Patient care services (61 - 70 of 72 items)
DOD Health Care: Requirements for Emergency Services Adequate and Generally Attainable
HRD-88-94: Published: Sep 28, 1988. Publicly Released: Sep 28, 1988.
In response to a congressional request, GAO reviewed the Department of Defense's (DOD) emergency services directive to determine: (1) how the directive's requirements compared with civilian standards for emergency care; and (2) its implementation status.GAO found that: (1) civilian experts believed that the directive's requirements for physician staffing, training, treatment protocols, patient tra...
DOD Health Care: GAO's Reviews of Quality Assurance Programs
T-HRD-87-17: Published: Jul 21, 1987. Publicly Released: Jul 21, 1987.
GAO discussed the results of its monitoring of Department of Defense (DOD) efforts to assess and improve the quality of care that DOD military hospitals provide. GAO found that: (1) a centralized medical malpractice information system would help DOD identify recurring problems and focus attention on needed corrective and preventive actions; (2) although DOD agreed that a centralized system would b...
Health Care: Patient Transfers From Emergency Rooms to D.C. General Hospital
HRD-87-31: Published: Apr 30, 1987. Publicly Released: Jun 1, 1987.
In response to a congressional request, GAO discussed the transfer of patients from Washington metropolitan area hospital emergency rooms to District of Columbia (D.C.) General Hospital to determine: (1) what the transfer policies and procedures are; (2) whether D.C. hospitals are familiar with the policies and procedures; and (3) whether D.C. hospitals are violating the policies and procedures.GA...
Medicare Payment for Hospital-Based Physician Services
T-HRD-87-13: Published: May 13, 1987. Publicly Released: May 13, 1987.
GAO discussed its responses to a series of questions about the hospital-based physician specialities of radiology, anesthesiology and pathology (RAP). These questions dealt with: (1) contractual arrangements between hospitals and physicians; (2) the level of RAP physicians' incomes and the rate of their financial return on medical training; (3) Medicare's controls on the volume of these physicians...
Physician Payment Rates Under Medicare's End Stage Renal Disease Program
130404: Jul 16, 1986
GAO discussed the results of a questionnaire that it sent to physicians who provided renal services to beneficiaries of the Medicare End Stage Renal Disease (ESRD) program. GAO found that the Monthly Capitation Payment (MCP) which physicians received each month for treated ESRD patients was too high because the computation overstated physician involvement with patients dialyzing at home. GAO recom...
Medicare: Documenting Teaching Physician Services Still a Problem
HRD-86-36: Published: Jan 21, 1986. Publicly Released: Jan 21, 1986.
In accordance with a provision of the Deficit Reduction Act of 1984, GAO reviewed the amounts that teaching physicians and hospitals billed to Medicare carriers to determine whether payments had been made under the requirements of the Social Security Act.Medicare pays for the services of teaching physicians in hospitals that operate postgraduate programs for resident physicians as well as for the...
Better Control Needed Over Army's Automated Military Outpatient System
HRD-83-44: Published: Mar 16, 1983. Publicly Released: Mar 16, 1983.
GAO completed a survey of the Automated Military Outpatient System (AMOSIST). This program uses enlisted medical corpsmen to provide health care service to adult dependent, military retiree, and active duty outpatients at certain Army hospitals. These corpsmen have limited medical training and are not supposed to exercise medical judgment and are expected to strictly adhere to medical algorithms w...
Alleged Irregularities at the Veterans Administration Medical Center, Manhattan, New York
HRD-81-70: Published: Apr 16, 1981. Publicly Released: Apr 16, 1981.
GAO was requested to review the Veterans Administration's (VA) investigation of alleged irregularities involving the surgical service at the Manhattan VA Medical Center. The review focused on the adequacy of the investigations conducted by the VA Office of the Inspector General (OIG) and whether the Manhattan VA Medical Center has corrected the problems identified by OIG. The allegations included...
Savings to CHAMPUS From Requirement To Use Uniformed Services Hospitals
HRD-79-24: Published: Dec 29, 1978. Publicly Released: Dec 29, 1978.
If a military dependent needs nonemergency hospital care and lives within a 40-mile radius of a military hospital, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) requires that when available, the patient use the military rather than public hospital facilities in order for the expenses to be covered by the government. This cost savings measure is in jeapordy, however, i...
Are Neighborhood Health Centers Providing Services Efficiently to the Most Needy?
HRD-77-124: Published: Jun 20, 1978. Publicly Released: Jun 20, 1978.
Federally funded neighborhood health centers provide a wide range of ambulatory health services to residents, primarily the urban poor, of the areas designated as medically underserved. The Department of Health, Education, and Welfare (HEW) funds 112 neighborhood health centers; such centers received most of the $197 million appropriated in fiscal year 1976 for the HEW Community Health Centers Pro...