Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
Inasmuch as you Gentlemen are essentially interested in hospital
administration, I should like to speak briefly on the question of
hospital records, and what data the Bureau is required to have when it
is called before Congress relative to Appropriations. As you know,
Congress makes one appropriation to the U. S. Veterans’ Bureau for
Medical and Hospitals Services. Sums from this appropriation are in turn
allotted to the U.S. Public Health Service, the War and the Navy
Departments, the Interior Department, and the National Homes for
Disabled Volunteer’ Soldiers. When the U. S. Veterans’ Bureau is called
before Congress for every appropriation it must show specifically how
the money has been allotted, for what purposes it has been allotted, and
the result accomplished.
It has become imperative for the U. S. Veterans’ Bureau to have
available comprehensive records concerning all hospitals in which there
are being treated its beneficiaries. It is not sufficient that these
records be only those concerning the admission and discharge of patients
and the physical examination report in each instance, but equally
fundamental data concerning the results of treatment, periodical
turn-over of patients, the hospitals’ administration, and of equal
importance, but from a different angle, the cost of operation with the
resulting per diem cost per patient.
A considerable part of the records on patients, their flow in and out of
hospitals and similar data are available or can be made available, the
value of these data so derived, of course, will be proportionate to the
accuracy or thoroughness with which the records of admission and
discharge are prepared and transmitted. The report of admission and
discharge of patients and the report of physical examination are at
present the only reports common to all Government Hospitals. The
necessity for the prompt rendering of accurate admission and discharge
reports and physical examination reports in all instances is apparent.
Such reports are of very great importance to the U. S. Veterans’ Bureau,
for upon them is determined the medical rating of the hospitalized
beneficiaries and any delay or omission in the rendering of records of
this character reflects upon the administration of the U. S. Veterans’
Bureau.
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