SECTION 204 OF THE COMPREHENSIVE HEALTH
MANPOWER TRAINING ACT OF 1971

REPORT

TO THE

CONGRESS OF THE UNITED STATES

Along With Comments by Related U.S. Agencies and
Private Organizations

DECEMBER 1972

Printed for use by the Senate Committee on Labor and Public Welfare
and the House Committee on Interstate and Foreign Commerce

SENATE COMMITTEE ON LABOR AND PUBLIC WELFARE

HARRISON A. WILLIAMS, JR., New Jersey, Chairman

JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
WALTER F. MONDALE, Minnesota
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
HAROLD E. HUGHES, Iowa

JACOB K. JAVITS, New York
PETER H. DOMINICK, Colorado
RICHARD S. SCHWEIKER, Pennsylvania
BOB PACKWOOD, Oregon
ROBERT TAFT, JR., Ohio

J. GLENN BEALL, JR., Maryland
ROBERT T. STAFFORD, Vermont

ADLAI E. STEVENSON III, Illinois

STEWART E. MCCLURE, Staff Director
ROBERT E. NAGLE, General Counsel

ROY H. MILLENSON, Minority Staff Director
EUGENE MITTELMAN, Minority Counsel

HOUSE COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

HARLEY O. STAGGERS, West Virginia, Chairman

TORBERT H. MACDONALD, Massachusetts WILLIAM L. SPRINGER, Illinois

CONTENTS

General Accounting Office Report of the Study of Health Facilities Con-
struction Costs__.

Enclosure A-Factors impacting on planning and construction pro-
cess: Preconstruction Planning; Construction Requirements; Con-
struction Approaches; Construction Labor and Materials_---
Enclosure B-Compilation of innovations in hospitals and life-cycle
analysis of selected innovations: Construction and Materials; De-
sign: Operations; Application of innovations in reference hospital_
Appendix to Enclosure B-Application of selected innovations to a re-
cently constructed health care facility---
Enclosure C-Means by which construction costs could be reduced by
reducing demand for health facilites: Preventive Medicine; Care in
the Appropriate Facility; Health Care Delivery Systems; Utiliza-
tion Review; Health Insurance Incentives; Shared Services; Re-
gional Systems; Health Planning Agencies__.

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