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HRD-76-157 1 (1976-08-20)

handle is hein.gao/gaobaaaky0001 and id is 1 raw text is: 

               COMPTROLLIER GENERAL OF THE UNITED STATES
                        WASHINGTON. D.C. 20548



B-164031(5)


The Honorable Jennings Randolph
United States Senate

Dear Senator Randolph:

     As you requested, we have reviewed the actions taken or
proposed by the Department of Health, Education, and Welfare
(HEW) to implement the recommendations in our report entitled
Study of Health Facilities Construction Costs (B-164031(3),
November 20, 1972). As you recall, the report is divided into
two parts. The first part deals with the process of planning,
design, and construction of health facilities, and the second
part addresses reducing the demand for health facilities.

     The Secretary, HEW, responded to our report in a July 19,
1974, letter to the Chairman, Senate Committee on Labor and
Public Welfare. The letter was only partially responsive to
our recommendations. Information on the means by which con-
struction costs could be reduced by decreasing the demand for
health facilities was insufficient. On November 6, 1975,
we requested that HEW provide us with additional information
on the specific actions it was taking in this regard and with
more current information on its actions relating to the plan-
ning, design, and construction of facilities.

     On December 11, 1975, and February 17, 1976, HEW provided
us with the information requested. Following is a summary
of the steps being taken by HEW in response to our report
and our evaluation. Additional details are included in the
enclosures.

PLANNING, DESIGN, AND
CONSTRUCTION OF HEALTH FACILITIES

     HEW's actions regarding the planning, design, and con-
struction of health facilities appear for the most cart to
be responsive to the recommendations in our report.

Construction approaches

     Our report recommended that HEW reauire that the fast-
track and total-concept approaches be considered for health
                                                  HRD-76-157




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