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HRD-82-129 1 (1982-09-28)

handle is hein.gao/gaobabmrh0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE )! WASHINGTON, D.C. 20548 14UMAN RE&OUFRGE DIV, ,ON September 28, 1982 Lieutenant General Bernhard T. Mittemeyer Surgeon General 119800 Department of the Army Dear General Mittemeyer: Subject: The Armed Forces Institute of Pathology Should Consider Limiting and/or Charging User Fees for Civilian Consultations (GAO/HRD-82-129) In June 1982, we undertook a general survey of policies Ond procedures at the Armed Forces Institute of Pathology (AFIP). We limited the scope of our survey to policies pertaining to Consultations submitted by civilian pathologists to AFIP for study and/or diagnosis because the Army Inspector General had Completed an inspection of AFIP in July 1981, and the Army Audit Agency plans a survey at AFIP in the fall of 1982. During our $urvey we met with AFIP officials, both managers and patholo- fists, and reviewed records and policies of AFIP and the Army 6s well as the Department of Defense. As you know, the mission of AFIP is one of education, research and consultation in the field of pathology for the military, other Federal agencies and the civilian sector (non- Federal). Although AFIP staff time, according to one AFIP official, should be divided evenly among these three areas, in recent years consultation has absorbed the greatest share of staff time. Of the consultations last year, more than half Were provided to civilian pathologists. According to AFIP officials, the Institute needs consulta- tions for its registries in order to carry out its education and research mission. However, our survey work indicated that (1) the large number of consultations leaves little time for pathologists to pursue education and research projects, and (2) many of the consultations are routine cases, poorly documented, and of little value to the registries. Diagnostic services are currently provided free of charge. Charging fees for civilian consultations could possibly improve the quality of cases submitted and help reduce the number of (101062)

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