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092758 1 (1970-02-24)

handle is hein.gao/gaobacwqw0001 and id is 1 raw text is: UNITED STATES IENERAL ACCOUNTING OFFICE WASHINGTON, D.C 20548 VIL DIVISION d 0CUMEN AVAILABL EB 2 1970 Dear Dr. English: The Cc rzal Accounting Office has examined into certain aspects of the dinistration of maternity and infant care (MI) projects and children and youth (C&Y) projects in the States of New York and Ohio. A report on the re. suIts of our examination was issued to the Secretary of Health, Education, And Welfare (HEW) on November 13, 1969, and a copy of that report was fur- nished to you. This letter deals with a situation which we noted during that aamination relating to C&Y project 605 awarded to the New York Uni- versity Medical Center. The major objective of USY projects is to provide comprehenilve health care and services to school and preschool children in low-income families. Tederal funds are available for up to 75 percent of project costs; the bal- ance is provided by the grantee. Until September 17, 1969, the Chief, Chil- drenls Bureau (CB) in the Social and Rehabilitation Service, HEW, had primary resoonsibility for the administration of C&Y projects. Since then, the Health Services and Hental Health Administration (HSCUfA) has been delegited ressonsi- bility for these orojects. The CWY project proposal which resulted in the an rd of project 605 >ro- posed several components which, taken together, provided for a comprehensive nedical care project. The components included (1) laboratory servicas, (2) con ultative services, (3) dental care, (4) bearing and speech clinics, (5) encal hygiene, and (6) occupational and physical therapy. The proposal statd that, t-s-ugh these components the services available to the approxi- mateiy 60,0. children residing in the area to le served by the project would be rearranged and improved. The proposal of the University also included an innovative fcature of anztcal management, r.mely, to retrieve, collate, and consolidate the avail- Ate medical information and history of eca patient served by the project r rough the use of a computerized mecical records retrieval center which nild be developed and imolemented with project funds. The as3ociate project director advised us that compreensive medical care ctuld be orovided more effectively if the medical history of the patient--which in the arta earved by the project vas often scattered throughout several different medical nciltia--.could be made available to the medical st EL She also advised -j that by having this Information, tests ard analyves preiouily performed for the patiints vould not have to be dasicatad. ¾t4o9d

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