Box 3, Folder 15, Document 8

Box 3, Folder 15, Document 8

This is an incomplete edition of VOLUME I,
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 lo 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
he Community Council of the Atlanta Area, supported by organizational grant
No. 41008-01-69 from the U. S. Public Health Service, has b e en the age ncy
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 Are a.
Consultation and Other Assistance
A numbe r of persons gave continuing support to the Proj ec t on consultant basis,
and several hundred persons from governments, health professions, educational
institutions, commerce, and the population of health "consumers" gave invaluab le
assistance in the compilation of information and in the formulation of
conclusions. The staff tenders its sincere thanks to all these individual s .
Funding
50% of the costs of this effort
mentioned above. The remainder
c ount y g o v e r nments, foundations
v olun tary he alth o r g a n i z a tion s ,
g rati tude to the s e dono rs .
were borne by the Public Health Service grant
was contributed by iocal sources, including
and the Community Chest, public , private , and
and individual s. The communi t y owe s muc h
Or ganization o f the Pr opo sa l
The propo sal is divided into three
and tas k force re ports. Each pa i r
"story". The gist of each " sto ry "
material alone, with details added
volumes : projec t s ummary, budge t and s taf f ,
o f f a c i ng pages makes up a se lf-con tained
ma y b e gained from the b ord ered summary
in t he text and illustrative material.
i
�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
Clifford Alexander, Jr., Environmental
Planner
Katharine B. Crawford, Organization Liaison
CONSULTANTS
Mary Lou Ashton, Senior Secretary
Mildred W. Thorpe, Secretary
( 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 I. 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
�. I
TABLE OF CONTENTS
·'
Forewor~ to the Proposal • • • .
i
SECTION 1. INTRODUCTION AND SUPPORTIV1': ?vii~TERIAL
A. Description of the Area
Planning for Planning: TechnicP.1 and Corrnnunity
Involvement Aspects . • • , . • . . . • . • •
2
The ,Atlanta Area, the flanning Area
4
Atlanta Area Governmental Units, Current
Population . • • • • • . • • • • •
6
Standard Metropolitan Stat5-stical Areas Cl~sc
to the Atlanta Area
• • • • • • • . • •
&
10
Atlanta Area, a Place of Gr~0th and Variation
Populati_o n Trends Require Review of Health
Needs . . . . . . . . . . . . . . . . .
. 12
The Planning .Area · Obs erves Other Programs
and Anticipa ted Expansion • • • • • •
ll~
Organizatioµa l and Procedural Arrangements for
ComprehensiveHealth Planning. • • •
16
Cooierat{ve Arrangements .~ade for Funds, Personnel, -Facilities and Se~vices . •
18
Planning is Ba sed on Corrnnonly Available Date
20
\.
B. The Atlanta Area 's Need for and Ability to Support
Comprehens ive Health Planning
Principa l Teaching and: Service Facilities in
the Atlanta Planning Area ~ • • • • • • • • • 22
Implications for Comprehensive Health Planning
-in Environme ntal Hea lth Fields • . . • • • • 24
Atl anta 's Ur ban Redev e lopment Project Program
-iii-
26
�Atlanta's Model Cities Program
28
Relationships with the_Georgia Regional
Medical Program • ' .
. .
. .. .
30
The Urb an Life Cent er : A Solver of Urban Health
froblems for the Future . • .
32
Local Health Departments in the Atlanta Area
34
Major Voluntary Health Groups an0 Profession~l
Associations in the Atl2nt3 Area
36
Water and Sewer Districts. . • .
38
Facilities, including Hospitals, Nursing Homes,
Outpatient Clinics and Neighborhood tlealth
Cent ers . • • • . . . • . .
40
. Existing Manpower Resources
Economics of the Atlanta Area as Relater to
Health Services . • • • • . • • • •
SECTION 2. NARRATIVE PROJECT SUMMARY
A. Project Outline
Goals and Objectives of Comprehensive_ Health
Planning . . . . . . . . . . . . . . . . .
48
Community Council has Extensive Involvement in
Health ~rid Planning • • • • • • • •
50
Organi zatibnal History of the Applicant
52
_Scope of Program Health Concerns • • • • •
54
\.
Cooperative Arrangements with Participating
Agencies • ~. . • • • • • • • • • • •
56
Health Planning P~o~ess:
58
Systems and Retrieval.
Information Gather}ng and Anaiysis Techniques
60
The Need for Planning,Programming System for
·_Comprehensive Health Planning •
62
Procedure for Policy Implementation
64
Example of Experience: Cobb County Comprehensive
Health Planning . • • • • • • • • • • • • • •
66
_- iv:.:·-·.
_I
�Corrnnunity Involvement in Comprehensive Health
Planning . • • • .
68
Atlanta Area Coordinat{~ri with the Off ice of
Comprehensive Health Planning, Georgia
Department of Public Health .
70
Facilities and Equipment Available for the
Staff of the Applicant Agency~ •
72
-B. Supportin0 Dat a
The Plan has Continuing Input from Existing
Re Jources . . . . .
74
Personal Publications.
76
C. Work Program
~urrent Problems Carried Over • .
First Year Activities . .
78
· 80
Phasing into Systems Analysis
84
Future Deve lopment •
86
D. Agency Or gani za tion
Staff Organization.
88
Council Or gani za tion.
90
Council Membership •
92
Nominating Proce dures.
94
Training for Counci~ Effectiveness .
96
By-Laws of the Council • • • • • • •
98
- v-
�Planning- for Plann·ing-:
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 SOL"UTIONS TO HEALTH PROBLEMS AND THE COMMUNITY INVOLVEMENT ASPECTS OF BRINGING
TOGETHER THE VARIED ELEMENTS OF THE COMMUNITY INTO A PARTNERSHIP FOR HEALTH
PIANNING AND POLICY-MAKING.
Technical Aspects
The technical objectives of this project have been (1) to identify the community·' s principal heal th 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 r>.umbers and qualifications of the technical staff whe\, will be needed to carry out such planning.
Some of the activities bearing on these objectives have been:
identification and scoping 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 coordinate 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 heal th problems and comprehensive heal th planning a.s possible;
Community Involvement Aspects
The organizational objectives of this project have been (1) to develop the
largest possible degree of community involvement in establishing and
operating a comprehensive health planning organization and (2) to formulate
an organizational structure for such operation, including corporate identity,
policy c~uncil and its selection,and by-laws.
Some of the activities bearing
on these objectives are:
identification of community interest and de.c ision groups involved in
health activities;
holding small and large meetings of such groups and se.lection 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 comprehensive 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 comrnuni ty; writing- by-laws;
obtaining acceptance and endorsement of these plans by the interest and
action groups in the community - governments, health a,gencies , consumers'
groups , other planning groups, etc.
selecti ng and convening a council for action on this proposal.
-
2 -
�-
•
ESTABLISHMENT OF METROPOLITAN COMPREHENSIVE
HEALTH PLANNING AGENCY
•111 :1111111111111111111111111•1111111111111111111111·111111111111 111111111· .1111111 1111111•11 11 1111111111111111 1 1111111111111111111111
"Organizational" funding
Local
Sources
DHEW
Community
Council ' of the
Atlanta Area
Oct 68
Community
Invol vement
Aspect s
20 Jun 69
Proposal
Review 1
Funding_
Met r o
CHP
Council
5 Jun 69
1 Jan 70
METROP0LITAN CHP AGENCY
- 3 -
�The Atlanta Area
SUMMARY:
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:
At lanta Area: Douglas, Clayton, Cobb, DeKalb, Ful t on and
Gwinn ett counties.
Atlanta Area (SMSA):
Gwinnett counties.
Clay t on, Cobb, DeKalb, Ful t on and
PRESENTLY:
ATLANTA AREA IS:
•
the "regional capital" of the Southeastern United States resulting from
continued growth and a central transportation network;
•
the"major growth c e n ter" in the ·s t ate of Georgia; and
•
the central "regi onal city" f or the ATLANTA AREA and contiguous
counties .
•
t he "medical center" for t he surrounding counties.
\.
THE ATLANTA AREA COMPREHENSIVE HEALTH PLANNING DESIGN:
permits additi on of contiguous counti~s or other planning areas
whenever feasibility or desirabili ty are indicated. (Douglas
County, the newest member of the ATLANTA AREA has shown initiative and set a precedent for non-SMSA's joining its sister
counties for health planning.)
�SOUTHEASTERN UNITED STATES
STATE OF GEORGIA
SIX COUNTY ATIANTA AREA
~
�Atlanta Area Governme ntal 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
Fulton
DeKalb
Cobb
Clayton
Gwinnett
Population (1968)
605,400
353,500
174,600
78,700
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
munic i pal itie s and populat i on distribution.):
NOTE:
MUNICIPALITY
COUNTY
College Park
East Point
Hapeville
Decat ur
Forest Park
Marietta
Smyrna
Lawrenceville
Douglasville
Fulton
Fulton
Fulton
DeKalb
Clayton
Cobb
Cobb
Gwinnett
Douglas
POPULATION (1 ~68)
\.
20,691
39,257
9,268
20,943
18 , 766
28,003
16,365
4 ,561
6,000
These figures are estimates made by the Atlanta Region Metropolitan
Planning Commission, 1 April 1968.
-6-
�ATLANTA AREA
GWINNETT
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�Ne arby Citi e s Af f ec t t he Marke t and Service Pa tt erns of t he Atlan t a Area
STANDARD METROPOLITAN STATISTICAL AREAS CI.OSE 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
Columbus
Chattanooga
Albany
Augusta-Columbia
Birmingham-Tuscaloosa
Montgomery
Huntsville
Gadsden
Greenville
Asheville
Charlotte
Knoxville
Nashville
\.
-
8 -
�Atlanta Area, a Place of Growth and Variation
SUMMARY:
THE ATLANTA AREA IS A RAPIDLY GROWING METROPOLIS WITH BOTH URBAN
AND RURAL TERRAIN AND WAYS OF LIFE. THE MAJOR DEMOGRAPHIC CHARACTERISTICS INDICATE A CONTINUING PRESSURE AND A GREAT CAPACITY
FOR INCREASED AND APPROPRIATE SERVICES.
Ma j or 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 4-yr.
colleges, 6 special purpose institutions, 3 area technical
schools.
OCCUPATION's largest demand is in retail and wholesale trade,
government, se r vice business, manufacturing.
INCOME va r ies greatly: One county with 36% over $10,000 another
with 25% below $3,000.
CAPITAL I NVESTMENT was near 300 million from 1963-1967, much of
this for transportation equipment .
TRADE is active: 3 interstate highways intersect, 8 airpo r ts with
800 dail y flights , 13 railroad lines of 7 systems.
FINANCIAL headquar t e r s of Sixth Federal Reserve District .
OFFI CE SPACE abunda nt : Fi fth in nation ,
~
COMMUNI CATIONS e x ten sive v i a telephone s , mai l, 4 dai l y and 20 we ekl y
news paper s, 5 t elevision and 19 radio st ations .
Note : This information taken from "Atlanta Silhouettes," ARMPC, Atlanta,
Georgia n , d . ; "The Georgia Piedmont Regional Economic Investme nt Plan,"
State Planning Bureau, Office of the ,G overnor, Atlanta, Georgia, n.d .
- 10-
�1960 - 1980 Population, Estimates a nd Proj e ctions
1960(l)
County
(1)
(2)
(3)
1975
1970
1980
556,326
256,782
11 4,174
46,365
43,541
16,741
599,300
350,400
150,900
66,000
54,600
21,339
649,425
485,5 41
209,722
93,483
58,077
29,700
704,046
658,520
281,481
135,988
66,192
36,500
829,163
757,518
337,019
161,126
76,094
45,000
1,033,929
1,242,539
1, 525,948
1,882,727
2 , 205,920
Fulton
DeKalb
Cobb
Clayton
Gwinnett
DouglasC 3 )
Total
1965 <2 )
U.S.
Census
Long-Range Plan, Hospital and He alth Planning Dept., CCAA, Atlanta, Ga.,
J an . 1968, p. 6 (mimeographed).
Douglas County Figures, 1965-1980, interpolated from Land Needs, 1968,
Douglas Count y, Ga., ARMPC, Table ;D,
DIRECTIONS
OF
POPULATION
GROWTH
ATLANTA
1960-1968
SMSA
FOR SY Tt-'
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NOTE: Perce n tages show s h are of SMSA
( jnc l uding Dou g l as County) growth
t h at h as occ u rred in each direction .
SPALDING
-
�Po pulation 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 ACCOMPANIED BY A GROWTH TOWARD THE OUTER COUNTIES.
Text:
The needs for health facilities, manpower and services must be anticipated well in advance.
Present information allows a reasonable prediction of the size, constituency 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.
- 12 -
�t' 5 &
85 &
o ver
ov er
1960: U. S. Census
1975: Rand Corp.
FEMALES
MALES
60-6 4
25- 29
5-9
THOUSANDS
90
75
60
45
30
15
0
15
30
45
60
75
00
�The Planning Area Bounda ries 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 PROORAMS AND
ACTIVITIES. SOMETIMES THE FIVE COUNTY "STANDARD METROPOLITAN STATISTICAL AREA" OF ATLANTA IS USED AS A UNIT. SOMETIMES PROORAMS ARE
SUBDIVIDED BY COUNTIES OR COUNTIES ARE COMBINED IN OTHER WAYS. THE
SIMILAR JURISDICTIONAL AREAS ARE CONVENIENT AND THERE IS A TENDENCY
TOWARD MAKING BOUNDARIES OF RELATED PROORAMS IDENTICAL. IN ANTICIPATION OF THIS TREND AND EXPANSION OF ATLANTA (SMSA) BY THE BUREAU OF
CENSUS, THE COMPREHENSIVE HEALTH PIAN WILL HAVE ADJUSTABLE BOUNDARIES.
(1)
AREA
G R O U P I N G S - - - - - -~~
\.
(1)
Much of this material taken from An Atlas of Multi-County Organizational
Units , Department of Geography, Univ. of Ga . , 1968
- 14-
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- 15 I
�Organizational and Procedural Arrangements for Comprehensive
Health Planning
SUMMARY:
THE PROPOSED COMPREHENSIVE HEALTH PLANNING AGENCY WILL BE STRUCTURED SO
AS TO BE IN CLOSE COORDINATION WITH THE METROPOLITAN ATLANTA COUNCIL OF
LOCAL GOVERNHENTS 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. OTilER PLANNERS IN HEALTH OR HEALTHRELATED FIE1IY: \.JILL BE INVOLVED TO VARYING DEGREES.
0
Applicant:
In order to facilitate interaction of the major planning groups in
t he metropol i t a n area, the Metropol i tan Atlanta Counc i l of Local Governments (MACLOG) will be the applicant agency for comprehensive hea lth 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
f or supervising and conducting comprehensive health planni ng is indi cated
herein as the Me tropolitan Comprehensive Health Planning Council (Metro
CHP Council).
Relationships among MACLOG, Metro CHP Council, and CCAA:
Using as a model t he r e l a tionship be tween the Georgia Regional Medi ca l
Program and the Medica l Asso c iation of Georgia, in which the l a tter is the
a pplica nt agency , and t he f ormer a ctua lly conducts the program , inc luding
final policy f ormula tion, the proposed relationship is that MACLOG will be
the applicant agency, Metro CHP Council conducts the program and formulates
poli cy, and a dministrative support is provided by the CCAA. There wi l l be
ind ividua ls serving on the CHP Council who are also members of MACLOG or
the Boar d of CCAA . To i ns ure coopera t i ve efforts and join t p lanning in
over lapping proj ec ts , it is planne d to e s tablish a "Met r opol itan Conference
o f Pl anning Chairmen", bring i ng t ogether the Chair men of MACLOG, CCAA , CHP
Council, and Atlanta Region Metropolitan Planning Commi ssion ARMPC) . In
addition, t here wi l l be a "Metropolitan ConfereIJ,ce of Planning Directors",
bringing t oge ther the execut i ves of the f our a genc ies. Fr om t i me t o time,
other planners wi ll be invit ed t o participate i n these conferences . It is
anticipa t e d that j o int staff a c tivit ies will occur where proj ects involve
physica l pla nning (ARMPC), social planning (CCAA), he al t h pl anning (CHP) ,
and other f orms of planning such a s crime and delinquency (MACLOG). Of
cour se , ma jor portion s of he al t h planni ng wil l con tinue to be done i n
other plann i ng staffs, such a s hospital aut horities, city and county planning offices, etc. These wi ll be coordinated , insofar as healt~ aspec t s
ar e concerne d, by t he Me tro CHP staf f .
Facilities :
MACLOG, CCAA, ARMPC, and CHP wil l be hous e d in t he same bui l ding .
Thi s clos e prox i mi t y wil l make possible sharing of numer ous f a cilities,
s uch as l i br a r y , public i nforma tion , dupli ca t ion and mail ing, e t c.
For additiona l informa t ion, s ee the s ect ion on Facilitie s in t he s econd Section of this proposa l vo l ume.
- 16 -
�ORGANIZATION FOR COMPREHENSIVE HEALTH PLANNING
e,o n tnu:-fu.Q.. I
t'el~tiov-i
"
~fAC LOG; Loccd Mea.lH, /
'
Cou."c.iils
'
ccAA
Bd.
o.dvn1n
.---
.I
CCAA
S·b++
- - - - - - - - -·
~
Abbreviations:
ARMPC
CCAA
CHP
DREW
MAC:WG
Bd
Conf
Dir's
Chmn
Plng
\.
= Atlanta Region Metro. Planning Commission
= Community Council of the Atlanta Area
= Comprehensive Health Planning
= (U.S.) Department of Health,Education & Welfare
= Metro . Atlanta Council of Local Governments
= Board
= Conference
= Directors
= Chairmen
= Planning
- 17 -
�Title:
Cooperative Arrangements made for funds, personnel, services,
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 RESOU~CES.
- 18 -
�I
C:OOPERATI·VE ARRANGE MENTS WITH OTHER PROGRAMS
nur111rmrmmmmmmmmmmmm11m111·111111111mmmm11111111111mm1mm11111111m1111rnu1111murm111mmm11111111111111 1111m111m111111m111111111mmuu11111111111111111 1r
\·
-~
DHEW
Dept . . Heal th,
Education &
Wel fa re

•----~.,,,_o.".~___
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Local Health Ag encies
Community Council
' of the Atlanta
Area;
MACLOG
,Ietro Atlanta
Council of
Local Gov ts.
Metro Comprehensive
Health Planning
Council
Personnel
Ancillary
library,
mailing,
\.
policies*
Services-duplicating,
etc.
.
Comprehensive Health
Planning Staff


See Append ix for Details .


I
�•
Planning is Based Upon Commonl y Available Da t a
SUMMARY :
THE LOCAL RESOURCES FOR QUANTITATIVE DATA IN THE HEALTH CARE FIELD ARE
RATHER LIMITED BOTH IN AMOUNT, AVAILABILITY, AND COMPARABILITY, THE COMPILATION 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.
\.
- 20 -
�Implications for Comprehensive Health Planning in Environmental
Health Fields
SUMMARY:
THE METROPOLITAN ATLANTA AREA HAS MADE NOTABLE STRIDES TO IMPROVE ENVIRONMENTAL 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 I MPLEMENTATION, AND INCREASING EFFICIENCY IN OPERATION.
Text:
Environmental Health programs being developed or reconnnended for
the Metropolitan area include:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15 .
Water and sewer plan implementation - a natural follow-up
to current water and sewer planning should include recommendations 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 progrannning: a continuation of the work
ARMPC is doing now .
Metropolitan Solid Waste Plan - MACLOG.
Mobile Home Park - ARMPC - Study of requirements on location.
Vector Control Program - EOA - Demolition Project .
Comprehensive study of problems and possible long-range
solution for solid waste and garbage collection and disposa l.
Development of a long-range plan for industrial and off ice
parks throughout the area - ARMPC .
A study of future housing requirements: as they relate to
population forecasts, income, employment, and location.
This study i s now being held in abeyance.
Up- dating of Ai r port Plan - ARMPC.
Study , up- da t e and r evise all element s of l and deve lopment
and fa c i lities p lans .
ARMPC - The need for nature preserv~s and r~lated outdoor
r ecre ation fac i l i tie s has been e s tablished. Implementation
is now neede d .
Fl oo d cont r ol project by Cor ps of Engineers .
Atlanta Housing Authority : re-deve l op pub lic housing area;
rat control; health clinics for proj ect area; and neighborhood renewa l proj ect (year ly basis) .
Georgia Safe ty Council: organizing Teen Safety Councils in
all high s chools in t h e sta t e of Georgia ; conducting industry
safety seminars throughout the s t ate; driver improvement for
t r uck dr ivers ; dr iver improvement through the defensive driver
cour s e ; conduct ing injury contr ol program.
- 24I l.
�•
.DEAD
END
~
ONE OF THE great community benefits of urban renewal
is the removal of unsafe, unsanitary and inadequate
buildings.
\.
ATLANTA HOUSING AUTHORITY
Auditorium-Convention Hall Complex
�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 RESOURCES OF THE MAJOR EDUCATIONAL INSTITUTIONS IN THE ATLANTA AREA AND
THE STATE OF GEORGIA ON BROADENING THE INTELLECTUAL BASE OF THE POPULATION, 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
Ci ties act,ing under contract with Departments of Housing and Urban
Development and Health, Education and Welfare.) This network of
"Urban Obs.e r"'.atories" 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 necessitate 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 organizational 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 :hJ:, structured to
provide specialized activities, including short courses, institutes, 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.
<)
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 LIFE CENT ER
SCHOOL OF
URBAN STUDIES
\.
INTER-UNIVERSITY
URBAN COOPERATIVE
DIVISION OF
URBAN PUBLIC
SERVICE
URBAN
OBSERVATORY
HEALTH
AND
- 33 -
�Local Health Departments. Atlanta Area
CENTERS AND CLINICS
Fulton County
Cobb County (cont'd.)
Main Center & offices
Adamsville
Alpharetta
Ben Hill
Buckhead
Center Hill
College Park
Collins
East Point
Fairburn
Hapeville
Howell Mill
Jere Wells
Lakewood
Roy W. McGee
Neighborhood Union
Northeast
Palmetto
Red Oak
Rockdale
Roswell
Sandy Springs
South Fulton
Techwood
Austell
Mableton
Powder Springs
Smyrna
Clayton County
Main Office
Forest Park
College Park
Fayetteville
Gwinnett County
Main Center
Buford
Norcross
Duluth
Douglas County
Main Center,
Douglasville
DeKalb County
Main Center & offices
Doraville
Kirkwood
Lithonia
North DeKalb
Scobtdale
Southwe s t Dekalb
Stone Mountain
Tucker
\.
Cobb County
Marie tta
Acworth
- 34 -
�(\)Un t
y
l•'in:rnc ing- St ate Allotments
Jul y '67 - June '68
J,'111 t nn
$ 403,181
DeKa lb
Cnbb
Cla yton
G1d nn ett
Doug las
Centers
Manpower
24
9
6
4
4
1
269,127
122,271 52,049 18, 760 •
21, 119 -
Admission by Service
Mental Health
V.D.
425
199
47
38
21
8
7,479
2,925
2,169
964
484
83,109
63
128
6
4
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DOUGLAS
•
PUBLIC HEALTH CENTERS
•
i(
Metropo lit a n At l a n ta Area
19 68
- 35-
HEALTH CENTERS
SINCE 1967
HEALTH CENTERS
�WATER AND SEWER,...
.1:1ISTRICTS IN THE ATIANTA ARFA
..
•
SYMBOL
SECONDARY
e PRIMARY
sEWAGE
LEGEND
T
SE
REATMENT
Q UNTREATED WAGE
TREATMENT
SEWAGE
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•tllOPOUIAN "ANNINO
�State Health
P lanning Council
Advises 11 A 11
Agency in
carrying out
its goals
Comprehensive State Health
Planning ·Agency - 11 A 11 Agency
Develops comprehensive state health
plan.
Identifies health problems.
Recommends policies and programs.
Provides consultation and coordinates
programs.
I
Areawide Planning Agencies 11 B" Agencies
Relates health programs in an area
within a comprehensive framework.
Liaison with appropriate health
agencies in an area to help carry
out goals.
Conduct periodic evaluations and
stu1ies.
Revi ~w local grant applications.
Gathers and analyzes data.





I
I
Public
liealth
agencies
(local)
Voluntary
health
agencies
(local)
\.
- 71 -
�C om)1:im-au
n n:~~r
c~~'J.."R·1:ac il 0 ~ t h e
At lanta
A r ea inc.
EUGC::NE T . B R ANCH , Clw irn ri m of rlzi.• l l< 111n l ,,/ l Ji1,: L'f r, r .\
CECIL AL EXAN DE R , ' ' i1:t! Ch .:1in ;,·,•, ,,
JO_HN 17. ARD. l'/ca Ch a i ri11 ,1r,
MRS . THO MA S H . GI BSON .
S ,:cn::1ar_,.
DONALD H . GA RE I S , 1" ri •u 111r,•r
DUANE W . BEC K .
ON E THOUSAND GLENN BUILDI N G , 120 MARIETTA ST. , l'I. W.
£ r ern1i1·,• Direc:or
ATLANTA, GEORGIA
30303
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. Spille:
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,
!r!dL~k.
. Director , Comprehensive
Ar e awide Health Pl anning
RBL:az
Encl.
"".6 9-
�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 RELATIONSHIPS 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
- 68 -
�ORGANIZATI ONAL CHART OF COMMUNITY DEVELOPMENT IN
COMPREHENSI VE HEALTH PLANNING
w
E
Key:
D
25-member core of planning efforts t o direct task
force assignments.
0
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 representatives 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 recommendations. 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 Healtn 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 COMPREHENSIVE HEALTH PLANNING COUNCIL WILL PRODUCE AN EXEMPLARY 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 overcrowded 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 connnunity leaders under auspices of
the Chamber of Connnerce. Health problems were recognized in four basic
categories:
Services
Facilities
Manpower
Financing
Task forces of the Council and other connnunity members have been assigned
to determine needs, resources, and possible solutions in these areas.
Implications for Success:
1. The Chamber of Connnerce has had a leading and beneficial
role in organizing the CCHC. Support and participation
have already been secured from major segments of the community.
2.
Planning involves government officia~s, 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 buil support for CHP .
- 66 -
�POLICY - RECOGNITION
-
SUPPORT
-
ACTION
FEDERAL,
STATE
$ FOR PROJECTS
$ FOR PROJECTS
RECOGNITION
$ FOR
$ FOR PLANNING
)
PLANNING
COUNCIL,
STAFF
LOCAL
(RECOMMENDATIONS
~
TECH. ASSISTANCE
CHAMBER OF COMMERCE
FOUNDATIONS
BUSINESS INDUSTRY
COMMUNITY CHEST
$ FOR PROJECTS
ACTION
ETC.
PROJECTS
ACTION
PROJECTS
-6~-
�Pr ocedure for Po l icy Implementat ion
SUMMARY :
FUNCTIONS OF THE ME TROPOLITAN CHP AGENCY WILL I NCLUDE RESEARCH, COORDINATION OF VARIOUS
GROUPS, AND POLIC Y DECISIONS IN THE HEALTH FIELD. AS A PLANNING BODY, THE COUNCIL AND
STAFF WI LL DEPEND UPON ACTION GROUPS FOR IMPLEMENTATION OF ITS POLICY. FEDERAL, STATE
AND LOCAL GOVERNMENT RECOG NITION OF THE AGENCY WILL BE KEY FACTORS IN THE ABILITY TO
INFLUENCE ACTION WH ICH WILL I MPROVE HEALTH FACILITIES AND SERVICES .
The f ollowing functions a nd rela t ionships will provide a basis for ensuring implementation
of polic y .
Func t ions o f t he CHP Ag ency (Polic y Boa rd and Staf f ):
1.
2.
3.
4.
5.
6.
7.
8,
9,
Conduct research in communit y health problems.
Dev elop background for policy-ma king; use systems analyses, cost-benefit analyses,
etc.
Coordinate acti v ities of all health planners in the community.
Review health action projects originating in the community.
Pro ide technical assistance t o action agencies.
Orig inat e health a ction projects where needed,
Conduct communit y liaison and education in health matters.
Give adjacent areas assistance in health planning on contract basis.
Make policy decisions f or the community in health matters,
Rel at ionships between t he Agency and other groups:
1.
2,
3.
4.
5,
6,
The CHP policy Council will be representative of all health concerns in the
Metrop olitan Atlanta area,
Recognition of CHP Agenc y responsibility and authority in planning areas is
e x pected on all levels of governmental and health-concerned group involvement .
Funds . for e x ercising agenc y functions will be sought from federal, state and
local governments .
Their support will indicate recognition and delegation of
health planning polic y decisions to this agency.
Foundations , business and v olunt ary heal t h organizations may be expected to provide
some f unds f o r planning.
Loc a l g ove r nments and independent health agencies will receive benefits from CHP
th r oug h t echnic al assistance in planning, coordination of efforts and recommendat i on o f p r iori t i e s .
Fede r al fund s f or an y given project will need approval of the CHP Agency fo r
alloc at ion .
The abov e b eing f a c t ors , r e s pect
a n d pres ent f or imp l e men t a t i on of
other pl a nning ag e ncies , hos pi ta l
groups wi t h des ired assistanc e o f
f or the CHP Agency will be an inherent t r ait necessar y
polic y dec i sions.
Recommendations made to gov ernments ,
author i ties and the like, will be carr i ed out b y thos e
the CHP staff .
~
Ef fectiveness o f comprehensive he a l th pla nn i n g :
The interre lationships amo ng CHP and o ther local gov e rnments and agen cies i s designed to
ins ure mutual respe ct and depe n den c e. Where a s t he CHP Agenc y d e pen ds for its e x istence
on the recognition and financia l suppo r t of t h e o ther groups, the y, in t urn, d e p e nd on
the existence and r e cognition by Stat e and Federal offices o f t he CHP Agency for much
of the Federal funding they req u ire. And whe reas the CHP Agency d e pe nds on t he respe ct
for its competence and fairness by local gro ups for its effec t ive nes s in originat ing
new plans, the local groups depend on the CH1> Agency review for implementation of
plans which they or i ginate. Thus , it is in the interest s of all that r e lationships
begin a n d continue on a harmon ious and mu tually helpful bas i s .
- 64 -
�CHOICE o
OF PR'OGRAM
CHOICE
OF FUNDING
ALTERNATIVE
L E VEL
t
l

~
PROGRAM
RESOURCES
•M ONEY
• PEO PLE
•FA~I LI TIE$
EFFECTIVENESS*
OUTPUT

*
---
IMPACT
--
PROGRAM GOALS
EFFICIENCY =
OUTPUT
INPUT
ACTIVITY LEVEL
DETERMINANTS*
• REQUIREMENT
•NEED
• DESIRED LEVEL
COMPREHENSIVE HEALTH SERVICE.
AREAWIDE PLANS :
~
z z
-.<.. z<
0
u,
w
~
Fl NANCI AL PLAN
Ill
ACTION
HEALTH
PRO GRAM
-63-
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�The Ne ect for Planning Program~ing Sy stem for Compr e hensiv e
He alth Planning
SUMMARY:
PLANNING AND PROGRAMMING SYSTEMS OFFER GREAT PROMISE TO AREAWIDE PLANNING
AND OTHER GOVERNMENTAL ORGANIZATIONS AS A MEANS OF SYSTEMATICALLY RELATING 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 RESOURCES.
Basic Purpose:
The basic purposes of a planning and programming system are to:
•permit rational choosing between objectives,
•uermit rational choosing between programs,
•facilitate selecting rational levels of programs,
•facilitate review and evaluation of program accomplishment.
Major Characteristics are:
•the identification of the fundamental goals and objectives
of the area;
•systematic analysis of alternative ways of meeting the areawide goals and objectives;
•the presentation of alternatives to the decision-maker;
•explicit consideration of future year fiscal implications
(5-year program goals) at;
- preferred funding level, or
- stringent funding level~ and
•that proposals and decisions are properly supported by documented 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 business 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 objectivas 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 governments in policy formulation.
A method of relating areawide planning and programming to the
financial process of the State and loc al communities .
- 62 -
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-.. C. A.~ I O ~
1
+ rt\ -e. l'\+
_
/
/
./
�Title:
Information Gathering and Analysis Systems and Techniques to be Used
SUMMARY:
THE BASIC INFORMATION SYSTEM WILL INCLUDE THE (A) COLLECTION, (B) QUANTIFICATION, (C) STORAGE, AND (D) UTILIZATION OF DATA PERTINENT TO THE OTHER
PHASES OF THE PLANNING PROCESS, PROBLEM AND RESOURCE DETERMINATION, IMPLEMENTATION, AND EVALUATION. EVALUATION OF THE PLANNING ITSELF SHALL BE
DONE BY THE COMMUNITY AT LARGE THROUGH ITS EXERCISE OF SUPPORT. EVALUATION OF PARTICULAR PHASES OR OPERATIONS WILL BE BUILT INTO COSTS-BENEFITS
ANALYSIS AND SUPPLEMENTED BY INDEPENDENT INVESTIGATION.
Research Technique
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 alternative plans for action.
Evaluation Technique:
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 corrnnunity 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 CHP Board by their respective
groups.
The "public" will be an implicit evaluator through its use and non-use
of programs.
- 60 -
�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 alcoliolism.
Degenerative and chronic diseases.
Citizen role in prevention and care.
Costs of health care; insurance patterns.
- 55 -
�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 WERE 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 BEEN IDENTIFIED AS MOST LIKELY TO DEFINE THE SCOPE OF THE FIRST
YEAR Is 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 proble ms and preve ntion 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 scape 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
divide d into priority categories on the basis of the impressions developed
to that time, and about half o f them were designated as needing further
st udy. This, in turn ; was accomplished through the mechanism of problem
area "task fo rces".
Problem Area Task Forces
Gr oups of interested and knowledgable persons in the community were asked by
the var ious 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 f o rces
rang e d in size from two or three individuals to more than 20. They were given
i nstructions as to how to go about gathering their data and how to report
t hei r findings ( see Appendix
), and were assisted and encouraged by one
of t he s taff . Some 27 of the s e task forces we re e v e ntually formed, and the ir
reports, in many cases quite voluminous, are presented in Volume III of this
proposal (in condensed form). A grea t deal of thanks is due to these hundreds
of people, health providers and consumers alike, for the insight which the y
c ontr ibuted to the understanding of t his commun ity 's problems.
Scope o f the 1970 Ef f o rt
The 14 problem a reas s h own on the fa c ing page now seem likely to define t he
scope of the fir s t year 's effor ts of the pe r man ent compr ehe ns i ve health p lanning
agency.
- 54 -
�-
~---------~~---~___,_
COMMUNI TY INVOLVEMENT HOUTE FOH BUILDING A POLICY BOARD BY COI,J,oENSUS
•
El
I
C~A
CCAA
CC.\.-\
~
me e ti n gs
FCMS
·-
FC'~lS
mee tings
JCAHPA
CCAA
,ti} 0
At .COC
C's o f C
l me et ing
2 me etings
Communit y Invo l veme nt Pa n e l


1 0


mee ting
Community Involv e ment
Cl
Communit y Involv e me nt
.__ _ _ _ _. . SCXC 1-------t~Steering Committee
1--+"""la:::~
St ee ring Committee
•
lf-io
mee ting
meeting
Ad Hoc Nominating Groups
• 20
6 mee t i n g s
Sm,n 11 Groups
(many)
Compre h e nsive Hea lth
Planning Council
50 Org s.
1 mee ting
1 mee ting each.
10 Local Governments
3 Major Planning Agencies
2 0 He al t h Provide rs
2 Busine ss a nd Labor
17 Poor a nd Nea r - Poor
CCAA
Communi t y Council o f t he
At l a nta Area , Inc.
At.COC
Atlanta Chamber
of Commerce
CISCXC
Community Involveme nt
Steering Committee
Executi ve Committee
FCMS
Fulton County
Me di c a 1 Socie t~·
52
Not e s:
•
ind i c a te numbe r of p e ople at mee ting ( s ) .
o
s e ve ral me mbe rs p e r organiza ti on
-53 -
C's of C
Chamber's of Commerc e
JCAHPA
Joint Commit t ee of Area
He alth Profe ssional
Assoc i ations
�Organizational History of the Applicant
SUMMARY
'IHE COMMUNITY COUNCIL OF THE ATLANTA AREA , INC., A NON-PROFIT
CORPORATION CHARTERED UNDER 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
HEAL'lll PLANNING COUNCIL (CHP COUNCIL), WHICH WAS BROUGHT INTO BEI NG
BY A COMMUNITY INVOLVEMENT PROCEEDURE RESULTING IN SUBSTANTIAL CONCENSUS. THE STAFF WILL CONSIST OF THE CHP ORGANIZATIONAL STAFF, AUGMENTED
BY ADDITIONAL PROFESSIONAL AND SUB-PROFESSIONAL MEMBERS.
COMMUNITY COUNCIL OF THE ATLANTA AREA, INC.
The Community Council of the Atlanta Area, I~c . , was established as
a community planning agency :in 1960; previous to that date it was the
Planning Division of the Atlanta Uni ted Fund. I n 1963, the Council
Launched the West End Demonstration Project with the purpose of find i ng "new
ways of solving economic dependency (poverty)"; the activities of thi s
Project let to the design of the initial application by Atlanta and Fulton
County for funds from the Office of Economic Opportunity. The resu l t was
the Economic Opportunity Atlanta (EOA) agency was established . In 1965,
the Council entered i nto a contract with Atl anta to develop a long r ange
pl an for Urban Renewal under the Community Improvement Project (CIP) which
produced.the information, development plan, and method of "grass roots"
resident partici pation 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 (CHP)
The CHP will come i ~to existance on June 5, 1969, and will assume the
active role of policy making in health matters when the permanent agency
is establi shed January 1, 1970. This Council was brought i nto being t hrough an
ext ens i ve pr ocess of community involvement and concens us- seeki ng. Af t er
several pr el i m:inary meeti ngs of possible sponsors, a group of "convenors"
brought t ogether a "Communi ty I nvolvement Panel " repr es enting 170 offi ces,
agenc ies , and organ iza t i ons c on cerned wi th hea lth. This Panel on March 13,
1969 elected a "community I nvolvement Steering Committee" of 36 members ,
and an Executi ve Committee. Thus the devel opment of organiz a t i onal gui delines , the methods of r eaching t hem , .t he nomi n ation and selecti on of
permanent members of the Counci l became the goa l of t his St eering Commi t tee,
which in t urn resul ted in the f orma t i on of a Comprehensive Healt~ Planning
Council on June 5 , 1969. 'lbe membership (as shown on the opposite page)
is drawn from five broad categories of community groups; well- distributed
by geographic are as, s oci oeconomic status, ethnic backgroup, providers and
consumers, public and private sectors. (Members of CJIP, representation,
organiza tions and functions are on pp. 80- 85 . )
STAFF
Members of t he Organizational Staff and titles and descripti ons to
staff to be recruited to become the permanent staff of the planning
agency are l i sted on pages 78 and 79.
- 52-
�BACKGROUND OF HEALTH PLANNING EFFORTS
(1)
Health 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 .
... 51
-
�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 PROGRAMS RELATED TO HEALTH HAVE BEEN CONDUCTED SINCE 1960 . THE COUNCIL HAS
WORKED CLOSELY WITH FEDERAL, STATE, AND COUNTY AND CITY AGENCIES, PROFESSIONAL AND VOLUNTARY GROUPS AND INDIVIDUALS TO RAISE THE LEVEL OF HEALTH.
Current Status:
The following paragraph taken from
Health Planning" by which the Governor
of Public Health as planning agent for
the capacity of the applicant planning
"Narrative Plan for Comprehensive
designated the G0 orgia Department
the S1ate of Georgia attests to
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-heal. th
planning . These are the Community Council of the Atlanta
Area Inc.
t h e United Community Service of SavannahChatham County, Inc., and the Georgia-Tennessee Regional
Health Commissi..on. The Department has maintained liaison
with these agencies throughout their existence because of
their broad interest in human resources planning . This rela t ionship is e x pected t o continue."
'
- 50 -
�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
REALTH ATTAINABLE FOR EVERY PERSON". LOCALLY, THIS MEANS DEVISING AND ADOPTING
STRATEGIES FOR THE USE OF HEALTH RESOURCES WHICH WILL 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 CONCERNED
ELEMENTS IN THE COMMUNITY WILL BE NECESSARY FOR SUCCESSFUL IMPLEMENTATION OF
POLICY.
In 1966, the United States Congress enacted Public Law 89-749, the "Partnership for Health" act. · Under thi s law, the Sta tes, and .through them, are as
within the States, must a•sume responsibility for comprehensive health
planning. The Congress declared that "fulfillment of our national purpos e
depends on pranoting 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 depehds on an
effective partnership, involving close intergovernmentai collaboration, official
and voluntary efforts. and participatio~ of individuals and organizations;
th&t Federal financial assistance must be directed to support the marshalling
of all health resources--national, 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".
Th e term II COillprehensive II means that every aspect of the health picture in
the six-county metropolitan area must be taken intQ account in the planning
process. This includes not only the treatment .of illness and injur y, but
their prevention, and the canpens ation for any lasting effect s which they
may leave . Thus, in addition to the manifold activitie• of medical and
paramedi cal pers onnel in the variety of health treatment facilities, plannillg
Jr.ust cons ider envir onme!ltal cont r ols of the air, water, soil, food ,· disease
vectors, housi ng c odes and constr uction, waste d isposal, etc. It must
c ons i de r nee ds for the training of he alth per sonnel , for the impr ovement of
manpower and fa c i l it ies u til i za tion, and for the a ccess t o health c are .
It inc l udes the fields of ment a l hea lth, dental health, and rehabi l i t ation.
It must be conce rned with the means of paying for prevent ive mea~.~ es and
for health care.
The term "planning" means , fi rst , t hat problem areas and pot ential problem
areas in the entire field must be identified,and their magnitudes assessed.
The trends of the problems must also be aase•aed, and projected for future
years. Technical and organizational bottlenecks must be identified and
"planned around" . Second, the community's resources ·in meeting its'healtb
needs must be equally carefully identified and projected, in term• of professional and •ubprofessional akilla, facilities, and financial resource•.
-
48 -
�Third, since a considerable amount of planning is already being done for a
num b er o f projects, hospital authorities, counties, and municipalities,
which aff ec t s the c ommu ni ty ' s healt h picture, ways must be found to make
maximum us e o f t h is c ap ability , a nd coordina te it into a community-wide
comp rehens ive p lann i ng e ff ort. F inally , pl a nning must preserve and encourage
t he highe st l e vel o f pr o f ession al competence in the entire health system ,
a nd must make use o f the i nsights of all con cerned in the community h e alth
s y st e m.
T he over a ll task of putting together such an organization is thus seen to be
a problem in "systems" analysis and development. Since the total resources
of t he community a r e likely to remain smaller than the demands which an idea l
h ealth system wil l place on the resources, r ational and just methods of
a ssi g ning p r iorities t o the various needs must be developed. A cost-benefit
anal y sis is e ssential to any such decision process, and, considering the
lite ra ll y hundred s of specific health needs in the community, it i s l i ke l y
th a t t he cost-ben e fit model mu s t rather soon ma ke use of modern compute r
t ec h n i ques .
The Pa rt n e r ship for Health law requires that such planning be done with
pe o ple r a t her than for people. Therefore, maximum participation of health
"consumers", health professionals, governmental units and agencies, and other
community organizat i ons is a necessity. The law ~s telling the States and
communities that t hey will be given increas i n g resp~~sibility and power to
determine their own be s t hea lt h interests. In o r der to e x ercise this power
mo st ef f ect i ve l y, a max imum degree of concensus must be attained among thos e
community elements c oncern e d with heal t h. To t his end, participation of
s u c h ele men ts is mandat ory , so that a true" partnership for. heal th" among
governments, healt h p r ov i de r s and consume rs, rich and poor, black and white,
urban and rura l , may ' b e ac hi e v ed .





















GOAL FOR 1975:
WIMBLE, I HAVE CALLED TH IS
MEETING TO INFORMYOU THAT
THE CLAUDE CLAY
UNDERTAKIN G PARLOR
SELDOM HAS MY POST MORTEM
PALACE SEEN BLACKtR DAYS!. ..
LOCALSHOOT- OUTS ARE DOWN
73% ... THE ACCIDENT RATE HAS
IS IN THE THROES OF DROPPED TO AN ABSURD LEVEL!...
A SEVERE
PLAGUES ARE AT AN ALL-Tl.ME
RECESSION!
LOW! IN SHORT, ATLANTA
IS IN THE
CLUTCH.ES OF A GLOW
OF H.EALTH OF
NEAR EPI DEMIC
PROPORTIONS'
from Atlanta Journal and Cons titutio n
25 May 1969
"Tumbleweeds" by Tom K. Ryan
- 49 -
�government
STATE OF GEORGIA
NUMBER OF FEDERAL AGENCIES
SERVING STATES FROM ATLANTA
REGIONAL HEADQUARTERS .
-
36 -46
-
31 -35
-
6-12,
Rapid Transit Is A MUST ...
'
ATLANTA
POPULATION
1940
1950
1960
NEXT 25
YEARS
2 MILLION
•
SUTIQNS
Wll!i
•
ST A TtONS
W I Ttl OUT
PAlh.!HQ
P .\ IIIKt -. c
2
11/a
½
Number Of People (In Millions)
l( O, l
I' , ,11 1
~
l!UU •
REGIONAL CAPITAL OF THE SOUTHEAST
-
47 -
u ;cc •
• 11 • o • Ol •I • •
. , ... H
• • •• IIH •
�- 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 ins t allations 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 present 47.5%
- Major items in transportation are automobile (GM & Ford) and aircraft (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 Telephone & Telegraph Co.
·
- 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 stations; over 19 radio
stations, news coverage by 3 national TV networks, 20 weekly newspape rs and regional operators of AP, UPI, Wall Street Journal, New
York Times , Time Magazine, Newsweek and Business Week .
Higher Education
A major r egional function of the Atlanta Ar e a (SMSA).
- Headquar ter s of the Southern Regiona l Edu cation Boar d
and f or t he Southern Association of Col leges and Secondary Schools .
- There are a number of r ecognized co l l ege s and universi ties in t he Ar ea of gr ea t impor tance to i t s economic pot entia l.
- 46 -
�The Economic Status of the Atlanta Area
SUMMARY:
THE ATLANTA AREA HAS MANY SPECIFIC URBAN PROBLEMS. WHILE GENERALLY PROSPEROUS DUE TO ITS GROWTH AS AN INDUSTRIAL, BUSINESS, FINANCIAL, EDUCATION, 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, I HMIGRATION 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
l~DICARE, 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 sunnner 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 , severa·l
cr eeks and lakes.
--Lake Lanier and Allatoona Lake are within 50 miles of Atlanta
- The reddish clay- soil of the Area is moder a t ely fertile, but
sus cep t ibility to erosion has dive r t e d much of the land to less
demand ing us es s uch as pasture and fore s t s .
-
44 -
�- 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.
-Railroads - 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 airlines are headquartered in Atlanta. 800 scheduled arrivals and departures daily.
-Waterway 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 c~ty" 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 42 , 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, gr owing in numbers, who will cr eate a demand
f or ret ire~ent homes, medical care facilities and passive
re crea tion equi pment; this will affect constr uction and
indus tria l production ;
- i mpact of automation which will accelerate competition f or
available jobs.
Government
Government is big business in t he ATLANTA AREA.
-
45 -
�SELECTED RANKINGS & CHARACTERISTIC
OF GEORGIA (From State Data & State
Rankings, Part 2 of 1966-67 edition
of Welfare Trends)
HEALTH MANPOWER
U. S.Rank
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
Ma npower
SUMMARY:
THE NUMBER OF PRIVATE PHYSICIANS AND DENTISTS AVAII.ABLE TO THE PATIENT IN THE
6-COUNTY AREA IS AIMOST THE SAME AS THE NATIONAL RATIO. OTHER PARTS OF GEORGIA
HAVE REIATIVELY FEWER PHYSICIANS AND ABOUT HALF AS MANY DENTISTS FOR THE POPUIAT ION. REGISTERED NURSES ARE CONSIDERABLY MORE ABUNDANT IN THE ATI.ANTA AREA
THAN NATIONALLY OR ELSEWHERE OVER GEORGIA. THE NUMBER OF SANITARIANS ALSO
COMPARES FAVORABLY WITH OTHER AREAS.
THE COMPARISIONS MADE HERE ARE NOT REIATED TO NEEDS, WHICH IN MANY CASES IS
GREATER IN METROPOLITAN AREAS, THAN IN SMALLER AREAS.
HEALTH HANPOWER RESOURCES, 1968
A
I
Physicians
Dentists
Private !Persons '. Registered ! Persons
Practice ! per Phy •. :
per
I
1I
Dentist
6
Dougl as
3983
\.
7
3314\
Area
Registered Nurses
Active
Persons per
Active Nurse
Sanitar.ians·
1- -~ ____ _ __
34
493
1
538
3
Gwinnett
16
3738
9
6478 \
81
Clayton
20
3935
14
5564 \
125
371 - -
2
135
1294
52
~3242 !
358
319
7
3452 :
1,571
164
1
1440
1 730
2152
3744
3,899
12,368
322
266
502
35
49
2157 909,131
329
324
Cobb
·,
DeKalb
216
1637
109
Fulton
864
6 County 1257
Georgia 3165
701
1031
1143
419
603
1296
u.s.
1036
188772
National
&
i
State data are taken from Health Resources Statistics,1968,U.S. Dept. HEW
Sanitarians: Provided by Mr. Furman B. Hendrix, R.S., Ga. Society of Professional
Sanitarians, May, 1969.
Nurses:
Roster of Registered Prof. Nurses, Board of Examiners of Nurses for Ga . ,1968.
Dentists:
Physicians:
Office of Dental Health, Ga. Dept Public Health, June, 1968.
Bio-Statistics Service, Ga. Dept. Public Health
Fo r mor e complete table see Appendix.
- 42 -
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PROFILE OF PERCENTAGE OF NEEDS
MET AND UNMET FOR HEALTH FACILITIES
IN HILL-BURTON SERVICE A.ilEAS,
ATLANTA, SMSA, 1968
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% Me t Needs
KEY
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% Unmet Needs
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MARIETTA AREA
209,200
Cobb , Paulding, Douglas
o---t-+--+-.,.........._,_-t--1,........,...-;
SOUTH FULTON AREA
South Fulton, Clayton
Coweta, Fayette
DECATUR AREA
DeKalb, Rockdale
North Fulton
CITY OF ATLANTA AREA
221,700
437,200
460,000
LAWRENCEVILLE AREA
95,800
Gwinnett, Barrow, Walton





Based on the Georgia State Plan for Hospitals and Related
Facilities, Revised 7/1/68, Branch of Medical Services and
Facilities Planning, Georgia Department of Public Health
- 41 -
•
D
�Facili lie s:
Indluding Hosp ital s, Nursing Hom es , 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 SO 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 corre spondin g
underutilization of obstetrical beds and pediatric beds
2. Need for development of rehabilitation services which pre vent or
lesson the demand for acute health care. (see Profile)
3. Lack of extensive diagnostic and treatment centers, and of night
clinics to serve the poor who work during the day.
4. Lack of agreement on providing expensive facilities such as a
£Ommunity radiological treatment center.
5. 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 h ome
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 f u l ltime 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 f unctions to lesser
trained patient care personnel.
4. Distorted insurance benefit structure which require inpatient st a tus
to pay for diagnostic services.
Possible Solutions
1. Build new hospital and nursing home beds only based on effective demand.
2. Give greate~ attention to r ehabi litation of patients.
3. Develop progressive care facilities such as ambulatory self care.
4. Develop - "Day Hospitals" diagnosti c outpatient services, night clinic s .
5. Operate full services of the hospital on Saturdays and Sundays, or
"round the clock" double shifts for surgery etc.
6. Remove the stipulation that the patient occupy an inpatient b e d in
order to get insurance coverage for diagnostic and minor treatment
services.
- 40 -
�The Plan Has ContinJl.'.:,5!. In-Put from Existing Resources
SUMMARY;.
NOT ONLY HAS THE INVOLVEMENT OF RELATED GROUPS REDUCED THE THREAT OF CHANGE,
BUT IT HAS BROUGHT INTO REALITY THE BASIC THEME OF THIS PROPOSAL: PAi{TNERSHIP -- SOUGHT AND DEVELOPED. THE COMMUNITY COUNCIL'S HOSPITAL AND H'.:<:ALTH
PLANNING STAFF HAS BEEN IN CLOSE TOUCH, BOTH FORMALLY AND INFORM..A.LLY' w:;xt{
0'I'HER RS:i:,~TED PROGRAMS, PROJECTS, ACTIVITIES AND RESOURCES. NUMEROUS PRIVATE
AND I'UBLIC ORGANIZATIONS HAVE CONTRIBUTED IN SIGNIFICANT WAYS TO THE PREP/1RA-'
TION OF TI-ri S PLAN 1\ND HAVE BEEN INCORPORATED INTO TI-IE DESIGN FOR A CONTINDING
PLANNING PROCESS TO IMPROVE -THE LEVEL OF HEALTH IN THE ATLANTA AREA.
F J..> _ ' e
Methods of Involvement:
Joint board members (mandatory and voluntary)
3t;ff exchange
Review procedures
Referral arrangements
Information exchange
· Consultation (formal and informal) (l)
Umbrella organizations
Staff meetings (regular and calle.d) (l)
Committee and Task Force memberships
(L) See Appendix for Chart of INTERAGENCY RELATIONSHIPS: HEALTH PLANNING,
which lists some specific contacts.
-
74 -
�. ~._;-,:;--:::-,..,..,--.
Curr ent Resou rces:
-~ ~\\.l 11ic
REGION
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4
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Office Economic Opportunity (inf o. exch an.;e )
Dept . Hea l th, Education , We l fare ( in fo . exc k1.11ge , con s u 1tation)
De pt. of Labor, Dept. of La b or St at i s tic s ( consult at i on ,
in fo exc h a n ge )
J
Emory Un i ~
.'
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ity l\lecli..s_~! -, ~.~
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o f Publ~c He a l t~ : Plann~ng Oi f ~ce'. Ofl'ice of Com 1~rt.: l_1c ns h·L ~
.1
Health Planning , Off ice of Bio-S tatistics , Branch o l t nv1ron -'
. m~n~a~ He a ~th , Facil iti es and Con st r\1c t i on Division, Lic cn s ~1re
1
. Divi s ion (info . excha n ge , -consu l t a t1on , b oa rd memb e r s, revi ew)
Univ . of Ga . Cente r for l\Ianageme n t S ystems , (in fo . exch n ng-c , consultation), Georgia St ate Co ll ege ( consultation ), Ga . Tec h ,
School of Sa nit ary Engineering ( con s ul tation , in fo . exch ange )
Georg ia Hospit a l Association (consultation)
1 l\Iedic a l
Association o f Georg ia ( cons ult at i o n)
Ga . Stat e Leagu e for Nursing (st a ff exc h a ng e )
Ga , Nursi ng Home Assoc . ( staff exch a nge )
Health I ns uranc e Cou nc il (info. exch ange )
~7e
AREA
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STATE
. .. •
_Dept . ll e a lth, Educ at ion , Wc lJarc, Community
FEO.E_RAL ] Profil e Ce nt er (i nfo . exch a nge , c ons ult at i on ·
Atlant a Reg i ~ n ·
t r :;-~l i t a {{ ' p'1~1~ i 1~~ ' C~n;~i'i
cxc il a n;;- ~ ~ ~
sult ation, board members )
Georg i a Reg ion a l Med ic a l Prog r a m (umb rella org a ni zat ion,r cv i e~ )
Georg i a District Hos pital Associ at ion (c onsu lt at ion, j oint bo ::1rcl )
Atlant a Are a Soci ety of Registered Profe ss iona l Sanitarian s (i ~Io .
e x change , consultation)
l\letro. Atl anta l\Ienta l Hea l th Associat i on ( staff exchange )
Ga . Soci e ty for Crippl e d <;;hilclren & Ad ul ts (c onsu l tat i o n, in fo .
exchang e, sta ff exc h a n ge , join t b oa rd)
Visiting Nur ses Association ( staff ex ch a nge , joint board)
Ga. St ate Nurses Assoc i a tion Tr a ining Prog r am ( staff exchange )
Blue Shi e ld & Blu e Cross (info . excha nge , cons ult at ion)
American Ca nc er Soci ety , Georg i a Di v . (j oint b oa rd, con s ult at ion)
Ga. Heart Assoc i at ion, Inc. , (join t board, c onsultation)
Com~unity Chest , Age ncy Relations & Al l ocations Division (j oint
board/staff )
Se nior Ci tj_ z ens Serv ic e of l\Ietro Atlanta
I nc . (staff exchange )
1
~
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LOCAL
.Mode l C-i ties ( consultation , s taff e x chang e)
Atlant a Univ e r s ity (c onsultation)
Economi c Opport u n i ty Atl a nta ( staff exc hange , c ons ul ta tion, joint board )
County Pub li c Hea l th Depts. ( staff exchange )
Fulton Coun ty Med ical Soci ety (c onsu lt ation , join t boards )
Cobb County Med i ca l S oc i ety (c onsu l tat i on)
City o f At l anta, Air Pollution Control Divisi o n (consultation, joint b o ::1rcl )
Atlanta School System, P . T.Associati on and Adu l t Educ a t ion (info. exc! 1:;.n ~e )
....
�The Comprehensive Health Plann ing Staff
r;~~;
··-:··· ' ·~
TI-ill FUNCTIONS OF THE COMPREIIENS I VE HEALTH PLANNING STAFF ARE (A) TO CONDUCT
RESEARCH IN COMMUNITY l-IEALTI-I PROBLEMS, (B) TO DEVELOP BACI<GROUND FOR POLICYMAKING THROUGH SYSTEMS ANALYTICAL METHODS , (C) TO COORDINATE THE ACTIVITIES
OF ALL-HEALTH PLANI'IERS IN THE AREA', AND (D) TO PERFORM CONTMCT SERVICES
AND TECHNICAL ASSISTANCE ACTIVITIES.
Tl-IE STAFF INCLUDES A DIRECTOR OF
COMPREHENS I VE AREAVHDE HEALTH P LANNING A~rn OTHER P ROFESSIONAL AND S UB-PROFE38IONAL
PERSONS .
'
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Planning Ftmctions
The planning functions of the staff consist of two major sections: ( a )
the
coordinat ion and r ev iew of plans orig ina-:: j_ng j_n t h e hc2.l th and h ea l th- re l a ted
offj_ces _ throug hout the com1mmj_ ty, and (b) the or i g j_natj_on of plans in are::::.
not covered b y other offj_ces and agencies . The l a tter is expected to consist
in large part of systems- analytical studies, :iLnc lud:ing c ost- benefit a naly ses ,
which cover the entire r a nge of health problems a nd possible solutions.
I
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88
�.<
COMPREHENSIVE HEALTH PLANNING STAFF
INITIAL ORGANIZATION
Director
Secretary 4
II
Associate Director
Admin. & Organ iz at ion a l Li aison
Associ~tc Direc tor
Syst ems Re8earch & Evalua"~ion
Organiza tion Li a i son
Sy stems An a ly st
Resear ci1/Eva luat ion Pl a nner
Enviro nmenta l Hea lth Planner
Liais on Planner
Stat istician
Secre tary 3
Secretary 2
l'Ie ighborhoocl Liaison
Plan Review/ Techni cal Ass i s tanc e
Secret a ry 3
'
- 89 -
�The ·Me tropolit a n Atlanta Cow1cil for Health (Comprehe n s ive Health Plannin g Counci l)
SUMMARY :
,THE FUNCTIONS OF THE METROP OLITAN ATLANTA COUNCIL FOR HEALTH ARE (A) TO
l\'1AKE POLICY FOR TI-IE METROPOLITAN _.COMMUN ITY IN HEALTH MATTERS AND (B)
TO
SET POLICY FOR GUIDANCE OF STAFF ACTIVITIES.
THE COUNC IL· REVIEWS HEALTH
ACTION PROJECT PLANS ORIGINATING WITHIN THE COivTivIUNITY, AND ORIGINATES
I-IEALTH ACTION PLANS WI-IERE NEEDE D .
THE C0UNCII, . IS HESPONS IBLE FOR COlWUCTING
COMMUNITY LIAISON AND EDUCATION IN HEAL':'.'H .MATTERS,
Cow1eil Structure
As provided in t he By-Laws, the Cotmcil is struc tured as a '\-wrking bo2.rd" .
All policy matt e :rs are decide d by the ftill CounciJ.. To facilitate such
activity, the Council will form several groups of committees for spec ific
tasks, e a ch group supervised by a vice preside nt,
The cornmit te,es will
r e port to the Council, and recommend actions in their areas of competence.
A number of the committees will work clo se ly with the s t a ff in such areas
as project review and community liaison .
I N C O MP L E T E
- 90 -
,.,
�COMPREHENSIVE HEALTH PLANNING COUNCIL - STRUCTURE
Qouncil
President
r-Vice-:Pre siden t
Project l;8vj ew
Vice- President
Counc. Function
Vice- President
Speci a l Needs
Vice- President Vice- President
Liaison & PR
Administration
Facilities
proj. rev.
Organi z a tion
revj_ew
J~eighborhood
1 i2. j_ " 011.
State & Fed.
liaison
Bud get & Finance
Environmental
proj. rev.
Program &
orientation
Needs of the
d isadv2.,. t::1.e,;ed
Local Council
1 iaison
Personnel
Mental Health
p roj . rev.
Long-:tange
planning
Needs of
youth
Public rel ations
& information
Fund Raising
.Legal counsel
Manpower
proj. r ev .


Earh crn~mittee is chaired by a Council member; Vice-Presidents


of Coun ci l oversee and encourage activi t ies of the
groups of committees shown.
Nominating Committ e e:
Executive Committee :
President of Council
'
Vice-Presidents (5)
Secretary
Duti es :
Carry on activiti e s betwee n
Council mee tings; recomme ndations subj e ct to Council
revi e w
S e l ected from memb e rship of Council,
with due regard to makeup of the Council.
Duti es :
Nominate a slate .of offic e rs prior to
the annual me eting
Nominate a new nominating committee
prior to the annual meet.ing
Nomin ate organizat ion s, on a ro t ating
basis, whtch will name me mb e rs of
the Council to take offic e at th e
next annual me e ting
Nominat e replac eme n t s for vacancies
as th e y occur
P e rsonn e l Comm itt e e
Select e d from Council me mb e rship
and community at large .
Duti e s:
Re commen d s e l ection a nd salary
of Director for Cou nc il act i on
Formulat e p e rsonne l polici e s, including s a lary rang es
_ 91 _
�Membe rship on the Council
~
-
..
SUMMARY:
MEMBERSHIP ON THE COUNCIL SHALL BE DRAWN F ROM TWO Ivl4.JOR GROUPINGS:
THOSE WHO
WILL SERVE DY VIRTUE OF OFFICE HJ ,A MAJOR PLANNING ORGANIZATION OR LOCAL
GOVER.N1VIBNT, AND THOSE WHO SERVE THROUGH BEING NAMED BY APPROPRIATE ORGA.t'fIZATIONS
OF HEALTH PROVIDERS AND CONSilliffiRS . MEi\'lBE:tSHIP IS DRAWN FROM SOURCES BROADLY
REPRESENTING THE ECONOMIC, ETHNIC , AND C:EOGR/1.PHIC BACKGROUND OF' THE COM:AIUNITY.
~
I N C OMP L E T E
'
9~ -
-
�I
IIIBMBERSHIP ON COUNC IL - Sche me G
Number
3·
Group
Select ed/e l ected by

"--------
MACLOG, CCAA, ARMPC
virtue of office (chairmen )
Count y commis sions
virtue of bffice
1
City of Atlanta
virtue of office (mayor )
3
Mun ic ipal governments
of counti es
municipal a ss ociations 0r
count y commissions ( in rotation )
20
I~e:- 1 t h provid e rs:
4 !Ill's
1 ivw , psychiatry
2 DDS's
2 Public h e alth
2 Heaith faciliti e s
1 Me di cal educator
1 Parame dic a l e duc at or
1 RN
2 Voluntary health agencies
1 Social worker
1 Skill e d parame dic a l
1 Se mi - Skill e d parame dical
'\
1 He alth ins. industry
17
Atl - Gw i nn ett , Clayton, DeKalb-Rockdal e
3 PTA's
Cabbagetown, Cobb, Doug l as (othe rs in
rotation )
NWRO, Sout h side He al th Ce nt e r,. TUFF,
NAACP, Urban Leagu e (1 each ) ( others
in rot at ion)
Chamb ers of commerce , union s (in
rotati on)
5 other org anizations
52 '
medical societi es (in r ()tation)
Ga. Psychiatric Assoc.
dental soci~ties (in rotation )
public h ealth d e p artments (in rotatiun)
(recommended : 1 MD , 1 other special ty )
- hospital, nursing home associations, etc .
(both private and authori ty -- in
rotation)
school o f me dicine
I
alli e d scie nces schools, etc . ( i i, rotac"o:, I
nursin~ associati ()n S (in. rotation)
CCAA P erman ent Confe r e nce and State
Association of v oluntary agencies
(in ro tat ion)
NASW local cha pt e r
t e chnic a l associations ( in rotation)
o rgan ization s , · if any; otherwis e
nomina ted as an individuat
He alth Insurance Council
Poor and n ear-poor
7 EOA' s
2 Mod e l Cit ies
2
(qhairmen)
Busine ss and labor
TOTAL
Th e ·term of "vir t u e of office" membe rs to coincid e with oc cupancy of of f ice . Te)rm
of othe r me mbe rs , thre e years, one -t hird rotating off eac h y e ar. "I n rotation"
indicat e s that at s u cc e ssive e l e ction s d i ff e r e nt org a n i z ations or group s wit h i n ·
the same cat eg ory will b e aske d to s e l e ct me mbe rs .
A nominating committee of the Counc il will b e responsible for assur ing s u ch rotation.
For the first el e ction ad hoc nominating committ e es in the major categ orie s above
are b e ing aske d to submit name s of org anizations, for r e vi e w by CCAA Exe cuti ve Committ e e .
- 93 -
�Title:
Working to Ensure Effectiveness of the CHP Council
E13:06, 29 December 2017 (EST);143.215.248.55;;~;;143.215.248.55;~E::;;143.215.248.55 13:06, 29 December 2017 (EST);;~;~~;:;~;143.215.248.55 13:06, 29 December 2017 (EST):;:7i
. EXTENT TO WHICH MEMBERS PERFORM SPECIFIED FUNCTIONS OF BOARD }fENBEL
SHH. A WIDE RANGE OF COMMUNITY RESOURCES WILL BE USED IN TRAINING
FOR BOARD ACHIEVEMENT.
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Chara~t e ristic s of the CHPC Board:

,/.
\;,;}---------~--~-Consume rs and_ providers,
0
<>
economic and ethnic mix, geosraphic
distribution.
Ve ':eran 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
inc0 ~~ ~roups) have not planned together or worked as equals.
Perception of health problems will be influericed by the special
interest which each mernb~r represents.
Thus, succes~ful functioning of the Board will depend upon effectiv~ participation of members both as representatives of suhgroups ard
a8 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 commLmity, beginning 1 January 1970, some 6½ months
.will elapse before the Council is called on for official functioning.
During this pe riod, a number of activittes are planned for . the purpose
of familiarizing the Council members with the extent of the he a lth
planning actions which they wil~ be called on to evaluate and
guide. The period will also be used to acquaint the CoLmcil membe.rs,
one with another, so that they can select Personnel Conunittee and
Nominating Committee members most effectively, several months
prior to the Annual Meeting in January, 1970.
Some of the traini~g and familiarization activities contemplated are:
o introduction to principal hea lth problems in the area
o field trips to health facilities and areas of severe health need
o training in effective Council and committee participation
o e x perience (with Community Council staff) in reviewing plann ing projects
o introduction to systems analytical procedures, and methods of basing
decisions on cost-benefit analyses, etc.
o joint meetings with other planning groups and with health activity s taffs
- 96 -
�IMPLEMENT
LEARNING
EXPERIENCE
EVALUATE EXPERIENCE
THROUGH COUNCIL
BEHAVIORS
DETERMINE NEEDS
(ASSESS STATUS OF
COUNCIL
MEMBERSHIP
FUNCTION
97 -
• .z.
-
.
,
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_,._
�By-Laws of the Council
KE ,
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F
SUMMARY :
THE BY-LAWS OF THE COUNCIL ARE DESXGNE D TO FACILITATE MAXIMUM POSSIBLE
PART I CIPATION IN I-IBALTH POLICY MATTERS BY THE MEMBERS OF THE COUNCIL, AND
TO "BUILD BRIDGES II TO LOCAL ORGA.t'l"IZAT IONS CONC'ERNED WI TH HEALTH MATTZRS.
T HEY SPECIFY TI-ill BROAD FUNCTIONS OF TI-ill COUNCIL AND STAFF , BUT ARE INTENDED
TO PROVIDE FOR SUFFICIENT FLEX I BILITY TH~T THE COUNCIL CAN COPE WI TH
CHANGING AREA CONFIGURATIONS AND HEALTH 1'iT'EDS .
1
. The By-Laws consjst of 13 Articles:
I.
Name and Location
II.
Purpo se
III.
Membe r s hip
IV.
Duties and Powe rs of the Council
V.
Meetings
Officers a nd Executive Committee
VI.
VII.
Committ ees
VIII.
Legal Com1Se 1
IX .
Audit
Genera l
x.
Adoption
XI.
Assoc;: i ate and Affiliate Memberships
XII.
Ammendments
XIII.
Import ant Provisions£ ·
Some of the principal by-law provisions are shown on the facing page {9 9).
Other By-Laws :
Current By-Laws of the Me_tropo li tan Atlanta Council of Loca l Governments
of the Community qounc il of the Atlan~a Area, Inc. are inc luded in the
Appendi c es to this vo l ume of the propos a l .
. 98 -
and
�CHP COUNCIL -
PRINCIPAL BY -LAW PROVIS IONS
.,
A. Council Membership and Terms
1.
Chairmen of major agencies (3) and of cc-unty commissions shall serve for the
duration of their terms
2 . . Representatives of organiza t ions shall serve three-ye ar te~ms ( excP~~ for
some elected at the first election);
1 /3 Jf these shall be selected each year.
3. Two three-year terms, maximum
4. · Majority shall he health "consumers"
5.. Approximately 1 / 3 shall be poor and near ··poor consume:rs
6. Selection process shall ~.:.~e into account g;eographi.c and ethnic distribut.i. 01,s in
the community
7. Selection process shall be determined by a nominat~11g committee mad e up of
Council members. In selecting organizations and groups who will name members
to the council, the nominating committee shall achieve rotation arnong eligible
groups and organizations.Typical eligible organizati0ns or g~ol ·s ai ~ 1~jicated
in the following:
a. municipal governments group: municipal a~sociations
b. health provid e rs g rou_p: medical societie&, d en~i:tl scci.?ties , ho s pitals and
other facilities, mental health professional organizati~,s , public health
. d epartments , · v·oluntary hea l th organizations, nursing associations,
skilled· paramedical- associations, unskilled ;,aramedical groups, social
work aienc ies, educational institutions,
insurance councils.
c. business an.cl labor groups: chambe rs of c01mnerce, labor organiza ti ons
d. poor and near-poor: EOA's , PTA's, HUD projects (e.g. Model Citi e s),
volun tary agencies (e.g. Urban Leagu e , Legal Aid),
spontaneous
organizations ( e .g . Welfa~e Rights, TUFF, etc.)
8. Alternat es may be designated; specifically und erst ood that they act for r egular members
B. Council Meetings
1.
2.
3.
4.
C.
At l east six p er year (contempla't;e ·monthly)
Quorum is 20 vo~ing _memb ers
Majority of voting memb ers shall ·decide
Roberts Rules govern
Council S truct ure
1.
2.
3.
4.
5.
Officers nominated by nominating commi ttee, or from floor;
elected by majority
vote of Council
Executive Committee shall con.sist of the officers ( 7 )
h andl es business b etween Council meetings
action s su~ject to review by Council at ne xt meeting
Nominating Committee selected from me mbers of the Council
Personnel Committee s e l ect e d from Council me mb e rs and o t h e rs
Othe r standing and ad hoc committees as n eed e d .
.... -~
- 99 · -
�. BY-LAWS
ARTICLE I - NAME AND LOCATION
1. The name of this orga niza t ion shall be "The Met ropolitan
Atlanta Cou nc il for Health", h e reinaft e r referred to as the "council".
2. The Council's principa l office shall be located in the
City of A~~anta, Ge orgia.
ARTICLE II - PURPOSE
1.
The principal objective s and purposes of the Council are:
A.
To es tab lish and ma intain compre h e nsive areawide
health plannin g activities, id ent ify ing hea l t h
needs - and go a ls of the ove rall communit y and its
sub-areas to stimulate ac t ion to coordin ate and
· make max imrnn use of existing and planne d facil it ies, servic es and manpower i.n ·the fielc1 s of
physical, mental and environmental he a l t h.
B.
To establish a system for gathering and analyzing
data on the characteristics of h ea lth problems in
this area.
C.
To recomme nd goal~ and methods of achie v ing them,
and to make policy decisions for the community in
heal t h planning matters.
D.
To coordinate activities . of all h e alth plann e rs· in
the community.
E.
To collabor a te with adjac e nt h ea lth planning areas,
and t-0 p e rform h e alth planning s e rvices on a con t ract
basis for adjacent area units, as requested.
F.
To review h ealth action project plans -Originat ing in
the community.
G.
To provide technical assistance t o public and voluntary
action a ge nci es in preparing pl a ns and p ro c ed u res for the
at ta inmen t of h ea lth goals; to p rovi d e similar assistanc e to Georgia State heal th pl anning efforts.
H.
To origin ate health action project plans where n e ed e d.
I .
To provide c ontin uin g li aison a nd information a l s e rvices to ensure communication of planning p r og r e ss to
the general public and the appr op ria t e a ge ncies and
organizations involved in carry in g out the int e nt of
Congress a s s e t forth in Public L aw 89 - 7 49 r e latin g to
compre hensi ve areaw id e hea lth p l a n ning .
- 100 -
l
�ARTICLE III - MEilIBERSHIP
1. The Council shall be composed of not l ess than thirty-five(35), nor more than fifty-five (55) members. Members sha ll be drawn from
the
following organizations and conwunity g roups, broad ly reflecting
ecohomic, ethnic, and geog raphip , backg round distribution of the area:
A.
Membe rs by virtue of office shal l serve f6r tte
duration of their terms of elective office :
1)
2)
3)
B.
Chairmen of County Commission s
Chairmen of major planning agencies
Mayor of the City of Atlanta
Memliers named by ~:.unity agencies and organ i.z ut ions
1)
Organizations naming membe rs shall be 8asi g nated
in the fo l lowing categories:
a)
b)
c)
d)
2)
3)
Municipal governments
Health providers
Business and labor
Poor and near-poor consumers
At the first election, the term of office for
one-third of these me mbe rs shall !:le fixed at three
years; the term of a n addi tional one -:-third of these
members shall be fixed at two years; and the term
o f the fina l one-third of these members shall be fi x ed at one year . At the expiration of the initial
term of office of each r espect ive me mbe r, his
successor shall b e named to serve a term of three
- years. Member s sha ll serve until their successor s
have b een e l e c ted and qual ified. No member shall
ser\(e more tha n two (2 ) conse cutive three-year
terms.
The selection process for these memb ers shall b e
determine d by a Nominating Committee of Council
members. In ~e l ecting o rganizations and groups
who will n ame members to the Council, the
Nominating Committee shall achieve rotation among
elig ible groups and organiz ations.
C.
A major i ty of t he Council members shall b e non-providers
o f h ealth service s.
D.
Approx imat e ly one-third of Council members shall b e poor
and n ear-poor consumers.
E.
Each organizati on sha ll b e authori zed to file wi t h the
S ecretary of the Council the name s of alternat e me mbers ,
not to exceed the numbe r of r e pre sentatives to which it
is entit l e d. Any regul ar me mbe r of the Council may call
upon alterna te ( s ) from his organizat ion to attend and
- 101-
J
I'
t
!
�to vote in hi s s tead at any meet ing which the regular
member is un a bl e to attend.
F •· Organ iza tion s othe r t han t h ose con st ituting the Council
at the time thes ~ rul es and r egul at ions are adopted may
be invited ~o n~me r e ~Tesentatives in a sta t e d number to
the Council up cr1 r e commend at ion by the Nominating Committee
and approval by t l-,0 Council at any me eting of thP. Council,
provid e d that ten (10) days advan~ ~ notice 0f such propose d action is mail 8 d to each me1.1b er at h ls l ast known
post office addres~.
ARTICLE IV - DUTIES AND I\,\\'ERS OF THE COUNCIL
1. The Council shall be the final authority for approval of
activiti es pr oposed in plann i n g actions, and on all matters o f p olicy related
to comprehe nsive areawide health pl a nning.
2. The Council shall consid e r the annu2l Lud get rrres c:1t. c d by the
Budget and Finance Commi ttee , and after any r ev isi on , it may det erm in e to be
advis abl e , i t shall adopt the s ame . I t shall ma: .c suci.i subs~ quent revision on
the bud get as it may d eem advisabl a after c onsult ation with the Budg et and
Fina.nee Cornn:iit tee and t h e Dir8ctor of Comprehe nsive Are aw id e He a l th Planning.
3 . It shall have the powe r of a pproval of the Presiden t_ ' s appointme nts
of committee cha_irmen and l ega l counsel.
1. It sha ll app oint the Dire c tor of . Comprehe nsive Areawide Hea l th
Planning , and fix the terms of his c ompe nsati on, tenur~ , and responsibilities,
givin g due con sid e:r; at ion t o the recomme nda ti ons of the President and the Personnel
Cammi ttee.
'
5.
It sha ll appoin t t.he auditor as provided in Article IX of the se
BY-LAWS .
. 6.
I t shall r e quire p e riodic r e ports on ope r ations from the variou s
commi ttees and_ from ._the Dire ctor of Comprehensive Areawide Heal th Planning.
7.
It sh a ll fix t h e time and place of the Annual Mee t ing of the
Counci l.
· 8. It shall pass on appli c a~ions for admission to the Council of
addition a l a dj a c e n t are a s d e~ iring to p a rticip a t e in c ompre h e nsive h e al t h
planning with the metropolitan Atlanta a r ea .
ARTICLE V
MEETINGS
1. The Counci l shall hold at l east si x ( 6 ) r egul ar meet i n gs p e r
y e ar , to b e c a ll e d for t h e f i rst Thur s d ay i n the s chedul e d mon t h, o r on s uch
o t h er con ve ni e n t d ay as may b e d e cid e d fr om t im e to time by ma j ority v ote.
2 . Spe ci a l mee tings may b e c i ll e d by the Pres ident a nd shall be
c a ll e d by t h ~ Se c r e t ary a t t h e r e que st o f . f if teen (1 5 ) memb e rs of the Counci l .
- · 102
/
�3. Notice of each meeting shall be mailed to each member of the Council
at his last known post office addre ss at leas t ten (10) d a ys in advance of~ the
meeting.
4. Twenty {20) member~_of the Council shall constitute .a quorum for
the tiansaction of business at a~y meetin g of the Council; the presence of less
than a quorum P.18}' adjourn a meeting until such time as a quorum is' pre .sent.
5. A majority in number of members present and voting at n meeting
at which a quorum is present shall be . required for approval of any ar. t io:1 by
the Counc j l .
f, ,
Each ;,1ember of the Council is entitled to one (1) vote at any
meeting at which he is pre s~nt.
7. lfo proxy votes shall be allowed. A duly appointed al t e~-,1~ te
member, however, may vote in the absence of a regular member representin~ the
organization for which h e is designated alternate. In such case, the alternate me mber shall be considered a member for the purpose of determining a
quormn.
8. The Council may act by mail, wire, or telephone between regular
ms etings, but in such case the concurrence of a majority in nmnber of membe rs
shall be necess a r y and shall be subject to conf irmation a t t h e nex t meet i n g of
the Council so tha t such action shall b e r e cord e d in the minutes.
9. The first meeting of the Council, after Janua ry leach year, shall
be considered the Annual Meeting for the seating of new members named by organizations,and election of office rs and nominating committee me mbers.
10. The Administrative Year of the Cotmcil sha ll e xt e nd from Annual
Mee ting to Annual Mee ting .
'
ARTICLE VI - OFFICERS
AND EXECUTIVE COMMITTEE
1.
2.
Office rs
A.
Of f ice rs of the Coun cil sha ll b e a Pres id e nt, five (5)
Vice -- P_r e side n ts , a nd a S e cre tary , who sha ll b e e l e ct e d
annually from among memb e rs of the Council by a majority _
vote of memb e rs pre s e nt and voting a t the Annual Meetin g .
B.
Of f ice r s so el e cte d s hall s e rve f or on e y e ar, or un t il t h e ir
succe ssors have b een e l e ct e d. No o ffi c e r s h a ll hold t h e
s a me o ff ice f or more than thr ee ( 3 ) c on s e c utive terms .
C.
Vacanci e s in office s occuring b etween Annu a l Meet ing s o f
the Council ma y b e fill e d by el e c t ion b y a ma j or i ty vote
of me mb e rs p r e s e n t and vot ing at a n y mee ti n g of the Co un c il .
Of ficers sfo e l e 8 t e d ~h a ll s e rve u nti l t h e n ext Ann ual
Me e tin g o t h e o un c i l.
Pres i d e n t
A.
The P res i d e n t of the Coun c i l s hall b e t h e c hief o ffi c e r
- 103 -
�of the orga11izat i on a nd sha ll pre s id e at all me e t ing s of
the Council a nd Exe cutive Conuni t t ee. The Preside nt shall,
subject to the approval of the Council, appoint the
chairme n of all conunittees, except the Nomir.ating Committe e ,
and shall b e a me mbe r, ex-officio, of all conuni tt ees ; and
shall, with the Secre tary, sign all obligations authorized
by the Council which may be beyond the authority of the
Director of Comprehe nsive Areawide Health Planning ; and
shall, with the approval of the Council, a~point legal
counsel.
3.
Vice Presidents
A.
4.
There shall be five or more vice -r,resi<lents, ·wi10 shall
assist the Presid e nt , and shall c0ordinat~ the activities
of groups of conuni ttees of the C0uncil. These oli' cers snall
be designat e d Vic e -i)resident for Council F'unct:l.0n, Vice
President for Liaison and Public Relations, Vice President
for Special Needs, Vice P~esident for Project Revi~w, Vice
President for Administration, and such othe rs a-s the
Council may designat e .
Vice Presidents may preside
A~
B.
5.
A Vice President shall pres1J0 at any fue eting of the
Council or Exe cu ti ve Comm i ·~ tee in the a.bsence of the
President, and in such case sha ll h a ve all the r e sponsibilitie s and perform all the du t i e s of thq P re sid e nt.
The ord e r of pre c e d e nce for th ' s . func t ion sha ll b e :
Vice Presid e nt for Council Fun~tion, Vice Presid e nt for
Liaison and Public Relations, Vice President for Special
Needs, Vice Presid e nt for Proje ct Re view, and Vic e President for Administration.
The Vic e P re sid e nt s shall have and p e rform s uch oth~r
duti~s as may be assign e d b y the President or by the
-Council ;
Secretary
A.
The S e cre tary of the Council sha ll handl e the gen e r a l
corres pond e nce o f the Council a nd sha ll c a u se not ice s
to be sent of all regular or special meetings of the
Council.
B.
He sH~l~ cause minute s t o b e k e p t of all meet ing s 6 f the
Council",,_ and f sha llcsee t ha t . these min u tes 2.re d ist ribut e d
to me m5~rs o t h e o uncir w1tn1n a r ea sonable p eriod OL
time a fte r e ach meet ing .
!
C.
He · shall pre side at me etings of the Council in the
absence of t h e Pre side nt and the Vic e P re side nts and in
such c ase s h a ll h a v e all the r e spons ibili t i e s and pe rfor m
. all the duti e s of the Pres id e nt.
10 4
�D.
5.
The Secret ary sh a ll h a v e and p e rform such other duties as
· may be a s s .i g ncd by the Pres ident or the Council.
Executive Committee
A.
The Execui;.tve Committee shall consist of the President,
Vice Presidents and S~cretary of the Council.
B.
Duties of the Exe cut ive Committee shall be to handle matters
pertinent to Co1mcil business during intervals between
meetings of the Cou~~il .
C.
Act:i.c,ns and r c conunendations of the Executive Conuni ttee ,.
shall be subject tr Council review and , approval at the
riext .meeting of thC:; Council .
ARTICLE VII - COMMITTEES
1.
Statutory Conunittees
A.
B.
A iiominat i n : C.>m; , :, -:i..t:e shall be elected from members
of the c~:mnci ... , with due regard to the makeup of the
Cotmcil. The duties of the Nominating Committee sh a ll
inc,ucle :
1.
Nominating a slate of officers prior to the
Annual Meeting.
2.
Nominat _ing a new Nominating Cammi ttee prior to
the Annual Meeting .
3.
Nominating ·organizations, on a rotating basis, which
will name members of the Council to take office at the
ne~~ Annual Meeting.
4.
Nominating replacements for vacancies as they occur.
A Personnel Cmnmittee shall be elected from Council
membership and the. community at large. The duties of
the Pe rsonnel Committee shall include:
1.
Recommending selection and salary of Director
for Council aciion.
2.
Formulating personnel policies, including
salary ranges.
The Chairman of the Personnel Conunittee shall b e a member
<;>f the Council.
2.
Other Comm ittees
_A.
Other standing and ad hoc committees may b e d e sig na te d,
elected or appointecf:- 'iis""ne e ded . Ch a irmen of all s t a n din g
committ ee s sh a ll be me mbe rs of the Council.
- 105 -
�ARTICLE VIII- LEGAL COUNSEL
1. Legal counsel shall be appoin t ed by the President with the
approval of the Council . All matt ers involving interpre tation of State and
Federal law, loc a l ordinances, and tax questions shall be promptly referred
to such counsel for opinion and ~dvice.
ARTICLE D~ - AUDIT
J.. The fiscal records of the ccrnprehe nsive areawide health planning
activities shall be audited Annually ~Ya certified public accountant, appointed
by the Council. The auditor's r e port sha ll be filed with the records of the "
organization.
ARTICLE X - GENERAL
1
0
Waiver
A.
2.
Any notice require d to be given by these By-Laws
may be waived by the person entitled thereto.
Contravention
P..
3.
Notlii.ng :in these By-Laws shall contravene applic a ble
rules and r e gulRtions, proce dures, or policie s of th~
U.S. Public Health Service, or of the Georgia Office
er£ Comprehensive Heal th Planning.
Parliame ntary Procedure
A.
4.
Publicity
A.
5.
The latest revision of Robe rt's Rules of Order shall
cove r the parliam~ntary proce dure at all mee t i ngs of the
Council and of the Committees, where not in conflict with
these By-.J.,aws.
No publici t y r e l e a se s to the me dia shall b e mad e or
authoriz e d by any organiz ation r e present e d on t h e Council,
or by any member of the Council without prior clearance
by the Director of Comprehe nsive Areawide Health Planning.
Acc e ptance of By-La ws
A.
Any org ani za tion acc e p t ing invit a tion to d esign ate
me mbe r s hip on the Council sh a ll by the ir a c ce p tanc e attes t
to their active participation and to their agreeme nt to
abid e by the se By-Laws.
ARTICLE XI · - ADOPT ION
1.
E ffe c t ive d ate
A.
The s e By - Laws s h a ll b ecome e f fe cti ve imme di ate ly u pon
adop t ion by the Coun cil.
- 106 -
�ARTICLE XII
1.
2.
- ASSOCIATE AND AFFILIATE MEIIIBERSHIPS
Associate Membership
A.
At the d_i._scretion of the Council, sub-areal compreh ensive ' hea lth councils may be admitted to associate membership in the Council. The Council shall fix general qu a lifications for such associate membership.
B.
As a condition of associate membership, sub-areal comprehensiv e health councils shall admit to membership all
members of the Council residing in the area of the s4bo.real coun c'i l.
C.
Each associate member council is entitled to send an
observer to meeting ."' o · the Counci-1.
Affiliate Membersh ip
A.
At the discretion of the Council, organizations other
than sub-ar.cal. comprehens i.ve h ea l th councils may be
admitt ed tu 9ffiliate membership in the Council. These
may include such organizations as voluntary health agencies,
p rofes sional socie ties, citizens' associations for h ealth
concerns , etc. The Council shall fix general qualifications fo£ su ch affiliate membership.
B.
Each affiliate member organization is entitled to send
an observer to meetings of the Council.
ARTICLE
l.
XIII - AMENDMENTS
·Method
A.
These ,By-Laws may be amended or r epe::i led by a majority
vot e of the members of the Council present, and voting
at any meeting of the Counci l at which a quorum is present,
provid e d tha~ written notice of such proposed changes
shall have been sent to all members not less than ten (10)
days prior to the d ate of such meeting .
- 107 -
�I'
I
STEERI NG COMM ITTEE
Mrs. Thelma Abbott
521 W. Columbia Avenue
College Park, Georgia
Dr. Napier Burson, Jr.
Baptist Professional Building
340 Boulevard, N. E.
Atlanta, Georgia 30312


s.


Hon .
S. Abercrombie, Chairmai1
Clayton County Commission
Clayton County Courthous e
Jon esboro, Ge orgia 30236
Hon. L. H . Atherton, Jr.
"Mayor of Marietta
P.O. Box 609
Marietta, Ge orgia 30060
Mrs. Mary Jpne Coft'l'
443 Oakl~nd Avenue
Atlanta, Georgia 30312
Miss Dorothy Barf i e ld, R. N.
Chief Coordinator of Nursing Services
Geor gia Department of Public Health
47 Trini ty Avenue
Atlanta, Georgia 30334
-~
Mr. G. x.·Barker, Ex. V. P.
Interna tional Brotherhood of Electrical
Workers
Fifth Dis trict Office
1421 Peachtree Street, N. E.
Atlanta, Ge~rgia 30309
Hon. Ernest Barrett, Chairman
Cobb Coun ty Comfuiis ion
P. 0. Box 649
Marietta, Georgia 30060
'
Dr. J. Gordon Bariow, Director
Georgia Regional Medic~l Program
938 Peachtfee Stre~t, N. E.
Atlanta, Georgia 30309
Mr. M. L_inwood Beck,_ Executive Director
Georgia Hea rt Association
2581 Piedmont Road, N. E.
Atlan ta, Ge orgia 30324
Mr. Herschel ·T. Bomar, Chafrman
Douglas County Commission
Doug las County Courthous e
l
Douglasville, Georgia 3ql34 .
Hon. William H. Breen, Jr.
Mayor of Decat ur
c/o First National Bank Building
Decatur, Ge orgia 30030
Appendix E-1
---~ .,
Hon. T. M. Callaway , ~r.
DeKalb County Commission
c / o Callaway Motors
231 West Ponce de Leon Avenue
Decatur, Georgia 30030
Mr . Gary Cu tini, Regional Rep.
Health Insurance Council
Life uf Georgia Building
600 W. Peachtree
Atlanta, ~corgia 30308
Dr. F. William Oowda
490 Pe achtree Stre et , N. E.
Atlan ta , Gecrg{a 20308
Mr. J . Wm. · Fortune
Mayor oi Lawrencevill e
290 Old Timber Road, S. W.
Lawr encevi lle, Georgia 30245
Mr. Drew Fuller
Fuller & Deloach
1726 Fulton National Bank Bldg.
Atlanta, Georg ia 30303
Miss Jo Ann Goodson, R. N.
Wesley Woods
1825 Clifton Road, N. E.
Atlanta, Georgia 30333
"Mr. Fted J. Gun ter, Administ~ator
Sou th Fulton Hospital
1170 Cleve land Avenue
East Point, n eorgia 30344
Dean Rhodes Haverty
Ge orgia Stat e Coll ege
School of Allied Sciences
33 Gilmer St., S. E.
Atlanta, Ge orgia 30303
�Pag e 2 - St ee ring Committ ee
Mr. Lyndon A. Wa d e , Fxecutive Dir.
Ai lanta Urban Leagu e
239 Auburn Avenu e , N. E.
Room 400
Atlanta, Ge orgia 30303
Mr. Maynard Jackson
Emory Community Law Firm
551 Forr e st Ro a d, N. E.
Atlanta, Ge orgia 30312
Mr. Purch L. Jarrell
Route # 1
Box 24
Duluth, Ge orgia 30136
Dr. Robert E. Wells,
1938 Peachtree Road, N. W.
Atlanta, Ge orgia 30309
. Hon. Walter M. Mitchell, Chairman
Fulton County Commission
409 Administration Building
165 Central Ave nue, S. W. .
Atlanta, Georgia 30303
Mr. John L. Moore, Jr.
Attorney-at-Law
C & S National Bank Building
Room 1220
Marietta and Broad Streets
Atlanta, Ge orgia 30303
Dr. William W. Moore, Jr.
Suite 616
1293 Peachtre e Street; N. E.
Atlant~, Ge orgia 30309
Mr. A. B . Pad g ett, Trust Officer
Trust Company of Ge orgia
P . 0. Drawe r 4655
Atlanta, Ge org ia 30302
'
Mr. Dan Swe at
Assistant ~o Mayor
City of Atlanta
City Hall
Atlanta, Ge orgia 30303
Dr. Charl e s B. T ~al, Jr.
Gwinnett Co~nty He alth De partment
300 South Clayton St.
Lawrenceville, Ge orgia· 30245
Mr: Bil~ Traylor _
1397 Ox ford Road, N. E.
Atlanta, G~orgia 30307
Dr. T. 0. Vinson, Dir e ctor
DeKalb Coun t y He aith De partm e nt
4 4 0 Winn Way
De catur , Ge or gia 30033
Appe ndi x E-2 .
Joseph A. Wilbur, M. D .
615 Peachtre e Stre et , N. E.
Atlanta, Ge orgia 30308
Mrs. Dal by Bigsby
585 dibbons Drive
Scottdale, Ge orgia
�MEMBERS OF EXECUTIVE COiV!MITTEE
OF
COMMUNITY INVOLVEMENT STEERING COMMITTEE
.,
FOR
AREAWIDE COMPREHENSIVE HEALTH PLANNING:.
NA.ME
Hon. Howard Atherton
· Mr. Linwood Beck
Hon.
Thomas Callaway
AFFILIA'l 'ION
Mayor of Marietta
Director, Georgia Heart Ass::, c.
Commissioner, DeKalb Ccutlty
Mr. Drew Fuller
Chmn. Health Committee, A.tl. C. of C.
Mr. Fred Gunter
Administrator, So. Fulton Hospital
Hon. Walter Mitchell
Chmn., Fulton County Com..111is 1:: iu'c
Mr. A. B. Padgett
Chmn, CHP Steering Committee
Dr. Osbar Vinson
· Director, DeKalb Boa rd of Health
Mr. Lyndon Wade
Director, Atlanta Urban League
Dr. Robe rt Wells
Chmn. Fulton County Me d. Soc. Board
"\
~ppendi x E-3
VIEi','.POEiT
municipalitles
voluntary agencies
Maclog
commerce
hcispit a ls
COlli"l"t.Y
govts.
Commun:;ty Council
Public Health
conswne rs
medical professions
�