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DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE |~
: PUBLIC HEALTH SERVICE °
HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION

April 23, 1971

v

Plan to Implement Section 907 as per your Request of March 15, 1971.

Associate Administrator for Operations

Plan to implement Section 907:

Background:

Section 907 of Public Law 91-515 states:

“The Secretary, shall establish, and maintain on a current
basis, a list of facilities in the United States equipped
and staffed to provide the most advanced methods and
techniques in the diagnosis and treatment of heart disease,
cancer, stroke, or kidney disease, together with such
related information, including the availability of advanced
specialty training in such facilities, as he deems useful,
and shall make such list or lists and related information
readily available to licensed practitioners and other

- persons requiring such information. To the end of making
such list or lists and other information most useful, the
‘Secretary shall from time to time consult with interested

- national professional organizations."

We

Section 907 was part of the original legislation (PL 89-239).

“"Plan of Action:

When the implementation of Section 907 was first considered by

our National Advisory Council, it was recognized that to fulfill

the requirements there was need for criteria against which to
measure facilities. Thus, three contracts were awarded to establish
criteria. One of these is complete; the others will be completed

by July 1972.

In the meantime, there are some lists and information about
facilities available for heart disease, cancer, stroke and kidney
disease. These are to be used to fulfill the 907 requirements.
Page 2 ~ Associate Administrator for Operations

In the fields of heart disease, we will use the second edition of
“Special Hospital Services for Cardiovascular Disease Patients."
Volume I, General Medical Services; Volume II, Special Surgical
Services. This is an inventory of hospitals providing special
diagnostic and therapeutic services and facilities in the area of
cardiovascular disease. It quantitates both a variety of services
offered and the frequency with which they are performed. ‘This
will be available by July 1, 1971. (Attached is the proposed’

distribution list.) -

In the field of cancer, we will use a combination of (a) the
publication "Guidelines for Cancer Care" resulting from our contract
with the American College of Surgeons (this outlines the appropriate
personnel, facilities and organizational structure required for the-
delivery of excellent cancer care); and (b) the facilities listed

ip the publication "Cancer Programs Approved by the American College
of Surgeons as of January 1, 1971." We shall request 100 copies
from the American College of Surgeons and prepare them in a suitable
mailing envelope for distribution when requested.

In the field of kidney disease, the publication "Kidney Disease
Services, Facilities and Programs in the United States, May 1970"
lists those institutions capable of providing special services in

the area of kidney disease, with special emphasis on acute and chronic
dialysis facilities, kidney transplantation and advanced training

_programs, This will be available by August 1971.

ww

Finally, in the area of stroke, the listing described for heart

‘disease will incorporate items of information regarding facilities

available and services provided to stroke patients... Morever, guide-

_dines for the care and treatment of stroke patients are currently
peing established under a contract from the Regional Medical Programs

Service. These walt be completed in July 1972.

4d

Harold Margulies, M.D.
Director
Regional Medical Programs Service

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