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HRD-77-150 1 (1978-03-07)

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DCCUMENT RESURE


05114 - (B06855971

Problems in Carrying Out the National Blood Policy. HRD-77-150;
B-4641031(2). Earch 7, 1978. 25 pp. * 4 appendices (15 pp.).

Report to Secretary, Department of Health, Education, and
Welfare; by Gregory j. Ahart, Director, Human Resources Div.

Yssue Area: Health Programs: Quality Care and its Assurance
     (1213).
C& ntact: Human Resources Div,,
Budget Function: Health: Health care Services (551); Health:
    Health Research and Education (552); Health: Prevention and
    control of Health Problems (553).
Organization Concerned: American Blood Comiassion.
congressional Relevance: House :oamittee on Interstate and
    Foreign Commerce; Senate Committee om Human Resources.

         The American Blood Commission was organized to carry
out the National Blood Policy--a plan developed by the
Department of Health, Education, and Melfare (H.M) for
developing a safe, fast, and efficient blood collection and
distribution system. The policy prescribed improvements in blood
banking to include regionalizefi blood !ollecticn and
distribution, transW.tion to an all-voluntary blood donatioa
system, and rational alinement of charges and costs for blood
services. Findings/Conclusions: Thi Commission primarily
develops and tests standards, quidglines, and procedures
pertaining to blood banking. Factors uhich will make it
difficult for the Commission to carry out its policy are:
difficulties in obtaining funds to support its operations;
disagreement between the two largest blood suppliers; possible
opposition, especially from areas in which there are multiple
suppliers of blood, to regionalized klood collecting and
distributing; possible problems i, obtaining data from blood
banks by the dational Blood Data Center; and lay members' lack
of sufficient knowledge of blood banking. The Health Care
Pinancing Administration (HCFAI has not yet developed a system
to relate costs and charges for blood services.
Recommendations: The Secretary of HEN should: monitor closely
the progress of the Commission toward carrying out the National
Blood Policy and, if necessary, consider a legislative or
requlatory approach; and instruct the Administrator, HCFA, to
report on attempts to rel.,te the costs of and charges for blood
services. (Author/HTV)

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