Document 37y3avM3yd3R3L1DBygOGrwD3
In his WEEKLY LETTER TO THE MAYOR dated October 8, 1971e the Commissioner
of Health wrotes
.
.
Dear Mayors
.
.' .
.
This is to advise you that the First Maryland Health Care Corporation,
a Baltimore non-profit organization affiliated.with the City Health Department,
has been funded with a $98,880 planning grant from the U,S. Office of Economic
Opportunity,
.
Incorporated early in the year, this new organization is now in the process of designing health maintenance organizations (HMOs) to offer prepaid family health-care packages to potentially as many as 200,000 Baltimoreans in the northwest and west sections of the city* Over the next two years First Maryland anticipates an additional two to three million dollars in 0E0. funds to help pay for health services, . When completely organized, this.non-profit health agency will coordinate a network of consumers, interested physicians, medical groups, hospitals, neighborhood health centers and community health councils.
The First Maryland Health Care Corporation will be one of 11 model HMOs funded through 0E0 to carry President Nixon's national health strategy to inner city residents. Dr, Robert M, Vidaver, former director of education in the Maryland State Department of Health and Mental Hygiene, is the agency's first president. Health maintenance organizations are a new direction in health care, HMOs under First Maryland would provide total health care services from neighborhood centers for a single monthly premium. Subscribers and their, participating family members could have any number of doctors' visits, consultations or days: of general hospital care. Two HMOs are operating now in the First Maryland areas one is sponsored by the West Baltimore Community Corporation and the other by Provident Hospital,
. City Health Department studies indicate large numbers of Baltimoreans go without ordinary medical care simply because there are no physicians nearby,. Fifteen of the city's census tracts are without a single primary care physician, . Many more are woefully understaffed. In search of solutions, Dr, John B, De Hoff, Deputy Commissioner of Health, was assigned the job of implementing a pilot Baltimore HMO having particular concern for inner city people. First Maryland, which Is patterned after the academic health manpower organization, the Maryland Consortium for the Health Sciences, grew .out of this effort. Representatives of the Sinai, Provident, Lutheran and Bon Secours hospitals, the Provident 0E0 and West Baltimore neighborhood care centers, the Gar-Wyn Medical Group, the Baltimore City Medical Society and the Northwest Community Organization have joined with City Health Department physicians Dr, James D, Carr, Dr, Jimmie L, Rhyne, and Dr, De iHoff in the corporation. To be sure First Maryland's consumers get the services they need, its guiding Board of Trustees includes one-half consumers, two-thirds of whom are poor people.
The. .First. Maryland Health Care Corporation, like other health maintenance
organisations, seeks to develop group practice alternatives to the time-honored
solo practitioner, fee-for-service medicine. Rising costs, doctor shortages
and crbwded emergency rooms are adding impetus to HMO formation, the more so
.
since Mr, Nixon's February 'Health Message" endorsement,
..
N11995
Honorable Thomas J. D'Alesandro, 111 2' October 6, 1971
While
may take many formst most of them gather a wide range of
specialized medical services under a single administrative 'unbrella*, The
HMDs are to take responsibility for the patient's total health needs when he
is well as when he is injured or ill. Doctors,, nurses end other allied health
practitioners work as a team in the HMDs. HMDs work through facilities in
hospitals, neighborhood centers, rehabilitation institutes or private homes
via community outreach, Pa neighborhood HMD satellites are developed they
will make it easier for people to get medical care and will know where to turn
before illness reaches crisis proportions.
Very truly yours,
(Signed) Robert E. Farber K,D,
Commissioner of health B
LIA-76092
BALTIMORE CITY HEALTH DEPARTMENT STATISTICAL REPORT FOR THE WEEK ENDING/ OCTOBER 7, 1971
WK. 40
BIRTHS
Total recorded Residents only
DEATHS Total recorded Residents only
INFANT DEATHS Total recorded Residents only
WEEKLY SUMMARY OF BIRTHS, DEATHS AND INFANT MORTALITY
Week .Ena.,,ng October 7. 1971
Week Ending Octobe r 8, 1970
TOTAL
WHITE-
NONWHITE
TOTAL
N U K B B'
WHITE
NQKWHITE
873 207 166 423 252
268
108
160
282
IIS
171 164
223 1SS
. 15 11
129 105
7 4
94
. 84
8 7
243 200
12 e
134 121
5 3
79 79
6 5
BIRTHS
'Ip'; Total recorded ^ Residents only
DEATHS Total recorded Residents only
INFANT DEATHS
Total recorded Residents only
.
17 330 11.86 7
9 558 7 7 40
410 326
CUMULATIVE NUMBER FOR YEAR TO DATE
9 623 4.570
7 7 07 7. .197
18 170 12^ 302
10.548 5 178
6 316 4. 667
3 242 3 073
10 110 8. 176
6 833 5, 048
174 103
236 223
448 317
224 . 112
7 622 7.124
3 27 7 3.128
224 205
BIRTHS DEATHS INFANT MORTALITY
' 17 .3 11.2 27.5
RESIDENT RATES* FOR YEAR TO DATE
12 7 12.7 22 1
22 1 94
31 0
17 6
11-7 /25 8
13-8 13-4 21 6
22 2 9.7
28 8
'b ir t h a n o d e a t h r a t e s p e r t,ooo p o p u l a t io n ! in f a n t
ALL RATES COMPUTED ON AN ANNUAL BASIS
mo r t a l it y r a t e p e r
i .o o o l iv e b ir t h s i
LIA-76093
WEEKLY STATISTICAL REPORT CASES OF REPORTABLE DISEASES, NON-RESIDENTS EXCLUDED
WEEK ENDING October 7, 1971
DISEASE
Tuberculosis, active.................... .../
Syphilis, primary and secondary..,/..
Gonococcal infections........................... .....
Infectious hepatitis............... ..
Meningococcal infections.................
Meningitis, other.......... ........... . ...
Encephalitis, infectious.......... ................
Measles..................................... -...*................
German measles......................................... ..
Mumps.......... .... -- --------------------- ;. -- .
Chickenpox..................... .......................... ..
Diphther ia............ ..
-- ....................-
Whooping cough................. ............................... ..
Streptococcal infections...........................
Poliomyelitis (paralytic cases)..........
Typhoid fever. ....................................................
Salmonellosis......................................................
Dysentery................. .......................... ...................
Diarrhea and enteritis............... ................
Lead poisoning. -- ..........................................
Other reportable diseases..........
CASES-
YEAR TO DATE CUMULATIVE NUMBER OF CASES
CURRENT WEEK
20 10 607 10
0
2 0 0 1 1 0 0 2 6 0 0
16 17
0 0 0
. 39
7 YEAR RANGE* LOW
1971
,20
14 256
e
6 , . 366 ' 1 ,."256 94 S. 530 SiBIlMi ^$$846
1 o '.V; --V 14
s 0 C- 5* :o ;
Its! 0
30
7'
:
20
00
50
-15 48
292 273
0 11
90 00 00
209 0 0
10 0 17 0
10 10 10
385 480
ty
10 2
-
CO
to h*
.
1970
386 217 8,727 . 220
12 103
2 722 195 571 427
0 14 104
0 1
324 100
8 IS
5
1.028
'
MORTALITY BY MAJOR CAUSES, NON-RESIDENTS EXCLUDED
;;r CAUSE OF DEATH
CURRENT WEEK
TOTAL
7 YEAR RANGE*
HIGH
LOW
YEAR TO DATE CUMULATIVE NUMBER OF DEATHS
1971
1970
All Causes............. ...................................... ..
189
238
176
7 740
B 176
Diseases of the heart................................. Cancer, all forms..................................... Cerebral hemorrhage........................................ Diseases of the arteries and veins. Influenza and pneumonia......................... .. Diabetes....................................... ............................ Cirrhosis of liver..................... ................... Tuberculosis (all forms)........... Nephritis...................... ............... ....................... Puerperal causes............................................... Malformations and diseases of
early infancy....................... Suicides................ ............ ................... .. Homicides................................................... .. Accidents
Home.......................................................... .. Industrial ............. ............ ....................... Automobile...................................................
Other public................................................ Other external causes............. .................... Other specified causes.......................... ..
56 35 11
7 4 4 7 0 .1 0
8 4; 13
0 0 6. 0 1 32
84 52 26 1 10
7 7 8 5 2 1
10 2 8
69 2.871
33 1 431
9 528
3 223
1.
158
0 233
3 255
0 59
0 35
03
3 255 0 65 0 225
4. 1 4 3 -.
0;
84
0 X 25
0 102
0 36
- 37
- 1 115
3.174 1 521
550 257 186 268 251
70 36
5
234 69 .
179
103 11
LIR-76094 -_ '
1 088
THE HIGH AND LOW FI6URES SHOWN ARE DERIVED FROM THE HUMBER OF CASES AND DEATHS FOR THE COMPARABLE WEEK FOR THE PERIOD 964. 9'0