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DOCUMENT RESURI
06270 - B1646670 I RCLIA'150
fInappropriate Number of Hospital Eeds Planned by Veterans
Administration for Chicaqo Area]. HRD-78-127; P-133C44. June 12,
1978. Released June 22, 1978. 2 pp. + 2 enclosures (19 pp.).
Report to Sen. William Proxmire, Chairman, Senate Ccamittee on
Appropriations: HUD-Independent Agencies Sukcoumittee; ty Robert
F. Keller, Actinq Comptroller General.
Issue Area: Health Programs 01200); Health Erograms: Quality
care and its Assurance (1213).
Contact: Human Resources Div.
Budqet Function: Veterans Benefits and Services: Hospital and
Medical Care for Veterans (703)o
Orqanization Concerned: Veterans Administraticn; Veterans
Administration: VA Hospital, North Chicago, IL; Chicago
Medical School: Uni1v. of Health Sciences.
Conqressional Relevance: Senate Committee cn Apropriations:
HUD-Independent Agencies Subcommittee. Sen. Milliam
Proxmire.
Authority: Veterans Hospitalization and Medical Services
Modernization Amendments (38 U.S.C. 41CI). P.L. 92-541.
The North Chicago Veterans Administration (VA) hospital
was constructed in 1925 as a long-tera neuxcpsychiatric facility
with supporting medical and surgical capability. Since 1974, the
hospital has attemptee to expedite the retura of psychiatric
patients to the community and, concurrent with the reduction in
the number of psychiatric beds, the hospital has taken steps to
upqrade and expand its general medical and surgical role in VA
Medical D-strict 17. An affiliation was proposed with the
University of Chicago Medical School. The transfer has act
occurred, however, because the Department of Health, Education,
and Welfare questioned the propriety of the universityse
proposed relocation and the VA's efforts to transfer land to the
university. The hospital's plan to expand its acute-care
capaoility was not based on demonstrated need; instead, it was
based on the assumption that expanded capatility would lead to
increased demand for acute-care beds. The hcspitalls plan did
not recoqnize the availability of existing acute-care medical
and surqical beds at three cther VA hcspitals in the Chicago
area. These beds are more than will ke needed to meet prcjected
1985 acute-care requirements fcr the area. The VA is planning
too many acute-care beds and teo few long-term-care beds for the
Chicaqr area. Tha Administrator of the VA should: suspend
further expansion of the acute-care capabilities at the north
Chicaqo VA hospital, reduce the number of acute-care beds at the
hospital and redistribute them as necessary for lcng-term care,
and reduce the number of acute-care teds at the other three VA
hospitals and redistribute them as necessary fcr lower levels of
care. (RBS)](ViewImageLocal?handle=hein.gao/gaobaaxln0001&div=1&collection=&method=preview&ext=.png&size=3)