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DOCUMENT RISRS /A
02227 - [A1532512] 9ztr_tacte-
(Review of leterans Administration's Methodology for Determining
Hospital Bed Size]. HRD-77-104; B-133044. May 20, 1977. 2 pp. +
enclosure (25 pp.).
Report to Sen. William Proxkire, Chairman, Senate Committee on
Appropriations: HUD-Independent AgeLcies Subcommittee; by Elmer
B. Staats, Comptroller General.
Issue Area: Health Programs ('00); Health Programs: Health
Facilities (1203).
Contact: Human Resources and Development Div.
Budget Function: Veterans Benefits and Services: Hospital and
Medical Care for Veterans (703).
Organization Concerned: Veterans Administration.
Congressional Relevance: House Committee on Veterans' Affairs;
Senate Committee on Veterans# Affairs; Senate Committee on
Ippropriations: HUD-Independent Agencies Subcommittee.
The process used by the Vet'ans Administration to
determine the bed size of new and replacement health care
facil ties was evaluated. Three of eight hcspitals cirrently
au+t.orized for construction were analyzed.
Fin5Lngs/Conclusions: GkO's results from its computer-based
meleJ nearly agrees with the VA's proposed number of bels, but
shoue thet the mix of beds was wrong. The VA was planning too
many acuia iare beds and too few nursing home care beds. Given
the significant cost differentials, building and operating costs
can be reduced if GAO analyses were used to deterrine the mix of
hospital beds. Recommendations: The VA should revise the nix of
beds for the proposed Bay Pines (Florida), L.ttle Rock
(Arknsas), and Richmond (Virginia) hospitals in light of the
computer analyses, and discard its present hospital sizing
criteria and use a method similar to the one described for all
future hospital construction. The Congress should explore to
what extent future VA hospitals should treat veterans with
nonservice-connecte illnesses. (DJM)](ViewImageLocal?handle=hein.gao/gaobaacgg0001&div=1&collection=&method=preview&ext=.png&size=3)