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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

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WILLIAM L. SPRINGER, Illinois
SAMUEL L. DEVINE, Ohio

ANCHER NELSEN, Minnesota
HASTINGS KEITH, Massachusetts
JAMES T. BROYHILL, North Carolina
JAMES HARVEY, Michigan

TIM LEE CARTER, Kentucky
CLARENCE J. BROWN, Ohio
DAN KUYKENDALL, Tennessee
JOE SKUBITZ, Kansas

FLETCHER THOMPSON, Georgia
JAMES F. HASTINGS, New York
JOHN G. SCHMITZ, California
JAMES M. COLLINS, Texas
LOUIS FREY, JR., Florida
JOHN WARE, Pennsylvania

JOHN Y. MCCOLLISTER, Nebraska
RICHARD G. SHOUP, Montana

W. E. WILLIAMSON, Clerk

KENNETH J. PAINTER, Assistant Clerk

Professional Staff

WILLIAM J. DIXON

ROBERT F. GUTHRIE

CHARLES B. CURTIS LEE S. HYDE

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---.

163

275

453

729

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