Inpatient Health Facilities · 2016. 1. 26. · Health Facilities as ReportedFromthe 1971MFI Survey...

DATA ON NATIONAL HEALTHRESOURCES

InpatientHealth Facilitiesas ReportedFromthe1971MFI Survey

Statistics about nursing homes, hospitals, and other kindsof inpatient health facilities include numbers of institutions,beds, and employees as well as types of ownership, geographicdistribution, and comparisons with other surveys. Based ondata collected during the period August-October 1971.

DHEW Publication No. (HRA) 74-1807

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health Service

Series MNumber 12

Health Resources Administration

National Center for Health StatisticsRockville, Md. March 1974

Library of Congress Cataloging in Publication Data

Inpatient health facilities.

(National Center for Health Statistics. Data on national health resources, series 14, no.12) (DHEW publication no. (HRA) 74-1807)

Bibliography: p.Supt. of Dots. no.: HE 20.6209: 14/12.1. Health facilities–United States–Statistics. I. Title. II. Series: United States,

National Center for Health Statistics. Vital and health statistics. Series 14: Data orI nationalhealth resources, manpower and facilities, no. 12. III. Series: United States. Dept. of Htxdth,Education, and Welfare. DHEW publication no. (HRA) 74-1807. [DNLM: 1. Health facilitics–Supply and distribution–U.S. W2 A N 148vn no. 4 etc.]RA981.A2S54 362.1’0973 73-20400

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 2L?402- Price $1.10

NATIONAL CENTER FOR HEALTH STATISTICS

.EDWARD B. PERRIN,-Ph.D., Director

PHILIP S, LAWRENCE, SC.D., Deputy Director

GAIL F. FISHER, Assistant Director for Health Statistics Development

JAMES E. KELLY, D;D.S.,Dental Advisor

EDWARD E. MINTY, Executive Officer

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH RESOURCES STATISTICS

SIEGFRIED A. HOERMANN, Director

PETER L. HURLEY, Deputy Director

G. GLORIA HOLLIS, Chief Health Facilities Statistics Branch

HENRY S. MOUNT, Chiej Health Manpower Statistics Branck

PETER L. HURLEY, Acting Chief Family Pkming Statistics Branch

WILLIAM P. STEWART, Acting chieJ Hospital Discharge Survey Branch

COOPERATION OF THE BUREAU OF THE CENSUS

under the legislation establishing the National Health Survey,

the Public Health Service is authorized to use, insofar as possible,

the services or facilities of other Federal, State, or private agencies.In accordance with specifications established by the National

Center for Health Statistics, the Bureau of the Census, under a

contractual arrangement, participated in planning the survey and

collecting the data.

Vital and Health Statistics-Series 14-No. 12

DHEW Publication No. (HRA) 74-1807

Library of Congress Catalog tird Number 73-20400

CONTENTSPage

Introduction ---------------------------------------------------------- IBackground -------------------------------------------------------- I

Nursing Homes ------------------------------------------------------- 2Highlights --------------------------------------------------------- 2History ------------------------------------------------------------ 2Physical Changes From1969-1971 ------------------------------------ 3Comparison Between 1971and Past MFI Surveys ----------------------- 5

Hospitals -------------------------------------------------------------How Many and What Size ---------------------------------------------Utilization ---------------------------------------------------------Location With Respect to SMSA?s-------------------------------------Geographic Distribution ---------------------------------------------Hospital Trends ----------------------------------------------------Inpatient Utilization Trends ------------------------------------------titpatient UtilizationTrends -----------------------------------------Employee Trends ---------------------------------------------------

101011121314141415

~her HealthFacilities ------------------------------------------------- 16

References ----------------------------------------------------------- 18

List of Detailed Tables ------------------------------------------------ 19

Appendix 1. Methodolo~--------------------------------------------- 53Nursing Homes ----------------------------------------------------- 53Results of McGraw-Hill Match --------------------------------------- 53Other Health Facilities ---------------------------------------------- 55Hospitals ---------------------------------------------------------- 55

Appendix IL Classification Procedures -------------------------------- 56Criteria for Classifying Nursing Homes ------------------------------- 56Classification of Hospitals ------------------------------------------- 57

Appendix 111. Questiomaires ------------------------------------------- 58Nursing Homes and Other Health Facilities ---------------------------- 58Hospitals -- - - - - --- - - - - - -- -- -- - -- -- --- - - - -- -- - --- - - - - - - - - -- -- - - - - --- 62

...Ill

SYMBOLSData not

Category

available ------------------------

applicable -------------------

Quantity zero ----------------------------

Quantity more than O but less than 0.05----

Figure doesnot meet standards ofreliabilityor precision ------------------

---

.*.

0.0

*

INPATIENT HEALTH FACILITIESAlvin Sirrocco$ Division of Hsalth Resouvces Statistics

INTRODUCTION

This report reflects the findings from the 1971Master Facility Inventory (MFI) Survey. The sur-vey is the fourth of its kind; the first su:vey wasconducted in 1963,1 the second in 1967,” and thethird in 1969.:3 In addition to statistics from the1971 survey, this report includes a comparisonwith the findings from the 1969 and the 1967 sur-

veys.Included in the 1971 MFI Survey were 22,004

nursing homes, 7,678 hospitals, 1,236 facilities forthe mentally retarded, 1,015 homes for dependentchildren, 875 homes or resident schools for theemotionally disturbed, 176 homes for unwed moth-ers, 166 resident facilities for alcoholics o: drugabusers, 143 homes for the deaf and/or blind, 94resident facilities for the physically handicapped,752 correctional facilities for children (under age21), and 312 other types of health-related inpa-t ient facilities. This latter group included suchplaces as boarding schools and health facilitiesexclusively for American Indians, and multipur-pose types of facilities such as homes for theblind and mentally retarded, or homes for thephysically handicapped and emotionally disturbed.

For purposes of the MFI, nursing homes aredefined as establishments with three beds or morewhich providenursingorpersonal care to the aged,

infirm, or chronically ill. Hospitals include allestablishments having six beds or more that arelicensed as hospitals,

Background

In 1963 the National Center for Health Statis-tics (NCHS) conducted its first national survey ofall health facilities and institutions. 1 The survey

was called the Master Facility Inventory Surveyand it covered the same types of facilities in-cluded in the 1971 survey with one exception. The1963 survey included Federal- and State-operatedadult penal institutions within the framework ofcorrectional facilities. However, these institu-tions were dropped from the MFI beginning withthe 1969 survey.

For the 1963 survey, names and addresses ofapproximately 46,000 health facilities and institu-tions were obtained from State and Federal li-censing or regulating lists and from lists fur-nished by the Division of Vital Statistics of theCenter, the Health Care Facilities Service ofthe Health Resources Administration, the Amer-ican Hospital Association, and the U.S. Bureauof the Census. By mat thing and unduplicatingthese various lists, a final listing of about 30,000facilities was established. The response rate forthis first MFI Survey was 93 percent.

Information obtained from the 1963 surveywas very basic with such data being collectedas type of facility, number of beds, and type ofownership. These data were used primarily forclassifying the various establishments. In additionto supplying basic information on health facilities,the resulting list of facilities (with the correspond-ing classification information) was used as thesampling frame for the more detailed surveysconducted on the institutionalized population with-in these facilities.

The second MFI survey was conducted fromAugust through December 1967: Between the 1963and 1967 surveys, the Agency Reporting Systemwas devised for obtaining the names and addressesof allhealthfound

new hospitals, nursing homes, and otherfacilities in the country.~ The 1967 surveyover 31,000 facilities providing inpatient

1

health care and more than 29,000 of these re-turned their completed questionnaires (a responserate of 94 percent).

The basic information of the 1967 survey pro-vided valuable information to other governmentagencies as well as to private organizations andindividuals. With this in mind, the 1969 MFI ques-tionnaires (one for nursing homes and one for fa-cilities other than hospitals) were expanded toinclude more detailed information about each fa-cility, making it possible for NCHS to provideeven more information. In spite of the extra ques-tions, the 1969 survey had a response rate of 96percent. This survey was conducted from October1969 through January 1970 among 27,267 nursinghomes and other facilities.

For the 1971 MFI Survey, NCHS put the nurs-ing home and “other health facilities” questionson one questionnaire. This portion of the MFISurvey, which is conducted by the U.S. Bureau ofthe Census, produced a response rate of 97 per-cent.

To avoid the duplication of effort involved inhaving hospital administrators fill out two similarquestionnaires, NCHS and the American HospitalAssociation (AHA) entered into a contractual ar-rangement prior to the 1969 MFI Survey in whichthe AHA’s annual survey of hospitals became theinstrument for updating information for the hospi-tal portion of the MFI. However, since not allhospitals are registered pr members of the AHA,it was necessary for NCHS to conduct a separatesurvey on the non-AHA hospitals, which make upabout 10 percent of all the hospitals in the country.The hospital portion of the MFI Survey is, there-fore, conducted every year in conjunction with theannual AHA hospital survey. A large amount of newinformation on hospitals is now available due tothis arrangement with the AHA. The hospital por-tion of the 1971 MFI produced a response rate of93 percent.

Methodology for the 1971 MFI Survey is givenin appendix I.

It should be noted that Series 14, No. 4,2 con-tains data from the 1967 MFI Survey and Series14, No. 6,:3 contains data from the 1969 MFI Sur-vey. Comparisons with the 1971 data were ob-tained by using the statistics found in these re-ports.

NURSING HOMES

Highlights

In 1971 the United States had 22,004 nursinghomes according to the MFI Survey conducted thatyear. These homes contained more than 1,200,000beds and had 1,075,000 residents (an occupancyrate of 90 percerit). The residents were served byapproximately 568,000 full-time and 201,000 part-time employees (7 employees for every 10 resi-dents).

These are just a few of the basic findings fromthe nursing home portion of the 1971 MFI Survey.The following sections take a closer look at thenursing home field and show how it has changedsince the 1969 and 1967 MFI Surveys were con-ducted.

Before presenting the nursing home data,however, the following section is given as both abackground on what has been done in the past andas a preliminary explanation of the effects thatcurrent classification procedures may be havingon the data presented in this report.

History

Many different names are used to describe anursing home facility. Among the most commonnames other than nursing homes are homes for theaged, convalescent homes, and rest homes. Sincethe name by which a nursing home is called hasvirtually nothing to do with the type and amount ofnursing care it is providing, classifying nursinghomes by the type of services they provide be-comes essential.

Since the inception of the MFI, the NationalCenter for Health Statistics has grouped nursinghomes according to the primary type of serviceoffered in the home. This results in classifyingnursing homes as nursing care homes, personalcare homes with nursing, personal care homes(without nursing), and domiciliary care homes.These four types of homes will be referred to asNC homes, PCN homes, PC homes, and DC homes,respectively.

The criteria given in appendix H were de-veloped by NCHS in order to class ify each nursinghome into one of these four types. Essentially, theclassification is based on the number of persons

2

receiving nursing care, the services provided, andthe employment of full-time registered nurses(RN’s) and licensed practical nurses (LPN’s),Table II in appendix 11 gives the criteria forclassifying all nursing homes. As this classifica-tion scheme was developed prior to the Medicareand Medicaid legislation, it does not correspondexactly to the definitions for Medicare extendedcare facilities or Medicaid skilled nursing homesor intermediate care facilities.

In order to keep the MFI list of health fa-cilities current, the Agency Reporting System(ARS) has been developed; this system obtains onan annual or more frequent basis, the names andaddresses of all newly opened health facilities.The ARS consists of national voluntary organiza-t ions and Federal and State agencies includinghealth, welfare, and voluntary religious organiza-tions; publishers of commercial directories; Stateagencies that administer, regulate, license, cer-tify, approve, list, or are otherwise concerned withmedical and resident care facilities; and Federalagencies that administer inpatient facilities.

Upon obtaining these lists, the facilities arematched against the current MFI list to eliminateduplicates. Those facilities which are not on theM171list and seem to be an inpatient health fa-cility are placed on the mailing list for the nextARS or “birth” survey,d which occurs every 6months. These ARS surveys verify the names andaddresses of the newly found facilities and obtainfrom them a limited amount of additional informa-tion.

Prior to the 1971 MFI Survey, NCHS signed a3-year contract with a private company for themaintenance of the ARS. In addition to cbtainingcurrent directories from the agencies already inthe system, they are to locate any new agencieswhich maintain lists of health facilities and in-corporate them into the system. Of particularconcern are the small personal care homes inCalifornia which are difficult to locate becausethey are under county rather than State controland which go in and out of business so quickly thatthey go on and off the MFI list from one survey tothe next.

Another area where the contractor is to focushis attention is the area of extended care facilities.In past MF1 Surveys, if an extended care facilitywas structurally part of a hospital, it was treated

as a unit of the hospital. In the 1971 MFI Survey,however, the hospital- based extended care facilityis treated as a separate facility—a nursing home.Thus instead of one health facility (a hospital)being reported there are now two (a hospital anda nursing home). Every effort has been made togather separate statistics for each part of the fa-cility. In other words, the number of beds, patients,employees, and so forth located within the ex-tended care facility are included only in the nurs-ing home statistics and are not counted in the hos-pital statistics.

It is hoped that these changes in the operationof the ARS will result in the addition of some newlyopened facilities that would not have been foundotherwise and also in the addition of facilities thathave been missed in the past.

Physical Changes From 1969 to 1971

In a report based on the 1969 MFI Survey,s itwas surmised that smaller nursing homes weregoing out of business or expanding and bigger oneswere being built. This assumption was based on thehuge increase in nursing home beds (over 107,000more), despite a decrease in the number of homes(231 fewer) from 1967 to 1969.

From 1969 to 1971 there were increases inboth homes and beds, and although there was ahigher rate of increase for the beds than for thehomes (28 percent and 16 percent), the same as-sumption that was made in 1969 could not be madein 1971 from these figures alone. The followingtwo sections deal with both questions under con-sideration, namely, (1) were small nursing homesgoing out of business and bigger ones being built?and (2) were existing nursing homes expandingtheir bed capacities?

“Bivths.r’-There was some question as tohow many of the newly found nursing homes(“births”) were actually new and how many hadbeen missed by previous surveys. Although thisquestion cannot be answered conclusively, thereis reason to believe that the vast majority of thehomes were indeed new and that those missedpreviously were in all likelihood the smallerhomes.

On the assumption that all 3,506 “births”found in the United States between the 1969 and1971 MFI Survey were new nursing homes, table

3

1 shows how they are distributed by type of homeand bed size. It is clear from this table that mostof these newly found homes were small, with 56.5percent of them having less than 25 beds and only13.9 percent having 100 beds or more. The tablealso shows data for California, where the biggestsegment of these homes was located. More than43 percent (1,514) of the newly found homes werediscovered in this State, and of these, 1,325 hadless than 25 beds.

As the table indicates, three-fourths of theCalifornia “births” were personal care homes,and almost all of them had less the 25 beds. Itis obvious from the table that the California“births” had a tremendous effect on the totalnumber of “births,” particularly in the categoryunder 25 beds. In fact, if the California “births”(both homes and beds) were excluded from thetotals, the result would be an average capacity of64 bed~ per home instead of the 44 beds perhome that result when they are included.

It is interesting to note that although thenational average size of nursing homes in 1969was 50 beds and the average size of these 1971“birth” nursing homes was 44 beds, the averagesize of all nursing homes in 1971 was 55 beds.Adding the nursing homes in existence in 1969(with their 50-bed average) to those that came intobeing from 1969 to 1971 (with their 44-bed aver-age) would, by itself, result in an average of less

than 50 beds for nursing homes in 1971. Why, then,was the average higher than this?

One reason was the fact that 1,445 nursinghomes went out of business and the average bedsize of these homes was 33 beds. The loss ofthese homes of course resulted in a raising ofthe bed size average for 1971.

A second (and the major) reason for thishigher average in 1971 was the expansion inbed capacity of existing nursing homes from 1969to 1971. The following paragraphs discuss thechanges in bed capacity that took place in nursinghomes from 1969to 1971.

Changes in bed capacity --- In an effort to de-termine whether existing nursing homes were in-deed expanding, those nursing homes that were inoperation during both the 1969 and 1971 MFI Sur-veys were checked for possible changes in bedcapacity. To find out how many homes were inoperation during both surveys, it was necessaryto eliminate the various other types of changeswhich occurred. For instance, of the 18,910 nurs-ing homes in operation during 1969, 288” werereclassified as “other health facilities” due tochanges in the services they offered and 1,445went out of business. The final result, therefore,was 17,177 nursing homes which were in operationduring both surveys.

As table A indicates, most of the nursinghomes (15,166) were in the same bed size group

Table A. Number of nursing homes that stayed in the same bed size group from 1969 to1971, number of beds in each year, and difference: United States

Bed size

All bed sizes ------------------

Less than 25 beds --------------------25-49 beds ------- ------- ------- ------50-74 beds -------- -------- -----------75-99 beds -------- -------------------100-199 beds -------------------------200-299 beds -------------------------300-499 beds -------------------------500 beds or more ---------------------

Homes

15,166

5,7873,7472,4021,2901,684

1786018

Beds in1971

761,699

74,068133,640143,304112,596219,59741,91422,52414,056

Beds i.n1969

755,795

74,327133,018142,407112,28921J ,:;;

21;76814,669

Beddifference

1969 tO

1971

5,904

-259622897307

3,726468756

-613

4

in 1971 as they were in 1969.Howevez, of those

2,011homes that changed bed size groups, 1,533(76 percent) moved to a larger bed size group(table B). In addition, only 19 percent of the homes

that changed to a smaller bed size group wentbelow the next smaller group, whereas 43 percentof the homes that changed to a larger bed sizegroup went above the next larger group.

The 2,011 nursing homes that changed bedsize groups had an overall net increase of 63,379

beds. In addition, a look at table A shows that al-though 15,166 homes did not change bed size

group, there still was an overall increase of 5,9o4beds within these same groups.

Table B. Number of nursing homes that1969 tochanged bed size groups ‘from

1971: United States

Change in bed size groupl

All nursing homes chang-ing bed size group -------

All homes increasing to a higherbed size group -----------------

Increasing 1 bed size group---Increasing 2 bed size groups--Increasing 3 bed size groups--Increasing 4 bed size groups--Increasing 5 bed size groups--Increasing 6 bed size groups--Increasing 7 bed size groups--

All homes decreasing to a lowerbed size group -----------------

Decreasing 1 bed size group---Decreasing 2 bed size groups--Decreasing 3 bed size groups--Decreasing 4 bed size groups--Decreasing 5 bed size groups--Decreasing 6 bed size groups--Decr*shg 7 bed size groups--

Number

2,011

1,533

876355148122

2642

478

387

;;

i00

lThese bed size groups or categoriesare the same as those given in Table A.The following is an example of a home in-creasing in bed size groups.

EXAMPLE: If a,nursing home had 70 bedsi,n 1969 and 105 beds in1971, it increasedby two bed size groups (from the SO-74group to the 100-199 group).

To conclude, at the begiming of this section

on physical changes in nursinghomes from 1969to 1971,two questions were asked: (1) Are thesmaller nursing homes going out of business andbigger ones being built? and (2) are existingnursing homes expanding their bed capacities?

In answer to the first question, the analysisindicates that many smallhomesare going out ofbusiness. (The averagebedsizeofthel,445homesthat went out of business between 1969 and1971was 33 beds.) However, it is also true that manysmall homes (1,981 with under 25 beds)cameintoexistence between 1969 and 1971. On the whole,

however, the newly opened homes, with anaver-age of 44beds, are slightly larger than those that

went out of business. In addition, if California is

excluded as an exceptional case and only the re-maining States plus the District of Columbia areexamined, then the newly opened homes have anaverage of 64 beds—nearly twice the size of the

out-of-business homes.Inanswer to the secondquestion, theanalysis

shows that although most of the homes remained

virtually unchanged between 1969 and 1971, those

that did change their bed capacities added beds;very few nursing homes decreased their beds.

Comparisons Between 1971

and Past MF! Surveys

The preceding section described the actualphysical changes (opening, closing, expansion)

undergone by nursing homes from 1969to 1971.

The following analysis shows how these changes

affected the total nursing home picture and com-

Tableingand

C. Number ofnursing homes and nurs-home beds:United States, 1967, 1969,1971

Year Homes Beds

1971--------------- 22,004 1,201,598

1969--------------- 18,910 943,876

1967--------------- 19,141 836,554

5

Table D. Number of nursing homes in 1967, 1969, and 1971 and percent change betweenyears, by bed size: United States

1

Bed size1971homes

All bed sizes -------------------

Less than 25 beds ---------------------25-49 beds ----------------------------.50-74 beds ----------------------------75-99 beds ----------------------------100-199 beds ---------------- ----------200-299 beds --------------------------300-499 beds -------- -------- ----------500beds or more ----------------------

22,004

8,266:>;;;

2:0462,825

422M;

pares the resulting 1971 data with the 1969 data3and, in some cases, the 1967 data.2

Beds, services, and ownershiP.--The 22,004nursing homes found in the 1971 MFI Surveyrep-resented an increase of 3,094 homes over the1969 MFI figure. In addition to this rather largeincrease in homes (16 percent), there was aneven larger increase in the number of nursinghome beds (-l-257,722 beds, +28 percent), (tableC). A substantial portion of this increase innursing homes and their beds was in California.California increased by 1,466 homes (almosthalf of the total increase of3,094 homes) andby41,097 beds (16 percent of the total increase).Table 2 gives the 1971 figures, and Series 14,Number6,s gives the 1969 figures.

Table Dindicates the changes inthe numberof nursing homes and beds that took place from1967 to1969 and the changes that tookplace from1969 to 1971. In both instances the homes with50 beds or more showed major increases, whilethe homes with less than 50beds showed minorincreases for 1971 and decreases for 1969. Thenursing homes with 50 beds or more increasedby 19 percent from 1967 to 1969andby31 per-cent from 1969 to 1971. The nursinghomes withless than 50beds decveasedbyl ,320 (10percent)from 1967 to 1969, then increased by980 homes(8 percent) from 1969 to 1971.

Figuretributed by

6

1 shows hownursing homes weredis-type of service in 1971. The changes

?ercentchange

19~;7;o

16

11

2:

::

x55

1969homes

18,910

7,4454,6252,9041,6271,933

2;:

29

!?ercentchange

1967 to1969

-1

-13-5

2;3418

3;

1967homes

19,141

8,5224,8682,6971,2811,;;:

9122

thatoccurred since 1967 inthefourtvuesof nurs-ing homes and their beds aregiv;; in table E.The NChomeshave been steadily increasing, whilethe PCN homes showed a moderate decrease in1969 with averyslight increase ti1971. The PCand DC homes, on the other hand, dropped sharplyfrom 1967 to 1969 butthen increased by42 per-cent and 80 percent, respectively, between 1969and 1971. As was mentioned earlier, most of thisincrease in personal care homes took place inCalifornia.

D

Figure 1. Distribution of nursing homes byprimary type ofservice: United States, 1971

Table E. Numberof nursing homes and nurs-ing home beds and average bed capacityby primary type of service: UnitedStates, 1967, 1969, and 1971

Primary typeof service

Nursintz care

Homes --------Beds ---------Average bed

capacLty----

Personalcare with

WQY3


capacity----

Personalcare


capacity----

Domiciliarycare


capacity----

1971

12,871917,707

71

3,568192,347

54

5,36988,317

16

1963,227

16

1969

11,484704,217

61

3,514L74,874

50

3,79263,532

17

1201,253

10

1967

10,636584,052

55

3,853181,096

47

4,39666,787

15

2564,619

18

In terms of ownership, government-ownedhomes decreased by 2 percent, while profit andnonprofit homes each increased by 18 percentfrom 1969to 1971 (table F). Nursing care homesincreased under all three types of ownership (up60 percent for government, up 26 percent fornonprofit, and up 7 percent for profit, table G.)The number of profit PCN homes increasedslightly (up 6 percent) as did nonprofit homes(up 2 percent), but there was a substantial de-

crease (down 29 percent) inthenumberofgovern-

ment-owned homes. PC homes had the sameownership trend as PCN homes but with muchlarger changes—profit and nonprofit PC homes

increased by 60 percent and 21 percent, re-spectively, while government-owned PC homesdecreased by48 percent.

The most noticeable change ofany kind wasthe increase which took place from 1969 to1971in profit PC homes. These homes increasedfrom2,879 to 4,611, an increase of 1,732 homes over

that 2-year period. In all, profit homes of all

types increased by 2,579 which represented 83

percent of the 3,094 overall increase.Tables 3,4, and5presentadditional statistics

on the characteristics of nursing homes in1971.Employees and residents.—Almost 568,000

full-time employees worked in nursing homes in1971 (table 6), an increase ofabout 125,000 full-

time employees over 1969. Increases took placein each of the four types of nursing homes, withthe majority of the increase occurring in NC

Table F. Number of nursing homes for 1967, 1969, and 1971 and percent change betweenyears, by type of ownership: United States

I

Type of ownership 1971

All homes----------------------- 22,004

Government ----------------- ------------ 1,368

Proprietary .------*- ------------------ 17,049

Nonprofit . . . . . . --------------------- -- 3,587

-1-Percent

change1969 to 1969

1971

==4===-2 1,390

18 14,470

18 3,050

Percent Ichange

1967 to I 1967

1969 I1

-1 I 19,141

-5 1,462

-2 14,831

7 2,848

7

Table G. Number of nursi,ng homes in 1969 and 1971, net change, and percent change, bytype of ownership and primary type of service: United States

Type of ownership andprimary type of service 1971

Government ----------------------------- 1,368

Nursing care ---------------- ----------------- 872Personal care with nursing ------------------- 223Personal care ------------------------ -------- 265

Proprietary ------- ------- ------- ------- 17,049

Nursing care --------------------------------- 9,963Personal care with nursing ------------------- 2,317Personal care ------------------------ -------- 4,611

Nonprofit --------------------------- --- 3,587

Nursing care --------------------------------- 2,036Personal care with nursing ------------------- 1,028Personal care -------------------------------- 493

1969

1,390

546;;:

14,470

9,3212,1872,879

3,050

1,6171,011

407

Net Percentchange change

t

-22 -2

326-93 -;:

-241 -48

2,579 j 18

642130 :

1,732 60

-+R1786

i

homes, which increased byoverl14,000 full-time rately and are omitted from thediscussion. )Thisemployees. There was also asubstantialincrease

(over 50,000) in the number of part-time employ-eesfrom 1969to 1971.

Table Hindicates that the overall number of

full-time employees perl,OOOresidents continued

to increase, but the increasetookplaceonlyin NChomes with the PCNand PC homes experiencingdeclines in this rate. (Because oftheirsmall num-bers, DC homes are sometimes not shown sepa-

table also shows that this increase in the number

of full-time employees per 1,000 residents didnotoccur for registered nurses (RN’s) and licensedpractical nurses (LPN’s). They experience~ ade-

cline in their rates from 95.9 to86.5 per 1,000

residents.There were more LPN’sthan RN’s employed

in nursing homes in 1971 (73,569 LPN’s to66,434RN’s). This is opposed to the national picture,

Table H. Number of full-time employees and full-time registered nurses and licensedpractical nurses per 1,000 residents in nursing homes, by primary type of serviceprovided by home: United States, 1971, 1969, 1967

Full-time employees Full-time RN’s and LPN’sPrimary type of service

provided by home1971 1969 1967 1971 1969 1967

Rate per 1,000 residents

All homesl -------------- 527.8 522.3 507.1 86.5 95.9 90.9

Nursing care....-.-...-------- 581.8 575.1 563.8 101.1 109.6 107.6

Personal care with nursing---- 385.0 392.0 395.6 47.2 61.1 56.6

Personal care ----------------- 281.6 289.8 288.8 21.0 38.8 30.5

lIncludes domiciliary care homes.

8

which showed about 723,000 RN’s and 400,000LPN’s (also known as vocational nurses) employedin the United States in 1971S Full-time and part-time RN’s and LPN’s employed in nursing homesare shown for each State in table 7.

Residents in nursing homes increased fromabout 850,000 in 1969 to over 1,075,000 in 1971.The residents in NC homes increased from 635,000to 824,000 (an increase of 189,000), those in PCNhomes increased from 158,000 to 172,000 (an in-crease of 14,000), and PC residents increasedfrom 56,000 to 77,000 (an increase of 21,000) (table8).

Occupancy rates for nursing homes remainedconstant from 1967 to 1971. In 1967, 1969, and 1971the rate was 90 percent. This constant rate wasdue in a large degree to the long lengths of stayof many nursing home residents. The many resi-dents who enter nursing homes to remain therefor the rest of their lives contribute substantiallyto the high and also to the constant occupancyrates.

Tables 9 and 10 present other 1971 statisticsfor employees and residents.

Geographic dist~ibution. —Table 11 shows thenumber of each type of nursing home by bed sizegroup and by geographic region. Each of the fourregional totals represent an increase in the num-ber of homes over the 1969 figures. However,while the Northeast, North Central, and South in-creased by 6.2 percent, 8.6 percent, and 11.0 per-cent, respectively, the West Region increased by44.8 percent. California was the biggest contribu-tor to this increase (1,466 of the additional 1,810homes in the West were in California). For thehomes with less than 25 beds, there were de-creases in the Northeast, North Central, and SouthRegions, while the West Region experienced anincrease of 61 percent. In 1969 the West had fewernursing homes than any of the other regions; how-ever, by 1971 the West had passed both the Southand the Northeast and was second only to the NorthCentral Region in the number of nursing homes.

Figure 2 presents a pictorial view of the dis-

13 Em EiE3c220 to 39 tad! 401n59td! 60,079tdI 80,.lWW

Figure 2. Nursing home beds per 1,000 population 65 years and over in each State: United States, 1971

9

60

50

40

+zg 30K:

20

10

0

Northeast North Central South West

REGION

Figure 3, Percent of small and Iarga nursing homes,by gao~ra-phic region: UnitadStates,j 971 - -

tribution of nursing home beds per 1,000 popula-tion aged 65 years and over in each State.7 Re-gional rates as well as those for the States aregiven in table 12. The West had the highest re-gional average (76.2 beds per 1,000 population65 years and over), with the North Central sec-ond (69. 3). The Northeast and South had the low-est average (50.7 and 50.5, respectively).

Figure 3 shows how the small and large nurs-ing homes were distributed in each geographicregion. It is clear from the figure that the Westhad a disproportionate number of small nursinghomes (less than 25 beds) compared to its largehomes (100 beds or more). When figure 3 is com-pared to a similar figure in the 1969 report,3 itcan be seen that the percent of small homes inthe Northeast, North Central, and South Regionsdecreased while the percent of small homes inthe West increased.

HOSPITALS

How Many and What Size?

In 1971 there were 7,678 hospitals in theUnited States according to the joint survev con-ducted by NCHS and Ak. As s~own in tables 13and 14, the vast majority of the hospitals (6,607,86 percent) were general medical and surgical or,simply, general hospitals. The remaining 1,071

10

were specialty hospitals, which included suchhospitals as psychiatric (533), tuberculosis (99),chronic disease (90), rehabilitation (66), mater-nity (47), and narcotic addiction or alcoholism (2and 41) plus various other kinds which are called“other” (193). (For an explanation of the “other”category, see appendix II).

More then 1?4million patient beds were avail-able in the 7,678 hospitals, and 79 percent of themwere occupied at the time of the survey.a Although86 percent of the hospitals were general hospitals,just 67 percent of the beds were in general hos-pitals. The result was an average of 152 beds pergeneral hospital. The specialty hospitals had anaverage capacity of 470 beds per hospital. Psy-chiatric hospitals, averaging 785 beds, were re-sponsible for this high average. In fact, specialtyhospitals, excluding psychiatric, averaged 157beds per hospitals, about the same average as thegeneral hospitals. The average bed capacity ofeach type of hospital is given in table 15. (Thehigh average bed capacity of psychiatric hos-pitals was not caused by a few atypical hospitalswith enormous bed capacties. There were 157psychiatric hospitals with 1,000 beds or moreand 69 others with 500 to 999 beds. Togetherthese two groups made up over 42 percent of allthe psychiatric hospitals.)

The size of the hospital seemed to be relatedto the type of ownership of the hospital. Federallyoperated hospitals had the highest average bedcapacities with 352, State and local governmenthospitals were next with an average of 266 bedsper hospital, followed by nonprofit hospitals with171 beds per hospital, and finally proprietaryhospitals which averaged only 68 beds per hos-pital.

Psychiatric hospitals had perhaps the mostsignificant effect on these averages. Of the 31federally operated psychiatric hospitals, 16 had1,000 beds or more and the rest had 300 beds ormore (table 16). Of the 322 psychiatric hospitalsoperated by State and local governments, 141 had1,000 beds or more while 115 others had 200 ormore. Comparing these figures with the ones fornonprofit and profit psychiatric hospitals shows

%he actualwordingof the questionaskedto ascertainthiswas: “what was the censuson the last day of your reportingperiod?’

that the government operated hospitals had

much higher bed capacities than the nongovern-ment hospitals. Of the 86 nonprofit psychiatrichospitals, none had as many as 500 beds andonly 9 had 200 to 499 beds. The proprietary psy-chiatric hospitals had even fewer hospitals oflarge bed size, with none having as many as 500

beds and just 3 having 200 to 499 beds.

Utilization

The occupancy rates varied substantially

among the different types of hospitals. They

ranged from a low of 51 percent in the alcoholicor narcotic hospitals to a high of 86 percent inthe chronic disease hospitals (table 17). The twomost prevalent types of hospitals, general andpsychiatric, had occupancy rates of 77 percent

and 83 percent, respectively.As table 15 indicates, the occupancy rates

increase with the size of the hospital. The hos-pitals with fewer than 25 beds were barely half

full, whereas the hospitals with 1,000 beds or morewere 84 percent occupied. This pattern is followedin both the general and psychiatric hospitals, butnot with the remaining types of hospitals, whichshow no definite patterns. This could very wellbe due to the small number of hospitals that arefound in each bed size group. One hospital, for

example, with an unusually high or unusually low

occupancy rate would be enough to significantlyalter the total occupancy rate for that group.

Table 17 shows the occupancy rates of the

various types of hospitals by ownership category.The proprietary hospitals, with 70 percent of

their beds occupied, had about a 10 percent loweroccupancy rate than the nonprofit hospitals (79percent), the State and local government hospitals(79 percent), and the Federal government hos-pitals (82 percent). Figure 4 and table 18 show

occupancy rates by State.In addition to occupancy rates, another im-

portant measure of hospital utilization is turn-over (the number of yearly admissions per bed).

wb~ Qev

CsALASKA

\,

.. .

cl Ez21n6069 Wm., 7@-7B Fume”, 8C.SS mm”,

Figure 4. Hospital occupancy rates in each State: United States, 1971

11

Table J. Number of admissions per bed bytype of hospital: United States, 1971

1

Type of hospital Turnoverrate

General -----------------------psychiatric -------------------Tuberculosis ------------------Chronic disease ---------------Narcotic addiction or

alcoholkn -------------------Maternity ---------------------Rehabilitation ----------------

3;.:

2:01.4

14,638.4

5.1

This measure changes much more because of thetype of hospital thanbecauseof bedsizeor owner-ship. General hospitals, forinstance, hadanaver-age annual turnover rate of 32.3 admissions perbed, while psychiatric hospitals had an averageturnover rate of 1.6. Table J shows the turnoverrates for the various types of hospitals.

Not surprisingly, thetableshows thatthehos-pitals which are shore-stay in nature (general,maternity) hada rather high turnover of patientswhereas the hospitals that tend to be long-stay(psychiatric, tuberculosis, chronic disease, re-habilitation) had a rather low turnover of patients.

Looking at the actual lengths of stay (table 17),one finds that general and maternity hospitalshadaverage lengths of stay of9 and6 days, respec-tively, whereas psychiatric and chronic diseasehospitals had average lengths ofstayof312 and212 days, respectively.

Locotion With Respect to SMSA’S

In general, a standard metropolitan statisticalarea (SMSA) is definedas anintegratedeconomicand social unit with a large population nucleus.Each SMSA contains at least:

1. Onecentral city with50,000inhabitants ormore, or

2. Two cities having contiguous boundaries.and constituting, forgeneraleconomic and

social purposes, asingle comm~ity witha combined population of at least 50,000,the smaller of which must have apopula-tionof at least 15,000.6

As of 1970, there were 243 SMSAls in ex-istence.7 Based on the U.S. population in 1970of 203.2 million, 68.5 percent of the people livedinan SMSA.

Though less than half (49.2 percent) of thehospitals in the United States were located inSMSA’S, 68.8 percent of the hospital beds werein SMSA’S (tables 19 and 20); thusthelarger hos-pitals were in SMSA’S. The number of beds per1,000 population was the same whether thehos-pital was within an SMSA or not (7.4 per 1,000population).

Table 19 shows thedistribution of hospitalsin and out of SMSAts by bed size groups. It isevident from this table that the preponderance ofthe smaller hospitals were not in SMSA’S whilethe preponderance of the larger hospitals werein SMSA’S. For example, the non- SMSA’s had 68.5percent of the hospitals with less than 100 bedswhile the SMSA’s had 80 percent of the hospitalswith 200 beds or more. The hospitals with 100-199beds were more evenly spilt, with 44 percent innon-SMSA fs.

Since the large metropolitan areas have suchan immediate and great demand on them for healthcare, they would be expected to have the largerhospitals. Location in an SMSAhad an even greatereffect on. the bed size Qf gvne?’alhospitals, withnon- SMSA’s having 75 percent of the hospitals withunder 100 beds and SMSAts having 84 percent ofthe hospitals with 200 beds or more.

Specialty hospitals were predominantly lo-cated in SMSA’S (75 percent). However, a higherpercent of the larger specialty hospitals than ofthe smaller ones were outside SMSA’S. (Table19.) Whereas 18 percent of the under 200 bedspecialty hospitals were not in SMSA’s, 35 percentof the specialty hospitals with 200 beds or morewere not in SMSA‘s.

Although psychiatric hospitals were locatedpredominantly in SMSA’S, many large ones werenot. Approximately 41 percent of the psychiatrichospitals with 200 beds or more were not in anSMSA. One reason for this centers on the factthat many of the large psychiatric hospitals inexistence today were actually built in the late1800ts and early 1900’s. People with psychiatricproblems in those days were not usually acceptedby society, so whenever an institution was builtfor them, it was usually built out in the country,

12

farfrom anycity.Ingeneral,theoccupancyrateswereslightly

higherintheSMSA hospitals(8Opercent)thaninthenon-SMSA hospitals(75percent)(table21).For example,thegeneralhospitalsinanSMSA hadan occupancyrateof79.4percent,whilethosenotin an SMSA hada rateof71.1percent.The psy-chiatrichospitalson theotherhand showedvir-tuallyno differencein occupancyratesbetweenSMSAts andnon-SMSA’s.

OccupancyratesbothinSMSA’s andoutsideSMSA’S were higherforthelargerhospitals(200beds or more) (82 percenteach)thanforthesmallerhospitalswithlessthan75 beds(62per-centfornon-SMSA~sand64 percentforSMSA’S).

Geographic Distribution

There were 4.9generalhospitalbeds per1,000totalU.S.populationand 2.4specialtyhos-pitalbedsper 1,000populationin1971.TheNorth-eastRegionhad thehighestnumber ofbeds per1,000population(8.6)inallhospitals,and theWest hadthelowest(5.8)(table22).TableK liststhe 12 highestStatesand the12lowestwithre-specttoratesforhospitalbedsper 1,000popula-tion.

The West Regionhad thelowestrateas awholeandalsoon a Stateby Statebasis;10ofthe12 StateswiththelowestratesarelocatedintheWest Region,TheNortheastRegionhadthehighest

overallrate,and,inaddition,fiveofthefirstnine

Table K. 24 States with the 12 highestand the 12 lowest ratesof hospital bedsper 1,000 population: 1971

High

State

District ofColumbia-----South Dakota--Massachusetts-West Virginia-North Dakota--New York------Pennsylvania--Rhode Island--Maime---------Nebraska------Wisconsin-----Delaware------

Rate

16.79.89.89.49.3

%;8.7

::;8.48.3

Low

State

Utah-------Idaho------Washington-Nevada-----Alaska-----

New Mexico-Oregon-----Arizona----Arkansas---Califomia-

Hawaii------Kentucky---

Rate

4.54.8

z::5.6

5.85.8

;::5.8

%;

Stateswiththehighestratesarelocatedinthisregion.

Rates forStatesand regionsare shown intable22 by typeofhospital.The Districtof Co-lumbiahadthehighestgeneralhospitalratewith10.3beds per 1,000population.The nexthighestwas North Dakotawith7.1.The lowestratewasrecordedby Maryland,3,6.The highestspecialtyhospitalratewas intheDistrictofColumbiawith6.4beds per 1,000population,followedbyMas-sachusettswith4.9.The lowestspecialtyhospital

ratewas 0.5inUtah.

Table L. Number of hospitals in 1967, 1969, and 1971 and net change, by bed size:United States

Bed size

All bed sizes------------------------

Less than 25 beds--------------------------25-49 beds---------------------------------50-74 beds---------------------------------75-99 beds---------------------------------100-199 beds-----------.-------------------200-299 beds-------------------------------300-499 beds-------------------------------500 beds or more---------------------------

1971Hos-pitals

7,678

6361,6481,052772

1,545739708578

Netchange1969 to1971

-98

-77-85-45+39-2+24+37+11

1969Hos-

pitals

7,776

7131,7331,097733

1,547715671567

Netchange1967 to1969

-371

-199-133- 72-44+ 48- 17+ 48-2

1967Hos-

pitals

8,147

9121,8661,169

7771,499

732623569

13

Hospital Trends

This section compares hospital data for theyears 1967, 1969, and 1971. If not shown in tablesof this report, 1969 data can be found in Series 14,Number 6,3 and 1967 data in Series 14, Number4.2

The decrease in the number of hospitals whichoccurred from 1967 to 1969 continued at a less-ening degree through 1971, as seen in table L.

As in the previous 2-year span, the decreasefrom 1969 to 1971 occurred primarily in the num-ber of smaller hospitals. In 1967 there were 3,947hospitals with less than 75 beds in the UnitedStates. In 1971 this number was down to 3,336, adecrease of more than 15 percent. Over this same4-year period, hospitals with 300 beds or moreincreased by 94, an 8 percent increase.

The total number of hospital beds also con-tinued to decline but at a faster rate than the hos-pitals themselves. This resulted in a slight dropin the average bed capacity of hospitals.

Table M also shows that the patient censusfell at a faster rate than the beds, resulting in agradual drop in the occupancy rates.

The occupancy rates for the psychiatric hos-pitals decreased more than those for the generalhospitals. From 94 percent in 1967, the formerrate dropped to 87 percent in 1969 and to 83 per-cent in 1971. Occupancy rates for general hos-pitals actually increased from 1967 to 1969 (76to 79 percent) before dropping in 1971 (77 per-cent).

In terms of ownership, the number of pro-prietary and nonprofit hospitals decreased stead-

ily from 1967 to 1971, while the number of govern-ment operated hospitals increased (table N).

Inpatient Utilization Trends

Despite a- steady decrease in their averagepatient census from 1967 to 1971 (table M), hos-pitals have been substantially increasing their ad-missions. In 1967 the average yearly number ofadmissions per hospital was 3,774, in 1969 theaverage was 4,075, and by 1971 the average wasup to 4,381. The actual total number of admissionsrose from 30.7 million in 1967 to 31,7 million in1969 to 33.6 million in 1971. (Table 15.)

The effect of this increase in admissionscombined with the decrease in beds can be seenin the turnover rates (yearly admissions per bed)of hospitals from 1967 to 1971. From a rate of18.8 in 1967, the turnover rate rose to 20.3 in 1969and then to 22.3 in 1971. The turnover rate forgeneral hospitals rose from 30.9 to 31.2 to 32.3,while the rates for psychiatric hospitals rose from1.0 to 1.3tol.6forthe years 1967, 1969, and 1971,respectively. Increasing turnover rates imply ashorter length of stay with patients being releasedsooner and being sent to nursing homes and ex-tended care facilities.

Outpatient Utilization Trends

Another important measure of hospital utili-zation is outpatient visits. A tremendous number ofpeople visit hospitals on an outpatient basis eachyear. In 1971, 214.8 million hospital outpatientvisits were recorded in the United States (table

Table M. Number of hosDitak and beds. average bed capacity, total patient census,average census, and a;erage occupancy-rate for 1967, 1969, and 1971: United States

Aver -

Hos - age TotalYear pitals Beds bed patient

capac - censusit y

.

1971 ---------------------- 7,678 1,507,988 196 1,185,528

1969 ---------------------- 7,776 1,563,626 201 1,266,740

1967 ---------------------- 8,147 1,631,101 200 1,340,929

Average Averagenumber occu-

Of pane ypatients rateper hos -

pital

154 .79

163 .81

165 .82

14

Table N. Number of hospitals by type ofownership: United States, 1967, 1969,and 1971

Year Propri- Non- Govern-e tary profit ment

23). (Due to multiple visits, an accurate count ofthe number of outpatients is not possible.) The214.8 million was an increase of 32.7 millionvisits (18 percent) over 1969. There was a slightdecrease inthenumber ofhospitals providing out-patient services in 1971 compared with the num-ber in 1969 (7,299 in 1971 and 7,306 in 1969).

The 7,299 hospitals that provided outpatientservices in 1971 represented 95 percent of allthe hospitals in the country. Virtually all (98percent) general hospitals offered outpatient ser-vices, whereas less than half (46 percent) of thenarcotic addiction or alcoholism hospitals offeredthem,

The three basic types of outpatient visitsdefined in the 1971 MFI Survey were (1) emer-gency visits, (2) outpatient clinic visits, and (3)other visits (referred patients).

Of the three types, most of the outpatientvisits were clinic visits (45.8 percent), the re-maining visits being split between emergencyvisits (27.6 percent) and referred patient visits(26.6 percent). The 98.3 million outpatient clinicvisits shown in table 23 represent an increase of39 percent over the 1969 figure and the 59.3 mil-lion emergency visits a 20-percent increase. How-ever, the 57.2 million referred visits are a 4-per-cent decvease from the 1969 figure.

Almost all (406 of the 408) federally operatedhospitals provided outpatient services. These hos-pitals had an average of 117,287 visits each in1971. This compared to the “nonprofit hospitalaverage of 29,353 visits, the State and localgovernment hospital average of 22,168 visits, andthe proprietary hospital average of 8,424 visits.The extremely high average number of visits inFederal hospitals is in all probability due to the

fact that they were much larger than the otherhospitals. As was mentioned earlier, the Federalhospitals had an average of 352 beds; State andlocal hospitals averaged 266 beds; nonprofit hos-pitals, 171 beds; and proprietary hospitals, 68beds. The larger hospitals had more personneland were able to both offer more services andhandle more patients.

Employee Trends

Table O shows how the number of full- andpart-time employees in hospitals has been in-creasing.

Sizable increases took place in the numberof nursing personnel in hospitals from 1969 to1971. Full-time registered nurses increased by36,548, 12 percent, and full-time licensed prac-tical nurses increased by 27,332, or 17 percent.The ratio of full-time hospital employees topatients in 1971 was 2.06 to 1, or, stating it an-other way, 206 full-time employees for every100 patients. Of these 206 full-time hospital em-ployees, 45 were full-time RN’s or LPN’s. In1969 the ratio of full-time hospital employees topatients was 1.79 to 1, or 179 full-time employeesper 100 patients, of which 37 were full-time RN’sor LPN’s.

The number of part-time employees alsocontinued to increase, from approximately423,000 in 1967, to 496,000 in 1969, to 536,000in 1971. Once again, it should be rememberedthat these increases took place despite a decveasein hospitals, beds, and patient census.

Table O. Number of full-time and part-time employees in hospitals and employeeeper hospital: United States,1967, 1969,and 1971

Part- Employ-

Full-time time eesYear employees em- per

hos-ployees pital

15

There were increases from 1969 to 1971 infive of the six full-time medical employee groupsshown in table 24. Physicians and dentists in-creased 8 percent; interns, 15 percent; RN’s, 12percent; LPN’s, 17 percent; and other employees,6 percent. The only decrease occurred with “othertrainees, ” which showed a loss of 9 percent.

Most of the increase in full-time personneloccurred in general hospitals (up 168,549 from1969). Although psychiatric hospitals increasedtheir full-time personnel by 9,469, specialty hos-pitals overall decreased by 426 positions. Part-time employees also increased in general hos-pitals and decreased in specialty hospitals (table25).

OTHER HEALTH FACILITIES

Included in the 1971 MFI Survey were 4,769health facilities other than hospitals and nursinghomes. These facilities, henceforth called “otherhealth facilities, ‘‘ included resident schools orhomes for the deaf, blind, physically handicapped,mentally retarded and emotionally disturbed,unwed mothers, dependent children (and orphans),alcoholics or drug abusers; children’s correc-tional facilities; and other miscellaneous facil-ities.

The largest number of these facilities werefacilities for the mentally retarded (MR) with1,236; homes for dependent children and orphanswere the next largest group with 1,015. (Be-cause of the similarity between homes for de-pendent children and orphanages, they have beencombined for purposes of this report.) Table 26shows the number of each type of facility by bedsize group and ownership. This table indicatesthat homes for the mentally retarded were gen-erally run by proprietary organizations, whereasfacilities for the emotionally disturbed, dependentchildren, unwed mothers, and alcoholics or drugabusers were run by nonprofit organizations. Fa-cilities for the deaf or blind and correctional fa-cilities for children were usually run by govern-ment agencies.

Most of these other health facilities weresmall, with 45 percent having less than 25 bedsand only 19 percent having 100 beds or more.

Table P. Average bed capaci,ty and occu-Dancv rate for other health facilities :~nit~d States, 1971

Type of faci.li.ty

Deaf or blind -----------Unwed mothers -----------Physically handicapped --Mentally retarded -------Emotionally disturbed ---Orphans or dependent

children ---------------Drug abusers or

alcoholics -------------Children’s correctional

facilities -------------Miscellaneous

other facilities -------

Aver -agebed

capac-ity

17137

l%41

60

80

123

90

3ccu-pancyrate

87.662.183.891.385.6

80.0

79.6

79*3

83.2

Homes for the deaf or blind were the only typewith more than half the homes having 100 bedsor more (57 percent).

It can be seen intable 26, however, that therewere 78 MR facilities with more than 1,000 bedsandanother41 facilities with 500t0999 beds. Duetothese very large facilities the average bed ca-pacity of the MR facilities was 173 beds, more thanthat of any of the other types of facilities. Homesfor the deaf or blind with an average of 171 bedswere the next largest type. The average bed ca-pacity and occupancy rates for each of these otherhealth facilities are shown in table P.

In addition to having the highest bed capacityaverages, MR facilities and homes for the deaf orblind had the highest occupancy rates (91.3 per-cent and 87.6 percent, respectively). Homes forunwed mothers had the lowest occupancy rate, with62.1 percent.

Tables 27 and 28 indicate for each type of fa-cility the number of homes and number of beds inthem by State.

Table Q shows how many residents and howmany full- and part-time employees there were inthese various types of facilities. It indicates therewere 244,500 full-time and 26,035 part-time em-ployees working to serve the 415,189 residents inthe facilities. With the conversion of part-time

16

Table Q. Number of facillties,residents, full-time and part-time employees, part-timehours, and staff ratios in other health facilities,by type of facility: United States,

Type of facility

All facilb2ies --------

Deaf or blind ---------------Unwed mothers ---------------Physically handicapped ------Mentally retarded -----------Emotionally disturbed -------Orphans or dependent

children -------------------Drug abusers or alcoholics--Children’s correctional

facilities -----------------Miscellaneous other

facilities -----------------

Facil-~ties

4,769

143176

1,2%875

1,015166

752

312

kesidents

415,189

21,4364,0247,035

195,31630,901

48,73810,625

73,655

23,459

Full-time>mployees

244,500

11,1562,1175,618

123,24719,671

2;,;;;9

41,454

12,332

Part -time

pl~~ees

26,035

9771,093

6157,7644,225

4,443895

4,174

1,848

Part-timehours

419,693

12,94318,6489,340

132,67058,817

71,47513,659

67,816

34,325

Staffratiol

618

538659837650691

525541

589

568

1Full-time employees and equivalents per 1,000 residents.

personnel to full-time equivalents,b there were

about256,500fu11- time employees andequivalents,or roughly 618 employees for every 1,000 resi-dents in all facilities. Facilities for the physicallyhandicapped had the highest staff ratio, with837

employees per 1,000 residents.Most facilities for the mentally retarded

offer programs for training, educating, or re-

habilitating their patients. The programs most

frequently offered include classes for educablechildren, trainable children, and profoundly re-tarded childre~ classes for adults; and pro-

b“Full-time equivalents” were computed by dividing thenumberofpart-time hoursby35(hours) .Forthepurpose ofthissurvey, if an employee worked 35 hours or more per week, hewas considered afull-time employee.

grams for vocational training and counseling,

occupational therapy, and physical therapy. Theprograms that any MR facility offers dependmainly on the type of patient that the facilityaccepts (degree of retardation, age, and so

forth). In this regard there are three basic de-grees of retardation: (l) those retarded the mostare called the profoundly retarded, (2) those

that are less retarded are called trainable, and

(3) those that are the least retarded are callededucable.

Of the 1,236 MR facilities, 437(35 percent)offered classes for profoundly retarded children,

304 (25 percent) offered classes for the train-able, and 353 (29 percent) offered classes for the

educable (table 29). Two hundred thirty (19per-cent) of the facilities offered no programs or

classes forany of their residents.

000

17

REFERENCES

1Nati~n~ Center for Health Statistics: Development and

maintenance of a national inventory of hospitals and institu-

tions. Vitalad Heakh .Stufistics. PHS Pub. No. 1000-Series

l-No. 3. Public Health Service. Washington. U.S. Government

Printing Office, Feb. 1965.

2National Center for Health Statistics: Inpatient health

facilities as reported from the 1967 MFI Survey. Vital andHealth Statistics. Series 14-No. 4. DHEW Pub. No. (HSM)

72-1065. Health Services and Mental Health Administration.

Washington. U.S. Government Printing Office, June 1972,

3National Center for Health Statistics: Inpatient health

facilities as reported from the 1969 MFI Survey. Vital and

Health Statistics. Series 14-No. 6. DHEW pub. No. (HSM)

73-1801. Health Services and Mental Health Administration.

Washington. U.S. Government Printing Office, Dec. 1972.

4 National Center for Health Statistics: The agent y report-

ing system, Vitaland Heakh Statistics. PHS Pub. No. 1000-

Series l-No. 6. public Health Service. Washington. U.S. Govern-

ment Printing Office, Apr. 1968.

5National Center for Health Statistics: Health Resources

Statistics: f 971. DHEW Pub. No. (HSM) 72-1509. Health Serv-

ices and Mental Health Administration. Washington. U.S. Gov-

ernment Printing Office, Feb. 1972.

60 fflce of Statistical Standards: Standard Afetropohn

Statistical Areas. Bureau of the Budget. Washington. U.S. Gov-

ernment Printing Office, 1967.

7Bureau of the Census: Statistical Abstract of the UnitedStates, 1972. 93d ed. Washington. U.S. Government Printing

Office, 1972.

18

LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Number of nursing homes newly found between 1969 and 1971 (“births’’)inthe UnitedStates and in California, by bed size and primary type of service---------------

Number of nursing homes and beds, by primary type of service:United States andeach State, 1971----------------------------------------------------------------

Number of nursing homes by bed size: United States and each State, 1971---------

Number and percent distribution of nursing homes by bed size, according to typeof ownershipand primary type of service: United States, 1971-------------------

Number of nursing homes by bed size and type of ownership: United States, 1971--

Number of full-time and part-time employees in nursing homes: United States andeach State, 1971----------------------------------------------------------------

Number of full-time and part-time registered nurses and licensed practical nursesin nursing homes: United States and each State, 1971----------------------------

Number of residents in nursing homes by primary type of service provided by home:United Stdtes and each State, 1971----------------------------------------------

Number and percent distribution of residents in nursing homes by type of owner-ship, according to primary type of service provided by home:United States,1971--

Number and type of nursing home employees and number per 100 beds by type ofownershipand primary type of service of home: United States, 1971--------------

Number of nursing homes by bed size and primary type of service: United Statesand each geographicregion, 1971------------------------------------------------

Nursing home beds per 1,000 population 65 years and over: United States, eachregion and State, 1971----------------------------------------------------------

Number and percent distribution of hospitals by bed size,hospital:

according to type ofUnited States, 1971---------------------------------------------------

Number of hospitals by type of hospital: United States and each State, 1971-----

Selected hospital data by type of hospital and bed size: United States, 1971----

Number of hospitals outside and within a standard metropolitan statistical area,by type of ownership, type of hospital, and bed size: United States, 1971-------

;;;~ted hospital data by type of ownership and type of hospital: United States,----.-----------------------------------------------------------------------

Selected hospital data: United States and each State, 1971----------------------

Number of hospitals outside a standard metropolitan statistical area and percentof all hospitals and number of hospitals within anSMSA by population size of theSMSA, by type of hospital and bed size: United States, 1971---------------------

Number of beds in hospitals outside a standard metropolitan statistical area andnumber of beds in hospitals within an SMSA by population size of the SMSA, bytype of hospital and bed size: United States, 1971------------------------------

Page

21

22

23

24

25

25

26

27

28

28

29

30

31

32

33

35

37

38

39

41 “

19

LIST OF DETAILED TABLES-Con.

Table 21.

22.

23.

24.

25.

26.

27.

28.

29.

Occupancy rate and number of patients in hospitals outside a standard metropoli-tan statistical area and occupancy rate and number of patientsin hospitals withinan SMSA by population size of the SMSA, by type of hospital and bed size: UnitedStates, 1971--------------------------------------------------------------------

Number of hospitals and beds and beds per 1,000 population, by type of hospital:United States, each region and State, 1971--------------------------------------

Number of hospitals reporting outpatient visits and number of outpatient visitsby type of visit,by type of ownership and type of hospitak United States, 1971--

Number and type of full-time employees in hospitals by type of ownership andtype of hospital: United States, 1971--------------------------- ----------------

Number and type of part-time employees in hospitals by type ownership and type ofhospital: United States, 1971------------------------------------ ---------------

Number of other health facilities bytype of facility, type of ownership, and bedsize: United States, 1971-------------------------------------------------------

Number of other health facilities by type of facility: United States, 1971------

Number of beds in other health facilities by type of facility: United States andeach State, 1971----------------------------------------------------------------

Number of facilities for the mentally retarded by programs offered and bed size:United States, 1971-------------------------------------------------------------

43

45

46

47

48

49

50

51

52

20

Table 1. Number of nursing homes newly found between 1969 and 1971 (’births”) in the United Statesand in California, by bed size and primary type of service

Primary type of service

United States-------------

Nursing care --------------------Personal care with nursing ------Personal care-------------------Domiciliary care----------------

California ----------------

Nursing care --------------------Personal care with nursing ------Personal care -------------------,Domi.ciliarycare----------------

Allbedsizes

3,506

1,380426

1,581119

1,514

183150

1,09289

3-24beds

1,981

164268

1,439110

1,325

1:21,077

87

25-49beds

395

26743796

46

31

1$1

50-74beds

380

30139382

31

2245

Bed size

75-99beds

265

229288

65

632

.00-

.99>eds

405

35934111

37

351

i

too -~gg>eds

52

37105

6

42

300-199>eds

20

1541

3

12

+

1,000~~~- beds

beds ‘rmore

7 1

7 1

I

21

.

Table 2. Number of nursing homes and beds, V primary type of SerViCe:United States and each State, 1971

Primarytype of service

?ersonalcarewith nursing

domiciliarycareState All

IomeaAllbeds Nursing care ?ersonalcare

iomesHomes Beds Beds lomes Beds iomes Beds

!2,004

192

8;218

4,277

2123803473373

283132

1,0%522

747480344212288

195960562593134

494103253

$’

548

1,0$:843109

1,191411311753185

118153234937142

10133538512449034

1,201,598

13,43$653

5,22015,053145,982

16,49921,9171,8782,77435,871

22,8092,2913,91366,87132,538

33,78521,86818,62214,6107,391

14,68949,68743,28441,1437,115

32,0224,45915,1021,4415,460

30,7753,29981,11219,2176,194

59,52426,90317,17157,6916,511

7,4767,04214,31770,8124,769

3,01015,67828,5643,85237,6481,697

12.871 1,568

1119

4:;

26365

::

2535

23;72

146174144

;;

1%

;;16

942773

2:

64

17:28528

158

::14330

3;20

%

17626023983

192,347

859175375728

17,473

2,3971,628541583

4,090

18.317United States----- 917.707 -

Alabama-----------------Alaska------------------Arizona-----------------Arkansas----------------California--------------

1787

2::1,373

16624627

2%

24727

5%403

437247139193144

157643419380108

355

1%2197

279

5:;14850

94036919754791

99

1:279978

&287

3::20

12,546478

4,55414,118L04,297

13,51118,4741,3022,03829,104

20,4691,6413,56944,43825,658

22,34714,1669,05113,7325,400

13,00839,30936,83431,6086,305

25,1623,36810,7751,0334,591

2$:;:

57;9068,3263,828

46,92324,45112,88043,4514,798

6,4554,91711,05061,5053,133

2,26310,32623,0602,50430,9731,359

28

271207

!3,401

5341,682

1::1,698

212364165

6,9941,426

3,460659

2,206213

1,089

2,8%1,7352,389217

1,027145507267219

4,821150

8,6073,;74;

2,046552

1,2821,566901

216372

1,687l_,677194

4132,1861,305689676165

Colorado----------------Connecticut-------------Delaware----------------Districtof Columbia----Florida-----------------

2,098286179

15,2365,431

7,9677,0437,365665876

1,6207,5014,6557,146593

Georgia-----------------Hawaii------------------Idaho-------------------Illinois----------------Indiana-----------------

Iowa--------------------Kansas------------------Kentucky----------------Louisiana---------------Maine-------------------

Maryland----------------Massachusetts-----------Michigan----------------Minnesota---------------Mississippi-------------

Missouri ----------------

Montana-----------------Nebraska----------------Nevada------------------New Hampshire-----------

5,818894

3,820

6;;

3,456794

14,3967,1151,520

10,5511,8912,98412,674

800

8051,7471,5707,5431,442

3173,1154,123647

5,965173

New Jersey--------------New 14exic0--------------New York----------------North Carolina----------North Dakota------------

Ohio--------------------Oklahoma----------------Oregon------------------Pemsylvania------------Rhode Island------------

South Carolina----------South Dakota------------Tennessee---------------Texas-------------------Utah--------------------

Vermont-----------------Virginia----------------Washington--------------West Virginia-----------Wisconisn---------------Wyoming-----------------

22

Table 3. Number of nursing homes by bed size: United States and each State, 1971

State

United States-----

Alabama----------------Alaska-----------------Arizona----------------Arkansas---------------California-------------

Colorado---------------Connecticut------------Delaware---------------I),ss&t of Columbia---

----------------

Georgia----------------Hawaii-----------------Idaho------------------Illinois---------------Indiana----------------

Iowa-------------------Kansas-----------------Kentucky---------------Louisiana--------------Maine------------------

Maryland---------------Massachusetts----------Michigan---------------Minnesota--------------Mississippi------------

Missouri---------------Montana----------------Nebraska---------------Nevada-----------------New Hampshire----------

New Jersey-------------New Mexico-------------New York---------------North Carolina---------North Dakota-----------

Ohio-------------------Oklahoma---------------Oregon-----------------Pennsylvania-----------Rhode lkland-----------

South Carolina---------South Dakota-----------Tennessee--------------Texas------------------Utah-------------------

Vermont----------------Virginia---------------Washington-------------West Virginia----------Wisconsin--------------Wyoming----------------

Allbedsizes

22,004

1928

2:;4,277

21238034

3;:

28313264

1,046522

747480344212288

195960562593134

494103253

1;2

548

1,0$:843109

1,191411311753185

118153234937142

10133538512449034

1-24)eds

25-49beds

4,784

48

%407

4393

:66

58

:;314193

156110964870

2;:13010639

1692350

3:

123

28;12624

36489

2;;29

3633

2%27

::102

1?:7

50-74>eds

Bed sizes

75-99beds

2,046

332

::373

::3

4:

34

1;10142

51

$;4610

&64759

4:

2623

37

10:2213

9545397211

2311

1:;7

2

#

5:6

1oo-199beds

2,825

383

;!274

59646

10;

73

;15675

675036363

4913111811018

71835

1$

88

1653012

12177271468

208

2;:6

42677

10:4

2oo-299beds

422

i38

1061

2;

111

2i9

4

;1

8

2;8

1113

i

15

5;52

2251222

3

i32

1:

1:

1oo-.99teds

jOO-199)eds

40

L,000)edsornore

5

1

i

:1

i

23

Table 4. Number and percent distributionof nursinghomes by bed size, accordingto type of ownershipandprimary

7

Percentdistri-bution

ype of servi~e:United States, 1971

All?omes

22,004

Primarytype of service

===7 Personalcare domiciliarycareNursing careType of wnershipand bed size

Number‘ercent[istri-mt ion

Percentdistri-bution

Percentiistri->ution

?ercentIistri-mt ion

Number NumberNumber

100.0 12,871 100.0 3,568 100.0

26.117.723.211.9

:::3.0

&i

100.0

5,369

3,4591,038596Ml

5;

;

4,611

100.0

64.419.311.13.10.9

k:0.00.0

100.0

196

154191071

i

158

1371353

30

100.0

78.59.75,13.60,50.52.0

100.0

86,78.23.21.9

-

100.0

All types-----

930631827425245351108~;

2,3“17-

84051?5472109085253

1,028

3-14 beds -----------15-24 beds----------25-49 beds----------50-74 beds----------75-99 beds----------100-199beds--------200-299beds--------300-499 beds--------500 beds or more----

5,1523,1144,784;,:;:

2;8254221;;

17,049

4,6142,6483,5982,495L,4771,962215373

3,587

23.414.121.715.7

12:i1.9

$ ;

100.0

27.115.621.114.6

1::;

& 20.0

100.0

6091,426;,:;;

1:7522,42230310032

9,963

4931,2242,6382,179;,;3:

‘186333

2,036

1:::26.022.313.618.82.3

:;;

100.0Proprietary-----

36.322.323.69.13.93.71.10.1

100.0

3,144894408103263141

493

3-14 beds-----------15-24 beds----------25-49 beds----------50-74 beds----------75-99 beds----------100-199beds--------200-299beds--------300-499beds--------500 beds or more----

1;:;26.521.913.718.51.9

M

100.0

19.48.82.20.60.70.00.0

100.0

37.521.126.48.33.02,90.6

0.;

100.0

49.115.121.98.72.62.3

O.i

Nonprofit-------

3183538607414426581455911

1,368

22C112326239127205

:;31

n24.020.612.318.3:.:

0:3

100.0

M488517292408

69344

872

3.67.424.025.414.320,03,41.70.2

100.0

4.8

2;::20.611.419.35.5;.;.

489423717913523569256

223

42

::36203114125

4.7

2?:;17.413.122.96.7

:::

100.0

18.8

1;:;16.1

1%:6.35.42.2

1851041304115143

i

265

130;;

23

;

i

36.716.716.713.3

1;::

100.0


Government------

61

i

75.012.5

12,;


16.1

2%;17.5

1;::

3:32.3

42

2%180

1{

3325

24

Table 5. Numberof nursing homes by bed size and type of ownership:United States, 1971

Allbedsizes

Bed size

Type ofownership 1,000

bedsormore

100-199beds

200-299beds

3oo-499beds

jOO-)99)eds

3-24beds

25-49beds

50-74beds

75-99beds

All homes-- 22,004

17,049

3,587912

2,675

1,3681,301

67

8,266

7,262

671125546

33329340

4,784

3,598

860173687

3263215

3,475

2,495

741174567

2392363

2.046 2,825

1,962

658232426

2051987

422 141 40 5

1

1

i

312

-

1,477

442135307

1271225

215Proprietary------ 37 2

10

;

2828

No:g:t --------------- --

Other----------

Government-------State or local-Federal--------

62593

45432

Table 6. Number of full-time and part-time employees in nursing homes: United Statesand each State, 1971

Full-timeem-

ployees

567,71’

8,419371

;,;;;

62;1028,07010,935

9561,85116,69711,8361,2501,99329,94117,16812,1709,2357,3376,9303,6068,60121,32725,64115,274

Part-timeem-

ployees

201.062

Full-timeem-

ployees

Part-timeem-

ployees

6033,539856

2,951151

1,5345,942290

16,3602,3111,2379,2472,3022,23511,4371,839

8341,6961,3585,951754834

2,1914,892441

9,267243

2.5

State State

Mississippi----------Missouri-------------Montana--------------Nebraska-------------Nevada---------------New Hampshire--------New Jersey-----------New Mexico-----------New York-------------North Carolina-------North Dakota---------Ohio-----------------Oklahoma-------------Oregon---------------Pennsylvania---------Rhode Island---------

South Carolina-------South Dakota---------Tennessee------------Texas----------------Utah-----------------Vermont--------------Virginia-------------Washington-----------West Virginia--------Wisconsin------------Wyoming--------------

3,73215,0942,2015,576877

2,68415,7421,77551,0088,6322,52128,63011,7227,07429,9422,573

4,0232,6896,76731,8601,9291,5697,96111,2702,44515,668

735

United States----

Alabama----------------Alaska-----------------Arizona----------------Arkansas---------------California-------------Colorado---------------Connecticut------------Delaware---------------District of Columbia---Florida----------------Georgia----------------Hawaii-----------------Idaho------------------Illinois---------------Indiana----------------Iowa-------------------Kansas-----------------Kentucky---------------Louisiana--------------Maine------------------Maryland---------------Massachusetts----------Michigan---------------Minnesota--------------

1,360115713

1,06119,5722,5916,492377257

3,6181,866303747

10,8674,7986,6503,0391,6931,3422,0792,21217,0637,90713,045

Table 7. Number of full-time and part-time registered nurses and licensed practicalnurses in nursing homes: United States and each State, 1971

State

United States--------------------------

Alabama------------------------------.-------Alaska---------------------------------------Arizona--------------------------------------Arkansas-------------------------------------California-----------------------------------Colorado-------------------------------------Connecticut----------------------------------

District of Columbia-------------------------Florida--------------------------------------

Georgia--------------------------------------Hawaii---------------------------------------Idaho----------------------------------------Illinois-------------------------------------Indiana------------------------.-------------Iowa---------------------------------------.-Kansas---------------------------------------Kentucky-------------------------------------Louisiana------------------------------------Maine--------------------------------------.-

Maryland-------------------------------------Massachusetts---------------------------------Michigan-------------------------------------Minnesota------------------------------------Mississippi----------------------------------Missouri-------------------------------------Montana--------------------------------------Nebraska----------------.Q.-...--------------Nevada---------------------------------------New Hampshire--------------------------------

New Jersey----.------------------------------New Mexico-----------------------------------New York-----------------.-------------------North Carolina-------------------------------North Dakota---------------------------------Ohio-----------------------------------------Oklahoma---------------------------------....Oregon----------------------------.----------Pennsylvania---------------------------------Rhode Island--.-.............................

South Carolina-----------------.----.-.=-----South Dakota---------------------------------Tennessee------------------------------------Texas--------.---.----.----------------------Utah..........-..............--------........ve~ont --------------------------------------Virginia-------------------------------------Washington-----------------------------------West Virgina----------------------------.....Wisconsin------------------------------------Wyoming----------------------------..........

Full-time

RN

40,160

340

22:254

4,580754

1,521

1::1,337

564138146

2,0441,019864438356401310

5412,2351,3651,340170693270302

3!;

1,695

4,;);

1641,872470517

2,687261

295233248;;;

194478

1,160104

1,08762

LPN

52,899

1,085

2:?509

5,277867

1,038

1;:1,701

1,;:;

2062,;5:

901402529849314

5592,8671,814-1,149376

1,104218305

2X

1,244167

4,;;;-

1333,810990373

3,915268

364139687

4,259223202662

1,0451938;;

Part-time

RN

26,274

110

1::140

2,390406

1,35178

6;;

20849

1,2;::;:

251165137185

3912,172894

1,358

3%128212

2:?

1,163

2,8;!239141

1,295205265

1,885154

144:;;

365

$:

656

1,2%!39

LPN

20,670

,

2595

1;:2,10330370131

5:;

309

::799276443155179268137

2011,7408968831343;;

1$:

94

50944

2,180253

1,2;:263175

1,293155

99

1!:1,1;;

103248422

6%21

26

Table 8, Number of residents in nursing homes by primary type of service provided byhome: United States and each State, 1971

State

United States--------------

Alabama --------------------------

Alaska-----------------------------Arizona------------------------.-Arkansas-------------------------California-----------------------Colorado-------------------------Connecticut----------------------Delaware-------------------------District of Columbia-------------Florida--------------------------Georgia--------------------------Ha&i ---------------------------

----------------------------Illinois-------------------------Indiana----------------------------Iowa------------------------------Kansas---------------------------Kentucky-------------------------Louisiana ------------------------Maine----------------------------Maryland-------------------------Massachusetts--------------------Michigan-------------------------Minnesota------------------------Mississippi----------------------Missouri-------------------------Montana--------------------------Nebraska-------------------------Nevada---------------------------New Hampshire--------------------New Jersey-----------------------New Mexico-----------------------New York-------------------------North Carolina------;------------North Dakota---------------------Ohio-..---------------------------Oklahoma-------------------------Oregon---------------------------Pennsylvanla----.-----------------Rhode Island---------------------South Carolina-:-----------------South Dakota-=-------------------Tennessee------------------------Texas----------------------------Utah-----------------------------Vermont--------------------------Virginia-------------------------Washington-----------------------West Virginia--------------------Wisconsin------------------------Wyoming---------------------------

Allresidents

1,075,724

12,286509

4.63713;793121,48714,93120,6481,7072,53829,64720,8172,1563,41561,08628,96630,39920.01916;48113,3436.84313;75246,06140,22238,0176,15728.4704;14513,7211,1794.9912;;;::

76;34217,4855,87653.21723;83715,98452,4616.0906;5986,62212,19260.8484:4272;75214,07325,2283,46633,9731,555

Residents in home providing:

Nursingcare

824,038

1L,439379

4,04212,97786,33212,29317,5931,1751,90423,49418,9531,5433,151

;;,;;;

20;09312,9637,70612,5475,05912,21737,27434,47329,1755,54122,2293,1579,730840

4,25520,2051,76555,1457,3803,603

42,37721,77111,92539,5814,4965,6874,6749,44853,2672,9132,0529,27220,3252,33828,0281,244

Personalcarewith

nursing

171>799

813130340650

14,7092,1741,445499535

;,::;

‘269157

13,799;,;:;

6;4726,805606813

1,4836,2404,2126,662449

5,344812

3,550

5%3,134587

13,2636,5891,4689,1591,6152,85311,515

740754

1,5951,1336,1201,;;:

2,8833,679516

5,375152

Personalcare

77,028

28

246166

19,752457

1,496

;;1,487171344107

6,2641,0312,957584

l,9&

9:;

2,5311,5082,180167887131441246157

4,;;;

7,7533,491805

1,678445

1,1841,365844157347

1,6041,378176386

1,8721,167601;;;

Domicil-iary care

27

Table 9. Number and percent distribution of residents in nursing homes by type of ownership, according toprimary type of service provided by home: United States, 1971

Residents in home providing:

Personal care omiciliary careAll

Percent

L

Nursing caredistri -

.esidents bution

Type of owner-ship of home

PercentNumber distri-

bution

‘ercentlistri-lution

100.0

?ercentIistri -mtion

‘ercentlistri-ution

100.0

39.0

56.526.130.4

4,5

i:;

-lUk Number umber

&77,028 100.0

57,794 75.0

13,120 17.13,2129,908 lk3

6,1144,528 ;:;1,586 2.0

=lHi== 2,859

1,115

1,616746870

1283791

71,799 100.0

38.3

50.317.832.5

11.410.21.2

All homes -

Proprietary -----

Nonprofit -------Church --------Other ---------

Government ------state or local-Federal -------

72.2

17.8

15::

10.0

::!

65,699

248,094 23.1 146,89074,488 39,865

173,606 1::2 107,025

86,46830,66555,803

108,457103,277

5,180

10.1 82,5839.6 8;,;;;0.5 ,

19,63217,4942,138

Table 10. Number and type of nursing home employees and number I 100 beds by type of ownership and primarytype of service of home: United St :es, 1971

Allfull -timeemployees

567,717

Full -time‘u1l-time licensed.icensed practicalmactical nursesnurses per 100

beds

All Part -time

tart-time employees

!mployees per 100beds

Full -timeemployeesper 100beds

Full -timeWll -time:egistered

registered

nursesnurses per100 beds

Type of owner-ship and pri -mary type ofservice of home

II

40,160 3

36,218 4

3,445 2494 1

3

26,156 3

24,666 4

1,150 2338 1

2

8,987 3

-All homes - 47

47,102 5 163,154 ] 18479,391

66,14121,690

495

368,951

328,269

24,39115,975

316

128,763

90,896

3:,;6;s

145

70,003

60,226

8,1201,623

34

52

3425

15

46

Nursing care ----Personal carewith nursing ---Personal care ---Domiciliarycare-----------

Profit ------

272497 I 1410,095 11

4,6601,125

12

21

316I

10

=4-+ w50

3324

23

47

56

;;

8

57

Nursing care ----Personal carewith nursing ---Personal care ---Domiciliarycare-----------

2,043 3884 1

11 - 1

9,809 I 137,420 11

200 I 15

=+-+ +%-l-+Nonprofit ---

7,018 I 4Nursing care ----Personal carewith nursing---Personal care ---Domiciliarycare -----------

+

1, p; 21

1

5,017 4

4,534 5

445 238 1

16,3002,220

1715

2,225 2194 1

-1

=-l-+ 14.849 ] 12Government --

Nursing care ----Personal carewith nursing ---Personal care ---Domiciliarycare -----------

12,992 I 1466

3422

24

3:; 21

1 1 x28

Table 11. Number of nursing homes by bed $ize and primary type of service:United States and eachgeographicregion, 1971

Bed size

3oo-L99]eds

141

100401

42

348

53

3914

28

199

18

;1

5oo-399beds

40

3181

21

L,000)edsormore

5

:1

1

i

Allbedsizes

Geographicregion andprimary type of service LOO-

1.99)eds

3-24beds

25-49beds

50-74beds

‘5-99)eds

22,004

12,8713,5685,369196

4,451

8,266

2,0351,5614,497173

1,605

4,784

3,35182759610

1,158

3,475 !,046 2,825

2,422351511

621

422

303108

i

113

United States---------

2,8764251677

510

.,752245481

380

Nursing care----------------Personalcare with nursing--Personalcare---------------Domiciliarycare------------

Northeast---------------

J2,691710

1,01832

6,640

4,3961,28594316

5,060

3,39483880325

5,853

52728476826

1,913

825;;:

12

1,359

33637263219

3,389

7951731855

1,765

1,2143551951

1,119

8121941121

742

;;;

1043

400

H1

1,244

973204643

1,138

3075815

594

48110013

517

4475911

555

5199111

928

76814416

783

91184

133

::1

109

183

10

Nursing care----------------Personalcare with nursing--Personalcare---------------Domiciliaryc.me------------

North Central-----------

;

5

221

4


2South-------------------

992109361

583

51138322

712638

493

7330

:

67


West--------------------

5172891

42353161

50171-

4Nursing care----------------Personalcare with nursing--Personalcare---------------Domiciliarycare------------

2,390735

2,605123

347483

1,443116

29

Table 12. Nursing home beds per 1,000 population 65 years and over: United States,

Geographic region and State

United States -----------

Northeast -----------------

Connecticut -------------------Maine -------------------------Massachusetts -----------------New Hampshire -----------------New Jersey --------------------New York ----------------------Pennsylvania ------------------Rhode Island------------------Vermont -----------------------

North Central -------------

Illinois----------------------Indiana -----------------------Iowa--------------------------Kansas ------------------------Michigan ----------------------Minnesota ---------------------Missouri ----------------------Nebraska ----------------------North Dakota ------------------Ohio --------------------------South Dakota ------------------Wisconsin ---------------------

South---------------------

Alabama -----------------------

each region and State, 1971

Beds per1,000

)opulation65 yearsmd overl

59.9

50.7

75.864.378.170.044.241.4;;.;

64:0

69.3

61.165.996.582.257.5100.657.182.193.859,688.079.6

50.5

41.2

Geographic region and State

South—Con.

Arkansas --------------------Delaware --------------------District of Columbia --------Florida ---------------------Georgia ---------------------Kentucky --------------------Louisiana -------------------Maryland --------------------Mississippi -----------------North Carolina --------------Oklahoma --------------------South Carolina --------------Tennessee -------------------Texas -----------------------Virginia --------------------West Virginia ---------------

West --------------------

Alaska ----------------------Arizona ---------------------California ------------------Colorado --------------------Hawaii ----------------------Idaho-----------------------Montana ---------------------Nevada ----------------------New Mexico ------------------Oregon ----------------------Utah ------------------------Washington ------------------Wyoming ---------------------

Beds per1,000

population65 yearsand over 1

63.242.739.136:362.155.347.649.032.046.489.739.137.371.442.819.9

76.2

93.332.481.187;552.157.564.646.546.575.661.188:756.6

Source: U.S. Bureau of the Census population figures for 1970.7

30

Table 13. Number and percent distributionof hospitalsby bed size, accordingto type of hospital: UnitedStates. 1971

Al1hos-oitals

,

Gen-eralhos -

pital

Specialty hospital

Tuh er-culoais

.—

Chronicdiseaae

I

Nar-coticaddic -tionor

alto -holism

Reha -bili -tation

Bed sizePaychi -atric

Mater-nity

Total Other

Number

All bed sizea ----- =!== 1,071 533 99 90 I 43 ] 47 I 66 I 193

Less than 25 beds-------25-49 beds--------------50-74 beds--------------75-99 beds--------------100-199beds------------200-299beds------------300-499beds------------500-999beds------------1,000 beds or more------

636 5351,648 1,5091,052 933772 675

1,545 1,351739 657708 630365 270213 47

101139119

1;1

369157

Percentdistribution

All bed aizea ----- ==lF ==+}

100.0 100.0]

I I

100.0 I 100.0 100.0 I 100.0I 100.0 I 100.0

I I ILess than 25 beds-------25-49 beda--------------50-74 heals--------------75-99 beda--------------100-199beds------------200-299beds------------300-499beds------------500-999beds------------1,000 beds or more------

2;::13.710.020.19.6

;::.

8.122.814.110.220.59.9

:::0.7

9.4 2.8 2.0 2.213.0 10.311.1 8.1 1::: 1:::

15.21::: J:; 27.3 2;::7.7 6.6 18.97.3 7.1 2;:; 11.1

13.0 4.01::; 29.5 i:: J

41.930.214.02.37.0

2.;2.3

68.110.64.3

l;:i2.1

2;:?21.225.815.29.11.5

+:;II I I

.

31

Table 14. Number of hospitals by type of hospital: United States and each State, 1971

State

United States --

Alabama --------------Alaska ---------------Arizona --------------Arkansas -------------California -----------

Colorado -------------Connecticut ----------Delaware -------------D&~~jt of Columbia-

--------------

Georgia --------------Hawaii ---------------Idaho ----------------Illinois -------------Indiana --------------

Iowa -----------------Kansas ---------------Kentucky -------------Louis iana ------------Maine ----------------

Maryland -------------Massachusetts --------Michigan -------------Minnesota ------------Mississippi ----------

Missouri -------------Montana --------------Nebraska -------------Nevada ---------------New Hampshire --------

New Jersey -----------New t.iexico-----------New York -------------North Carolina -------North Dakota ---------

Ohio -----------------Oklahoma -------------Oregon ---------------Pennsylvania ---------Rhode Island ---------

South Carolina -------South Dakota ---------Tennessee ------------Texas ----------------Utah -----------------

Vermont --------------Virginia -------------Washington -----------West Virginia --------Wisconsin ------------Wyoming --------------

Allhos -)itals

7,678

1;;

1%654

104

u

2;;

21231

3?:139

15717213716864

2!:272198133

183

lx2638

145

4::17164

2661639634022

103

1;;60244

23135135

2?:32

;eneral

6,607

13526

l%574

R9

2::

191

:;261118

14315911715560

l;i234183125

162

1;;2335

111

3::14562

2171::

26018

%15054641

1:;1:;

15730

rotal

1,071

133

:80

;;5

2;

21

;5421

141320134

26

R158

212833

3:

;;2

4913

8:4

11

2;563

2261311602

Psy -hiat -ric

533

413

4:

1:1

1;

121

3:11

89

;3

142921

;

11

i21

16

5:

:

286

3;3

62

;;1

2137

3;2

Specialty hospitals

:uber-:ulosis

;hronicIisease

Nar -:otic~ddic-tionor

91co-Iolism

~ater-nity

rehabil-itation

32

Table 15. Selected hospital data type of hospital and bed size: United States, 1971

Numberof

Admissions

Ad-missionsper bed

Numberof dis-charges

Dis-chargesper bed

Numberof

]atients

Hos-pitalsI Beds Occupancy

rate

Number

All hospitals (aver-age bed size 196.4)-- 7,67t

6361,6481,052772

1,545739708365213

6,607

1,507,988

10,841;;,;:;

66;569217,754178,968268,953244,865397,860

1,004>799

9,37553,949;:,;:;

190;519159,308239,617176,S7660,819

503,189

1,4665,0947,1848,18427,23519,66029,33667,989337,041

418,487

3002,0102,5773,47811,5128,58414,49951,327324,200

17,806

13,636,480

337,3101,910,6952,009,9502,066,3436>999,3715,691,2848,104,7234,989,3061,527,498

i2,462,956

22.31

31.1132.3631.8431.0432.1431.8030.1320.383.84

32.31

33,651,709

336,6321,906,2642,007,2532,064,6316,991,1875,68839208,107,7334,997,1271,551,962

32,449,319

22.32

31.0532.2931.7931.0132.1131.7930.1520.413.90

32.29

!,185,528

5,63736,00141,80846,052161,497142,910220,114199,160332,349

772.751

.79

.52

.61

.66

.69

.74

.80

.82

.81

.84

.77

LCSS than 25 beds-----------25-49 beds------------------50-74 beds------------------75-99 beds------------------100-199 beds----------------200-299 beds----------------300-499 beds----------------500-999 beds----------------1,000 beds or more----------

General (averagebedsize 152.1)------------

Less than 25 beds-----------25-49 beds------------------50-74 beds------------------75-99 beds------------------100-199 beds----------------200-299 beds----------------300-499 beds----------------500-999 beds----------------1,000 beds or more----------

5351,509933675

1,35165763027047

1>071

296,1471,845,1911,936,4921,997,0186,760,8115,602,1S58,011,4164,860>7501,152,946

1,173,524

41,16365,50473,45869,325238,56089,09993,307128,556374,552

656,635

3,66615,94624,26123,04669,96925,56433,12899,938

361,117

35,009

31.5934.2034.6134.2035.4935.1733.4327.4818.96

2.33

28.0812.8610.238.478.764.533.181.891.11

1.57

12.227.939.416.636.082.982.281.951.11

1.97

295,5061,841,8821,933,6581,995,2756t752,1905,599,0148,013,993:,:::,;;;>,

1,202,390

41,126;:,;;:

69:356238,99789,90693,740134,061397,227

685,062

3,64015,64624,53422,94269,79826,55533,256105,22s383,463

36,235

31.5234.1434.5634.1735.4435.1533.4527.4918.99

2.39

4,84332335436,66840,181141,430127,335197,029143,73649,175

412,777

.52

.60

.66

.69

.74

.80

.82

.81

.81

.82Specialty (averagebedSiZe 469.8)------------


28.0512.641:.~;

8:784.573.201.971.18

1.64

7943,6475,1405,87120,06715,57523,08555,424283,174

347,958

1931,4541,979;,;:;

6;94311,82542,013271,971

10,687

.54

.72

.72

.72

.74

.79

.79

.82

.84

.83

.64

.72

.77

.74

.78

.81

.82

.82

.84

.60

Psychiatric (averagebedSiZ@ 785.2)------------


12.137.789.526.606.063.092.292.051.18

2.03Tuberculosis (averagebed size 179.9)--------


25332797

1,2423,8652,0667,1272,352

39732

1,2912,6177,7194,12714,3234,161

1.562.201.622.112.002.002.011.77

40757

1,3822,7237,9814,31014,8114,231

1.602.281.732.192.062.092.081.80

22248402657

2,1871,2994,4131,459

.88

.75

.50

.53

.57

.63

.62

.62

33

Table 15. Selected hospital data by type of hospital and bed size: United States 1971—COn.

kcupancyrate

Dis-:harges)erbed

1.41

Hos-itals 1

BedsNumber

ofdmissions

Ad-lissionsIerbed

Numberof dis-charges

Numberof

]atients

21,094

Type of hospital andbed size

Number

Chronic disease (aver-age bed size 273.5)--


Narcotic addiction oralcoholism (averagebedsize 61.6)-------------


Maternity (averagebedsize 39.4)-------------


Rehabilitation (averagebed size ll4.3)--------

Less than 25 beds-----------25-49 beds------------------50-74 beds------------------75-99 beds------------------100-199 beds----------------200-299 beds----------------300-499 beds----------------500-999 beds----------------1,000 beds cm more----------

Other (averagebed size156.7)-----------------


24,614

2::875439

3,4153,9433,810;,;:;,

2,647

34,100 1.39

.409.674.961.532.421.641.40.57.58

14.60

34,641 .8690

2,1;;4,344673

8,2526,4595,3482,6994,169

2,1;:4,238

6698,6386,416;,;;;

4;536

38,743

.709.624.841.522.531.631.37.59.64

14.64

23.3516.1817.7514.3612.12

3.7;17.50

38.45

19.3835.8031.0247.5145.7246.78

4.98

1%691409

2,7143,4423,399:,;:;,

1,357

181256144

22!

34;108

1,216

12915522

7!!118

5,899

2

12

2:1710

:

43 38,657 .51

‘ 18136

;

i1-

47

317455326

3%

49:631

1,852

7,4747,4245,8651,2953,985

23.5816.3217.9914.0812.11

3.4;17.30

38.38

19.2535.7630.7947.5945.7046.60

5.13

7.596.786.424.804.912.6716.662.125.20

9.90

7,4017,3645,7851,3213,988

1,84;11,043

-

71,205

7,3637,4833,6914,03839,2279,403

-

37,558

1663,3005,4026,8676,3543,5965,4491,0605,364

298,946

22,48327,70628,56330,796103,01139,62633,1699,7283,864

.57

.56

.44

.43

.87

.6;

.171,69810,916

.6671,073

.34,74.18.92.83.59

3252161

66

380209119

8%201

7,544

22590843

1,4321,2941,467326520

1,050

30,239

7,3167,4733,6644,04539,2099,366

38,712 .78

1;14171061

i

193

7.555.596.414.804.912.4516.712.045.11

9.89

59.9521.7017.3421.7517.2811.6610.781.15.83

4::632

1,067918

1,168289:::

24,566

205941

1,2701,045;,Z&

2;8167,3864,054

1.00.70.75.75.71.80.89.85.90

299,338 .81

- .55.74.77.74.71.77.92.88.87

22,48227,79328,62330,773103,07839,66833,3789,7393,804

59.9521.7617.3821.7317.2911.6710.851.15.82

34

Table 16., Number of hospitals outside and within a standard metropolitan statistical area, by type of ownership,type of hospital, and bed size: United States, 1971

Hospital outside SMSA Hospital within SMSAAll hospitals

Propri-etary

405

116lj;

34232

378

Non -profit

1,69S

13C45429>247414111465

1,668

:ove rn,ment

1,79;

18:5923371972418?

;:7C

1,591

Government

Government

FederalstatE

l~al

Propri-etary

Non ->rofit

Propri.etary

Non -profit

All types---------- 2,402

190613382233392152148126166

L,866

18059035520429490

x17

536

1,042

20333716811517333121

865

3,826

209626466402%;

48117313

3,506

1,01: 637 2,127

Less than 25 beds--------25-49 beda---------------50-74 beda---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

8715512C

1::31121

487

1;;17415552740443516813

1,838General--------------

Less than 25 beds--------25-49 beds---------------50-74 beda---------------75-99 beds---------------100-199 beds-------------200-299 beda-------------300-499 beda-------------500-999 beda-------------1,000 beds or more-------

157293137

1;:30111

177

16655440535287949847017012

320

1795873281852145826104

206

1051724434212

27

129444285240409111455

31

1:7

;

i

9

i2

i

i

1

i

1?:120112470387:::

12

289

4262

%57171031

77

Specialty*-----------

Less than 25 beds--------25-49 beds---------------50-74 beda---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beda-------------500-999 beda-------------1,000 beda or more-------

2

1:16

31

464431

;:31

94

11104

;

7Psychiatric----------

Leaa than 25 beds--------25-49 beds---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beda-------------300-499 beds-------------500-999 beds-------------1,000 beda or more-------

2;181616

:

6Tuberculoaia----------

Less than 25 beda--------25-49 beds---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beda-------------1,000 beda or more-------

:101326

2:4

i221

lIncludea specialty hospitala in the “other’!category.

35

Tnhlr= 16. Number of hosnitals outside and within a standard metropolitan statistical area, by type of ownership,------- . ..—.——- .———..=————.type of hospital, and bed size: United-States, 1971—Con.

Hospital within SMSAAll hospitals Hospital outside SMSA

mm-refit

overn -

ment

11

i

:221

-

kOpri -etary

GovernmentType O;eCJ~~iJal and

‘ederaltateorocal

~

i5

1:117

:

3

rOpri-etary

10

Non -)rofit

:overn -

ment?rOpri-etary

Non -,rofit

Chronic dLsease------- 4

1111

1

i

42

i4

1;9

:4

5

11

i

i1

1

i

8

8

i3

:

18

Less than 25 beds---------25-49 beds----------------50-74 beds----------------75-99 beds----------------100-199 beds--------------200-299 beds--------------300-499 beds--------------500-999 beds--------------1,000 beds or more--------

2.—

i1

Narcotic addictionor alcoholism--------

11331

-

5

32

3

552

i

--

37

2532

:

.

.-

43

Less than 25 beds---------25-49 beds----------------50-74 beds----------------75-99 beds----------------100-199 beds--------------200-299 beds--------------300-499 beds--------------500-999 beds--------------1,000 beds or more--------

11

i

1Maternity-------------

72

3

i1

i

2532

;

50

1:12158

.-

4Less than 25 beds---------25-49 beds----------------50-74 beds----------------75-99 beds----------------100-199 beda--------------200-299 beds--------------300-499 beda--------------500-999 beds--------------1,000 beds or more--------

——

-

i

13

i1

i5111

7Rehabilitation--------

Lass than 25 beds---------25-49 beds----------------50-74 beds----------------75-99 beds----------------100-199 beds--------------200-299 beds--------------300-499 beds--------------500-999 beds--------------1,000 beds or more--------

i22111

i1

i-

36

Table 17. Selected hospital data bv type of ovmersbip and type of hospital: United States, 1971

Type of ownershipand type ofhospital

All ownerships-

Gcnwal --------------

Specialty------------Ps chiatric--------{Tu crculosis-------

Chranic disease----Narcotic addictioncm alcoholism-----

Mate~ity ----------Rehabilitation-----Other--------------

Proprietary ------

General--------------

General-------------Specialty------------Ps chiatric--------t‘IuerculOsis-------

Chronic disease----Narcocic addictionor alcoholism -----

Maternity----------Rehabilitation -----Other--------------

Nonprofit--------

General --------------specialty -.- . . . . . ..-.Ps chiatric--------ZTu erculosis-------

Chronic disease----Narcotic addictionor alcoholism-----

Maternity----------Rehabilitation-----Other--------------

State or localgOvernment------

General--------------

General---.-.-------Specialty------------Psychiatric--------Tuberculosis-------Chronic disease----Narcotic addictionor alcOhOlism-----


FederalGovernment------

General--------------

Specialty------------Psychiatric--------Tuberculosis-------Chronic disease----Narcotic addictionor alcoholism-----


TF

HOs- Beds Admissions)itals

7,678

6,607

1,0715339990

434766193

1,0/!2

865

1779:

10

239

3;

3,826

3,506

32086

2;

1537

E

2,402

1,866

5363229253

3

1;52

408

370

:!

.

2

5

L,507,988

L,004,799

503,189418,48717,80624,614

2,6471,8527,544

30,239

70,810

59,831

10,9797,869

8%

679136378

1,002

654,233

623,243

3:,W7

‘4894,002

6711,5153,56112,405

639,484

216,127

423,357367,19517,26519,749

169201

3,60515,173

143,461

105,598

37,86335,076

.

1,128

1,65;

)3,636,480

)2,462,956

1,173,524656,63535,00934,100

38,65771,07338,712299,338

2,356,941

2,229,602

127,33955,113

1041,819

11,9637,3221,937

49,081

!2,246,712

!1,898,755

347,9575:,::$

10;851

11,50054,38519,084200,500

7,244,074

6,640,280

603,7944;;,:;;

21:430

2,5809,36617,69142,659

1,788,753

1,694,319

94,43474,722

12,614

7,09;

Number

}34,289,798

!80,563,953

.53,725,845

.29,845,1454,044,6757,760,816

685,572422,730

1,987,8888,979,019

17,816>779

15,125,859

2,690,9201,990,582

10,764264,669

120,47331,24965,757207,426

.86>374,701

.77,289,676

9,085,0252,:;:,:;;

1,297;539

162,577351,373937,898

3,731,355

.85,506,598

55,919,978

,29,586,620,13,820,7853,917,8136,198,608

55,34740,108984,233

4,569,726

44,591,720

32,228,440

12,363>28011,545,593

347,175

470,51;

13,651,709

,2,449,319

1,202,390685,06236,23534,641

38,74371>20537,558298,946

2,355,698

2>228,599

127,09954,864

1092,056

11,8817,3301,780

49,079

2,233,401

,1,885,641

347,76050,2541,33310,681

11,46554,47219,072200,483

7,260,340

6,631,701

628,639500,97334,79321,904

2,5139,40316,70642,347

1,802,270

1,703,378

98,89278,971

12,884

7,03;

21.441.240

84,540,432

36,900,80814,007,8214,303,7947,330,523

746,933433,465

2,281,5427,796,730

17,640,083

15,137,562

2,502,5211,938,132

11,180119,698

115,58631,83968,733217,353

86,096>343

76,603,271

9,493,0723,270,442

120,2121,177,471

163,648361,671933,996

3,465,632

55,615,714

56,548,986

99>066,7288);;;,~;;

6:033:354

54,59239,955

1,278,8133,688,814

62,089,100

36,250,613

25,838,48725,000,449

413,107

424,93;

Patients

.,185,528

772,751

;:;,;:;

10:68721,094

1,3571,2165,89924,566

49,576

41,964

7,6125,587

29740

334’84256582

516>431

491,524

24,9076,778315

3,539

4191,0142,62310,219

502,464

153,852

348,612305,58310,34316,815

153118

3,02012,580

117,057

85,411

31,64630,010

451

1,18;

Averageoccu- lengthPan& , ofiitay

n.days‘

.79

.77

.82

.83

.60

.86

.51

.66

.78

.81

.70

.70

.69

.71

.56

.86

.49

.62

.68

.58

.79

.79

.80

.81

.64

.88

.62

.67

.74

.82

.79

.71

.82

.83

.60

.85

.91

.59

.84

.83

.82

.81

.84

.86

.40

.7;

15.5

8.8

197.0312.4118.8211.6

19.3

6&;26.1

7.5

6.8

19.735.3102.658.2

9.7

3::;4.4

8.4

8.1

27.365.190.2110.2

14.3

;;:!.

35.2

8.5

316.7366.9119.9275.4

21.7

7:::87.1

34.5

21.3

261.3316.6

32.1

60.:

‘Number of discharge days divided by number of discharges.

37

Table 18. Selected hospital data: United States and each State, 1971

State

Umited States------

Alabama------------------Alaska-------------------Arizona------------------Arkansas-----------------California---------------

Colorado-----------------Connecticut--------------Delaware-----------------District of Columbia-----Florida------------------

Georgia ------------------Hawaii-------------------Idaho--------------------Illinois-----------------Indiana------------------

Iowa ---------------------

Kansas-------------------Kentucky-----------------Louisiana----------------Maine--------------------

Maryland-----------------Massachusetts------------Michigan-----------------Minnesota----------------Mississippi--------------

Missouri-----------------Montana------------------Nebraska-----------------Nevada-------------------New Hampshire------------

New Jersey---------------New Mexico---------------New York-----------------North Carolina-----------No?cthDakota-------------

Ohio---------------------Oklahoma-----------------Oregon-------------------Pennsylvania-------------Rhode Island-------------

South Carolina-----------South Dakota-------------Tennessee----------------Texas--------------------Utah---------------------

Vermont------------------Virginia-----------------Washington---------------West Virginia------------Wisconsin----------------Wyoming------------------

Hoa- Inpatient Discharge occu-Beds)itals Admissions days Discharges days Patients panty

rate

Number

7,678

14829

1:;654

1047014

2;;

21231

3:;139

15717213716864

2::272198133

183

Ii:2638

145

4;:17164

266163

3];

1037217560244

1%1359621732

1,507,988

2:,;;:

10:68811,244116,554

15,45120,0284,63312,36947,916

3:,;::

3:53384,16534,245

20,65617,90320,64825,8058,608

28,15756,40558,83529,27017,846

36,6664,96012,7872,8215,940

50,4336,012

1::,;;:

5;787

74,70817,73912,556103,6988,321

19,3936,56530,04876,5784,949

3,52434,22418,63316,44337,7812,802

33,636,480

602,33650,560317,894355,100

3,148,221

443,086425,71077,815

218,1371,202,792

808,101109,665118,631

1,812,576779,819

520,102422,563579,879658,032174,431

496,488941,504

1,392,665683,083417,239

864,338145,759286,51984,979117,098

959,862182,303

2,715,739807,652136,996

1,690,508482,576341,267

1,868,838141,507

425,455134,635745,850

2,047,695171,237

77,690691,475564,544368,169763,78263,578

434.289,798

7,742,218423,693

2,915,0683,049,23030,976,493

4,314,8806,065,5971,394,4743,884,54213,558,968

9,860,9451,374>783871,559

24,764,7969,970,285

5,194,3164,764,6556,017,3946,800,8802,531,286

8,211,65216,224,43717,437,7517,783,5585,054,768

10,672,8581,236,3693,271,089773,301

1,706,450

15>237,6681,470,212

52,174,8479>766,7741,460,934

22,171,942:,;::,<:;

31;189;5532,583,708

5,705,2071,685,2168,900,57321,176,1491,353,240

1,020,389l!,:;:,;:;

4;858;89510,585,030

729>383

33,651,709

603,28050,314317,501354,254

3,149,788

445,790425,78977,984219>027

1,201,597

806,543109,934118,250

1,815,019779,494

520,106423,078579,804658,348174,601

497,713940,784

1,392,292683,517415,136

864,151145,594286,23485,096116,888

959,553182,213

2,719,842808,461136,752

1,689,986482,356341,241

1,872,552142,386

424,911134,607746,478

2,049,270171,411

77,694692,335565,499368,3827::,:::

,

521,441,240

9,::; ,45:

2,792;2633,532,78941,453,464

5,454,1996,977,7771,028,6573,194,98915,109,104

1:,::;,;;;

1;402;59432,701,05813,741>255

6,022,8235,869,2017,846,8657,984,9383,218,057

10,551,48118,943,09621,015,08510,308,0635,142,384

11,840,8281,169,3787,387,032825,848

3,077,651

18,316,9241,570,955

54,247,98811,499,5582,568,751

26,473,8725,034,1473,419,18436,778,7862,559,229

6,094,1041,922,14810,390,16925,221,5091,525,979

1,532,24112,290,9896,506,4245,299,40811,033,6881,311,616

.,185,528-

20,6391,1468,0878,30083,447

11,63116,6723,91310,84338,129

27,0363,6892,49367,15726,956

14,17812,91616,7361:,;;;

,

22,58344,97347,36020,73514,369

28,5043,2228,8312,1494,860

42,2713,954

143,05827,1093,792

60,67413,3628,80283,6127,199

15,6304,53124,38957,8553,570

2,81528,36013,36413,07228,6081,981

.79

.79

.66

.76

.74

.72

.75

.83

.84

.88

.80

,81.77.71.80.79

.69

.72

.81

.74

.79

.80

.80

.80

.71

.81

.?;

::9.76.82

.84

.66

.84

.80

.66

.81

.75

.70

.81

.87

.81;:;

.76

.72

.80

.83

.72

.79

.76

.71

38

Table 19. Number of hospitalsoutsidea standardmetropolitanstatisticalarea and percentof all hospitalsand number of hospitalswithin an 8MSA by populationsize of the SM8A, by type of hospitaland bed size:United States,1971

Allhos-pitals

Hospitaloutside 8M8A Hospitalwithin SMSA with populationof:

Percentof allhos-pitals

50,000

99:;99

LOO,000

24;;999

250,000

49;:999

500,000

19$:999

L,OOO,OOO

2,4;;,999

2,500,000or moreNumber

All types--------- 7,678 3,901

4311,228677478678196

R70

3,637

4131,203657459644171

G4

264

50.8 95 520 544 943 1,034


636,648,052772,545739708365213

67.874.564.461.943.926.513.413.232.9

55.1

JL?27171541

82

3260

:?1217192

:;

419

1::87

2;;1281469131

761

32

E60192115134

;:

182

%10088251172164

;:

General ------------- 6,607 789

Less than 25 beds-------25-49 beds--------------50-74 beds--------------75-99 beds--------------100-199beds------------200-299beds------------300-499beds-------------500-999beds------------1,000 beds or more------

5351,509933

77.279.770.468.047.726.011.3

i:;

24.7

6751,35165763027047

Specialtyl---------- 1,091 245

LUSS than 25 beds-------25-49 beds--------------50-74 beds--------------75-99 beds--------------100-199beds------------200-299beds------------300-499beds------------500-999beds------------1,000 beds or more------

101139119

lx82

1825

::342524

%

152

17.818.016.819.617.530.530.834.739.8

28.5

1;:;16.3

1;::40.039.542.041.4

35.4

1620211118

1:1221

67

181910182388

1:

51

212930

:;24112028

E166

Psychiatric--------- 533 113


39

:7

7

1;

13

4141213279

157

Tuberculosis-------- 99 9

Less than 25 beds-------25-49 beds--------------50-74 beds--------------75-99 beds--------------100-199beds------------200-299beds------------300-499beds-----------,-500-999beds------------1,000 beds or more------

2 23

29361

100.033.338.540.033.333.330.025.0

2:4 1

lIncludesspecialtyhospitalsin the “other”category.

39

Table 19. Number of hospitals outside a standard metropolitan statistical area and percent of all hospitalsand number of hospitals within an SMSA by population size of the SMSA, by type of hospital and bed size:United States, 1971-Con.

Allhos-itals

Hospitaloutside s14sA Hospital within SMSA with population of:

[umber

Type of hospital andbed size ercent

f allhos-itals

10,000

$5999

50,000

95999

00,000

9Y999

,000,000

,4&,999

,500,000or more

32Chronic disease ----- 90 17 18.9 3 10 10 12 6

Less than 25 beds -------25-49 beds --------------50-74 beds--------------75-99 beds--------------100-199 beds------------200-299 beds------------300-499 beds ------------500-999 beds ------------1,000 beds or more ------

2614

2;1710

i

43

1813613011.

47

50.033.314.340.020.011.820.014.3

14.0

12

?85352

13

i22221

5Narcotic addictionor alcoholism ------

3:::16.7

8.5

131

7

21

i

14

Less than 25 beds -------25-49 beds --------------50-74 beds --------------75-99 beds --------------100-199 beds ------------200-299 beds------------300-499 beds ------------500-999 beds------------1,000 beds or more ------

Maternity -----------

Less than 25 beds -------25-49 beds --------------50-74 beds --------------75-99 beda --------------100-199 beda ------------200-299 beds------------300-499 beds ------------500-999 beds ------------1,000 beds or more ------

3252161000

66

12.5

18.2

61

4

91

i1

6

9211

17

:

:3

1

1

6Rehabilitation ------

Less than 25 beds -------25-49 beds --------------50-74 beds --------------75-99 beds --------------100-199 beds ------------200-299 beds------------300-499 beds ------------500-999 beds------------1,000beds or more ------

11

i

20.621.4

2;::50.0

40

Table 20. Number of beds in hospitals outside a standard metropolitan statistical area and number of beds in hos-pitals within an SMSA by population size of the SMSA, by type of hospital and bed size: United States. 1971

Allhospital

beds

1,507,988

Beds irhos-pitaloutsidfSMSA

47O,1OL

Beds inhospitalwithinSMSA

Beds in hospital within SNSA with population of:

50,000

99399

100, OOI

24~991

250,00(

496;99!

500,Ooc

99;;999

1,000, 00(

2,4;;,99!

252,16:

85(3,76{5,30!6,81f31,88(31,66~55,67<58,83:57,36:

185,581

52:2,68:3,9565,331

27,17428,40451,11350,29316,100

66,582

3251,0831,3491,4854,7123,2604,5668,539

41,263

53,674

2,500,000or more

All hospitals--- 1,037,88~ 19,567 135,23’

51(2,3613,47:2,861

16,74!18,04(37,58:16,01:37,63{

84,621

169,181

69(3,69(4,02$4,30118,32C19,58138,06633,132473372

106,234

4452,9602,7533,38215,80418,61534,10424,5004,121

62,947

147,583

4522,1813,2643,512

17,26917,09236,19138,53229,090

106,084

2111,4952,6321,95814,12215,29633,04533,6243,701

41,499

314,151

Less than 25 beds-----25-49 heals------------50-74 beds------------75-99 beds------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds cm more----

10,84159,04363,13566,569

217,754178,968268,953244,865397,860

1,004,799

7,60(43,58440,47$41,01:93,014::,~::

33;65;129,21:

298,419

3,23715,45$22,65C25,551124,74C132,243234,15C211,206268,642

706,380

110400558326

3,9014,1575,5913,2121,312

15,030

6193,0566,0287,736

36>61541,70961,03661,48595,867

Gcncral----------- 208,830

LLWS than 25 beds-----25-49 beds------------50-74 beds------------75-99 beds------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds or more----

9,37553,94955,95158,385190,519159,308239,617176,87660,819

503,189

1,4665,0947,1848,18427,23519,66029,33667,989337,041

418,487

3002,0102,5773,47811,5128,58414,49951,327324,200

17,806

3;;797

1,2423,8652,0667,1272,352

7,37042,67139,27739,41788,25440,49126,2069,4395,294

171,685

234913

1,2021,6014,7606,2348,59724,220123,924

155,961

2,00511,27816,67418,968102,265118,817213,411167,43755,525

331,504

1,2324,1815,9826,58322,47513,42620,73943,769213,117

262,526

110400446249

3,3983,6795,2671,481

4,537

112

5;<478324

1,7311,312

3,289

41[1,7312,69;2,31:13,78:17,12$33,06;10,13!3,34(

50,618

2962,0074,1905,73527,98236,14456,81547,40428,257

Specialtyl-------- 105,321

Less than 25 beds-----25-49 beds------------50-74 bt?ds------------75-99 beds------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds or more----

6?!775547

2,964911

4,5205,87834,292

42,324

245730

1,276919

2,5161,4163,9628,63243,251

55,198

241686632

1,5543,1471,7963,1464,90825,389

32,141——

2::370;;;

2001,1593,13625,389

2,677

3231,0491,8382,0018,6335,5654,22114,08167,610

Psychiatric------- 75,900

Less than 25 beds-----25-49 beds------------50-74 beds------------75-99 beds------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds or more----

3001,7172,1643,1519,8945,0479,00029,932201,321

12,218

3$:174232967.

2,6245,11432,812

1,878

104337307168948644

2,4257,014

43,251

2,567

3X586751

3,0022,0501,6626,11139,152

2,316

2;11675

21;1,884

4i8727

1,1153,9942,1531,1306382659,045

295413327

1,6183,5375,49921,395122,879

5,588

24;

1,73;1,312

477Tuberculosis------ 2,303

Less than 25 beds-----25-49 becls------------50-74 beds------------75-99 beds------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds or more----

1::321483

1,225721

2,135553

20;476759

2,6401,345;,;;;3

153

32;

7;

175713462640611

184335405759620

lIncludes specialty hospitals in the “other” category.

41

Table 20. Number of becpitalswithin an SMSA

in hospitalsoutsidea standardmetropolitanstatisticalarea and’’numberof beds in hos-vpopulationsize of the SMSA,b type of hospitaland bed size:United States,1971-Con.

Beds in hospitalwithin 8MSA with populationof:ledsinhOs-pital)utsideSNSA

3eds inJspital,~ithinsNSA

All~ospitalbeds 50,000

99::99

Type of hospitalandbed size 00,000

,4:999

!50,000to

199,999

00,000

9:999

,000,000

,4%,999

,500,000or more

Chronicdisease--- 24,614

2;:875439

3,4153,9433,8104,7217,143

2,647

317455326

3X

49:631

1,852

380209119

8;;201

7,544

2,878 21,736

23147763244

2,7503,4283,2044,0347,143

2,447

295327276

3%

49;631

1,819

347209119

8%201

6,136

532 2,759 1,382 3,011 3,025 11,027


2474

112195665515606687

200

23

3?;

1,OK1,1561,1953,5043,552

476

1001$

lx---

415

13;

73;411

1,48;

639

1:;157249498314

202

5;

66;410

1,347530

720

2;64

47;348

2,11;

410Nafcoticaddictionor alcoholism----


1%50

33

33

--

-

1,408

1625

10;

49;

161

16;

428

1??62

102

4445.-

63i

811

11240156

10;

330

77

Maternity---------

.10937:

;:$

-.--

389

6735

714

10190

:2

1,128

Less than 25 beds-----25-49 beds------------50-74 beds------------75-99 heals------------100-199beds----------200-299beds----------300-499beds----------500-999beds----------1,000 beds or more----

Rehabilitation----


5;;843

1,4321,2941,467326520

1,050

4;:671

1,3341,055677326520

1,050

2230

33;

......

11480

-

52;

29;174336328

10;172

2;:790

42

Table 21. Occupancy rate and number of patients in hospitals outside a standard metropolitan statistical area and oc-cupancy rate and number of patients in hospitals within an SNSA by population size of the SNSA, by type of hospitaland bud size: United States, 1971

Number of patients in hospital within sNSA withHospitaloutside SMSA population of:

io, ooo

)9:;99

!4,988

Numberof

atients

ccu -ancyate

Numberof

Itients

832,257

ccu-ancyate

80.2

00,000

4;;999

08,655

250,000

i9;:999

.34,716

500,000

19;:999

120,257

2421,4382,2352,53113,04513,99930,40131,56924,797

86.793

.,000,000to

!,499,999

199,408

4602,41S3,5004,75524,01025,49645,13746,21547,417

145,596

3011,6652,6743,74720,47323,02741,610;;,;;;

,

53,812

159753S26

1,00s3,5372,4693,5277,08834,445

43,799

2:?;;;

;,:::

1;4285,00132,383

1,456

1,500,000or more

254.233All hospitals------

Less than 25 beds--------25-49 beds...............50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-!399beds-------------1,000 beds or more-------

353,271 75.2

2671,4462,3421,s3912,92S14,63630,82313,20431,170

67,583

198971

1,7301,471

10,59813,8S627,3258,5762,S28

41,072

3762,1632,6782,89813,51215,09030>80727,09740,095

82,745

2391,6581,7312,16011,77213,95827,65320,1423>432

51,971

2681,8644,2305,486

27,43733,33150,17651,175S0,266

166,550

1161,1142,8403,99021,19229,22546,84239,00122,230

87,683

152750

1,3901,4966,2454,1063,33412,17458,036

64,102

;:

7992,9461,622825

5,95450,993

1,254

11;169141321504

3,97826,43026,46628,27167,72337,09828,59427,081107,630

212,058

52.360.665.468.972.879.482.280.583.3

71.1

1>6599,57115,34217,78193,774105,812191,520172,079224,719

560,693

51.361.967.770.075.2So.o81.881.583.7

79.4

46242357272

2,8423>2604,1762,S19974

L1,426

46242254195

2,4722,8803,9731,364

3,562

103

3X380203

1,455974

2,588

General --------------

1,0226,56910,97612,96577,35995,702175,222l?:,;::

,

271,564

6373,0024,3664,81616,41510,11016,29835,965179,955

218,510

1931,2191,6572,3237,5773,6427,29824,842169,759

7,240

167238444

1,487761

2>9231,220

51.058.365.868.475.780.682.181.380.6

81.9

122919

1,7471,40210,85212,72627,8192:,:9):

,

33,464

Less than 25 beds-......-25-/+9beds---------------50-74 beds---------------75-Oq beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-~99 beds-......-... -1,000 buds ar more-------

3,S2125>78525,69227,21664,07131,6332$,::;

4:411

141,213

157645774

1,0553,6525,4656,78719,459103,219

129.448

51.960.465.469.172,678.L83.280.883.3

82.3Spccicdty’-----------

67.170.164.465.976.787.779.080.383.3

83.0

51,771.873.073.273.075.378.682.284.4

83.2

4%612368

2,330750

3,4984,62828,342

34,688

137505947738

1,7401,132;,;;;

36;663

46,246

2%22s122801439

2,0485,631

36,663

1,459

12051948S

1,1292,1931,2732,5823,66521,495

27,087

16152275692594122

1,0242,71721,495

1,513.——

5;

8;394299319360

Luss than 25 beds--------25-49 beds---------------50-7A beds---------------75-q9 beds---------------100-199 beds--------------200-29q beds-------------300-4!N beds-------------500-9W beds-------------1,000 beds or more-------

Psychiatric----------

Ltissthan 25 beds--------25-49 beds---------------50-74 beds---------------75-99 beds-------------~-100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

64.371.076.6;;.;

72:281.183.084.3

59.3

47234150149800

1,97;4,08427,251

1,232

2;125

3::180499

23;322252

1,4283,3014,52717,171102,212

3,447

22

1::213700538

1,490239

-80.278.077.188.393.382.380.383.2

61.7

88.064.851.144.157.174.670.043.2

15;

1,455974

326

123

203

Tuberculosis---------

LUYS than 25 beds--i.....25-49 beds---------------50-74 beds---------------75-99 beds...............100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

22

x

14;1,202

80.;50.058.556.356.65S.667.S

lrnclude~ ~Pecialty hospitals in the “other” category.

43

Table 21. Occupancy rate and number of patients in hospitals outside a standard metropolitan statistical area and oc-cupancy rate and number of patients in hospitals within an SMSA by population size of the SMSA, by type of hospitaland bed size: United States. 1971-Con.

Number of patients in hospital within SMSA withpopulation of:

)ccu-)ancy:ate

1,000,000

2,4;;,999

Numberof

patients

Ntssberof

>atients

occu-pancyrate

86.0

78.385.781.491.078.387.492.284.186.8

50.3

50,000

99599

100,000

24;;999

2,279

?50,000to

$99,999

;00,000

)9;:999!,500,000or more

2,577 2,843

i;

45;281

2,06;

227

Chronic disease------ 2,410

245470187562447446620

127

83.7

100.073.062.596.084.586.873.690.3

63.5

18,6S4

l%621222

2,1522,9952,9533,3946,203

1,230

425 1,187

1;:146152445301

93

19

;?

47

9,373

18

2%76845985

1,1322,9143,050

Less than 25 beds--------25-49 beds---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

12;

67;388

1,09;

463

1412

9;

34i

141

4i

47;338

1,239480

169

:;

10;

562

3331

38i118

267

2224

22i

38;

Narcotic addictionor alcoholism-------- 278

81.868.842.0

57.6

163168123

2%

34;108

1.197

55.351.444.643.586.6

69.;17.1

65.S

Less than 25 beds--------25-49 beds---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more------- .

251Maternity ------------

Less than 25 beds--------25-49 beds---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

57.6

74.4

68.;59.998.069.577.0

11015522

7::118

4,851

3%529971752560289:$:

31.774.218.591.883.258.7

79.1

1;:.;

78;872.871.382.788.785.490.1

2522

595

10;48

44;

3366

. 197s

..

. 737

19363

14i

330

i;112119

.

19;

Rehabilitation------- 77 2,845

177143213204

.-.

Less than 25 beds--------25-49 bede---------------50-74 beds---------------75-99 beds---------------100-199 beds-------------200-299 beds-------------300-499 beds-------------500-999 beds-------------1,000 beds or more-------

2!!300429560289

946

,_I

.-

I ----

44

Table 22. Number of hospitalsand beds and-beds-per 1,000 population, - . . . ---- .—.-. . .?.-. by type or hospital: united states,

eacn regzon and state, lY/1

—

Geographicregionand State

Generalbedsper1,000popula-tion1

Rate

4.9

Bedsper1,000>opula-tion1

Specialtybeds per1,000

p;;:% ---1-Gen-eral Generalhos- beds)itals

Number

Spe-cialty Spe-

hos- cialtybedspitals

Hos-)itals Beds

1

Number

I

NumberRate

7.3

Rate

2.4United States--- 7,686

1,371

::233

1::4363402223

2,178

1,507,988

426,593

20,0288,60856,4055,94050,433169,636103,6988,3213,524

419,368

84,16534,24520,65617,90358,83529,27036,66612,7875,7B774,7086,56537,781

456,514

6,607 .,004,799 1,071 ;03,189

Northeast--------- 8.6

6.5

::;

::;9.28.78.77.7

7.3

1,056

4860158

1??345260

;:

1,880

238,781

12,1275,76928,4183,58229,00190,78861,0125,9342,150

293,583

57,71322,29417,21513,74439,96023,09126,28210,3884,44749,7254,61524,109

312,072

4.8

3.9

:::4.74.04.95.1

;:;

5.1

315 187,812

7,9012,8392;,;:;

21:43278,84842,6862,3871,374

.25,785

3.8

Connecticut-----------Maine-----------------Massachusetts---------New Hampshire---------New Jersey------------New York--------------Pennsylvania----------Rhode Island----------Vermont---------------

22

7?3

;:8042

298

2.6

:::3.1

::;3.62.53.0

North Central----- 2.2

Illinois--------------Indiana---------------Iowa------------------Kansas----------------Michigan--------------Minnesota-------------Missouri--------------Nebraska--------------IiiighDakota----------

.-----------------South Dakota----------Wisconsin-------------

315139157172272198183123

2%

21;

2,696

148107

;?228212137168

1::17116310317560213596

1,433

261118143159234183162115

2::

1:?

2,393

1351039

2::191117155

lZ145150

1%54610985

1,278

H6.0

:::5.9

::;

:::6.95.4

4.9

4.85.2

1::;

::;4.64.9

:::4.3

:::

:;:4.46.2

4.5

5421141338

::8

4;

6;

303

1345

2:21201326

2:13

;;;;

11

155

26,45211,9513,4414,15918,8756,17910,3842,3991,34024,9831,95013,672

.44,442

9,3621,1862,2614,71612,61711,4105,4667,63013,6505,87811,7384,4437,4218,98618,85413,2835,541

45,150

2611,42226,6923,4511,7L5417486543

1,0923,131571

4,:;;

2.42.31.21.82.1

;:;1.62.1

;:;3.1

South------------- 2.3

Alabama---------------Arkansas--------------Delaware--------------Districtof Columbia--Florida---------------Georgia---------------Kentucky--------------Louisiana-------------Maryland------,--------Mississippi-----------North Carolina --------Oklahoma --------------South Carolina --------Tennessee ----------l--Texas -----------------Virginia --------------West Virginia ---------

West -----------~~’~-

26,2201~,:2:

12:36947,91633,52920,64825,80528,15717,846;;,;;;

19;39330,04876,57834,22416,443

205,513

16,85810,0582,3727,65335,29922,11915,18218,17514,50711,968:;,;;;

11:97221,06257,72420,94110,902

160,363 1.3

Alaska ----------------Arizona---------------California------------Colorado--------------Hawaii----------------Idaho-----------------Montana---------------Nevada----------------New Mexico------------Oregon----------------Utah------------------wa~;~$ton------------

---------------

;:6541043152742670

::13532

1,74110,688116,5541:,:;:

3:5334,9602,8216,01212,5564,94918,6332,802

1,4809,26689,86212,0003,0983,1164,4742,278;,:;;

4:37814,1421,924

4.7

;:;

i:;

:::4.84.44.04.15.7

:801693

:87

1:2

0.80.81.31.52:20.60.7

i::1.50.51.32.6

Isource of DOpUlatiOnU.S.Bureau of the Census, “ProvisionalEstimatesof the Total Residentand CivilianResident Populationof States, July 1, 1971 and 1970,” CurrentPopulationReports, Series P-25, NO. 468,Washington,U.S. GovernmentPrintingOffice, Oct. 5, 1971, Figuresbased onJuly 1, 1971.

total residentpopulationfor

45

Table 23. Number of hospitals reporting outpatient visits and number of outpatient visits by type ofvisit, by type of ownership and type of hospital: United States, 1971

Type of ownership and type ofhospital

All hospitals ---------------------

General ---------------------------------

Specialty -------------------------------Psychiatric ---------------------------Tuberculosis --------------------------Chronic disease -----------------------Narcotic addiction or alcoholism ------Maternity -----------------------------Rehabilitation ------------------------Other ---------------------------------

Proprietary -------------------------

General ---------------------------------

Specialty -------------------------------Psychiatric ---------------------------Tuberculos is--------------------------Chronic disease -----------------------Narcotic addiction or alcoholism ------Maternity -----------------------------Rehabilitation ------------------------Other ---------------------------------

Nonprofit ---------------------------

General ---------------------------------


State or local government -----------

General ---------------------------------


Federal Government ------------------

General ---------------------------------

Specialty -------------------------------Psychiatric ---------------------------Tuberculosis --------------------------Chronic disease -----------------------Narcotic addiction or alcoholism ------Maternity -----------------------------Rehabilitation ------------------------Other ---------------------------------

[ospitals.eporting~utpatientvisits

7,299

6,478

821425

::

i:

1:1

908

794

11469

.:95

2;

3,737

3,464

27377

s:9

:;88

2,248

1,850

3982497628

i

::

406

Visits to outpatient services

Total

214,793,751

204,730,905

10,062,8465,$;:, :::

241;838291,970255,065557,643

2,295,104

7,649,114

7,107,235

541,879277,693

5,66815,63528,33753,9679,555

151,024

109,691,707

106,873,084

2,818,623664.45913;57968,80748,446152,472455,646

1,415,214

49,834,413

44,639,481

5,194,9323,374,469905,179157,396

48,62692,442616,82C

47,618,517

46,111,105

1,507,4121,180,179

215,187

112,046

imergencyvisits

i9 ,282,973

i7,624,553

1,658,4201,445,807

11,9816,284

5,9::2,683

185,649

2,429,873

2,373,470

56,40340,598

1,956

13,85;

%5,533,725

15,329,620

204,10562,149

4,03;

1,4::

136,48;

16,249,307

15,226,929

1,022,378971,68911,9812,248

2,56;2,680

31,212

5,070,068

4,694,534

375,534371,371

6;

4,09;

utpat ientclinicvisits

8,281,087

1,396,779

6,884,3083,530,993

868,991170,12868,866216,355349,039

1,679,936

3,427,343

3,031,634

395,709181,8864,26412,50024,35345,1156,950

120,641

3,857,119

1,877,303

1,979,816495,670

9,74249,88242,038136,858268,611977,015

!5,415,636

!1,757,713

3,657,9232,077,982

854,985107,746

;$,::;

509:350

15,580,989

14,730,129

;;g,::g,

2,47;

72,93;

Other7isits (re-ferred pa-tients )

57,229,691

55,709,573

1,520,118520,00043,45465,426223,0?132,777

205.921429; 519

1,791,898

1,7 ‘02,131

89,76755,2091,4043,1353,9846.9022;60516,528

40,300,863

39,666,161

634,702106,640

3,83714,8896,39014,199

187,032301,715

8,169,470

7,654,839

514,631324,79838,21347,402

11,67616,28476,258

6,967,460

6,686,442

281,01833,353

212,647

35,01;

46

Table 24. Number and type of full-timeemployeesin hospitalsby type of ownershipand type of hospi-tal: United States, 1971

Other:rainees

Li-:ensedprac-ticalIurses

Physi-cians

d~-tists

:nternsorresi-dents

Regis-terednurses

345,536

317,01728,51917,6651,3462,107

335789

1,1915,086

16,839

15,4431,396875

7:

75

E282

222,860

217,0705,7901,2;;

447

69574542

2>830

77,774

59,79617,978l;,O:

1;584

1:;592

1,638

23,063

24,7083,3552,848

171

336

Al1full-time:mployees

2,438,718

2,057,185381,5332;:,:::

25;967

3,1633,14012,50044,103

109,740

98,30811,4328,014

4%

476220414

1,782

1,370,529

.11other“uil-time!mployees

Type of ownershipand typeof hospital

1,771,97356,395

53,5942,8011,630

3477

8069

8%

384

L90,60340,682All hospitals---------------

1.71,57319,03011,6641,3552,128

150370640

2,723

11,756

10,874882562

3:

4433

1::

U2,674

1,452,978318,9952;;,::;

21:059

2,3801,88310,32433,919

31,7328,9506,688383375

155

2;;1,115

1.289

General-------’--------------------Specialty-------------------------psychiatric---------------------Tuberculosis--------------------Chronicdisease-----------------Narcoticaddictionoralcoholism---------------------

Natermi;y-----------------------Rehabilitation------------------other---------------------------

78,911Proprietary-------------------

70,1928,7196,273

3::

1,017272212

i

153132

12,486

3394533

1

1;

29,920

General---------------------------Specialty-------------------------Psychiatric---------------------Tuberculosis--------------------Chronicdisease-----------------Narcoticaddictionoralcoholism---’------------------

Mater?i~y--;--------------------Rehabllltatlon------------------Other---------------------------

341158310

1,289

972,460Nonprofit---------------------

General---------------------------Specialty-------------------------Psychiatric---------------------Tuberculosisn-------------------Chronicdise,ase-----------------Narcoticaddictionoralcoholism---------------------Efaternity-----------------------Rehabilitation------------------Other-------:-------------------

L09,8662,80860534350

3:;319

1,137

56,997

42,98114,0169,2831,317L,744

1815280

1,359

9,176

9;;,:())

10;545390

3,847

4711,7245,36617,816

11,2971,189385

7?

2120

6;;

12,829

6,4206,4095,226373296

52

132375

14,078

28,945975248

27

4+

6;;

19,686

18,0551,6311,274

3450

2;

1%

6,405

6,255150

75

75

1,319,26951,26013,216

4894,748

6092,6916,36323,144

729,193 553,544

314,130239,414191,85612,74116,902

State or local government-----

General-------:--------------------Speci.alty-----,--------------------Psychiatric---------------------Tuberculosis--------------------Chronicdisease-----------------Narcoticaddictionoralcoholism---------------------

Maternity-----------------------IW&ilitation------------------

-------”-.,----------------!-1,1 !’1’

Federal Government------------

5,7512,6122,129

19165

2:;

4,476

4,;:;

97

60

12

447,133282,060222,43815,76920,741

236229

5,72316,924

229,256

193

4,64;13,073

167,058

7,8521,3241,214

47

6;

136,35530,70327,587

12,9981,080

865

114

10;

General---------------------------Specialty-------------------------Psychiatric---------------------Tuberculosis--------------------Chronicdisease-----------------Narcoticaddictionoralcoholism---------------------

Maternity-----------------------Rehabilitation------------------Other---------------------------

192,47536,78132,686

1,842

2>25;

1,375

1,741

47

Table 25. Number and type of part-time employees in hospitals by type of ownership and type of hospi -

TyDe of ownership and typeof hospital

All hospitals ---------------

General ---------------------------Specialty -------------------------

Psychiatric ---------------------Tuberculosis --------------------Chronic disease -----------------Narcotic addiction or

alcoholism --------------------Maternity -----------------------Rehabilitation ------------------Other ---------------------------

Proprietary -------------------



alcohol ism--------------------Maternity -----------------------Rehabilitation ------------------Other ---------------------------

Nonprofit ---------------------



alcohol ism--------------------Maternity -----------------------Rehabilitation ------------------Other ---------------------------

State-local government --------


Psychiatric ---------------------Tuberculosis --------------------Chronic disease -----------------Narcoticaddictionoralcoholism--------------------

Maternity-----------------------Rehabilitation------------------Other---------------------------

Federal Government------------


Pyschiatric ---------------------Tuberculos is--------------------Chronic disease -----------------Narcotic addiction or

alcoholism --------------------Maternity -----------------------Rehabilitation ------------------Other ---------------------------

tal: United States, 1971

Allpart -timeemployees

536,291

506,31429,97714,9301,2443,233

5381,4242,2446,364

27,882

24,9742,9081,839

34:

181

l%311

395,887

383,71512,1723,;():

1,125

2661,3311,5934,390

96,685

;;,:;:

7;5861,0711,768

20

5::1,514

15,837

13,4132,4242,204

71

14;

hysi-ians

d%-ists

7,297

3,3623,9352,160228451

44

3;:618

667

475192148

1:

17

:5

7,274

6,350924285

;2

18

1:!361

7,507

4,7932,7141,624212344

8

27:251

1,849

1,744105103

1

i

1[ntemsorresi-dents

3,871

3,500371212175

12

2; ~100 I

221

1:;

7

;:

1,288——

1,2137514

i

123

;;

753

519234178172

3;

1,609

1,596

H

Othertrainees

8,486

7,:+:

810

12;

ii

295

1861095

9;

j

5,226

5,152

;:

i

i20

1,873

1,359514480

2:

i

1.092

813279279

Regis -terednurses

144,209

138,6755,5342,400239647

123;;:

1,337

7,420

6,800620393

4+

6121187’8

112,395

110,1632,2324;;

182

4%235798

22,410

2:,;;$

1:142209418

:

3::

1,984

1,538446373

10

6;

1Li-zensedprac -ticalwrses

39,874

38,5681,306364

2%

12:

3%

2,807

2,613194109

2;

241;

16

29,657

29,018639121

7;

1%

2;2

7,197

6,753444116

1;2

:

1::

213

1842918

2

6

All otherpart-timeemployees

322,552

304,69917,8538,984703

1,755

308782

1,4153,906

16,470

14,7281,7421,177

15$

::

l%

240,047

231,8198,2282,343116765

163734

1,1602,947

56,945

50,6146,3314,046583831

8

15?706

9,090

7,5381,5521,418

58

7;

48

‘1’able26. Number of other health facilitiesby type of facility, type of ownership, and bed size: UnitedStates,1971

Allfacil-ities

Type of facility

Type of ownershipand bed size

Chil-dren’ s

:orrec -:ionalRacil-ities

Drugabusersoralc0-Iolics

tiiscel-laneousotherFacil-ities

Physi-callyhandi-capped

Men-:allyre-:arded

<motiOn-allydis-turbed

Orphansor de-pendentchildren

Deafor

)lind

Unwedmothers

4,769

2,129934535270;;;

1249393

1,280

All types---- 143

22

;+

3;19218

5

176

:5

11

1:

4

94 1,236

75013687307322

~

745

875

45819810045541073

276

1,015 166

67372010194

:1

36

752

202132111

1;:46491311

8

312

15946

:;3215

1:1

136

110111121

83

Loss than 25 beds--25-49 hcds---------50-74beds---------75-~9beds---------100-199beds-------200-299beds-------300-499beds-------500-9’39beds-------1,000 beds or more-

362412106

;12

29

366261156

:;32167

41Proprietary----

LCSS than 25 beds--25-49beds---------5(J-74 beds ---------75-99beds---------100-199beds-------200-299beds-------300-499beds-------500-999beds-------1,000 buds or more-

;;;

::

37

:2

2,139

804::$

136217

4618

;

1,350

331204157

98188

95102

8491

5

58

3

i

170

223

1!1

i

46

196351613952

514

37

:1

796

22

i33

101

71

85

331514

1;31

659

Nonprofit------

Less than 25 beds--25-49beds---------50-74beds---------75-99 beds---------100-199beds-------200-299beds-------300-499beds-------500-999beds-------1,000 beds or more-

1416

4

1;441

80

667711

1?

2

2

11179

:1

19

21315078

:*4

85

26522013564792283

178

392714

1$111

29Government-----

Luss than 25 beds--25-49 beds---------50-74 beds---------75-99 beds---------100-199beds-------200-299beds-------300-499beds-------500-999 beds-------1,000 beds or more-

35

i2215177

162116

97

1:243481311

2013

9

1:10

1;

49

Table 27. Number of other health facilitiesby type Of facility:United States and each State, 1971

Type of facility

StateChil-dren’sOrrec-ionalacil -ities

Drugbusersor

alcO-01ics

iscel-aneoueotheracil-ities

?otal ~hysi-:ally~andi-!apped

Men-allyre-arded

emotion-allydis-turbed

Irphansor de-)endent:hildren

leafor~lind

Unwedmothers

UnitedStates------ 4,769 143 176 94 1,236 875 1,015 166 752 312

3

$

56;

23217

2:

522

$!

168

1:11

1;35272

16

1:

:

20

4;122

519

5:7

2

12328

2

2;

1:2

2

;

24;

43124

2:

104

5;18

15103

:

152432161

8

:17

12

6;9

36

1:322

;

1!78

12

1:

422

m:ka-------------------------

Arizona------------Arkansas-----------California---------

391760

1,1::

1035522

1;:

7939

22:96

5959

::32

i:1598227

71

:;1027

11253277;:

22955

2%21

2925

1;:44

::88

;+10

Colorado-----------Connecticut --------Delaware -----------District ofColumbia ----------

Florida ------------

Georgia------------Hawaii -------------Idaho --------------Illinois -----------Indiana ------------

Iowa ---------------Kansas -------------Kentucky -----------Louis iana ----------Maine --------------

Maryland -----------Massachussetts -----Michigan -----------Minnesota ----------Mississippi --------

Missouri-----------Montana ------------Nebraska -----------Nevada -------------New Hampshire ------

New Jersey ---------New Mexico ---------New York -----------North Carolina -----North Dakota -------

131910122

7

:8

:

L!

1

:15.

Ohio ---------------Oklahoma -----------OregOn -------------Pennsylvania -------Rhode Island-------

South Carolina -----South Dakota -------Tennessee ----------Texas --------------Utah ---------------

Vermont ------------Virginia -----------Washington ---------West Virginia ------Wisconsin ----------Wyoming ------------

50

Table 28. Number of beds in other health facilitiesby type of facility:UnitedStates and each State,1971

State

UnitedStates-----

Alabama---------Alaska----------Arizona---------Arkansas--------California------

Colorado--------Connecticut-----DOlaware--------DistrictofColumbia-------~~orida--------.

Georgia---------Hawaii----------Idaho-----------IllinOis--------Indiana---------

IOwa ------------

Kansas----------Kentucky--------Louisiana-------Maine-----------

Maryland--------Massachusetts---Michfgan--------Minnesota-------Mississippi-----

Mfasmd---------Montana---------Nebraska--------Nevada----------New Hampshire---

New Jersey------New Mexico ------New Yark--------North Carolina--North Dakota----

ohio ------------Oklahoma--------OregOn----------Pennsylvania----Rhade Island----

South Carolina--South Dakata----Tennessee-------Texas-----------Utah------------

VcnnOnt---------Virginia--------Washington------West Virgina----Wisconsin-------Wyoming---------

Total

484,627

4,584637

9,3663,b32

45,754

6,1867,0841,442

1,30412,818

~,;;:

‘1;25025,81710,038

5,3514,4775,1327,3422,173

10,96912,31322,0499,2123,824

7,0132,7514,996603

2,296

14,5246,20253,3181;,::;>

24,3397,153:9,8823$;:;*

5,2542,9877,72627,6782,242

1,7089,9847,2952,67410,0151,147

Deaf

bl;;d

24,459

60

1%1,198

350875

8::

1,100

1::792897

552::;

785195

645785667399762

857

2;2

223377

1,806937151

706‘4;;

1,68225

1;:655910192

132782448375426

Unwednothers

6,476

70

%

l%

lj;

1X

117

3$256114

1367870283

202

1X14039

673224

224

6;

57

;-5:

10862828

48-“

137617

12:96

1?;

Physitallyhandi.cappe(

8,39:

11:

36;

8(3(

11;

5:

3:

84!

::6418C

772,20C

14;57

1::

28;

24152

li90

;:300

1,276

4:;29

2%22438668

Type of facility

Men-tally

ta%ed

213,821

2,397135

1,3351,70514,79C

2,5754,437702

5,2;;

3,619840631

10,5164,196

2,8422,3401,3664,;:;

:,:;;

11;8825,4541,468

3,0711,0662,123

1,0:?

8,036788

27,9035,6601,282

11,7253,1622,60915,7261,048

3,2031,1803,31713,9411,053

8082,2603,589509

5,;:;

Emotion-allydis-turbed

36,084

30

3%171

5,521

832478163

l,&

294180129

3,863696

702291143264879

499987

1,3357088

304

1::

17:

526

4,8;!140

1,435179452

2,47571

2;120

1,59292

335162502375

2,34169

)rphansor de-?endent:hildren

60,959

941165

1,671505

3,246

249261185

4311,264

2,0698

4,10;1,805

391426

1,790887186

502371

1,214

5%

796886451

3:;

9991,2336,5063,021481

;,;:;

‘2034,256548

1,2061,1111,9874,794133

3051,616183414

2%

Drugabusers

oralco-

holics

13,341

3,80;

1:!24

95

29127

10;

429301

4;:

12;

695

4,tiij

189

17639

67;

75;4833

Chil -dren’::orrec.tionalFacil-ities

92,90:

73t161604552

14,79(

1,47:752336

38C2,537

1,28C139260

4,6501,972

512569939792547

3,6421,2136,7201,647598

1,072295

1,975500187

2,946503

5,7342,983221

6,());

5,7383,155198

682256

1,4233,435325

3,10;1,425463

1,594185

Miscel-laneousother

facil-ities

28,191

237118

5,::;

1,863

4532132

1591,621

23236

786256

193275211

1;:

529965

1;;280

82225860

1::

6343,1931,277521161

127251102

2,459

l%

1,2%418

9:;7::

41

51

Table 29. Number of facilitiesfor the mentallyretarmd by programsofferedand bed size: United States,

I All ]! Programsoffered for:facil- ‘

Bed size

z. m

All bed sizes-

Less than 25 beds---25-49beds----------50-74 beas----------75-99 beds----------100-199beds--------200-299beds--------300-499 beds--------500-999beds--------1,000 beds or more--

1,236 353 304 437 325

;:: 3:; 109 156 10163 30

87 3 % 52 3;30 2 1173 2 33 ;2 3122 - 8

:: :;H i 1:78 29 ;: 2;

.—-. J

Vaca-tionaltrain-ing

234

622120

2:

1:2956

I

80E

:2 2512 1033 24

11;;34 3174 57

I

Other Nolrograms ~fg~,ffered

I

===4===8032 ;?22 21

2: 1:12 1212 102967 :;

52

I

APPENDIX 1

METHODOLOGY-1

Nursing Homes

Survey jvocedures. —The nursing home mailinglist for the 1971 Master Facility Inventory (MFI) was

created by merging two lists—the final list of nursinghomes for the 1969 MFI Survey, and the list of newnursing homes (“births”) gathered by the Agency Re-porting System (ARS).4

The 1~69 MFI list consisted of 18,910 nursing homes,while the ARS contained approximately 4,600 births. To-gether these 23,500 (approximate) nursing homes madeUp the 1971 nursing home mailing list. Upon receivingthe returned questionnaires, those homes that were out

of business and those that did not meet the NationalCenter for Health Statistics definition of a nursing homewere eliminded. From the 1969 MFI list 412 nursinghomes had gone out of business and were therefore elim-inated, as were about 1,100 homes from the ARS list,which were either out of scope or had gone out of busi-ntiss. Thus the final tally of nursing homes for 1971 was2~,i304.

Of these 22,004 homes, 21,376 sent back their com-pleted questionnaires, which represented a responserstt? of 97.2 percent. Data for the 628 nonresponsehomes, as well as data for missing items on the re-turned questionnaires, were obtained through various

types of imputation procedures. Whenever possible,1%9 MF1 data were used to replace missing data. (Since

all 628 nonresponding homes had been surveyed in 1969and had at that time returned completed questionnaires,their 1969 data were used again in 1971.)

For those responding homes that omitted data whichwere not available from 1969, an imputation methodwas used. In this method all nursing homes werestratified by predetermined variables such as bed sizegroups, ownership categories, and type of home. Miss-ing data for a home were then supplied by using the datafrom a home whose characteristics were most like themissing data. It should be pointed out here that when aresponding home failed to answer any of the major ques-tions (bed size, ownership, type of facility, patients), afail-edit questionnaire containing the questions theyomitted was sent to them and they were asked to answer

the question(s) they originally omitted.The mailing dates for the nursing home portion of

the MFI were as follows:

Initial mailing - week of August 17, 19711st followup - September 152d followup - September 29Field followup - ,October 13

Results of complement survey. —In an effort tocheck the completeness of coverage in the MFI, a com-plement survey was conducted.. (The complement sur-vey has been discussed in detail in Vital and HealthStatistics, Series 1, No. 3.1) Briefly, the complementsurvey matches the health facilities found independentlyin an area sample survey against the N4FI list of fa-cilities for that area. Any facility discovered in thesample survey but missed by the M FI constitutes under-coverage, and an appropriate weight is assigned to themissed facility.

The U.S. Bureau of the Census handled the matching

and the weighting procedures for the 1971 ComplementSurvey. The results indicated that the MFI undercover-age for nursing homes was 6 percent for facilities and1 percent for beds. Stating it in positive terms, the 1971MFI list contained 94 percent of all the nursing homesand 99 percent of all the nursing home beds in the UnitedStates. l%is latter figure indicates that the nursinghomes that were missed were small facilities, sincethe 6 percent missed (1,400) contained only 1 percent(12,100) of the total beds (an average of 9 beds perhome).

Results of McGraw-Hill Match

In an effort to locate the nursing homes that weremissed in the 1971 MFI Survey, an extensive match wasperformed between the 1971 MFI list and the 1973McGraw-Hill nursing home directory entitled ModernNursing Home. The first stage of the operation matchedthe 16,063 nursing homes in the McGraw-Hill directorywith the 1971 MFI list of 22,004 nursing homes. The

McGraw-Hill nursing homes that were not on the MFIlist were marked as misses.

At this first stage of the match, there were 585homes marked as misses. Table I shows how thesehomes were distributed by State, division, and region.

The second stage was designed to eliminate thosenursing homes that came into existence after the 1971MFI Survey list was created. This was accomplished by

53

Table 1. Results of matching the nursing homes in tling Home) with the 1971 MPI list of nursin:

Area

United States ---------------------------------

Northwest ---------------------------------------

New England:Maine ---------------------------- -----------------New Hampshire -------------------------------------Vermont -------------------------------------------Massachusetts -------------------------------------Rhode Island --------------------------------------Connecticut ---------------------------------------

Middle Atlantic:New York ------------------------------------------New Jersey ----------------------------------------Pennsylvania --------------------------------------

North Central -----------------------------------

East North Central:Ohio ----------------------------------------------Indiana -------------------------------------------Illinois ------------------------------------------Michigan ------------------------------------------Wisconsin -----------------------------------------

West North Central:Minnesota -----------------------------------------Iowa----------------------------------------------Missouri ------------------------------------------North Dakota --------------------------------------South Dakota --------------------------------------Nebraska -------------------------------------------Kansas --------------------------------------------

South -------------------------------------------

South Atlantic:Delaware ------------------------------------------Maryland ------------------------------------------District of Columbia ------------------------------Virginia ------------------------------------------West Virginia -------------------------------------North Carolina ------------------------------------South Carolina ------------------------------------Georgia -------------------------------------------Florida -------------------------------------------

East South Central:Kentucky ------------------------------------------Tennessee -----------------------------------------Alabama -------------------------------------------Mississippi ---------------------------------------

West South Central:Arkansas ------------------------------------------Louisiana -----------------------------------------Oklahoma ------------------------------------------Texas ---------------------------------------------

West --------------------------------------------

Mountain:Montana -------------------------------------------Idaho ---------------------------------------------Wyoming -------------------------------------------Colorado ------------------------------------------New Mexico ----------------------------------------Arizona -------------------------------------------Utah ----------------------------------------------Nevada --------------------------------------------

Pacific:Washington ----------------------------------------OregOn --------------------------------------------CalifOnia ----------------------------------------Alaska --------------------------------------------Hawaii --------------------------------------------

1973 McGraw-Hill nursing home directory (Modem Nurs -Lomes: United States, each region and State

Allnmatchednursinghomes

585

136

34

1:311

48

3:

174

3171128

173

52837

:18

1:104

102

31252331

31

4:

Homeout of

bus iness

144

39

15

1;

49

41

)u:@-&ate

37

7

i

i

i

7

11

15

111

5

15

2

2

8

1

13

i

‘Birth”

8

(

3

3

1

i

2

,,

i(-

1-i

2

1

i

Homemaccounted

for

396

87

2

7

30

2:

117

121:

1216

12

115

327

77

21

2321

26

3!

54

matching the missed homes from stage one with (1) alist of new homes gathered via the Agency ReportingSystem after the 1971 MFI Survey list was created and(2) the hlodern Nursing Home Construction Reports,which list the various phases of construction of newnursing homes. Any missed homes found in these twosources were eliminated, since they were not in oper-ation at the time of the 1971 MFI Survey. Only 45 homeswere eliminated in this stage, leaving 540 homes forthe third stage of the matching procedure.

The third and final stage of the match consisted ofmatching these 540 missed homes with a list of nursinghomes originally on the 1971 MFI but taken off becausethey were found to be either out of business or out ofscope. Any homes still left after this match were deemedtrue misses.

This last matching operation resulted in a finalyield of 3% nursing homes not on the 1971 MFI list.These homes have been added to the MFI in preparationfor the 1973 MFI Survey.

Other Health Facilities

The procedure involved in creating the mailing listfor the “other health facilities” was the same as that forthe nursing homes. (“Other health facilities” includehomes for the deaf, blind, physically handicapped,emotionally disturbed and mentally retarded, unwedmothers, dependent children, alcoholics or drug abus-ers, or juvenile delinquents.) The 1969 final listingof these facilities, which contained 4,225 such places,was merged with the ARS list of potential facilities,which contained approximately 1,400 places. With theelimination of the out-of-business and out-of-scope fa-cilities, the final tally of other health facilities for1971 was 4,769.

The response rate for these 4,769 facilities was96.7 percent. The mailing dates were the same as thosefor the nursing homes.

Haspitals

Unlike nursing homes and “other health facilities ,“which are surveyed every 2 years, hospitals are sur -veyed annually. The mailing list for hospitals in 1971was created, therefore, by merging the final list ofhospitals from the 1970 survey with the list of new(or potentially new) hospitals found between the 1970and 1971 surveys. This mailing list was composed ofthree parts-(1) those hospitals registered and surveyedby the American Hospital Association (AHA), (2) thosehospitals belonging to and surveyed by the AmericanOsteopathic Association, and (3) the remaining non-AHA, non-osteopathic hospitals which are surveyed bythe National Center for Health Statistics.

The final 1970 list contained 7,613 hospitals. Thisconsisted of 6,987 AHA hospitals, 195 osteopathic hos-pitals,and431non-AHA -osteopathic hospitals. TO this

list was added 227 potentioliy new hospitals (potential“births”). With the elimination of duplicate, out-of busi-ness, and out-of -scope hospitals, the final tally of hos -pitals for 1971 was 7,678.

The response rate for these 7,678 hospitals wasapproximately 93 percent. The imputation proceduresused in obtaining missing hospital data were similar tothose used in obtaining missing nursing home data.

The mailing dates for the non-AHA, non-osteopathichospital portion of the MFI were as follows:

Initial mailing - the week of December 6, 19712d mailing - January 3, 19723d mailing (certified) - January 20Telephone followup - February 1-11

The AHA and osteopathic surveys were conductedby these respective agencies approximately 1 monthprior to the above dates.

000

55

APPENDIX II

CLASSIFICATION PROCEDURES

Criteria for Classifying Nursing Homes

The criteria for classifying institutions are basedon several factors. (1) The number of persons receivingnursing care during the week prior to the day of the sur-vey, (2) administration of medications and treatments inaccordance with physician’s orders, (3) supervision overmedications which may be self-administered, (4) the rou-tine provision of the following criterion personal serv-ices; rub and massage, help with tub bath or shower,help with dressing, correspondence, shopping, walkingor getting about, and help with eating, and (5) the em-ployment of registered professional or licensed prac-tical nurses. On the basis of these factors, four types ofestablishments were distinguished and are defined asfollows:

Nuvsing ca~e home. —An establishment is a nursingcare home if nursing care is the primary and predomi-nant function of the facili~. Those meeting the followingcriteria are classified as nursing care homes in this re-port: One or more registered nurses or licensed prac-tical nurses were employed, and 50 percent or more ofthe residents received nursing care during the weekprior to the survey. (Nursing care is defined as the pro-vision of one or more of the following services: nasalfeeding, catheterization, irrigation, oxygen therapy,full bed bath, enema, hypodermic injection, intravenousinjection, temper ature-pulse-respiration, blood pres-sure, application of dressings or bandages, and boweland bladder retraining.)

PeYsonal care home with nuvsing.-An establish-ment is a personai care home with nursing if per-sonal care is the primary and predominant function ofthe facility but some nursing care is also provided. Ifan establishment met either of the following criteriait was classified as a personal care home with nursing:

1.

2.

56

Some but less than 50 percent of the residentsreceived nursing care during the week priorto the survey and there was one registeredprofessional or licensed practical nurse ormore on the staff.Some of the residents received nursing careduring the week prior to the survey, no reg-istered nurses or licensed practical nurses

were on the staff, but one or more of the fol-lowing conditions were met:

A.

B.

c.

Medications and treatments were admin-istered in accordance with physician’sorders.Supervision over self-administered medi-cations was provided.Three or more personal services wereroutinely provided.

Penond caye home.—An establishment is a per-sonal care home if the primary and predominant func -tion of the facility is personal care and no residentsreceived nursing care during the week prior to thesurvey. Places in which one or both of the followingcriteria were met are classified as personal care homesin this report whether or not they employed registerednurses or licensed practical nurses.

1. Medications and treatments were administeredin accordance with physician’s orders, orsupervision over medications which may beself-administered was provided.

2. Three or more of the criterion personal serv-ices were routinely provided.

Domiciliary cave home.—A facility is a domicil-iary care home if the primary and predominant func-tion of the facility is domiciliary care but the facilityhas a responsibility for providing some personal care.If the criteria for a nursing care home or personalcare home are not met but one or two of the criterionpersonal services are routinely provided, the estab-lishment ia classified as a domiciliary care home inthis report.

In the classification process, a criterion was con-sidered as not having been met if the necessary in-formation for that criterion was unknown. For in-stance, if the type of nursing staff was unknown fora particular place, it was considered as not having metthe criteria of having one or more registered nursesor licensed practical nurses on the staff. Establish-ments indicating that some nursing care was pro-vided but not giving the number of persons to whom thiscare was provided were considered as institutions pro-

Table II. Classification of institutions by type of service

Classification variables

l’,:rc!:ntof total residents who received nursingc~iruduring the week prior to day of survey

NumbL,raf registered or licensed practica1nursl-!s

!JJusthe institution provide:(,()Administration of medicine or treatments

.~cccxdingto doctor‘a ordera

(b) Supcrviaion over s~lf-administereduwdicine?

DOL,Sthe institution offer aaaiatance withthr,w activities or more for daily living?

!3LU<:lth: institution offer assistance with,VU,or two activities for daily living?

D,.,:sthu institution offer room and/or boardi:+its only service?

Institutionl

. .

Classification criteria

50 percent or more

1+ None

. . . Yes No

. . . . . . Yes No

. . . . . . . . . Yea

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

Nc Fcn Pcn Pc

#

Some but less than50 percent

1+ None

... Yes No Yes

. . . . . . Yes No ..O

. . . . . . . . . Yes No . . .

. . . . . . . . . . . . Yes . . .

Pcn Pcn Pcn Pc D Pc

None

None

—

Yes

. . .

.

. . .

—

Pc

No

No

Yea

. . .

—

D

No

—

Yes—

B

1Nc=Nursing care homel%n=Personal care with nursing homePc=Personal care hometl=Dcimiciliarycare homeB=Bourdin& or rooming house (out of scope)

vialing nursing care to some but less than 50 percent of cialty hospitals discussed in this report are psychiatric,their patients or residents. Table II shows in detail the tuberculosis, chronic disease, rehabilitation, maternity,classification of the establishments. and alcoholic or narcotic. The remaining types of spe -

Classification of Hospitals

Gwwal medical and suv~”cal hospitals are estab-lishments licensed as hospitals that provide diagnosticmd treatment services for patients who have a varietyof medical conditions both surgical and nonsurgical.For purposes of this report, a hospital unit of an in-

stitution (prison hospital, college infirmary, etc.) isconsidered a general hospital.

Sp@cialty hos@?als are establishments licensed ashospitals that usually limit their admissions topatientswith specified illnesses or conditions only. The spe-

-..cialty hospitals are grouped together and called’ ‘other. ”This category includes Armed Forces dispensaries; eye,ear, nose, and throat hospitals; orthopedic hospitals;

and any other type of hospital not already specified.As section B(2) on the hospital questionnaire in-dicates, there are two categories for the mentallyretarded: a hospital unit within a school for the men-tally retarded (code 12) and an institution for thementally retarded (code 62). (See appendix III.) Anyfacility which was one of these two types was removedfrom the hospital list and placed on the MR portion ofthe “other health facilities! ! list.

ooo —

57

APPENDIX Ill

QUESTIONNAIRES IS,

Nursing Homes and Other Health Facilities

3.).! HR3-71.2, -7$1 .FORM APPROVEO: O.M. B. NO. 68-S7 !063

us. .wIeLtc HEkTH SERVICEHEALTH SERV, CES AND WENT AL

HEALTH Ac+AINISTRATION

4ATIONAL CENTER FOR HEALTH STATISTICS1971 MASTER FACILITY I 71

INVENTORY SURVEY!ETURN TO:

Bum.. of the Census

Jmffars.nvlll. Census Operotion. Dlvlsi.n1201 East 10th Street

Jeffars~rki[[., India.. 47130

Dear Sir:

Every two years the National Center for Health Statistics (NCHS) of the U.S. Public Health Serwcecollects information on all facilities !n the United States which provide some kind of medical, nursing,personal OF domiciliary care. As in past years, we have again asked the Bureau of the Census toconduct this survey for us.

The purpose of the survey is to obtain current information from each facillty on Its ownership, staffsize, number of beds and other related facility characteristics. The information will be used to pro~ldestatistics on the number arad kinds of such facilities in the United States and the changes that occurredduring the two years since the last Master Facility Inventory Survey.

The National Center for Health Statistics is committed to provide a factual basis for planning nationalprograms designed to advance the health of the American people. In fulfilling this purpose, informationfrom Sections A and B of this questionnaire, as related to individual faci Iities or listings, will be madeavailable upon request to the NCHS.

The data from Sections C and D, however, are treated as confidential and will not be released to anyoneor used in any way other than statistical summaries. The published statistics will be presented in amanner to insure that no individual facility can be identified.

The questionnaire is brief and should take only a short time to complete. Please fill out the question-naire and return It within five days in the enclosed preaddressed postage-paid envelope.

Thank you for your cooperation.

Sinserely yours,:

-TZ..LW>. ‘I&A.THEODORE O. WOOLSEYDirector ANational Center for Health Stati sties

Enclosurm !:

Section A - ]DENTIFICATION OF FACILITY

Please refer to the mailing label above, then make all additions and corrections according to the questikkbelow. Detailed identification information is needed to prevent duplicate listings and to assure that your

faci Iity is properly represented in this survey. (Please type or print)

1. Is the NME shown in the label above Correct name OFfaci I Ity if different from above

correct for your facility? /1 .L1!3 ! Q Yes

“2 ❑ No _Pfease enter correct name. /

I2, Is the ADDRESS shown in the label above Number 1Street ~P,O. Box, Route, etc.

the correct mailing address for your facility? I I

9 tD Yes

2 ❑ No—,eosegiveyOure,tire/~correct mailing oddress.

I IArea code \ Number

3. What is the telephone number of your facifity? 11

USCOMM. C

5e

GENERAL INSTRUCTIONS

a. Include in this report information for the facility c. [f this facillty is a nursing unit for a retirementnamed in the mailing label or for its successor if the center, report only for the nursing unit.name or owner has changed. Include information forone facility only, but report for the entire facility d. Answer all questions, please. Definitions and

including infirmaries and other subunits. special instructions are given with the questions

when needed. If your answer to a question is

b. Due to name and address changes, duplicate “none,” put a zero in the appropriate space. Do not

listings, or other reasons, you may have been sent leave the space blank.

more than one questionnaire under different namesor addresses. If you receive more than one form for e. Return the completed questionnaire in the pre-

the same facility, complete one only and return all addressed postage-paid envelope to:

others with the notation “Completed and returnti Bureau of the Censusunder . . . (give name of facility on completed form Jeffersonville Census Operations Divisionand the identification number found in the upper 1201 East 10th Street

left corner of the label).” Jeffersonville, Indiana 4~130

Section B - FACILITY INFORMATION

4. Please read all of the categories, then mark only ONE box for@

23 ❑ Individualthe type of ownership which operates this facility. — < 24 ❑ Parcnershlp

}

Forpr.f,t

25 ❑ Corporation

20 ❑ Church related

21 ❑ Nonprofit corporation

22 U Other nonprofit ownershi P

11 ❑ State

12 m County

13 ❑ City

14 ❑ City-COUntY

15 ❑ Hosp!tal Distr!ct

16 ❑ U.S. Publ!c Health Serv, ce

17 ❑ Armed Forces

18 ❑ Veterans Adrnin, stratmn

19 ❑ Other Federal Agency – Spec! fy

5. What ages does your facility accept?@ _Mt”irn.m as.

0 ❑ No minimum ase

@—Maximum Age

o U NO maximum age

6. Does your facility accept“ @ :~:::,::{:ly,

Mark only one s ❑ Both males and females?

7. What was the total number of persons (residents or patients),who stayed in this facility last night?

Do NOT include employees or proprietors. @— Total per..”.

B. What is the TOTAL NUMBER OF BEDS regularly maintainedfor patients or residents?

Include all beds set up and staffed for use whether or not

they are in use at the present time.

Do NOT include beds used by staff or owners r,or beds used m— Total beds

exclusively for emergency purposes.

9. Is this facility participating in the Medicare ❑ Yes ~ o ❑ No (Go TOQ. 10)

(Title XVIII) program?@ _ . . Number of beds cert, f,ed

@_b. Number of certif,ed beds

.accup, ed last n,ght

). Is this facility participating in the Medicaid n Yes ~ OaNo(Goto Q.71J

(Title XIX) program?0

_o. Number of beds .erti fled

@_b. Number of certtf, ed beds

occupned last n,ght

1. Is this facility certified 05 an Intermediate Care Facility underTitles 1, (Old Age Assistance), X (Aid to the Blind), XIV (Aid

H Yes ~ o ❑ No (Go to Q. 120)

to Permanently ond Totally Handicapped), or XVI (Aid to the @ _.. Number of beds cert, fi.d

Aged, Blind or Disabled) of the Social Security Act?

Do NOT include Medicare (Title XVIII) or Medicaid (Title XIX) @_b. Number of certified beds

occupied last ntzht

2a. What is ihe total number of full-time personnel (those who work35 hours or more per week) currently employed by this foci Iity?

Do NOT count part-time employees as full-time equivalents.

fnclude owners, managers, and members of religious orders @Total full-t imepersonnel

who work full time whether on the payroll or not.

Do NOT include volunteers or private duty nurses.

b. Of the above personnel, how many are - @Number LRN

(1) Licensed registered nurses?. . . . . . . . . . . . . . . . .on None

(2) Lfcensed practical or vocational nurses? . . . . . . . . @Number LPN w LVN

o ❑ None..-—

59

Section B - FACILITY INFORMATION (Continued)

‘3a. What is the total number of part-time personnel (those whowork less than 35 hours per week) currently ●mployed bythis facility?

Include owners, manag~rs, and members of rel igious orderswho work part ttme whether on the payrol I or not.

Do NOT include volunteers or private duty nurses.

b. Of the above personnel, how many are -

(1) Licensed registered nurses?. . . . . . . . . . . . .

(2) Licensed practical or vocational nurse.? . . . .

140. What is the TOTAL number of man-hours worked by ALLpart-time personnel during the last 7 days of th. mostrecent pay period?

b. Of the above man-hours, how many were worked by -

(l) Licensed registered mwses? . . . . . . . . . . . .

J

69 Total psrt-timepersonn=l

0 ❑ None

o Number LRN

Oi_I None

@— NumDer LPN or LVN

0 ❑ None

@— Total pare-tinmman-hours

@3— Man-hours

(2) Licensed practical orvocational nurses? . . . . l@— Man-hours

5. Please read ALL22classes listed below, then place an “X” inthebox opposite the class whichbest desc;best hisfacility. lfnoneof thecategorie5 describe your facility, mark the ``other'' boxand exl!aim After marking one box, follow the skip ins.. wction to the right of fhe box. Record onpage 4 am, comments you may have about the correct classification of this focility.

MARK ONLY ONE FOR QUESTION 15

@ oIl_J Extended care facility

020 Skilled nursing home

03D Nursing home

040 Convalescent home

OSD Rest home060 Home for the aged

071_J Boarding home for the aged

OBO Home for the needy

09D Nursing care unit forretirement center~

What is the overage length of Patien; stoy in thjsnursing care unit?

@ In Less than 30 days

2 ❑ 30 days or more

@ tOUResidentfaciliworschoolfor*edeafII president facility or school for the blind

lzi_JHome for unwed mothers

IS I_J Orphanage

14 ❑ Resident faci I ity for dependent chi Idren

IS ❑ Resident facility or school for physically handicapped

t61_JResident facility or school foremotionally disturbe.d170 Resident facility for alcoholics or drug abusers

lsa Training school forjuvenile delinquenta

tgn Detentionhome, primarily for juvenile delinquents

200 Reformatory

21 l_JResident facility for mentally retarded-7

Which of the following programs does this facilityprovide for the mentally retarded? (Mark ALL that apply)

6 .lnCiass for educable children

2oClaskes for trainable children

s ❑ Cla5Ses for profoundly retsrded children

+ ❑ Classes for adults - Specify classes

sl_J Vocational training and counseling

6nOccupati0nal therapy

71_J Physical therapy

.? U Other prOgrams - Emergency respite care, foliowupof released persons, etc. -Describe pfograms

)Continue withquestion [6on Wge 4.

saNOneof the above program

@ 221_JOther reside.ntfacility - bescribe this facility and continuewkfrquest;~ 160rtpoge4.

)Skip toquestion /9on fwge4.

Section C - CONFIDENTIAL INFORMATION

16. During the past 7days, how many of the PERSONS inquestion 7 received “Nursing Care”?

Consider that a person received “Nursing Care” if hereceived any of the following services:

Temperature-pul se-respiration, blood pressure, f.1 l-bed bath,nasal feeding, catheterization, irrigation, oxygen therapy, @ — Persons

enema, hypodermic iniection, intravenous injection, applicationof dressing or bandage, bowel or bladder retraining.

17. Which of the following services are routinely provided?.

Mark all that aPPfy -

@ f ❑ Supervision IS provided over mecll-cauons wh, ch may be self-adm,ntscere

2 ❑ Medications and treatments areadm, n ,stered In accordance wtthphys ,cia.s orders

3 I_J Rub and massage

4 ❑ Help with tub bath or shower

5 ❑ Help with dressing

6 ❑ llelP wtth corre.ponde”ce or shoppl”~

7 ❑ Hel P with walking or zetcr”g about

a ❑ Help with .atlng

OR

9 ❑ Not responsible for providing anyservices except mom and board – Ifthis box Is marked, “. other box sho.1be marked In question 17.

180. Please mark the box that indicates the level of skill of theperson in charge who is ON DUTY (that is, on the premises

@ :::,

and routinely serving the patients) for each shift.2 ❑ LPN

Do NOT include a person who is mereiy “on call. ” 3 ❑ N.r.e’s Aide

If you do not have all of the shifts indicated, please4 ❑ Other - S,uecJfY occupation

7

mark the “NO such shift” box as appropriate.----------------------------------- .

@ :;:2 o ❑ No such shift

2 ❑ LPN

3 ❑ Nurse’s Aide

4 ❑ Other – Spec/fy occ.potmn7

----------------------------------

@ W’?N.. , 0 El NO such shift

lDRN

2 ❑ LPN

3 ❑ Nurse’s Aide

4 ❑ Other - SpecI & occupation7

b, How long (numbw of hours per day) is each shift? @ — Shift No. I

g, —Shift No. 2

— shift No. 3

:ommenta

,],

-.

[email protected] RESPONDENT INFORMATION (CONFIDENTIAL)

9a. Nama of paraon completing ~i$yof$ c. Date completed

.

Hospitals

I;,M;595FORM APPROVED

O.M.B. NO. 68-RI068

U.S. PUBLIC HEALTH SERVICE 2=

IATIONAL CENTER FOR HEALTH STATISTICS

NNUAL

SURVEY

OF

1971 HOSPITALS

Dear Sir:

The National Center for Health Statistics (NCHS) of the U.S. Public Health Service is conducting itsannual survey of hospitals in the United States. This program is being conducted as part of the U.S.National Health Survey.

The purpose of this survey, in which you are being asked to participate, is to obtain current informa-tion, such as number of beds, staff size, and types of services provided. The information will be used tocompile statistics on the number and kirids of hospitals in the United States.

Sections A and B of this form request verification of the name and address, type of service, type ofownership and capacity. Sections C-F ask for additional irrformation which is needed to complete sta-tistics on other characteristics of hospitals.

For this purpose we are requesting that you complete this questionnaire for your hospital and return itwithin five days in the enclosed postage-paid envelope. The questionnaire is brief and should not takelong to complete.

Thank you for your cooperation.

Sincerely yours,

-KS-4ky, J

Theodore D. Woolsey%“

DirectorEnclosure National Center for Health Statistics

SECTION A. HOSPITAL IDENTIFICATION

Please refer to the mailbrg label above, then make all additions and corrections according to the questions below.Detailed identification infnrmatinn is needed to prevent duplicate tistingsand to assurethst your hospital is properlyrepresentedin this Survey.(PLEASETYPEOR PRINT)

(1) Is the NAME shown in the label above CORRECT NAME OF HOSPITAL IF DIFFERENT FROM AEOVE

correct for your hnspital?

(1) •l YEs(2) ❑ No+:#$;fi::h:::a~t? in label

>

(2) Is the ADDRESS shnwn in the label NUMBER STREET P.O. BOX, ROIJTE, ETC.

above the correct mailingaddressforyour hospital? CITY OR TOWN

(1)0 YES(2) ❑ NO+~\~d#~g;;:Y~~~;g~On COUNTY STATE ZIP CODE

correct mailfnr address

(3) What is the telephone number of your “E* ‘OO ‘UMBERhospital?

(4.) If the reporting period was NOT the 12-month period from October 1,1970 through September 30,1971, pleaw. indicatebelow the period used. Report dates in numeric form using a sixdigit number.

Numberof days Beginningdste Endingdatemonth/day/year montb/day/year[

Were you in operatimr.12monthsat the e“di”g date? . . . . . . . . . . . . . . . . . . ❑ Yes iZ NQ

62

PLEASE READ THESE INSTRUCTIONS BEFORE COMPLETING SECTIONS B-F

it. HOSPITALas used in this form refers to those facihtiesgenerallyrecogmzedas hospitals, in ~dditionto restitutions forthe mcnldly retarded ind other mental facihties. and medical units of nonhospdal estabhshments (prowded the umts haveSLYor mom inpatient beds). If this facility is not a hospital, please use the “COMMENTS section on page 4 to describethe F~cility and the services it offers and return the questionnaire

b. Include in this report data for your entire hospital and all parts, umts, component restitutions, etc. However. do not includettn}, comptment or unit which has its own separatedischargeprocedures.The latter are to be considered separate facdltlesand should be reported in the “COhihlENTS.” If you are in doubt about any unit, please include the umt and explain mthe “COMMENTS’ section.

c. Answer till questions, please. Definitions and special instructions are gwen with the question when needed.

d. Due to rmmc tind address changes, duplicate listings m our tile, m other reasons, you may have been sent more than onequestiosmirc under different ne.mesand addresses. If you have received more than one form for the same hospital, completemse mdy and return all others with the notation “completed and returned under (give name of hospital on completedfwm).”

c, Report dJtl for a 12-month period. preferably October 1, 1970 through September 30, 1971

f. Return the completed questionnaire in the postage-paid envelope to.

National Center for Health Statistics, HSMHAU.S. Public Health ServiceP.O. 80X 12214

Research Triangle Park

North Carolina 27709

SECTION B. CLASSIFICATION

(1) TYPCUf ur&dnization mnnaginghospital (Cucleone only):Governmental,ncmfede,,l Nongovernmemd, “ot.f or-profit For.Pr.Mt G.vernmemal, fodaral

12 Sr.ltc 21 Church operated 31 lndiwduai 41 AK Force

13 Caunty 23 Other not-for-profit 32 PartnersMp 42 Alllly

14 City 33 Corporation 43 Navy

1S City.caunty 44 P.bllc Heatth Serwce

lfI Hmpltal district ac 45 Veterans Admimstratto.

Ltulhadty 46 Federal other than 4 I-15, or 47-48

47 PHS lndmn %wce

4g Dept. of JustIce

(2 I CifCIQthe ONE category that BEST describes the type of serwce that your hospital provides to the MAJORITY of admlssionx10 Gcncml medical and s.rgml 45 we. ear. rose, a“d threat

11 Hwplld unit of an institution (prison hospital, college i“fumary ctc ) 46 Rehabditat]on

12 Hospitnl unit within a mental retardation school 47 Orthopedic

13 ArmedForcesOispenswy 48 Chrome disease

22 rwdlialrlc 62 Institution ror mental retardation

33 TuLwrmdasls cmd other respiratory dueasm 82 Alcoholism

42 N.wmtic addktion 49 Other-spec,fy treatment areo

44 Mdtcrnity

(3) flw~ ym!r haspitd restrict admissionsprimanfyto children? . . . . . . . . . . . . . . . . . . . . . Yes ❑ No ❑

. . SECTION C. FACILITIES AND SERVICES, UNIT BEDS AND VISITS(1) Chclc each racility and ,.rvi., Il$ted below that is actually w,th,” the ho,p,tal (SE,? ENCLOSED DEF1N[3”[c7N SHEET] \Vbere requested, record un,t

fmd~ setup and staffed for usc at the end of reporting period or number of wsits for the reporting permd.

COLUMN 1Iii. Pmtopcratiw Recovery Room

COLUMN 22a. Burn Care Umt

1b. IntcmivcCam Unit Nwnbcr of beds 2b. PhyslcaI Therapy Dept.1C. Intcm,lve Cardiac Care Umt. . Nurnbcr of beds 2c. Occupational Therapy Dept.1d. OpenHcmt Surgery Facilities 2d. Rehabdltatlo” Iqw.tlent Umt Number of bedsI e. Pharmacy W/FT Rcaistered Phmnucist 2e. Rch.qbdmmon Outpattem Unit

\ f. Fharoywy \V/PT Rcgistcrcd Phmmacist 2f, Psychiatric Inpatient Unn Number of beds

I& X-ray ThcriIpy 2g, Psychiatric O.tpatwnt Umt

ill. Cuh~lt Thcrspy 2h. Psychiatric Partml Hmplabzatmn ProgramIi. Radium Thcmpy 21. Psychiauic Emergency Serwcm[j. DIa~”nstic RadioisotQpc Focdity 2j. Psychmtnc Foster andlor Home Care

Ik. Thmtpcutic Rmfioisotopo Facility 2k. Psychmtnc Com”ltatw” md Education Sewices

11. Hhtupathulugy Laboratory 21. Organized O“tpatimt Dept.

ItII. or&t” Skmk 2RS. Emerse”cy Dept.

ltl. BlumfBisnk 2n. SocntWorkDept.lo. Et,ctroc”cepl,alograpby 20. FmniSy PlmmingServtc.e A.nwal N.mber of visitsIp. Inhalation Therapy Dept. 2p. Ge”etlc Co”nselms Sewice

[q. PrcmatmcNwscry 2q. Abortmn Sewrce(I”patie”t)Ir. Self-C.srcf3nit . .Number of beds 2r. Abortio” Servrce (Outpatient)!S. Extcndcd Cuc Unit . N.mbcrof Mds 2s. Home Care Dept .An”wtfN ”mberofvidts

IL Inpatknt RenalDiafysis 2t. H.SPItal AUXdIXY

[u. Outpatient Rend Dialysis 2u. VolunteerServicesDept.Iv. Noncoflho Abwe 2v. Noneof the Above

(21 Doe%yuurhospitalhaveanyplans tomerge with anotiminstltution ortistitutions? . . . . . yes ❑ No ❑

13) Dmsyomhospitti admit psychotic patie"ti toiti~"etitice? . . . . . . . . . . . . . . . . . . . yes ❑ No l_J

63

(4) Doyouhave anorgtied treatment =mfordm&abuX patients? . . . . . . . . . . . . . . . . . . . . . Yesl_J No ❑lfYES, check one: Inpatientzo!dy. . I_J

Outpatients only . . alnpatientz and Outpatients ❑

(.5) If you have an Emergemsy Department, please check art anangements below that dezaibe your PHYSICIAN Wafting pattern, and indicate whether there physiclam

have admitthg privileges.

Staffing Arrangement HospitalFor Emergency Department Admittinz Privllesm

a. Houzestaff (fnternsand Residents): . . . . . . . . . . . . . . . . . . Yes ❑ No ❑ Yes l_J No ❑b. Rotssio” of attmding staff physician . . . . . . . . . . . . . . . . . Yes ❑ No I_J Ye, D No ❑c. Rotation of a panel of attending staff physicians . . . . . . . . . . . . . . Yes ❑ No ❑ yes ❑ N. ❑d. Employment of zalaried physician, not part of an organized grouv

Full-time . . . . . . . . . . . . . . . . . . . . Yes f’J No I_J Ycs n No D

ret-tire e . . . . . . . . . . . . . . . . . . . Yes ❑ No ❑ Yes ❑ No ❑e. 24 hour, 7 &y-a-week coverageby a special partnership or corporation, under contract with the

hospital: . . . . . . . . . . . . . . . . . . . . . . . . . Yes ❑ No (_J Yes (-J No ❑f. Other (please explain~, . . . . . . . . . . . . . . . . . . . .. Yesn No ❑ Yes ❑ No U

SECTION D. BEDS AND UTILIZATION

Be sure to make an entry for every blank in Sections D, E and F. Enter “0 wherever zero is appropriate. Enter “NA” onlywhen data are not available from your records. For Sactions D & E, report data for a 1Z-month period, preferably the periodending September 30, 1971. If another yearly period is used, please indicate that period in the “Comments” sscmmr. Cmrsultthe following definitions while fflling hr Section D:

(l)a

(.$)a

(4)b

(4)s

(1)

A “significant temporary” change refers to beds temporarily out of use, not in bed count, and not considered a pemmnent change. Report date(s) when bed change(s) occurred, using a six-digit number; example: January 7, 1971 shouldbe reported as 01/07/71.

Emergency unit visits are the sum of visits to the emergency department (lm.) and psychiatric emergency services (2.i,)checked under Facilities and Services in Section C.

Clinic visits are the sum of outpatient visits to each organized subunit of the outpatient department. Report clinic visitsto an outpatient renal dialysis unit (1 .u.), rehabilitating outpatient unit (2.e.), psychiatric outpatient unit L?.g.), or or-ganized outpatient department (2.L.) under Facilities and Services in Section C.

Other visits are the sum of visits to each unit or department of the hospital by referred outpatients. A referred outpatientis one who utilizes onfy the special diagnostic or therapeutic facilities and services of the hospital upon referral of aphysician.

ADULT AND PEDIATR [C INPATIENTS (exclude newborn nur$ery):

a. Was there a permanent change or a significant temporary change in the total number of adult and pedictric bedsduring the reporting period? . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. YESIZ NO ❑

If yes, give date(s) of change and number of beds added or withdrawn from use.

(Show increase by+ and decrease by -)

Beds Datemonth/day/year

Beds Datemorrth/day/year

b. Does your hospital maintain separate umts specifically designated for short-term and long-term care (exclude new-born nursery)? (A short-term unit is one with an average length of stay of less than 30 days).

No ❑ (Fill Co{. (1J only foreach quest;on belqw. j

YES iZ bl. Can p;tients discharged from zhort-temr care units over a one-year period beidentified separately by name or medical record rmmber from either a daily censusreport, dizcharge fist, or discharge anafysis fozm? YES•1 NO•1

(Fill Cols, (1). (3J foreach question below)

All hospitals Fill out only if th. hmpitd h“fill out swaratc . ni%f or short.tum ●nd

Tofd Short.tum unit$ Long.tarm unifr(1) (2) (3)

c. How many b+ds were W up and Wzffed for meat the end ofthe repmting period?

d. Howmany admissions(excludingbirths) werethereduring *the reportingperiod?

e. How many adult a“d pedntric (excludingnewborn)inpatientdaysofcare wererenderedduringtbe reportingperiod?

f. Howmanydischarges(excludingnewborn)werethereduringthe reportingperiod?

%

g. Howmanypatient daysof mzewererenderedto inpatients(excludingnewbmn)dkchargedduzinsthe reportingperiod?

*Report total admirzions and totaf dhchazgesfrom the horpitaf.(Thismay not be the mm of columns2 and 3 bemuseof internaltzzmfers).

(2) What was the census on the M daY of your reporting period? . . . . . . . . . . . . .(3) NEWBORN NURSERY

a. How many bassinets were W up and staffed for use at the end of +e reportingperiod?

b. Totat births durfngreportins period (excludefe@ deaths). I

(4) VISITS TO OUTPATIENT SERVICES DURING REPORTING PERIOD

a. Emergency visits.

b. Outpatient clinic visits.

c. Other visits (rcfemcd patients)

d, ToM ViSitS,

(5) Does your hospital have an operating room?

•l Yes ❑ No

2[6) How many major and minor surgical operations (including Caesarean deliveries) were performed in the operating

mom during the reporting period? . . . . . . . . . . . . . . .

SECTION E. FINANCES

Report professional fees and salaries to interns, residents, and other trainees in non payroll expenses (2b).

(1) What was your hospitd’sNET REVENUE for the reporting perind? $

(2) What were your hnspital’s TOTAL EXPENSES for the reporting period? $

a. Payroll .$

b. Non payroll $

(3) What were your hospital’s TOTAL ASSETS (all funds) as of the end of the reporting period? $

SECTION F. PERSONNEL

Report all full-time and part-time personnel who were on the payroll of your hospital as of September 30, 1971. Excludeprivate duty nurses, volunteers, and all personnel whose salary is totally financed by outside research ~ants.

Full-Timn Part-Time(35 hrs.lwk. or more) IL- than 35 hrdwk.)

1. Physicians and dentists (exclude non-salaried personnel)

2. Medical and dental interns and residents

~

5 Licensed practical nurses (or LVNS)

7. Totaf personnel (1 + 2 + 3 + 4 + 5 + 6)

DATE OF C0MPLET16N I SIGNATURE OF PERSON COMPLETING SURVEY

//IF SIGNED BY PERSON OTHER THAN ADMINISTRATOR, GIVE TITLE.

I ●

COMMENTS

65

Sen”es 1.

Series 2.

Series 3.

Series 4.

Series 10.

Series 11.

Series 12.

Series 13.

Series 14.

Series 20.

Series 21.

Series 22.

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS

Qrigindy F%blic Health Service hblication No. 1000

Programs and collection procedures. - Reports which describe the general programs of the NationalCenter for Health Statistics and its offices and divisions, data collection methods used, definitions,and other material necessary for understanding the data.

Data evaluation and methods research. —Studies of new statistical methodology including: experi-mental tests of new survey methods, studies of vital statistics collection methods, new analyticaltechniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Analytical studies. —Repcmts presenting analytical or interpretive studies based on vital and healthstatistics, carrying the analysis further than the expository types of reports in the other series.

Documents and committee reports. — Final reports of major committees concerned with vital andhealth statistics, and documents such as recommended model vital registration laws and revised birthand death certificates. Q

Data from the Health Interview Survey. —Statistics on illness, accidental injuries, disability, use ofhospital, medical, dental, and other services, and other health-related toPic~, based on data collectedin a continuing national household interview survey.

Data from the Health Examination Survey. — Data from direct examination, testing, and measure-ment of national samples of the population provide the basis for two types of reports: (1) estimatesof the medically defined prevalence of specific diseases in the United States and the distributions ofthe population with reqpect to physical, physiological, and psychological characteristics; and (2)anal ys is of relationships among the various measurements without reference to an explicit finiteuniverse of persons.

Data from the Institutional Population Surveys.— Statistics relating to ‘the health characteristics ofpersons in institutions, and on medical, nursing, and personal care received, based on nationalsamples of establishments providing these services and samples of the residents or patients.

Data from the Hospital Discharge Survey. —Statistics relating to discharged patients in short-stayhospitals, based on a sample of patient records in a national sanlPle of hospitals.

LMtu on health resources: manpower and facilities. — Statistics on the numbers, geographic distri-bution, and characteristics of health resources including physicians, dentists, nurses, other healthmanpower occupations, hospitals, nursing homes, and outpatient and other inpatient facilities.

Data on mortality. —Various statistics on mortality other than as included in annual or monthlyreports— special analyses by cause of death, age, and other demographic variables, also geographicand time series analyses.

Data on natality, marriage, and divorce. —Various statistics on natality, marriage, and divorce otherthan as included in annual or monthly reports— special analyses by demographic variables, alsogeographic and time series analyses, studies of fertility.

Data from the National Natality and Mortality Surveys. —Statistics on characteristics of births anddeaths not available from the vital records, based on sample surveys stemming from these records,including such topics as mortality by socioeconomic class, medical experience in the last year oflife, characteristics of pregnancy, etc.

For a list of titles of reports published in these series, write to: Office of Information

National Center for Health Statistics

Public Health Service, HRA

Rockville, Md. 20852

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