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HRD-81-69 1 (1981-04-01)

handle is hein.gao/gaobabcdp0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE RELEASED WASHINGTON, D.C. 20548 HUMAN RESOURCES DIVISION B-201761 APRIL 1,1981 The Honorable Henry A. Waxman Chairman, Subcommittee on Health and the Environment Committee on Interstate and Foreign Commerce House of Representatives 115801 Dear Mr. Chairman: Subject: 'Transfer of Physicians from the Boston Public (,Health Service Hospital /(HRD-81-69). In response to your October 30, 1980, reqitest, we reviewed several matters pertaining to the administration of the Boston Public Health Service (PHS) hospital. On January 29, 1981, we briefed your office on our findings. At that briefing, your of- fice requested that we give you a written summary on the transfer of the PHS physicians to private community hospitals. We were asked to address the (1) reasons for, and personnel costs associ- ated with, the transfers, (2) adequacy of compensation arrange- ments between PHS and the private hospitals, and (3) other re- assignment options available to PHS. We were also asked to identify Federal regulations governing payback requirements for PHS salaried physicians who receive training at non-Federal facilities. This report confirms the information we provided in our briefing. SCOPE OF EFFORT We identified PHS regulations governing payback requirements for PHS salaried physicians who receive training at non-PHS hos- pitals, and we determined how PHS implemented these regulations for the physicians transferred to the private hospitals. We inter- viewed PHS officials in Hyattsville and Rockville, Maryland, and officials of the Department of Health and Human Services (HHS) regional office in Boston, Massachusetts. Due to time constraints, we interviewed only five of the nine physicians transferred to private hospitals. We also interviewed current and former Boston PHS hospital officials involved in the transfer decisions. We spoke with officials at the Baltimore, Maryland, and Staten Island, New York, PHS hospitals and officials at the Veterans Administra- tion (VA) hospitals at Brockton and Jamaica Plain, Massachusetts, (102062)

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