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HRD-78-99 1 (1978-05-22)

handle is hein.gao/gaobaaxhp0001 and id is 1 raw text is: DOCUMENT RESUDE 05991 - 03.14465061 Wi45 -,It4*/;e Better Coordination Could Improve the Povision of Federal Health Care in Hawaii. HRD-78-99; B-1.,312. may 22, 1978. Released day 246 1978. 34 pp. * 9 app ndices (20 pp.). 2eport to Sen. Daniel K. Inouye; by Elmer B. Staats, Comptroller General. Issue Area: Health Prograbs (1200); Healtb Programs: Federal Government Control of Costs Through Direct Delivery Programs (1216). Contact: Human Resources Div. Budget Function: Health: Health Care Services (551); Veterans Benefits and Services: Hospital and medical Care for Veterans (703). organization Concerned: Department of Defense; Department of Health, Education, and Selfare; Veterans administration; Public Health Service. congressional Relevance: Sen. Daniel K. Inouye. Authority: National Health Planning and Resources Development Act cf 1974& (P.L. 93-61). ORB Circular A-95. In Hawaii, three Federal agencies -- the Depp--.ent of Defense (DOD) through its military services, the Veterans Administration (VA), and the Public health Service -- provide health care to a beneficiary population of about 230,000 people. Because of location and size, a unique opportunity exist3 in Hawaii to assure that Federal health care is delivered more economically without s3crificing the quality of care. Findings/Conclusions: The DOD Bid-Pacific Review Committee has not systematically assessed the use of medical and dental facilities in Hawaii, but an interservice assessment cf the beneficiary population residing around the various military clinics showed that a more equitable distribution of workload is possible at considerable savings to the Government. The DOD Mid-Pacific Review Committee needs specific guidance concerning how to assess the need for increasing or decreasing health care services in particular areas of the State and whether to include the resources of other Federal and non-Federal agencies in such assessments. The Committee does not hare a clear mechanism to resolve differences of opinion and program emphasis among the services, and it has not received feedback fr.,m DOD headquarters when it has presented interservice opporaticn proposals for specific health care areas. Of major conseqpence is the opportunity afforded the Government by the Flanned renovation and construction project involving Tripler army Medical Center on Oahu. Recommendaticns: The Secretary of Defense should: make sure that the DOD Health Council provides the direction, guidance, and feedback needed by the Mid-Pacific Review Committee and directs that Committee to seek VA and Public Health Service representation, establish interagency agreements with VA and the Department of Health, Education, and Velfare to

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