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HRD-78-76 1 (1978-03-15)

handle is hein.gao/gaobaawxi0001 and id is 1 raw text is: 


1OCUMNIT RESUME


05409 - [B0765692]

Survey of Vils Priority -,or Construction of New and Replacement
Hospitals. HID-78-76; B-131044. March 15, 1978. 2 pp. +
enclosure (7 pp.).

Report to Sen. Uilliaa Prrxaire, Chairman, Senate Committee on
Appropriations: HaD-Indepondent Agencies Subcommittee; by Elmer
B. Staats, Comptroller Geveral.

Issue Area: Health Prograni7 (1200).
Contact: human Resources Vv.
Budget Function: Veterans Etnefits and Services: Hospital and
    Medical Care for Veterts (703).
Organization Concerned: Veterans Administration: Dept. of
    hedicine and Surgery.
Congressional Relevance: Senate Committee on Appropriations:
    HOD-Independent Agenciel sbcoaaittee. Sen. tilliam
    Proxmire.

         The Veterans Adinist-ationts (vA~s) Department of
medicine and Surgery (DE&S) recfartly developed a methodology
called the Space and Functiona Deficiency Identification (SFDI)
system which is intended to be aL Integral part of the
decisionnaking process DESS uses iu establishing priorities for
major construction projects. Such a oystem is needed so that
DM&S can plan an orderly program for aodernizing its aging
facilities, but several modifications are needed to improve the
system. The methodology could be improved if: all construction
projects were ranked on the same basis rather than ranked within
each construction category; and projected, rather than current,
use of V& hospitals were considered. The SFDI system and the
entire review process depends on the data gathered by medical
district representatives. Because of the importance of the data
gathered and scoring by district representatives. D6S5 should
closely monitor the scorings for any obvious irregularities.
Decisions to fund projects in different order than that
determined by the SFDI system should be documqnted. The
Administrator of Veterans kffairs should develop a priority
ranking for all construction projects, regardless of
construction category, and include projected use of health care
facilities as a factor in establishing prioritiez. (RRS)

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