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DOCOHENT RESURE
03994 - [B15665921 (Restricted)
[Proposal for Replacement of Indian Health Service Hospital].
HRD-78-124; B-164031(5). June 2w 1978. & pp.
Report to Sen. Henry Belluon; by Gregory J. Ahart, Director*
Human Resources Div.
Issue Area: Health Programs: Health Facilities (1203); Health
Programs: Access to Health Care (1204).
Contact: Human Resources Div.
Budget Function: Health: Health Planning and Construction (554).
organization Concerned: Department of Health. Education, and
Welfare; Indian Health service; Indian Health Service: I. U.
Hastings Hospital. OK.
Congressional Relevance: Sen. Henry Bellmon.
The Indian Health Service (IRS) and the Cherokee Tribe
joiLtly proposed to replace the V. V. Hastings Hcspital operated
by the IHS with a new facility adjacent to the city hospital at
Tahlequah, Oklahoma. The IRS program document for the
replacement of the U. V. Hastings Hospital was deficient in
several respects. It did not contain sufficient planning for the
integration of Indian and non-Indian health needs provided at
the Tablequah Community Hospital; calculate the number of acute
care hcspital beds and amount of square footage in accordance
with planning methods approved by the Department of Health,
Education, and Velfare; or develop the justification for and
facility requirements cf the training and educational programs
which the tribe had planned. A review of the IHS hospital
construction program identified weaknesses in program planning.
The IRS method of planning for acute care hospital beds does not
recognize the downward trend in IRS hospital usage; if IHS
proceeds as planned, its hospitals will contain too many beds.
Appropriations for IRS hospital planning and construction should
not be made until IHS adjusts its method for planning hosp, tal
capacity and size to recognize the downward trend in hospital
use and the availability of existing community facilities. (RRS)](ViewImageLocal?handle=hein.gao/gaobaaxhu0001&div=1&collection=&method=preview&ext=.png&size=3)