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MWD-76-119 1 (1976-04-14)

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              COMPTROLLER GENERAL OF THE UNITED STATES
                       WASHINGTON, D.C. 20548


B-133044                                      APR 14 1976 Oq37O



The Honorable W. Henson Moore

House of Representatives

Dear Mr. Moore:

     Following your June 11, 1975, letter, we agreed to assess
the following aspects of the administration of the New Orleans
Veterans Administration (VA) Hospital:

     --Space available for selected hospital services.

     --Staff levels and qualifications for selected hospital
     services.

     --Completeness of patient medical records and physician
       access to records.

     --Medical staff committees' efforts to assure quality
       patient care.

     Hospital officials acknowledge that longstanding prob-
lems identified in each area have hampered patient care.
Their corrective efforts have been foiled by increasing
workload, lack of resources, and lack of effective management
action. They believe that appointing a new hospital director
and a permanent chief of staff, along with the attention
focused on the hospital by the temporary suspension of its
accreditation, will strengthen the hospital's efforts to
provide quality patient care.

INTRODUCTION

     The New Orleans VA Hospital is a general medical and
surgical hospital affiliated with Tulane University and
Louisiana State University medical schools. The hopital has
581 operating beds--221 surgical, 298 medical, and 62 psychi-
atric.

     As of July 1, 1975, the hospital was authorized 1,232
full-time-equivalent employees. Nursing service and medical
administration service had the most employees--354 and 230,
respectively. The hospital's funding in fiscal year 1976
is about $28 million.


                          /                    MWD-76-119