marietta and Broad Streets
Atlanta, Georgia 30303
Dr. William W. Moore, Jr.
Suite 616
1293 Peachtree Street, N. E.
Atlanta, Georgia 30309
Mr. A. B. Padgett, Trust_0fficer
Trust Company of Georgia
P. 0. Drawer 4655
Atlanta, Georgia 30302
Mr. Dan Sweat
Assistant to Mayor,
City of Atlanta
City Hall .
Atlanta, Georgia 30303
Dr. Charles B. Teal, Jr.
Gwinnett County Health Department
300 South Clayton St.
Lawrenceville, Georgia-30245:
Mr; Bill Traylorl
1397 Oxford Road, N. E.
Atlanta, Georgia 30307
Dr. T. 0. VinSon,_Director
DeKalb County Health Department
440 Winn Way .
Decatur, Georgia 30033
Appendix E—2.
MEMBERS OF EXECUTIVE COMMITTEE
OF
COMMUNITY INVOLVEMENT STEERING COMMITTEE
FOR
AREAWIDE COMPREHENSIVE HEALTH PLANNING
NAME
Hon. Howard Atherton
‘Mr.
Linwood Beck
Thomas Callaway
. Drew Fuller
. Fred Gunter
Walter Mitchell
A. B. Padgett
Oscar,Vinson
Lyndon Wade
Robert Wells
AFFILIATION
Mayor of Marietta
Director, Georgia Heart Asa)c.
Commissioner, DeKalb County
Chmn. Health Committee, Atl. C. of C.
Administrator, So. Fulton HOSpita1
Chmn., Fulton County Commission
Chmn, CHP Steering Committee
Director, DeKalb Board of Health
Director, Atlanta Urban League
Chmn. Fulton County Med. Soc. Board
‘.
Appendix EH3
VIEWPOINT
municipalities
voluntary agencies
Maclog
commerce
hospitals
county govts.
Community Council
Public Health
consumers
medical professions
PROPOSAL FOR COMPREHENSIVE
HEALTH PLANNING
All pages considered crucial to the intent
of the proposal are included here. Other
work, denoted here by missing pages, is in
process of completion.
Foreword to the Proposal
THIS PROPOSAL REPORTS WORK SUPPORTED BY AN ORGANIZATIONAL GRANT TO THE
COMMUNITY COUNCIL OF THE ATLANTA AREA FROM THE U. S. PUBLIC HEALTH SERVICE,
AND CONTAINS RECOMMENDATIONS FOR THE ESTABLISHMENT OF A PERMANENT COMPREHENSIVE
HEALTH PLANNING AGENCY FOR THE METROPOLITAN ATLANTA AREA. THE PROPOSAL
CONSISTS OF THREE VOLUMES: PROJECT SUMMARY, BUDGET AND STAFF, AND TASK FORCE
REPORTS.
Agency Responsible
The Community Council of the Atlanta Area, supported by organizational grant
No. 41008—01-69 from the U. S. Public Health Service, has been the agency
responsible for conducting the work and, with the cooperation of many other
offices, groups, and organizations, making the recommendations herein for
the establishment of a permanent comprehensive health planning agency for
the MetrOpolitan Atlanta Area.
Staff
The material was prepared by the Comprehensive Health Planning Project staff,
directed by Raphael B. levine, Ph. D., under the general supervision of
Duane W. Beck, Executive Director of the Community Council of the Atlanta Area.
Consultation and Other Assistance
A number of persons gave continuing support to the Project on consultant basis,
and several hundred persons from governments, health professions, educational
institutions, commerce, and the population of health "consumers” gave invaluable
assistance in the compilation of information and in the formulation of
conclusions. The staff tenders its sincere thanks to all these individuals.
Funding
50% of the costs of this effort were borne by the Public Health Service grant
mentioned above. The remainder was contributed by local sources, including
county governments, foundations and the Community Chest, public, private, and
voluntary health organizations, and individuals. The community owes much
gratitude to these donors.
Organization of the Proposal
The proposal is divided into three volumes: project summary, budget and staff,
and task force reports. Each pair of facing pages makes up a self—contained
”story". The gist of each "story" may be gained from the bordered summary
material alone, with details added in the text and illustrative material.
COMMUNITY COUNCIL OF THE ATLANTA AREA
Eugene T. Branch, Chairman of the Board
Duane W. Beck, Executive Director
A. B. Padgett, Chairman, Committee on
Comprehensive Health Planning
COMPREHENSIVE HEALTH PLANNING PROJECT'
Raphael B. Levine, Ph. D., Director
Alloys F. Branton, M.B.A., Assoc. Director
Harriet E. Bush, Director of Research Mary Lou Ashton, Senior Secretary
Clifford Alexander, Jr., Environmental Mildred W. Thorpe, Secretary
Planner
Katharine B. Crawford, Organization Liaison
OINSULTANTS ( on continuing basis)
Frank A. Smith, Atlanta MetrOpolitan Mental Health Assoc.
Loretta B. Roberts, RN, Community Council of the Atlanta Area
Ella Mae Brayboy, Community Council of the Atlanta Area
William F. Thompson, Administrator, Cobb County Health Department
Carolyn L. Clarke, Health Educator, Gwinnett County Health Department
Edna B. Tate, Health Coordinator, Economic Opportunity Atlanta
ORGANIZATION OF THE PROPOSAL
Volume 1. Summary of Project ~
Section 1. Introduction and Supportive Material
Section 2. Narrative Project Summary
Section 3. Appendices
Volume II. Budget and Staff
Section 1. Budgetary Material
Section 2. Personnel
Volume III. Task Force Reports
ii
.TABLE OF CONTENTS
Foreword to the Proposal . . . . . . . . . .
SECTION 1. INTRODUCTION AND SUPPORTIVE MATERIAL
A. Description of the Area
Planning for Planning: Technical and Community
Involvement Aspects . . . . . . . . . . .
The Atlanta Area, the Planning Area . . . . .
Atlanta Area Governmental Units, Current
Population . . . . . . . . . . . . . . .
Standard Metropolitan Statistical Areas Clean
to the Atlanta Area . . . . . . . . .
Atlanta Area, a Place of Growth and Variation
P0pulation Trends Require Review of Health
Needs 0 I I I I I Q I I I I I I I I I I
The Planning'Area Observes Other Programs
and Anticipated Expansion . . . . J . . .
Organizational and Procedural Arrangements for
Comprehensive Health Planning . . . . . .
Cooperative Arrangements.made for Funds, Per-
sonnel, Facilities and Services . . . . .
Planning is Based on Commonly Available Date . . .
s.
B. The Atlanta Area's Need for and Ability to Support
COmErehensive Health Planning
' Principal Teaching and.Service Facilities in _
the Atlanta Planning Area , . . . . . . . . .
Implications for Comprehensive Health Planning
"in Environmental Health Fields . . . . . . .
Atlantals Urban Redevelopment Project Program . .
Atlanta's Model Cities Program . . . . .
Relationships with thethorgia Regional
Medical Program .'. . . . . . . . . . . .-.
The Urban Life Center: A Solver of Urban Health
Problems for the Future . . . . . . . . . .
Local Health Departments in the Atlanta Area .
Major Voluntary Health Groups and Professional
Associations in the Atlanta Area . . . . .
Water and Sewer Districts. . . . . . . . . . . .
Facilities, including HOSpitals, Nursing Homes,
Outpatient Clinics and Neighborhood Health
Centers . . . . . . . . . . . . . . . . .
Existing Manpower Rescurces . . . . . . .
Economics of the Atlanta Area as Relates to
Health Services . . . . . . . . . . . . .
SECTION 2. NARRATIVE PROJECT SUMMARY
A. Project Outline
Goals and Objectives of Comprehensive_Health
Planning. . . . . . . . . . . . . . . . L
Community Council has Extensive Involvement in
Health and Planning . . .'. . . . . . . .
Organizational History of the Applicant . . .
_Scope of Program Health Concerns . . . . . . .
Cooperative Arrangements with Participating
Agencies . . . . . . . . . .‘3 . .'. . . .
Health Planning Process: Systems and Retrieval.
Information Gathering and Analysis Techniques .
The Need for Planning,Programming System for
' ZCOmprehensive Health Planning . . . . . . ,
Procedure for Policy Implementation . . . . . .
Example of Experience: Cobb County Comprehensive
Health Planning . . . . . . . . . . . . . .
Community Involvement in Comprehensive Health
Planning . . . . . . . . . . . . .
Atlanta Area Coordinatibh with the Office of
Comprehensive Health Planning, Georgia
Department of Public Health . . . . . .
_Faci1ities and Equipment Available for the
Page
Staff of the Applicant Agency a
B. figp orting Data
The Plan has Continuing Input from Existing
Rejources . . . . . . . . .
Personal Publications. . . . . .
C. Work Program
surrent Problems Carried Over. .
First Year Activities. . . . . .
Phasing into Systems Analysis .
Future Development . . . . . . .
D. Agency Organization
Staff Organization ... . . . . .
Council Organization . . . . . .
Council Membership . . . . . . .
Nominating Procedures. . . . . .
Training for Council Effectiveness
By-Laws of the Council . . . . .
?2
74
76
?8
80
84'
86
'88
90
92
94
96
98
Planning for Planning: Technical and Community Involvement Aspects
SUMMARY :
IN ORGANIZING THE ATLANTA METROPOLITAN COMMUNITY FOR COMPREHENSIVE HEALTH
PLANNING, EXTENSIVE ACTIVITIES IN TWO MAJOR ASPECTS HAVE BEEN NECESSARY:
THE TECHNICAL ASPECTS OF IDENTIFYING, PROJECTING AND SEEKING POSSIBLE SOLU—
TIONS TO HEALTH PROBLEMS AND THE COMMUNITY INVOLVEMENT ASPECTS OF BRINGING
TOGETHER THE VARIED ELEMENTS OF THE COMMUNITY INTO A PARTNERSHIP FOR HEALTH
PLANNING AND POLICY-MAKING.
Technical Aspects
The technical objectives of this project have been (1) to identify the com-
munity's principal health problems and the probable, most urgent planning
efforts which will have to be undertaken by the permanent organization during
its first year of existence-— 1970; and (2) to specify the numbers and qualifi-
cations of the technical staff who.~ will be needed to carry out such planning.
Some of the activities bearing on these objectives have been:
identification and seeping of health problems through the medium of
technical "task forces;" some 25-30 of these groups have worked up
descriptions of problem areas, trends, resources, obstacles and
suggested solutions to the problems;
identification of planners and planning groups whose work is directly
or indirectly in health areas; some 50 of these have been named and
approached for fuller understanding of their work; a major portion of
the technical task of the metropolitan planning staff will be to coor—
dinate the activities of these planners to avoid duplication and to
"cross—fertilize" their activities;
developing a "systems approach to planning for the health field;" this
involves cost-benefit analyses, the building of community health
"system"models, etc.;
education of as many citizens of the community (and being educated by them)
about health problems and comprehensive health planning as possible;
Community Involvement Aspects
The organizational objectives of this project have been (1) to develop the
largest possible degree of cemmunity involvement in establishing and
operating a comprehensive health planning organization and (2) to formulate
an organizational structure for such operation, including corporate identity,
policy Council and its selection,and by—laws. Some of the activities bearing
on these objectives are:
identification of community interest and decision groups involved in
health activities; -
holding small and large meetings of such groups and selection of a
"steering committee" to recommend detailed structures and policies;
working with the steering committee in the development of a corporate
mechanism capable of operating a comprehensiva health planning agency;
working with the steering committee in the formulation of a policy Council
and methods for naming its members, together with the various health
interest and action groups in the community; writing by-laws;
obtaining acceptance and endorsement of these plans by the interest and
action groups in the community-—-governments, health agencies, consumers’
groups, other planning groups, etc.
selflEing and convening a council for action on this proposal.
ESTABLISHMENT OF METROPOLITAN COMPREHENSIVE
HEALTH PLANNING AGENCY
'III:IEIIIIIIII“IIIIIIIIIIIII'IIIIIIIIIIIIII| IIIIIII'I lIlIIIlI|II'II|IIIII'.IIII|IIIII|III‘IE'I lI|lI1lIllIIIIIII'llIIIIIII'IIIllllltll
Technical
ASpects
CHP
Permanent
Staff
'brganizational" funding
Community
Council’of the
Atlanta Area
20 Jun 69
IIIHHHHHHHIIII
METROPOLITAN CHP AGENCY
- 3 -
Community
Involvement
Aspects
The Atlanta Area
SlMflHAHY:
THE ATLANTA AREA, PRESENTLY INCLUDES SIX COUNTIES. THIS IS NOT IDENTICAL
WITH THE OFFICIAL BOUNDARIES OF THE CENSUS BUREAU, WHICH DEFINES THE ATLANTA
AREA AS A STANDARD METROPOLITAN STATISTICAL AREA CONSISTING OF FIVE COUNTIES.
TO MAKE THIS DISTINCTION THESE BOUNDARIES ARE DEFINED.
BOUNDARIES: Atlanta Area: Douglas, Clayton, Cobb, DeKalb, Fulton and
Gwinnett counties.
Atlanta Area (SMSA): Clayton, Cobb, DeKalb, Fulton and
Gwinnett counties.
PRESENTLY:
ATLANTA AREA IS:
0 the "regional capital" of the Southeastern United States resulting from
continued growth and a central transportation network;
. the"major growth center" in the State of Georgia; and
. the central "regional city" for the ATLANTA AREA and contiguous
counties.
.the I'medical center" for the surrounding counties.
\
THE ATLANTA AREA COMPREHENSIVE HEALTH PLANNING DESIGN:
permits addition of contiguous counties or other planning areas
whenever feasibility or desirability are indicated. (Douglas
County, the newest member of the ATLANTA AREA has shown initia—
tive and set a precedent for non-SNEA‘S joining its sister
counties for health planning.)
Atlanta Area Governmental Units and Current Population
SUMMARY:
BESIDES THE SIX COUNTIES, THE ATLANTA AREA CONTAINS APPROXIMATELY 50 INCORPORATED
MUNICIPALITIES, OF WHICH 10 HAVE POPULATIONS OF MORE THAN 4,500. THE LARGEST CITY,
ATLANTA, COVERS PORTIONS OF FULTON AND DEKALB COUNTIES, AND HAS A POPULATION IN
EXCESS OF 500,000. THE TOTAL POPULATION APPROXIMATES 1,300,000.
The Atlanta Area, Compared with the Standard Metropolitan Statistical Area
The Atlanta Area SMSA is comSposed of five counties:
County Population (1968)
Fulton 605,400
DeKalb 353,500
Cobb 174,600
Clayton 78,700
Gwinnett 59,800
Douglas County, with a population of 23,900, is the sixth county that makes up
the entire six—county ATLANTA AREA for purposes of comprehensive health planning.
Principal Cities in the Atlanta Area
The largest city, Atlanta, extends into Fulton and DeKalb counties and
had a population of about 500,000 in 1968. Other principal cities, their
counties, and size are as follows (See Appendix for complete list of
municipalities and population distribution.):
MUNICIPALITY COUNTY POPULATION (1968)
College Park Fulton 20,691
East Point Fulton 39,257
Hapeville Fulton 9,268
Decatur DeKalb 20,943
Forest Park Clayton 18,766
Marietta Cobb 28,003
Smyrna Cobb 16,365
Lawrenceville Gwinnett 4,561
Douglasville Douglas 6,000
NOTE: These figures are estimates made by the Atlanta Region Metropolitan
Planning Commission, 1 April 1968.
ATLANTA AREA
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Nearby Cities Affect the Market and Service Patterns of the Atlanta Area
STANDARD METROPOLITAN STATISTICAL AREAS CLOSE TO THE ATLANTA AREA:
Within a 100—mile radius of the ATLANTA AREA (SMSA) there are
14 smaller SMSA's which are close enough to affect the economy,
commerce and health service trade patterns of the ATLANTA AREA.
These are:
Macon Huntsville
Columbus Gadsden
Chattanooga Greenville
Albany Asheville
Augusta—Columbia Charlotte
Birmingham—Tuscaloosa Knoxville
Montgomery Nashville
Atlanta Area, 3 Place of Growth and Variation
SUMMARY:
THE ATLANTA AREA IS A RAPIDLY GROWING NETROPOLIS WITH BOTH URBAN
AND RURAL TERRAIN AND WAYS OF LIFE. THE MAJOR DEMOGRAPHIC CHAR-
ACTERISTICS INDICATE A CONTINUING PRESSURE AND A GREAT CAPACITY
FOR INCREASED AND APPROPRIATE SERVICES.
Major Characteristics:
AGE of the population is young: The number between 20 and 29 will
double between 1960 and 1980.
DENSITY of population covers a wide range: 5 to 52 persons per
acre.
SIZE is expanding: 27% increase from 1960 to 1967, passing 2
million by 1980.
CLIMATE is warm and humid: 48 inches annual precipitation.
URBANIZATION is increasing moderately: 6% from 1960 to 1967.
EDUCATIONAL opportunities are numerous: About 175 schools, nine A-yr,
colleges, 6 special purpose institutions, 3 area technical
schools.
OCCUPATION‘s largest demand is in retail and wholesale trade,
government, service business, manufacturing.
INCOME varies greatly: One county with 36% over $10,000 another
with 25% below $3,000.
CAPITAL INVESTMENT was near 300 million from 1963-1967, much of
this for transportation equipment.
TRADE is active: 3 interstate highways intersect, 8 airports with
800 daily flights, 13 railroad lines of 7 systems.
FINANCIAL headquarters of Sixth Federal Resarve District.
OFFICE SPACE abundant: Fifth in nation. .
COMMUNICATIONS extensive via telephones, mail, 4 daily and 20 weekly
newspapers, 5 television and 19 radio stations.
Note: This information taken from "Atlanta Silhouettes," ARMPC, Atlanta,
Georgia n.d.; "The Georgia Piedmont Regional Economic Investment Plan,"
State Planning Bureau, Office of the Governor, Atlanta, Georgia, n.d.
1960 — 1980 Population, Estimates and Projections
County 1960(1) 1965(2) 1970 1975
Fulton 556,326 599,300 649,425 704,046
DeKalb 256,782 350,400 485,541 658,520
Cobb 114,174 150,900 209,722 281,481
Clayton 46,365 66,000 93,483 135,988
Gwinnett 43,541 54,600 58,077 66,192
Douglas(3) 16,741 21,339 29,700 36,500
Total 1,033,929 1,242,539 1,525,949 1,882,727 2,
(1) U.S. Census
(2) Long—Range Plan, Hospital and Health Planning Dept., CCAA, Atlanta, 69.,
Jan. 1968, p. 6 (mimeographed).
(3) Douglas County Figures, 1965—1980, interpolated from Land Needs, 1968,
Douglas County, Ga., ARMPC, Table D.
DIRECTIONS OF POPULATION GROWTH 1960-1968
ATLANTA SMSA
FORSYTH
_§ARTOW CHEROKEE ran?“ a_.,
Fund!”
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WALTON
ROCKDALE
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COWETA HENRY
CLAYTON
1980
829,163
757,518
337,019
161,126
76,094
45,000
205,920
NOTE: Percentages show share of SMSA
(including Douglas County) growth
that has occurred in each direction.
SPALDING
Population Trends Require Continuous Review of Health Needs.
SUMMARY:
THE NUMBER OF PEOPLE IN THE AREA IS GROWING AT A RATE OF 2.8% ANNUALLY.
THERE IS ALSO A MARKED INCREASE OF YOUNGER AND OF OLDER PERSONS. THE
MIGRATION OF PERSONS INTO THE AREA FROM NEARBY TOWNS AND PLACES IS ACCOM—
PANIED BY A GROWTH TOWARD THE OUTER COUNTIES,
Text:
The needs for health facilities, manpower and services must be antici—
pated well in advance.
Present information allows a reasonable prediction of the size, con—
stituency and settlement patterns of groups of people.
An increase in numbers of people indicates a greater demand on the
amount of facilities, manpower and services.
A change in the proportion of people in certain age groups indicates a
change in the need for particular types of care - home care, impairments,
maternal and child care, etc.
A change in the geographical distribution of people indicates a need for
review of environmental health, communicable diseases, etc.
Census
U4 S.
Rand Corp.
o
0
6
9
1
1975:
Under 1
The Planning Area Boundaries Observe other Programs,
Anticipate Expansion
SUMMARY:
THE STATE OF GEORGIA IS DIVIDED INTO MANY DIFFERENT AREAS, DISTRICTS
AND REGIONS FOR SPECIAL PLANNING OR IMPLEMENTATION OF PROGRAMS AND
ACTIVITIES, SOMETIMES THE FIVE COUNTY "STANDARD METROPOLITAN STA—
TISTICAL AREA" OF ATLANTA IS USED AS A UNIT. SOMETIMES PROGRAMS ARE
SUBDIVIDED BY COUNTIES 0R COUNTIES ARE COMBINED IN OTHER WAYS. THE
SIMILAR JURISDICTIONAL AREAS ARE CONVENIENT AND THERE IS A TENDENCY
TOWARD MAKING BOUNDARIES OF RELATED PROGRAMS IDENTICAL. IN ANTICIPA-
TION OF THIS TREND AND EXPANSION OF ATLANTA (SMSA) BY THE BUREAU OF
CENSUS, THE COMPREHENSIVE HEALTH PLAN WILL HAVE ADJUSTABLE BOUNDARIES.
(1)
1
( Much of this material taken from An Atlas of Multi-County Organizational
Units, Department of Geography, Univ. of (38., 1968
PROBLEMS IN DELINEATING REGIONS
“OJIRJ
PROGRAMS, REGIONSI AREAS, AND DISTRICTS
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5
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Area Planning and Development Commission
Su erior Court Circuits
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Industrial Development Division Ga Tech .3
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Civil Defense; o‘erational Areas Control Centers
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State Nurses Assoc. Districts
Community Action Agencies
State Representative Districts
Congressional Dis tric ts
State Senatorial Districts
Cooperative Extension Service Districts
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Georgia Hospital Assoc. Districts
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Economic Develo-ment Re;ions
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State Highway De-srtment Division
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Vocationsl Rehabilitation Services
Vocs t ional (Medical/Behaviors 1) Areas
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Georgia Regional Medical Programoto}
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0
Metro Atlanta Council Local (19v :
Soil & Water Conservation Districts
.4
State Em-lo ent Service Districts
office of Economic Opportunity (0
Community Council Social Planning Areas
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State Det. of Famil 3: Children Services istri .:
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Farmers Home Administration Districts
Soil Conservation Districts I
Federal _J_udic ial Distric tsO
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State Highga Detartmen I v - u;
Federal Land Bank Association Districts
Vocational-Technical School Area .
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Forestry Districts
Georgia Bureau of Investigation Districts
‘3
Medical Facility SerVice Areas
Public Health Districts
N
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Does not participate (I) N Northern District (O) T Tallatoona
Pk) Appalachia & Piedmont (0) WC West Central District
(if) A Atlanta District (O) Ca Carrollton District
([1) D Decatur District Cl Clayton District
M Marietta District
Organizational and Procedural Arrangements for Comprehensive
Health Planning
SUMMARY:
THE PROPOSED COMPREHENSIVE HEALTH PLANNING AGENCY WILL BE STRUGTURED SO
AS TO BE IN CLOSE COORDINATION WITH THE METROPOLITAN ATLANTA COUNCIL OF
LOCAL GOVERNMENTS AND WITH THE COMMUNITY COUNCIL OF THE ATLANTA AREA.
THE ARRANGEMENT ALSO ENCOURAGES COOPERATION AND COORDINATION WITH THE
ATLANTA REGION METROPOLITAN PLANNING COMMISSION, THUS INVOLVING ALL THE
AREA'S MAJOR PLANNING AGENCIES. OTHER PLANNERS IN HEALTH OR HEALTH-
RELATED FIELDS WILL BE INVOLVED T0 VARYING DEGREES.
Applicant:
In order to facilitate interaction of the major planning groups in
the metr0politan area, the Metropolitan Atlanta Council of Local Govern—
ments OAACLOG) will be the applicant agency for comprehensive health plan-
ning. In order to do this, MACLOG is taking action to change its status
as a voluntary association and become an incorporated entity. In the event
that the necessary legal arrangements require more time than is available
prior to submission of this proposal, the interim applicant agency will be
the Community Council of the Atlanta Area, Inc. (CCAA). The organization
for supervising and conducting comprehensive health planning is indicated
herein as the Metropolitan Comprehensive Health Planning Council (Metro
CHP Council).
Relationships among MACLOG, Metro CHP Council, and CCAA:
Using as a model the relationship between the Georgia Regional Medical
Program and the Medical Association of Georgia, in which the latter is the
applicant agency, and the former actually conducts the program, including
final policy formulation, the proposed relationship is that MACLOG will be
the applicant agency, Metro CHP Council conducts the program and formulates
policy, and administrative support is provided by the CCAA. There will be
individuals serving on the CHP Council who are also members of MACLOG or
the Board of CCAA. To insure cooperative efforts and joint planning in
overlapping projects, it is planned to establish a "MetrOpolitan Conference
of Planning Chairmen“, bringing together the Chairmen of MACLOG, CCAA, CHP
Council, and Atlanta Region Metropolitan Planning Commission ARMPC). In
addition, there will be a "metropolitan Conference of Planning Directors”,
bringing together the executives of the four agencies. From time to time,
other planners will be invited to participate in these conferences. It is
anticipated that joint staff activities will occur where projects involve
physical planning (ARMPC), social planning (CCAA), health planning (CHP),
and other forms of planning such as crime and delinquency (MACLOG). Of
course, major portions of health planning will continue to be done in
other planning staffs, such as hospital authorities, city and county plan-
ning offices, etc. These will be coordinated, insofar as health aspects
are concerned, by the Metro CHP staff.
Facilities:
MACLOG, CCAA, ARMPC, and UHF will be housed in the same building.
This close proximity will make possible sharing of numerous facilities,
such as library, public information, duplication and mailing, etc.
For additional information, see the section on Facilities in the sec-
ond Section of this prepossl volume.
_ 16 a
ORGANIZATION FOR COMPREHENSIVE HEALTH PLANNING
confreo‘l’ual
relaiion
Oiker Pbfifl{‘5
$46. ($3
Abbreviations:
ARMPC Atlanta Region Metro. Planning Commission
CCAA Community Council of the Atlanta Area
CHP Comprehensive Health Planning
DHEW (U.S.) Department of Health,Education & Welfare
MACLDG Metro. Atlanta Council of Local Governments
Bd Board
Conf Conference
Dir's Directors
Chmn Chairmen
Plng Planning
Cooperative Arrangements made for funds, personnel, services,
Title:
facilities
SUMMARY:
THE COMPREHENSIVE HEALTH PLAN IS AND WILL BE LINKED FORMALLY WITH THE
APPROPRIATE ORGANIZATIONS TO ASSURE THE JOINING OF ALL HEALTH EFFORTS
TO COMMON RESOURCES.
COOPERATPVE ARRANGEMENTS WITH OTHER PROGRAMS
I'll: Irll'lrlflfll'lllilil‘l EI.'|IIJ| EIJI !| || || Ii II” :I ”ll" II II II” |[lililllllllilllilllilil "II II IHI IIHIIIIJ'HIIII II'IIHII'IIIIIIIIII'II'II |I||'|I|I||'II|||l|I.||'|'.|f|I|I|1|I|IIIIIIlIIIlIIIlIlIlIiIII Illfll Illl |.'||'|I||'|l|l|l|'|
DHLW
Dept. Health,
Education &
Welfare
Local Health Agencies
letro Atlanta
Council of
Local Govts.
Metro Comprehensive
Health Planning
Council
*See Appendix for Details.
a personnel
MACLOG
.technical
assistance
Comprehensive Health
Planning Staff
Community Council
' of the Atlanta
Area, Inc.
Administrative Services'
Housing, Furniture,supplkm
Personnel policies*
Ancillary Services—m
library, duplicating,
mailing, etc.
Planning is Based Upon Commonly Available Data
SUMMARY:
THE LOCAL RESOURCES FOR QUANTITATIVE DATA IN THE HEALTH CARE FIELD ARE
RATHER LIMITED BOTH IN AMOUNT, AVAILABILITY, AND COMPARABILITY, THE COM—
PILATION OF INFORMATION IN A CENTRAL CENTER WARRANTS PRIORITY FOR FUTURE
PROBLEM—SOLVING. SOCIAL, ECONOMIC, AND DEMOGRAPHIC STATISTICS ARE MORE
FULLY DEVELOPED THAN HEALTH DATA. BOTH ARE OFTEN SCATTERED AND FAR
FROM IDEAL. INFORMATION ALONG THESE LINES IS AVAILABLE AND COMMONLY USED
FROM MORE THAN A DOZEN SOURCES.
Implications for Comprehensive Health Planning in Environmental
Health Fields
SUMMARY:
THE METROPOLITAN ATLANTA AREA HAS MADE NOTABLE STRIDES TO IMPROVE EN-
VIRONMENTAL FACTORS IN RECENT YEARS. NEARLY EVERY AREA CONCERNED HAS
HAD SOME PREVIOUS WELL-PLANNED PROGRAMS. THE ROLE OF COMPREHENSIVE
HEALTH PLANNING WILL BE THAT OF COORDINATING EFFORTS, ENCOURAGING IM—
PLEMENTATION, AND INCREASING EFFICIENCY IN OPERATION.
Text:
Environmental Health programs being developed or recommended for
the Metropolitan area include:
1. Water and sewer plan implementation - a natural follow-up
to current water and seWar planning should include recom-
mendations for long range pollution control systems and
management of water resources.
Up-dating open space and recreation plan and program for the
metropolitan area.
Capital improvements programming: a continuation of the work
ARMTC is doing now.
Metropolitan Solid Waste Plan — MACLOG.
Mobile Home Park - ARMTC — Study of requirements on location.
Vector Control Program - EDA - Demolition Project.
Comprehensive study of problems and possible long-range
solution for solid waste and garbage collection and disposal.
Development of a long—range plan for industrial and office
parks throughout the area - ARMTC.
A study of future housing requirements: as they relate to
population forecasts, income, employment, and location.
This study is now being held in sbeyance.
Up—dating of Airport Plan - ARMTC.
Study, up-date and revise all elements of land development
and facilities plans.
ARMTC - The need for nature preserves and related outdoor
recreation facilities has been established. Implementation
is now needed.
Flood control project by Corps of Engineers.
Atlanta Housing Authority: re-develop public housing area;
rat control; health clinics for project area; and neighbor-
hood renewsl project (yearly basis).
Georgia Safety Council: organizing Teen Safety Councils in
all high schools in the state of Georgia; conducting industry
safety seminars throughout the state; driver improvement for
truck drivers; driver improvement through the defensive driver
course; conducting injury control program.
The Urban Life Center — A Solver of Urban Health Problems
For the Future
SUMMARY:
THE NEWLY ORGANIZED URBAN LIFE CENTER AT GEORGIA STATE COLLEGE, WHEN
FULLY OPERATIONAL, WILL PROVIDE A DYNAMIC INSTRUMENT FOR SOLUTION AND
PREVENTION OF HEALTH AND HEALTH RELATED PROBLEMS. IT FOCUSES THE RE-
SOURCES OF THE MAJOR EDUCATIONAL INSTITUTIONS IN THE ATLANTA AREA AND
THE STATE OF GEORGIA ON BROADENING THE INTELLECTUAL BASE OF THE POPU—
LATION, ENHANCING THE PROFESSIONAL AND CULTURAL COMMUNITY, INTENSIFYING
AND DIRECTING MOTIVATIONAL POTENTIAL AND PROVIDING SERVICES INVOLVING
PEOPLE AS INDIVIDUALS AND GROUPS.
Purpose:
Early in January, 1969, the Urban Life Center and the City of
Atlanta were designated one of six national research centers on urban
problems. (These centers were selected by the National League of
Cities acting under contract with Departments of Housing and Urban
Development and Health, Education and Welfare.) This network of
"Urban Observatories" represents an effort to concentrate efficiently
and economically the resources of higher education in the assault on
urban problems.
Concept:
The guiding concept is that the new problems of the cities neces—
sitate new approaches to academic organization and operation. An
important feature is the inter-disciplinary approach to the study and
solution of urban problems. Emphasis is placed upon the concentration
and coordination of talents from all relevant disciplines and organi~
zational units to effect sound solutions to urban problems.
The Urban Life Center embodies four basic organizational components:
<> The School of Urban Studies which provides the academic
training and research foundations.
<> The Urban Public Service Division is structured to
provide specialized activities, including short courses. in—
stitutes, conferences, public seminars, lecture series,
workshops. community extension service activities, etc.
<> The Inter—University Urban Cooperative seeks to coordinate
and direct the resources of all the institutions of higher
learning, in the surrounding area, aiming for cooperation
with a minimum of effort duplication.
C) The Observatory will facilitate the effective operation
of the other components of the Urban Life Center. Data col—
lected by the Observatory will serve as one of the bases for
training programs in the School of Urban Studies and those
conducted by the Division of Urban Public Service. It is de—
signed to work systematically with community agencies and
organizations to coordinate data and develop meaningful working
relationships relevant to urban problem-solving.
-32—
THE URBAN I.IFE CENTER
BOARD
OF
REGENTS
GRADY
HOSPITAL
GEORGIA
STATE
STATE COLLEGE LOCAL
GOVERMNT GOVERNMENT
AGENCIES AGENCIES
DIVISION OF
URBAN PUBLIC
SERVICE
SCHOOL OF
URBAN STUDIES
INTER-UNIVERSITY
URBAN COOPERATIVE
URBAN
OBSERVATORY
HEALTH
AND
HEALTH RELATED
INSTITUTIONS
_ 33 _
Local Health Departments, Atlanta Area
CENTERS AND CLINICS
Fulton County Cobb County (cont‘d.)
Main Center & offices Austell
Adamsville Mableton
Alpharetta Powder Springs
.Ben Hill Smyrna
Buckhead
Center Hill
College Park Clayton County
Collins
East Point ' Main Office
Fairburn Forest Park
Hapeville College Park
Howell Mill Fayetteville
Jere Wells
Lakewood
Roy W. McGee
Neighborhood Union
Northeast Main Center
Palmetto Buford
Red Oak Norcross
Rockdale - Duluth
Roswell
Sandy Springs
South Fulton
Techwood
we
mew
Main Center,
Douglaaville
DeKalb County
Main Center & offices
Doraville
Kirkwood
Lithonia
North DeKalb
Scobtdale
Southwest Dekalb
Stone Mountain
Tucker
Cobb County
Marietta
Acworth
County Financing Slate Allotments
July '67 — June '68
I-‘ulton $ 403, 181—
nch'alb 269, 127—
(‘obb 122,271—
Clnylon 52,049lll
Gwinnett 18,760-
I)nuglas 21,119-
#1101; readily available
4mm: n1
Centers
6099 £fi5~§mnf
PUBLIC HEALTH CENTERS
WW
Metropol 1 tan At lanta Area
are!
Manpower
425
199
47
38
21
8
Admission by Service
Mental Health V.D.
T.
B.
7,479 83,109 6,91‘1
2,925 63
2,169 128
964 6
484 4
*__E
GUINNETT
SP3
I
1
I
‘ fitment LLI
3
1
a.
.363
,089
5]":r
59?.
0 HEALTH CENTERS
SINCE 1967
4: HEALTH CENTERS
WATER. AND SEWER DISTRICTS IN THE ATLANTA AREA.
_ \ -
N‘K
QDACUL an
“-. \
' I
I “1"?‘fifih LE U a | :I 1 4 s
h' ' -:-:—
/_¢ '1 LEGE 'II ’I ‘ ‘f mu Inn-us
I ‘Rfi! ‘JIINIDUNI‘UU NC“
’ “JUN All fill. HMIYS
fil
,
J I I EXISTING FACILITIES
. Atlanta — II. :1. Clayton [1.1.1:
. Atlanta — Sandy :YEfl. Plan:
. ntlonn - Dray Crook Plant
. Atlanta - South River Plan:
. Atlanta — Intrnnch-onl: Creel. Flnnl.
. Atlantl - Illa: River “not
Fulton County — Industrial Hnn Plant
Fulton county - Norah Creek Pllnt
ll
\ kg”
,,
c N
. Fulton County - Morning Creek Lagoon
[
L
L .
co. ‘ ¢
. Jointly Owned Cm crook Plan:
/'
”‘7 ' \q l 11. Fairburn _ north-jun Plan:
I L. 12. FnlrhurnvSourhnide Plant
F L l N T R I V 13. val-en: Plant
. l
I
{possesses
A
fie
7p:
~71.
u.
D‘UWHIUNM’WMH
u. Alon-tetra Lagoon
15. Cullen Fork - Southeast Plan:
16. Clayton Gout: _ Flint Riva: Plan:
1?. Elly-ton Cnuntr - Rock Out Rood Luann
l 2*. Atlanta Am Depot Plan:
35. noon County — Shoal Creek Plant
26. noxalh County — Snapflnnor Greek 'Plont
23'. Mall: County - Lngnon
28. Lithonia — loot Sever Outlet
M 29. Lithonia - South Sour Outlet
Y SEWAGE TREATMENT 30. Conn“ — South Sou-u Outlet
. SECONDAR 11. Congo“ — North Sm: Outlet
TR TMENT 32. Foreman Lagoon
o PRIMER?! SEWAGE E1“ 3]. Laurence-ville Plan:
E 34‘:- mronoovll 1e Lennon
0 UNTREATED SEWAG :5. Mord Hm
u: > TA 36. L‘s-ins, Luoonn
POTABLE WATER IN KE 31'. Acworth Plant
35. Kenna-nu Plant
“w“, "a,” nugmmu. um Luna‘s-5': 39. Hal-1on- - Hon: Side Plant
In or... hum-o “"‘" ““""‘ ‘0. Bil—lotto — South Slat Plant
u. Hal-lau- - Root Side Plant
#2. Marietta — Southmt Side Plan:
U. Inokhatd Flank
In. Cobb County - Church Road Plant
#5. Cobb County — South Cobb Plan:
is. Sawm- - [inhumane Crook Plan:
I“. Aunt-:11 Plant
is. Dougluvlue Plant
State Health
Planning Council
Advises ”A"
Agency in
carrying out
its goals
C omprehensive State Health
Planning'Agencx - "A" Agency
Develops comprehensive state health
plan. .
Identifies health problems. ‘
Recommends policies and programs.
Provides consultation and coordinates
programs.
Areawide Planning Agencies -
"B" Agencies
Relates health programs in anarea
within a comprehensive frame-
work.
Liaison with appropriate health
agencies in an area to help carry
out goals.
Conduct periodic evaluations and
studies.
Review local grant applications.
Gathers and analyzes data.
Public Voluntary
health health
agencies agencies
(local) (local)
. EUGENE T. BRANCH. Chufmnt-I u! :F'IL' ”mm! m‘ him-nun
@m‘glfirfiufififilfifi? cscu. ALEXANDER, I'm: anniml'."
C JOHN IZARD. I'Ix'e Chain-”hm - ‘
. Q I— .
_ ‘1'“ r:._ a .a ‘ MR-o. THOMAS H. GIBSON, Autumn
Q ”‘k‘xacflfi 0% like DONALD H. GAREIs. {roman-Ir
Assamese
A. '
yea Inc. ‘ DUANE W. BECK. Ewwrh‘t' Duet-m:-
ONE THOUSAND GLENN BUILDING. 120 NIARIETTA ST“ N. w. ATLANTA. GEORG‘A 30393 TELEPHONE 577-.
May 23, 1969
Donald F. Spille, Ph.D.
Executive Director of Metropolitan Atlanta
Mental Health Association
209 Henry Grady Building
Atlanta, Georgia 30303
Dear Dr. Spills:
As you know a proposal will be sent to HEW, Washington,
in early June, setting up a mechanism for comprehensive
health planning in the metropolitan Atlanta area, and
requesting a 5-year grant to assist with such planning.
HEW must be assured that the proposed COmprehensive health
planning will have cooperation of all parties and agencies
involved.
This is to request that you write us a letter, as soon as
possible, assuring us of your cooperation in this project.
Sincerely yours,
Wfim
Rap ael B. Levin , Ph.D.
:Director, Comprehensive
Areawide Health Planning
RBL:az
Encl.
--69-
Community Involvement in Comprehensive Health Planning
SUMMARY:
DOCUMENTED HEREIN (SEE APPENDIX) ARE INDICATIONS OF SUPPORT FOR
COMPREHENSIVE HEALTH PLANNING FROM COMMUNITY ORGANIZATIONS AND
GOVERNMENTAL AGENCIES. IT IS ANTICIPATED THAT COMPLEMENTARY RE-
LATIONSHIPS OF MUTUAL BENEFIT WILL BE SOLIDIFIED IN THE EARLY
STAGES OF PERMANENT OPERATION.
Note: Letter of the opposite page has been sent to following
groups in the six-county area:
County Commissions
Mayors of Cities
Medical and Dental Societies
Nursing Associations
Hospital Council
Nursing Home Association
Chamber of Commerce
Colleges and Universities
Health Care Centers
Voluntary Health Agencies
Representative Organizations of the Poor and Near-Poor
ORGANIZATIONAL CHART OF COMMUNITY DEVELOPMENT IN
COMPREHENSIVE HEALTH PLANNING
25-member core of planning efforts to direct task
force assignments.
Chamber of Commerce Board of Directors.
Local County communities. These communities will be analyzed
and local citizens (with a wide range of representative types)
will be asked to participate in discussions. Some representa—
tives to consider will be age, race, sex, income, geOgraphic location, etc.
The basic philosophy is to establish task force and community
involvement simultaneously and then pool these thoughts into final recom-
mendations. This obviously is an oversimplification of the process and
many problems will have to be overcome if efforts are to be successful.
-67 _
Sub—Areal Health Councils. Cobb County: Example in Experience
SUMMARY:
COMPREHENSIVE HEALTH PLANNING EFFORTS IN COBB COUNTY, AS IN OTHER AREAS
OF METROPOLITAN ATLANTA, ARE IN THE NEOPHYTE STAGE. ORGANIZATION OF A
COBB COUNTY HEALTH COUNCIL HAS MET WITH ENTHUSIASTIC COMMUNITY SUPPORT.
COOPERATION AND EFFECTIVE COMMUNICATION WITH THE METROPOLITAN COMPRE-
HENSIVE HEALTH PLANNING COUNCIL WILL PRODUCE AN EXEMTLARY RELATIONSHIP
IN EFFORTS TO MEET HEALTH NEEDS OF THE AREA.
History of Cobb County Health Council:
While in recent years much progress has been made, gaps in Cobb County's
health services have been dramatically evident. For example, a new family
found the nearest physician twenty miles away. One hospital is often over-
crowded while another has many available beds. Solutions to these and other
problems are necessarily a task for large scale cooperative planning.
The present twenty-five member CCHC had its beginning in February, 1969,
with a meeting of five health-oriented community leaders under auspices of
the Chamber of Commerce. Health problems were recognized in four basic
categories:
Services
Facilities
Manpower
Financing
Task forces of the Council and other community members have been assigned
to determine needs, resources, and possible solutions in these areas.
Implications for Success:
1. The Chamber of Commerce has had a leading and beneficial
role in organizing the CCHC. Support and participation
have already been secured from major segments of the com-
munity.
2. Planning involves government officials, health providers,
and consumers working together to improve the total health
system.
3. From the beginning, members of the CCHC have recognized the
potential for inter-relationship with the Metropolitan Council.
Understanding and coordination of efforts will combine resources
leading to the solution of health problems.
Implications for Overall Local Liaison
The Cobb County Health Council is farther advanced than those in other
counties and neighborhoods, although beginnings have also been made in Gwinnett
and Clayton Counties. Basically, these local Councils serve two major purposes:
(1) they extend the capability of the metro Council to spotlight special needs
in local areas, and (2) they bring into participation additional citizens who
generate citizen information activities and bull support for CHP. -
-56—
POLICY - RECOGNITION - SUPPORT - ACTION
$ FOR PROJECTS $ FOR PROJECTS
' ROJECT APPROVALS
REGOGN IT ION
$ FOR
PLANN ING ( 50%)
RECOGNITION 5 cup AGENCY $ ma PLANNING
W
HEALTH CARE $ FDR COUNCIL, LOCAL
AGENCIES PLANNING STAFF
E RECOMNDATIONS
IN TECH. ASSISTANCE l FitEOOGNITION RECOGNITI N T
(___i s
@913
fl m
GOVERNMENTS
l.
'42»
*‘o
429
$ FOR PLANNING
CHAMBER OF COMMERCE
FOUNDATIONS
$ FOR PROJECTS OTHER BUSINESS INDUSTRY
ACTION . (IMMUNITY CHEST
E LOCAL GROUPS
PROJECTS ETC.
Procedure for Policy Implementation
SUMMARY:
FUNCTIONS OF THE METROPOLITAN CHP AGENCY WILL INCLUDE RESEARCH, COORDINATION OF VARIOUS
GROUPS, AND POLICY DECISIONS IN THE HEALTH FIELD. AS A PLANNING BODY, THE COUNCIL AND
STAFF WILL DEPEND UPON ACTION GROUPS FOR IMPLEMENTATION OF ITS POLICY. FEDERAL, STATE
AND LOCAL GOVERNMENT RECOGNITION OF THE AGENCY WILL BE KEY FACTORS IN THE ABILITY TO
INFLUENCE ACTION WHICH WILL IMPROVE HEALTH FACILITIES AND SERVICES.
The following functions and relationships will provide a basis for ensuring implementation
of policy.
Functions of the CHP Agency (Policy Board and Staff):
1. Conduct research in community health problems.
2. Develop background for policynmaking; use systems analyses, cost-benefit analyses,
etc.
Coordinate activities of all health planners in the community.
Review health action projects originating in the community.
Provide technical assistance to action agencies.
Originate health action projects where needed.
Conduct community liaison and education in health matters.
Give adjacent areas assistance in health planning on contract basis.
. Make policy decisions for the community in health matters.
Relationships between the Agency and other groups:
The CHP policy Councfl_will be representative of all health concerns in the
Metropolitan Atlanta area.
Recognition of CHP Agency responsibility and authority in planning areas is
expected on all levels of governmental and health—concerned group involvement.
Funds for exercising agency functions will be sought from federal, state and
local governments, Their support will indicate recognition and delegation of
health planning policy decisions to this agency.
Foundations, business and voluntary health organizations may be expected to provide
some funds for planning. .
Local governments and independent health agencies will receive benefits from CH
through technical assistance in planning, coordination of efforts and recommenda-
tion of priorities.
6. Federal funds for any given project will need approval of the CHP Agency for
allocation.
The above being factors, respect for the CHP Agency will be an inherent trait necessary
and present for implementation of policy decisions. Recommendations made to governments,
other planning agencies, hospital authorities and the like, wiIl be carried out by those
groups with desired assistance of the CHP staff.
Effectiveness of comprehensive health planning:
The interrelationships among CHP and other local governments and agencies is designed to
insure mutual respect and dependence. Whereas the CHP Agency depends for its existence
on the recognition and financial support of the other groups, they, in turn, depend on
the existence and recognition by State and Federal offices of the CHP Agency for much
of the Federal funding they require. And whereas the CHP Agency depends on the reapect
for its competence and fairness by local grOups for its effectiveness in originating
new plans, the local groups depend on the CHP Agency review for implementation of
plans which they originate. Thus, it is in the interests of all that relationships
begin and continue on a harmonious and mutually helpful basis.
- 54 _
CHOICE CHOICE 0
OF FUNDING 0F PR’OGRAM
LEVEL ALTERNATIVE
EFFECTIVENESS"
M
nesouncas PROGRAM - OUTPUT - IMPACT '
“~___——F-“W¢’_‘—-—__ur’
o MONEY
0 PEOPLE
OFACI LI TIES
PROGRAM GOALS
OUTPUT .
EF =
FICIENCY INPUT ACTIVITY LEVEL
DETERMNANTS*
a REQUIREMENT
.NEED
9 DESIRED LEVEL
COMPREHENSIVE HEALTH SERVICE-
MULTIYEAR PROGRAM AN
'I
II
M
I"
WI!
'0‘”!
f
79
"99’
w
III
":0
(Ill/ll.
"ill/fly;
VIIIIIIIIII
on."
m...
'l
'I'IA
'3'
I'll."
The Need fnr Planning Programming System for Comprehensive
Health Planning
SUMMARY:
PLANNING AND PROGRAMMING SYSTEMS OFFER GREAT PROMISE TO AREAWIDE PLANNING
AND OTHER GOVERNMENTAL ORGANIZATIONS AS A MEANS OF SYSTEMATICALLY RELAT—
ING PROJECT OR PROGRAM PLANNING WITH FINANCIAL PLANNING. IT IS A METHOD
OF OBTAINING THE MAXIMUM BENEFIT AND EFFECTIVENESS FROM RELATED HEALTH
PROGRAMS THROUGH THE EFFICIENT GOAL—ORIENTED APPLICATION OF AREAWIDE RE—
SOURCES.
Basic Purpose:
The basic purposes of a planning and programming system are to:
'tpermit rational choosing between objectives,
*oermit rational choosing between programs,
ifacilitate selecting rational levels of programs,
ifacilitate review and evaluation of program accomplishment.
Major Characteristics are:
ithe identification of the fundamental goals and objectives
of the area;
isystematic analysis of alternative ways of meeting the area-
wide goals and objectives;
“Ithe presentation of alternatives to the decisionfinaker;
-kexplicit consideration of future year fiscal implications
(5-year program goals) at;
— preferred funding level, or
- stringent funding level: and
ithat proposals and decisions are properly supported by docu—
mented evidence.
Benefits:
In general an integrated system of planning, programming, offers:
An improved process for decision—making, policy formation and
for analyzing major issues.
A Systematic method of exploring alternative ways (more effective
or less costly) for getting the health and health related busi—
ness done.
A procedure for coordination of health programs in the light of
identified common or single goals and objectives.
An examination of fundamental goals and objectives of the Atlanta
Area and the role of individual programs in meeting those goals
and objectives.
A strengthening of the initiative of the areawide and local govern—
ments in policy formulation.
A method of relating areawide planning and programming to the
financial process of the State and local communities.
-62—
_'[9_
'nm 1; 1' on
Air
Wa te r /
.Fffifd—P Karmic—e [m1 / '\
/ ‘
____ Rodi a ti n /
rLS§_t';_1'-.1..elfl.e_1}t5 KES1-—.flaenc‘3l/- I; ‘31 in \
1 .
'_, ’- aw" Waste disposal on
I . ‘ I C’ -§F ,, - ,
"_ :I/[l _
Title: Information Gathering and Analysis Systems and Technigues to be Used
SUMMARY:
THE BASIC INFORMATION SYSTEM WILL INCLUDE THE (A) COLLECTION, (B) QUANTI-
FICATION, (C) STORAGE, AND (D) UTILIZATION OF DATA PERTINENT TO THE OTHER
PHASES OF THE PLANNING PROCESS, PROBLEM AND RESOURCE DETERMINATION, IM-
PLEMENTATION, AND EVALUATION. EVALUATION OF THE PLANNING ITSELF SHALL BE
DONE BY THE COMMUNITY AT LARGE THROUGH ITS EXERCISE OF SUPPORT. EVALUA-
TION OF PARTICULAR PHASES OR OPERATIONS WILL BE BUILT INTO COSTS-BENEFITS
ANALYSIS AND SUPPLEMENTED BY INDEPENDENT INVESTIGATION.
Research Technigue
Data shall be organized according to a total functional model; i.e.,
under a scheme which takes into account units, their relationship to each
other, and their relationship to a larger whole.
The units or subsystems of the health system, the entire health system,
the total environment, and the "functional flow" of the user through it is
suggested in the diagram on the opposite page.
This technique provides a basis for costs-benefits analysis of alter—
native plans for action.
Evaluation Technigue:
A baseline for measurement of impact will be the purpose of an initial
collection of information.
A systematic, continuous feed-back on effectivenss of programs will
be built into each program in a simple manner.
Elaborate evaluations of particular phases or troublesome operations
will be conducted. '
Both the subjective and objective appraisal of efforts in terms of
their impact upon the particular problem and the long-range goal will be
made.
The entire planning process will be subject to the periodic evaluation
of the organized community in the form of their extending or withdrawing
financial and cooperative support.
The decision makers themselves will be subject to evaluation by
"recall" or failure to election to the OH? Board by their respective
groups.
The "public" will be an implicit'evaluator through its usa and non-use
of programs.
PRIORITY AREAS FOR COMPREHENSIVE HEALTH PLANNING EFFORTS
Loading on health manpower - quantity and utilization.
Loading on health facilities - quantity and utilization.
Discrepancy between needs and care received by the poor.
Maternal and child health; family planning.
Mental Health
Environmental sanitation; pollution, waste disposal.
Public health and prevention; vector control;
Emergency health services.
Injury control.
Dental problems.
Drug abuse and alcoholism.
Degenerative and chronic diseases.
Citizen role in prevention and care.
Costs of health care; insurance patterns.
Scope of Program Health Concerns
SUMMARY:
A PRINCIPAL EFFORT DURING THE ORGANIZATIONAL PERIOD HAS BEEN TO IDENTIFY THE
HEALTH PROBLEM AREAS OF THIS COMMUNITY WITH SUFFICIENT PRECISION To BE ABLE
TO PROJECT THE SCOPE OF THE PERMANENT PLANNING AGENCY'S FIRST YEAR OF OPERATIONS,
AND DETERMINE THE STAFF NEEDS THESE OPERATIONS ENTAIL. OF THE MORE THAN 40
SUCH PROBLEM AREAS IDENTIFIED BY THE STAFF, 27 HERE STUDIED IN SOME DETAIL
WITH THE ASSISTANCE OF AS MANY ”TASK FORCES”, DRAWN FROM THE COMMUNITY AT LARGE,
AND INCLUDING HEALTH CONSUMERS AS WELL AS HEALTH PROVIDERS. SOME 14 PROBLEM
AREAS HAVE SEEN IDENTIFIED AS MOST LIKELY To DEFINE THE SCOPE OF THE FIRST
YEAR‘S PROGRAM.
Need for Identification of Health Problem Areas
Although the staff during this organizational period is not in a position to
perform actual planning for this community, and therefore does not need
the detailed information about community health problems and prevention and
care mechanisms which will be necessary for a systems analytical approach to
planning, it was necessary to identify the health problems with sufficient
precision to be able to project the scope of the permanent planning agency's
first year of Operations. This scope, in turn, determines the size and skills
which will be needed in the permanent staff.
Study of Health Problem Areas
During initial staff conferences, augmented by consultants from a number of
health fields, and through the mechanism of two large-community"technical
aspects" meetings, more than 40 problem areas were identified as needing
attention and improvement in the metropolitan health picture. These were
divided into priority categories on the basis of the impressions deveIOped
to that time, and about half of them were designated as needing further
study. This, in turn; was accomplished through the mechanism of problem
area "task forces".
Problem Area Task Forces
Groups of interested and knowledgable persons in the community were asked by
the various staff members to form "task forces", each of which was to study
one of the assigned problem areas in the detail necessary for determining
the scope of the 1970 comprehensive health planning effort. The task forces
ranged in size from two or three individuals to more than 20. They were given
instructions as to how to go about gathering their data and how to report
their findings (see Appendix ), and were assisted and encouraged by one
of the Staff. Some 27 of these task forces were eventually formed, and their
reports, in many cases quite voluminous, are presented in Volume III of this
proposal (in condensed form). A great deal of thanks is due to these hundreds
of people, health providers and consumers alike, for the insight which they
contributed to the understanding of this community's problems.
Scope of the 1970 Effort
The 14 problem areas shown on the facing page now seem likely to define the
scope of the first year's efforts of the permanent comprehensive health planning
agency.
-54—
COMBMNITT INVOLVEMENT ROUTE FOR BUILDING A POLICY BOARD BY CONSENSUS
(‘\_'!\A FCMS COM J CA] [PA
a I ’10 Community Involvement Panel
FFMS , .
At.COC C s 01 C #70
1 meetings 2 meetings 1 meeting 2 meetings
meeting
Community Involvement
Community Involvement
Steering Committee
Steering Committee
‘36 ‘34
meeting Ad Hoc Nominating Groups
WM“-
6 meetings
Smnll Groups
(many)
_ CCAA Community Council of the
Comprehen51ve Health Atlanta Area. Inc.
Planning Council Atcoc Atlanta Chamber
Org. of Commerce
o 10 Local Governments CISCXC
3 Major Planning Agencies
50 Orgs. 20 Health Providers
- 2 Business and Labor
1 eetin '
m g 1 meeting Beeh' 17 Poor and Near-Poor FCMS Fulton County
35 Medical Society
Community Involvement
Steering Committee
Executive Committee
C's of C Chamber‘s of Commerce
JCAHPA Joint Committee of Area
1 indicate number of people at meeting(s). Health Professional
Associations
Notes:
D several members per organization
Organizational History of the Applicant
SUMMARY
THE COMMUNITY COUNCIL OF THE ATLANTA AREA, INC., A NON-PROFIT
CORPORATION CHARTERED UNUER THE LAWS OF THE STATE OF GEORGIA WILL
ACT AS THE APPLICANT AGENCY FOR COMPREHENSIVE HEALTH PLANNING. POLICY
IN THE HEALTH ACTIVITIES WILL BE FORMULATED BY THE COMPREHENSIVE
HEALTH PLANNING COUNCIL (CHP COUNCIL), WHICH WAS BROUGHT INTO BEING
BY A COMMUNITY INVOLVEMENT PROCEEDURE RESULTING IN SUBSTANTIAL CONCEN-
SUS. THE STAFF WILL CONSIST OF THE CHP ORGANIZATIONAL STAFF, AUGMENTED
BY ADDITIONAL PROFESSIONAL AND SUB-PROFESSIONAL MEMBERS.
COMMUNITY COUNCIL OF THE ATLANTA AREAI INC;
The Community Council of the Atlanta Area, Inc., was established as
a community planning agency :m 1960; previous to that date it was the
Planning Division of the Atlanta United Fund. In 1963, the Council
Launched the West End Demonstration Project with the purpose of finding "new
ways of solving economic dependency (poverty)"; the activities of this
Project let to the design of the initial application by Atlanta and Fulton
County for funds from the Office of Economic Opportunity. The result was
the Economic Opportunity Atlanta (EOA) agency was established. In 1965,
the Council entered into a contract with Atlanta to deveIOp a long range
plan for Urban Renewal under the Community Improvement Project (CIP) which
producaithe information, development plan, and method of "grass roots"
resident participation in urban renewal planning. In 1965, the Council
applied for and received a Hill-Burton facilities planning grant of $112,000
for a three year period.
COMPREHENSIVE HEALTH PLANNING COUNCIL (CHE;
The CHP will come into existence on June 5, 1969, and will assume the
active role of policy making in health matters when the permanent agency
is established January 1, 1970. This Council was brought into being through
extensive process of community involvement and concensus-seeking. After
several preliminary meetings of possible sponsors, a group of "convenors"
brought together a "Community Involvement Panel" representing 170 offices,
agencies, and organizations Concerned with health. This Panel on March 13,
1969 elected a "Community Involvement Steering Committee" of 36 members,
and an Executive Committee. Thus the development of organizational guide-
lines, the methods of reaching them, the nomination and selection of
permanent members of the Council became the goal of this Steering Committee,
which in turn resulted in the formation of a Comprehensive Health Planning
Council on June 5, 1969. The membership (as shown on the opposite page)
is drawn frOm five broad categories of community groups; well-distributed
by geographic areas, socioeconomic status, ethnic backgroup, providers and
consumers, public and private sectors. (Members of (HP, representation,
organizations and functions are on pp. 80-85.)
STAFF
Hembers of the Organizational Staff and titles and descriptions to
staff to be recruited to become the permanent staff of the planning
agency are listed On pages 78 and 79.
-52-
BACKGROUND OF HEALTH PLANNING EFFORTS
(1)
Planning with:
Economic Opportunity, Atlanta, 1964.
Hill-Burton and National Institute of Mental Health, continuous.
Georgia Regional Medical Program, continuous.
Home Health Care Service, 1969.
Nursing Homes, 1967
Ga. State College, Kennesaw College, DeKalb College, Clayton
Junior College, medical personnel training, 1967.
Fulton County Medical Society: Southside Comprehensive Health Center,
Vine City Health Services. 1967.
Appalachian Funds, 1967.
Model Cities Program, 1968.
Areawide Comprehensive Health Planning, 1969.
Studies: hospitals, nursing homes, services, patients, physicians,
senior citizens.
(1)
Related Planning:
Community Improvement Program: Atlanta Urban Renewal
Senior Citizens Agency
Alcoholics Program
Information and Referral
Recreation: Atlanta'Parks and Recreation
Community Participation organizations
Neighborhood Central Information Files.
(1) See Appendix for more complete descriptions.
Community Council Has Extensive Involvement in Health and Planning
SUMMARY:
ONE OF THE PRIMARY INTERESTS OF THE COMMUNITY COUNCIL, ATLANTA AREA, INC.,
IS THE HEALTH OF THE COMMUNITIES, THE FAMILIES, AND THE INDIVIDUALS OF
THE METROPOLITAN AREA. ACTIVE SUPPORT AND PARTICIPATION IN PLANS AND PRO—
GRAMS RELATED TO HEALTH HAVE BEEN CONDUCTED SINCE 1960. THE COUNCIL HAS
WORKED CLOSELY WITH FEDERAL, STATE, AND COUNTY AND CITY AGENCIES, PRO-
FESSIONAL AND VOLUNTARY GROUPS AND INDIVIDUALS TO RAISE THE LEVEL OF HEALTH.
Current Status:
The following paragraph taken from "Narrative Plan for Comprehensive
Health Planning" by which the Governor designated the Georgia Department
of Public Health as planning agent for the Siate of Georgia attests to
the capacity of the applicant planning group:
"There are only three staffed organizations in the state
directed by boards adequately representative of the total
community which are engaged in human resources-health
planning. These are the Community Council of the A1lanta
Area Inc. the Uniied Community Service of Savannah-
Chatham County. Inc., and the Georgia—Tennessee Regional
Health Commission. The Department has maintained liaison
with these agencies throughout their existence because of
their broad inierest in human resources planning This re—
la1ionship is expecied to continue."
0
Goals and Aims of the Planning Project:
SUMMARY:
THE PRINCIPAL GOAL OF AREAWIDE COMPREHENSIVE HEALTH PLANNING IS THE SAME AS THAT
FOR STATE AND NATIONAL LEVELS: "PROMOTING AND ASSURING THE HIGHEST LEVEL OF
HEALTH ATTAINASLE FOR EVERY PERSON". LOCALLY, THIS MEANS DEVISING AND ADOPTING
STRATEGIES FOR THE USE OF HEALTH RESOURCES WHICH HILL MATERIALLY RAISE THE
LEVEL OF HEALTH, PROGRESSIVELY, IN THE ENTIRE COMMUNITY. SUCH A TASK IS SEEN
AS A PROBLEM IN ”SYSTEMS" ANALYSIS AND DEVELOPMENT, BY WHICH BACKGROUND FOR
POLICY DECISIONS MAY BE GENERATED. MAXIMUM PARTICIPATION BY ALL CDNCERNED
ELEMENTS IN THE COMMUNITY WILL BE NECESSARY FOR SUCCESSFUL IMPLEMENTATION OF
POLICY.
In 1966, the United States Congress enacted Public Law 89-749, the "Partner-
ship for Health" act. Under this law, the States, and.through them, areas
within the States, must assume responsibility for comprehensive health
planning. The Congress declared that "fulfillment of our national purpose
depends on promoting and assuring the highest level of health attainable
for every person, in an environment which contributes positively to healthful
individual and family living; that attainment of this goal depends on an
effective partnership, involving close intergovernmental collaboration, official
and voluntary efforts. and participation of individuals and organizations;
that Federal financial assistance must be directed to support the marshalling
of all health resources-—nationsl, State , and local--to assure comprehensive
health services of high quality for every person, but without interference
with existing patterns of private professional practice of medicine, dentistry,
and related healing arts".
The term "comprehensive" means that every aspect of the health picture in
the six-county metropolitan area must be taken into account in the planning
process. This includes not only-the treatment of illness and injury, but
their prevention, and the compensation for any lasting effects which they
may leave. Thus, in addition to the manifold activities of medical and
paramedical personnel in the variety of health treatment facilities, planning
must consider environmental controls of the air, water, soil, food. diaeasa
vectors, housing codes and construction, waste disposal, etc. It must
consider needs for the training of health personnel, for the improvement of
manpower and facilities utilization, and for the access to health care.
It includes the fields of mental health, dental health, and rehabilitation.
It must be concerned with the means of paying for preventive measures and
for health care. '
The term "planning" means, first, that problem areas and potential problem
areas in the entire field must be identified,and their magnitudes assessed.
The trends of the problems must also be assessed, and projected for future
years. Technical and organizational bottlenecks must be identified, and
planned around . Second, the community's resources-in meeting its health
needs must be equally carefully identified and projected, in terms of pro-
feesional and subprofessional skills, facilities, and financial resources.
-43-
Third, since a considerable amount of planning is already being done for a
number of projects, hospital authorities, counties, and municipalities,
which affects the community‘s health picture, ways must be found to make
maximum use of this capability, and coordinate it into a community-wide
comprehensive planning effort. Finally, planning must preserve and encourage
the highest level of professional competence in the entire health system,
and must make use of the insights of all concerned in the community health
system.
The overall task of putting together such an organization is thus seen to be
a problem in "systems" analysis and development. Since the total resources
of the community are likely to remain smaller than the demands which an ideal
health system will place on the resources, rational and just methods of
. assigning priorities to the various needs must be developed. A cost-benefit
analysis is essential to any auch decision process, and, considering the
literally hundreds of specific health needs in the community, it is likely
that the cost-benefit model must rather Boon make use of modern computer
techniques.
The Partnership for Health law requires that such planning be done with
people rather than for people. Therefore, maximum participation of health
"consumers", health professionals, governmental units and agencies, and other
community organizations is a necessity. The law is telling the States and
communities that they will be given increasing responsibility and power to
determine their own best health interests. In order to exercise this power
most effectively, a maximum degree of concensus must be attained among those
community elements concerned with health. To this end, participation of
such elements is mandatory, so that a true'partnership for health" among
governments, health providers and consumers, rich and poor, black and white,
urban and rural, may‘be achieved.
* *
GOAL FOR 1975:
WIMBLE, 1 HAVE CALLED THIS
MEETING TO INFORM YOU THAT SE28? SQESN’éIAPcfisrz-TFNSASEE
THE CLAUDE CLAY LOCAL SHOOT-OUTS ARE DOWN
UNDERTAKING PARLOR 73%... THE ACCIDENT RATE HA9
'5 'N THE THROES 0F DROPPED TO AN ABSURD LEUELL.
; PLAGUES ARE AT AN ALL-TLME
_ as? ' LOW! IN'SHORT} AT—
. - mm ,IS IN THE
CLUTCH ES OF A GLOW
OF HEALTH 0F
NEAR EPIDEMIC
., PROPORTIONS'
.._.......---—--‘-""h-t
from Atlanta Journal and Constitution
25 May 1969
”Tumbleweeds" by Tom K. Ryan
STATE OF GEORGIA. government
NUMBER OF FEDERAL AGENCIES
SERVING STATES FROM ATLANTA
REGIONAL HEADQUARTERS.
nnnnnn
ATLANTA POPULATION
1940
1350
1950
NEXT 25
YEARS 2 MILLION
V2 1 l V: 2
Number 0! People (In Millions}
REGIONAL CAPITAL OF THE SOUTHEAST
-47-
uuuuu
........
.........
.......
-----
RAPID TRANSIT STATIONS
0N INIY'M $‘5‘EM
n r=0
u
. at new“:
. ,, o.” nun-u;
um . o.u
F—'_'_.
.n u :;-. .: ,.
provides jobs for over 13.5 percent of all non-agricultural wage
and salary workers;
capital for the State of Georgia;
houses federal and state, regional and district governmental
offices;
military installations such as Third Army Headquarters, Dobbins
Air Force Base, Naval Air Station, etc.;
U.S. Federal Penitentiary.
Wholesale Trade
- Concentration of wholesale trade is the most important single index
to metropolitan status
— 4 billion dollar business - ranks 13th in the nation; the big four
in wholesaling are:
motor vehicles and automotive equipment
groceries and related products
drugs, chemicals and allied products-
machinery, equipment and supplies
Manufacturing
Atlanta's production activities have been growing rapidly.
- Atlanta is Second only to Louisville, Ky. in the southeast in the
number of production workers or in value added by manufacture.
— Durable goods employment has risen 39% of the 1952 total to pre-
sent 4?. 5%
- Major items in transportation are automobile (GM & Ford) and air-
craft (Lockheed).
Communications
- Atlanta Area is one of the largest telephone switching centers in
the U.S.
Only Class I toll center in Southeast
Headquarters for Southern Bell Telephone & Telegraph Co. which
serves nine states and Southeastern headquarters of American Tel-
ephone & Telegraph Co. I
Atlanta Western Union office is one of 15 automatic high speed
switching centers in the nation (it handles approximately 2 million
telegrams a month)
Gross postal receipts amount to 25 million per year
Atlanta has 3 commercial, 2 educational TV statioas; over 19 radio
stations, news coverage by 3 national TV networks, 20 weekly news—
papers and regional operators of AP, UPI, Wall Street Journal, New
York Times, Time Magazine, Newsweek and Business Week.
Higher Education
A major regional function of the Atlanta Area (SMSA).
- Headquarters of the Southern Regional Education Board
and for the Southern Association of Colleges and Sec-
ondary Schools.
- There are a number of recognized colleges and universi-
ties in the Area of great importance to its economic potential.
The Economic Status of the Atlanta Area
SUMMARY:
THE ATLANTA AREA HAS MANY SPECIFIC URBAN PROBLEMS. WHILE GENERALLY PROS-
PEROUS DUE TO ITS GROWTH AS AN INDUSTRIAL, BUSINESS, FINANCIAL, EDUCA—
TION, COMMUNICATION AND TRANSPORTATION CENTER, THERE ARE SIGNIFICANT AREAS
OF BLIGHT, UNEMPLOYMENT AND INADEQUATE COMMUNITY FACILITIES. THE VARIETY
AND QUANTITY OF INTERNAL TRAFFIC FLOW PROBLEMS IN THE VITAL MOVEMENT OF
GOODS AND PEOPLE CONTINUOUSLY REQUIRE THE DESIGN AND CONSTRUCTION OF MASS
TRANSIT AND CIRCUMFERENTIAL HIGHWAY SYSTEMS. POPULATION INCREASES, IM-
-MIGRATION OF WORKERS FROM RURAL AND OTHER URBAN CENTERS, LONGER LIFE SPAN,
TECHNOLOGICAL INNOVATION AND MEDICAL ADVANCEMENTS HAVE CREATED HEAVIER
BURDENS ON HEALTH AND HEALTH RELATED SERVICES AND FACILITIES, BOTH SHORT
AND LONG TERM. THE ATLANTA AREA PRESENTLY NEEDS APPROXIMATELY 1800 BEDS FOR
MEDICARE, MEDICAID AND TREATMENT FOR THE "MEDICALLY INDIGENT". AS TRENDS
INDICATE CONTINUED ECONOMIC GROWTH WITH RELATED POPULATION INCREASE, THERE
WILL BE EVEN GREATER NEED FOR ADDITIONAL HEALTH FACILITIES AND MANPOWER
RESEARCH TO SOLVE UNEMPLOYMENT, LABOR AND HEALTH RELATED PROBLEMS.
Topography:
The Atlanta Area is centrally located in the Southeast and stands
alone as the only metropolis in its population class south of Washington
and east of Dallas and Houston.
— Economically similar to other inland regional centers such
as Kansas City, Minneapolis, St. Paul and Dallas.
- Developable land areas abound in every direction.
- Physically, the Atlanta Area is:
——located in the Piedmont region which lies south
of the Appalachian region and north of the Coastal
Plains region;
--north of Georgia's fall line and bisected to some
extent by the Brevard fault;
--characterized by low rolling hills containing
metamorphic and igneous type rocks;
--generally blessed with a warm, humid climate
(average winter low=45°; average summer high=77°)
--ideally suited for impoundment of almost any size
lakes due to its annual average precipitation of
48 inches:
- Pine and a few other hardwood trees are found throughout the Area.
- Water for the Area comes from the Chattahoochee River, several
creeks and lakes.
--Lake Lanier and Allatoona Lake are within 50 miles of Atlanta
The reddish clay-soil of the Area is moderately fertile, but
susceptibility to erosion has diverted much of the land to less
demanding uses such as pasture and forests.
- Notable Features:
--Stone Mountain (a granite peak and State Park), reputedly
the world‘s largest granite monolith
-—Kennesaw Mountain, an historic Civil War battle site
Transportation
Key to the Area's economic growth.
-Rai1roads - 13 main lines of 7 railroad systems radiating in
all directions.
~Interstate Expressways — Six legs scheduled to go through the area
-Air Transport - Six major airlines serve the area; two of the air-
lines are headquartered in Atlanta. 800 scheduled arrivals and de-
partures daily.
-Naterway Transport - has potential for both recreation and trade.
Finance
One of the most significant forces in the ATLANTA AREA (SMSA) is its
economic growth as a financial center. Factors effecting the financial
growth are:
— selection for Federal Reserve bank (based on flow of trade in 1914)
- headquarters for Sixth Federal Rserve District
- growth in Atlanta's correspondent bank relationships
Business
ATLANTA AREA (SMSA) is an office "Headquarters city" with continued
business growth indicated for the future.
- since WW II more than 8 million square feet of rentable office
Space has been built
- leader in advertising, blueprinting, photocOpying, research,
and development, etc., in Southeastern United States.
Manpower
(See chart page 52 , Health Manpower Resources, 1968)
(See chart page 13 , Population Distribution by Age and Sex)
Major problems in the Area's working population will arise from:
- inexperienced individuals, in large numbers, born in the
40‘s and 50's who will enter the job market in the 60's
and 70's; . .
women, who increasingly tend to accept regular employment;
middle—aged males, industry‘s supervisory personnel pool,
who will scarcely increase in number;
older people, growing in numbers, who will create a demand
for retirement homes, medical care facilities and passive
recreation equipment; this will affect construction and
industrial production;
impact of automation which will accelerate competition for
available jobs.
Government
Government is big business in the ATLANTA AREA.
SELECTED RANKINGS & CHARACTERISTIC
OF GEORGIA (From State Data & State
Rankings, Part 2 of 1966—67 edition
of Welfare Trends)
HEALTH MANPOWER
U.Sfiank
Physicians 38
Dentists 48
Professional Nurses 43
General & Special
Hospital Admissions 48
Mental Hospital
Admissions 19
Tuberculosis 27
Expenses (total) 47
Expenses (General
Short—term) 39
Expenses (General
Long-term) 2
Expenses (Mental) 46
-43..—
Existing Manpower
SUMMARY:
THE NUMBER OF PRIVATE PHYSICIANS AND DENTISTS AVAILABLE TO THE PATIENT IN THE
6—COUNTY AREA IS AIMDST THE SAME AS THE NATIONAL RATIO. OTHER PARTS OF GEORGIA
HAVE RELATIVELY FEWER PHYSICIANS AND ABOUT HALF AS MANY DENTISTS FOR THE POPUr
LATION. REGISTERED NURSES ARE CONSIDERABLY MORE ABUNDANT IN THE ATLANTA AREA
THAN NATIONALLY OR ELSEWHERE OVER GEORGIA. THE NUMBER OF SANITARIANS ALSO
COMPARES FAVORABLY WITH OTHER AREAS.
THE COMPARISIONS MADE HERE ARE NOT RELATED TO NEEDS, WHICH IN MANY CASES IS
GREATER IN METROPOLITAN AREAS, THAN IN SMALLER AREAS.
HEALTH MANPOWER RESOURCES, 1968
L
Area Ph 51c1ans | Dentists H Registered Nurses 3' Sanitarians
Private IPersans IRegistered? Persons» Active Persons per
per M Active Nurse
t
Douglas M S
Gwinnett 16 g ' 6478i 81
. 5
12
Cobb 135 1294 .3242? 35s
DeKalb 216 1637 E 109 3452‘ 1,571
Fulton 864
_6 County 1257 1031 .
Georgia 3165 1143 1296 1 3744 312,368
U.S. 188772 1036 I'90716 2157 909,131
m
Clayton 20 3935 - 14 5564'
52
National & State data are taken from Health Resources Statistics,1968,U.S. Dept. HEN
Sanitarians: Provided by Mr. Furman B. Hendrix, R.S., Ga. Society of Professional
Sanitarians, May, 1969.
____._____I__________I__________________.________________.____.____.___._________________
Nurses: Roster of Registered Prof. Nurses, Board of Examiners of Nurses for Ga.,1968.
Dentists: Office of Dental Health, Ga. Dept Public Health, June, 1968.
Physicians: Bio-Statistics Service, Ga. Dept. Public Health
For more complete table see Appendix.
A PROFILE OF PERCENTAGE OF NEEDS
MET AND UNMET FOR HEALTH FACILITIES
IN HILL—BURTON SERVICE AREAS,
ATLANTA, SMSA, 1968
UOHEJIIECIE’VBH
8193 11119; 81101
‘2. Met Needs I
IEJIdSOH Iezeuag
2. Unmet Needs U
anew: 93:1,}, pus on songs“;
We
209,200
SOUTH FULTON AREA 221,200
I Scuth Fulton, Clayton
Coweta, Fayette
DECATUR AREA
DeKalb, Rockdale
North Fulton
CITY OF ATLANTA AREA 460,000
LAWRENCEVILLE AREA 95,800
Gwinnett, Barrow, Walton
1’: Based on the Georgia State Plan for Hospitals and Related
Facilities, Revised ?/1/68, Branch of Medical Services and
Facilities Planning, Georgia Department of Public Health
...41.
Facilities: ludluding Hospitals, Nursing Homes. Outpatient Clinics
and Neighborhood Health Centers
SUMMARY:
THERE MUST BE DESIGNED A COMMUNITY PLAN FOR THE USE OF FACILITIES
IN AN ORGANIZED ARRANGEMENT OF MEDICAL RESOURCES 80 AS TO BRING THE
INDIVIDUAL, WHEREVER LOCATED, INTO CONTACT WITH HIS PHYSICIAN AND
OTHER MEMBERS OF THE HEALTH CARE TEAM AT THE LEVEL OF CARE THAT HE
REALISTICALLY NEEDS.
Problem:
1. General shortage of medical and surgical beds and a corresponding
underutilization of obstetrical beds and pediatric beds
2. Need for development of rehabilitation services which prevent or
lesson the demand for acute health care. (see Profile)
Lack of extensive diagnostic and treatment centers, and of night
clinics to serve the poor who work during the day.
Lack of agreement on providing expensive facilities such as a
.community radiological treatment center. '
Lack of geographical distribution of 24 hour emergency care services;
need for an independently powered radio communications system between
hospitals in the event of a major disaster.
6. Lack of nursing home facilities (2*3000) in the medium price range,
and particularly in counties outside Fulton.
Current Status
1. Utilization of general hospitals has far exceeded the population
trend; particularly in metropolitan areas have increased population
brought additional demand for services.
2. The average patient stay has increased since 1962 due to Kerr-Mills
and Medicare programs.
3. The cost per patient day (average) has increased from $12.95 in
1950 to $43.97 in 1967 and still going up.
Trends
1. At least six major hospitals are building or planning nursing home
units and two are planning ambulatory care units.
2. Organized Home Care and Homemakers services are beginning to be sought.
3. Hospitals are developing emergency care 24 hour services with full-
time paid physicians.
4. Utilization committees in hospitals and nursing homes are gaining status.
Obstacles
1. Traditions in patient management which waste manpower and facilities.
2. Lack of money for major changes in the health care system.
3. Underutilization of manpower and delegation of functions to lesser
trained patient care personnel.
4. Distorted insurance benefit structure which require inpatient status
to pay for diagnostic services.
Possible Solutions
Build new hospital and nursing home beds only based on effective demand.
Give greater attention to rehabilitation of patients.
Develop progressive care facilities Such as ambulatory self care.
Develop»"Day HOSpitals" diagnostic outpatient services, night clinics.
. Operate full services of the hospital on Saturdays and Sundays, or
”round the clock" double shifts for surgery etc.
Remove the stipulation that the patient occupy an inpatient bed in
order to get insurance coverage for diagnostic and minor treatment
services.
-'---.- ._.__,...,_ _ _ __ . ._ .._..‘__ ‘_ _, _ _' __ ____ _ ,___ ._.,_,‘.
SUMMARY;
NOT ONLY HAS THE INVOLVEMENT OP RELATED GROUPS REDUCED THE THREAT OF CHANGE,
BUT IT HAS BROUGHT INTO REALITY THE BASIC THENE OF THIS PROPOSAL: PARTNER—
SHIP -— SOUGHT AND DEVELOPED. THE COMMUNITY COUNCIL'S HOSPITAL AND HEALTH
PLANNING STAFF HAS SEEN IN CLOSE TOUCH, BOTH FORMALLY AND INFORMALLY, RITE
OTHER RELATED PROGRAMS, PROJECTS, ACTIVITIES AND RESOURCES. NUMEROUS PRIVATE
AND PUBLIC ORGANIZATIONS HAVE CONTRIBUTED IN SIGNIFICANT WAYS TO THE PREPARAJ
TION OF THIS PLAN AND HAVE BEEN INCORPORATED INTO THE DESIGN FOR_A CONTINUING
PLANNING PROCESS TO IMPROVE THE LEVEL OF HEALTH IN THE ATLANTA AREA.
“mt? .-
Methods of Involvement:
Joint board members (mandatory and voluntary)
Staff exchange
Review procedures
Referral arrangements
Information exchange
Consultation (formal and informal) (l)
Umbrella organizations
Staff meetings (regular and called) (1)
Committee and Task Force memberships
(1) See Appendix for Chart of INTERAGENCY RELATIONSHIPS: HEALTH PLANNING,
which lists some Spacific contacts.
Current Resources:
AREA
a
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iDept. Health, P‘ducation, hell'aic, Community
Profile Center (info. exchann:e, consultation‘
Comwunic.ab1e Disease ContCI (consultnlion) j1J
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FEDERAL
Office Economic Opportunity (info. exchange) {_
. Dept. Health, Education, Welfaie (info. exchange, consu].— j
_.._.,
tation)
' Dept. of Labor, Dept. of Labor Statistics (consultation,
info exchange)
:Emory Universitv Medical Schocl (consu11ation)
-_._.....—.,....._ -.-..-..~.»..._.~._..._..._..
REGION
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{Dept. of Public Health: Plannilg Ofiice, Oll'ice of Cnmlpthani\L
Health Planning, Office of Bio~Statistics,l1anch oi anjtnnu
mental Health,Facilities and Construction Division, Licensure
Division (info. exchange, consultation, board members, review}
STATE Univ. of Ga. Center for Management Systems, (info. exchange, con—
- sultation), Georgia State College (consultation), Ga. Tech,
School of Sanitary Engineering (consultation, info. exchange)
Georgia Hospital Association (consultation)
Medical Association of Georgia (c0nsu1tation)
Ga. State League for NUrsing (staff exchange)
Ga. Nursing Home Assoc. (staff exchange)
Health Insurance Council (info. exchange)
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Atlanta Region Metropolitan Planning Commission (info exchan_re, con:
sultation, board members)
Georgia Regional Medical Program (umbrella organization,rcviow)
Georgia District Hospital Association (consultation, joint board )
Atlanta Area Society of Registered Professional Sanitarians (info.
exchange, consultation)
Metro. Atlanta Mental Health Association (staff exchange)
Ga. Society for crippled Children & Adults (consultation, info.
exchange, staff exchange, joint board) . '
Visiting Nurses Association (staff exchange, joint board)
Ga. State Nurses Association Training Program (staff exchange)
Blue Shield & Blue Cross (info.exchange, consultation)
American Cancer Society, Georgia Div. (joint board, consultation)
_ Ga. Heart Association, Inc., (joint board, consultation) _
1 Community Chest, Agency Relations & Allocations Division (joint
{ board/staff)
I Senior_Clt17ens Service of Metro Atlanta,_
#4.“..bF-o—4—d-‘AH':
Model Cities 'consultaiion st1if'exch1nge)
Atlanta University (consultation)
Economic Opportunity Atlanta (staff exchange, consultation, joint board)
County Public Health Depts. (staff exchange)
Fulton County Medical Society (consultation, joint boards)
Cobb County Medical Society (consultation) '
City of Atlanta, Air Pollution Control Division (consultation, joint board)i
‘ Atlanta School System, P. T. Association and Ad,U1F Education (1nf23592CV{vjc?f
II:
The Comprehensive Health Planning Staff
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SUMMARY: -
THE FUNCTIONS OF THE COMPREHENSIVE HEALTH PLANNING STAFF ARE (A) TO CONDUCT
RESEARCH IN COMMUNITY HEALTH PROBLEMS, (B) TO DEVELOP BACKGROUND FOR POLICY-
MAKING THROUGH SYSTEMS ANALYTICAL METHODS, (C) TO COORDINATE THE ACTIVITIES
OF ALL HEALTH PLANNERS IN THE AREA; AND (D) TO PERFORM CONTRACT SERVICES
AND TECHNICAL ASSISTANCE ACTIVITIES. THE STAFF INCLUDES A DIRECTOR OF
COMPREHENSIVE AREAWIDE HEALTH PLANNING AND OTHER PROFESSIONAL AND SUB—PROFESSIONAL.
PERSONS.
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Planning Functions
The planning functions of the staff consist of two major sections: (a) the
coordination and review of plans originating in the health and health~related
offices thrOughout the community, and (b) the origination of plans in areas
not covered by other offices and agencies. The latter is expected to consist
in large part of systems~ana1ytica1 studies, including cost—benefit analyses,
which cover the entire range of health problems and possible solutions.
I N C O M P,L E T E
conumnasns IVE HEALTH PLANNING STAFF
INITIAL ORGANIZATION '
Director
Secretary 4
Associate Director . Associate Director ’
Systems Research & Evaluation Admin. & Organizational Liaison
Systems Analyst Organization Liaison
Research/Evaluation Planner Neighborhood Liaison
Environmental Health Planner Plan Review/ Technical Assistance
Liaison Planner Secretary 3
Statistician
Secretary 3
Secretary 2
_ 39 _
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The-Metropolitan Atlanta Council for Health (Comprehensive Health Planning Council)
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SUMMARY:
THE FUNCTIONS OF THE METROPOLITAN ATLANTA COUNCIL FOR HEALTH ARE (A) TO
MAKE POLICY FOR THE METROPOLITAN_COMMUNITY IN HEALTH MATTERS AND (B) TO
SET POLICY FOR GUIDANCE OF STAFF ACTIVITIES. THE COUNCIL'REVIEWS HEALTH
ACTION PROJECT PLANS ORIGINATING WITHIN THE COMMUNITY, AND ORIGINATES
HEALTH ACTION PLANS WHERE NEEDED. THE COUNCIL .IS RESPONSIBLE FOR CONDUCTING
COMMUNITY LIAISON AND EDUCATION IN HEALTH MATTERS.
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Council Structure
As provided in the By—Laws, the Council is structured as a "working board".
All policy matters are decided by the full Council. To facilitate such
activity, the Council will form several groups of committees for Specific
tasks, each group supervised by a vice president. The committees will
report to the Council, and recommend actiOns in their areas of competence.
A number of the committees will work closely with the staff in such areas
as project review and community liaison.
INCOMPLETE
COMPREHENSIVE HEALTH PLANNING COUNCIL H STRUCTURE
Council
President
r—HMT‘“ ’T—T' ‘T‘__ l
VicePresident ' Vice—President Vice—president Vice—PreSIdentV1ce—Pre51dent
Project Review Counc. Function Specia1 Needs Liaison & PR Administration
Facilities Organization _Ieighborhood State & Fed. Budget & Finance
proj. rev. review liaison liaison
Environmental Program & Needs of the Local Council Personnel
proj. rev. orientation disadvantaged liaiSOn
Mental Health Long—range Needs of Public relations Fund Raising
proj. rev. planning youth & information
CONE’IITTEES *
Manpower I .Legal counsel
proj. rev.
*Earh committee is chaired by a Council member; Vice -Presidents
of Counci.1 oversee and encourage activities of the
groufisof committees shown.
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Executive Committee: Nominating Committee:
President of Council Selected from membership of Council,
A with due regard to makeup of the Council.
Vice—Presidents (5)
Duties: .
Nominate a slate of officers prior to
the annual meeting
Duties: - Nominate a new nominating committee
Carry on activities between ' prior to the annual meeting
Council meetings; recommend— Nominate organizations, on a rotating
ations subject to Council basis, which will name members of
review the Council to take office at the
next annual meeting
Nominate replacements for vacancies
as they occur
Secretary
Personnel Committee
Selected from Council membership
and community at large.
Duties:
Recommend selection and salary
of Director for Council action
Formulate personnel policies, in—
cluding salary ranges
_ 91 _
Membership on the Council
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SLE'L‘ILARY:
MEMBERSHIP ON THE COUNCIL SHALL BE DRAWN FROM TWO MAJOR GROUPINGS: THOSE WHO
WILL-SERVE BY VIRTUE OF OFFICE IN -A MAJOR PLANNING ORGANIZATION OR LOCAL
GOVERNMENT, AND THOSE WHO SERVE THROUGH BEING NMIED BY APPROPRIATE ORGANIZATIONS
0F ImALTH PROVIDERS AND CONSUMERS. MEMBERSHIP IS DRAI'L’N FROM SOURCES BROADLY
REPRESENTING THE ECONOMIC, ETHNIC, AND GEOGRAPHIC BACKGROUND OF THE COMMUNITY.
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INCOMPLETE
MEMBERSHIP ON COUNCIL — Scheme 6
Number Group Selected/electedvby '
3 _ MACLOG, CCAA, ARMPC virtue of office (chairmen)
26 ' ' County commissions virtue of office (chairmen)
1 City of Atlanta virtue of office (mayor)
3 ' Municipal governments F municipal associations or
of counties ' county commissions (in rotation) I
20 Herlth providers:
4 MD's medical societies (in rotation)
1 MD, psychiatry Ga. Psychiatric Assoc.
2 DDS's dental societies (in rotation)
2 Public health public health departments (in rotation)
(recommended: 1 MD, 1 other Specialty)
2 Health facilities hospital, nursing home associations, etc.l
(both private and authorityw— in
rotation) .
1 Medical educator school of medicine .
1 Paramedical educator allied sciences schools, etc. (1h rotation
1 RN nursing associations (in_rotation)
2 Voluntary health agencies CCAA Permanent Conference and State
Association of voluntary agencies _
(in rotation) f
1 Social worker NASW local chapter [
1 Skilled paramedical technical associations (in rotation)
1 Semi—Skilled paramedical organizations,-if any; otherwise _
‘ . ' nominated as an individual ;
1 Health ins. industry “ Health Insurance Council ’
17 Poor and nearspoor '
7 EOA's Atl-Gwinnett, Clayton, DeKalb-Rockdale
2 Model Cities ' ' I
3 PTA‘s . Cabbagetown, Cobb, Douglas (others in
- ' rotation) l
5 other organizations NWRO, Southside Health Center, TUFF,
_ NAACP, Urban League (1 each) (others
in rotation)
2 Business and labor Chambers of commerce, unions (in
.' rotation)
52 ’ TOTAL
The term of "virtue of office" members to coincide with occupancy of office. Team
of other members, three years, one—third rotating off each year. "In rotation"
indicates that at successive elections different organizations or groups within '
the same category will be asked to select members.
A nominating committee of the Council will be responsible for assuring such rotation.
For the first election ad hoc nominating committees in the major categories above
are being asked to submit names of organizations, for review by CCAA Executive Committee.
-93—
u-m—v mvfi-m m... ..
Title: Working to EnSUre Effectiveness of the CH? Council _
SUMMARY:
TEE METROPOLITAN COFmREHENs‘IvE HEALTH PLANNING COUNCIL IS A NEW
KIND OF POLICY MAKING GROUP. EFFECTIVENESS WILL BE MEASURED BY TEE ,
EXTENT TO NHICH NENEERS PERFORM SPECIFIED FUNCTIONS OF BOARD NEFmER— '
SHIP. A NIDE RANGE OF COMMUNITY RESOURCES NILL BE USED IN TRAINING H
FOR BOARD ACHIEVEMENT.
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Characteristics of the CHPC Board:
7K7 Censumers and providers, economic and ethnic mix, geographic
distribution.
(3} Veteran policy—makers and persons with little group and no
policy—making experience.
Wide range of educational and social backgrounds.
Traditionally, health providers and consumers (particularly low
insure groups) have not planned together or Worked as equals.
Perception of health problems will be influenced by the special
interest which each member represents.
Thus, successful functioning of the Board will depend upon effec-
tive participation of members both as representatives of subgroups and
as citizens in the community of solution. '
Some Specific Training and Familiarization Activities
After the Council's initial action of accepting responsibility
for the policy aspects of comprehensive areawide health planning in
this metropolitan community, beginning 1 January 1970, some 6% months
_will elapse before the Council is called on for official functioning.-
During this period, a number of activities are planned for the purpose
of familiarizing the Council members with the extent of the health
planning actions which they will be called on to evaluate and
guide. The period will also be used to vauaint the Council members,
one with another, so that they can select Personnel Committee and
Nominating Committee members most effectively, several months
prior to the Annual Meeting in January, 1970.
Some of the training and familiarization activities contemplated are:
0 introduction to principal health problems in the area
0 field trips to health facilities and areas of severe health need
0 training in effective Council and committee participation
0 experience (with Community Council staff) in reviewing planning projects
0 introduction to systems analytical procedures, and methods of basing
decisions on cost—benefit analyses, etc. '
0 joint meetings with other planning groups and with health activity staffs
_ 96 -
_ _W._._._._.._.._._._.___.___. .. v... _ . ..
_,.'_..__ ._ _
”FERMME‘JQ 'forr @GMM‘HEBHIL EFFEMWENESS-
I MPLEMENT
LEARNING
EXPERI ENCE
LEARNING
EXPERIENCE
EVALUATE EXPERIENCE
THROUGH COUNCIL
MEMBERS’ BEHAVIONS
DETERMINE NEEDS
(ASSESS STATUS OF
COUNCIL IN FUNCTION)
COUNCIL
MEMBERSHIP
FUNCTION
- 97_—
By—Laws of the Council
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SUI-E-mRY:
THE BY—LAWS OF THE COUNCIL ARE DESIGNED To FACILITATE MAXIMUM POSSIBLE
PARTICIPATION IN HEALTH POLICY EHITTERS BY THE MEMBERS OF THE COUNCIL, AND
To "BUILD BRIDGES“ To LOCAL ORGANIZATIONS CONoanED WITH HEALTH MATTERS.
THEY SPECIFY TEE BROAD FUNCTIONS OF THE COUNCIL AND STAFF, EUT ARE INTENDED
TO PROVIDE FOR SUFFICIENT FLEXIBILITY THAT THE COUNCIL CAN COPE wITH
CHANGING AREA CONFIGURATIONS AND HEALTH NEEDS. --
m
.The By—Laws consist of 13 Articles:
I. Name ané Location
II. Purpose
III. Membership
IV. Duties and Powers of the Council
V. Meetings
VI. Officers and Executive Committee
Committees
Legal Counsel
Audit
General
Adoption
Associate and Affiliate Memberships
Ammendments
Important ProvisiOns:
Some of the principal by—law provisions are Shown on the facing page (99).
Other By~Laws: .
Current BynLaws of the Metropolitan Atlanta Council of Local Governments and
. of the Community Council of the Atlanta Area, Inc. are included in the
Appendices to this volume of the proposal.
CHP COUNCIL — PRINCIPAL BY—LAW PROVISIONS
A. Council Membership and Terms
1. Chairmen of majOr agencies (3) and of county commissions shall serve for the
duration of their terms ‘
Representatives of organizations shall serve three—year term: (except for
some elected at the first election); 1/3 of these shall be selected each year.
Two three—year terms, maximum
Majority shall be health "consumers"
Approximately 1/3 shall be poor and near-poor consumers
Selection process shall Lake into account geographic and ethnic distributions in
the community
Selection process shall be determined by a nominating committee made up of
Council members. In selecting organizations and groups who will name members
to the council, the nominating committee shall achieve rotation among eligible
groups and organizations Typical eligible organizations or gror s air indicated
in the following:
a. municipal governments group: municipal associations
b. health providers group: medical societies, denial societies, hospitals and
other_faci1ities, mental health professional organizations, public health
_departments,-Voluntary health organizatiOns, nursing associations,
skilled paramedical-associations, unskilled paramedical groups, social
work agencies, educational institutions, insurance councils.
business and labor groups: chambers of commerce, labor organizations
poor and nearwpoor: EOA‘S, PTA‘s, HUD projects (e.g. Model Cities),
voluntary agencies (e.g. Urban League, Legal Aid),- spontaneous
organizations (e.g. Welfare Rights, TUFF, etc.) ' ‘
8. Alternates may be designated; specifically understood that they act for regular members
Council Meetings
At leaSt six per year (contemplate'monthly)
Quorum is 20 voting_members .
Majority of voting members shall decide
Roberts Rules govern
Council Structure
,1. Officers nominated by neminating committee, or from floor; elected by majority
vote of Council _'A
2. Executive Committee shall consist of the officers (7)
handles business between COuncil meetings _
actions subject to review by Council at next meeting
3. Nominating Committee selected from members of the Council
4. Personnel Committee selected from Council members and others
5. Other standing and ad hoc committees as needed .
BY—LAWS
ARTICLE I '— NAME AND LOCATION
1. The name of this organization shall be "The Metropolitan
- Atlanta Council for Health", hereinafter referred to as the "Council".
2. The Council's principal office shall be located in the
City of At‘anta, Georgia.
ARTICLE II — PURPOSE
The principal objectives and purposes of the Council are:
A. To establish and maintain comprehensive areawide
health planning activities, identifying health
needs and goals of the overall community and its
sub—areas to stimulate action to coordinate and
'make maximum use of existing and planned facili—
ties, services and manpower in the fields of
physical, mental and environmental health.
To establish a system for gathering and analyzing
data on the characteristics of health problems in
this area.
To recommend goals and methods of achieving them,
and to make policy decisions for the community in
health planning matters.
To coordinate activities_of all health plannerS'in
the community.
To collaborate with adjacent health planning areas,
and to perform health planning serviCes on a contract
basis for adjacent area units, as requested.
To review health action project plans originating in
the community.
To provide technical assistance to public and voluntary
action agencies in preparing plans and procedures for the
attainment of health goals; to provide similar assist~
ance to Georgia State health planning efforts.
To originate health action project plans where needed.
To provide continuing liaison and informational ser-
vices to ensure communication of planning progress to
the general public and the appropriate agencies and
organizations involved in carrying out the intent of
Congresa as set forth in Public Law 89—749 relating to
comprehensive areawide health planning.
* 100 —
ARTICLE III - MEMBERSHIP
l. The Council shall be composed of not less than thirty—five—
(35), nor more than fifty~five (55) members. Members shall be drawn from
the following organizations and community groups, broadly reflecting
economic, ethnic, and geographip,background distribution of the area:
I
A. Members by virtue of office shall serve fer the
duration of their terms of elective office:
1) Chairmen of County Commissions
2) Chairmen of major planning agencies
3) Mayor of the City of Atlanta
Members named by community agencies and organizations
1) Organizations naming members shall be designated
in the following categories:
a) Municipal governments
b) Health providers
c) Business and labor
d) Poor and near—poor consumers
At the first election, the term of office for
one-third of theso members shall be fixed at three
years; the term of an additional onejthird of these
members shall be fixed at two years; and the term
of the final one-third of these members shall be fix—
ed at one year. At the expiration of the initial
term of office of each reSpective member, his
successor shall be named to serve a term of three
-years. Members shall serve until their succesaors
have been elected and qualified. No member shall
serve more than two (2) consecutive three—year
terms.
The Selection proness for these members shall be
determined by a Nominating Committee of Council
' members. In selecting organizations and groups
who will name members to the Council, the
Nominating Committee shall achieve rotation among
eligible groups and organizations. I
A majority of the Council members shall be non—providers
of health services.
Approximately one—third of Council members shall be poor
and nearnpoor consumers.
Each organization shall be authorized to file with the
Secretary of the Council the names of alternate members,
not to exceed the number of representatives to which it
is entitled. Any regular member of the Council may call
upon alternate(s) from his organization to attend and
'— 101-
to vote in his stead at any meeting which the regular
member is unable to attend.
Organizations other than those constituting the Council
at the time these rules and regulations are adopted may
be invited to name representatives in a stated number to
the Council uptn recommendation by the Nominating Committee
and approval by the Council at any meeting of the Council,
provided that ten (10) days advance notice of such pro—
posed action is mailed to each member at his last known
post office addreSH,
ARTICLE IV - DUTIES AND POWERS OF THE COUNCIL
1. The Council shall be the final authority for approval of
activities proposed in planning actions, and on all matters of policy related
to comprehensive areawide health planning.
2. The Council shall consider the annual budget prescn.ed by the
Budget and Finance Committee, and after any revision, it may determine to be
advisable, it shall adopt the same. It shall make such subsequent revision on
the budget as it may deem advisable after consultation with the Budget and
Finance Committee and the Director of Comprehensive Areawide Health Planning.
3. It shall have the power of approval of the President‘s appointments
of committee chairmen and legal counsel.
4. It shall appoint the Director of Comprehensive Areawide Health
Planning, and fix the terms of his compensation, tenure, and reSponsibilities,
giving due consideration to the recommendations of the President and the Personnel
Committee. . ‘_ .
- 5'. It' shall appoint the auditor as provided in Article IX of these
BY—LAWS. '
_ 6. It shall require periodic reports on Operations from the various
committees and_from.the Director of Comprehensive Areawide Health Planning.
7. It shall fix the time and place of the Annual Meeting of the
Council.
8. _It shall pass on applications for admission to the Council of
additional adjacent areas deSiring to participate in comprehensive health
planning with the metropolitan Atlanta area.
ARTICLE V — MEETINGS
1. The Council shall hold at least six (6) regular meetings per
year, to be called for the first Thursday in the scheduled month, or on such
other convenient day as may be decided from time to time by majority vote.
2._ Special meetings may be called by the Presidentand shall be
called by the Secretary at the request of.fifteen (15) members of the Council.
g-102 _
3. Notice of each meeting shall be mailed to each member of the Council
at his last known post office address at least ten (10) days in advance of-the
meeting.
4. Twenty (20) members,of the Council shall constitute-a quorum for
the transaction of business at any meeting of the Council; the presence of less
than a quorum may adjourn a meeting until such time as a quorum islpresent.
5. A majority in number of members present and voting at a meeting
at which a quorum is present shall be_required for approval of any action by
the Council.
6. Each member of the Council is entitled to one (1) vote at any
meeting at which he is present.
7. he proxy votes Shall be allowed. A duly appointed alternate
member, however, may vote in the absence of a regular member representing the
organization for which he is designated alternate. In such case, the alter—
nate member shall be considered a member for the purpose of determining a
quorum .
8. The Council may act by mail, wire, or telephone between regular
meetings, but in such case the concurrence of a majority in number of members
shall be necessary and shall be subject to confirmation at the next meeting of
the Council so that such action shall be recorded in the minutes.
9. The first meeting of the Council, after January 1 each year, shall
be Considered the Annual Meeting for the seating of new members named by organiza—
tions,and election of officers and nominating committee members.
10. The Administrative Year of the Council shall extend from Annual
Meeting to Annual Meeting. ‘ ' '
'\
ARTICLE VI - OFFICERS AND EXECUTIVE COmMITTEE
1. Officers
A. Officers of the Council shall be a President, five (5)
Vice-Presidents, and a Secretary, who shall be elected
annually from among members of the Council by a majority
vote of members present and voting at the Annual Meeting._
Officers so elected shall serve for one year, or until their
successors have been elected. No officer shall hold the
same office for more than three (3) consecutive terms.
Vacancies in offices oceuring between Annual Meetings of
the Council may be filled by election by a majority vote
of members present and voting at any meeting of the Council.
figgicers ¥otfiée8ted phall serve until the next Annual
1mg 0 ounc
2. President
A. The President of the Council shall be the chief officer
~ 103 —
of the organization and shall preside at all meetings of
the Council and Executive Committee. The President shall,
subject to the approval of the Council, appoint the
chairmen of all committees, except the Nominating Committee,
and shall be a member, ex—officio, of all committees; and
shall, with the Secretary, Sign all obligations authorized
by the Council which may be beyond the authority of the
Director of Comprehensive Areawide Health Planning; and
shall, with the approval of the council, appoint legal
counsel.
3. Vice Presidents
A. There shall be five or more vice presidents, who shall
assiSt the President, and shall coordinate the activities
of grOUpS of committees of the Council. These off‘cers shall
be designated Vice—President for Council Function, Vice
President for Liaison and Public Relations, Vice President
for Special Needs, Vice President for Project Review, Vice
President for Administration, and such others as the
Council may designate. '
4. Vice Presidents may preside
A. A Vice President shall pre91de at any meeting of the
Council or Executive Committee in the absence of the
President, and in such case shall have all the responsi—
bilities and perform all the duties of the President.
The order of precedence for this—function shall be:
Vice President for Council Function, Vice President for
Liaison and Public Relations, Vice President for Special'
Needs, Vice President for Project Review, and Vice Presi-
dent for Administration.
B. The Vice Presidents shall have and perform such other
' 'duties as may be assigned by the President or by the
-Councili '
5. Secretary
A. The Secretary of the Council shall handle the general
' correSpondence of the Council and shall cause notices
'to be sent of all regular or special meetings of the
Council. ' -
B. he shall cause minutes to be kept of all meetings of the
-- l t. . - ‘ S - ' ' '
Egufléatéringrst‘fiélcgfifici “$1 hieamzié‘l‘éfinasfg fiéiié'ébsied
time after each meeting.
I
C. He shall preside at meetings of the Council in the
absence of the President and the Vice Presidents and in
such case shall have all the responsibilities and perform
-.all the duties of the President.
- 104 -
D. The Secretary shall have and perform such other duties as
'may be assigned by the President or the Council.
5. Executive Committee
A. The Executive Committee shall consist of the President,
Vice Presidents and secretary of the Council.
Duties of the Executive Committee shall be to handle matters
pertinent to Council business during intervals between
meetings of the Council.
Actions and recommendations of the Executive Committee,
shall be subject to Council review and rapproval at the
next.meeting of the Council.
ARTICLE VII H COMMITTEES
1. Statutory Committees
A. A Nominatin; CJMthiCG shall be elected from members
of the Council, with due regard to the makeup of the
Council. The duties of the Nominating Committee shall
ine‘ ude:
1. Nominating a slate of officers prior to the
Annual Meeting.
Nominating a new Nominating Committee prior to
the Annual Meeting.
Nominating organizations, on a rotating basis, which
will name members of the Council to take office at the
next Annual Meeting.
4. Nominating replacements for vacancies as they cecur.
B.' A Personnel Committee shall be elected from Council
membership and the community at large. The duties of
the Personnel Committee shall include:
1. Recommending selection and salary of Director
for Council action.
2. Formulating personnel policies, including
salary ranges. '
The Chairman of the Personnel Committee shall be a member
of the Council.
2. Other Committees
3A. Other standing and ad hoc committees may be designated,
elected or appointed, as needed. Chairmen of all standing
committees shall be members of the Council.
ARTICLE VIII" LEGAL COUNSEL
1. Legal counsel shall be appointed by the President with the
approval of the Council. All matters involving interpretation of State and
'Federal law, local ordinances, and tax questions shall be promptly referred
‘ to such counsel for opinion and advice. '
ARTICLE IX — AUDIT
l. The fiscal records of the comprehenSive areawide health planning
'activities shall be audited annually by a certified public accountant, appointed
by the Council. The auditor‘s report shall be filed with the records of the"
organization.
ARTICLE x - GENERAL
A. Any notice required to be given by these By—Laws
may be waived by the person entitled thereto.
2. Contravention
Nothing in these By-Laws Shall contravene applicable
rules and regulations, procedures, or policies of the
U. S. Public Health Service, or of the Georgia Office
of Comprehensive Health Planning.
Parliamentary Procedure
A. The latest revision of Robert's Rules of Order shall
cover the parliamentary procedure at all meetings of the
Council and of the Committees, where not in conflict with
these ByuLaws.
4._ Publicity
A. No publicity releases to the media shall be made or
authorized by any organization represented on the Council,
or by any member of the Council without prior clearance
by the Director of Comprehensive Areawide Health Planning.
Acceptance of By-Laws
A. Any organization accepting invitation to designate
membership on the Council shall by their acceptance attest
to their active participation and to their agreement to
- abide by these By—Laws.
ARTICLE XI.— ADOPTION
Effective date
A. These By—Laws shall become effective immediately upon
adoption by the Council.
- 106 —
ARTICLE_XII — ASSOCIATE AND AFFILIATE MEMBERSHIPS
1. Associate Membership
A. At the discretion of the Council, sub~areal compre—
hensive'health councils may be admitted to associate member—
ship in the Council. The Council shall fix general quali—
fications for such associate membership.
B. As a condition of associate membership, sub~area1 compre~
hensivo health councils shall admit to membership all
members of the Council residing in the area of the sub“
areal council.
0. Each associate member council is entitled to send an
observer to meetings 0? the Council.
' 2. Affiliate Membership
A. At the discretion of the Council, organizations other
than sub~aroal comprehensive health councils may be
admitted to affiliate membership in the Council. These
may include such organizations as voluntary health agencies,
professional societies, citizens‘ associations for health
concerns, etc. The Council shall fix general qualifi—
cations for such affiliate membership. '
B. Each affiliate member organization is entitled to send
an observer to meetings of the Council.
ARTICLE XIII - AMENDMENTS
1. 'Method
A. These.By-Laws may be amended or repealed by a majority
vote of the members of the Council present, and voting
at any meeting of the Council at which a quorum is present,
provided that written notice of such proposed changes
Shall have been sent to all members not less than ten (10)
days prior to the date of such meeting.
— 107 -
STEERING COMMITTEE
Mrs. Thelma Abbott Dr. Napier Burson, Jr. *
521 W. Columbia Avenue Baptist Professional Building
' College Park, Georgia 340 Boulevard, N. E.
I ‘ _' Atlanta, Georgia 30312
Hon.:S. S. Abercrombie, Chairman' -
Clayton County Commission Hon. T. M. Callaway, Jr.
Clayton County Courthouse DeKalb County Commission
Jonesboro, Georgia 30236 c/o Callaway Motors
. ; 231 West Ponce de Leon Avenue
Hon. L. H. Atherton, Jr. Decatur, Georgia 30030
'Mayor of Marietta
P.0. Box 609 Mrs. Mary June Cofer
Marietta, Georgia 30060 443 Oakland Avenue
' Atlanta, Georgia 30312
Miss Dorothy Barfield, R. N.
Chief Coordinator of Nursing Services Mr. Gary Cutini, Regional Rep.
Georgia Department of Public Health Health Insurance Council
47 Trinity Avenue Life of Georgia Building
Atlanta, Georgia 30334 600 W. Peachtree
. Atlanta, Georgia 30308
Mr. G. X. Barker, Ex. V. P. '
International Brotherhood of Electrical Dr. F. William Dowda
Workers 490 Peachtree Street, N. E.
Fifth District Office 1 Atlanta, Georgia 30308
I421 Peachtree Street, N. E.
Atlanta, Georgia 30309 Mr. J. Wm. Fortune
.' ' Mayor oi Lawrenceville
Hon. Ernest Barrett, Chairman 290 Old Timber Road, S. W.
Cobb County Commission ' Lawrenceville, Georgia 30245
P. O. Box 649
Marietta, Georgia 30060 Mr. Drew Fuller
' _ ' Fuller 8; Deleach
Dr. J. Gordon Barr-ow, Director 1726 Fulton National Bank Bldg.
Georgia Regional Medical Program Atlanta, Georgia 30303
938 Peachtree Street, N. E. _ .
Atlanta, Georgia 30309 Miss Jo Ann Goodson, R. N.
- - I , " Wesley Woods '
Mr. M. Linwood Beck, Executive Director 1825 Clifton Road, N. E.
Georgia heart Association Atlanta, Georgia 30333
2581 Piedmont Road, N. E. _ . .
Atlanta, Georgia 30324 ’Mr. Fred J. Gunter, Administrator
- _ , I~ South Fulton Hospital
Mr. Herschel T. Bomar, Chairman 1170 Cleveland Avenue
Douglas County Commission ' . East Point, Georgia 30344
Douglas County Courthouse I ‘
DouglaSville, Georgia 30134 Dean Rhodes Haverty
' - 1 - Georgia State College
Hon. William H. Breen, Jr. ' School of Allied Sciences
Mayor of Decatur 33 Gilmer St., S. E.
c/o First National Bank Building Atlanta, Georgia 30303
Decatur, Georgia 30030
Appendix E—l
Page 2 — Steering Committee
Mr. Maynard Jackson Mr. Lyndon A. Wade, Executive Dir.
Emory Community Law Firm A1lanta Urban League
, 551 Forrest Road, N. E. 239 Auburn Avenue, N. E.
Atlanta, Georgia 30312 Room 400
" ' Atlanta, Georgia 30303
Mr. Purch Lu Jarrell :
Route # 1 ' Dr. Robert E. Wells,
Box 24 1938 Peachtree Road, N. W.
Duluth, Georgia 30136 Atlanta, Gcorgia 30309
‘Hon. Walter M. Mitchell, Chairman Joseph A. Wilbur, M. D.
Fulton County Commission 615 Peachtres Street, N. E.
409 Administration Building Atlanta, Georgia 30308
165 Central Avenue, S. W. .
Atlanta, Georgia 30303 Mrs. Daisy Bigshy
585 Gibbons Drive
Mr. John L. Moore, Jr. Scottdale, Georgia
Attorney—athLaw
C & S National Bank Building
Room 1220
Marietta and Broad Streets
Atlanta, Georgia 30303
Dr. William W. Moore, Jr.
Suite 616
1293 Peachtree Street, N. E.
Atlanta, Georgia 30309
Mr. A. B. Padgett, Trust_0fficer
Trust Company of Georgia
P. 0. Drawer 4655
Atlanta, Georgia 30302
Mr. Dan Sweat
Assistant to Mayor,
City of Atlanta
City Hall .
Atlanta, Georgia 30303
Dr. Charles B. Teal, Jr.
Gwinnett County Health Department
300 South Clayton St.
Lawrenceville, Georgia-30245:
Mr; Bill Traylorl
1397 Oxford Road, N. E.
Atlanta, Georgia 30307
Dr. T. 0. VinSon,_Director
DeKalb County Health Department
440 Winn Way .
Decatur, Georgia 30033
Appendix E—2.
MEMBERS OF EXECUTIVE COMMITTEE
OF
COMMUNITY INVOLVEMENT STEERING COMMITTEE
FOR
AREAWIDE COMPREHENSIVE HEALTH PLANNING
NAME
Hon. Howard Atherton
‘Mr.
Linwood Beck
Thomas Callaway
. Drew Fuller
. Fred Gunter
Walter Mitchell
A. B. Padgett
Oscar,Vinson
Lyndon Wade
Robert Wells
AFFILIATION
Mayor of Marietta
Director, Georgia Heart Asa)c.
Commissioner, DeKalb County
Chmn. Health Committee, Atl. C. of C.
Administrator, So. Fulton HOSpita1
Chmn., Fulton County Commission
Chmn, CHP Steering Committee
Director, DeKalb Board of Health
Director, Atlanta Urban League
Chmn. Fulton County Med. Soc. Board
‘.
Appendix EH3
VIEWPOINT
municipalities
voluntary agencies
Maclog
commerce
hospitals
county govts.
Community Council
Public Health
consumers
medical professions