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    I-  - 10 .
  MEMORANDUM                               DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
                                                          PUBLIC HEALTH SERVICE

                                                       HEALTH RESOURCES ADMINISTRATION
                                                    BUREAU OF HEALTH RESOURCES DEVIELOPM]ENT
  TO        Acting Director, DW                                 DATE: December 4, 1974



  FROM      Acting Chief, 094

  SUBJF=:   Comments on Draft Analysis of Budget Requirements Through June 30, 1976
            Under V;D., P. 15, Technical Assistance Program:
            If there are going to be only 10 Centers for Health Planning, it  would
            make more sense to develop them using the expertise of the EHSDS than
            to start 10 new ones from the 2round up.  Discarding the expertise of
            the EHSDSs makes no sense at all. If the intent  i.s to have one in each
                region, then these centers should be established as goverment
            centers to be run by civil servants with access to consultants.
            At least, there would be more continuity and continuing expertise
            available.
            On page 16, mentim is made of a contract with GKU -regarding the collec-
            tion and analysis of health service modelling efforts that can be  used
            as tools for health planning.  There is a man in BHRD by the name of
            Roger Cole who has already gathered this material. Dr.  Charles  Flagle
            of Johns Hopkins is the authority most mentioned on models and modelling
            efforts in the health field.
            The Bay Area CHP is mentioned as refining a population projection
            methodology.  Already available in NCHS is a software -package developed
            at Research Triangle called POPSIM, which is a computer-based popula-
            tion simlator.
            On page 17, regarding the Nationll Center for  HealthPlanning  Informa-
            tion, it is my experience that systems built upon interactive retrieval
            by key words and phrases have serious deficiencies in that it is
            difficult to retrieve more than one third of the citations in a file
            dealing with a specific subject.  The -reasons a-re many why this happens,
            but it does.  I mentioned this to Cal Meadows, who is the project
            officer on this contract and suggested that the taxonomy development
            include a nmerical or alphabetical classification scheme whic@ would
            allow one to do a more thorough selection with one search.
            On page 19, under "Continuation Strategy," it is mentioned that no centers
            would be required.  The CHRPI would be functioning already according to
            the contract let to Aspen Systems.  This means that CHP/RNP/DFU personnel
            would have to be trained in the use of this Center.  it also seems to me
            that the expertise of the @DS would be wasted by allowing the funding
            to lapse for these centers.  Some arrangements should be made to continue
            funding for the best of these.



                                                        Jos    J.  tt