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HRD-77-112 1 (1977-05-31)

handle is hein.gao/gaobaacjd0001 and id is 1 raw text is: 




DOC7JIENT RESUME


0250G - (A16726731
[Planned Hospital Construction by Indian aealth Service].
HED-77-112; B-164031(5). May 31, 1977. 4 pp.
Report to Sen. Robert C. Byrd, Chairman, Senate Committee on
Appropriations: Intcrior Subcommittee; by Elmer B. Staats,
Comptroller Gencral.
Issue Area: Health Programs: Health Facilities (1203); Realth
    Programs: Access to Health Care (1204).
Contact: Human Resources Div.
Budget Function: Health: Health Planning and Construction (F54).
Oga-Ization Concerned: Department of Health, Education, and
    Welfare; Indian Health Service.
congressional Relevance: Senate Committee on Appropriation:-,
    Interio r Subcommittee.

         The appropriateness of the planned number of actte care
beds in certain hospital cCnstructinL projects proposed for
funding by the Indien Health Service (IRS) was questioned.
Findings/Conclusions: The methodolcgy used by the IRS to
determine the bed sizes of the planned hospitals would result in
the construction of too many beds. The IRS failed to take into
account the declining trends in the use of inpatient hospital
facilities. Although limited to the Wavajo area, the analysis
indicated that similar conditions may exist in other IRS areas
where major hospital construction is planned. RecoRLendations:
The Subcommittee should delay recommending appropriations for
any IHS hospital project not currently under construction.
Funding should be contingent on receiving adetphate justification
fr-i the Department of Health, Education, and Welfare explaining
why expansion of underutilized facilities is necessary. (DJM)

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