The term 'Blue Blood' was first used in 1927 in a Brooklyn newspaper, referring to the players themselves on a team, according to a 2022 NCAA article.
In 1946, a basketball rating system described in The Charlotte News attempted to create a list of the top programs, which it classified as 'bluebloods'.
Today, the phrase is used to refer to programs with years of success, renowned coaches, and considerable economic resources, such as Kansas, Kentucky, Duke, and UNC, among others.