DATA ON NATIONAL HEALTHRESOURCES

Inpatient

Health Facilities

as ReportedFromthe

1971MFI Survey

Statistics about nursing homes, hospitals, and other kinds

of inpatient health facilities include numbers of institutions,

beds, and employees as well as types of ownership, geographic

distribution, and comparisons with other surveys. Based on

data collected during the period August-October 1971.

DHEW Publication No. (HRA) 74-1807

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

Public Health Service

Series M

Number 12

Health Resources Administration

National Center for Health Statistics

Rockville, Md. March 1974
Library of Congress Cataloging in Publication Data

Inpatient health facilities.

(National Center for Health Statistics. Data on national health resources, series 14, no.

12) (DHEW publication no. (HRA) 74-1807)

Bibliography: p.

Supt. of Dots. no.: HE 20.6209: 14/12.

1. Health facilities–United States–Statistics. I. Title. II. Series: United States,

National Center for Health Statistics. Vital and health statistics. Series 14: Data orI national

health resources, manpower and facilities, no. 12. III. Series: United States. Dept. of Htxdth,

Education, and Welfare. DHEW publication no. (HRA) 74-1807. [DNLM: 1. Health facilitics–

Supply and distribution–U.S. W2 A N 148vn no. 4 etc.]

RA981.A2S54 362.1’0973 73-20400

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

.

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

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

GAIL F. FISHER, Assistant Director for Health Statistics Development

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

EDWARD E. MINTY, Executive Officer

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH RESOURCES STATISTICS

SIEGFRIED A. HOERMANN, Director

PETER L. HURLEY, Deputy Director

G. GLORIA HOLLIS, Chief Health Facilities Statistics Branch

HENRY S. MOUNT, Chiej Health Manpower Statistics Branck

PETER L. HURLEY, Acting Chief Family Pkming Statistics Branch

WILLIAM P. STEWART, Acting chieJ Hospital Discharge Survey Branch

COOPERATION OF THE BUREAU OF THE CENSUS

under the legislation establishing the National Health Survey,

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

the services or facilities of other Federal, State, or private agencies.

In accordance with specifications established by the National

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

contractual arrangement, participated in planning the survey and

collecting the data.

Vital and Health Statistics-Series 14-No. 12

DHEW Publication No. (HRA) 74-1807

Library of Congress Catalog tird Number 73-20400
CONTENTS

Page

Introduction ---------------------------------------------------------- I

Background -------------------------------------------------------- I

Nursing Homes ------------------------------------------------------- 2

Highlights --------------------------------------------------------- 2

History ------------------------------------------------------------ 2

Physical Changes From1969-1971 ------------------------------------ 3

Comparison Between 1971and Past MFI Surveys ----------------------- 5

Hospitals -------------------------------------------------------------

How Many and What Size ---------------------------------------------

Utilization ---------------------------------------------------------

Location With Respect to SMSA?s-------------------------------------

Geographic Distribution ---------------------------------------------

Hospital Trends ----------------------------------------------------

Inpatient Utilization Trends ------------------------------------------

titpatient UtilizationTrends -----------------------------------------

Employee Trends ---------------------------------------------------

10

10

11

12

13

14

14

14

15

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

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

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

Appendix 1. Methodolo~--------------------------------------------- 53

Nursing Homes ----------------------------------------------------- 53

Results of McGraw-Hill Match --------------------------------------- 53

Other Health Facilities ---------------------------------------------- 55

Hospitals ---------------------------------------------------------- 55

Appendix IL Classification Procedures -------------------------------- 56

Criteria for Classifying Nursing Homes ------------------------------- 56

Classification of Hospitals ------------------------------------------- 57

Appendix 111. Questiomaires ------------------------------------------- 58

Nursing Homes and Other Health Facilities ---------------------------- 58

Hospitals -- - - - - --- - - - - - -- -- -- - -- -- --- - - - -- -- - --- - - - - - - - - -- -- - - - - --- 62

...

Ill
SYMBOLS

Data not

Category

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

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

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

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

Figure doesnot meet standards of

reliabilityor precision ------------------

---

.*.

0.0

*
INPATIENT HEALTH FACILITIES

Alvin Sirrocco$ Division of Hsalth Resouvces Statistics

INTRODUCTION

This report reflects the findings from the 1971

Master Facility Inventory (MFI) Survey. The survey is the fourth of its kind; the first su:vey was

conducted in 1963,1 the second in 1967,” and the

third in 1969.:3 In addition to statistics from the

1971 survey, this report includes a comparison

with the findings from the 1969 and the 1967 surveys.

Included in the 1971 MFI Survey were 22,004

nursing homes, 7,678 hospitals, 1,236 facilities for

the mentally retarded, 1,015 homes for dependent

children, 875 homes or resident schools for the

emotionally disturbed, 176 homes for unwed mothers, 166 resident facilities for alcoholics o: drug

abusers, 143 homes for the deaf and/or blind, 94

resident facilities for the physically handicapped,

752 correctional facilities for children (under age

21), and 312 other types of health-related inpatient facilities. This latter group included such

places as boarding schools and health facilities

exclusively for American Indians, and multipurpose types of facilities such as homes for the

blind and mentally retarded, or homes for the

physically handicapped and emotionally disturbed.

For purposes of the MFI, nursing homes are

defined as establishments with three beds or more

which providenursingorpersonal care to the aged,

infirm, or chronically ill. Hospitals include all

establishments having six beds or more that are

licensed as hospitals,

Background

In 1963 the National Center for Health Statistics (NCHS) conducted its first national survey of

all health facilities and institutions. 1 The survey

was called the Master Facility Inventory Survey

and it covered the same types of facilities included in the 1971 survey with one exception. The

1963 survey included Federal- and State-operated

adult penal institutions within the framework of

correctional facilities. However, these institutions were dropped from the MFI beginning with

the 1969 survey.

For the 1963 survey, names and addresses of

approximately 46,000 health facilities and institutions were obtained from State and Federal licensing or regulating lists and from lists furnished by the Division of Vital Statistics of the

Center, the Health Care Facilities Service of

the Health Resources Administration, the American Hospital Association, and the U.S. Bureau

of the Census. By mat thing and unduplicating

these various lists, a final listing of about 30,000

facilities was established. The response rate for

this first MFI Survey was 93 percent.

Information obtained from the 1963 survey

was very basic with such data being collected

as type of facility, number of beds, and type of

ownership. These data were used primarily for

classifying the various establishments. In addition

to supplying basic information on health facilities,

the resulting list of facilities (with the corresponding classification information) was used as the

sampling frame for the more detailed surveys

conducted on the institutionalized population within these facilities.

The second MFI survey was conducted from

August through December 1967: Between the 1963

and 1967 surveys, the Agency Reporting System

was devised for obtaining the names and addresses

of all

health

found

new hospitals, nursing homes, and other

facilities in the country.~ The 1967 survey

over 31,000 facilities providing inpatient

1
health care and more than 29,000 of these returned their completed questionnaires (a response

rate of 94 percent).

The basic information of the 1967 survey provided valuable information to other government

agencies as well as to private organizations and

individuals. With this in mind, the 1969 MFI questionnaires (one for nursing homes and one for facilities other than hospitals) were expanded to

include more detailed information about each facility, making it possible for NCHS to provide

even more information. In spite of the extra questions, the 1969 survey had a response rate of 96

percent. This survey was conducted from October

1969 through January 1970 among 27,267 nursing

homes and other facilities.

For the 1971 MFI Survey, NCHSput the nursing home and “other health facilities” questions

on one questionnaire. This portion of the MFI

Survey, which is conducted by the U.S. Bureau of

the Census, produced a response rate of 97 percent.

To avoid the duplication of effort involved in

having hospital administrators fill out two similar

questionnaires, NCHS and the American Hospital

Association (AHA) entered into a contractual arrangement prior to the 1969 MFI Survey in which

the AHA’s annual survey of hospitals became the

instrument for updating information for the hospital portion of the MFI. However, since not all

hospitals are registered pr members of the AHA,

it was necessary for NCHS to conduct a separate

survey on the non-AHA hospitals, which make up

about 10 percent of all the hospitals in the country.

The hospital portion of the MFI Survey is, therefore, conducted every year in conjunction with the

annual AHA hospital survey. A large amount of new

information on hospitals is now available due to

this arrangement with the AHA. The hospital portion of the 1971 MFI produced a response rate of

93 percent.

Methodology for the 1971 MFI Survey is given

in appendix I.

It should be noted that Series 14, No. 4,2 contains data from the 1967 MFI Survey and Series

14, No. 6,:3 contains data from the 1969 MFI Survey. Comparisons with the 1971 data were obtained by using the statistics found in these reports.

NURSING HOMES

Highlights

In 1971 the United States had 22,004 nursing

homes according to the MFI Survey conducted that

year. These homes contained more than 1,200,000

beds and had 1,075,000 residents (an occupancy

rate of 90 percerit). The residents were served by

approximately 568,000 full-time and 201,000 parttime employees (7 employees for every 10 residents).

These are just a few of the basic findings from

the nursing home portion of the 1971 MFI Survey.

The following sections take a closer look at the

nursing home field and show how it has changed

since the 1969 and 1967 MFI Surveys were conducted.

Before presenting the nursing home data,

however, the following section is given as both a

background on what has been done in the past and

as a preliminary explanation of the effects that

current classification procedures may be having

on the data presented in this report.

History

Many different names are used to describe a

nursing home facility. Among the most common

names other than nursing homes are homes for the

aged, convalescent homes, and rest homes. Since

the name by which a nursing home is called has

virtually nothing to do with the type and amount of

nursing care it is providing, classifying nursing

homes by the type of services they provide becomes essential.

Since the inception of the MFI, the National

Center for Health Statistics has grouped nursing

homes according to the primary type of service

offered in the home. This results in classifying

nursing homes as nursing care homes, personal

care homes with nursing, personal care homes

(without nursing), and domiciliary care homes.

These four types of homes will be referred to as

NC homes, PCN homes, PC homes, and DC homes,

respectively.

The criteria given in appendix H were developed by NCHS in order to class ify each nursing

home into one of these four types. Essentially, the

classification is based on the number of persons

2
receiving nursing care, the services provided, and

the employment of full-time registered nurses

(RN’s) and licensed practical nurses (LPN’s),

Table II in appendix 11 gives the criteria for

classifying all nursing homes. As this classification scheme was developed prior to the Medicare

and Medicaid legislation, it does not correspond

exactly to the definitions for Medicare extended

care facilities or Medicaid skilled nursing homes

or intermediate care facilities.

In order to keep the MFI list of health facilities current, the Agency Reporting System

(ARS) has been developed; this system obtains on

an annual or more frequent basis, the names and

addresses of all newly opened health facilities.

The ARS consists of national voluntary organizations and Federal and State agencies including

health, welfare, and voluntary religious organizations; publishers of commercial directories; State

agencies that administer, regulate, license, certify, approve, list, or are otherwise concerned with

medical and resident care facilities; and Federal

agencies that administer inpatient facilities.

Upon obtaining these lists, the facilities are

matched against the current MFI list to eliminate

duplicates. Those facilities which are not on the

M171list and seem to be an inpatient health facility are placed on the mailing list for the next

ARS or “birth” survey,d which occurs every 6

months. These ARS surveys verify the names and

addresses of the newly found facilities and obtain

from them a limited amount of additional information.

Prior to the 1971 MFI Survey, NCHSsigned a

3-year contract with a private company for the

maintenance of the ARS. In addition to cbtaining

current directories from the agencies already in

the system, they are to locate any new agencies

which maintain lists of health facilities and incorporate them into the system. Of particular

concern are the small personal care homes in

California which are difficult to locate because

they are under county rather than State control

and which go in and out of business so quickly that

they go on and off the MFI list from one survey to

the next.

Another area where the contractor is to focus

his attention is the area of extended care facilities.

In past MF1 Surveys, if an extended care facility

was structurally part of a hospital, it was treated

as a unit of the hospital. In the 1971 MFI Survey,

however, the hospital- based extended care facility

is treated as a separate facility—a nursing home.

Thus instead of one health facility (a hospital)

being reported there are now two (a hospital and

a nursing home). Every effort has been made to

gather separate statistics for each part of the facility. In other words, the number of beds, patients,

employees, and so forth located within the extended care facility are included only in the nursing home statistics and are not counted in the hospital statistics.

It is hoped that these changes in the operation

of the ARS will result in the addition of some newly

opened facilities that would not have been found

otherwise and also in the addition of facilities that

have been missed in the past.

Physical Changes From 1969 to 1971

In a report based on the 1969 MFI Survey,s it

was surmised that smaller nursing homes were

going out of business or expanding and bigger ones

were being built. This assumption was based on the

huge increase in nursing home beds (over 107,000

more), despite a decrease in the number of homes

(231 fewer) from 1967 to 1969.

From 1969 to 1971 there were increases in

both homes and beds, and although there was a

higher rate of increase for the beds than for the

homes (28 percent and 16 percent), the same assumption that was made in 1969 could not be made

in 1971 from these figures alone. The following

two sections deal with both questions under consideration, namely, (1) were small nursing homes

going out of business and bigger ones being built?

and (2) were existing nursing homes expanding

their bed capacities?

“Bivths.r’-There was some question as to

how many of the newly found nursing homes

(“births”) were actually new and how many had

been missed by previous surveys. Although this

question cannot be answered conclusively, there

is reason to believe that the vast majority of the

homes were indeed new and that those missed

previously were in all likelihood the smaller

homes.

On the assumption that all 3,506 “births”

found in the United States between the 1969 and

1971 MFI Survey were new nursing homes, table

3
1 shows how they are distributed by type of home

and bed size. It is clear from this table that most

of these newly found homes were small, with 56.5

percent of them having less than 25 beds and only

13.9 percent having 100 beds or more. The table

also shows data for California, where the biggest

segment of these homes was located. More than

43 percent (1,514) of the newly found homes were

discovered in this State, and of these, 1,325 had

less than 25 beds.

As the table indicates, three-fourths of the

California “births” were personal care homes,

and almost all of them had less the 25 beds. It

is obvious from the table that the California

“births” had a tremendous effect on the total

number of “births,” particularly in the category

under 25 beds. In fact, if the California “births”

(both homes and beds) were excluded from the

totals, the result would be an average capacity of

64 bed~ per home instead of the 44 beds per

home that result when they are included.

It is interesting to note that although the

national average size of nursing homes in 1969

was 50 beds and the average size of these 1971

“birth” nursing homes was 44 beds, the average

size of all nursing homes in 1971 was 55 beds.

Adding the nursing homes in existence in 1969

(with their 50-bed average) to those that came into

being from 1969 to 1971 (with their 44-bed average) would, by itself, result in an average of less

than 50 beds for nursing homes in 1971. Why, then,

was the average higher than this?

One reason was the fact that 1,445 nursing

homes went out of business and the average bed

size of these homes was 33 beds. The loss of

these homes of course resulted in a raising of

the bed size average for 1971.

A second (and the major) reason for this

higher average in 1971 was the expansion in

bed capacity of existing nursing homes from 1969

to 1971. The following paragraphs discuss the

changes in bed capacity that took place in nursing

homes from 1969to 1971.

Changes in bed capacity --- In an effort to determine whether existing nursing homes were indeed expanding, those nursing homes that were in

operation during both the 1969 and 1971 MFI Surveys were checked for possible changes in bed

capacity. To find out how many homes were in

operation during both surveys, it was necessary

to eliminate the various other types of changes

which occurred. For instance, of the 18,910 nursing homes in operation during 1969, 288”were

reclassified as “other health facilities” due to

changes in the services they offered and 1,445

went out of business. The final result, therefore,

was 17,177 nursing homes which were in operation

during both surveys.

As table A indicates, most of the nursing

homes (15,166) were in the same bed size group

Table A. Number of nursing homes that stayed in the same bed size group from 1969 to

1971, number of beds in each year, and difference: United States

Bed size

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

Less than 25 beds --------------------

25-49 beds ------- ------- ------- ------

50-74 beds -------- -------- -----------

75-99 beds -------- -------------------

100-199 beds -------------------------

200-299 beds -------------------------

300-499 beds -------------------------

500 beds or more ---------------------

Homes

15,166

5,787

3,747

2,402

1,290

1,684

178

60

18

Beds in

1971

761,699

74,068

133,640

143,304

112,596

219,597

41,914

22,524

14,056

Beds i.n

1969

755,795

74,327

133,018

142,407

112,289

21J ,:;;

21;768

14,669

Bed

difference

1969 tO

1971

5,904

-259

622

897

307

3,726

468

756

-613

4
in 1971as they were in 1969.Howevez, of those

2,011homes that changed bed size groups, 1,533

(76 percent) moved to a larger bed size group

(table B). In addition, only 19 percent of the homes

that changed to a smaller bed size group went

below the next smaller group, whereas 43 percent

of the homes that changed to a larger bed size

group went above the next larger group.

The 2,011 nursing homes that changed bed

size groups had an overall net increase of 63,379

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

group, there still was an overall increase of 5,9o4

beds within these same groups.

Table B. Number of nursing homes that

changed bed size groups ‘from 1969 to

1971: United States

Change in bed size groupl

All nursing homes changing bed size group -------

All homes increasing to a higher

bed size group -----------------

Increasing 1 bed size group---

Increasing 2 bed size groups--

Increasing 3 bed size groups--

Increasing 4 bed size groups--

Increasing 5 bed size groups--

Increasing 6 bed size groups--

Increasing 7 bed size groups--

All homes decreasing to a lower

bed size group -----------------

Decreasing 1 bed size group---

Decreasing 2 bed size groups--

Decreasing 3 bed size groups--

Decreasing 4 bed size groups--

Decreasing 5 bed size groups--

Decreasing 6 bed size groups--

Decr*shg 7 bed size groups--

Number

2,011

1,533

876

355

148

122

26

4

2

478

387

;;

i

0

0

lThese bed size groups or categories

are the same as those given in Table A.

The following is an example of a home increasing in bed size groups.

EXAMPLE: If a,nursing home had 70 beds

i,n 1969 and 105 beds in1971, it increased

by two bed size groups (from the SO-74

group to the 100-199 group).

To conclude, at the begiming of this section

on physical changes in nursinghomes from 1969

to 1971,two questions were asked: (1) Are the

smaller nursing homes going out of business and

bigger ones being built? and (2) are existing

nursing homes expanding their bed capacities?

In answer to the first question, the analysis

indicates that many smallhomesare going out of

business. (The averagebedsizeofthel,445homes

that went out of business between 1969 and1971

was 33 beds.) However, it is also true that many

small homes (1,981 with under 25 beds)cameinto

existence between 1969 and 1971. On the whole,

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

went out of business. In addition, if California is

excluded as an exceptional case and only the remaining States plus the District of Columbia are

examined, then the newly opened homes have an

average of 64 beds—nearly twice the size of the

out-of-business homes.

Inanswer to the secondquestion, theanalysis

shows that although most of the homes remained

virtually unchanged between 1969 and 1971, those

that did change their bed capacities added beds;

very few nursing homes decreased their beds.

Comparisons Between 1971

and Past MF! Surveys

The preceding section described the actual

physical changes (opening, closing, expansion)

undergone by nursing homes from 1969to 1971.

The following analysis shows how these changes

affected the total nursing home picture and comTable

ing

and

C. Number ofnursing homes and nurshome beds:United States, 1967, 1969,

1971

Year Homes Beds

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

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

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

5
Table D. Number of nursing homes in 1967, 1969, and 1971 and percent change between

years, by bed size: United States

1

Bed size 1971

homes

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

Less than 25 beds ---------------------

25-49 beds ---------------------------- .

50-74 beds ----------------------------

75-99 beds ----------------------------

100-199 beds ---------------- ----------

200-299 beds --------------------------

300-499 beds -------- -------- ----------

500beds or more ----------------------

22,004

8,266

:>;;;

2:046

2,825

422

M;

pares the resulting 1971 data with the 1969 data3

and, in some cases, the 1967 data.2

Beds, services, and ownershiP.--The 22,004

nursing homes found in the 1971 MFI Surveyrepresented an increase of 3,094 homes over the

1969 MFI figure. In addition to this rather large

increase in homes (16 percent), there was an

even larger increase in the number of nursing

home beds (-l-257,722 beds, +28 percent), (table

C). A substantial portion of this increase in

nursing homes and their beds was in California.

California increased by 1,466 homes (almost

half of the total increase of3,094 homes) andby

41,097 beds (16 percent of the total increase).

Table 2 gives the 1971 figures, and Series 14,

Number6,s gives the 1969 figures.

Table Dindicates the changes inthe number

of nursing homes and beds that took place from

1967 to1969 and the changes that tookplace from

1969 to 1971. In both instances the homes with

50 beds or more showed major increases, while

the homes with less than 50beds showed minor

increases for 1971 and decreases for 1969. The

nursing homes with 50 beds or more increased

by 19 percent from 1967 to 1969andby31 percent from 1969 to 1971. The nursinghomes with

less than 50beds decveasedbyl ,320 (10percent)

from 1967 to 1969, then increased by980 homes

(8 percent) from 1969 to 1971.

Figure

tributed by

6

1 shows hownursing homes weredistype of service in 1971. The changes

?ercent

change

19~;7;o

16

11

2:

::

x

55

1969

homes

18,910

7,445

4,625

2,904

1,627

1,933

2;:

29

!?ercent

change

1967 to

1969

-1

-13

-5

2;

34

18

3;

1967

homes

19,141

8,522

4,868

2,697

1,281

1,;;:

91

22

thatoccurred since 1967 inthefourtvuesof nursing homes and their beds aregiv;; in table E.

The NChomeshave been steadily increasing, while

the PCN homes showed a moderate decrease in

1969 with averyslight increase ti1971. The PC

and DC homes, on the other hand, dropped sharply

from 1967 to 1969 butthen increased by42 percent and 80 percent, respectively, between 1969

and 1971. As was mentioned earlier, most of this

increase in personal care homes took place in

California.

D

Figure 1. Distribution of nursing homes byprimary type of

service: United States, 1971
Table E. Numberof nursing homes and nursing home beds and average bed capacity

by primary type of service: United

States, 1967, 1969, and 1971

Primary type

of service

Nursintz care

Homes --------

Beds ---------

Average bed

capacLty----

Personal

care with

WQY3

Homes --------

Beds ---------

Average bed

capacity----

Personal

care

Homes --------

Beds ---------

Average bed

capacity----

Domiciliary

care

Homes --------

Beds ---------

Average bed

capacity----

1971

12,871

917,707

71

3,568

192,347

54

5,369

88,317

16

196

3,227

16

1969

11,484

704,217

61

3,514

L74,874

50

3,792

63,532

17

120

1,253

10

1967

10,636

584,052

55

3,853

181,096

47

4,396

66,787

15

256

4,619

18

In terms of ownership, government-owned

homes decreased by 2 percent, while profit and

nonprofit homes each increased by 18 percent

from 1969to 1971 (table F). Nursing care homes

increased under all three types of ownership (up

60 percent for government, up 26 percent for

nonprofit, and up 7 percent for profit, table G.)

The number of profit PCN homes increased

slightly (up 6 percent) as did nonprofit homes

(up 2 percent), but there was a substantial decrease (down 29 percent) inthenumberofgovernment-owned homes. PC homes had the same

ownership trend as PCN homes but with much

larger changes—profit and nonprofit PC homes

increased by 60 percent and 21 percent, respectively, while government-owned PC homes

decreased by48 percent.

The most noticeable change ofany kind was

the increase which took place from 1969 to1971

in profit PC homes. These homes increasedfrom

2,879 to 4,611, an increase of 1,732 homes over

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

types increased by 2,579 which represented 83

percent of the 3,094 overall increase.

Tables 3,4, and5presentadditional statistics

on the characteristics of nursing homes in1971.

Employees and residents.—Almost 568,000

full-time employees worked in nursing homes in

1971 (table 6), an increase ofabout 125,000 fulltime employees over 1969. Increases took place

in each of the four types of nursing homes, with

the majority of the increase occurring in NC

Table F. Number of nursing homes for 1967, 1969, and 1971 and percent change between

years, by type of ownership: United States

I

Type of ownership 1971

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

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

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

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

-1- Percent

change

1969 to 1969

1971

==4===

-2 1,390

18 14,470

18 3,050

Percent I

change

1967 to I

1967

1969 I

1

-1 I

19,141

-5 1,462

-2 14,831

7 2,848

7
Table G. Number of nursi,ng homes in 1969 and 1971, net change, and percent change, by

type of ownership and primary type of service: United States

Type of ownership and

primary type of service 1971

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

Nursing care ---------------- ----------------- 872

Personal care with nursing ------------------- 223

Personal care ------------------------ -------- 265

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

Nursing care --------------------------------- 9,963

Personal care with nursing ------------------- 2,317

Personal care ------------------------ -------- 4,611

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

Nursing care --------------------------------- 2,036

Personal care with nursing ------------------- 1,028

Personal care -------------------------------- 493

1969

1,390

546

;;:

14,470

9,321

2,187

2,879

3,050

1,617

1,011

407

Net Percent

change change

t

-22 -2

326

-93 -;:

-241 -48

2,579 j 18

642

130 :

1,732 60

-+R

17

86

i

homes, which increased byoverl14,000 full-time rately and are omitted from thediscussion. )This

employees. There was also asubstantialincrease

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

Table Hindicates that the overall number of

full-time employees perl,OOOresidents continued

to increase, but the increasetookplaceonlyin NC

homes with the PCNand PC homes experiencing

declines in this rate. (Because oftheirsmall numbers, DC homes are sometimes not shown sepatable also shows that this increase in the number

of full-time employees per 1,000 residents didnot

occur for registered nurses (RN’s) and licensed

practical nurses (LPN’s). They experience~ adecline in their rates from 95.9 to86.5 per 1,000

residents.

There were more LPN’sthan RN’s employed

in nursing homes in 1971 (73,569 LPN’s to66,434

RN’s). This is opposed to the national picture,

Table H. Number of full-time employees and full-time registered nurses and licensed

practical nurses per 1,000 residents in nursing homes, by primary type of service

provided by home: United States, 1971, 1969, 1967

Full-time employees Full-time RN’s and LPN’s

Primary type of service

provided by home

1971 1969 1967 1971 1969 1967

Rate per 1,000 residents

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

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

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

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

lIncludes domiciliary care homes.

8
which showed about 723,000 RN’s and 400,000

LPN’s (also known as vocational nurses) employed

in the United States in 1971S Full-time and parttime RN’s and LPN’s employed in nursing homes

are shown for each State in table 7.

Residents in nursing homes increased from

about 850,000 in 1969 to over 1,075,000 in 1971.

The residents in NC homes increased from 635,000

to 824,000 (an increase of 189,000), those in PCN

homes increased from 158,000 to 172,000 (an increase of 14,000), and PC residents increased

from 56,000 to 77,000 (an increase of 21,000) (table

8).

Occupancy rates for nursing homes remained

constant from 1967 to 1971. In 1967, 1969, and 1971

the rate was 90 percent. This constant rate was

due in a large degree to the long lengths of stay

of many nursing home residents. The many residents who enter nursing homes to remain there

for the rest of their lives contribute substantially

to the high and also to the constant occupancy

rates.

Tables 9 and 10 present other 1971 statistics

for employees and residents.

Geographic dist~ibution. —Table 11 shows the

number of each type of nursing home by bed size

group and by geographic region. Each of the four

regional totals represent an increase in the number of homes over the 1969 figures. However,

while the Northeast, North Central, and South increased by 6.2 percent, 8.6 percent, and 11.0 percent, respectively, the West Region increased by

44.8 percent. California was the biggest contributor to this increase (1,466 of the additional 1,810

homes in the West were in California). For the

homes with less than 25 beds, there were decreases in the Northeast, North Central, and South

Regions, while the West Region experienced an

increase of 61 percent. In 1969 the West had fewer

nursing homes than any of the other regions; however, by 1971 the West had passed both the South

and the Northeast and was second only to the North

Central Region in the number of nursing homes.

Figure 2 presents a pictorial view of the dis13 Em EiE3c2

20 to 39 tad! 401n59td! 60,079tdI 80,.lWW

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

9
60

50

40

+

z

g 30

K

:

20

10

0

Northeast North Central South West

REGION

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

tribution of nursing home beds per 1,000 population aged 65 years and over in each State.7 Regional rates as well as those for the States are

given in table 12. The West had the highest regional average (76.2 beds per 1,000 population

65 years and over), with the North Central second (69. 3). The Northeast and South had the lowest average (50.7 and 50.5, respectively).

Figure 3 shows how the small and large nursing homes were distributed in each geographic

region. It is clear from the figure that the West

had a disproportionate number of small nursing

homes (less than 25 beds) compared to its large

homes (100 beds or more). When figure 3 is compared to a similar figure in the 1969 report,3 it

can be seen that the percent of small homes in

the Northeast, North Central, and South Regions

decreased while the percent of small homes in

the West increased.

HOSPITALS

How Many and What Size?

In 1971 there were 7,678 hospitals in the

United States according to the joint survev conducted by NCHS and Ak. As s~own in tables 13

and 14, the vast majority of the hospitals (6,607,

86 percent) were general medical and surgical or,

simply, general hospitals. The remaining 1,071

10

were specialty hospitals, which included such

hospitals as psychiatric (533), tuberculosis (99),

chronic disease (90), rehabilitation (66), maternity (47), and narcotic addiction or alcoholism (2

and 41) plus various other kinds which are called

“other” (193). (For an explanation of the “other”

category, see appendix II).

More then 1?4million patient beds were available in the 7,678 hospitals, and 79 percent of them

were occupied at the time of the survey.a Although

86 percent of the hospitals were general hospitals,

just 67 percent of the beds were in general hospitals. The result was an average of 152 beds per

general hospital. The specialty hospitals had an

average capacity of 470 beds per hospital. Psychiatric hospitals, averaging 785 beds, were responsible for this high average. In fact, specialty

hospitals, excluding psychiatric, averaged 157

beds per hospitals, about the same average as the

general hospitals. The average bed capacity of

each type of hospital is given in table 15. (The

high average bed capacity of psychiatric hospitals was not caused by a few atypical hospitals

with enormous bed capacties. There were 157

psychiatric hospitals with 1,000 beds or more

and 69 others with 500 to 999 beds. Together

these two groups made up over 42 percent of all

the psychiatric hospitals.)

The size of the hospital seemed to be related

to the type of ownership of the hospital. Federally

operated hospitals had the highest average bed

capacities with 352, State and local government

hospitals were next with an average of 266 beds

per hospital, followed by nonprofit hospitals with

171 beds per hospital, and finally proprietary

hospitals which averaged only 68 beds per hospital.

Psychiatric hospitals had perhaps the most

significant effect on these averages. Of the 31

federally operated psychiatric hospitals, 16 had

1,000 beds or more and the rest had 300 beds or

more (table 16). Of the 322 psychiatric hospitals

operated by State and local governments, 141 had

1,000 beds or more while 115 others had 200 or

more. Comparing these figures with the ones for

nonprofit and profit psychiatric hospitals shows

%he actualwordingof the questionaskedto ascertainthis

was: “what wasthe censuson the last day of your reporting

period?’
that the government operated hospitals had

much higher bed capacities than the nongovernment hospitals. Of the 86 nonprofit psychiatric

hospitals, none had as many as 500 beds and

only 9 had 200 to 499 beds. The proprietary psychiatric hospitals had even fewer hospitals of

large bed size, with none having as many as 500

beds and just 3 having 200 to 499 beds.

Utilization

The occupancy rates varied substantially

among the different types of hospitals. They

ranged from a low of 51 percent in the alcoholic

or narcotic hospitals to a high of 86 percent in

the chronic disease hospitals (table 17). The two

most prevalent types of hospitals, general and

psychiatric, had occupancy rates of 77 percent

and 83 percent, respectively.

As table 15 indicates, the occupancy rates

increase with the size of the hospital. The hospitals with fewer than 25 beds were barely half

full, whereas the hospitals with 1,000 beds or more

were 84 percent occupied. This pattern is followed

in both the general and psychiatric hospitals, but

not with the remaining types of hospitals, which

show no definite patterns. This could very well

be due to the small number of hospitals that are

found in each bed size group. One hospital, for

example, with an unusually high or unusually low

occupancy rate would be enough to significantly

alter the total occupancy rate for that group.

Table 17 shows the occupancy rates of the

various types of hospitals by ownership category.

The proprietary hospitals, with 70 percent of

their beds occupied, had about a 10 percent lower

occupancy rate than the nonprofit hospitals (79

percent), the State and local government hospitals

(79 percent), and the Federal government hospitals (82 percent). Figure 4 and table 18 show

occupancy rates by State.

In addition to occupancy rates, another important measure of hospital utilization is turnover (the number of yearly admissions per bed).

wb~Q

e

v

Cs

ALASKA

\,

.. .

cl Ez21n

6069 Wm., 7@-7B Fume”, 8C.SS mm”,

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

11
Table J. Number of admissions per bed by

type of hospital: United States, 1971

1

Type of hospital Turnover

rate

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

psychiatric -------------------

Tuberculosis ------------------

Chronic disease ---------------

Narcotic addiction or

alcoholkn -------------------

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

Rehabilitation ----------------

3;.:

2:0

1.4

14,6

38.4

5.1

This measure changes much more because of the

type of hospital thanbecauseof bedsizeor ownership. General hospitals, forinstance, hadanaverage annual turnover rate of 32.3 admissions per

bed, while psychiatric hospitals had an average

turnover rate of 1.6. Table J shows the turnover

rates for the various types of hospitals.

Not surprisingly, thetableshows thatthehospitals which are shore-stay in nature (general,

maternity) hada rather high turnover of patients

whereas the hospitals that tend to be long-stay

(psychiatric, tuberculosis, chronic disease, rehabilitation) had a rather low turnover of patients.

Looking at the actual lengths of stay (table 17),

one finds that general and maternity hospitalshad

average lengths of stay of9 and6 days, respectively, whereas psychiatric and chronic disease

hospitals had average lengths ofstayof312 and

212 days, respectively.

Locotion With Respect to SMSA’S

In general, a standard metropolitan statistical

area (SMSA) is definedas anintegratedeconomic

and social unit with a large population nucleus.

Each SMSA contains at least:

1. Onecentral city with50,000inhabitants or

more, or

2. Two cities having contiguous boundaries

.and constituting, forgeneraleconomic and

social purposes, asingle comm~ity with

a combined population of at least 50,000,

the smaller of which must have apopulationof at least 15,000.6

As of 1970, there were 243 SMSAls in existence.7 Based on the U.S. population in 1970

of 203.2 million, 68.5 percent of the people lived

inan SMSA.

Though less than half (49.2 percent) of the

hospitals in the United States were located in

SMSA’S, 68.8 percent of the hospital beds were

in SMSA’S (tables 19 and 20); thusthelarger hospitals were in SMSA’S. The number of beds per

1,000 population was the same whether thehospital was within an SMSA or not (7.4 per 1,000

population).

Table 19 shows thedistribution of hospitals

in and out of SMSAts by bed size groups. It is

evident from this table that the preponderance of

the smaller hospitals were not in SMSA’S while

the preponderance of the larger hospitals were

in SMSA’S. For example, the non- SMSA’s had 68.5

percent of the hospitals with less than 100 beds

while the SMSA’s had 80 percent of the hospitals

with 200 beds or more. The hospitals with 100-199

beds were more evenly spilt, with 44 percent in

non-SMSA fs.

Since the large metropolitan areas have such

an immediate and great demand on them for health

care, they would be expected to have the larger

hospitals. Location in an SMSAhad an even greater

effect on. the bed size Qf gvne?’alhospitals, with

non- SMSA’s having 75 percent of the hospitals with

under 100 beds and SMSAts having 84 percent of

the hospitals with 200 beds or more.

Specialty hospitals were predominantly located in SMSA’S (75 percent). However, a higher

percent of the larger specialty hospitals than of

the smaller ones were outside SMSA’S. (Table

19.) Whereas 18 percent of the under 200 bed

specialty hospitals were not in SMSA’s, 35 percent

of the specialty hospitals with 200 beds or more

were not in SMSA‘s.

Although psychiatric hospitals were located

predominantly in SMSA’S, many large ones were

not. Approximately 41 percent of the psychiatric

hospitals with 200 beds or more were not in an

SMSA. One reason for this centers on the fact

that many of the large psychiatric hospitals in

existence today were actually built in the late

1800ts and early 1900’s. People with psychiatric

problems in those days were not usually accepted

by society, so whenever an institution was built

for them, it was usually built out in the country,

12
farfrom anycity.

Ingeneral,theoccupancyrateswereslightly

higherintheSMSA hospitals(8Opercent)thanin

thenon-SMSA hospitals(75percent)(table21).

For example,thegeneralhospitalsinanSMSA had

an occupancyrateof79.4percent,whilethosenot

in an SMSA had a rateof71.1percent.The psychiatrichospitalson the otherhand showedvirtuallyno differencein occupancyratesbetween

SMSAts andnon-SMSA’s.

OccupancyratesbothinSMSA’s andoutside

SMSA’S were higherforthelargerhospitals(200

beds or more) (82 percenteach)thanforthe

smallerhospitalswithlessthan75 beds(62percentfornon-SMSA~sand64 percentforSMSA’S).

Geographic Distribution

There were 4.9generalhospitalbeds per

1,000totalU.S.populationand 2.4specialtyhospitalbedsper 1,000populationin1971.TheNortheastRegionhad thehighestnumber ofbeds per

1,000population(8.6)in allhospitals,and the

West had thelowest(5.8)(table22).TableK lists

the 12 highestStatesand the12lowestwithrespecttoratesforhospitalbedsper 1,000population.

The West Regionhad the lowestrateas a

wholeandalsoon a Stateby Statebasis;10ofthe

12 Stateswiththelowestratesare locatedinthe

West Region,TheNortheastRegionhadthehighest

overallrate,and,inaddition,fiveofthefirstnine

Table K. 24 States with the 12 highest

and the 12 lowest ratesof hospital beds

per 1,000 population: 1971

High

State

District of

Columbia-----

South Dakota--

MassachusettsWest VirginiaNorth Dakota--

New York------

Pennsylvania--

Rhode Island--

Maime---------

Nebraska------

Wisconsin-----

Delaware------

Rate

16.7

9.8

9.8

9.4

9.3

%;

8.7

::;

8.4

8.3

Low

State

Utah-------

Idaho------

WashingtonNevada-----

Alaska-----

New MexicoOregon-----

Arizona----

Arkansas---

CalifomiaHawaii------

Kentucky---

Rate

4.5

4.8

z::

5.6

5.8

5.8

;::

5.8

%;

Stateswiththehighestratesarelocatedinthis

region.

Rates for Statesand regionsare shown in

table22 by typeofhospital.The Districtof Columbiahadthehighestgeneralhospitalratewith

10.3beds per 1,000population.The nexthighest

was North Dakotawith7.1.The lowestratewas

recordedby Maryland,3,6.The highestspecialty

hospitalratewas intheDistrictofColumbiawith

6.4 beds per 1,000population,followedby Massachusettswith4.9.The lowestspecialtyhospital

ratewas 0.5inUtah.

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

United States

Bed size

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

Less than 25 beds--------------------------

25-49 beds---------------------------------

50-74 beds--------------------------------

75-99 beds---------------------------------

100-199 beds-----------.-------------------

200-299 beds-------------------------------

300-499 beds-------------------------------

500 beds or more---------------------------

1971

Hospitals

7,678

636

1,648

1,052

772

1,545

739

708

578

Net

change

1969 to

1971

-98

-77

-85

-45

+39

-2

+24

+37

+11

1969

Hospitals

7,776

713

1,733

1,097

733

1,547

715

671

567

Net

change

1967 to

1969

-371

-199

-133

- 72

-44

+ 48

- 17

+ 48

-2

1967

Hospitals

8,147

912

1,866

1,169

777

1,499

732

623

569

13
Hospital Trends

This section compares hospital data for the

years 1967, 1969, and 1971. If not shown in tables

of this report, 1969 data can be found in Series 14,

Number 6,3 and 1967 data in Series 14, Number

4.2

The decrease in the number of hospitals which

occurred from 1967 to 1969 continued at a lessening degree through 1971, as seen in table L.

As in the previous 2-year span, the decrease

from 1969 to 1971 occurred primarily in the number of smaller hospitals. In 1967 there were 3,947

hospitals with less than 75 beds in the United

States. In 1971 this number was down to 3,336, a

decrease of more than 15 percent. Over this same

4-year period, hospitals with 300 beds or more

increased by 94, an 8 percent increase.

The total number of hospital beds also continued to decline but at a faster rate than the hospitals themselves. This resulted in a slight drop

in the average bed capacity of hospitals.

Table M also shows that the patient census

fell at a faster rate than the beds, resulting in a

gradual drop in the occupancy rates.

The occupancy rates for the psychiatric hospitals decreased more than those for the general

hospitals. From 94 percent in 1967, the former

rate dropped to 87 percent in 1969 and to 83 percent in 1971. Occupancy rates for general hospitals actually increased from 1967 to 1969 (76

to 79 percent) before dropping in 1971 (77 percent).

In terms of ownership, the number of proprietary and nonprofit hospitals decreased steadily from 1967 to 1971, while the number of government operated hospitals increased (table N).

Inpatient Utilization Trends

Despite a- steady decrease in their average

patient census from 1967 to 1971 (table M), hospitals have been substantially increasing their admissions. In 1967 the average yearly number of

admissions per hospital was 3,774, in 1969 the

average was 4,075, and by 1971 the average was

up to 4,381. The actual total number of admissions

rose from 30.7 million in 1967 to 31,7 million in

1969 to 33.6 million in 1971. (Table 15.)

The effect of this increase in admissions

combined with the decrease in beds can be seen

in the turnover rates (yearly admissions per bed)

of hospitals from 1967 to 1971. From a rate of

18.8 in 1967, the turnover rate rose to 20.3 in 1969

and then to 22.3 in 1971. The turnover rate for

general hospitals rose from 30.9 to 31.2 to 32.3,

while the rates for psychiatric hospitals rose from

1.0 to 1.3tol.6forthe years 1967, 1969, and 1971,

respectively. Increasing turnover rates imply a

shorter length of stay with patients being released

sooner and being sent to nursing homes and extended care facilities.

Outpatient Utilization Trends

Another important measure of hospital utilization is outpatient visits. A tremendous number of

people visit hospitals on an outpatient basis each

year. In 1971, 214.8 million hospital outpatient

visits were recorded in the United States (table

Table M. Number of hosDitak and beds. average bed capacity, total patient census,

average census, and a;erage occupancy-rate for 1967, 1969, and 1971: United States

Aver -

Hos -

age Total

Year pitals Beds bed patient

capac - census

it y

.

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

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

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

Average Average

number occuOf pane y

patients rate

per hos -

pital

154 .79

163 .81

165 .82

14
Table N. Number of hospitals by type of

ownership: United States, 1967, 1969,

and 1971

Year Propri- Non- Governe tary profit ment

23). (Due to multiple visits, an accurate count of

the number of outpatients is not possible.) The

214.8 million was an increase of 32.7 million

visits (18 percent) over 1969. There was a slight

decrease inthenumber ofhospitals providing outpatient services in 1971 compared with the number in 1969 (7,299 in 1971 and 7,306 in 1969).

The 7,299 hospitals that provided outpatient

services in 1971 represented 95 percent of all

the hospitals in the country. Virtually all (98

percent) general hospitals offered outpatient services, whereas less than half (46 percent) of the

narcotic addiction or alcoholism hospitals offered

them,

The three basic types of outpatient visits

defined in the 1971 MFI Survey were (1) emergency visits, (2) outpatient clinic visits, and (3)

other visits (referred patients).

Of the three types, most of the outpatient

visits were clinic visits (45.8 percent), the remaining visits being split between emergency

visits (27.6 percent) and referred patient visits

(26.6 percent). The 98.3 million outpatient clinic

visits shown in table 23 represent an increase of

39 percent over the 1969 figure and the 59.3 million emergency visits a 20-percent increase. However, the 57.2 million referred visits are a 4-percent decvease from the 1969 figure.

Almost all (406 of the 408) federally operated

hospitals provided outpatient services. These hospitals had an average of 117,287 visits each in

1971. This compared to the “nonprofit hospital

average of 29,353 visits, the State and local

government hospital average of 22,168 visits, and

the proprietary hospital average of 8,424 visits.

The extremely high average number of visits in

Federal hospitals is in all probability due to the

fact that they were much larger than the other

hospitals. As was mentioned earlier, the Federal

hospitals had an average of 352 beds; State and

local hospitals averaged 266 beds; nonprofit hospitals, 171 beds; and proprietary hospitals, 68

beds. The larger hospitals had more personnel

and were able to both offer more services and

handle more patients.

Employee Trends

Table O shows how the number of full- and

part-time employees in hospitals has been increasing.

Sizable increases took place in the number

of nursing personnel in hospitals from 1969 to

1971. Full-time registered nurses increased by

36,548, 12 percent, and full-time licensed practical nurses increased by 27,332, or 17 percent.

The ratio of full-time hospital employees to

patients in 1971 was 2.06 to 1, or, stating it another way, 206 full-time employees for every

100 patients. Of these 206 full-time hospital employees, 45 were full-time RN’s or LPN’s. In

1969 the ratio of full-time hospital employees to

patients was 1.79 to 1, or 179 full-time employees

per 100 patients, of which 37 were full-time RN’s

or LPN’s.

The number of part-time employees also

continued to increase, from approximately

423,000 in 1967, to 496,000 in 1969, to 536,000

in 1971. Once again, it should be remembered

that these increases took place despite a decvease

in hospitals, beds, and patient census.

Table O. Number of full-time and parttime employees in hospitals and employeee

per hospital: United States,1967, 1969,

and 1971

Part- EmployFull-time time ees

Year employees emper

hos- ployees pital

15
There were increases from 1969 to 1971 in

five of the six full-time medical employee groups

shown in table 24. Physicians and dentists increased 8 percent; interns, 15 percent; RN’s, 12

percent; LPN’s, 17 percent; and other employees,

6 percent. The only decrease occurred with “other

trainees, ” which showed a loss of 9 percent.

Most of the increase in full-time personnel

occurred in general hospitals (up 168,549 from

1969). Although psychiatric hospitals increased

their full-time personnel by 9,469, specialty hospitals overall decreased by 426 positions. Parttime employees also increased in general hospitals and decreased in specialty hospitals (table

25).

OTHER HEALTH FACILITIES

Included in the 1971 MFI Survey were 4,769

health facilities other than hospitals and nursing

homes. These facilities, henceforth called “other

health facilities, ‘‘ included resident schools or

homes for the deaf, blind, physically handicapped,

mentally retarded and emotionally disturbed,

unwed mothers, dependent children (and orphans),

alcoholics or drug abusers; children’s correctional facilities; and other miscellaneous facilities.

The largest number of these facilities were

facilities for the mentally retarded (MR) with

1,236; homes for dependent children and orphans

were the next largest group with 1,015. (Because of the similarity between homes for dependent children and orphanages, they have been

combined for purposes of this report.) Table 26

shows the number of each type of facility by bed

size group and ownership. This table indicates

that homes for the mentally retarded were generally run by proprietary organizations, whereas

facilities for the emotionally disturbed, dependent

children, unwed mothers, and alcoholics or drug

abusers were run by nonprofit organizations. Facilities for the deaf or blind and correctional facilities for children were usually run by government agencies.

Most of these other health facilities were

small, with 45 percent having less than 25 beds

and only 19 percent having 100 beds or more.

Table P. Average bed capaci,ty and occuDancv rate for other health facilities :

~nit~d States, 1971

Type of faci.li.ty

Deaf or blind -----------

Unwed mothers -----------

Physically handicapped --

Mentally retarded -------

Emotionally disturbed ---

Orphans or dependent

children ---------------

Drug abusers or

alcoholics -------------

Children’s correctional

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

Miscellaneous

other facilities -------

Aver -

age

bed

capacity

171

37

l%

41

60

80

123

90

3ccupancy

rate

87.6

62.1

83.8

91.3

85.6

80.0

79.6

79*3

83.2

Homes for the deaf or blind were the only type

with more than half the homes having 100 beds

or more (57 percent).

It can be seen intable 26, however, that there

were 78 MR facilities with more than 1,000 beds

andanother41 facilities with 500t0999 beds. Due

tothese very large facilities the average bed capacity of the MR facilities was 173 beds, more than

that of any of the other types of facilities. Homes

for the deaf or blind with an average of 171 beds

were the next largest type. The average bed capacity and occupancy rates for each of these other

health facilities are shown in table P.

In addition to having the highest bed capacity

averages, MR facilities and homes for the deaf or

blind had the highest occupancy rates (91.3 percent and 87.6 percent, respectively). Homes for

unwed mothers had the lowest occupancy rate, with

62.1 percent.

Tables 27 and 28 indicate for each type of facility the number of homes and number of beds in

them by State.

Table Q shows how many residents and how

many full- and part-time employees there were in

these various types of facilities. It indicates there

were 244,500 full-time and 26,035 part-time employees working to serve the 415,189 residents in

the facilities. With the conversion of part-time

16
Table Q. Number of facillties,residents, full-time and part-time employees, part-time

hours, and staff ratios in other health facilities,by type of facility: United States,

Type of facility

All facilb2ies --------

Deaf or blind ---------------

Unwed mothers ---------------

Physically handicapped ------

Mentally retarded -----------

Emotionally disturbed -------

Orphans or dependent

children -------------------

Drug abusers or alcoholics--

Children’s correctional

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

Miscellaneous other

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

Facil-

~ties

4,769

143

176

1,2%

875

1,015

166

752

312

kesidents

415,189

21,436

4,024

7,035

195,316

30,901

48,738

10,625

73,655

23,459

Full-time

>mployees

244,500

11,156

2,117

5,618

123,247

19,671

2;,;;;

9

41,454

12,332

Part -

time

pl~~ees

26,035

977

1,093

615

7,764

4,225

4,443

895

4,174

1,848

Part-time

hours

419,693

12,943

18,648

9,340

132,670

58,817

71,475

13,659

67,816

34,325

Staff

ratiol

618

538

659

837

650

691

525

541

589

568

1

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

personnel to full-time equivalents,b there were

about256,500fu11- time employees andequivalents,

or roughly 618 employees for every 1,000 residents in all facilities. Facilities for the physically

handicapped had the highest staff ratio, with837

employees per 1,000 residents.

Most facilities for the mentally retarded

offer programs for training, educating, or rehabilitating their patients. The programs most

frequently offered include classes for educable

children, trainable children, and profoundly retarded childre~ classes for adults; and prob“Full-time equivalents” were computed by dividing the

numberofpart-time hoursby35(hours) .Forthepurpose ofthis

survey, if an employee worked 35 hours or more per week, he

was considered afull-time employee.

grams for vocational training and counseling,

occupational therapy, and physical therapy. The

programs that any MR facility offers depend

mainly on the type of patient that the facility

accepts (degree of retardation, age, and so

forth). In this regard there are three basic degrees of retardation: (l) those retarded the most

are called the profoundly retarded, (2) those

that are less retarded are called trainable, and

(3) those that are the least retarded are called

educable.

Of the 1,236 MR facilities, 437(35 percent)

offered classes for profoundly retarded children,

304 (25 percent) offered classes for the trainable, and 353 (29 percent) offered classes for the

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

classes forany of their residents.

000

17
REFERENCES

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

maintenance of a national inventory of hospitals and institutions. Vitalad Heakh .Stufistics. PHS Pub. No. 1000-Series

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

Printing Office, Feb. 1965.

2National Center for Health Statistics: Inpatient health

facilities as reported from the 1967 MFI Survey. Vital and

Health Statistics. Series 14-No. 4. DHEW Pub. No. (HSM)

72-1065. Health Services and Mental Health Administration.

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

3National Center for Health Statistics: Inpatient health

facilities as reported from the 1969 MFI Survey. Vital and

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

73-1801. Health Services and Mental Health Administration.

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

4 National Center for Health Statistics: The agent y reporting system, Vitaland Heakh Statistics. PHS Pub. No. 1000-

Series l-No. 6. public Health Service. Washington. U.S. Government Printing Office, Apr. 1968.

5National Center for Health Statistics: Health Resources

Statistics: f 971. DHEW Pub. No. (HSM) 72-1509. Health Services and Mental Health Administration. Washington. U.S. Government Printing Office, Feb. 1972.

60 fflce of Statistical Standards: Standard Afetropohn

Statistical Areas. Bureau of the Budget. Washington. U.S. Government Printing Office, 1967.

7Bureau of the Census: Statistical Abstract of the United

States, 1972. 93d ed. Washington. U.S. Government Printing

Office, 1972.

18
LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Number of nursing homes newly found between 1969 and 1971 (“births’’)inthe United

States and in California, by bed size and primary type of service---------------

Number of nursing homes and beds, by primary type of service: United States and

each State, 1971----------------------------------------------------------------

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

Number and percent distribution of nursing homes by bed size, according to type

of ownershipand primary type of service: United States, 1971-------------------

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

Number of full-time and part-time employees in nursing homes: United States and

each State, 1971----------------------------------------------------------------

Number of full-time and part-time registered nurses and licensed practical nurses

in nursing homes: United States and each State, 1971----------------------------

Number of residents in nursing homes by primary type of service provided by home:

United Stdtes and each State, 1971 ----------------------------------------------

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

Number and type of nursing home employees and number per 100 beds by type of

ownershipand primary type of service of home: United States, 1971--------------

Number of nursing homes by bed size and primary type of service: United States

and each geographicregion, 1971------------------------------------------------

Nursing home beds per 1,000 population 65 years and over: United States, each

region and State, 1971----------------------------------------------------------

Number and percent distribution of hospitals by bed size,

hospital:

according to type of

United States, 1971---------------------------------------------------

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

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

Number of hospitals outside and within a standard metropolitan statistical area,

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

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

----.--------------------------- --------------------------------------------

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

Number of hospitals outside a standard metropolitan statistical area and percent

of all hospitals and number of hospitals within anSMSA by population size of the

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

Number of beds in hospitals outside a standard metropolitan statistical area and

number of beds in hospitals within an SMSA by population size of the SMSA, by

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

Page

21

22

23

24

25

25

26

27

28

28

29

30

31

32

33

35

37

38

39

41 “

19
LIST OF DETAILED TABLES-Con.

Table 21.

22.

23.

24.

25.

26.

27.

28.

29.

Occupancy rate and number of patients in hospitals outside a standard metropolitan statistical area and occupancy rate and number of patientsin hospitals within

an SMSA by population size of the SMSA, by type of hospital and bed size: United

States, 1971 --------------------------------------------------------------------

Number of hospitals and beds and beds per 1,000 population, by type of hospital:

United States, each region and State, 1971--------------------------------------

Number of hospitals reporting outpatient visits and number of outpatient visits

by type of visit,by type of ownership and type of hospitak United States, 1971--

Number and type of full-time employees in hospitals by type of ownership and

type of hospital: United States, 1971 --------------------------- ----------------

Number and type of part-time employees in hospitals by type ownership and type of

hospital: United States, 1971 ------------------------------------ ---------------

Number of other health facilities bytype of facility, type of ownership, and bed

size: United States, 1971 -------------------------------------------------------

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

Number of beds in other health facilities by type of facility: United States and

each State, 1971----------------------------------------------------------------

Number of facilities for the mentally retarded by programs offered and bed size:

United States, 1971-------------------------------------------------------------

43

45

46

47

48

49

50

51

52

20
Table 1. Number of nursing homes newly found between 1969 and 1971 (’births”) in the United States

and in California, by bed size and primary type of service

Primary type of service

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

Nursing care --------------------

Personal care with nursing ------

Personal care -------------------

Domiciliary care----------------

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

Nursing care --------------------

Personal care with nursing ------

Personal care -------------------

,Domi.ciliary care----------------

All

bed

sizes

3,506

1,380

426

1,581

119

1,514

183

150

1,092

89

3-24

beds

1,981

164

268

1,439

110

1,325

1:2

1,077

87

25-

49

beds

395

267

43

79

6

46

31

1$

1

50-

74

beds

380

301

39

38

2

31

22

4

5

Bed size

75-

99

beds

265

229

28

8

65

63

2

.00-

.99

>eds

405

359

34

11

1

37

35

1

i

too -

~gg

>eds

52

37

10

5

6

4

2

300-

199

>eds

20

15

4

1

3

1

2

+

1,000

~~~- beds

beds ‘r

more

7 1

7 1

I

21

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

Primary type of service

?ersonalcare

with nursing

domiciliary

care

State All

Iomea

All

beds Nursing care ?ersonalcare

Homes Beds iomes Beds lomes Beds iomes Beds

!2,004

192

8;

218

4,277

212

380

34

73

373

283

132

1,0%

522

747

480

344

212

288

195

960

562

593

134

494

103

253

$’

548

1,0$:

843

109

1,191

411

311

753

185

118

153

234

937

142

101

335

385

124

490

34

1,201,598

13,43$

653

5,220

15,053

145,982

16,499

21,917

1,878

2,774

35,871

22,809

2,291

3,913

66,871

32,538

33,785

21,868

18,622

14,610

7,391

14,689

49,687

43,284

41,143

7,115

32,022

4,459

15,102

1,441

5,460

30,775

3,299

81,112

19,217

6,194

59,524

26,903

17,171

57,691

6,511

7,476

7,042

14,317

70,812

4,769

3,010

15,678

28,564

3,852

37,648

1,697

12.871 1,568

11

1

9

4:;

26

36

5

::

25

35

23;

72

146

174

144

;;

1%

;;

16

94

27

73

2:

64

17:

285

28

158

::

143

30

3;

20

%

17

62

60

23

98

3

192,347

859

175

375

728

17,473

2,397

1,628

541

583

4,090

United States----- 917.707 18.317

-

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

Alaska------------------

Arizona-----------------

Arkansas----------------

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

178

7

2::

1,373

166

246

27

2%

247

27

5%

403

437

247

139

193

144

157

643

419

380

108

355

1%

21

97

279

5:;

148

50

940

369

197

547

91

99

1:2

799

78

&

287

3::

20

12,546

478

4,554

14,118

L04,297

13,511

18,474

1,302

2,038

29,104

20,469

1,641

3,569

44,438

25,658

22,347

14,166

9,051

13,732

5,400

13,008

39,309

36,834

31,608

6,305

25,162

3,368

10,775

1,033

4,591

2$:;:

57;906

8,326

3,828

46,923

24,451

12,880

43,451

4,798

6,455

4,917

11,050

61,505

3,133

2,263

10,326

23,060

2,504

30,973

1,359

28

271

207

!3,401

534

1,682

1::

1,698

212

364

165

6,994

1,426

3,460

659

2,206

213

1,089

2,8%

1,735

2,389

217

1,027

145

507

267

219

4,821

150

8,607

3,;74;

2,046

552

1,282

1,566

901

216

372

1,687

l_,677

194

413

2,186

1,305

689

676

165

Colorado----------------

Connecticut-------------

Delaware----------------

Districtof Columbia----

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

2,098

286

179

15,236

5,431

7,967

7,043

7,365

665

876

1,620

7,501

4,655

7,146

593

Georgia-----------------

Hawaii------------------

Idaho-------------------

Illinois----------------

Indiana-----------------

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

Kansas------------------

Kentucky----------------

Louisiana---------------

Maine-------------------

Maryland----------------

Massachusetts-----------

Michigan----------------

Minnesota---------------

Mississippi-------------

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

Montana-----------------

Nebraska----------------

Nevada------------------

New Hampshire-----------

5,818

894

3,820

6;;

3,456

794

14,396

7,115

1,520

10,551

1,891

2,984

12,674

800

805

1,747

1,570

7,543

1,442

317

3,115

4,123

647

5,965

173

New Jersey--------------

New 14exic0--------------

New York----------------

North Carolina----------

North Dakota------------

Ohio--------------------

Oklahoma----------------

Oregon------------------

Pemsylvania------------

Rhode Island------------

South Carolina----------

South Dakota------------

Tennessee---------------

Texas-------------------

Utah--------------------

Vermont-----------------

Virginia----------------

Washington--------------

West Virginia-----------

Wisconisn---------------

Wyoming-----------------

22
Table 3. Number of nursing homes by bed size: United States and each State, 1971

State

United States-----

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

Alaska-----------------

Arizona----------------

Arkansas---------------

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

Colorado---------------

Connecticut------------

Delaware---------------

I),ss&t of Columbia---

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

Georgia----------------

Hawaii-----------------

Idaho------------------

Illinois---------------

Indiana----------------

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

Kansas-----------------

Kentucky---------------

Louisiana--------------

Maine------------------

Maryland---------------

Massachusetts----------

Michigan---------------

Minnesota--------------

Mississippi------------

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

Montana----------------

Nebraska---------------

Nevada-----------------

New Hampshire----------

New Jersey-------------

New Mexico-------------

New York---------------

North Carolina---------

North Dakota-----------

Ohio-------------------

Oklahoma---------------

Oregon-----------------

Pennsylvania-----------

Rhode lkland-----------

South Carolina---------

South Dakota-----------

Tennessee--------------

Texas------------------

Utah-------------------

Vermont----------------

Virginia---------------

Washington-------------

West Virginia----------

Wisconsin--------------

Wyoming----------------

All

bed

sizes

22,004

192

8

2:;

4,277

212

380

34

3;:

283

132

64

1,046

522

747

480

344

212

288

195

960

562

593

134

494

103

253

1;2

548

1,0$:

843

109

1,191

411

311

753

185

118

153

234

937

142

101

335

385

124

490

34

1-24

)eds

25-49

beds

4,784

48

%

407

43

93

:

66

58

:;

314

193

156

110

96

48

70

2;:

130

106

39

169

23

50

3:

123

28;

126

24

364

89

2;;

29

36

33

2%

27

::

102

1?:

7

50-74

>eds

Bed sizes

75-99

beds

2,046

33

2

::

373

::

3

4:

34

1;

101

42

51

$;

46

10

&

64

75

9

4:

26

2

3

37

10:

22

13

95

45

39

72

11

23

11

1:;

7

2

#

5:

6

1oo199

beds

2,825

38

3

;!

274

59

64

6

10;

73

;

156

75

67

50

36

36

3

49

131

118

110

18

71

8

35

1$

88

165

30

12

121

77

27

146

8

20

8

2;:

6

4

26

77

10:

4

2oo299

beds

422

i

38

10

6

1

2;

11

1

2i

9

4

;

1

8

2;

8

11

1

3

i

15

5;

5

2

22

5

1

22

2

3

i

32

1:

1:

1oo-

.99

teds

jOO199

)eds

40

L,000

)eds

or

nore

5

1

i

:

1

i

23
Table 4. Number and percent distributionof nursinghomes by bed size, accordingto type of ownershipand

primary

7

Percent

distribution

ype of servi~e:United States, 1971

All

?omes

22,004

Primarytype of service

Nursing care ===7 Personalcare domiciliarycare Type of wnership

and bed size

Number

‘ercent

[istrimt ion

Percent

distribution

Percent

iistri-

>ution

?ercent

Iistrimt ion

Number Number Number

100.0 12,871 100.0 3,568 100.0

26.1

17.7

23.2

11.9

:::

3.0

&i

100.0

5,369

3,459

1,038

596

Ml

5;

;

4,611

100.0

64.4

19.3

11.1

3.1

0.9

k:

0.0

0.0

100.0

196

154

19

10

7

1

i

158

137

13

5

3

30

100.0

78.5

9.7

5,1

3.6

0,5

0.5

2.0

100.0

86,7

8.2

3.2

1.9

-

100.0

All types-----

930

631

827

425

245

351

108

~;

2,3“17

-

840

51?

547

210

90

85

25

3

1,028

3-14 beds -----------

15-24 beds----------

25-49 beds----------

50-74 beds----------

75-99 beds----------

100-199beds--------

200-299beds--------

300-499 beds--------

500 beds or more----

5,152

3,114

4,784

;,:;:

2;825

422

1;;

17,049

4,614

2,648

3,598

2,495

L,477

1,962

215

37

3

3,587

23.4

14.1

21.7

15.7

12:i

1.9

$ ;

100.0

27.1

15.6

21.1

14.6

1::;

& 2

0.0

100.0

609

1,426

;,:;;

1:752

2,422

303

100

32

9,963

493

1,224

2,638

2,179

;,;3:

‘186

33

3

2,036

1:::

26.0

22.3

13.6

18.8

2.3

:;;

Proprietary----- 100.0

36.3

22.3

23.6

9.1

3.9

3.7

1.1

0.1

100.0

3,144

894

408

103

26

31

4

1

493

3-14 beds-----------

15-24 beds----------

25-49 beds----------

50-74 beds----------

75-99 beds----------

100-199beds--------

200-299beds--------

300-499beds--------

500 beds or more----

1;:;

26.5

21.9

13.7

18.5

1.9

M

100.0

19.4

8.8

2.2

0.6

0.7

0.0

0.0

100.0

37.5

21.1

26.4

8.3

3.0

2,9

0.6

0.;

100.0

49.1

15.1

21.9

8.7

2.6

2.3

O.i

Nonprofit-------

318

353

860

741

442

658

145

59

11

1,368

22C 112

326

239

127

205

:;

31

n

24.0

20.6

12.3

18.3

:.:

0:3

100.0

M

488

517

292

408

69

34

4

872

3.6

7.4

24.0

25.4

14.3

20,0

3,4

1.7

0.2

100.0

4.8

2;::

20.6

11.4

19.3

5.5

;.;

.

48

94

237

179

135

235

69

25

6

223

42

::

36

20

31

14

12

5

4.7

2?:;

17.4

13.1

22.9

6.7

:::

100.0

18.8

1;:;

16.1

1%:

6.3

5.4

2.2

185

104

130

41

15

14

3

i

265

130

;;

23

;

i

36.7

16.7

16.7

13.3

1;::

100.0

3-14 beds-----------

15-24 beds----------

25-49 beds----------

50-74 beds----------

75-99 beds----------

100-199beds--------

200-299beds--------

300-499beds--------

500 beds or more----

Government------

6

1

i

75.0

12.5

12,;

3-14 beds-----------

15-24 beds----------

25-49 beds----------

50-74 beds----------

75-99 beds----------

100-199beds--------

200-299beds--------

300-499beds--------

500 beds or more----

16.1

2%;

17.5

1;::

3:3

2.3

42

2%

180

1{

33

25

24
Table 5. Numberof nursing homes by bed size and type of ownership: United States, 1971

All

bed

sizes

Bed size

Type of

ownership 1,000

beds

or

more

100-

199

beds

200-

299

beds

3oo499

beds

jOO-

)99

)eds

3-24

beds

25-49

beds

50-74

beds

75-99

beds

All homes-- 22,004

17,049

3,587

912

2,675

1,368

1,301

67

8,266

7,262

671

125

546

333

293

40

4,784

3,598

860

173

687

326

321

5

3,475

2,495

741

174

567

239

236

3

2.046 2,825

1,962

658

232

426

205

198

7

422 141 40 5

1

1

i

3

1

2

-

1,477

442

135

307

127

122

5

Proprietary------ 215 37 2

10

;

28

28

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

------- --

Other----------

Government-------

State or localFederal--------

62

59

3

45

43

2

Table 6. Number of full-time and part-time employees in nursing homes: United States

and each State, 1971

Fulltime

employees

567,71’

8,419

371

;,;;;

62;102

8,070

10,935

956

1,851

16,697

11,836

1,250

1,993

29,941

17,168

12,170

9,235

7,337

6,930

3,606

8,601

21,327

25,641

15,274

Parttime

employees

201.062

Fulltime

employees

Parttime

employees

603

3,539

856

2,951

151

1,534

5,942

290

16,360

2,311

1,237

9,247

2,302

2,235

11,437

1,839

834

1,696

1,358

5,951

754

834

2,191

4,892

441

9,267

243

2.5

State State

Mississippi----------

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

Montana--------------

Nebraska-------------

Nevada---------------

New Hampshire--------

New Jersey-----------

New Mexico-----------

New York-------------

North Carolina-------

North Dakota---------

Ohio-----------------

Oklahoma-------------

Oregon---------------

Pennsylvania---------

Rhode Island---------

South Carolina-------

South Dakota---------

Tennessee------------

Texas----------------

Utah-----------------

Vermont--------------

Virginia-------------

Washington-----------

West Virginia--------

Wisconsin------------

Wyoming--------------

3,732

15,094

2,201

5,576

877

2,684

15,742

1,775

51,008

8,632

2,521

28,630

11,722

7,074

29,942

2,573

4,023

2,689

6,767

31,860

1,929

1,569

7,961

11,270

2,445

15,668

735

United States----

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

Alaska-----------------

Arizona----------------

Arkansas---------------

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

Colorado---------------

Connecticut------------

Delaware---------------

District of Columbia---

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

Georgia----------------

Hawaii-----------------

Idaho------------------

Illinois---------------

Indiana----------------

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

Kansas-----------------

Kentucky---------------

Louisiana--------------

Maine------------------

Maryland---------------

Massachusetts----------

Michigan---------------

Minnesota--------------

1,360

115

713

1,061

19,572

2,591

6,492

377

257

3,618

1,866

303

747

10,867

4,798

6,650

3,039

1,693

1,342

2,079

2,212

17,063

7,907

13,045
Table 7. Number of full-time and part-time registered nurses and licensed practical

nurses in nursing homes: United States and each State, 1971

State

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

Alabama------------------------------.-------

Alaska---------------------------------------

Arizona--------------------------------------

Arkansas-------------------------------------

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

Colorado-------------------------------------

Connecticut----------------------------------

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

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

Georgia-------------------------------------

Hawaii--------------------------------------

Idaho----------------------------------------

Illinois-------------------------------------

Indiana------------------------.-------------

Iowa---------------------------------------.-

Kansas---------------------------------------

Kentucky-------------------------------------

Louisiana------------------------------------

Maine-------------------------------------.-

Maryland-------------------------------------

Massachusetts-------------------------------

Michigan-------------------------------------

Minnesota------------------------------------

Mississippi----------------------------------

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

Montana-------------------------------------

Nebraska----------------.Q.-...--------------

Nevada---------------------------------------

New Hampshire--------------------------------

New Jersey----.-----------------------------

New Mexico----------------------------------

New York-----------------.-------------------

North Carolina-------------------------------

North Dakota---------------------------------

Ohio-----------------------------------------

Oklahoma---------------------------------....

Oregon---------------------------.----------

Pennsylvania---------------------------------

Rhode Island--.-.............................

South Carolina-----------------.----.-.=-----

South Dakota---------------------------------

Tennessee------------------------------------

Texas--------.---.----.----------------------

Utah..........-..............--------........

ve~ont --------------------------------------

Virginia-------------------------------------

Washington-----------------------------------

West Virgina----------------------------.....

Wisconsin------------------------------------

Wyoming----------------------------..........

Full-time

RN

40,160

340

22:

254

4,580

754

1,521

1::

1,337

564

138

146

2,044

1,019

864

438

356

401

310

541

2,235

1,365

1,340

170

693

270

302

3!;

1,695

4,;);

164

1,872

470

517

2,687

261

295

233

248

;;;

194

478

1,160

104

1,087

62

LPN

52,899

1,085

2:?

509

5,277

867

1,038

1;:

1,701

1,;:;

206

2,;5:

901

402

529

849

314

559

2,867

1,814-

1,149

376

1,104

218

305

2X

1,244

167

4,;;;-

133

3,810

990

373

3,915

268

364

139

687

4,259

223

202

662

1,045

193

8;;

Part-time

RN

26,274

110

1::

140

2,390

406

1,351

78

6;;

208

49

1,2;:

:;:

251

165

137

185

391

2,172

894

1,358

3%

128

212

2:?

1,163

2,8;!

239

141

1,295

205

265

1,885

154

144

:;;

365

$:

656

1,2%!

39

LPN

20,670

,

259

5

1;:

2,103

303

701

31

5:;

309

::

799

276

443

155

179

268

137

201

1,740

896

883

134

3;;

1$:

94

509

44

2,180

253

1,2;:

263

175

1,293

155

99

1!:

1,1;;

103

248

422

6%

21

26
Table 8, Number of residents in nursing homes by primary type of service provided by

home: United States and each State, 1971

State

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

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

Alaska-----------------------------

Arizona------------------------.-

Arkansas-------------------------

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

Colorado-------------------------

Connecticut----------------------

Delaware-------------------------

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

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

Georgia--------------------------

Ha&i ---------------------------

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

Illinois-------------------------

Indiana----------------------------

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

Kansas---------------------------

Kentucky-------------------------

Louisiana ------------------------

Maine----------------------------

Maryland-------------------------

Massachusetts--------------------

Michigan-------------------------

Minnesota------------------------

Mississippi----------------------

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

Montana--------------------------

Nebraska-------------------------

Nevada---------------------------

New Hampshire--------------------

New Jersey-----------------------

New Mexico-----------------------

New York-------------------------

North Carolina------;------------

North Dakota---------------------

Ohio-..---------------------------

Oklahoma-------------------------

Oregon---------------------------

Pennsylvanla----.-----------------

Rhode Island---------------------

South Carolina-:-----------------

South Dakota-=-------------------

Tennessee------------------------

Texas----------------------------

Utah-----------------------------

Vermont--------------------------

Virginia-------------------------

Washington-----------------------

West Virginia--------------------

Wisconsin------------------------

Wyoming-------------------------

All

residents

1,075,724

12,286

509

4.637

13;793

121,487

14,931

20,648

1,707

2,538

29,647

20,817

2,156

3,415

61,086

28,966

30,399

20.019

16;481

13,343

6.843

13;752

46,061

40,222

38,017

6,157

28.470

4;145

13,721

1,179

4.991

2;;;::

76;342

17,485

5,876

53.217

23;837

15,984

52,461

6.090

6;598

6,622

12,192

60.848

4:427

2;752

14,073

25,228

3,466

33,973

1,555

Residents in home providing:

Nursing

care

824,038

1L,439

379

4,042

12,977

86,332

12,293

17,593

1,175

1,904

23,494

18,953

1,543

3,151

;;,;;;

20;093

12,963

7,706

12,547

5,059

12,217

37,274

34,473

29,175

5,541

22,229

3,157

9,730

840

4,255

20,205

1,765

55,145

7,380

3,603

42,377

21,771

11,925

39,581

4,496

5,687

4,674

9,448

53,267

2,913

2,052

9,272

20,325

2,338

28,028

1,244

Personal

care

with

nursing

171>799

813

130

340

650

14,709

2,174

1,445

499

535

;,::;

‘269

157

13,799

;,;:;

6;472

6,805

606

813

1,483

6,240

4,212

6,662

449

5,344

812

3,550

5%

3,134

587

13,263

6,589

1,468

9,159

1,615

2,853

11,515

740

754

1,595

1,133

6,120

1,;;:

2,883

3,679

516

5,375

152

Personal

care

77,028

28

246

166

19,752

457

1,496

;;

1,487

171

344

107

6,264

1,031

2,957

584

l,9&

9:;

2,531

1,508

2,180

167

887

131

441

246

157

4,;;;

7,753

3,491

805

1,678

445

1,184

1,365

844

157

347

1,604

1,378

176

386

1,872

1,167

601

;;;

Domiciliary care

27
Table 9. Number and percent distribution of residents in nursing homes by type of ownership, according to

primary type of service provided by home: United States, 1971

Residents in home providing:

Personal care omiciliary care All Percent

L

Nursing care

distri -

.esidents bution

Type of ownership of home

Percent

Number distribution

‘ercent

listrilution

100.0

?ercent

Iistri -

mtion

‘ercent

listriution

100.0

39.0

56.5

26.1

30.4

4,5

i:;

-lUk Number umber

&

77,028 100.0

57,794 75.0

13,120 17.1

3,212

9,908 lk3

6,114

4,528 ;:;

1,586 2.0

=lHi== 2,859

1,115

1,616

746

870

128

37

91

71,799 100.0

38.3

50.3

17.8

32.5

11.4

10.2

1.2

All homes -

Proprietary -----

Nonprofit -------

Church --------

Other ---------

Government ------

state or localFederal -------

72.2

17.8

15::

10.0

::!

65,699

248,094 23.1 146,890

74,488 39,865

173,606 1::2 107,025

86,468

30,665

55,803

108,457

103,277

5,180

10.1 82,583

9.6 8;,;;;

0.5 ,

19,632

17,494

2,138

Table 10. Number and type of nursing home employees and number I 100 beds by type of ownership and primary

type of service of home: United St :es, 1971

All

full -time

employees

567,717

Full -time

‘u1l-time licensed

.icensed practical

mactical nurses

nurses per 100

beds

All Part -time

tart-time employees

!mployees per 100

beds

Full -time

employees

per 100

beds

Full -time Wll -time

:egistered registered

nurses

nurses per

100 beds

Type of ownership and pri -

mary type of

service of home

I I

40,160 3

36,218 4

3,445 2

494 1

3

26,156 3

24,666 4

1,150 2

338 1

2

8,987 3

-

All homes - 47

479,391 47,102 5 163,154 ] 18

66,141

21,690

495

368,951

328,269

24,391

15,975

316

128,763

90,896

3:,;6;

s

145

70,003

60,226

8,120

1,623

34

52

34

25

15

46

Nursing care ----

Personal care

with nursing ---

Personal care ---

Domiciliary

care-----------

Profit ------

272497 I

14

10,095 11

4,660

1,125

12

2

1

316 I

10

50

33

24

=4-+ w

23

47

56

;;

8

57

Nursing care ----

Personal care

with nursing ---

Personal care ---

Domiciliary

care-----------

2,043 3

884 1

11 - 1

9,809 I

13

7,420 11

200 I

15

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

Nursing care ---- 7,018 I 4

Personal care

with nursing---

Personal care ---

Domiciliary

care -----------

+

1, p; 2

1

1

5,017 4

4,534 5

445 2

38 1

16,300

2,220

17

15

2,225 2

194 1

-1

=-l-+ Government -- 14.849 ] 12

Nursing care ----

Personal care

with nursing ---

Personal care ---

Domiciliary

care -----------

12,992 I

66 14

34

22

24

3:; 2

1

1 1 x

28
Table 11. Number of nursing homes by bed $ize and primary type of service:United States and each

geographicregion, 1971

Bed size

3ooL99

]eds

141

100

40

1

42

34

8

53

39

14

28

19

9

18

;

1

5oo399

beds

40

31

8

1

21

L,000

)eds

or

more

5

:

1

1

i

All

bed

sizes

Geographicregion and

primary type of service LOO1.99

)eds

3-24

beds

25-49

beds

50-74

beds

‘5-99

)eds

22,004

12,871

3,568

5,369

196

4,451

8,266

2,035

1,561

4,497

173

1,605

4,784

3,351

827

596

10

1,158

3,475 !,046 2,825

2,422

351

51

1

621

422

303

108

i

113

United States---------

2,876

425

167

7

510

.,752

245

48

1

380

Nursing care----------------

Personalcare with nursing--

Personalcare---------------

Domiciliarycare------------

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

J

2,691

710

1,018

32

6,640

4,396

1,285

943

16

5,060

3,394

838

803

25

5,853

527

284

768

26

1,913

825

;;:

12

1,359

336

372

632

19

3,389

795

173

185

5

1,765

1,214

355

195

1

1,119

812

194

112

1

742

;;;

104

3

400

H

1

1,244

973

204

64

3

1,138

307

58

15

594

481

100

13

517

447

59

11

555

519

91

11

928

768

144

16

783

91

18

4

133

::

1

109

18

3

10

Nursing care----------------

Personalcare with nursing--

Personalcare---------------

Domiciliaryc.me------------

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

;

5

2

2

1

4

Nursing care----------------

Personalcare with nursing--

Personalcare---------------

Domiciliarycare------------

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

992

109

36

1

583

511

38

32

2

712

63

8

493

73

30

:

67

Nursing care----------------

Personal care with nursing--

Personal care---------------

Domiciliarycare------------

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

517

28

9

1

423

53

16

1

50

17

1-

Nursing care---------------- 4

Personalcare with nursing--

Personalcare---------------

Domiciliarycare------------

2,390

735

2,605

123

347

483

1,443

116

29
Table 12. Nursing home beds per 1,000 population 65 years and over: United States,

Geographic region and State

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

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

Connecticut -------------------

Maine -------------------------

Massachusetts -----------------

New Hampshire -----------------

New Jersey --------------------

New York ----------------------

Pennsylvania ------------------

Rhode Island ------------------

Vermont -----------------------

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

Illinois----------------------

Indiana -----------------------

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

Kansas ------------------------

Michigan ----------------------

Minnesota ---------------------

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

Nebraska ----------------------

North Dakota ------------------

Ohio --------------------------

South Dakota ------------------

Wisconsin ---------------------

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

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

each region and State, 1971

Beds per

1,000

)opulation

65 years

md overl

59.9

50.7

75.8

64.3

78.1

70.0

44.2

41.4

;;.;

64:0

69.3

61.1

65.9

96.5

82.2

57.5

100.6

57.1

82.1

93.8

59,6

88.0

79.6

50.5

41.2

Geographic region and State

South—Con.

Arkansas --------------------

Delaware --------------------

District of Columbia --------

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

Georgia ---------------------

Kentucky --------------------

Louisiana -------------------

Maryland --------------------

Mississippi -----------------

North Carolina --------------

Oklahoma --------------------

South Carolina --------------

Tennessee -------------------

Texas -----------------------

Virginia --------------------

West Virginia ---------------

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

Alaska ----------------------

Arizona ---------------------

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

Colorado --------------------

Hawaii ----------------------

Idaho -----------------------

Montana ---------------------

Nevada ----------------------

New Mexico ------------------

Oregon ----------------------

Utah ------------------------

Washington ------------------

Wyoming ---------------------

Beds per

1,000

population

65 years

and over 1

63.2

42.7

39.1

36:3

62.1

55.3

47.6

49.0

32.0

46.4

89.7

39.1

37.3

71.4

42.8

19.9

76.2

93.3

32.4

81.1

87;5

52.1

57.5

64.6

46.5

46.5

75.6

61.1

88:7

56.6

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

30
Table 13. Number and percent distributionof hospitalsby bed size, accordingto type of hospital: United

States. 1971

Al1

hosoitals

,

General

hos -

pital

Specialty hospital

Tuh erculoais

.—

Chronic

diseaae

I

Narcotic

addic -

tion

or

alto -

holism

Reha -

bili -

tation

Bed size

Paychi -

atric

Maternity Total Other

Number

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

Less than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199beds------------

200-299beds------------

300-499beds------------

500-999beds------------

1,000 beds or more------

636 535

1,648 1,509

1,052 933

772 675

1,545 1,351

739 657

708 630

365 270

213 47

101

139

119

1;1

3

69

157

Percent distribution

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

100.0 100.0]

I I

100.0 I 100.0 100.0 I 100.0I 100.0 I 100.0

I I I

Less than 25 beds-------

25-49 beda--------------

50-74 heals--------------

75-99 beda--------------

100-199beds------------

200-299beds------------

300-499beds------------

500-999beds------------

1,000 beds or more------

2;::

13.7

10.0

20.1

9.6

;::

.

8.1

22.8

14.1

10.2

20.5

9.9

:::

0.7

9.4 2.8 2.0 2.2

13.0 10.3

11.1 8.1 1::: 1:::

15.2

1::: J:; 27.3 2;::

7.7 6.6 18.9

7.3 7.1 2;:; 11.1

13.0 4.0

1::; 29.5 i:: J

41.9

30.2

14.0

2.3

7.0

2.;

2.3

68.1

10.6

4.3

l;:i

2.1

2;:?

21.2

25.8

15.2

9.1

1.5

+:;

II I I

.

31
Table 14. Number of hospitals by type of hospital: United States and each State, 1971

State

United States --

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

Alaska ---------------

Arizona --------------

Arkansas -------------

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

Colorado -------------

Connecticut ----------

Delaware -------------

D&~~jt of Columbia-

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

Georgia --------------

Hawaii ---------------

Idaho ----------------

Illinois -------------

Indiana --------------

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

Kansas ---------------

Kentucky -------------

Louis iana ------------

Maine ----------------

Maryland -------------

Massachusetts --------

Michigan -------------

Minnesota ------------

Mississippi ----------

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

Montana --------------

Nebraska -------------

Nevada ---------------

New Hampshire --------

New Jersey -----------

New t.iexico-----------

New York -------------

North Carolina -------

North Dakota ---------

Ohio -----------------

Oklahoma -------------

Oregon ---------------

Pennsylvania ---------

Rhode Island ---------

South Carolina -------

South Dakota ---------

Tennessee ------------

Texas ----------------

Utah -----------------

Vermont --------------

Virginia -------------

Washington -----------

West Virginia --------

Wisconsin ------------

Wyoming --------------

All

hos -

)itals

7,678

1;;

1%

654

104

u

2;;

212

31

3?:

139

157

172

137

168

64

2!:

272

198

133

183

lx

26

38

145

4::

171

64

266

163

96

340

22

103

1;;

602

44

23

135

135

2?:

32

;eneral

6,607

135

26

l%

574

R

9

2::

191

:;

261

118

143

159

117

155

60

l;i

234

183

125

162

1;;

23

35

111

3::

145

62

217

1::

260

18

%

150

546

41

1:;

1:;

157

30

rotal

1,071

13

3

:

80

;;

5

2;

21

;

54

21

14

13

20

13

4

26

R

15

8

21

2

8

3

3

3:

;;

2

49

13

8:

4

11

2;

56

3

2

26

13

11

60

2

Psy -

hiat -

ric

533

4

1

3

4:

1:

1

1;

12

1

3:

11

8

9

;

3

14

29

21

;

11

i

2

1

16

5:

:

28

6

3;

3

6

2

;;

1

2

13

7

3;

2

Specialty hospitals

:uber-

:ulosis

;hronic

Iisease

Nar -

:otic

~ddiction

or

91coIolism

~aternity

rehabilitation

32
Table 15. Selected hospital data type of hospital and bed size: United States, 1971

Number

of

Admissions

Admissions

per bed

Number

of discharges

Discharges

per bed

Number

of

]atients

Hospitals I

Beds Occupancy

rate

Number

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

636

1,648

1,052

772

1,545

739

708

365

213

6,607

1,507,988

10,841

;;,;:;

66;569

217,754

178,968

268,953

244,865

397,860

1,004>799

9,375

53,949

;:,;:;

190;519

159,308

239,617

176,S76

60,819

503,189

1,466

5,094

7,184

8,184

27,235

19,660

29,336

67,989

337,041

418,487

300

2,010

2,577

3,478

11,512

8,584

14,499

51,327

324,200

17,806

13,636,480

337,310

1,910,695

2,009,950

2,066,343

6>999,371

5,691,284

8,104,723

4,989,306

1,527,498

i2,462,956

22.31

31.11

32.36

31.84

31.04

32.14

31.80

30.13

20.38

3.84

32.31

33,651,709

336,632

1,906,264

2,007,253

2,064,631

6,991,187

5,6883920

8,107,733

4,997,127

1,551,962

32,449,319

22.32

31.05

32.29

31.79

31.01

32.11

31.79

30.15

20.41

3.90

32.29

!,185,528

5,637

36,001

41,808

46,052

161,497

142,910

220,114

199,160

332,349

772.751

.79

.52

.61

.66

.69

.74

.80

.82

.81

.84

.77

LCSS than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

General (averagebed

size 152.1)------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

535

1,509

933

675

1,351

657

630

270

47

1>071

296,147

1,845,191

1,936,492

1,997,018

6,760,811

5,602,1S5

8,011,416

4,860>750

1,152,946

1,173,524

41,163

65,504

73,458

69,325

238,560

89,099

93,307

128,556

374,552

656,635

3,666

15,946

24,261

23,046

69,969

25,564

33,128

99,938

361,117

35,009

31.59

34.20

34.61

34.20

35.49

35.17

33.43

27.48

18.96

2.33

28.08

12.86

10.23

8.47

8.76

4.53

3.18

1.89

1.11

1.57

12.22

7.93

9.41

6.63

6.08

2.98

2.28

1.95

1.11

1.97

295,506

1,841,882

1,933,658

1,995,275

6t752,190

5,599,014

8,013,993

:,:::,;;;

>,

1,202,390

41,126

;:,;;:

69:356

238,997

89,906

93,740

134,061

397,227

685,062

3,640

15,646

24,534

22,942

69,798

26,555

33,256

105,22s

383,463

36,235

31.52

34.14

34.56

34.17

35.44

35.15

33.45

27.49

18.99

2.39

4,843

323354

36,668

40,181

141,430

127,335

197,029

143,736

49,175

412,777

.52

.60

.66

.69

.74

.80

.82

.81

.81

.82

Specialty (averagebed

SiZe 469.8)------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

28.05

12.64

1:.~;

8:78

4.57

3.20

1.97

1.18

1.64

794

3,647

5,140

5,871

20,067

15,575

23,085

55,424

283,174

347,958

193

1,454

1,979

;,;:;

6;943

11,825

42,013

271,971

10,687

.54

.72

.72

.72

.74

.79

.79

.82

.84

.83

.64

.72

.77

.74

.78

.81

.82

.82

.84

.60

Psychiatric (averagebed

SiZ@ 785.2)------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

12.13

7.78

9.52

6.60

6.06

3.09

2.29

2.05

1.18

2.03

Tuberculosis (average

bed size 179.9)--------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

25

332

797

1,242

3,865

2,066

7,127

2,352

39

732

1,291

2,617

7,719

4,127

14,323

4,161

1.56

2.20

1.62

2.11

2.00

2.00

2.01

1.77

40

757

1,382

2,723

7,981

4,310

14,811

4,231

1.60

2.28

1.73

2.19

2.06

2.09

2.08

1.80

22

248

402

657

2,187

1,299

4,413

1,459

.88

.75

.50

.53

.57

.63

.62

.62

33
Table 15. Selected hospital data by type of hospital and bed size: United States 1971—COn.

kcupancy

rate

Dis-

:harges

)erbed

1.41

Hositals 1

Beds

Number

of

dmissions

Adlissions

Ierbed

Number

of discharges

Number

of

]atients

21,094

Type of hospital and

bed size

Number

Chronic disease (average bed size 273.5)--

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

Narcotic addiction or

alcoholism (averagebed

size 61.6)-------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

Maternity (average bed

size 39.4)-------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

Rehabilitation (average

bed size ll4.3)--------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds cm more----------

Other (averagebed size

156.7)-----------------

Less than 25 beds-----------

25-49 beds------------------

50-74 beds------------------

75-99 beds------------------

100-199 beds----------------

200-299 beds----------------

300-499 beds----------------

500-999 beds----------------

1,000 beds or more----------

24,614

2::

875

439

3,415

3,943

3,810

;,;:;

,

2,647

34,100 1.39

.40

9.67

4.96

1.53

2.42

1.64

1.40

.57

.58

14.60

90 34,641 .86

2,1;;

4,344

673

8,252

6,459

5,348

2,699

4,169

2,1;:

4,238

669

8,638

6,416

;,;;;

4;536

38,743

.70

9.62

4.84

1.52

2.53

1.63

1.37

.59

.64

14.64

23.35

16.18

17.75

14.36

12.12

3.7;

17.50

38.45

19.38

35.80

31.02

47.51

45.72

46.78

4.98

1%

691

409

2,714

3,442

3,399

:,;:;

,

1,357

181

256

144

22!

34;

108

1,216

129

155

22

7!!

118

5,899

2

12

2:

17

10

:

43 38,657 .51

‘ 18

13

6

;

i

1

-

47

317

455

326

3%

49:

631

1,852

7,474

7,424

5,865

1,295

3,985

23.58

16.32

17.99

14.08

12.11

3.4;

17.30

38.38

19.25

35.76

30.79

47.59

45.70

46.60

5.13

7.59

6.78

6.42

4.80

4.91

2.67

16.66

2.12

5.20

9.90

7,401

7,364

5,785

1,321

3,988

1,84;

11,043

-

71,205

7,363

7,483

3,691

4,038

39,227

9,403

-

37,558

166

3,300

5,402

6,867

6,354

3,596

5,449

1,060

5,364

298,946

22,483

27,706

28,563

30,796

103,011

39,626

33,169

9,728

3,864

.57

.56

.44

.43

.87

.6;

.17

1,698

10,916

71,073 .66

.34

,74

.18

.92

.83

.59

32

5

2

1

6

1

66

380

209

119

8%

201

7,544

22

590

843

1,432

1,294

1,467

326

520

1,050

30,239

7,316

7,473

3,664

4,045

39,209

9,366

38,712 .78

1;

14

17

10

6

1

i

193

7.55

5.59

6.41

4.80

4.91

2.45

16.71

2.04

5.11

9.89

59.95

21.70

17.34

21.75

17.28

11.66

10.78

1.15

.83

4::

632

1,067

918

1,168

289

:::

24,566

205

941

1,270

1,045

;,Z&

2;816

7,386

4,054

1.00

.70

.75

.75

.71

.80

.89

.85

.90

299,338 .81

- .55

.74

.77

.74

.71

.77

.92

.88

.87

22,482

27,793

28,623

30,773

103,078

39,668

33,378

9,739

3,804

59.95

21.76

17.38

21.73

17.29

11.67

10.85

1.15

.82

34
Table 16., Number of hospitals outside and within a standard metropolitan statistical area, by type of ownership,

type of hospital, and bed size: United States, 1971

All hospitals Hospital outside SMSA Hospital within SMSA

Proprietary

405

116

lj;

34

23

2

378

Non -

profit

1,69S

13C

454

29>

247

414

111

46

5

1,668

:ove rn,

ment

1,79;

18:

592

337

197

241

8?

;:

7C

1,591

Govern

ment

Government

Federal

statE

l~al

Proprietary

Non -

>rofit

Propri.

etary

Non -

profit

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

190

613

382

233

392

152

148

126

166

L,866

180

590

355

204

294

90

x

17

536

1,042

203

337

168

115

173

33

12

1

865

3,826

209

626

466

402

%;

481

173

13

3,506

1,01: 637 2,127

Less than 25 beds--------

25-49 beda---------------

50-74 beda---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

87

155

12C

1::

31

12

1

487

1;;

174

155

527

404

435

168

13

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

Less than 25 beds--------

25-49 beds---------------

50-74 beda---------------

75-99 beds---------------

100-199 beds-------------

200-299 beda-------------

300-499 beda-------------

500-999 beda-------------

1,000 beds or more-------

157

293

137

1;:

30

11

1

177

166

554

405

352

879

498

470

170

12

320

179

587

328

185

214

58

26

10

4

206

105

172

44

34

21

2

27

129

444

285

240

409

111

45

5

31

1:

7

;

i

9

i

2

i

i

1

i

1?:

120

112

470

387

:::

12

289

42

62

%

57

17

10

3

1

77

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

Less than 25 beds--------

25-49 beds---------------

50-74 beda---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beda-------------

500-999 beda-------------

1,000 beda or more-------

2

1:

16

31

46

44

31

;:

3

1

94

11

10

4

;

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

Leaa than 25 beds--------

25-49 beds---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beda-------------

300-499 beds-------------

500-999 beds-------------

1,000 beda or more-------

2;

18

16

16

:

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

Less than 25 beda--------

25-49 beds---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beda-------------

1,000 beda or more-------

:

10

13

26

2:

4

i

2

2

1

lIncludea specialty hospitala in the “other’!category.

35
Tnhlr= ------- 16.. Number ..—.——- of.——hosnitals —..=————. outside and within a standard metropolitan statistical area, by type of ownership,

type of hospital, and bed size: United-States, 1971—Con.

All hospitals Hospital outside SMSA Hospital within SMSA

mmrefit

overn -

ment

11

i

:

2

2

1

-

kOpri -

etary

Government Type O;eCJ~~iJal and

‘ederal

tate

or

ocal

~

i

5

1:

11

7

:

3

rOprietary

10

Non -

)rofit

:overn -

ment

?rOprietaryNon -

,rofit

Chronic dLsease------- 4

1

1

1

1

1

i

42

i

4

1;

9

:

4

5

1

1

i

i

1

1

i

8

8

i

3

:

18

Less than 25 beds---------

25-49 beds----------------

50-74 beds----------------

75-99 beds----------------

100-199 beds--------------

200-299 beds--------------

300-499 beds--------------

500-999 beds--------------

1,000 beds or more--------

2

.—

i

1

Narcotic addiction

or alcoholism--------

11

3

3

1

-

5

3

2

3

5

5

2

i

-

-

37

25

3

2

:

.

.

-

43

Less than 25 beds---------

25-49 beds----------------

50-74 beds----------------

75-99 beds----------------

100-199 beds--------------

200-299 beds--------------

300-499 beds--------------

500-999 beds--------------

1,000 beds or more--------

1

1

i

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

7

2

3

i

1

i

25

3

2

;

50

1:

12

15

8

.-

Less than 25 beds--------- 4

25-49 beds----------------

50-74 beds----------------

75-99 beds----------------

100-199 beda--------------

200-299 beds--------------

300-499 beda--------------

500-999 beds--------------

1,000 beds or more--------

——

-

i

13

i

1

i

5

1

1

1

Rehabilitation-------- 7

Lass than 25 beds---------

25-49 beds----------------

50-74 beds----------------

75-99 beds----------------

100-199 beds--------------

200-299 beds--------------

300-499 beds--------------

500-999 beds--------------

1,000 beds or more--------

i

2

2

1

1

1

i

1

i

-

36
Table 17. Selected hospital data bv type of ovmersbip and type of hospital: United States, 1971

Type of ownership

and type of

hospital

All ownershipsGcnwal --------------

Specialty------------

Ps chiatric--------

Tu{crculosis-------

Chranic disease----

Narcotic addiction

cm alcoholism-----

Mate~ity ----------

Rehabilitation-----

Other--------------

Proprietary ------

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

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

Ps chiatric--------

‘IuterculOsis-------

Chronic disease----

Narcocic addiction

or alcoholism -----

Maternity----------

Rehabilitation -----

Other --------------

Nonprofit--------

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

specialty -.- . . . . . ..-.

Ps chiatric--------

TuZerculosis-------

Chronic disease----

Narcotic addiction

or alcoholism-----

Maternity----------

Rehabilitation-----

Other--------------

State or local

gOvernment------

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

General---.-.-------Specialty------------

Psychiatric--------

Tuberculosis-------

Chronic disease----

Narcotic addiction

or alcOhOlism-----

Maternity----------

Rehabilitation-----

Other--------------

Federal

Government------

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

Specialty------------

Psychiatric--------

Tuberculosis-------

Chronic disease----

Narcotic addiction

or alcoholism-----

Maternity----------

Rehabilitation-----

Other--------------

T

F

HOs- Beds Admissions )itals

7,678

6,607

1,071

533

99

90

43

47

66

193

1,0/!2

865

177

9:

10

23

9

3;

3,826

3,506

320

86

2;

15

37

E

2,402

1,866

536

322

92

53

3

1;

52

408

370

:!

.

2

5

L,507,988

L,004,799

503,189

418,487

17,806

24,614

2,647

1,852

7,544

30,239

70,810

59,831

10,979

7,869

8%

679

136

378

1,002

654,233

623,243

3:,W7

‘489

4,002

671

1,515

3,561

12,405

639,484

216,127

423,357

367,195

17,265

19,749

169

201

3,605

15,173

143,461

105,598

37,863

35,076

.

1,128

1,65;

)3,636,480

)2,462,956

1,173,524

656,635

35,009

34,100

38,657

71,073

38,712

299,338

2,356,941

2,229,602

127,339

55,113

104

1,819

11,963

7,322

1,937

49,081

!2,246,712

!1,898,755

347,957

5:,::$

10;851

11,500

54,385

19,084

200,500

7,244,074

6,640,280

603,794

4;;,:;;

21:430

2,580

9,366

17,691

42,659

1,788,753

1,694,319

94,434

74,722

12,614

7,09;

Number

}34,289,798

!80,563,953

.53,725,845

.29,845,145

4,044,675

7,760,816

685,572

422,730

1,987,888

8,979,019

17,816>779

15,125,859

2,690,920

1,990,582

10,764

264,669

120,473

31,249

65,757

207,426

.86>374,701

.77,289,676

9,085,025

2,:;:,:;;

1,297;539

162,577

351,373

937,898

3,731,355

.85,506,598

55,919,978

,29,586,620

,13,820,785

3,917,813

6,198,608

55,347

40,108

984,233

4,569,726

44,591,720

32,228,440

12,363>280

11,545,593

347,175

470,51;

13,651,709

,2,449,319

1,202,390

685,062

36,235

34,641

38,743

71>205

37,558

298,946

2,355,698

2>228,599

127,099

54,864

109

2,056

11,881

7,330

1,780

49,079

2,233,401

,1,885,641

347,760

50,254

1,333

10,681

11,465

54,472

19,072

200,483

7,260,340

6,631,701

628,639

500,973

34,793

21,904

2,513

9,403

16,706

42,347

1,802,270

1,703,378

98,892

78,971

12,884

7,03;

21.441.240

84,540,432

36,900,808

14,007,821

4,303,794

7,330,523

746,933

433,465

2,281,542

7,796,730

17,640,083

15,137,562

2,502,521

1,938,132

11,180

119,698

115,586

31,839

68,733

217,353

86,096>343

76,603,271

9,493,072

3,270,442

120,212

1,177,471

163,648

361,671

933,996

3,465,632

55,615,714

56,548,986

99>066,728

8);;;,~;;

6:033:354

54,592

39,955

1,278,813

3,688,814

62,089,100

36,250,613

25,838,487

25,000,449

413,107

424,93;

Patients

.,185,528

772,751

;:;,;:;

10:687

21,094

1,357

1,216

5,899

24,566

49,576

41,964

7,612

5,587

29

740

334

’84

256

582

516>431

491,524

24,907

6,778

315

3,539

419

1,014

2,623

10,219

502,464

153,852

348,612

305,583

10,343

16,815

153

118

3,020

12,580

117,057

85,411

31,646

30,010

451

1,18;

Average

occu- length

Pan& , ofiitay

n.

days‘

.79

.77

.82

.83

.60

.86

.51

.66

.78

.81

.70

.70

.69

.71

.56

.86

.49

.62

.68

.58

.79

.79

.80

.81

.64

.88

.62

.67

.74

.82

.79

.71

.82

.83

.60

.85

.91

.59

.84

.83

.82

.81

.84

.86

.40

.7;

15.5

8.8

197.0

312.4

118.8

211.6

19.3

6&;

26.1

7.5

6.8

19.7

35.3

102.6

58.2

9.7

3::;

4.4

8.4

8.1

27.3

65.1

90.2

110.2

14.3

;;:!

.

35.2

8.5

316.7

366.9

119.9

275.4

21.7

7:::

87.1

34.5

21.3

261.3

316.6

32.1

60.:

‘Number of discharge days divided by number of discharges.

37
Table 18. Selected hospital data: United States and each State, 1971

State

Umited States------

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

Alaska-------------------

Arizona------------------

Arkansas-----------------

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

Colorado-----------------

Connecticut--------------

Delaware-----------------

District of Columbia-----

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

Georgia ------------------

Hawaii-------------------

Idaho--------------------

Illinois-----------------

Indiana------------------

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

Kansas-------------------

Kentucky-----------------

Louisiana----------------

Maine--------------------

Maryland-----------------

Massachusetts------------

Michigan-----------------

Minnesota----------------

Mississippi--------------

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

Montana------------------

Nebraska-----------------

Nevada-------------------

New Hampshire------------

New Jersey---------------

New Mexico---------------

New York-----------------

North Carolina-----------

No?cthDakota-------------

Ohio---------------------

Oklahoma-----------------

Oregon-------------------

Pennsylvania-------------

Rhode Island-------------

South Carolina-----------

South Dakota-------------

Tennessee----------------

Texas--------------------

Utah---------------------

Vermont------------------

Virginia-----------------

Washington---------------

West Virginia------------

Wisconsin----------------

Wyoming------------------

Hoa- Inpatient Discharge occuBeds )itals Admissions days Discharges days Patients panty

rate

Number

7,678

148

29

1:;

654

104

70

14

2;;

212

31

3:;

139

157

172

137

168

64

2::

272

198

133

183

Ii:

26

38

145

4;:

171

64

266

163

3];

103

72

175

602

44

1%

135

96

217

32

1,507,988

2:,;;:

10:688

11,244

116,554

15,451

20,028

4,633

12,369

47,916

3:,;::

3:533

84,165

34,245

20,656

17,903

20,648

25,805

8,608

28,157

56,405

58,835

29,270

17,846

36,666

4,960

12,787

2,821

5,940

50,433

6,012

1::,;;:

5;787

74,708

17,739

12,556

103,698

8,321

19,393

6,565

30,048

76,578

4,949

3,524

34,224

18,633

16,443

37,781

2,802

33,636,480

602,336

50,560

317,894

355,100

3,148,221

443,086

425,710

77,815

218,137

1,202,792

808,101

109,665

118,631

1,812,576

779,819

520,102

422,563

579,879

658,032

174,431

496,488

941,504

1,392,665

683,083

417,239

864,338

145,759

286,519

84,979

117,098

959,862

182,303

2,715,739

807,652

136,996

1,690,508

482,576

341,267

1,868,838

141,507

425,455

134,635

745,850

2,047,695

171,237

77,690

691,475

564,544

368,169

763,782

63,578

434.289,798

7,742,218

423,693

2,915,068

3,049,230

30,976,493

4,314,880

6,065,597

1,394,474

3,884,542

13,558,968

9,860,945

1,374>783

871,559

24,764,796

9,970,285

5,194,316

4,764,655

6,017,394

6,800,880

2,531,286

8,211,652

16,224,437

17,437,751

7,783,558

5,054,768

10,672,858

1,236,369

3,271,089

773,301

1,706,450

15>237,668

1,470,212

52,174,847

9>766,774

1,460,934

22,171,942

:,;::,<:;

31;189;553

2,583,708

5,705,207

1,685,216

8,900,573

21,176,149

1,353,240

1,020,389

l!,:;:,;:;

4;858;895

10,585,030

729>383

33,651,709

603,280

50,314

317,501

354,254

3,149,788

445,790

425,789

77,984

219>027

1,201,597

806,543

109,934

118,250

1,815,019

779,494

520,106

423,078

579,804

658,348

174,601

497,713

940,784

1,392,292

683,517

415,136

864,151

145,594

286,234

85,096

116,888

959,553

182,213

2,719,842

808,461

136,752

1,689,986

482,356

341,241

1,872,552

142,386

424,911

134,607

746,478

2,049,270

171,411

77,694

692,335

565,499

368,382

7::,:::

,

521,441,240

9,::; ,45:

2,792;263

3,532,789

41,453,464

5,454,199

6,977,777

1,028,657

3,194,989

15,109,104

1:,::;,;;;

1;402;594

32,701,058

13,741>255

6,022,823

5,869,201

7,846,865

7,984,938

3,218,057

10,551,481

18,943,096

21,015,085

10,308,063

5,142,384

11,840,828

1,169,378

7,387,032

825,848

3,077,651

18,316,924

1,570,955

54,247,988

11,499,558

2,568,751

26,473,872

5,034,147

3,419,184

36,778,786

2,559,229

6,094,104

1,922,148

10,390,169

25,221,509

1,525,979

1,532,241

12,290,989

6,506,424

5,299,408

11,033,688

1,311,616

.,185,528

-

20,639

1,146

8,087

8,300

83,447

11,631

16,672

3,913

10,843

38,129

27,036

3,689

2,493

67,157

26,956

14,178

12,916

16,736

1:,;;;

,

22,583

44,973

47,360

20,735

14,369

28,504

3,222

8,831

2,149

4,860

42,271

3,954

143,058

27,109

3,792

60,674

13,362

8,802

83,612

7,199

15,630

4,531

24,389

57,855

3,570

2,815

28,360

13,364

13,072

28,608

1,981

.79

.79

.66

.76

.74

.72

.75

.83

.84

.88

.80

,81

.77

.71

.80

.79

.69

.72

.81

.74

.79

.80

.80

.80

.71

.81

.?;

::9

.76

.82

.84

.66

.84

.80

.66

.81

.75

.70

.81

.87

.81

;:;

.76

.72

.80

.83

.72

.79

.76

.71

38
Table 19. Number of hospitalsoutsidea standardmetropolitanstatisticalarea and percent of all hospitals

and number of hospitalswithin an 8MSA by populationsize of the SM8A, by type of hospitaland bed size:

United States,1971

All

hospitals

Hospital

outside 8M8A Hospitalwithin SMSA with populationof:

Percent

of all

hospitals

50,000

99:;99

LOO,000

24;;999

250,000

49;:999

500,000

19$:999

L,OOO,OOO

2,4;;,999

2,500,000

or more

Number

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

431

1,228

677

478

678

196

R

70

3,637

413

1,203

657

459

644

171

G

4

264

50.8 95 520 544 943 1,034

Less than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199beds------------

200-299beds------------

300-499beds------------

500-999beds------------

1,000 beds or more------

636

,648

,052

772

,545

739

708

365

213

67.8

74.5

64.4

61.9

43.9

26.5

13.4

13.2

32.9

55.1

J

L?

27

17

15

4

1

82

32

60

:?

121

71

92

:;

419

1::

87

2;;

128

146

91

31

761

32

E

60

192

115

134

;:

182

%

100

88

251

172

164

;:

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

Less than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199beds------------

200-299 beds------------

300-499beds-------------

500-999beds------------

1,000 beds or more------

535

1,509

933

77.2

79.7

70.4

68.0

47.7

26.0

11.3

i:;

24.7

675

1,351

657

630

270

47

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

LUSS than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199beds------------

200-299beds------------

300-499beds------------

500-999beds------------

1,000 beds or more------

101

139

119

lx

82

18

25

::

34

25

24

%

152

17.8

18.0

16.8

19.6

17.5

30.5

30.8

34.7

39.8

28.5

1;:;

16.3

1;::

40.0

39.5

42.0

41.4

35.4

16

20

21

11

18

1:

12

21

67

18

19

10

18

23

8

8

1:

51

21

29

30

:;

24

11

20

28

E

166

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

Less than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199 beds------------

200-299beds------------

300-499beds------------

500-999beds------------

1,000 beds or more------

3

9

:

7

7

1;

13

4

14

12

13

27

9

157

Tuberculosis-------- 99 9

Less than 25 beds-------

25-49 beds--------------

50-74 beds--------------

75-99 beds--------------

100-199beds------------

200-299beds------------

300-499beds-----------,-

500-999beds------------

1,000 beds or more------

2 2

3

2

9

3

6

1

100.0

33.3

38.5

40.0

33.3

33.3

30.0

25.0

2:

4 1

lIncludesspecialtyhospitalsin the “other”category.

39
Table 19. Number of hospitals outside a standard metropolitan statistical area and percent of all hospitals

and number of hospitals within an SMSA by population size of the SMSA, by type of hospital and bed size:

United States, 1971-Con.

All

hositals

Hospital

outside s14sA Hospital within SMSA with population of:

[umber

Type of hospital and

bed size ercent

f all

hositals

10,000

$5999

50,000

95999

00,000

9Y999

,000,000

,4&,999

,500,000

or more

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

Less than 25 beds -------

25-49 beds --------------

50-74 beds --------------

75-99 beds --------------

100-199 beds ------------

200-299 beds ------------

300-499 beds ------------

500-999 beds ------------

1,000 beds or more ------

2

6

14

2;

17

10

i

43

18

13

6

1

3

0

1

1

.

47

50.0

33.3

14.3

40.0

20.0

11.8

20.0

14.3

14.0

1

2

?

8

5

3

5

2

13

i

2

2

2

2

1

5

Narcotic addiction

or alcoholism ------

3:::

16.7

8.5

1

3

1

7

2

1

i

14

Less than 25 beds -------

25-49 beds --------------

50-74 beds --------------

75-99 beds --------------

100-199 beds ------------

200-299 beds ------------

300-499 beds ------------

500-999 beds ------------

1,000 beds or more ------

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

Less than 25 beds -------

25-49 beds --------------

50-74 beds --------------

75-99 beda --------------

100-199 beda ------------

200-299 beds ------------

300-499 beds ------------

500-999 beds ------------

1,000 beds or more ------

32

5

2

1

6

1

0

0

0

66

12.5

18.2

6

1

4

9

1

i

1

6

9

2

1

1

17

:

:

3

1

1

Rehabilitation ------ 6

Less than 25 beds -------

25-49 beds --------------

50-74 beds --------------

75-99 beds --------------

100-199 beds ------------

200-299 beds ------------

300-499 beds ------------

500-999 beds ------------

1,000beds or more ------

1

1

i

20.6

21.4

2;::

50.0

40
Table 20. Number of beds in hospitals outside a standard metropolitan statistical area and number of beds in hospitals within an SMSA by population size of the SMSA, by type of hospital and bed size: United States. 1971

All

hospital

beds

1,507,988

Beds ir

hospital

outsidf

SMSA

47O,1OL

Beds in

hospital

within

SMSA

Beds in hospital within SNSA with population of:

50,000

99399

100, OOI

24~991

250,00(

496;99!

500,Ooc

99;;999

1,000, 00(

2,4;;,99!

252,16:

85(

3,76{

5,30!

6,81f

31,88(

31,66~

55,67<

58,83:

57,36:

185,581

52:

2,68:

3,956

5,331

27,174

28,404

51,113

50,293

16,100

66,582

325

1,083

1,349

1,485

4,712

3,260

4,566

8,539

41,263

53,674

2,500,000

or more

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

51(

2,361

3,47:

2,861

16,74!

18,04(

37,58:

16,01:

37,63{

84,621

169,181

69(

3,69(

4,02$

4,301

18,32C

19,581

38,066

33,132

473372

106,234

445

2,960

2,753

3,382

15,804

18,615

34,104

24,500

4,121

62,947

147,583

452

2,181

3,264

3,512

17,269

17,092

36,191

38,532

29,090

106,084

211

1,495

2,632

1,958

14,122

15,296

33,045

33,624

3,701

41,499

314,151

Less than 25 beds-----

25-49 heals------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds cm more----

10,841

59,043

63,135

66,569

217,754

178,968

268,953

244,865

397,860

1,004,799

7,60(

43,584

40,47$

41,01:

93,014

::,~::

33;65;

129,21:

298,419

3,237

15,45$

22,65C

25,551

124,74C

132,243

234,15C

211,206

268,642

706,380

110

400

558

326

3,901

4,157

5,591

3,212

1,312

15,030

619

3,056

6,028

7,736

36>615

41,709

61,036

61,485

95,867

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

LLWS than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

9,375

53,949

55,951

58,385

190,519

159,308

239,617

176,876

60,819

503,189

1,466

5,094

7,184

8,184

27,235

19,660

29,336

67,989

337,041

418,487

300

2,010

2,577

3,478

11,512

8,584

14,499

51,327

324,200

17,806

3;;

797

1,242

3,865

2,066

7,127

2,352

7,370

42,671

39,277

39,417

88,254

40,491

26,206

9,439

5,294

171,685

234

913

1,202

1,601

4,760

6,234

8,597

24,220

123,924

155,961

2,005

11,278

16,674

18,968

102,265

118,817

213,411

167,437

55,525

331,504

1,232

4,181

5,982

6,583

22,475

13,426

20,739

43,769

213,117

262,526

110

400

446

249

3,398

3,679

5,267

1,481

4,537

112

5;<

478

324

1,731

1,312

3,289

41[

1,731

2,69;

2,31:

13,78:

17,12$

33,06;

10,13!

3,34(

50,618

296

2,007

4,190

5,735

27,982

36,144

56,815

47,404

28,257

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

Less than 25 beds-----

25-49 beds------------

50-74 bt?ds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

6?! 775

547

2,964

911

4,520

5,878

34,292

42,324

245

730

1,276

919

2,516

1,416

3,962

8,632

43,251

55,198

241

686

632

1,554

3,147

1,796

3,146

4,908

25,389

32,141

——

2::

370

;;;

200

1,159

3,136

25,389

2,677

323

1,049

1,838

2,001

8,633

5,565

4,221

14,081

67,610

Psychiatric------- 75,900

Less than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

300

1,717

2,164

3,151

9,894

5,047

9,000

29,932

201,321

12,218

3$:

174

232

967

.

2,624

5,114

32,812

1,878

104

337

307

168

948

644

2,425

7,014

43,251

2,567

3X

586

751

3,002

2,050

1,662

6,111

39,152

2,316

2;

116

75

21;

1,884

4i8

727

1,115

3,994

2,153

1,130

63826

59,045

295

413

327

1,618

3,537

5,499

21,395

122,879

5,588

24;

1,73;

1,312

Tuberculosis------ 477 2,303

Less than 25 beds-----

25-49 becls------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299 beds----------

300-499 beds----------

500-999beds----------

1,000 beds or more----

1::

321

483

1,225

721

2,135

553

20;

476

759

2,640

1,345

;,;;;

3

153

32;

7;

175

713

462

640

611

184

335

405

759

620

lIncludes specialty hospitals in the “other” category.

41
Table 20. Number of bec

pitals within an SMSA

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

Beds in hospitalwithin 8MSA with populationof: ledsin

hOspital

)utside

SNSA

3eds in

Jspital

,~ithin

sNSA

All

~ospital

beds 50,000

99::99

Type of hospitaland

bed size 00,000

,4:999

!50,000

to

199,999

00,000

9:999

,000,000

,4%,999

,500,000

or more

Chronic disease--- 24,614

2;:

875

439

3,415

3,943

3,810

4,721

7,143

2,647

317

455

326

3X

49:

631

1,852

380

209

119

8;;

201

7,544

2,878 21,736

23

147

763

244

2,750

3,428

3,204

4,034

7,143

2,447

295

327

276

3%

49;

631

1,819

347

209

119

8%

201

6,136

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

Less than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

24

74

112

195

665

515

606

687

200

23

3?;

1,OK

1,156

1,195

3,504

3,552

476

100

1$

lx

-

-

-

415

13;

73;

411

1,48;

639

1:;

157

249

498

314

202

5;

66;

410

1,347

530

720

2;

64

47;

348

2,11;

410

Nafcotic addiction

or alcoholism----

Less than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

1%

50

33

33

-

-

-

1,408

16

25

10;

49;

161

16;

428

1??

62

102

44

45

.-

63i

811

112

40

156

10;

330

77

Maternity---------

.

109

37:

;:$

-.

--

389

67

35

714

101

90

:2

1,128

Less than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 heals------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

Rehabilitation----

Less than 25 beds-----

25-49 beds------------

50-74 beds------------

75-99 beds------------

100-199beds----------

200-299beds----------

300-499beds----------

500-999beds----------

1,000 beds or more----

5;;

843

1,432

1,294

1,467

326

520

1,050

4;:

671

1,334

1,055

677

326

520

1,050

22

30

33;

......

114

80

-

52;

29;

174

336

328

10;

172

2;:

790

42
Table 21. Occupancy rate and number of patients in hospitals outside a standard metropolitan statistical area and occupancy rate and number of patients in hospitals within an SNSA by population size of the SNSA, by type of hospital

and bud size: United States, 1971

Hospital Number of patients in hospital within sNSA with

outside SMSA population of:

io, ooo

)9:;99

!4,988

Number

of

atients

ccu -

ancy

ate

Number

of

Itients

832,257

ccuancy

ate

80.2

00,000

4;;999

08,655

250,000

i9;:999

.34,716

500,000

19;:999

120,257

242

1,438

2,235

2,531

13,045

13,999

30,401

31,569

24,797

86.793

.,000,000

to

!,499,999

199,408

460

2,41S

3,500

4,755

24,010

25,496

45,137

46,215

47,417

145,596

301

1,665

2,674

3,747

20,473

23,027

41,610

;;,;;;

,

53,812

159

753

S26

1,00s

3,537

2,469

3,527

7,088

34,445

43,799

2:?

;;;

;,:::

1;428

5,001

32,383

1,456

1,500,000

or more

254.233 All hospitals------

Less than 25 beds--------

25-49 beds...............

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-!399beds-------------

1,000 beds or more-------

353,271 75.2

267

1,446

2,342

1,s39

12,92S

14,636

30,823

13,204

31,170

67,583

198

971

1,730

1,471

10,598

13,8S6

27,325

8,576

2,S28

41,072

376

2,163

2,678

2,898

13,512

15,090

30>807

27,097

40,095

82,745

239

1,658

1,731

2,160

11,772

13,958

27,653

20,142

3>432

51,971

268

1,864

4,230

5,486

27,437

33,331

50,176

51,175

S0,266

166,550

116

1,114

2,840

3,990

21,192

29,225

46,842

39,001

22,230

87,683

152

750

1,390

1,496

6,245

4,106

3,334

12,174

58,036

64,102

;:

799

2,946

1,622

825

5,954

50,993

1,254

11;

169

141

321

504

3,978

26,430

26,466

28,271

67,723

37,098

28,594

27,081

107,630

212,058

52.3

60.6

65.4

68.9

72.8

79.4

82.2

80.5

83.3

71.1

1>659

9,571

15,342

17,781

93,774

105,812

191,520

172,079

224,719

560,693

51.3

61.9

67.7

70.0

75.2

So.o

81.8

81.5

83.7

79.4

46

242

357

272

2,842

3>260

4,176

2,S19

974

L1,426

46

242

254

195

2,472

2,880

3,973

1,364

3,562

103

3X

380

203

1,455

974

2,588

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

1,022

6,569

10,976

12,965

77,359

95,702

175,222

l?:,;::

,

271,564

637

3,002

4,366

4,816

16,415

10,110

16,298

35,965

179,955

218,510

193

1,219

1,657

2,323

7,577

3,642

7,298

24,842

169,759

7,240

167

238

444

1,487

761

2>923

1,220

51.0

58.3

65.8

68.4

75.7

80.6

82.1

81.3

80.6

81.9

122

919

1,747

1,402

10,852

12,726

27,819

2:,:9):

,

33,464

Less than 25 beds-......-

25-/+9beds---------------

50-74 beds---------------

75-Oq beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-~99 beds-......-... -

1,000 buds ar more-------

3,S21

25>785

25,692

27,216

64,071

31,633

2$,::;

4:411

141,213

157

645

774

1,055

3,652

5,465

6,787

19,459

103,219

129.448

51.9

60.4

65.4

69.1

72,6

78.L

83.2

80.8

83.3

Spccicdty’----------- 82.3

67.1

70.1

64.4

65.9

76.7

87.7

79.0

80.3

83.3

83.0

51,7

71.8

73.0

73.2

73.0

75.3

78.6

82.2

84.4

83.2

4%

612

368

2,330

750

3,498

4,628

28,342

34,688

137

505

947

738

1,740

1,132

;,;;;

36;663

46,246

2%

22s

122

801

439

2,048

5,631

36,663

1,459

120

519

48S

1,129

2,193

1,273

2,582

3,665

21,495

27,087

16

152

275

692

594

122

1,024

2,717

21,495

1,513

.——

5;

8;

394

299

319

360

Luss than 25 beds--------

25-49 beds---------------

50-7A beds---------------

75-q9 beds---------------

100-199 beds--------------

200-29q beds-------------

300-4!N beds-------------

500-9W beds-------------

1,000 beds or more-------

Psychiatric----------

Ltissthan 25 beds--------

25-49 beds---------------

50-74 beds---------------

75-99 beds-------------~-

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

64.3

71.0

76.6

;;.;

72:2

81.1

83.0

84.3

59.3

47

234

150

149

800

1,97;

4,084

27,251

1,232

2;

125

3::

180

499

23;

322

252

1,428

3,301

4,527

17,171

102,212

3,447

22

1::

213

700

538

1,490

239

-

80.2

78.0

77.1

88.3

93.3

82.3

80.3

83.2

61.7

88.0

64.8

51.1

44.1

57.1

74.6

70.0

43.2

15;

1,455

974

326

123

203

Tuberculosis---------

LUYS than 25 beds--i.....

25-49 beds---------------

50-74 beds---------------

75-99 beds...............

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

22

x

14;

1,202

80.;

50.0

58.5

56.3

56.6

5S.6

67.S

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

43
Table 21. Occupancy rate and number of patients in hospitals outside a standard metropolitan statistical area and occupancy rate and number of patients in hospitals within an SMSA by population size of the SMSA, by type of hospital

and bed size: United States. 1971-Con.

Number of patients in hospital within SMSA with

population of:

)ccu-

)ancy

:ate

1,000,000

2,4;;,999

Number

of

patients

Ntssber

of

>atients

occupancy

rate

86.0

78.3

85.7

81.4

91.0

78.3

87.4

92.2

84.1

86.8

50.3

50,000

99599

100,000

24;;999

2,279

?50,000

to

$99,999

;00,000

)9;:999

!,500,000

or more

2,577 2,843

i;

45;

281

2,06;

227

Chronic disease------ 2,410

24

54

70

187

562

447

446

620

127

83.7

100.0

73.0

62.5

96.0

84.5

86.8

73.6

90.3

63.5

18,6S4

l%

621

222

2,152

2,995

2,953

3,394

6,203

1,230

425 1,187

1;:

146

152

445

301

93

19

;?

47

9,373

18

2%

76

845

985

1,132

2,914

3,050

Less than 25 beds--------

25-49 beds---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

12;

67;

388

1,09;

463

14

12

9;

34i

141

4i

47;

338

1,239

480

169

:;

10;

562

33

31

38i

118

267

22

24

22i

38;

Narcotic addiction

or alcoholism-------- 278

81.8

68.8

42.0

57.6

163

168

123

2%

34;

108

1.197

55.3

51.4

44.6

43.5

86.6

69.;

17.1

65.S

Less than 25 beds--------

25-49 beds---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more------- .

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

Less than 25 beds--------

25-49 beds---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

57.6

74.4

68.;

59.9

98.0

69.5

77.0

110

155

22

7::

118

4,851

3%

529

971

752

560

289

:$:

31.7

74.2

18.5

91.8

83.2

58.7

79.1

1;:.;

78;8

72.8

71.3

82.7

88.7

85.4

90.1

25

22

595

10;

48

44;

33

66

. 19

7s

..

.

737

19

36

3

14i

330

i;

112

119

.

19;

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

177

143

213

204

.

-.

Less than 25 beds--------

25-49 bede---------------

50-74 beds---------------

75-99 beds---------------

100-199 beds-------------

200-299 beds-------------

300-499 beds-------------

500-999 beds-------------

1,000 beds or more-------

2!!

300

429

560

289

946

,_

I

.-

I ----

44
Table 22. Number of hospitalsand beds and-beds-per 1,000 population, -

. . . ---- .—

.-. . .?.-.

by type or hospital: united states,

eacn regzon and state, lY/1

—

Geographicregion

and State

General

beds

per

1,000

population1

Rate

4.9

Beds

per

1,000

>opulation1

Specialty

beds per

1,000

p;;:% -

--1- General General

hos- beds

)itals

Number

Specialty Spehoscialty

beds pitals

Hos-

)itals Beds

1

Number

I

Rate Number

7.3

Rate

United States--- 7,686 2.4

1,371

::

233

1::

436

340

22

23

2,178

1,507,988

426,593

20,028

8,608

56,405

5,940

50,433

169,636

103,698

8,321

3,524

419,368

84,165

34,245

20,656

17,903

58,835

29,270

36,666

12,787

5,7B7

74,708

6,565

37,781

456,514

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

Northeast--------- 8.6

6.5

::;

::;

9.2

8.7

8.7

7.7

7.3

1,056

48

60

158

1??

345

260

;:

1,880

238,781

12,127

5,769

28,418

3,582

29,001

90,788

61,012

5,934

2,150

293,583

57,713

22,294

17,215

13,744

39,960

23,091

26,282

10,388

4,447

49,725

4,615

24,109

312,072

4.8

3.9

:::

4.7

4.0

4.9

5.1

;:;

5.1

315 187,812

7,901

2,839

2;,;:;

21:432

78,848

42,686

2,387

1,374

.25,785

3.8

Connecticut-----------

Maine-----------------

Massachusetts---------

New Hampshire---------

New Jersey------------

New York--------------

Pennsylvania----------

Rhode Island----------

Vermont---------------

22

7?

3

;:

80

4

2

298

2.6

:::

3.1

::;

3.6

2.5

3.0

North Central----- 2.2

Illinois--------------

Indiana---------------

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

Kansas----------------

Michigan--------------

Minnesota-------------

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

Nebraska--------------

IiiighDakota----------

.----------------

South Dakota----------

Wisconsin-------------

315

139

157

172

272

198

183

123

2%

21;

2,696

148

107

;?

228

212

137

168

1::

171

163

103

175

602

135

96

1,433

261

118

143

159

234

183

162

115

2::

1:?

2,393

135

103

9

2::

191

117

155

lZ

145

150

1%

546

109

85

1,278

H

6.0

:::

5.9

::;

:::

6.9

5.4

4.9

4.8

5.2

1::;

::;

4.6

4.9

:::

4.3

:::

:;:

4.4

6.2

4.5

54

21

14

13

38

::

8

4;

6;

303

13

4

5

2:

21

20

13

26

2:

13

;;

;;

11

155

26,452

11,951

3,441

4,159

18,875

6,179

10,384

2,399

1,340

24,983

1,950

13,672

.44,442

9,362

1,186

2,261

4,716

12,617

11,410

5,466

7,630

13,650

5,878

11,738

4,443

7,421

8,986

18,854

13,283

5,541

45,150

261

1,422

26,692

3,451

1,7L5

417

486

543

1,092

3,131

571

4,:;;

2.4

2.3

1.2

1.8

2.1

;:;

1.6

2.1

;:;

3.1

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

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

Arkansas--------------

Delaware--------------

Districtof Columbia--

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

Georgia---------------

Kentucky--------------

Louisiana-------------

Maryland------,--------

Mississippi-----------

North Carolina --------

Oklahoma --------------

South Carolina --------

Tennessee ----------l--

Texas -----------------

Virginia --------------

West Virginia ---------

West -----------~~’~-

26,220

1~,:2:

12:369

47,916

33,529

20,648

25,805

28,157

17,846

;;,;;;

19;393

30,048

76,578

34,224

16,443

205,513

16,858

10,058

2,372

7,653

35,299

22,119

15,182

18,175

14,507

11,968

:;,;;;

11:972

21,062

57,724

20,941

10,902

160,363 1.3

Alaska ----------------

Arizona---------------

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

Colorado--------------

Hawaii----------------

Idaho-----------------

Montana---------------

Nevada----------------

New Mexico------------

Oregon----------------

Utah------------------

wa~;~$ton------------

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

;:

654

104

31

52

74

26

70

::

135

32

1,741

10,688

116,554

1:,:;:

3:533

4,960

2,821

6,012

12,556

4,949

18,633

2,802

1,480

9,266

89,862

12,000

3,098

3,116

4,474

2,278

;,:;;

4:378

14,142

1,924

4.7

;:;

i:;

:::

4.8

4.4

4.0

4.1

5.7

:

80

16

9

3

:

8

7

1:

2

0.8

0.8

1.3

1.5

2:2

0.6

0.7

i::

1.5

0.5

1.3

2.6

Isource of DOpUlatiOnU.S.Bureau of the Census, “ProvisionalEstimatesof the Total Residentand Civilian

Resident Populationof States, July 1, 1971 and 1970,” Current PopulationReports, Series P-25, NO. 468,

Washington,U.S. GovernmentPrintingOffice, Oct. 5, 1971, Figures based on

July 1, 1971.

total residentpopulationfor

45
Table 23. Number of hospitals reporting outpatient visits and number of outpatient visits by type of

visit, by type of ownership and type of hospital: United States, 1971

Type of ownership and type of

hospital

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

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

Specialty -------------------------------

Psychiatric ---------------------------

Tuberculosis --------------------------

Chronic disease -----------------------

Narcotic addiction or alcoholism ------

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

Rehabilitation ------------------------

Other ---------------------------------

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

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

Specialty -------------------------------

Psychiatric ---------------------------

Tuberculos is--------------------------

Chronic disease -----------------------

Narcotic addiction or alcoholism ------

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

Rehabilitation ------------------------

Other ---------------------------------

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

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

Specialty -------------------------------

Psychiatric ---------------------------

Tuberculos is--------------------------

Chronic disease -----------------------

Narcotic addiction or alcoholism ------

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

Rehabilitation ------------------------

Other ---------------------------------

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

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

Specialty -------------------------------

Psychiatric ---------------------------

Tuberculos is--------------------------

Chronic disease -----------------------

Narcotic addiction or alcoholism ------

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

Rehabilitation ------------------------

Other ---------------------------------

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

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

Specialty -------------------------------

Psychiatric ---------------------------

Tuberculosis --------------------------

Chronic disease -----------------------

Narcotic addiction or alcoholism ------

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

Rehabilitation ------------------------

Other ---------------------------------

[ospitals

.eporting

~utpatient

visits

7,299

6,478

821

425

::

i:

1:1

908

794

114

69

.:

9

5

2;

3,737

3,464

273

77

s:

9

:;

88

2,248

1,850

398

249

76

28

i

::

406

Visits to outpatient services

Total

214,793,751

204,730,905

10,062,846

5,$;:, :::

241;838

291,970

255,065

557,643

2,295,104

7,649,114

7,107,235

541,879

277,693

5,668

15,635

28,337

53,967

9,555

151,024

109,691,707

106,873,084

2,818,623

664.459

13;579

68,807

48,446

152,472

455,646

1,415,214

49,834,413

44,639,481

5,194,932

3,374,469

905,179

157,396

48,626

92,442

616,82C

47,618,517

46,111,105

1,507,412

1,180,179

215,187

112,046

imergency

visits

i9 ,282,973

i7,624,553

1,658,420

1,445,807

11,981

6,284

5,9::

2,683

185,649

2,429,873

2,373,470

56,403

40,598

1,956

13,85;

%5,533,725

15,329,620

204,105

62,149

4,03;

1,4::

136,48;

16,249,307

15,226,929

1,022,378

971,689

11,981

2,248

2,56;

2,680

31,212

5,070,068

4,694,534

375,534

371,371

6;

4,09;

utpat ient

clinic

visits

8,281,087

1,396,779

6,884,308

3,530,993

868,991

170,128

68,866

216,355

349,039

1,679,936

3,427,343

3,031,634

395,709

181,886

4,264

12,500

24,353

45,115

6,950

120,641

3,857,119

1,877,303

1,979,816

495,670

9,742

49,882

42,038

136,858

268,611

977,015

!5,415,636

!1,757,713

3,657,923

2,077,982

854,985

107,746

;$,::;

509:350

15,580,989

14,730,129

;;g,::g

,

2,47;

72,93;

Other

7isits (referred patients )

57,229,691

55,709,573

1,520,118

520,000

43,454

65,426

223,0?1

32,777

205.921

429; 519

1,791,898

1,7 ‘02,131

89,767

55,209

1,404

3,135

3,984

6.902

2;605

16,528

40,300,863

39,666,161

634,702

106,640

3,837

14,889

6,390

14,199

187,032

301,715

8,169,470

7,654,839

514,631

324,798

38,213

47,402

11,676

16,284

76,258

6,967,460

6,686,442

281,018

33,353

212,647

35,01;

46
Table 24. Number and type of full-timeemployeesin hospitalsby type of ownershipand type of hospital: United States, 1971

Other

:rainees

Li-

:ensed

practical

Iurses

Physicians

d~-

tists

:nterns

or

residents

Registered

nurses

345,536

317,017

28,519

17,665

1,346

2,107

335

789

1,191

5,086

16,839

15,443

1,396

875

7:

75

E

282

222,860

217,070

5,790

1,2;;

447

69

574

542

2>830

77,774

59,796

17,978

l;,O:

1;584

1:;

592

1,638

23,063

24,708

3,355

2,848

171

336

Al1

full-time

:mployees

2,438,718

2,057,185

381,533

2;:,:::

25;967

3,163

3,140

12,500

44,103

109,740

98,308

11,432

8,014

4%

476

220

414

1,782

1,370,529

.11other

“uil-time

!mployees

Type of ownershipand type

of hospital

56,395 1,771,973

53,594

2,801

1,630

34

77

80

69

8%

384

All hospitals--------------- 40,682 L90,603

1.71,573

19,030

11,664

1,355

2,128

150

370

640

2,723

11,756

10,874

882

562

3:

44

33

1::

U2,674

1,452,978

318,995

2;;,::;

21:059

2,380

1,883

10,324

33,919

31,732

8,950

6,688

383

375

155

2;;

1,115

1.289

General-------’--------------------

Specialty-------------------------

psychiatric---------------------

Tuberculosis--------------------

Chronicdisease-----------------

Narcoticaddictionor

alcoholism---------------------

Natermi;y-----------------------

Rehabilitation------------------

other---------------------------

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

70,192

8,719

6,273

3::

1,017

272

212

i

15

3

1

32

12,486

339

45

33

1

1;

29,920

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

Specialty-------------------------

Psychiatric---------------------

Tuberculosis--------------------

Chronicdisease-----------------

Narcoticaddictionor

alcoholism---’------------------

Mater?i~y--;--------------------

Rehabllltatlon------------------

Other---------------------------

341

158

310

1,289

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

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

Specialty-------------------------

Psychiatric---------------------

Tuberculosisn-------------------

Chronicdise,ase-----------------

Narcoticaddictionor

alcoholism---------------------

Efaternity-----------------------

Rehabilitation------------------

Other-------:-------------------

L09,866

2,808

605

34

350

3:;

319

1,137

56,997

42,981

14,016

9,283

1,317

L,744

18

15

280

1,359

9,176

9;;,:())

10;545

390

3,847

471

1,724

5,366

17,816

11,297

1,189

385

7?

21

20

6;;

12,829

6,420

6,409

5,226

373

296

5

2

132

375

14,078

28,945

975

248

27

4+

6;;

19,686

18,055

1,631

1,274

34

50

2;

1%

6,405

6,255

150

75

75

1,319,269

51,260

13,216

489

4,748

609

2,691

6,363

23,144

729,193 553,544

314,130

239,414

191,856

12,741

16,902

State or local government-----

General-------:--------------------

Speci.alty-----, --------------------

Psychiatric---------------------

Tuberculosis--------------------

Chronic disease-----------------

Narcoticaddictionor

alcoholism---------------------

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

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

-------”-.,--------------!-

1,1 !’1’

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

5,751

2,612

2,129

19

165

2:;

4,476

4,;:;

97

60

12

447,133

282,060

222,438

15,769

20,741

236

229

5,723

16,924

229,256

193

4,64;

13,073

167,058

7,852

1,324

1,214

47

6;

136,355

30,703

27,587

12,998

1,080

865

114

10;

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

Specialty-------------------------

Psychiatric---------------------

Tuberculosis--------------------

Chronic disease-----------------

Narcotic addictionor

alcoholism---------------------

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

Rehabilitation------------------

Other---------------------------

192,475

36,781

32,686

1,842

2>25;

1,375

1,741

47
Table 25. Number and type of part-time employees in hospitals by type of ownership and type of hospi -

TyDe of ownership and type

of hospital

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

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

Specialty -------------------------

Psychiatric ---------------------

Tuberculosis --------------------

Chronic disease -----------------

Narcotic addiction or

alcoholism --------------------

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

Rehabilitation ------------------

Other ---------------------------

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

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

Specialty -------------------------

Psychiatric ---------------------

Tuberculosis --------------------

Chronic disease -----------------

Narcotic addiction or

alcohol ism--------------------

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

Rehabilitation ------------------

Other ---------------------------

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

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

Specialty -------------------------

Psychiatric ---------------------

Tuberculosis --------------------

Chronic disease -----------------

Narcotic addiction or

alcohol ism--------------------

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

Rehabilitation ------------------

Other ---------------------------

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

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

Specialty -------------------------

Psychiatric ---------------------

Tuberculosis --------------------

Chronic disease -----------------

Narcoticaddictionor

alcoholism--------------------

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

Rehabilitation------------------

Other---------------------------

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

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

Specialty -------------------------

Pyschiatric ---------------------

Tuberculos is --------------------

Chronic disease -----------------

Narcotic addiction or

alcoholism --------------------

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

Rehabilitation ------------------

Other ---------------------------

tal: United States, 1971

All

part -time

employees

536,291

506,314

29,977

14,930

1,244

3,233

538

1,424

2,244

6,364

27,882

24,974

2,908

1,839

34:

181

l%

311

395,887

383,715

12,172

3,;():

1,125

266

1,331

1,593

4,390

96,685

;;,:;:

7;586

1,071

1,768

20

5::

1,514

15,837

13,413

2,424

2,204

71

14;

hys iians

d%-

ists

7,297

3,362

3,935

2,160

228

451

44

3;:

618

667

475

192

148

1:

17

:

5

7,274

6,350

924

285

;2

18

1:!

361

7,507

4,793

2,714

1,624

212

344

8

27:

251

1,849

1,744

105

103

1

i

1

[ntems

or

residents

3,871

3,500

371

212

17

5

12

2; ~

100 I

221

1:;

7

;:

1,288

——

1,213

75

14

i

12

3

;;

753

519

234

178

17

2

3;

1,609

1,596

H

Other

trainees

8,486

7,:+:

810

12;

ii

295

186

109

5

9;

j

5,226

5,152

;:

i

i

20

1,873

1,359

514

480

2:

i

1.092

813

279

279

Regis -

tered

nurses

144,209

138,675

5,534

2,400

239

647

123

;;:

1,337

7,420

6,800

620

393

4+

61

21

18

7’8

112,395

110,163

2,232

4;;

182

4%

235

798

22,410

2:,;;$

1:142

209

418

:

3::

1,984

1,538

446

373

10

6;

1

Lizensed

prac -

tical

wrses

39,874

38,568

1,306

364

2%

12:

3%

2,807

2,613

194

109

2;

24

1;

16

29,657

29,018

639

121

7;

1%

2;2

7,197

6,753

444

116

1;2

:

1::

213

184

29

18

2

6

All other

part -time

employees

322,552

304,699

17,853

8,984

703

1,755

308

782

1,415

3,906

16,470

14,728

1,742

1,177

15$

::

l%

240,047

231,819

8,228

2,343

116

765

163

734

1,160

2,947

56,945

50,614

6,331

4,046

583

831

8

15?

706

9,090

7,538

1,552

1,418

58

7;

48
‘1’able26. Number of other health facilitiesby type of facility, type of ownership, and bed size: United

States, 1971

All

facilities

Type of facility

Type of ownership

and bed size

Children’ s

:orrec -

:ional

Racilities

Drug

abusers

or

alc0-

Iolics

tiiscellaneous

other

Facilities

Physically

handicapped

Men-

:ally

re-

:arded

<motiOnally

disturbed

Orphans

or dependent

children

Deaf

or

)lind

Unwed

mothers

4,769

2,129

934

535

270

;;;

124

93

93

1,280

All types---- 143

22

;+

3;

19

21

8

5

176

:5

11

1:

4

94 1,236

750

136

87

30

73

22

~

745

875

458

198

100

45

54

10

7

3

276

1,015 166

67

37

20

10

19

4

:

1

36

752

202

132

111

1;:

46

49

13

11

8

312

159

46

:;

32

15

1:

1

136

110

11

11

2

1

83

Loss than 25 beds--

25-49 hcds---------

50-74 beds---------

75-~9beds---------

100-199beds-------

200-299beds-------

300-499beds-------

500-9’39beds-------

1,000 beds or more36

24

12

10

6

;

1

2

29

366

261

156

:;

32

16

7

Proprietary---- 41

LCSS than 25 beds--

25-49 beds---------

5(J-74 beds ---------

75-99 beds---------

100-199beds-------

200-299beds-------

300-499beds-------

500-999beds-------

1,000 buds or more-

;;;

::

37

:

2

2,139

804

::$

136

217

46

18

;

1,350

331

204

157

98

188

95

102

84

91

5

58

3

i

170

22

3

1!

1

i

46

196

35

16

13

9

5

2

514

37

:

1

796

22

i

3

3

101

7

1

85

33

15

14

1;

3

1

659

Nonprofit------

Less than 25 beds--

25-49 beds---------

50-74beds---------

75-99 beds---------

100-199beds-------

200-299beds-------

300-499beds-------

500-999beds-------

1,000 beds or more14

16

4

1;

4

4

1

80

66

77

11

1?

2

2

11

17

9

:

1

19

213

150

78

:*

4

85

265

220

135

64

79

22

8

3

178

39

27

14

1$

1

1

1

Government----- 29

Luss than 25 beds--

25-49 beds---------

50-74 beds---------

75-99 beds---------

100-199beds-------

200-299beds-------

300-499beds-------

500-999 beds-------

1,000 beds or more3

5

i

22

15

17

7

162

116

97

1:2

43

48

13

11

20

13

9

1:

10

1;

49
Table 27. Number of other health facilitiesby type Of facility:United States and each State, 1971

Type of facility

State

Children’s

Orrecional

acil -

ities

Drug

busers

or

alcO01ics

iscelaneoue

other

acilities

?otal ~hysi-

:ally

~andi-

!apped

Menally

rearded

emotionally

disturbed

Irphans

or de-

)endent

:hildren

leaf

or

~lind

Unwed

mothers

United

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

3

$

56;

23

21

7

2:

5

22

$!

16

8

1:

11

1;

35

27

2

16

1:

:

20

4;

12

2

51

9

5:

7

2

12

32

8

2

2;

1:

2

2

;

24;

43

12

4

2:

10

4

5;

18

15

10

3

:

15

24

32

16

1

8

:

1

7

12

6;

9

36

1:

32

2

;

1!7

8

12

1:

42

2

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

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

Arizona------------

Arkansas-----------

California---------

39

17

60

1,1::

103

55

22

1;:

79

39

22:

96

59

59

::

32

i:

159

82

27

71

:;

10

27

112

53

277

;:

229

55

2%

21

29

25

1;:

44

::

88

;+

10

Colorado-----------

Connecticut --------

Delaware -----------

District of

Columbia ----------

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

Georgia------------

Hawaii -------------

Idaho --------------

Illinois -----------

Indiana ------------

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

Kansas -------------

Kentucky -----------

Louis iana ----------

Maine --------------

Maryland -----------

Massachussetts -----

Michigan -----------

Minnesota ----------

Mississippi --------

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

Montana ------------

Nebraska -----------

Nevada -------------

New Hampshire ------

New Jersey ---------

New Mexico ---------

New York -----------

North Carolina -----

North Dakota -------

13

19

10

12

2

7

:

8

:

L!

1

:

1

5

.

Ohio ---------------

Oklahoma -----------

OregOn -------------

Pennsylvania -------

Rhode Island -------

South Carolina -----

South Dakota -------

Tennessee ----------

Texas --------------

Utah ---------------

Vermont ------------

Virginia -----------

Washington ---------

West Virginia ------

Wisconsin ----------

Wyoming ------------

50
Table 28. Number of beds in other health facilitiesby type of facility:UnitedStates and each State,1971

State

United

States-----

Alabama---------

Alaska----------

Arizona---------

Arkansas--------

California------

Colorado--------

Connecticut-----

DOlaware--------

District of

Columbia-------

~~orida--------.

Georgia---------

Hawaii----------

Idaho-----------

IllinOis--------

Indiana---------

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

Kansas----------

Kentucky--------

Louisiana-------

Maine-----------

Maryland--------

Massachusetts---

Michfgan--------

Minnesota-------

Mississippi-----

Mfasmd---------

Montana---------

Nebraska--------

Nevada----------

New Hampshire---

New Jersey------

New Mexico ------

New Yark--------

North Carolina--

North Dakota----

ohio ------------

Oklahoma--------

OregOn----------

Pennsylvania----

Rhade Island----

South Carolina--

South Dakata----

Tennessee-------

Texas-----------

Utah------------

VcnnOnt---------

Virginia--------

Washington------

West Virgina----

Wisconsin-------

Wyoming---------

Total

484,627

4,584

637

9,366

3,b32

45,754

6,186

7,084

1,442

1,304

12,818

~,;;:

‘1;250

25,817

10,038

5,351

4,477

5,132

7,342

2,173

10,969

12,313

22,049

9,212

3,824

7,013

2,751

4,996

603

2,296

14,524

6,202

53,318

1;,::;

>

24,339

7,153

:9,882

3$;:;

*

5,254

2,987

7,726

27,678

2,242

1,708

9,984

7,295

2,674

10,015

1,147

Deaf

bl;;d

24,459

60

1%

1,198

350

875

8::

1,100

1::

792

897

552

::;

785

195

645

785

667

399

762

857

2;2

223

377

1,806

937

151

706

‘4;;

1,682

25

1;:

655

910

192

132

782

448

375

426

Unwed

nothers

6,476

70

%

l%

lj;

1X

117

3$

256

114

136

78

70

283

202

1X

140

39

67

32

24

224

6;

57

;-5:

108

628

28

48

-“

137

617

12:

96

1?;

Physi

tally

handi.

cappe(

8,39:

11:

36;

8(

3(

11;

5:

3:

84!

::

64

18C

77

2,20C

14;

57

1::

28;

241

52

li

90

;:

300

1,276

4:;

29

2%

224

386

68

Type of facility

Mentally

ta%ed

213,821

2,397

135

1,335

1,705

14,79C

2,575

4,437

702

5,2;;

3,619

840

631

10,516

4,196

2,842

2,340

1,366

4,;:;

:,:;;

11;882

5,454

1,468

3,071

1,066

2,123

1,0:?

8,036

788

27,903

5,660

1,282

11,725

3,162

2,609

15,726

1,048

3,203

1,180

3,317

13,941

1,053

808

2,260

3,589

509

5,;:;

Emotionally

disturbed

36,084

30

3%

171

5,521

832

478

163

l,&

294

180

129

3,863

696

702

291

143

264

879

499

987

1,335

708

8

304

1::

17:

526

4,8;!

140

1,435

179

452

2,475

71

2;

120

1,592

92

335

162

502

375

2,341

69

)rphans

or de-

?endent

:hildren

60,959

941

165

1,671

505

3,246

249

261

185

431

1,264

2,069

8

4,10;

1,805

391

426

1,790

887

186

502

371

1,214

5%

796

886

451

3:;

999

1,233

6,506

3,021

481

;,;:;

‘203

4,256

548

1,206

1,111

1,987

4,794

133

305

1,616

183

414

2%

Drug

abusers

or

alcoholics

13,341

3,80;

1:!

24

95

291

27

10;

429

301

4;:

12;

695

4,tiij

189

176

39

67;

75;

48

33

Chil -

dren’:

:orrec.

tional

Facil -

ities

92,90:

73t

161

604

552

14,79(

1,47:

752

336

38C

2,537

1,28C

139

260

4,650

1,972

512

569

939

792

547

3,642

1,213

6,720

1,647

598

1,072

295

1,975

500

187

2,946

503

5,734

2,983

221

6,());

5,738

3,155

198

682

256

1,423

3,435

325

3,10;

1,425

463

1,594

185

Miscellaneous

other

facilities

28,191

237

118

5,::;

1,863

453

21

32

159

1,621

232

36

786

256

193

275

211

1;:

529

965

1;;

280

822

258

60

1::

634

3,193

1,277

521

161

127

251

102

2,459

l%

1,2%

418

9:;

7::

41

51
Table 29. Number of facilitiesfor the mentally retarmd by programsoffered and bed size: United States,

I All ]! Programsoffered for:

facil- ‘

Bed size

z. m

All bed sizesLess than 25 beds---

25-49 beds----------

50-74 beas----------

75-99 beds----------

100-199beds--------

200-299beds--------

300-499 beds--------

500-999beds--------

1,000 beds or more--

1,236 353 304 437 325

;:: 3:; 109 156 101

63 30

87 3 % 52 3;

30 2 11

73 2 33 ;2 31

22 - 8

:: :;

H i 1:

78 29 ;: 2;

.—-. J

Vacational

training

234

62

21

20

2:

1:

29

56

I

80

E

:2 25

12 10

33 24

11

;;

34 31

74 57

I

Other No

lrograms ~fg~

,ffered

I

===4===

80

32 ;?

22 21

2: 1:

12 12

12 10

29

67 :;

52
I

APPENDIX 1

METHODOLOGY

-1

Nursing Homes

Survey jvocedures. —The nursing home mailing

list for the 1971 Master Facility Inventory (MFI) was

created by merging two lists—the final list of nursing

homes for the 1969 MFI Survey, and the list of new

nursing homes (“births”) gathered by the Agency Reporting System (ARS).4

The 1~69 MFI list consisted of 18,910 nursing homes,

while the ARS contained approximately 4,600 births. Together these 23,500 (approximate) nursing homes made

Up the 1971 nursing home mailing list. Upon receiving

the returned questionnaires, those homes that were out

of business and those that did not meet the National

Center for Health Statistics definition of a nursing home

were eliminded. From the 1969 MFI list 412 nursing

homes had gone out of business and were therefore eliminated, as were about 1,100 homes from the ARS list,

which were either out of scope or had gone out of busintiss. Thus the final tally of nursing homes for 1971 was

2~,i304.

Of these 22,004 homes, 21,376 sent back their completed questionnaires, which represented a response

rstt? of 97.2 percent. Data for the 628 nonresponse

homes, as well as data for missing items on the returned questionnaires, were obtained through various

types of imputation procedures. Whenever possible,

1%9 MF1 data were used to replace missing data. (Since

all 628 nonresponding homes had been surveyed in 1969

and had at that time returned completed questionnaires,

their 1969 data were used again in 1971.)

For those responding homes that omitted data which

were not available from 1969, an imputation method

was used. In this method all nursing homes were

stratified by predetermined variables such as bed size

groups, ownership categories, and type of home. Missing data for a home were then supplied by using the data

from a home whose characteristics were most like the

missing data. It should be pointed out here that when a

responding home failed to answer any of the major questions (bed size, ownership, type of facility, patients), a

fail-edit questionnaire containing the questions they

omitted was sent to them and they were asked to answer

the question(s) they originally omitted.

The mailing dates for the nursing home portion of

the MFI were as follows:

Initial mailing - week of August 17, 1971

1st followup - September 15

2d followup - September 29

Field followup - ,October 13

Results of complement survey. —In an effort to

check the completeness of coverage in the MFI, a complement survey was conducted.. (The complement survey has been discussed in detail in Vital and Health

Statistics, Series 1, No. 3.1) Briefly, the complement

survey matches the health facilities found independently

in an area sample survey against the N4FI list of facilities for that area. Any facility discovered in the

sample survey but missed by the MFI constitutes undercoverage, and an appropriate weight is assigned to the

missed facility.

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

and the weighting procedures for the 1971 Complement

Survey. The results indicated that the MFI undercoverage for nursing homes was 6 percent for facilities and

1 percent for beds. Stating it in positive terms, the 1971

MFI list contained 94 percent of all the nursing homes

and 99 percent of all the nursing home beds in the United

States. l%is latter figure indicates that the nursing

homes that were missed were small facilities, since

the 6 percent missed (1,400) contained only 1 percent

(12,100) of the total beds (an average of 9 beds per

home).

Results of McGraw-Hill Match

In an effort to locate the nursing homes that were

missed in the 1971 MFI Survey, an extensive match was

performed between the 1971 MFI list and the 1973

McGraw-Hill nursing home directory entitled Modern

Nursing Home. The first stage of the operation matched

the 16,063 nursing homes in the McGraw-Hill directory

with the 1971 MFI list of 22,004 nursing homes. The

McGraw-Hill nursing homes that were not on the MFI

list were marked as misses.

At this first stage of the match, there were 585

homes marked as misses. Table I shows how these

homes were distributed by State, division, and region.

The second stage was designed to eliminate those

nursing homes that came into existence after the 1971

MFI Survey list was created. This was accomplished by

53
Table 1. Results of matching the nursing homes in tl

ing Home) with the 1971 MPI list of nursin:

Area

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

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

New England:

Maine ---------------------------- -----------------

New Hampshire -------------------------------------

Vermont -------------------------------------------

Massachusetts -------------------------------------

Rhode Island --------------------------------------

Connecticut ---------------------------------------

Middle Atlantic:

New York ------------------------------------------

New Jersey ----------------------------------------

Pennsylvania --------------------------------------

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

East North Central:

Ohio ----------------------------------------------

Indiana -------------------------------------------

Illinois ------------------------------------------

Michigan ------------------------------------------

Wisconsin -----------------------------------------

West North Central:

Minnesota -----------------------------------------

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

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

North Dakota --------------------------------------

South Dakota --------------------------------------

Nebraska -------------------------------------------

Kansas --------------------------------------------

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

South Atlantic:

Delaware ------------------------------------------

Maryland ------------------------------------------

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

Virginia ------------------------------------------

West Virginia -------------------------------------

North Carolina ------------------------------------

South Carolina ------------------------------------

Georgia -------------------------------------------

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

East South Central:

Kentucky ------------------------------------------

Tennessee -----------------------------------------

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

Mississippi ---------------------------------------

West South Central:

Arkansas ------------------------------------------

Louisiana -----------------------------------------

Oklahoma ------------------------------------------

Texas ---------------------------------------------

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

Mountain:

Montana -------------------------------------------

Idaho ---------------------------------------------

Wyoming -------------------------------------------

Colorado ------------------------------------------

New Mexico ----------------------------------------

Arizona -------------------------------------------

Utah ----------------------------------------------

Nevada --------------------------------------------

Pacific:

Washington ----------------------------------------

OregOn --------------------------------------------

CalifOnia ----------------------------------------

Alaska --------------------------------------------

Hawaii --------------------------------------------

1973 McGraw-Hill nursing home directory (Modem Nurs -

Lomes: United States, each region and State

All

nmatched

nursing

homes

585

136

3

4

1:

3

11

48

3:

174

3

17

11

2

8

173

5

2

8

3

7

:

18

1:

10

4

102

3

1

2

5

2

3

3

1

31

4:

Home

out of

bus iness

144

39

15

1;

49

41

)u:@-&ate

37

7

i

i

i

7

1

1

15

1

1

1

5

15

2

2

8

1

1

3

i

‘Birth”

8

(

3

3

1

i

2

,,

i

(-

1-

i

2

1

i

Home

maccounted

for

396

87

2

7

30

2:

117

12

1:

12

16

12

115

3

2

7

77

2

1

2

3

2

1

26

3!

54
matching the missed homes from stage one with (1) a

list of new homes gathered via the Agency Reporting

System after the 1971 MFI Survey list was created and

(2) the hlodern Nursing Home Construction Reports,

which list the various phases of construction of new

nursing homes. Any missed homes found in these two

sources were eliminated, since they were not in operation at the time of the 1971 MFI Survey. Only 45 homes

were eliminated in this stage, leaving 540 homes for

the third stage of the matching procedure.

The third and final stage of the match consisted of

matching these 540 missed homes with a list of nursing

homes originally on the 1971 MFI but taken off because

they were found to be either out of business or out of

scope. Any homes still left after this match were deemed

true misses.

This last matching operation resulted in a final

yield of 3% nursing homes not on the 1971 MFI list.

These homes have been added to the MFI in preparation

for the 1973 MFI Survey.

Other Health Facilities

The procedure involved in creating the mailing list

for the “other health facilities” was the same as that for

the nursing homes. (“Other health facilities” include

homes for the deaf, blind, physically handicapped,

emotionally disturbed and mentally retarded, unwed

mothers, dependent children, alcoholics or drug abusers, or juvenile delinquents.) The 1969 final listing

of these facilities, which contained 4,225 such places,

was merged with the ARS list of potential facilities,

which contained approximately 1,400 places. With the

elimination of the out-of-business and out-of-scope facilities, the final tally of other health facilities for

1971 was 4,769.

The response rate for these 4,769 facilities was

96.7 percent. The mailing dates were the same as those

for the nursing homes.

Haspitals

Unlike nursing homes and “other health facilities ,“

which are surveyed every 2 years, hospitals are sur -

veyed annually. The mailing list for hospitals in 1971

was created, therefore, by merging the final list of

hospitals from the 1970 survey with the list of new

(or potentially new) hospitals found between the 1970

and 1971 surveys. This mailing list was composed of

three parts-(1) those hospitals registered and surveyed

by the American Hospital Association (AHA), (2) those

hospitals belonging to and surveyed by the American

Osteopathic Association, and (3) the remaining nonAHA, non-osteopathic hospitals which are surveyed by

the National Center for Health Statistics.

The final 1970 list contained 7,613 hospitals. This

consisted of 6,987 AHA hospitals, 195 osteopathic hospitals,and431non-AHA -osteopathic hospitals. TO this

list was added 227 potentioliy new hospitals (potential

“births”). With the elimination of duplicate, out-of business, and out-of -scope hospitals, the final tally of hos -

pitals for 1971 was 7,678.

The response rate for these 7,678 hospitals was

approximately 93 percent. The imputation procedures

used in obtaining missing hospital data were similar to

those used in obtaining missing nursing home data.

The mailing dates for the non-AHA, non-osteopathic

hospital portion of the MFI were as follows:

Initial mailing - the week of December 6, 1971

2d mailing - January 3, 1972

3d mailing (certified) - January 20

Telephone followup - February 1-11

The AHA and osteopathic surveys were conducted

by these respective agencies approximately 1 month

prior to the above dates.

000

55
APPENDIX II

CLASSIFICATION PROCEDURES

Criteria for Classifying Nursing Homes

The criteria for classifying institutions are based

on several factors. (1) The number of persons receiving

nursing care during the week prior to the day of the survey, (2) administration of medications and treatments in

accordance with physician’s orders, (3) supervision over

medications which may be 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, and help with eating, 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 as

follows:

Nuvsing ca~e home. —An establishment is a nursing

care home if nursing care is the primary and predominant function of the facili~. Those meeting the following

criteria are classified as nursing care homes in this report: One or more registered nurses or licensed practical nurses were employed, and 50 percent or more of

the residents received nursing care during the week

prior to the survey. (Nursing care is defined as the provision of one or more of the following services: nasal

feeding, catheterization, irrigation, oxygen therapy,

full bed bath, enema, hypodermic injection, intravenous

injection, temper ature-pulse-respiration, blood pressure, application of dressings or bandages, and bowel

and bladder retraining.)

PeYsonal care home with nuvsing.-An establishment is a personai 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.

2.

56

Some but less than 50 percent of the residents

received nursing care during the week prior

to the survey and there was one registered

professional or licensed practical nurse or

more on the staff.

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.

B.

c.

Medications and treatments were administered in accordance with physician’s

orders.

Supervision over self-administered medications was provided.

Three or more personal services were

routinely provided.

Penond caye home.—An establishment is a personal care home if the primary and predominant func -

tion of the facility is personal care and no residents

received nursing care during the week prior to the

survey. Places in which one or both 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 cave home.—A facility is a domiciliary care home if the primary and predominant function of the facility is domiciliary care but the facility

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 ia 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 staff. Establishments indicating that some nursing care was provided but not giving the number of persons to whom this

care was provided were considered as institutions pro-
Table II. Classification of institutions by type of service

Classification variables

l’,:rc!:ntof total residents who received nursing

c~iruduring the week prior to day of survey

NumbL,raf registered or licensed practica1

nursl-!s

!JJusthe institution provide:

(,()Administration of medicine or treatments

.~cccxdingto doctor‘a ordera

(b) Supcrviaion over s~lf-administered

uwdicine?

DOL,Sthe institution offer aaaiatance with

thr,w activities or more for daily living?

!3LU<:lth: institution offer assistance with

,VU,or two activities for daily living?

D,.,:sthu institution offer room and/or board

i:+its only service?

Institutionl

. .

Classification criteria

50 percent or more

1+ None

. . . Yes No

. . . . . . Yes No

. . . . . . . . . Yea

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

Nc Fcn Pcn Pc

#

Some but less than

50 percent

1+ None

... Yes No Yes

. . . . . . Yes No ..O

. . . . . . . . . Yes No . . .

. . . . . . . . . . . . Yes . . .

Pcn Pcn Pcn Pc D Pc

None

None

—

Yes

. . .

.

. . .

—

Pc

No

No

Yea

. . .

—

D

No

—

Yes

—

B

1Nc=Nursing care home

l%n=Personal care with nursing home

Pc=Personal care home

tl=Dcimiciliarycare home

B=Bourdin& or rooming house (out of scope)

vialing nursing care to some but less than 50 percent of cialty hospitals discussed in this report are psychiatric,

their patients or residents. Table II shows in detail the tuberculosis, chronic disease, rehabilitation, maternity,

classification of the establishments. and alcoholic or narcotic. The remaining types of spe -

Classification of Hospitals

Gwwal medical and suv~”cal hospitals are establishments licensed as hospitals that provide diagnostic

md treatment services for patients who have a variety

of medical conditions both surgical and nonsurgical.

For purposes of this report, a hospital unit of an institution (prison hospital, college infirmary, etc.) is

considered a general hospital.

Sp@cialty hos@?als are establishments licensed as

hospitals that usually limit their admissions topatients

with specified illnesses or conditions only. The spe-

-..

cialty hospitals are grouped together and called’ ‘other. ”

This category includes Armed Forces dispensaries; eye,

ear, nose, and throat hospitals; orthopedic hospitals;

and any other type of hospital not already specified.

As section B(2) on the hospital questionnaire indicates, there are two categories for the mentally

retarded: a hospital unit within a school for the mentally retarded (code 12) and an institution for the

mentally retarded (code 62). (See appendix III.) Any

facility which was one of these two types was removed

from the hospital list and placed on the MR portion of

the “other health facilities! ! list.

ooo —

57
APPENDIX Ill

QUESTIONNAIRES IS,

Nursing Homes and Other Health Facilities

3.).! HR3-71

.2, -7$1 .FORM APPROVEO: O.M. B. NO. 68-S7 !063

us. .wIeLtc HEkTH SERVICE

HEALTH SERV, CES AND WENT AL

HEALTH Ac+AINISTRATION

4ATIONAL CENTER FOR HEALTH STATISTICS

1971 MASTER FACILITY I 71

INVENTORY SURVEY

!ETURN TO:

Bum.. of the Census

Jmffars.nvlll. Census Operotion. Dlvlsi.n

1201 East 10th Street

Jeffars~rki[[., India.. 47130

Dear Sir:

Every two years the National Center for Health Statistics (NCHS) of the U.S. Public Health Serwce

collects information on all facilities !n the United States which provide some kind of medical, nursing,

personal OF domiciliary care. As in past years, we have again asked the Bureau of the Census to

conduct this survey for us.

The purpose of the survey is to obtain current information from each facillty on Its ownership, staff

size, number of beds and other related facility characteristics. The information will be used to pro~lde

statistics on the number arad kinds of such facilities in the United States and the changes that occurred

during the two years since the last Master Facility Inventory Survey.

The National Center for Health Statistics is committed to provide a factual basis for planning national

programs designed to advance the health of the American people. In fulfilling this purpose, information

from Sections A and B of this questionnaire, as related to individual faci Iities or listings, will be made

available upon request to the NCHS.

The data from Sections C and D, however, are treated as confidential and will not be released to anyone

or used in any way other than statistical summaries. The published statistics will be presented in a

manner to insure that no individual facility can be identified.

The questionnaire is brief and should take only a short time to complete. Please fill out the questionnaire and return It within five days in the enclosed preaddressed postage-paid envelope.

Thank you for your cooperation.

Sinserely yours,

:

-TZ..LW>. ‘I&A.

THEODORE O. WOOLSEY

Director A

National Center for Health Stati sties

Enclosurm !:

Section A - ]DENTIFICATION OF FACILITY

Please refer to the mailing label above, then make all additions and corrections according to the questikk

below. Detailed identification information is needed to prevent duplicate listings and to assure that your

faci Iity is properly represented in this survey. (Please type or print)

1. Is the NME shown in the label above Correct name OFfaci I Ity if different from above

correct for your facility? /1 .L1

!3 ! Q Yes

“2❑ No _Pfease enter correct name. /

I

2, Is the ADDRESS shown in the label above Number 1Street ~P,O. Box, Route, etc.

the correct mailing address for your facility? I I

9

tD Yes

2 ❑ No—

correct ,eosegiveyOure,tire/~ mailing oddress.

I I

Area code \ Number

3. What is the telephone number of your facifity? 1

1

USCOMM. C

5e
GENERAL INSTRUCTIONS

a. Include in this report information for the facility c. [f this facillty is a nursing unit for a retirement

named in the mailing label or for its successor if the center, report only for the nursing unit.

name or owner has changed. Include information for

one facility only, but report for the entire facility d. Answer all questions, please. Definitions and

including infirmaries and other subunits. special instructions are given with the questions

when needed. If your answer to a question is

b. Due to name and address changes, duplicate “none,” put a zero in the appropriate space. Do not

listings, or other reasons, you may have been sent leave the space blank.

more than one questionnaire under different names

or addresses. If you receive more than one form for e. Return the completed questionnaire in the prethe same facility, complete one only and return all addressed postage-paid envelope to:

others with the notation “Completed and returnti Bureau of the Census

under . . . (give name of facility on completed form Jeffersonville Census Operations Division

and the identification number found in the upper 1201 East 10th Street

left corner of the label).” Jeffersonville, Indiana 4~130

Section B - FACILITY INFORMATION

4. Please read all of the categories, then mark only ONE box for

@

23 ❑ Individual

the type of ownership which operates this facility. — < 24 ❑ Parcnershlp

}

For

pr.f,t

25 ❑ Corporation

20 ❑ Church related

21 ❑ Nonprofit corporation

22 U Other nonprofit ownershi P

11 ❑ State

12 m County

13 ❑ City

14 ❑ City-COUntY

15 ❑ Hosp!tal Distr!ct

16 ❑ U.S. Publ!c Health Serv, ce

17 ❑ Armed Forces

18 ❑ Veterans Adrnin, stratmn

19 ❑ Other Federal Agency – Spec! fy

5. What ages does your facility accept?

@ _Mt”irn.m as.

0 ❑ No minimum ase

@

—Maximum Age

o U NO maximum age

6. Does your facility accept “ @ :~:::,::{:ly,

Mark only one

s ❑ Both males and females?

7. What was the total number of persons (residents or patients),

who stayed in this facility last night?

Do NOT include employees or proprietors. @— Total per..”.

B. What is the TOTAL NUMBER OF BEDS regularly maintained

for patients or residents?

Include all beds set up and staffed for use whether or not

they are in use at the present time.

Do NOT include beds used by staff or owners r,or beds used m—

Total beds

exclusively for emergency purposes.

9. Is this facility participating in the Medicare ❑ Yes ~ o ❑ No (Go TOQ. 10)

(Title XVIII) program?

@ _ . . Number of beds cert, f,ed

@

_b. Number of certif,ed beds

.accup, ed last n,ght

). Is this facility participating in the Medicaid n Yes ~ OaNo(Goto Q.71J

(Title XIX) program?

0

_o. Number of beds .erti fled

@

_b. Number of certtf, ed beds

occupned last n,ght

1. Is this facility certified 05 an Intermediate Care Facility under

Titles 1, (Old Age Assistance), X (Aid to the Blind), XIV (Aid

H Yes ~ o ❑ No (Go to Q. 120)

to Permanently ond Totally Handicapped), or XVI (Aid to the @ _.. Number of beds cert, fi.d

Aged, Blind or Disabled) of the Social Security Act?

Do NOT include Medicare (Title XVIII) or Medicaid (Title XIX) @

_b. Number of certified beds

occupied last ntzht

2a. What is ihe total number of full-time personnel (those who work

35 hours or more per week) currently employed by this foci Iity?

Do NOT count part-time employees as full-time equivalents.

fnclude owners, managers, and members of religious orders @

Total full-t ime

personnel

who work full time whether on the payroll or not.

Do NOT include volunteers or private duty nurses.

b. Of the above personnel, how many are - @

Number LRN

(1) Licensed registered nurses?. . . . . . . . . . . . . . . . .

on None

(2) Lfcensed practical or vocational nurses? . . . . . . . . @

Number LPN w LVN

o ❑ None

..-—

59
Section B - FACILITY INFORMATION (Continued)

‘3a. What is the total number of part-time personnel (those who

work less than 35 hours per week) currently ●mployed by

this facility?

Include owners, manag~rs, and members of rel igious orders

who work part ttme whether on the payrol I or not.

Do NOT include volunteers or private duty nurses.

b. Of the above personnel, how many are -

(1) Licensed registered nurses?. . . . . . . . . . . . .

(2) Licensed practical or vocational nurse.? . . . .

140. What is the TOTAL number of man-hours worked by ALL

part-time personnel during the last 7 days of th. most

recent pay period?

b. Of the above man-hours, how many were worked by -

(l) Licensed registered mwses? . . . . . . . . . . . .

J

69 Total psrt-time

personn=l

0 ❑ None

o

Number LRN

Oi_I None

@— NumDer LPN or LVN

0 ❑ None

@— Total pare-tinm

man-hours

@3— Man-hours

(2) Licensed practical orvocational nurses? . . . . l@— Man-hours

5. Please read ALL22classes listed below, then place an “X” inthebox opposite the class which

best desc;best hisfacility. lfnoneof thecategorie5 describe your facility, mark the ``other'' box

and exl!aim After marking one box, follow the skip ins.. wction to the right of fhe box. Record on

page 4 am, comments you may have about the correct classification of this focility.

MARK ONLY ONE FOR QUESTION 15

@ oIl_J Extended care facility

020 Skilled nursing home

03D Nursing home

040 Convalescent home

OSD Rest home

060 Home for the aged

071_J Boarding home for the aged

OBO Home for the needy

09D Nursing care unit forretirement center~

What is the overage length of Patien; stoy in thjs

nursing care unit?

@

In Less than 30 days

2 ❑ 30 days or more

@ tOUResidentfaciliworschoolfor*edeaf

II president facility or school for the blind

lzi_JHome for unwed mothers

IS I_J Orphanage

14 ❑ Resident faci I ity for dependent chi Idren

IS ❑ Resident facility or school for physically handicapped

t61_JResident facility or school foremotionally disturbe.d

170 Resident facility for alcoholics or drug abusers

lsa Training school forjuvenile delinquenta

tgn Detentionhome, primarily for juvenile delinquents

200 Reformatory

21 l_JResident facility for mentally retarded

-7

Which of the following programs does this facility

provide for the mentally retarded? (Mark ALL that apply)

6

.lnCiass for educable children

2oClaskes for trainable children

s ❑ Cla5Ses for profoundly retsrded children

+ ❑ Classes for adults - Specify classes

sl_J Vocational training and counseling

6nOccupati0nal therapy

71_J Physical therapy

.? U Other prOgrams - Emergency respite care, foliowup

of released persons, etc. -Describe pfograms

)

Continue with

question [6

on Wge 4.

saNOneof the above program

@ 221_JOther reside.ntfacility - bescribe this facility and continue

wkfrquest;~ 160rtpoge4.

)

Skip to

question /9

on fwge4.
Section C - CONFIDENTIAL INFORMATION

16. During the past 7days, how many of the PERSONS in

question 7 received “Nursing Care”?

Consider that a person received “Nursing Care” if he

received any of the following services:

Temperature-pul se-respiration, blood pressure, f.1 l-bed bath,

nasal feeding, catheterization, irrigation, oxygen therapy, @ — Persons

enema, hypodermic iniection, intravenous injection, application

of dressing or bandage, bowel or bladder retraining.

17. Which of the following services are routinely provided? .

Mark all that aPPfy -

@ f ❑ Supervision IS provided over mecllcauons wh, ch may be self-adm,ntscere

2 ❑ Medications and treatments are

adm, n ,stered In accordance wtth

phys ,cia.s orders

3 I_J Rub and massage

4 ❑ Help with tub bath or shower

5 ❑ Help with dressing

6 ❑ llelP wtth corre.ponde”ce or shoppl”~

7 ❑ Hel P with walking or zetcr”g about

a ❑ Help with .atlng

OR

9 ❑ Not responsible for providing any

services except mom and board – If

this box Is marked, “. other box sho.1

be marked In question 17.

180. Please mark the box that indicates the level of skill of the

person in charge who is ON DUTY (that is, on the premises

@ :::,

and routinely serving the patients) for each shift.

2 ❑ LPN

Do NOT include a person who is mereiy “on call. ” 3 ❑ N.r.e’s Aide

If you do not have all of the shifts indicated, please

4 ❑ Other - S,uecJfY occupation

7

mark the “NO such shift” box as appropriate.

----------------------------------- .

@ :;:2 o ❑ No such shift

2 ❑ LPN

3 ❑ Nurse’s Aide

4 ❑ Other – Spec/fy occ.potmn 7

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

@ W’?N.. , 0 El NO such shift

lDRN

2 ❑ LPN

3 ❑ Nurse’s Aide

4 ❑ Other - SpecI & occupation

7

b, How long (numbw of hours per day) is each shift? @ — Shift No. I

g, —

Shift No. 2

— shift No. 3

:ommenta

,],

-.

SesW@.- RESPONDENT INFORMATION (CONFIDENTIAL)

9a. Nama of paraon completing ~i$yof$ c. Date completed

.
Hospitals

I;,M;595 FORM APPROVED

O.M.B. NO. 68-RI068

U.S. PUBLIC HEALTH SERVICE 2=

IATIONAL CENTER FOR HEALTH STATISTICS

NNUAL

SURVEY

OF

1971 HOSPITALS

Dear Sir:

The National Center for Health Statistics (NCHS) of the U.S. Public Health Service is conducting its

annual survey of hospitals in the United States. This program is being conducted as part of the U.S.

National Health Survey.

The purpose of this survey, in which you are being asked to participate, is to obtain current information, such as number of beds, staff size, and types of services provided. The information will be used to

compile statistics on the number and kirids of hospitals in the United States.

Sections A and B of this form request verification of the name and address, type of service, type of

ownership and capacity. Sections C-F ask for additional irrformation which is needed to complete statistics on other characteristics of hospitals.

For this purpose we are requesting that you complete this questionnaire for your hospital and return it

within five days in the enclosed postage-paid envelope. The questionnaire is brief and should not take

long to complete.

Thank you for your cooperation.

Sincerely yours,

-KS-4ky, J

Theodore D. Woolsey

%“

Director

Enclosure National Center for Health Statistics

SECTION A. HOSPITAL IDENTIFICATION

Please refer to the mailbrg label above, then make all additions and corrections according to the questions below.

Detailed identification infnrmatinn is needed to prevent duplicate tistingsand to assurethst your hospital is properly

representedin this Survey.(PLEASETYPEOR PRINT)

(1) Is the NAME shown in the label above CORRECT NAME OF HOSPITAL IF DIFFERENT FROM AEOVE

correct for your hnspital?

(1) •l YEs

(2) ❑ No+:#$;fi::h:::a~t? in label

>

(2) Is the ADDRESS shnwn in the label NUMBER STREET P.O. BOX, ROIJTE, ETC.

above the correct mailingaddressfor

your hospital? CITY OR TOWN

(1)0 YES

(2) ❑ NO+~\~d#~g;;:Y~~~;g~On COUNTY STATE ZIP CODE

correct mailfnr address

(3) What is the telephone number of your “E* ‘OO ‘UMBER

hospital?

(4.) If the reporting period was NOT the 12-month period from October 1,1970 through September 30,1971, pleaw. indicate

below the period used. Report dates in numeric form using a sixdigit number.

Numberof days Beginningdste Endingdate

month/day/year montb/day/year[

Were you in operatimr.12monthsat the e“di”g date? . . . . . . . . . . . . . . . . . . ❑ Yes iZ NQ

62
PLEASE READ THESE INSTRUCTIONS BEFORE COMPLETING SECTIONS B-F

it. HOSPITALas used in this form refers to those facihtiesgenerallyrecogmzedas hospitals,in ~dditionto restitutions for

the mcnldly retarded ind other mental facihties. and medical units of nonhospdal estabhshments (prowded the umts have

SLYor mom inpatient beds). If this facility is not a hospital, please use the “COMMENTS section on page 4 to describe

the F~cility and the services it offers and return the questionnaire

b. Include in this report data for your entire hospital and all parts, umts, component restitutions, etc. However. do not include

ttn}, comptment or unit which has its own separatedischargeprocedures.The latter are to be considered separate facdltles

and should be reported in the “COhihlENTS.” If you are in doubt about any unit, please include the umt and explain m

the “COMMENTS’ section.

c. Answer till questions, please. Definitions and special instructions are gwen with the question when needed.

d. Due to rmmc tind address changes, duplicate listings m our tile, m other reasons, you may have been sent more than one

questiosmirc under different ne.mesand addresses. If you have received more than one form for the same hospital, complete

mse mdy and return all others with the notation “completed and returned under (give name of hospital on completed

fwm).”

c, Report dJtl for a 12-month period. preferably October 1, 1970 through September 30, 1971

f. Return the completed questionnaire in the postage-paid envelope to.

National Center for Health Statistics, HSMHA

U.S. Public Health Service

P.O. 80X 12214

Research Triangle Park

North Carolina 27709

SECTION B. CLASSIFICATION

(1) TYPCUf ur&dnization mnnaginghospital(Cucleone only):

Governmental,ncmfede,,l Nongovernmemd, “ot.f or-profit For.Pr.Mt G.vernmemal, fodaral

12 Sr.ltc 21 Church operated 31 lndiwduai 41 AK Force

13 Caunty 23 Other not-for-profit 32 PartnersMp 42 Alllly

14 City 33 Corporation 43 Navy

1S City.caunty 44 P.bllc Heatth Serwce

lfI Hmpltal district ac 45 Veterans Admimstratto.

Ltulhadty 46 Federal other than 4 I-15, or 47-48

47 PHS lndmn %wce

4g Dept. of JustIce

(2 I CifCIQthe ONE category that BEST describes the type of serwce that your hospital provides to the MAJORITY of admlssionx

10 Gcncml medical and s.rgml 45 we. ear. rose, a“d threat

11 Hwplld unit of an institution (prison hospital, college i“fumary ctc ) 46 Rehabditat]on

12 Hospitnl unit within a mental retardation school 47 Orthopedic

13 ArmedForcesOispenswy 48 Chrome disease

22 rwdlialrlc 62 Institution ror mental retardation

33 TuLwrmdasls cmd other respiratory dueasm 82 Alcoholism

42 N.wmtic addktion 49 Other-spec,fy treatment areo

44 Mdtcrnity

(3) flw~ ym!r haspitd restrict admissionsprimanfyto children? . . . . . . . . . . . . . . . . . . . . . Yes ❑ No ❑

.. SECTION C. FACILITIES AND SERVICES, UNIT BEDS AND VISITS

(1) Chclc each racility and ,.rvi., Il$ted below that is actually w,th,” the ho,p,tal (SE,? ENCLOSED DEF1N[3”[c7N SHEET] \Vbere requested, record un,t

fmd~ setup and staffed for usc at the end of reporting period or number of wsits for the reporting permd.

COLUMN 1

Iii. Pmtopcratiw Recovery Room

COLUMN 2

2a. Burn Care Umt

1b. IntcmivcCamUnit Nwnbcr of beds 2b. PhyslcaI Therapy Dept.

1C. Intcm,lve Cardiac Care Umt. . Nurnbcr of beds 2c. Occupational Therapy Dept.

1d. OpenHcmt Surgery Facilities 2d. Rehabdltatlo” Iqw.tlent Umt Number of beds

I e. Pharmacy W/FT Rcaistered Phmnucist 2e. Rch.qbdmmon Outpattem Unit

\ f. Fharoywy \V/PT Rcgistcrcd Phmmacist 2f, Psychiatric Inpatient Unn Number of beds

I& X-ray ThcriIpy 2g, Psychiatric O.tpatwnt Umt

ill. Cuh~lt Thcrspy 2h. Psychiatric Partml Hmplabzatmn Program

Ii. Radium Thcmpy 21. Psychiauic Emergency Serwcm

[j. DIa~”nstic RadioisotQpc Focdity 2j. Psychmtnc Foster andlor Home Care

Ik. Thmtpcutic Rmfioisotopo Facility 2k. Psychmtnc Com”ltatw” md Education Sewices

11. Hhtupathulugy Laboratory 21. Organized O“tpatimt Dept.

ItII. or&t” Skmk 2RS. Emerse”cy Dept.

ltl. BlumfBisnk 2n. SocntWorkDept.

lo. Et,ctroc”cepl,alograpby 20. FmniSy PlmmingServtc.e A.nwal N.mber of visits

Ip. Inhalation Therapy Dept. 2p. Ge”etlc Co”nselms Sewice

[q. PrcmatmcNwscry 2q. Abortmn Sewrce(I”patie”t)

Ir. Self-C.srcf3nit . .Number of beds 2r. Abortio” Servrce (Outpatient)

!S. Extcndcd Cuc Unit . N.mbcrof Mds 2s. Home Care Dept .An”wtfN”mberofvidts

IL Inpatknt RenalDiafysis 2t. H.SPItal AUXdIXY

[u. Outpatient Rend Dialysis 2u. VolunteerServicesDept.

Iv. Noncoflho Abwe 2v. Noneof the Above

(21 Doe%yuurhospitalhaveanyplans tomerge with anotiminstltution ortistitutions? . . . . . yes ❑ No ❑

13) Dmsyomhospitti admit psychotic patie"ti toiti~"etitice? . . . . . . . . . . . . . . . . . . . yes ❑ No l_J

63
(4) Doyouhave anorgtied treatment =mfordm&abuX patients? . . . . . . . . . . . . . . . . . . . . . Yesl_J No ❑

lfYES, check one: Inpatientzo!dy. . I_J

Outpatients only . . a

lnpatientz and Outpatients ❑

(.5) If you have an Emergemsy Department, please check art anangements below that dezaibe your PHYSICIAN Wafting pattern, and indicate whether there physiclam

have admitthg privileges.

Staffing Arrangement Hospital

For Emergency Department Admittinz Privllesm

a. Houzestaff (fnternsand Residents): . . . . . . . . . . . . . . . . . . Yes ❑ No ❑ Yes l_J No ❑

b. Rotssio” of attmding staff physician . . . . . . . . . . . . . . . . . Yes ❑ No I_J Ye, D No ❑

c. Rotation of a panel of attending staff physicians . . . . . . . . . . . . . . Yes ❑ No ❑ yes ❑ N. ❑

d. Employment of zalaried physician, not part of an organized grouv

Full-time . . . . . . . . . . . . . . . . . . . . Yes f’J No I_J Ycs n No D

ret-tire e . . . . . . . . . . . . . . . . . . . Yes ❑ No ❑ Yes ❑ No ❑

e. 24 hour, 7 &y-a-week coverageby a special partnership or corporation, under contract with the

hospital: . . . . . . . . . . . . . . . . . . . . . . . . . Yes ❑ No (_J Yes (-J No ❑

f. Other (please explain~, . . . . . . . . . . . . . . . . . . . .. Yesn No ❑ Yes ❑ No U

SECTION D. BEDS AND UTILIZATION

Be sure to make an entry for every blank in Sections D, E and F. Enter “0 wherever zero is appropriate. Enter “NA” only

when data are not available from your records. For Sactions D & E, report data for a 1Z-month period, preferably the period

ending September 30, 1971. If another yearly period is used, please indicate that period in the “Comments” sscmmr. Cmrsult

the following definitions while fflling hr Section D:

(l)a

(.$)a

(4)b

(4)s

(1)

A “significant temporary” change refers to beds temporarily out of use, not in bed count, and not considered a pemm

nent change. Report date(s) when bed change(s) occurred, using a six-digit number; example: January 7, 1971 should

be reported as 01/07/71.

Emergency unit visits are the sum of visits to the emergency department (lm.) and psychiatric emergency services (2.i,)

checked under Facilities and Services in Section C.

Clinic visits are the sum of outpatient visits to each organized subunit of the outpatient department. Report clinic visits

to an outpatient renal dialysis unit (1.u.), rehabilitating outpatient unit (2.e.), psychiatric outpatient unit L?.g.), or organized outpatient department (2.L.) under Facilities and Services in Section C.

Other visits are the sum of visits to each unit or department of the hospital by referred outpatients. A referred outpatient

is one who utilizes onfy the special diagnostic or therapeutic facilities and services of the hospital upon referral of a

physician.

ADULT AND PEDIATR [C INPATIENTS (exclude newborn nur$ery):

a. Was there a permanent change or a significant temporary change in the total number of adult and pedictric beds

during the reporting period? . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. YESIZ NO ❑

If yes, give date(s) of change and number of beds added or withdrawn from use.

(Show increase by+ and decrease by -)

Beds Date

month/day/year

Beds Date

morrth/day/year

b. Does your hospital maintain separate umts specifically designated for short-term and long-term care (exclude newborn nursery)? (A short-term unit is one with an average length of stay of less than 30 days).

No ❑ (Fill Co{. (1J only for

each quest;on belqw. j

YES iZ bl. Can p;tients discharged from zhort-temr care units over a one-year period be

identified separately by name or medical record rmmber from either a daily census

report, dizcharge fist, or discharge anafysis fozm? YES•1 NO•1

(Fill Cols, (1). (3J for

each question below)

All hospitals Fill out only if th. hmpitd h“

fill out swaratc . ni%for short.tum ●nd

Tofd Short.tum unit$ Long.tarm unifr

(1) (2) (3)

c. How many b+ds were W up and Wzffed for meat the end of

the repmting period?

d. Howmany admissions(excludingbirths) werethereduring *

the reportingperiod?

e. How many adult a“d pedntric (excludingnewborn)inpatient

daysof carewererenderedduringtbe reportingperiod?

f. Howmanydischarges(excludingnewborn)werethere

duringthe reportingperiod? %

g. Howmanypatient daysof mzewererenderedto inpatients

(excludingnewbmn)dkchargedduzinsthe reportingperiod?

*Report total admirzions and totaf dhchazgesfrom the horpitaf.(Thismay not be the mm of columns2 and 3 bemuseof internal

tzzmfers).

(2) What was the census on the M daY of your reporting period? . . . . . . . . . . . . .

(3) NEWBORN NURSERY

a. How many bassinets were W up and staffed for use at the end of +e reportingperiod?

b. Totat births durfngreportins period(excludefe@ deaths). I
(4) VISITS TO OUTPATIENT SERVICES DURING REPORTING PERIOD

a. Emergency visits.

b. Outpatient clinic visits.

c. Other visits (rcfemcd patients)

d, ToM ViSitS,

(5) Does your hospital have an operating room?

•l Yes ❑ No

2

[6) How many major and minor surgical operations (including Caesarean deliveries) were performed in the operating

mom during the reporting period? . . . . . . . . . . . . . . .

SECTION E. FINANCES

Report professional fees and salaries to interns, residents, and other trainees in non payroll expenses (2b).

(1) What was your hospitd’sNET REVENUE for the reporting perind? $

(2) What were your hnspital’s TOTAL EXPENSES for the reporting period? $

a. Payroll .$

b. Non payroll $

(3) What were your hospital’s TOTAL ASSETS (all funds) as of the end of the reporting period? $

SECTION F. PERSONNEL

Report all full-time and part-time personnel who were on the payroll of your hospital as of September 30, 1971. Exclude

private duty nurses, volunteers, and all personnel whose salary is totally financed by outside research ~ants.

Full-Timn Part-Time

(35 hrs.lwk. or more) IL- than 35 hrdwk.)

1. Physicians and dentists (exclude non-salaried personnel)

2. Medical and dental interns and residents

~

5 Licensed practical nurses (or LVNS)

7. Totaf personnel (1 + 2 + 3 + 4 + 5 + 6)

DATE OF C0MPLET16N I

SIGNATURE OF PERSON COMPLETING SURVEY

//

IF SIGNED BY PERSON OTHER THAN ADMINISTRATOR, GIVE TITLE.

I ●

COMMENTS

65
Sen”es 1.

Series 2.

Series 3.

Series 4.

Series 10.

Series 11.

Series 12.

Series 13.

Series 14.

Series 20.

Series 21.

Series 22.

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS

Qrigindy F%blic Health Service hblication No. 1000

Programs and collection procedures. - Reports which describe the general programs of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions,

and other material necessary for understanding the data.

Data evaluation and methods research. —Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical

techniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Analytical studies. —Repcmts presenting analytical or interpretive studies based on vital and health

statistics, carrying the analysis further than the expository types of reports in the other series.

Documents and committee reports. — Final reports of major committees concerned with vital and

health statistics, and documents such as recommended model vital registration laws and revised birth

and death certificates. Q

Data from the Health Interview Survey. —Statistics on illness, accidental injuries, disability, use of

hospital, medical, dental, and other services, and other health-related toPic~, based on data collected

in a continuing national household interview survey.

Data from the Health Examination Survey. —Data from direct examination, testing, and measurement of national samples of the population provide the basis for two types of reports: (1) estimates

of the medically defined prevalence of specific diseases in the United States and the distributions of

the population with reqpect to physical, physiological, and psychological characteristics; and (2)

anal ysis of relationships among the various measurements without reference to an explicit finite

universe of persons.

Data from the Institutional Population Surveys.— Statistics relating to ‘the health characteristics of

persons in institutions, and on medical, nursing, and personal care received, based on national

samples of establishments providing these services and samples of the residents or patients.

Data from the Hospital Discharge Survey. —Statistics relating to discharged patients in short-stay

hospitals, based on a sample of patient records in a national sanlPle of hospitals.

LMtu on health resources: manpower and facilities. — Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

manpower occupations, hospitals, nursing homes, and outpatient and other inpatient facilities.

Data on mortality. —Various statistics on mortality other than as included in annual or monthly

reports— special analyses by cause of death, age, and other demographic variables, also geographic

and time series analyses.

Data on natality, marriage, and divorce. —Various statistics on natality, marriage, and divorce other

than as included in annual or monthly reports— special analyses by demographic variables, also

geographic and time series analyses, studies of fertility.

Data from the National Natality and Mortality Surveys. —Statistics on characteristics of births and

deaths not available from the vital records, based on sample surveys stemming from these records,

including such topics as mortality by socioeconomic class, medical experience in the last year of

life, characteristics of pregnancy, etc.

For a list of titles of reports published in these series, write to: Office of Information

National Center for Health Statistics

Public Health Service, HRA

Rockville, Md. 20852