Better Coordination Could Improve the Provision of Federal Health Care in Hawaii
HRD-78-99: Published: May 22, 1978. Publicly Released: May 22, 1978.
- Full Report:
In Hawaii, the Department of Defense (DOD), through its military services, the Veterans Administration (VA), and the Public Health Service, provide health care to a beneficiary population of about 230,000 people. Because of its location and size, a unique opportunity exists in Hawaii to ensure that federal health care is delivered more economically without sacrificing the quality of care.
The DOD Mid-Pacific Review Committee has not systematically assessed the use of medical and dental facilities in Hawaii, but an interservice assessment of the beneficiary population residing around the various military clinics showed that a more equitable distribution of the work load is possible at considerable savings to the government. The Committee needs specific guidance concerning how to assess the need for increasing or decreasing health care services in particular areas of the State and whether to include the resources of other federal and nonfederal agencies in such assessments. The Committee does not have a clear mechanism to resolve differences of opinion and program emphasis among the services, and it has not received feedback from DOD when it has presented interservice cooperation proposals for specific health care areas. Of major consequence is the opportunity afforded the government by the planned renovation and construction project involving Tripler Army Medical Center on Oahu.
Recommendation for Executive Action
Comments: Please call 202/512-6100 for additional information.
Recommendation: The Secretary of Defense should: (1) ensure that the DOD Health Council provides the direction, guidance, and feedback needed by the Mid-Pacific Review Committee and directs that Committee to seek VA and Public Health Service representation; (2) establish interagency agreements with VA and the Department of Health, Education, and Welfare to provide dental care in military facilities when this would be advantageous; and (3) ensure that the Army keeps other federal health care providers and State officials informed of its planning for the Tripler renovation and gives full consideration to their concerns.