40Ibid. 41 Trimming the Fat Off Health Care Costs: Taking Over Health Planning, by Ted Bogue. Washington, D. C., p. 7. A Consumer's Guide to 42 Health Systems Agency Survey Report by Southern Governmental Moni toring Project Researcher Page Gardner, August, 1976. 47 48 Ibid. Quoted in The Charlotte News, January 21, 1976. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Page Gardner, August, 1976. 49Ibid. 50 Ibid. 51Ibid. 52 Ibid. 53Ibid. 54. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Herb Ettel, 1976. 55Ibid. 56 Ibid. 57. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Mary Nell Morgan, 1976. 58, 5 Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Errol Balla, 1976. 59. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Glenda Bunce, 1976. 60. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Sigmund Shipp, 1976. 61Telephone interview with Gloria Haynes, May 4, 1977. 62. Interview of Wood McCue by Southern Governmental Monitoring Project Researcher Carole Riley. 63. 64. Ibid. Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher William Ketchum. 65Ibid. 66 Ibid. 67. Telephone interview with Keith Markley by Southern Governmental Monitoring Project Researcher Kathleen Keegan, January 20, 1977. 68. Telephone interview by Southern Governmental Monitoring Project Researcher Kerry Tassopoulos, November 26, 1976. 69 Health Systems Agency Survey Report by Southern Governmental Monitoring Project Researcher Ronald Robinson, 1976. 70. Telephone interview of Southern Governmental Monitoring Project Researcher Kathleen Keegan, January 20, 1977. 71Ibid. 72. 73, Ibid. Telephone interview with David Dean by Southern Governmental Monitoring toring Project Researcher Kathleen Keegan, January 20, 1977. 6 74. *Telephone interview by Southern Governmental Monitoring Project Researcher Kathleen Keegan, January 24, 1977. 75. The Health Research Group of Washington, D. C. has developed a model state health planning and Certificate of Need statute. The statute provides for increased public participation and consumer control of the health planning process as follows: There would be consumer majorities, open meetings, complete public access to information, and consumer appeal rights. The state agency would be authorized to pay the costs of participation in review proceedings of members of the public who otherwise could not afford it. The Model Statute would establish a Department of the Health Advocate independent of the State Agency which would be authorized to represent the interests of consumers in Certificate of Need proceedings and other state health programs. The Health Advocate would provide professional advocacy to match that of the health care industry. The Model Statute costs $2.00 a copy for 4th class mailing and $3.00 a copy for 1st class mailing. Write or call: Health Research Group 2000 P Street, N.W./Washington, D. C. 20036/(202) 872-0320. 76 A report written by Barry Ensminger, described Miami as "the nation's worst example of overbuilding." See Barry Ensminger, The $8 Billion Hospital Bed Overrun: A Consumer's Guide to Stopping Wasteful Construction, Health Research Group, Washington, D. C. 77 See Edward C. Winslow II, "Hospital Regulation After Aston Park: Substantive Due Process in North Carolina," North Carolina Law Review, Vol. 52, No. 4, March, 1974. 78 Interview by Southern Governmental Monitoring Project Researcher Barbara Douglas, July 15, 1976. APPENDIX I: PROFILES NORTH ALABAMA HEALTH SYSTEMS AGENCY The The North Alabama Health Systems Agency, located in Huntsville, is a private, non-profit corporation serving a twelve-county area whose population of 697,200 people is black and 91% white. HSA was conditionally designated by HEW on July 1, 1976. It has a fifty-nine member board consisting of thirty consumers and twentynine providers. Of the members, 17% are female and 10% are black. Nominees to the board are required to complete a form, which is then used to determine the "qualifications for board membership and to place the individuals in the appropriate consumer, provider, or government category." North Alabama Health Systems Agency has six professional staff members. One is specifically responsible for community organization and participation. The other members are involved with planning and resource development. A Health Systems Plan was completed in May, 1977, followed by the Annual Implementation Plan to be completed in September, 1977. The agency begins its second year of conditional designation on July 1, 1977 and will apply for full designation in January, 1978. SOUTHEAST ALABAMA HEALTH SYSTEMS AGENCY The Southeast Alabama HSA, located in Montgomery, is a private, non-profit corporation which covers seventeen counties and serves a population of 678,000. The HSA received its conditional designation in April, 1976. The governing board consists of eighty-five members; fifty-nine (68%) are white and twenty-six (32%) are black. There are forty-one providers and forty-four consumers, with at least one provider and one consumer representing each of the seventeen counties included in the HSA. The membership of the board reflects the black-white, rural-ruban and provider-consumer ratios in the population served by the HSA. 2 There are seven health professionals on the twelve-member staff of the HSA. These include an executive director, two health planners, a director of project review and a data analyst, a director of plan implementation, a director of plan development, and a health plan coordinator. The Southeast Alabama Health Systems Agency expects final designation in October of 1977. The agency has already completed a Health System Plan and a hearing was held in March. The Annual Implementation Plan is expected to be completed by July of this year. WEST ARKANSAS HEALTH SYSTEMS AGENCY The West Arkansas Health Systems Agency, located in Hot Springs, is a non-profit corporation and serves a twenty-five county area. The health systems area is divided into three sub-areas and includes a population of 623,300 of which 95.2% is white, (4.2% is black, and 0.6% other minorities. The Governing Board consists of thirty members, of whom sixteen are consumers and fourteen are providers. There are ten members for each of three sub-areas, with representation from all but five counties included in the HSA. There are five women on the board, one of whom is black. There are two board members with incomes less than $10,000. Other HSA board members are in the middle and upper income category. There are nine staff members, of whom seven are professionals. The West Arkansas Health Systems Agency evolved directly from the previous CHP agencies. Two former directors of the CHP agencies serve as Executive Director and Associate Director of the HSA. A new staff member will be given public information responsibilities. A draft of both the final Health Systems Plan and Annual Implementation Plan should be approved in July, 1977. The agency will apply for final designation in the fall of 1977. HEALTH SYSTEMS AGENCY OF SOUTH FLORIDA The Health Systems Agency of South Florida, located in Miami, is a voluntary, non-profit organization which evolved directly from |