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091759 1 (1970-07-09)

handle is hein.gao/gaobacwdq0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON. D.C. 20548 JUL 9 1970 CIVIL DIVISION Dear Dr. Wilson: This is to advise you that the General Accounting Office.has completed reviews of selected activities of the Indian Health Service (IHS), Health Services and Mental Health Administration. The results of these reviews have been included in our report of April 10, 1970, to the Congress on the need for improved practices for obtaining equitable contributions toward the cost of constructing sanitation facilities for Indians, and in our earlier report of September 30, 1968, jto the Secretary of Health, Education, and Welfare on opportunities for economies in the procurement of drugs. In addition to the.matters discussed in the two reports, our review covered the contract patient care program of IHS which provides for care of Indian patients in private and community facilities when health services cannot be provided in hospitals operated by IHS. Our work was directed specifically to determining whether IHS gave adequate consideration to the use of hospitals and medical services of'other Federal agencies, before contracting for medical care, because of potential savings to be realized by the Government through the use of its -own facilities. Following for your consideration are our observations resulting from this work. Potential savings from use of other Federal hospitals Our review indicated that certain Federal hospitals operated by the Veterans Administration, the Department of Defense, and the Public Health Service and located in or near the cognizant IHS Area could have been used to treat Indian patients instead of placing them in contract facilities. At four IHS Area Offices, we tested 766 selected cases of Indian patients, receiving short-term general medical or surgical care at contract hospitals during fiscal year 1968, and we were informed that about 400 of these patients would have been accepted at a Federal hospital. This information was obtained from officials of the Federal hospitals visited by us who told us that bed space and needed medical services were available and could be provided on a reimbursable basis.

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