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Consultants on hospitalization-Progress report as of January 14, 1922.

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La.

1 1922,

Consultants on hospitalization - Progress report as of January 14, 1922Continued.

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6 per cent Jan. 6, 1922.

Dec. 12; purchase and | May or June 3.......

hire.

...do...

October..

To be started upon

completion of draw-
ings.

Bids to be advertised in about 2
months.

500

.....do..

Do.

Roman Catholic Orphanage, $2,750,000 Sept. 30 1,000 Neuropsychartic Practically com-
Now York City.

plete except re-
vision of girls'

building.
Remodeling....

600,000 Nov. 16
Negro hospital, Tuskegee, Ala.. 2,250,000

230 Tuberculosis.... Approximately 50

270 Neuropsychiatric per cent.
Palo Alto, Calif.......

1, 400,000

.....do....... Approximately 60

per cent. Western Pennsylvania ......... 1,000,000

250 Tuberculosis.... Preliminary stud

ies under way.
St. Louis (Jefferson Barracks), 1,000,000

250 General....
Mo.
Metropolitan district, New 1,000,000

250 Tuberculosis....
York City.
Total....

17,779,000

* 6,007

821, 000 Grand total....

18,600,000

....do

............

Acquisition of property nearing

completion.
Site acquired Jan. 9; acquisi-

tion of further property near

ly completed.
Acquisition of property near-

ing completion.

2 Balance; reserve fund to be used in providing for emergencies where allotment does not complete the project or changes have to be made, or for providing for change in utilities of institutions occasioned by the addition of new beds. Law forbids building on land not owned by Government.

a Present indications point to earlier completion of boys' building and officers' quarters. • Tuberculosis beds, 2,837; neuropsychiatric beds, 2,920; general beds, 250.

PROPOSED ALLOCATIONS OF APPROPRIATIONS OF SECOND LANGLEY BILL.

over sist said, prop

The CHAIRMAN. What do you propose to do if you get the additional $16,000,000 proposed ?

Col. FORBES. We have a list as tentatively proposed. Five hundred tuberculosis beds in California.

The CHAIRMAN. Where do you propose to locate that?
Col FORBES. I do not know yet.

The CHAIRMAN. Is there any movement to acquire property in California formerly occupied by the Shipping Board ?

Col. FORBES. We tried to get that property, but we could not get it. It is at Clyde.

The CHAIRMAN. What was the object of trying to get it?

Col. FORBES. I went to the Shipping Board and asked if they would give it to us. They had a $600,000 mortgage on this property. They finally decided that they could not give it to us unless wec ould make some deal with the people who owned the property. They came to see us on the proposition. I went to see the property when I was ont there and decided that the property was not worth any such sum. There were 106 modern bungalows and a hotel on the property—that is, 267 rooms, I think; I am not positive. I said that if the thing was sold at auction it would not bring over $150,000. After that the deal fell through. The Shipping Board could not make any arrangements with us. There was another project belonging to the Housing Corporation at Vallejo. We tried to get that. It seems those bungalows were sold to the employees in the navy yard and people around Vallejo. So we could not get that.

HOSPITAL SITUATION IN CHICAGO. The CHAIRMAN. What about the situation in Chicago ? Col. FORBES. It has not been decided unless we build on the Public Health grounds.

The CHAIRMAN. The Maywood Hospital or the so-called Speedway Hospital?

Col. FORBES. No; I do not think the medical authorities want to expand that any more.

The CHAIRMAN. Is that fully occupied ?
Col. FORBES. I think there are over 700 patients.
The CHAIRMAN. What is the capacity?

Col. FORBES. The capacity is 1,000. We never could get a thousand in it, on account of taking care of the employees.

The CHAIRMAN. How many employees living in the building ?
Col. FORBES. My best recollection is 125.
The CHAIRMAN. Could not they live outside ?

Col. FORBES. They made some contracts with the town of Maywood to take care of them. We have a colored population in Chicago which is large, and it may be necessary to have a hospital for the colored people. We have a good many. I am going to Chicago and look into that as soon as I can. We have 869 beds occupied in Speedway Hospital as of February 3, and 29 beds unoccupied.

The CHAIRMAN. What classes of patients ? Mr. MILLIKEN. Three hundred and one tuberculosis, 208 persons suffering from mental and nervous disorders, and 360 general medical and surgical cases.

Col. FORBES. We have 150 beds in a hospital at Memphis and 250 beds at Walter Reed General Hospital. We are converting the hospital into quarters for patients, instead of being used by employees, wherever possible.

The CHAIRMAN. There is plenty of room there?

Col. FORBES. Yes, sir. At the present rate there will be, tuberculosis, 11,225; neuropsychiatric, 8,376; general medical and surgical, 9,483 on June 30, 1922. The estimated total number of patients will be 32,474.

The CHAIRMAN. Is that the peak? Col. FORBES. No, sir. The CHAIRMAN. What is the peak anticipated ? Col. FORBES. Our peak, as I told you, was figured at 35,000, until a new estimate was made of 3,000 additional. That report I will make in a day or two.

The CHAIRMAN. When do you expect to have these facilities available?

Col. FORBES. The properties are to be acquired under the new Langley bill, if it becomes a law.

PROPOSED EXPENDITURE OF APPROPRIATION REQUESTED. The CHAIRMAN. Is any part of the money you are asking for here to be used for the purchase of property-the $20,000,000 asked for in this deficiency?

Col. FORBES. No; it is not so contemplated.
The CHAIRMAN. What is this to be used for?

Col. FORBES. We have a statement of the total amount required for this year. See attached 241a.

The CHAIRMAN. Let us have the statement.

Mr. ROUTSONG. This is practically the same statement which we gave you, Mr. Chairman, for consideration in the first deficiency bill, at which time, you will recall

The CHAIRMAN (interposing). You said that you had about $5,000,000 or $6,000,000 a month expense for hospitalization?

Mr. BREINING. $6,600,000 last month.

Estimated expenditures for medical and hospital services for fiscal years 1923.

1922, and expenditures for fiscal year 1921.

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575 210.017

$767,100.00

$750,000 00 $1, 517, 10000

United States Army Hospitals:

Estimated average number of patients...
Number of hospital days.............
Estimated cost per patient per diem 1...
Estimated cost of hospitalization....
Alterations and repairs...

Total allotment.......
United States naval hospitals:

Estimated average number of patients.....
Number of hospital days....
Estimated cost per patient per diem 6....
Estimated cost of hospitalization........
Alterations and repairs.....

Total allotment....
National Home for Volunteer Disabled Soldiers:

Estimated average number of patients....
Number of hospital days.......
Estimated cost per patient per diem .....
Estimated cost of hospitalization...........
Alterations and improvements ?.........
Total allotment........

2,000

1, 247 730,000

455, 075 $3.55

$1.28 $2,589, 755.00 $1,992, 515.50

'$10,000.00 $2, 589, 755.00 $2,032, 515.50 1,200

924 438,000

337, 200 $4.06

$4.24 $1,779, 386.00 $1,428, 069. 12

$35,000.00 $1, 779, 386.00 | 81, 463,069. 12

3, 204 1,277, 500 1, 169, 533 82, 184, 525.00 $2,000,000.00

$500,000.00 $2,184, 525.00 $2,500,000.00

$224,588. 12 $224,589. 12

3. 500

1.28

40,3 181,301, 714.99

$3,768, 285.
$5,070, 002.00

...

Estimated expenditures for medical and hospital services for fiscal years 1923,

1922, and erpenditures for fiscal year 1921Continued.

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1 Includes undistributed balance, $628,663.26.
2 Paid by United States Public Health Service, 1921.
3 Not included in any previously submitted 1922 estimate.

Rate based on actual per diem hospitalization cost of $3 per diem, including subsistence and Quartermaster Corps and Medical and Hospital Department supplies and services, plus $399,755 pay for additional reserve officers and Army nurses necessary for proper treatment.

Rate based on actual per diem hospitalization cost of $3.12 per diem, including subsistence and prorated maintenance supplies and services, plus pay of additional Hospital Corps men of $410,760.

6 Representative per diem cost per patient not estimatable due to institutional character of homes and the fact that no separate accounts of actual hospital treatment costs available.

1 Alterations and improvements, 1923 and 1922, dependent upon action of Secretary of Treasury hospitalization committee. 8 Estimate of 1921 includes patients in contract hospitals.

This per diem rate high due to many factors not affecting other services, such as the opening of new hospitals which fill gradually, thus making the initial daily rate apparently excessive; the cost of outpatient departments which treat large numbers of nonhospitalized cases; the expense of vocational teachers under personnel of hospitals; the cost of the administration through the Hospital Division, United States Public Health Service; the prorated cost of the General Inspection Service; the cost of antimalarial work in certain localities; the furnishing of books and magazines; the payment of rentals on non-Governmentowned properties; the cost of purveying supplies issued to stock, etc.

10 These items largely dependent upon progress made in carrying out dispensary program. 11 For 1923 included under United States Public Health Service cost of hos vitalization.

12 With the exception of equipping, installing, and supplying dispensaries, all these items included under United States Veterans' Bureau administrative expenses.

1 This figure for 1922 includes $557,213 not included in any previous estimates for salaries due to medical personnel in dispensaries established in 1922.

11 This figure includes $80,584 not included in any previous estimate for rental space to be obtained in 1922.

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