PROPERTY OF THE 

PUBLICATIONSBRANCH NATIONAL CENTER Series 1 

For HEALTH STATISTICS Number 3 

EI)H’OR!ALIJWRY 

VITAL and HEALTH STATISTICS 

PROGRAMS AND COLLECTION PROCEDURES 

Developmentand Maintenance 

of a NationalInventoryof 

HospitalsandInstitutions 

A description of the inventory including the procedures used in developing it and the plans to 

maintain it as the sampling frame for a program 

of surveys of hospitals and institutions conducted 

by the National Center for Health Statistics. 

Washington, D.C. February 1965 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

Anthony J. Celebrezze Luther L. Terry 

Secretary Surgeon General 
Public Health Service Publication No. 1000-Series l-No. 3 

For sele by the Superintendent of Documents, Govemmcnt Printing OfFice 

Washington, D. C., 20402 - Price 25 cents 
NATIONAL CENTER FOR HEALTH STATISTICS 

FORREST E. LINDER, PH. D,, Director 

“rHEODORE D. WOOLSEY, Deputy Director 

0. K. SAGEN”, 1%. D., ~ffijtant Director 

WALT R. SIMMONS, MA., Statistical Advisor 

,\LICE -M. WATERHOUSE, M. D., Medical Advisor 

JAMES E. KELLY, D. D. S., Dental AdviJor 

LOUIS R. STOLCIS, .M.A,, Executive Oficer 

OFFICE OF HEALTH STATISTICS ANALYSIS 

IWAO M. MORIYAMA, PH. D., CAicj 

DIVISION OF VITAL STATISTICS 

ROBERT D. GROVE, PH. D., Chief 

DIVISION OF HEALTH INTERVIEW STATISTICS 

PHILIPS. LAWRENCE, Sc. D., Ckiej 

DIVISION OF HEALTH RECORDS STATISTICS 

MONROE G. SIRKEN, PH. D., Chief 

DIVIS1ON OF HEALTH EXAMINATION STATISTICS 

ARTHURJ. MCDOWELL, Chief 

DIVISION OF DATA PROCESSING 

SIDNEY BINDER, Chief 

Public Health Service Publication No. 1000-Series l-No. 3 

Library o/ Congress Card Number 65-60016 
PREFACE


The Health Records Survey is one of the major data collection programs of the National Health Survey. It is a family of surveys with the 

common objective of providing comprehensive statistics on the health 

of the institutional population as well as on the utilization of all types of 

health facilities and services. These probability sample surveys are 

most efficient when the samples can be drawn from an up-to-date list 

of places in the universe, properly classified, and accompanied by such 

critical identifying attributes as numbers of employees and beds. The 

Master Facility Inventory is this list. 

The development of the Inventory was made possible through the 

cooperation of many individuals who completed questionnaires in a mail 

survey of establishments and of a number of agencies which provided 

establishment lists for consolidation. Their cooperation is gratefully 

acknowledged. 

In the survey of hospitals and institutions conducted by the National 

Center for Health Statistics, assurance was given that “All information 

which would permit identification of an individual or of an establishment 

will be held strictly confidential, will be used only by persons engaged in 

and for the purposes of the survey and will not be disclosed or released 

to other persons or used for any other purpose. ” Therefore, the identity 

of individual establishments will be kept confidential and a directory of 

establishments will not be published. 

The U.S. Bureau of the Census made especially valuable contributions to the development of the MFI including, in particular, many 

operations in which names of hospitals and institutions on different 

lists were matched to eliminate duplicates, and the collection of data 

from establishments to determine their current status and nature of 

business. Overall plans for the Inventory, including the development 

of procedures and general specifications for collating lists and surveying establishments, were the responsibility of the National Center 

for Health Statistics. 
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CONTENTS 

Preface


Introduction


Development of the Master Facili~ Inventory


Scope of the MFI----------------------------------------------------


Sources Used in Assembling the MFI----------------------------------


Matching Procedures


Survey of Establishments


The Questionnaire and Classification Procedures


Contents of the Master Facility Inventory


General


Establishments in Group I--------------------------------------------


Short-Stay Hospitals


Resident Institutions


Long-Stay Hospitals


Nursing, Personal, or Domiciliary Care Establishments


Custodial Care Homes


Correctional Insti~tions


Hospital Departments of Institutions


Establishments in Group II-------------------------------------------

The Complement Survey


Plans for Maintaining the Master Facility Inventory


Appendix I. Sources Used in Assembling the Master Facility Inventory


Appendix II. Questionnatie and Covertig Letter


Appendix III. Definitions and Classification Procedures


A. Criteria for Classifying Nursing, Personal, or Domiciliary Care


Homes


B. Definitions of Other Terms


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SYMBOLS 

Data not available 

Category not applicable . . . 

Quantity zero -

Quantity more than Obutless than 0.05----- 0.0 

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DEVELOPMENT AND MAINTENANCE OF 

THE MASTER FACILITY INVENTORY 

INTRODUCTION 

The National Center for Health Statistics 

maintains a system of mechanisms for collecting 

data on health and health-related topics. In addition 

to compiling national figures from State and local 

registration of vital events such as births, deaths, 

marriages, and divorces, the Center conducts a 

variety of both continuing and ad hoc sample 

surveys. Especially prominent in this latter group 

are the Health Interview Survey (HIS), the Health 

Examination Survey (HES), and the Health and Vital 

Records Surveys. 

The Health Interview Survey, the oldest of the 

three programs, is a continuous sampling and interviewing of the civilian, noninstitutional population of the United States. Each week a representative sample of households is interviewed to 

obtain statistics on such things as acute and 

chronic illness, impairments, disability, accidental injury, bed-days, and work loss. The Health 

Examination Survey is designed to provide statistics on certain physical and physiological 

measurements and on the medically defined prevalence of specific diseases using standardized 

diagnostic criteria. The primary objective of the 

Vital Records Survey is to supplement statistics 

that are derived directly from the vital statistics 

registration system. 

The Health Records Survey augments HIS and 

HES by providing health statistics on the institutional population, and it represents the most efficient medium for the collection of utilization statistics for hospitals, resident institutions, and 

other types of health facilities. An important 

distinction between the Health Records Survey 

(HRS) and the other programs of the National 

Health Survey is that HRS information is obtained 

from the facility providing service instead of 

from the individual, and a major part of the data 

collected is based on existing records. A detailed 

description of the National Health Survey (NHS) 

program as well as of the Health Interview Survey 

and the Health Examination Survey has been 

published. 123 

The concept of the Health Records Survey 

encompasses records from all types of medical 

facilities and institutions, 

such facilities as hospitals, 

physicians’ and dentists’ 

homes. Among this family 

ve ys, early emphasis has 

major projects: (1) a series 

the institutional population, 

including those from 

clinics, dispensaries, 

offices, and nursing 

of health records surbeen placed on three 

of ad hoc surveys of 

(2) a continuing surve y 

of discharges from short-stay hospitals, and 

(3) a Master Facility Inventory (MFI). 

The Institutional Population Surveys provide 

statistics on the health of residents in institutions 

and on factors relating to their care, including the 

training of staff, the provision of services, and the 

availability of facilities. Health data about the institutional population are being collected in a series of surveys of specific types of institutions. In 

these surveys, certain data are collected to complement that obtained in the Health Interview Survey about the noninstitutional population, such as 

1 
chronic conditions, impairments, and use of prosthetic devices. In addition other data are collected 

which relate specifically to the types of establishments or the group of people being studied. In a 

recent survey of nursing homes and related 

facilities, for example, questions were asked about 

the types of nursing and personal services provided to patients and experience and special 

training of the staff to provide care to the aged. 

The Hospital Discharge Survey is designed to 

provide comprehensive statistics on the utilization 

of short-stay hospitals in the United States, including information on the characteristics of the 

patients, on the conditions causing hospitalization, 

on operations performed, and on other services 

provided by the hospital. The Survey, which is now 

in its developmental phase, is scheduled to evolve 

gradually. Initially, the items of information to be 

collected will be limited to those few on the face 

sheet of the patient’s medical record. Later, the 

scope will be enlarged to include other information 

contained in the patient’s medical folder, in the 

bursar’s office, and elsewhere. 

The Master Facility Inventory is the universe 

or sampling frame for health record surveys. 

Conceptually, it includes all types of facilities 

or establishments within scope of the Health Records Survey program. At the present time, however, the MFI is restricted to establishments in 

the scope of the Hospital Discharge Survey or the 

Institutional Population Survey. When the program 

of the Health Records Survey expands to include 

other types of establishments or health facilities, -

the MFI will also be expanded to include the 

appropriate places. 

The program of the MFI includes the development and maintenance of a list of names and 

addresses of all facilities or establishments within 

its scope and the collection of information from 

these places which describe them with respect to 

their size, type, and current status of business. 

The information not only provides a basis for 

stratifying the MFI into homogeneous groups for 

the purpose of sampling designs, but also provides 

important national statistics about the availability 

of such facilities in the Nation. 

This report describes the MFI in terms of its 

development, content, evaluation of coverage, and 

future maintenance plans. 

DEVELOPMENT OF THE MASTER FACILITY INVENTORY


There were three basic operations in the development of the MFI. First, an extensive investigation was made to determine what establishment 

files were available in the United States and which 

of the files should be merged to produce the most 

complete list of establishments. Second, the selected files were matched to eliminate duplicate 

names. Then, a questionnaire was mailed to each 

address on the ‘‘unduplicated” list to determine if 

the place existed and to collect information for 

classifying the establishment by its nature of 

business, that is, by its type of business, ownership, and size. This section describes how the MFI 

was developed in terms of these operations. 

SCOPE OF THE MFI 

The scope of the Inventory, in its present stage 

of development, includes all hospitals in the United 

States with 6 or more beds, as well as all resident 

institutions, except for nursing or personal care 

homes with less than 3 beds. 

“Institutions” included in the MFI are establishments which are in business to provide medical, nursing, personal, or custodial care to groups 

of unrelated individuals who have no usual place of 

residence elsewhere. The following types of places 

are illustrative of institutions: 

1. Establishments which provide nursing or 

personal care to the aged, infirm, or 

chronically ill. These include places referred to as nursing homes, convalescent 

homes, homes for the aged, rest homes, 

boarding homes for the aged, and homes 

for the needy such as almshouse, county 

homes, and “poor” farms. The primary 

factor which determines that such establishments are in the scope of the MFI is 

their function of providing some kind of 
2. 

3. 

4. 

5. 

6. 

7. 

8. 

9. 

care besides room and board. A home for


the aged, for example, which does not


routinely provide nursing or personal


care—that is, provides only room and


board—is not considered an institution


and is therefore not in the scope of the


Inventory


Residential schools or homes for the deaf


Residential schools or homes for the blind


Homes for unwed mothers


Orphan asylums and homes for dependent


children


Homes for crippled children


Homes for incurable


Residential schools or detention homes for


juvenile delinquents


Prisons, reformatories, and penitentia­


ries that are operated by the Federal or


State governments. Penal institutions op­


erated by local governments are excluded,


primarily because of the difficulty of ob­


taining and maintaining a complete list


of these places


The MFI does not include special dwelling 

places or group quarters such as hotels, private 

residential clubs, fraternity or sorority houses, 

monasteries, nurse’s homes, “flophouses,” labor 

camps, et cetera. 

SOURCES USED 

IN ASSEMBLING THE MFI 

The Inventory was constructed by merging a 

number of published and unpublished lists of 

hospitals and institutions. The sources of these 

lists are shown in Appendix I of this report. 

The MFI was assembled in three stages. 

First, several lists of varying degrees of comprehensiveness that were available in the Public 

Health Service (PHS) were matched with a file 

developed by the Bureau of the Census. The PHS 

list was composed of (1) hospitals and nursing 

homes reported by the States to the Division of 

Hospital and Medical Facilities (DHMF) under 

provision of the Hill-Burton Hospital Construction 

ACU (2) a register of hospitals which had been 

developed by DHMF in 1959 by integrating other 

smaller lists, including a list published by the 

American Hospital Association (AHA), and hospitals in the State Plans (Hill-Burton); (3) a list of 

hospitals and, nursing homes, developed in 1958 

by the National Vital Statistics Division; and (4) 

hospitals which began operating between 1957 

and 1960 that were listed by the American Hospital Association in their 1960 Guide Issue of 

Hospitals. This latter group brought the PHS file 

up-to-date for hospitals listed by the AHA. 

Although the Bureau of the Census file was 

developed much in the same way as the PHS 

integrated list, it was not limited to medical, 

nursing, or personal care facilities. It also included custodial-type institutions such as prisons and 

orphan asylums. The merging of these two major 

files yielded a total of about 40,000 “addresses. ” 

The second stage of assembling the MFI involved the integration of a list of nursing homes 

and related facilities reported to the Division of 

Hospital and Medical Facilities by State licensure 

agencies in 1961 (the 1961 Nursing Home Inventory). The list consisted of about 17,500 names 

which were made available to the National Center 

for Health Statistics in 1962. Approximately 4,900 

new names were added to the Master Facility 

Inventory. 

The third stage of developing the MFI involved 

matching a list of about 23,000 establishments 

which were contained in the files of the Social 

Security Administration (SSA). This file includes 

the names, addresses, and types of business of 

all establishments in the United States that 

operate for profit and employ one or more persons, since such employers are required by law 

to file an “Application for Employer Identification 

Number. ” The Employer Identification (EI) number subsequently issued serves as the employer’s 

account number under the Old Age Survivors 

Insurance (OASI) Act. The file also includes 

government and nonprofit establishments and establishments operated by the self-employed if 

their employees have elected to be covered by 

OASI. 

Of the 23,000 establishment names obtained 

from the Social Security Administration a match 

was not established for about 2,200 places. These 

places were added to the MFI. 

3 760-617 O-65—2 
MATCHING PROCEDURES 

The major part of the matching operations 

was accomplished by visual inspection and comparison of the information which appeared on the 

lists being collated. The name, address, and 

certain coded information about the type of service, ownership, and size, as well as a code for 

the county and State, were punched on a card for 

each establishment listed. The files to be collated 

were put in alphabetical order by name of establishment within each county of each State, and 

print-outs were obtained which provided the 

name, address, and the descriptive information 

about each establishment. The names on the Census list, for example, were then compared with 

those on the MFI for corresponding counties. 

Two establishments were considered to be matched and hence the same establishment if they had 

the same or similar name and the same address. 

The information about type of service, ownership, and size was used” as an aid in matching, 

but no definite rules were set. In general, a 

place was considered not matched if the name or 

address was appreciably different on the two lists. 

This procedure tended to maximize coverage, but 

in some instances it resulted in the mailing of 

several questionnaires to the same establishment. 

Initially it brought about the inclusion of a certain 

number of duplicates in the MFI. Steps were taken 

later, however, to locate and to delete duplicate 

names from the inventory file. 

The establishment file obtained from the 

Social Security Administration was first matched 

with the MF I by computer on the basis of the 

Employer Identification number. This procedure 

was feasible because the questionnaire (to be described later) which had previously been mailed 

to establishments on the MFI had requested the 

EI number. Since the EI number was obtained 

for less than half the places on the MFI a clerical 

matching procedure was used for a substantial 

proportion of the places in the SSA file. 

SURVEY OF ESTABLISHMENTS 

After each stage of developing the Master 

Facility Inventory, a mail survey was conducted 

to determine the current status and nature of 

business of the places listed. The first survey 

was conducted during April-June 1962 and involved 

the mailing of about 40,000 questionnaires. The 

questionnaire and covering letter used in the survey are reproduced in Appendix II of this report. 

A survey of about 4,900 establishments added to 

the MF I from the 1961 Nursing Home Inventory 

was conducted during September- October 1962. 

Then during July 1963 questionnaires were 

mailed to the 2,200 establishments which had been 

tentatively added to the MFI from the SSA files. 

The survey procedure involved an initial correspondence by first-class mail, two follow-up 

letters to nonrespondents spaced 3 weeks apart, 

and telephone calls to establishments not responding to the mail inquiries. The first mail 

follow-up letter was sent by first-class mail, the 

second by certified mail. Table A shows the 

response status of all questionnaires mailed for 

each of the three surveys. 

The Master Facility Inventory is composed 

of two groups of establishments. As of September 

1963 Group I contained 28,133 places which returned completed questionnaires and which were 

considered in the scope of the MFI. Group II is 

composed of 2,035 places which were not confirmed as either in business or out of business; 

namely, nonrespondents and questionnaires returned by the Post Office because of “insufficient 

address” or “refusal.” Establishments reported 

either by the respondent or the postmaster to be 

out of business, those which were out of the scope 

of the MFI because of size or absence of nursing 

or personal service, and city or county operated 

penal institutions are not part of the Master 

Facility Inventory (places labeled Group III in 

table A). 

THE QUESTIONNAIRE AND 

CLASSIFICATION PROCEDURES 

The questionnaire used in the establishment 

mail surveys was designed to classify all types 

of places appearing on the Inventory. This type 

of questionnaire was needed since the information 

available before the survey did not always adequately identify the type of facility. (For example, 

a place might be called a hospital but be a nursing 

home, or vice versa. ) To accomplish this the 

questionnaire was divided into an address block 
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Table A. Distribution of the number of questionnaires mailed in developing the Master Facility Inventory, by


status of response, stage of development, and type of establishment


I


Status of response


II
 Questionnaires returned by Question-


Completed Question- respondent naire


queatiOn- returned
 nairea Queation- nairea by Post
 Stage of development received; naires not re- Office;
 and type of Total establish- returned turned by Duplicate establish-
 establishment question- ments in by Peat reapond- out of out of of another ment out
 naires


mailed buaineas Office ent or buaineaa scope establish- of
 Post
 and in Office ment business,
 scope building


torn down


(Group I) (Group II) 1“ (Group 111)


All Stagea: 3 anrveya conducted between April 1962 and September 1963 

All establishmerits 46,336 28,133 I 1,285 750 I 5,337 4,569 I 2,710 I 3,552 

I I 

Hospitals 10,394 ~ 366 =r_= 478 209 

Nursing homes and related facilities- 29,451 16,701 1,178 506 4,259 1,761 1,991 3,055 

Penal institutions- - 2,839 391 3 75 97 2,196 56 21 

Other 2,730 2,475 9 6 83 63 45 49 

Unknown 922 68 129 184 183 140 218 

Stage 1: Survey of establishments on the original Maater Facility Inventory, April-June 1962


All establiah­


merits 39,477 II 23,745 ] 1>044 I 319 I 4,970 I 3,8871 2,279 I 3,233


II I I I I I I 

Hospitala 9,691 8,033 27 32 688 280 431 200 

Nursing homes and 

related facilities- 24,000 13,047 957 193 3,998 1,277 1,666 2,862 

Penal institutiOns-- 2,812 382 3 75 97 2,178 56 21 

Other 2,538 2,283 9 6 83 63 45 49 

Unknown 436 48 13 104 89 81 101 

Stage 2: Survey of establishments added to M3?I from 1961 Nursing Home Inventory, September-October 1962 

All establishmerits 1 4,650 II 2,863 I 241 I 4171 270 I 266 I 343 ( 250 

t II I I I I I I 

Hospitals 171 140 2 4 25 

Nursing homes and 

related facilities- 3,952 2,620 221 303 194 176 286 152 

Penal institutions-- 20 7 13 

Other 96 96


Unknown 411 20 112 76 73 32 98


Stage 3: Survey of establishments added to MYI from Social Security Administration, July-September 1963


All establish-


merits 2,209 1,525 14 97 416 88 69


Hospitals 532 393 26 82 22 9 

Nursing homes and rclsted facilitiea- 1,499 1,034 10 67 308 39 41 

Penal institutiOns-- 7 2 5 

Other 96 96


Unknown 75 4 4 21 27 19

and 6 sections. AS shown in Appendix II, the first 

part of the questionnaire (Section A) pertains to 

type of ownership or control and description of 

establishment. Under the item “Description of 

Establishment” three major classes are shown: 

(1) hospitals, (2) establishments which provide 

nursing, personal, and domiciliary care, and 

(3) other establishments. Then, within these three 

groups, descriptive names of the various types 

of places are listed. The respondent was asked 

to read all the classes and to select the one 

which best described his establishment. Once the 

respondent had classified his establishment in one 

of the three groups, he was requested to complete 

one of four sections of the questionnaire. Section B 

pertains to general hospitals, Section C to specialty hospitals, Section D to nursing, personal, 

or domiciliary y care homes, and Section E refers 

to other types of establishments. 

Each of these sections was different in some 

respect, depending on the uses to be made of the 

MFI in the immediate future. For example, a 

survey of resident places which provided nursing, 

personal, and domiciliary care was being planned 

at the time that the questionnaire was being 

developed. The scope of the resident places 

survey was to include chronic disease wards of 

general hospitals and nursing home units maintained by hospitals. Thus these items were made 

part of the sections provided for hospitals. 

The section of the questionnaire pertaining 

to nursing, personal, or domiciliary y care establishments included information needed to classify the places on the basis of the primary or 

predominant type of service provided. A priori 

criteria had been developed which would allow a 

uniform procedure for classifying this heterogeneous group of places. The classification 

procedure is described in Appendix III-A. Other 

types of establishments were classified solely 

on the basis of the respondent’s judgment. The 

latter procedure was adopted on the assumption 

that there is general agreement on what is a hospital, a home for the blind or the deaf, an orphan 

asylum, or a prison, As samples are selected 

from the Inventory for the various Health Record 

Surveys, more rigid classification rules will be 

adopted. 

A secondary but important function of the 

questionnaire is to improve the coverage of the 

Master Facility Inventory. In the last section, the 

respondent was asked, “Does the owner of this 

establishment own or operate any other related 

or similar establishments which are not included 

in the present report?” If the response was 

“yes,” the names and addresses of the other 

establishments were obtained and later matched 

against the MFI to determine whether they were 

already listed. Each establishment not listed was 

mailed a questionnaire. 

Basically, the questionnaires used for each 

of the 3 stages of developing the MFI were the 

same; however, there were some differences 

which should be pointed out. These changes were 

made in an attempt to correct problems identified 

in a previous survey. In the first survey (Stage I), 

if the facility was a specialty hospital the respondent was asked to “indicate the specialty by 

placing an ‘X’ in one of the boxes below. ” That 

is, he was to choose one specialty from among a 

number of listed special services. Some respondents checked several of the boxes. Thus, in 

editing the questionnaires it was necessary in 

some instances to judge which was the primary 

specialty. 

In an attempt to correct this problem, the 

questionnaire for the next survey (Stage II) was 

revised to include an explanatory note: “If the 

hospital has more than one specialty and these 

units do not have their own staff and records, 

check the specialty unit which provides service 

to the most patients. ” Further, the respondent 

was requested to complete a Section C for each 

specialty unit which had its own staff and maintained its own records. Even with this change, 

multiple specialties were still reported, but very 

few additional Section C‘s were completed. Editing 

rules were set up to assign the specialty which 

seemed most logical to dominate. 

For establishments completing Section D it 

was desired to know “how many persons had 

received nursing care during the past 7 days. ” 

In the first survey (Stage I) the question read, 

“Number of these persons (Item 2 above) who 

received one or more of the following services 

during the last 7 days .“ A list of nursing services followed the statement. On the basis of 

answers received in the survey it appeared that 

a number of the respondents had interpreted the 

question to ask for “number of services provided” 

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rather than “persons receiving services.” III an 

attempt to correct this, the question was rephrased as follows for the next survey (Stage II): 

“Duringt hepast 7days, how many ofthe persons 

in Question 2 received ‘Nursing care?’ Consider 

that a person received ‘Nursing Care’ ifhe received any of the following services:” The services were then listed. 

One other change was made for the survey 

conducted at Stage III. In Section E, the questions 

concerning number of employees and the mainCONTENTS OF THE MASTER 

GENERAL 

The Master Facility Inventory contains 

28,133 establishments which were verified to be 

in business and in-scope in the three surveys 

conducted between April 1962 and September 

I ‘%3. In addition, it also contains 2,035 establishments that “may” be in business and 

within the scope of the MFI, but which have not 

been verified. These two groups are referred to 

us Group I and Group H, respectively. Table B 

shows how these establishments are distributed 

according to broad-classification groupings. More 

tenance of a hospital or infirmary were interchanged. That is, the questions were ordered 

(1) number of residents or inmates in the establishment, (2) number of paid employees, and 

(3) does this establishment maintain a hospital 

or infirmary? The purpose of this change was to 

make it clearer that the request was for number 

of employees working in the entire establishment, not just those working in the hospital or 

infirmary. 

FACILITY INVENTORY 

detailed distributions are shown in tables C-K. 

The data presented in this report should be 

interpreted with caution for several reasons. 

For one, even though considerable effort was 

devoted to developing a listing of establishments 

that was extensive and complete, some places were 

not included in the Inventory. This is indicated 

by the preliminary results of the Complement 

Survey, a quality check survey which is described in the next section of this report. On the 

other hand, some establishments may be counted 

more than once in the report because of duplications in the MFL Much work has been directed 

Table B. Number of establishments and beds in Groups I and II, by type of establishment: Master Facility inventory, September 1963 

Group 1 Group 11 

Type of establishment 

Establishments Bedsl Establishments 

All types 28,133 2,646,044 2,035 

Short-stay hospitals s------------------ 6,953 788> 758 

lnsti,tuti,onal establishments, total---- 21,180 1,857,286 1,9% 

Long-stay hospitals ~----------------- 1,613 950,141 

Nursing, personal, or domiciliary 

care homes for the aged 16,701 568,560 1,684 

Custodial care homes 1,904 110,944 15 

Correctional institutions 962 227,641 78 

Unknown 197 

lFor custodial care homes and correctional institutions the figures shown refer to 

inmatea rather than beds. 

‘It i-s not known whether the “hospitals” in Group II are long-stay or short-stay. 

7 
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toward removing duplicates; however, it is likely 

that some small proportion of the duplicates 

were not identified. 

It should also be pointed out that the number 

of establishments that exist will vary, depending 

on how an establishment is defined. For the most 

part, the respondent not only classified the type 

of his facility on the basis of judgment, but also 

on the same basis decided whether he had only 

one establishment or more than one. For the 

vast majority of places, the desired reporting unit 

as defined in Appendix III was identified by its 

name. However, in some instances the respondent 

had difficulty in deciding what units of his establishment should be reported on a questionnaire. 

This problem occurred mostly among multipurpose units or large hospital complexes which 

provided both general medical and surgical care 

as well as several specialty services. For 

example, a home operated for both dependent 

children and for the aged may have made a combined report, or may have reported itself as two 

establishments. A place may be composed of a 

geriatric hospital and a home for the age@ if 

the respondent completed a section of the questionnaire for each type of service and was able to 

report the number of employees for each unit, 

the establishment would be counted as two facilities in this report. Otherwise, it would be 

counted as a geriatric hospital which maintains 

a “nursing home unit. ” 

A large hospital complex, such as those 

operated by the Veterans Administration, might 

have made a single report for all its units and 

classified itself as a general hospital. If the 

average length of stay of all of the hospital’s 

patients was reported as 30 days or more, the 

hospital would be considered a long-stay general 

hospital in this report. A number of other 

examples of problems of classifying establishments could be given. Even so, it is believed that 

all such places which pose a problem in classification represent a small proportion of all establishments in the MFI. 

ESTABLISHMENTS IN GROUP 1 

The establishments which were verified to be 

in business and in the scope of the MF I are presented under two major headings: (1) short-stay 

hospitals, which compose the universe for the 

Hospital Discharge Survey, and (2) institutions, 

the universe for Institutional Population Surveys. 

Since the Institutional Population Surveys are 

conducted on an ad hoc basis in specific types of 

institutions, the institutional establishments are 

grouped into classes according to the type of care 

provided. 

Short-Stay Hospitals 

There are 6,953 hospitals in the Master 

Facility Inventory which ‘reported an average 

patient stay during 1961 of less than 30 days. 

About 95 percent of the short-stay hospitals are 

classified as general hospitals. The remaining 

5 percent comprise specialty hospitals, including 

those that specialize in pediatrics; maternity; or 

eye, ear, nose, and throat care. These hospitals 

maintained 788,758 beds and employed 1,469,639 

persons 15 or more hours per week. Table C 

shows how these hospitals and the number of beds 

Table C. Number of short-stay hospitals, beds, and employees, by primary type of service: Master Facility Inventory, September 1963 

Primary type of service Hospita 1s Beds Employees


All types 6,953 788>758 1,469,639


Genera l-----------------------------------------------


Special


Maternity


Eye, ear, nose, and throat


Pediatric


Other


8

and employees are distributed by type of service. 

Hospital departments or infirmaries of institutions are excluded from these tabulations 

because they almost always restrict their services 

to inmates of the institutions. These facilities are 

discussed with resident institutions in the next 

section of the report. The figures also exclude 

beds in nursing home units of hospitals. These 

units are shown in table G. 

Since the places represented in table C are 

classified as hospitals on the basis of the respondent’s statement that the word “hospital” 

best described this facility, some of the places 

may not be hospitals, To obtain a lower limit to 

the proportion of these places which would be 

classified as hospitals if strict criteria were 

applied, a comparison is made with the number 

of hospitals listed by the American Hospital 

Association. About 85 percent of the hospitals in 

MF1 were listed as hospitals by the American 

Hospital Association in its 1963 Guide Issue of 

Hospitals,* The reference date for the AHA survey was 1962, a date similar to the MFI time 

reference. To be listed by AHA each facility 

must meet the requirements of a rigorous set of 

criteria which define a hospital. 

The criteria are as follows: 

1, The hospital shall have at least 6 beds for 

the care of patients who are nonrelated, 

who are sick, and whose average stay is 

in excess of 24 hours per admission. 

2. In those States and Provinces having 

licensing laws, the hospital shall be 

licensed. 

3. Doctors of medicine, doctors of osteopathy, and doctors of dentistry may admit 

patients to the hospital. (Patients admitted to the hospital by doctors of 

dentistry must have an admission history 

and physical examination by a doctor of 

medicine or doctor of osteopathy on the 

staff of the hospital, and the doctor of 

medicine or doctor of osteopathy shall be 

responsible for the patient’s medical care 

throughout his stay. ) 

4.	 There shall be an organized medical staff 

(which may include doctors of osteopathy 

and of dentistry) governed by bylaws 

adopted by said staff and approved by the 

governing body of the hospital. 

5. The hospital shall submit evidence of 

regular care of the patient by a doctor of 

medicine, doctor of osteopathy, or doctor 

of dentistry and of general supervision of 

the clinical work by doctors of medicine. 

6.	 Records of clinical work shall be maintained by the hospital on all patients and 

shall be available for reference. 

7.	 Registered nurse supervision and such 

other nursing service as is necessary to 

provide patient care round the clock shall 

be available at the hospital. 

8.	 The hospital shall offer services more 

intensive than those required merely for 

room, board, personal services, and general nursing care. 

9.	 Minimal surgical or obstetrical facilities 

(including operating and delivery room) 

or relatively complete diagnostic facilities and treatment facilities for all 

patients shall be available at the hospital. 

10.	 Diagnostic X-ray services shall be regularly and conveniently available. 

11.	 Clinical laboratory services shall be 

regularly and conveniently available. 

The facilities in the MFI that are not listed by 

AHA are on the average quite small, containing 

less than 5 percent of the total hospital beds. 

The vast majority of these facilities probably 

are hospitals. However, some of them may be 

determined out-of-scope eventually because they 

do not meet the requirements of the definition 

adopted for the Hospital Discharge Survev. 

Resident Institutions 

The establishments reported in this section 

include all types of long-stay facilities which provide either medical, nursing, personal, domiciliary, or custodial care. These establishments 

compose the various universes for institutional 

population surveys to be conducted as part of the 

National Health Survey program. 

The establishment statistics reported in this 

section are presented in four groups in tables 

D-J according to the primary type of service 

provided. These groups are composed of (1) 

9 
---------------------------------------

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

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

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

1,613 long-stay hospitals; (2) 16,701 homes which 

provide nursing, personal, or domiciliary care, 

primarily to the aged (3) 1,904 custodial care 

homes such as homes for the blind, the deaf, and 

for dependent children; and (4) 962 correctional 

institutions. Each of these groups is discussed 

separately in the following paragraphs. 

Long-Stay Hospitals 

The figures shown in table D refer to 

hospitals which indicated on the questionnaire 

that their average patient stay during 1961 was 

30 days or more. The 1,613 long-stay hospitals 

maintained nearly 1 million beds and employed 

470,832 persons who worked in the hospitals 15 

or more hours per week. 

The estimated average length of stay per 

admission to these hospitals, calculated on the 

basis of the ratio of the average daily census to 

the number of admissions during 1961, was about 

525 days. The residents of homes for the mentally 

retarded had the longest stay, over 2,300 days, 

while patients admitted to orthopedic hospitals 

stayed an average of 80 days, the shortest stay 

of any type of long-stay hospital. Psychiatric 

hospitals, which maintained nearly two-thirds of 

all long-stay hospital beds, experienced an average patient stay of approximately 550 days 

per admission. 

About half of the long-stay general hospitals 

and three-fourths of the beds were operated by 

the Federal Government, primarily by the Veterans Administration. State and local governments operated abut 25 percent of the hospitals 

and 20 percent of the beds. The few long-stay 

hospitals operated by proprietary and voluntary 

organizations were relatively small, having on the 

average about 90 beds. In contrast, the Federal 

hospitals maintained about 600 beds per hospital; 

the average size for State and local long-stay 

general hospital was about 275 beds. 

It should be pointed out that a number of 

these long-stay general hospitals are hospital 

complexes which are composed of several specialities, e.g., psychiatric, tuberculosis, and general medical and surgical services. Possibly 

such complexes would be more accurately classified as short-stay general hospitals in addition 

to several specialty hospitals. If this is true 

some of the beds and employees shown in table D 

for long-stay general hospitals would be classified as short-stay general and some would be 

classed with the several specialty services. 

Also, in interpreting the figures shown for 

the various specialty hospitals the reader should 

be aware of how a classification problem was 

handled by the editing procedure. 

In a nu ber of instances the respondent 

indicated two r more special services instead of 

the principal \ ne as requested on the questionnaire. The following editing rules were followed 

when more than one specialty was indicated: 

1.	 If the hospital was listed by the American 

Hospital Assmiation’s Guide Issue of 

Hospitals, the type of service indicated by 

AHA was assigned. 

2. If the hospital was not listed by AHA, the 

Table D. Number of jong-stay hospitals, beds, and employees, by primary typeof serv­ ice: Master Faci.lLty Inventory, SepCember 1963 

Primary type of service Hospitals Beds Employees 

AU types 1,613 950,141 470,832 

Genera l-----------------------------------------------


Psychiatric


Mental retardation


Geriatric


Orthopedic


Tuberculosis


Chronic disease


Other -


124 46,646 61,273 

471 602,999 245,480 

3;; 188,947 66,323 

13,295 10,825 

50 3,936 4,909 

254 49,533 40,392 

106 24,118 24,634 

L49 20,667 16,996 

10 
---------------------------------------

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

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

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

specialty was assigned according to the 

following rules: 

ii,	 If the several specialties included 

“psychiatric,” the facility was considered to be a psychiatric hospital. 

B. If “psychiatric” was not indicated but 

mental deficiency or retardation was, 

the establishment was considered to 

be a home for mentally retarded. 

C.	 If “tuberculosis” was one of several 

specialties checked but neither psychiatric nor mental deficiency nor retardation were indicated, the facility 

was considered to be a tuberculosis 

hospital. 

D. If neither of the above-mentioned 

specialties was indicated, the service was assigned to the first specialty checked on the questionnaire. 

Nursing, Personal, or 

Domiciliary Care Establishments 

There are 16,701 establishments in the IvWI 

which were classified by the respondent as nursing, personal, or domiciliary care homes. These 

establishments maintained a total of 568,560 beds 

and employed 244,503 persons who worked 15 

or more hours per week. A list of the types of 

places included in this category is shown on the 

questionnaire in Appendix II. Included with establishments providing primarily nursing care 

urc’ 32 homes for crippled children and 39 homes 

for incurable. These homes maintained 3,800 

lJLIdS and employed 2,014 persons. The nursing 

and personal care homes are distributed according to the primary type of service provided 

as shown in table E. 

Classification of these establishments by 

primary type of service is based upon the 

criteria shown in table I, Appendix III-A. The 

application of the criteria represents an attempt to apply uniformly the conceptual definitions of “nursing home,”’ ‘personal care home, ” 

or “domiciliary care home. ” It is important 

to know how well the criteria satisfy the conceptual definitions. A “nursing care home” is 

defined as an establishment whose primary and 

predominant function is to provide nursing care. 

The criteria adopted to satisfy this definition were 

(1) nursing care must have been provided to 50 

percent or more of the residents in the establishment during the 7 days prior to the day that the 

questionnaire was completed, and (2) the establishment must have employed one or more 

registered professional nurses or licensed practical nurses. On the average, in establishments 

classified as “nursing care homes, ” nursing care 

was provided to about 88 percent of the residents 

during the week prior to the survey. Homes 

classified as “personal care with nursing” provided nursing care to only 29 percent of their 

residents. Thus it appears that the criteria 

discriminate between those homes which provide nursing care as their primary function and 

those which provide nursing care only as an 

adjunct service. 

Of the 4,958 homes that are classified as 

personal care homes with nursing, 1,009 provided nursing care to more than half of their 

residents but did not report a registered nurse 

‘Table E, Number of nursing, personal, or domiciliary care homes, beds. and emplovees, 

by primary type of service: Master Facility ?nventory, September 1963 - “ 

Primary type of service Homes Beds Employees 

All types 16,701 568,560 244,503 

Nursing care 8,128 319,224 160,989 

Personal care with nursing 4,958 188,306 66,400 

Personal care without nursing 2,927 48>962 13,611 

Domiciliary care 688 12,068 3,503 

11

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

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

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

----------

------

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

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

--------

-------

----------

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

Table F. Number of nursing, personal, or domiciliary care homes, by primary type of 

service, proportion of residents receiving nursing care and by whether a nurse is 

employed: Master Facility Inventory, September 1963 

— 

Primary type of service 

Nursing carel 

Personal care with 

nursing 

Personal care without 

Do;~c;%ry carel 

Nursing care provided to 50 percent 

or moreof residents 

Total 

Nurse not 

Nurse employed 

employed or not 

stated 

8,057 8,057 

4,958 1,009 

2,927 

688 2; 

lHomes for crippled children and homes for incurable 

Nursing care provided to less than 

50 percent of No residents nursing 

care Nurse not provided Nurse employed 

employed or not 

stated 

-1 -1 

2,785 1,164 

2,927 

5; 613 

are not included with nursing 

care homes in this table. They are included in table l%, 

or a licensed practical nurse on their staff, 

that is, the homes either reported zero nurses 

or failed to report the number ofnurses.Table F 

shows the distribution of nursing, personal, or 

domiciliary care homes by the proportion of 

persons receiving nursing care and by whether 

a nurse was employed 15 or more hours a week. 

Seventy-fireplaces were classified as ’’domiciliary care homes” which reportedin the survey to provide nursing care to their residents. 

They were not classed with homes providing 

nursing care because they indicated that either 

no personal care or very little personal care 

was routinely providedto residents. 

Nursinghomezmits ofhospitals.—-h thesurvey each hospital respondent was asked if the 

hospital maintained a nursing home unit for 

patients requiring nursing care but not the full 

range of hospital services. Table G shows the 

number of such units reported in the surveyby 

type of affiliated hospital and number of bedsin 

these units. The beds in table Gwere not counted 

in the totals shown in tables C, D, or E. 

Custodial Care Homes 

The establishments classifiedinthis category 

include homes for dependent children, unwed 

mothers, and the blind and the deaf, as wellas 

other institutions which provide custodial care 

to suecial groups who are normally not ill or 

12 

aged. Also included is avariety ofplaces which 

are not classified with hospitals, nursing or 

personal care homes ,orcorrectional institutions. 

Table H shows the distribution of 1,904 places 

classed inthe MFI as custodial-type insti~tions, 

bytype ofplace and numberof residentsand employees. The number of residents was not reported for 119 institutions, of which 75 were 

“other” types and 28 were orphan asylums. 

Table G. Number of nursing home units of 

hospitals and number of beds,by type of 

affiliated hospitaL Master Facility Inventory, September 1963 

Type of hospital 

All types 

Short-stay general---


Short-stay special---


Long-stay


General


Psychiatric


Mental retardation-


Tuberculosis


Geriatric


Chronic disease----


Other


I I 

Nursing Nursing 

home home 

units unit beds 

I I 

P=@= 
------------------------------------

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

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

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

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

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

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

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

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

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

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

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

Table H. Number of custodial-type institutions, residents, and employees, by type of 

institution: Master Facility Inventory, September 1963 

Type of institution I Institutions Residents Employees 

All types 1,904 I 110,944 47,293 

I I 

Homes for the deaf 

Home for the blind 

72 

72 

14,441 

5,057 

6,310 

3,017 

Homes for unwed mothers 

Orphan asylums

Other 

178 

1>134 

448 

5>508 

68,459 

17,479 

3,396

23,904 

10,666 

Table I. Number of correctional institutions, inmates, and employees, by type of institution: Master Facility Inventory, September 1963 

I I 

Type of institution I Institutions I Inmates Employees 

I I I 

All types 962 I 227,641 I 52,302 

Prisons and reformatories, 

Federal and State operated 391 173,352 28>181 

Detention homes for juvenile

delinquents 571 54,289 24,121 

Table J, Number of hospital departments and beds maintained by custodial or correctional 

institution, by type of institution: Master Facility Inventory, September 1963 

Hospital Beds in 

Type of institution or departments hospital 

or 

~-~~-fl---ies infirmary 

units 

All types 

Homes for deaf€

Homes for blind m€

Homes for unwed mothers 1,247€

Orphan homes-------- 3:; 3,859€

Detention homes for juvenile delinquents 161 2,229 

Prisons, reformatories, Federal and State operated 196 10,078 

Other 161 4,306 

13 
The establishments labeled “other’’int able 

H include such places as adoption agencies which 

maintain residential units for the care of babies 

while awaiting adoption; infirmaries and dispensaries which maintain inpatient beds and 

which are part of establishments not in the 

scope of the MFI, such as colleges, universities, 

or convents; and homes for drug addicts and alcoholics. 

Correctional Institutions 

As shown in table I there are 962 correctional institutions on the MFI, in which 227,641 

inmates are domiciled. About 76 percent of these 

inmates are in prisons, penitentiaries, or reformatories operated by the Federal or State 

governments. The remainder are juvenile delinquents in residential schools or detention homes 

of all ownerships. Thirteen prisons and 28 

detention homes did not report the number of 

inmates. 

City and county operated penal institutions 

are not within the scope of the MFI even though 

conceptually some of their residents are confined for long periods of time and have no usual 

place of residence elsewhere. This group represents a small proportion of the institutional 

population and an even smaller proportion of the 

total health problem among people in long-stay 

facilities. Thus, their omission from the universe 

for institutional population surveys will not seriously affect national statistics on the health of the 

institutional population. 

Hospital Departments of Institutions 

Each respondent who completed Section E of 

the questionnaire (establishments other than hospitals or places providing nursing, personal, or 

domiciliary care) was asked if the establishment 

maintained a hospital or infirmary. The purpose 

of the question was to identify the institutions 

which h:ld facilities for providing short-term 

medical care to inmates. Table J shows the number of hospital departments maintained by the 

various types of custodial and correctional institutions. The hospital departments are not considered as reporting units in the MFI. The institution is the reporting unit. Thus the 979 departments shown in table J are also counted in 

tables H and I. 

These infirmary units tend to be quite small, 

having on the average about 24 beds. The larger 

units are maintained by penal institutions, as expected, since penal institutions tend to be much 

larger than the other types shown in table J. An 

infirmary or hospital department was maintained 

by 68 percent of the homes for the deaf, 50 percent 

of the Federal and State operated penal institutions, and by 43 percent of the homes for the 

blind. The smallest proportion (18 percent) was 

maintained by orphan homes and detention homes 

for juvenile delinquents. 

ESTABLISHMENTS IN GROUP II 

In any large survey undertaking it is not 

usually possible or feasible to obtain a response 

from all survey subjects or to verify each one’s 

existence. In this survey 2,035 places either did 

not respond or the questionnaires were returned 

by the Postmaster, primarily because of insufficient addresses. These places have been included in the MFI since there was no evidence that 

they were out of business. Table K shows how 

these establishments are distributed on the basis 

of information provided from source lists used in 

assembling the MFI. 

As indicated by table K, most of Group II 

is composed of small nursing and convalescent 

homes. According to preliminary results of a 

survey which was based on a sample of nursing 

and personal care homes selected from the MFI, 

only a small proportion of such establishments 

in Group II are in business. In a sample of 277 

addresses chosen from Group II, 89 were found 

to be in business and in scope of the MFI after an 

intensive field investigation to determine their 

status of business. This figure, inflated by appropriate sampling weights, indicates that about 

25 percent of the places classified in Group II as 

nursing and convalescent homes are in business. 

14 
-----------------------------------

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

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

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

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

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

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

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

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

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

-------

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Table K. Number and type of nonresponses, by type and size of establishment: Master


Facility Inventory, September 1963


Type of nonresponse


Type and size of establishment


All types


Under 25 beds


25-99 beds


100-299 beds


300+ beds


Unknown


Hospitals


Under 25 beds


25-99 beds


100-299 beds


300+ beds


Unknown


Nursing, convalescent, or domiciliary homes


Under 25 beds


25-99 beds


100-299 beds------------------------------------


300+ beds


Unknown


Correctional institutions


Under 25 beds


25-99 beds


100-299 beds


300+ beds


Unknown


Unknown types


Under 25 beds 

25-99 beds 

100-299 beds 

300+ beds 

Unknown


No Total 

response


2,035 750


1,437 443


200 98


7 4


38; 20;


61 34


22 10 

19 12 

: ;


16 9


1,699 512


1,381 400


169 74


5 3


14’Z


78 75


34 33


12 12


; i 

30 29 

197 129


197 129


Questionnaires


returned by


Post Office:


insufficient


address or


refusal


1,285


994


102


3


18;


27


12


7


:


7


1,187


981


95


2


10;


1


i


1


68


6i


15

THE COMPLEMENT SURVEY


As described previously in this report, extensive effort has been devoted tomakingthe MFI 

complete and comprehensive. A critical review 

of this effort, however, coupled especially with 

the fact that new facilities are coming into being 

ever y month, indicates that the MFI list is not 

entirely complete. The MFI must be representative of the hospitals and institutions in the 

United States if the objective of the Health Records 

Survey is to be accomplished. Consequently, it 

becomes necessary to discover the magnitude 

of the missing component. If it is large, further 

action would need to be taken to make the MFI 

more complete. But regardless of whether the 

error is large or small, it is important that the 

National Center for Health Statistics and consumers of data from the institutional and hospital 

surveys be aware of the scale of the omissions. 

The device being used to discover the magnitude of undercoverage of the MFI is called the 

Complement Survey. It is an application of a 

general technique often called “multiframe survey. ” In this application there are two frames: 

(1) the Master Facility Inventory and (2) an area 

sample list. From a probability area sample, all 

institutions found in the sample areas are identified and the probability with which each comes 

into the sample is determined. This area sample 

would permit the making of an estimate of the 

total number of institutions, but the estimate 

would have high variance if the number of places 

located in the area sample represented only a 

very small proportion of total places in the 

universe. If, however, the sample places are 

further stratified by whether or not they are included on the Master Facility Inventory, which 

hopefully includes 90 percent or more of all 

places, the area sample can be used to estimate 

the number of places in that subuniverse or 

stratum not included on the Master Facility Inventory. 

It has been thought that circumstances do 

not justify the cost of an independent area surve y for this purpose alone. The conclusion rests 

on three facts. First is the belief that the MFI 

covered a high proportion of all places in the 

universe. Second, a sufficiently large independent 

area survey would be quite expensive. Third, 

there exists an alternative vehicle, not ideal for 

the purpose, but perhaps adquate. 

The alternative vehicle takes advantage of 

the design of the Health Interview Survey, which 

with suitable adjustments for periods of operation 

provides an area sample of institutions as a byproduct of 6 years of continuous field interviewing. 5 This sample was matched with the MFI and 

nonmatches were queried to collect accurate 

and current information on type or business and 

period of operation. This process yielded an estimate of MFI gross undercoverage. The estimate 

is considered conceptually sound, but has been 

termed “not ideal” because of its large sampling 

error and possible measurement error arising 

from imperfect field identification of institutions. 

The direct evidence of the Complement Surve y is that for a reference date of July 1962 the 

MFI gross undercoverage is of the order of 5 percent in terms of places and 2 percent in terms of 

beds. This evidence is interpreted to mean that 

actual gross undercoverage is less than 10 

percent for places and less than 5 percent for 

beds. 

Effort is being made to sharpen this instrument, as well as to reduce further the number 

of places missing from the list itself. 

PLANS FOR MAINTAINING 

THE MASTER FACILITY INVENTORY 

The Master Facility Inventory is composed permanently while others only change ownership 

of a large variety of types of establishments or management. Since the Master Facility Inthat are in an almost continuous state of change ventory is to be the sampling frame for a conto meet the demand for their services. Many new tinuing hospital survey and adhoc surveys of resiones are being buil~ additions are being made to dent institutions, it must be kept current. Mainexisting structures. Some are going out of business taining the MFI involves adding new establish16 
ments which go into business each year, deleting 

those which go out of business, and obtaining 

certain information from those currently in 

business. 

The plan is to survey all new establishments 

each year to obtain the data needed for classification purposes and to survey the entire 

MFI every 2 years to bring it up to date. The 

data to be collected will not only be useful for 

sample designs but will provide much needed 

establishment statistics for the Nation. 

Before the plan for surveying the MFI is implemented, it will be necessary to establish a 

system for identifying the new places which begin 

business each year. There are a large number of 

possible sources of information, many of which 

overlap but none of which are sufficient alone. 

These sources include State licensure agencies, 

certain departments of the Federal Government, 

and private agencies and associations which 

maintain or publish establishment lists. A study 

will be made to identify all organizations which 

may contribute to the maintenance of the MFI and 

to determine which of these should be included in 

the reporting system. 

There are many problems associated with 

keeping the MFI current. One of the outstanding 

ones is the creation of an unduplicated list of establishment names and addresses by merging several overlapping lists of newly reported establishments. h4aximum use will be made of electronic 

data processing for collating the various lists of 

establishment names and addresses. Establishments which cannot be matched by mechanical 

means will be reviewed by clerks, and judgment 

will be made as to whether they are in fact nonmatches. 

Computers will also be used to select samples 

for establishment surveys, to make address labels 

, 000

for forms and envelopes to be used in the surve ys, and to control data collection operations 

such as nonresponse and fail-edit follow-up. 

As with all other survey activities of the 

National Center for Health Statistics, much emphasis will be put on evaluating the completeness 

and accuracy of the Master Facility Inventory and 

on improving survey methodology. The Complement Survey will provide an estimate of undercoverage. Other studies will be made to evaluate 

the completeness of source lists which provide 

the names and addresses of new businesses each 

year. 

The data collected in the biennial surveys 

will be published to provide statistics on the number of hospitals and institutions in the Nation, 

the type of service provided, number of beds, 

employees, etc., and information on the changes 

which occur from year to year. 

REFERENCES 

lNational center foc HCaI& Statistics: Origin, program, and 

operation of the U.S. National He~th Survey. vi~al and Health Statistics. PHS Pub. No. 1000-Series l-No. I. Public Health Service. 

Washington, D. C., Aug. 1963. 

2NationaI center for Healti statistics. Heakb surveY PrOcedure: concepts, questionnaire development, and definitions in the 

Health Interview Survey. Vital and Health Statistics. PHS Pub. No. 

1000-Series I-No. 2. Public Health Service. Washington, D. C.., hkiy 

1964. 

3U.S. National Health Survey. Plan and initial program of the 

Health Examination Survey. Healto Statistics. PHS Pub. No. 584-

A4. Public Health Service. Washington, D. C., May 1962. 

4American Ho~Pit~ Association, Journal of the: ff@’Pi@, 

Guide Issue, Vol. 37, Part 2, Aug. 1963. 

%.5. National Health Survey. The statistical design of the 

Health Household-Interview Survey. Health Statistics. PHS Pub. 

No. 584-AZ. Public Health Service. Washington, D. C., July 1958. 

17

APPENDIX I 

SOURCES USED IN ASSEMBLING THE MASTER FACILITY INVENTORY 

As mentioned in the introduction, the Master Facility Inventory is the product of merging many listings 

and files from various sources. Four basic sources 

were used; namely a listing of hospitals, nursing 

homes, andother quasi-medical facilities developed by 

the National Vital Statistics Division of the Public 

Health Service in 1958, files of hospitals and nursing 

homes maintained by the Division of Hospital and 

Medical Facilities, Public Health Service, and a file 

of all types of hospitals and institutions which was 

developed by the Bureau of the Census in 1959in 

preparation forsaking the 1960 Decennial Census, and 

files maintained by the Social Security Administration. 

The files of the Division of Vital Statistics, National 

Center for Health Statistics and the Bureau of the 

Census were developed by the respective agencies 

by merging a number of existing published and unpublished lists of varying degrees of comprehensiveness. The list of nursing homes and related facilities 

obtained from the Division of Hospital and Medical 

Facilities came from two sources: (1) an inventory of 

hospitals and “skilled nursing homes” listed in “State 

Plans” submitted by the States under the provisions 

of the Hill-Burton Hospital Construction Act, and 

(2) an inventory of nursing, personal, and domiciliary 

care homes assembled in 1961 from reports of the 

State licensing agencies. The file of the Social Security 

Administration is the result of applications for an 

Employer Identification Number, the employer’s account number under the Old Age Survivors Insurance 

Act. 

A more extensive list of components used in the 

construction of the Master Facility Inventory follows: 

Listing of Hospitals developed by the Division of Hospital and Medical Facilities, Public Health Service, 

1959. 

Listing of hospitals and institutions in which people 

were born or died during January and February 1958, 

as shown on birth and death certificates on file in the 

National Vital Statistics Division, Public Health 

Service. 

Listings prepared by the National Institute of Mental 

Health: 

Private Institutions for Mental Retarded 

Public Hospitals for Mental Disease 

Public Institutions for the Mentally Retarded 

Private Hospitals for Mental Disease 

General Hospitals which admit patients for the 

screening and treatment of mental disorder. 

Guide issue of the Journal of the American Hospital 

Association-1960. 

List of stations of the Veterans Administration. 

Index of Hospitals and Sanatoria with Tuberculosis Beds 

in the United States as of April 1, 1959-United States 

Public Health Service Publication No. 801. 

Listing of Public Health Service Indian Hospitals. 

Listing of Federal Medical Facilities in Continental 

United States. 

Listing of Chronic Disease hospitals and nursing homes 

in the State Plans submitted by the States to the Public Health Service under the provision of the HillBurton Hospital Construction Act. 

Inventory of Nursing Homes-1954, Division of Hospital 

and Medical Facilities, Public Health Service. 

Inventory of Nursing Homes-1961, Division of Hospital 

and Medical Facilities, Public Health Service. 

Listing of selected institutions serving chiMren-U.S. 

Children’s Bureau. 

Directory of Public Training Schools for Delinquent 

Children-U.S. Children’s Bureau. 

Directory of exceptional children; schools, services, 

other facilities. 

Listings of State and Private Training Schools and }io~..s 

for the RetardedDirectory of the American Association on Mental Deficiency. 

Directory of Jewish health and welfare Agencies. 

Directory of Maternity Homes-National Association on 

Service to Unmarried Parents. 

Directory of Activities for the Blind in the United 

States and Canada-American Foundation for the 

Blind. 

Directory of State and Federal Correctional Institutions of the United States, American Correctional 

Association. 

Listing of hospitals and institutions maintained by the 

Social Security Administration. 

18

APPENDIX II 

QUESTIONNAIRE AND COVERING LETTER 

.-. THIS DIRECTOR 

FORM HRS-I (d U..% DEPARTMENT OF COMMERCE (0-s.82, BUREAU OF THE CENSUS 

WASHINGTON25,D.C.


Dear Sir:


AS a part zf the progrm of the U.S. National Health Survey of the Pu’clic 

Health Service, authorized by Fublic Lsw 652, S4th Congress, a series of


surveys is being conducted to produce statistics on people in hospitals,


nursing homes, homes for the aged, children’s homes, correctional insti­


tutions, and certain other types of establishments in the United States.


This important project will eventually fill a ge.pin our knowledge of the


health of the American people an& the facilities for caring for them.


In connection with this program, the Bureau of the Census, acting as


collecting agent for the U.S. National Health Survey, has been requested


to assemble an ‘Jp.tO-datelist of these variolJstypes of establishents


together with some descriptive information about each.


For this purpose you are requestealto crower on the enclosei form those


questions which pertain to yaur particular type of establishment. If you


have al??sadycompleted and returned Form HRS-1 under a name other than that


shown in the address block, please indicate that fact by returning the


enclosed Form IRS-l with a notation:


“Completed and returned under (enter new or changed neme snd address)”


Piease mail your reply within 5 days to the Bureau of the Census. For


your convenience, an addressed envelope requiring no postage is enclosed.


Your report will be accorded co~fidential treatment by the Bureau of the


Census and the U.S. National Health Survey, and will be used for statis­


tical purposes only. It cannot be used for any regulatory, licensing, or


accreditation purposes.


Thank you. 

Sincerely Yours,


GJ=-- Richard M. Scammon


Director


Bureau of the Census
 Enclosures


19

he Nsti.ncJ Health Surveyof the U.S. Public He.ltb Service is authorized by Public Law 652 

I the 84th Canw:s.s (70 StaC. $8% 42 U.,s.c. 305). -U! i. f.rm+.n YKIch ,woufd permit id.nzi- BUDGET BUREAU NO. 68.R620-s7
 c.tio..( the indiv,duml cscabltshme.t wIII be held stczctlY c?nfxde.ttal, WI1l b. used only by


:rsons e.g.ged i. and for tbe Ptuposes of the SUCVCY,mud WIN not be disclosed or reIe. sed m APPROVAL EXPIRES SBPTEhfBER W, IX4Z


:hers for any other pyposes (22 FR 16L37):


>RM HRS.1 (Plea.. correct If name ., add,.,, ha, CfuuWed) 

.1s..2) 

U.S. DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS 

AC TtNa A. COLLECTING AGENT FOR THE 

U.S. NATIONAL HEALTH SURVEY 

GENERAL INSTRUCTIONS 

Section A . Complete all items. 

S.ctl.ans B,C, D,or E. Complete a!litemsi~ the 

seccion approprzace to th:s estabhshment. 

Section F. Complete all items. 

Return the completed form within five days to the Location of establishment, if .3 fferenc from maiIing address 

Bur.ou of the Censtm, W.ashlngton 25, D.C. A 

p-v-paid -velope is provided: 

. . 

Section A . FOR ALL ESTABLISHMENTS 

OWNERSHIP OR CONTROL OF THIS E5TABLlSHMENT .Please indicate thecontrol ofthisest.bHsb=nt byplacing.n 11X$1 

in one of tbc boxes below. (If own. rahip and .o. ml .,. dlvid. d, . . when . ..a. mY..w..d h.m. I. I....,i t. . .b”,.fj, .I. c. 

an IcXI, ,n tfte box oPPo. Ite the ienn which indicate. the greater cf%7reeof o.a”tml I“ oPerai1”8 this mtabllahmen t.) 

1 nPrOprietary 

z DChurch 

3 0 CitY0rc0~t7 gov=rnm=nt 

4 nState government 

s 0 Federal government fsP..IfY.ti.ncY) 

s m Other (Plea.. deacdb.) 

DESCRIPTION OF Establishment .Please read allofthe classes listed below, thenplace anttX~, inthe box opposite 

the class which best describes this establishment. 

a. HOSPITALS 

! nGeneral hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMPLETE S..*! O. B.. *.2.2 

2 USPec:alty bOsplCal(ln.lud.. ]n.t~t.ti.n. -f-m.. f.rfh. m.nl.llYmtaded) . . . . . .. COMPLETE S..ttmc.mpag. ~ 

Note:	 Ifthisis ahospItal systcm.omposed ofageneral hospital andaspecialty hospital, compl.tebotb 

Section Band Section C. lfitiscomposed ofmorethan onespeci.lty hospital, complete Scccion C 

forcme of them and fumishche same information fore.ch of tbe others c.ma separate sheet ofp.per. 

b. Establishments WHICHPROVIDE NURSING, PERSONAL,• RDOMICILIARY CARE 

s =NUKbIg HCMie 

4 nCo.valescem H.Jme 

s nRest H.me 

6 nHome for the Aged 

7 nBoardk8Home fortbe Agc~ CoMPLETE S.A. D on P~g. 3 

B nHornefc.r Crippled Children 

e nHomc for In.ur.bles 

10 mHOme for the Needy (1.cIude. cwntYH.lll ... Ab.h . . . . . . POO, I?UM.) 

!1 n Boardinghouse 

12 nOtber (PI . . . . dmcrlb.1 

e. OTHER ESTABLISHMENTS 

1S	 n Home or School f.xcbe Deaf


14 nHomeor School for the Blind


!5 a Home for Unwed Mothers


16 mOrphan Asylum or Home for Dependent Children COMPLETE SmctionE en P,Q.3


17 mSchool or Detention Honmfoc Juvenile Delinqncnts 

18 nPrison, Reformatory, Penitentiary, or J.il 

!* mOther (Pk... de. crfb.) 

(R.coni on Pag. 4 my comm.n?s you may have abouf the correct .Iassifl.dl.n of this estoblkhment] 

20 
Section B . GENERAL HOSPITAL 

1. 

2. 

3. 

4, 

5. 

9. 

1. 

2. 

. 3. 

4. 

J, 

$. 

?. 

9, 

Total number of b.ds regularly mmlnt.lned (set .pa.d st.ff.d f.r...) rlrp.tiaitsts. (Include beds in


subunits of the hospital such as wards or convalescent units. Exclude beds used exclusively for emer­


gencyservices and bassinets fornewborn infants. ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Does thlsho.pltal admltchlldran only? t nYes ZUNO


Ontheaverage, howlongdidp.Nents 1 nLess than 30 days
 stay I. this lw.pltol during colendar


ysm 1961? I 

2 n 30 days or more


N.mb.r.fp.id employ . . . . (Include proprietors, managers, and all paid employees wb. usually work 15 b.urs


or more a week in this establishment.)


(The ft@re ehown Inltwn 4a. .Iiouldba the eum oftho Iid”rae ahew” In Itc.ms 4a. and4b.)


a.	 Numb: r.ofpbysicians (including residents and irtterms), nurses andotber professional personnel, and 

ccchmcmns . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b.	 Number of all ocberpald employees incIuding admhistrative per-nael, clerical and office workers, .attendants, andcustodd workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + 

c.	 Total munbero femployees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . = 

E 

Dons thlshospltol malntaln a special ward(s) setaslde forth. long.term


traotmant ofpatlents with chronic dlseasas? (Ex.l”d. tuberc!dosis, t OYCS fc.mPJ. te 6. 7. md. s)


mental illness, alcoholism, ordmg addiction.) 1 

2 l_JNo (Skip to Queatfon 9,


6.	 Number of beds inthi. ward(s) th.c are regularly maintained for 

inpatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

7. Numhecof .dmis.ions tothisward(s) during calendar year 1961 . . . . . . . . . . . . . . . . . . . . . 

8, Approximate average daily census in this ward(s) during 

calend.r year 1961 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

H 

Does thlsho.pltol m.l”t.in . NURSING HOME UNIT for


potlents mq.lringn.rslng care b“t notthef.11 r.ng. .f 1 n yes (CmnP1.to S.. C1O. D forth., unit)


hospital SWYiCOS? 2 ONO (Skip to Secfi.an F) 

1, 

Section C . SPECIALTY HOSPITAL 

Indl.at. th. .p.ci.lty byplacingm “lX” i. ONE of the boxes below. 

0 m Psychiatric 

1 UMental deficiency .xretardatio. 

z mGeri.atric 

3 l_J Orthopedic 

4 D M.wemicy 

5 nTuberc”losis 

6 m Eye, Eac, Nose, Throat 

7 l_JChr.anic dbease(imcludhg degenerative diseases) 

0 nPe&atri.


9 nOther (Plea.. de..rlbe)


Doasthl. h.spit.l admlt=hildren only? 1 ny - z l_JNo 

Tetoln"mber of b.dsreg.larly m.lntaln.d (s.t.pand .taffed farus.) f.rinpatl.nt.. (Excl.de beds used 

exclusively for emergency services a“d bassinets foc newborn in fants.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Whotwas then.mh.r ofinpatl.nt admissle.. toth. hospital dutingcala.dar y.ar1961? . . . . . . . . . . . . . . . . . 

What wastheapproxlmate ovemgadally census du,lngcale.do, yeorl96l? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Onth. averoge, howlong didpatient s.taylnthis ! OLCSS than 30 days 

hospital during calendar year 1961? 2 D30 days ornmr. 

\ 

Number ofpmidemploy.es. (lnc!ude proprietors, managers, md.llpoid employees whousually work 15 bours 

or more aweekin this establishment.) 

(The [Ii+ure ,h.avm In Item 7.. ,houldfm the mum of the lf@I,ee ,honm in ItmI, 7.. and7b.) 

a.	 Numherof physicians (including residents a“d interns), mxses andocher pro fessionaI personnel, 

nndtechnicie.ns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b.	 Numbcrof allotherpald employees includbg administrative personnel, clcrical andoff ice workers, 

sttemdants, amdc”stodial workers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

c. Total number ofernployees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

D..sthishospit.l m.i.t.lna NURSING HOME UNIT for 

pati.nts r.quirlng nursi”o.ore butn.atth. full m.ge.f 1 =Yes (c.mP1. t. S.ctto. D l.kth.t 

hoapltal services? 2 I_JNo (Skip fcI Section F) 

/ 

FORM “R,., ,#.,,.,2, 

E 

+ 

= 

E 

““IO 

21

Section D . ESTABLISHMENT WHICH PROVIDES NURSING, PERSONAL, OR DOMICILIARY CARE 

NOTE:	 Ifchereponkg establishment isahospital wMchhss aowskgh.me mit((!Yes0t box,:hecked in Question9, 

Seccion Bocin Quescion 8, Seccion C), tbe items incbissection refer cochatnursing home unit only. 

Total n.mberof hdswgulorly ma fintalm.d forpatlenfs orrmsIdents. (Includm any beds setup for use


whetberortmt they ace in use m thepresenc rime. Exclude beds “see iby st.ff or any beds used


exclusively fc.remergcn.y service . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Totol nwnber of persons (F-stimts or msld.ntc) who slap+ in this �stabllshmant last night (*xcl”ding


employee’ andpmprl. torx) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


F x the purpose of ti,s survey, the following list of setvices define “Nur’lng Car.”: 

Nasal feedings Enemas Application of dressings 

Cathecezizati.ans H~odemdc injections or bands.ges 

Irrigations Intt-aveaotts fnjecticms Bowel snd bladder 

Oxygen therapy Temperature - pulse - respiration retraining 

Full bed baths Blood pressure 

Dmlmgthm past mvamday`, howmamy eflhe PERSONS in Questto" 2mcelved '` Nu,,lng Cam?19. . . . . . . . 

Whlchof the follwing smlce’am ROUTINELY provided? (41X11afIfbat.q#y) 

t nSupervision isprovided ovet medications 4 a Help with tub barb or shower 

which msybe self-admiuktered s n Help with dressing 

20	 M.di.~tions and treatments e.re-a@inis- 6UHc1p with correspmdeoce ozsh.apping :c:e:~m accordance w,th phys,cm.r,s’ 

713Hc1P wifbwalkkg or getting abow 

SD R“b and massage s I_J Help with feedfng 

9mNotresponsible forproviding anysemicesexcept room and board 

Number ofpald employees. (include proprietors, managers, and*ll Paid employees who". "ally work


15 bours or more aweekir, tbk escablisbment.)


(The Ilaur. .hmw” in It.m Sd. .houldbe the awn of the fteuca, .hmvn 3“Ifema 5.., 5b., �nd5c.)


a. Number of registered professional nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. Number oflicensed practical nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + 

c.	 Number of all other paid employees including physicians, proprietors, managers, muse% aides, 

orderlies, clerical rmd office workers, attendants, and custodial worker.. . . . . . . . . . . . . . . . . . . . . . . . . . . . + 

d.	 Total nuber of employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . = 

E 

(Skip to Sactlmj F) 

. J’ 

Section E . OTHER ESTABLISHMENT 

.	 Totolnumber ofp.rsons (rasidants ori”mat.s) whoslept inthis.stablishmmt last ”ight 

(DO NOT INCLUOE .mploy..s and pr.ap,i.tors). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Do.. this establishment molntain a


h.aspiml or i. fimm~? 1 Oy=s fcompl.~es, 47 .nd J) 2 l_JNo (SkIP to Qu..IJon 6)


3.	 Total nwberof beds intbishospical or bfimary that areregtiarly maintained (set 

up and stsffcd for use) for inpatients. (Excl. de beds used exclusi~ely foreme~ 

E,UCY .==ices ., ba.sinem for newborn in fants.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

4. Nwberof hpstienc admissions totbishospical ocinfima~dwkg calendar year l%l. 

5.	 Approximate average dsilycensu. intbis hospital orinfimaq dwkscsIendar year 

1961 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

a Number ofpaid employees, (lncIude proprietors, mmagers, mdalIpald employees who 

wually work 15 or more hours a week in this esw.blisbmem.)


(Th. fi~um-o,hom lnIt.m 6.., ,hcwldba {he .um of the fla”r.. .hmvn In Item. 6.., �nd6b.>


a. Number .afmmmgerial, scier,tific, orpcofessional personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b.	 Nubecof another paid employees hcluding clerical andoffice workecs, attendants, ad custodial 

workers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+ 

c. Totmlnmber of. mpIoyees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . = 

E 

(Go to Sacti.an F) 

Section F - FOR ALL ESTABLISHMENTS 

Do.’ the awn., of thi’ sstobllshrmnt own o, OpWOt. any other r.lotad 2. What 1’ th. Fmdmd Social Smcurity Em Ic.y.rldm. 

or slmil.m estobli.hm.nt’ which or. no? In.lud.d in th. pmsmt r.port? tiflmtkw Number of this estoblishm.nt $ 

1 � Yes 2 ONO 

ES. No. or a None 

Other Est.abll’hnmnt f<** .119 dtdff.> 

mu,, Kind Sigaatwe of person completic,~ &is fe~ 

ddress (Numbmand.tm@ _________________________ 

Title m pmition 

.ity C.allrlty state 

(If more the” one, reo.srd fh. �ddftkmml “am.. m“d .dd,e..e, on the Telephone nmmbec Ext. Me completed 

baok of thI. A-in) 

22 PAGE s US COMM. OC 10,,1.P,2 
APPENDIX Ill 

DEFINITIONS AND CLASSIFICATION PROCEDURES 

A, Criteria for Classifying Nursing, Persanal, 

or Domiciliary Care Homes 

The criteria for classifying these types of institutions are based on several factors: (1) the number of persons receiving nursing care during the week 

prior to the day of the survey (Nursing care is defined in Appendix HI- B), (2) administration of mediations and treatments in accordance with physician’s 

orders, (3) supervision over medications which may 

k’ self-administered, (4) the routine provision of the 

following criterion personal services: rub and massage, 

help with tub bath or shower, help with dressing, 

correspondence, shopping, walking or getting about, 

ond help with feeding the patient, and (5) the employment of registered professional or licensed practical 

nurses. On the basis of these factors, four types of 

establishments were distinguished and are defined 

Llsfollows: 

Nursing cave home. —An establishment is a nursing 

care home if nursing care is the primary and predominant function 

following criteria 

in this report: 

licensed practical 

cent or more of 

of the facility. Those meeting the 

are classified as nursing care homes 

One or more registered nurses or 

nurses were employed, and 50 perthe residents received nursing care 

during the week prior to the survey. 

Penonal care home with mtrsing.—An establishment is a personal care home with nursing if personal 

care is the primary and predominant function of the 

facility but some nursing care is also provided. If an 

establishment met either of the following criteria it 

was classified as a personal care home with nursing: 

. 1.	 Some but less than 50 percent of the residents 

received nursing care during the week prior to 

the survey and there was one or more registered 

professional or licensed practical nurses on 

the staff. 

2.	 Some of the residents received nursing care 

during the week prior to the survey, no registered nurses or licensed practical nurses 

were on the staff, but one or more of the following conditions were met: 

A. h,ledications and treatments were admin ­

istered in accordance with physicians’ 

orders. 

B. Supervision over self-administered medications was provided. 

c.	 Three or more personal services were 

routinely provided. 

Penonal cave Izome.—+m establishment is a personal care home if the primary and predominant 

function of the facility is personal care, and no residents received nursing care during the week prior to 

the survey. Places in which one or more of the following criteria were met are classified as personal care 

homes in this report whether or not they employed 

registered nurses or licensed practical nurses. 

1. Medications and treatments were administered 

in	 accordance with physician’s orders, or 

supervision over medications which may be 

self-administered was provided. 

2.	 Three or more of the criterion personal services were routinely provided. 

Domiciliary care home.—A facility is a domiciliary 

care home if the primary and predominant function of 

the facility is domiciliary care but has a responsibility 

for providing some personal care. If the criteria for a 

nursing care home or personal care home are not met 

but one or two of the criterion personal services are 

routinely provided, the establishment is classified as a 

domiciliary care home in this report. 

In the classification process, a criterion was considered as not having been met if the necessary information for that criterion was unknown. For instance, if 

the type of nursing staff was unknown for a particular 

place, it was considered as not having met the criteria 

of having one or more registered nurses or licensed 

practical nurses on the statf. Establishments indicating 

that some nursing care was provided, but not the number of persons to whom this care was provided, were 

considered as institutions providing nursing care to 

some but less than 50 percent of their patients or residents. Table I shows in detail the classification of the 

establishments. 

23 
Table I. Criteria for classification of establishments 

Classification variables Classification criteria 

Legend:	 Nursing care home-----------------------N 

Personal care home with nursing---------Pn 

Personal care home----------------------p 

Domi.ci-liary care home-------------------D 

Boarding or rooming house(out of scope)-B 

NOTE: . . . not applicable 

B. Definitions of Other Terms 

RepoYting unit.—The term “reporting unit” refers 

to the individual units which make up the Master 

Facility Inventory. The primary objective is to be 

able to classify places in MFIfor any type of hospital 

or institutional survey that might be undertaken. To 

accomplish this objective a reporting unit is defined 

as the smallest organizational unit of an enterprise 

which provides services to persons whether on a 

profit or nonprofit basis, which has a separately 

assigned staff or work force, and which maintains 

separate books or administrative records. The reporting unit is usually at a single physical location, but 

maybe composed of several subunits at different locations. In some instances the service provided in a reporting unit will be mixed, as, for example, in large psychiatric hospitals, which often have special wards 

for geriatric and tuberculosis patients as well as a 

general medical and surgical facility for the treatment of patients within the institution. Here, however, 

as with all other types of units in the Master Facility Inventory, the primary consideration for classification is the predominant type of service provided if 

the reporting unit is composed of persons receiving 

several types of services. 

ShoYt-stay and long-stay hospitals. — Hospitals are 

classified in the Master Facility Inventory in accordance 

with the average length of stay ofpatients discharged 

during the calendar year prior to the survey. A shovtstay hospital is one with an average stay of less than 30 

days. A long-stay hospital is one with an average 

length ofstayof30 or more days. 

Bed.—Forhospitals,.sbed is defined as one which 

is regularly maintained (set up and staffed for use). 

Those used exclusively for emergency services and 

bassinets for newborn infants are not considered to be 

beds for the purpose of the Master Facility Inventory. 

A bed in anursing home or related facility isdefined as one set up and regularly maintained for 

patients or residents. This excludes many beds maintained for staff and those used exclusively for emergency services. 

Resident OY inmate.—For the purpose of the 

Master Facility Inventory a “resident” or “inmate” 

is defined as a person formally admitted to or con24 
fined in an institution and who slept in the establish- the 

mcnt “last night, ” i.e., the night prior to the day that 

the nature-of-business questionnaire was completed 

for the establishment. 

Employee. —An employee is defined as a person 

puid by the establishment or a working member of a 

religious order who usually works 15 or more hours a 

\ wuek in the establishment. An owner is an employee 

if he usually works in the establishment at le-as;15 

hours a week. 

Nursing care. —For the purpose of classifying 

homes onthe Master Facility Inventory which provide 

nursing care to residents, nursing care is defined as 

ooo — 

provision of one or more of the following services: 

Nasal feeding 

Catheterization 

Irrigation 

Oxygen therapy 

Full bed bath 

Enema 

Hypodermic injection 

Intravenous injection 

Temperature-pulse-respiration 

Blood pressure 

Application of dressings or bandages 

Bowel and bladder retraining 

25 

. u s . ...,,.,”,,,,”,,...,,,., ,,., .-,,..6,, 
Series 1. 

No. 1. 

No. 2. 

No. 3. 

,, Series 2. 

No. L 

No. 2. 

No. 3. 

No. 4. 

Series 3. 

No. 1. 

No. 2. 

Series 4. 

Series 10. 

No. 1. 

No. 2. 

No. 3. 

No. 4. 

No. 5. 

No. 6. 

No. 7. 

No. 8. 

No. 9. 

No. 10. 

No. 11. 

No. 12. 

No. 13. 

~ 

No. 1. 

No. 2. 

No. 3. 

No. 4. 

No. 5. 

No. 6. 

No. 7. 

REPORTS FROM THE NATIONAL CENTER FOR HEALTH STATISTICS 

Public Health Service Publication No. 1000 

Ptwrams and collection procedures 

Origin, ,Program, and Operation of the U.S. National Health Survey. 35 cents. 

Health Survey Procedure: Concepts, Questionnaire Development, and Definitions in the Health Interview Survey. 45 cents.€

Development and Maintenance of a National Inventory of Hospitals and Institutions.€

Data evaluation and methods research€

Comparison of Two-Vision Testing Devices. 30 cents.€

Measurement of Personal Health Expenditures. 45 cents.€

The One-Hour Glucose Tolerance Test. 30 cents.€

Comparison of Two Methods of Constructing Abridged Life Tables. 15 cents.€

Analytical studies€

The Change in Mortality Trend in the United States. 35 cents.€

Recent Mortality Trends in Chile. 30 cents.€

Documents and committee reports€

No reports to date.€

Data From the Health Interview Survey€

Acute Conditions. Incidence and Associated Disability. 7––. United States. July 1961-June 1962. 40 cents.€

Family Income in Relation h Selected Health Characteristics, United ‘&.+&. 40 cente.€

Length of Convalescence After Surgery, United States, July 1960-June 1961. 35 cents.€

Disability Days, United States, July 1961-June 1962. ,40 cents.€

Current Estimates From the Health Interview Survey, United States, July 1962-June 1963. 35 cents.€

Impairments Due to Injury, by Class and Type of Accident, United States, July 1959-June 1961. 25 cent+?.€

Disability Among Persons in the Labor Force, by Employment Status, United States, July 1961-June 1962. 40 cents.€

Types of Injuries, Incidence and. Associated Disability, United States, July 1957-June 1961. 35 cents.€

Medical Care, Health Status, and Family Income, United States. 55 cents.€

Acute Conditions, Incidence and Associated Disability, United States, July 1962-June 1963. 45 cents.€

Health Insurance Coverage, United States, July 1962-June 1963. 35 cents.€

Bed Disability Among the Chronically Limited, United States, July 1957-June 1961. 45 cents.€

Current Estimates Fcom tbe Health Interview Survey, United States. July 1963-June 1964.40 cents.€

Cycle I of the.Health Examination Survey: Sample and Response, United States, 1960-1962. 30 cents.€

Giucose Tolerance of Adults, United Stat?%, 1960-1962. 25 @n@.€

Binocular Vieual Acuity of Adults, United States, 1960-1962. 25 cents.€

Blood Pressure of Adults, by Age and Sex, United States, 1960-1962. 35 cents.€

Blood Pressure of Adults, by Race and Region, United States, 1960-1962. 25 cents.€

Heart Disease in Adults, Unitad States, 1960-1962. 35 cents.€

selected Dental Findings in Adults, by Age, Race, and Sex, United States, 1960-1962.€

Series 12. Data From the Health Records Survey 

‘. No reperk to data. 

Series 20. Data on mortality 

No reports to date. 

Series 21. Data on natality 

No. 1. Natality Statistics Analysis, United States, 1962. 45 cents. 

Seriee 22. Data on marriage and divorce 

No repcmts to date. 

Series 23. Data from tbe program of sample surveys related to vital records 

No reports to date.