COMPREHENSIVE HEALTH PLANNING 901

Policies and procedures for the expenditure of funds to provide
facilities and personnel to implement the services required by resi-
dents of Maryland must also be an integral part of your program.
You must provide methods for encouraging cooperative efforts among
local governments and state governments together with private enter-
prise — organizations and groups concerned with health services,
facilities, or manpower — and for cooperative efforts among such
groups, agencies and organizations in the fields of education, welfare
and rehabilitation. Satisfactory assurances must be made that Federal
funds paid to this effort will be used to supplement, and to increase,
the level of funds that would otherwise be made available by Mary-
land for the purpose of comprehensive health planning, and not to
supplant such non-Federal funds.

Also to be included are methods of administration... reporting...
review systems... fiscal control and accounting procedures.

Obviously, there will be many problems in implementing a pro-
gram plan including medical assistance, air and water pollution,
solid waste disposal, hospital and nursing home facilities, programs
for the mentally ill, along with plans for the necessary manpower to
carry out the program. All should be within the context of the law
set forth by Congress, and we should utilize those services and organi-
zations presently in operation.

The many problems encountered can be met only by determining
well defined goals. To plan without definite goals is to compound
the existing confusion in this multi-faceted field already complicated
by legislation, rules, professional ethics and individual rights. You
must set goals aspiring to the ultimate good of each individual.
These goals must then be broken down into project targets and
priorities. Many of our existing groups and organizations will be
responsible for surveys and data collection within their jurisdictions
in order to measure the results of our work and to determine the
value of our goal-oriented efforts.

Much valuable material has already been prepared by the Planning
Council and other planning committees. One of the priorities in this
health mission is to gather and digest this existing information in
order to reduce the duplication of effort. Other priorities are to
determine from this information the needs of the project and co-
ordinate developing plans with those groups and organizations cur-
rently familiar with similar responsibilities.

I have asked Dr. Neil Solomon to serve as Chairman of this Ad-
visory Council. He is known to some of you, but probably not the