Open Collections

BC Sessional Papers

Thirteenth Annual Report British Columbia Hospital Insurance Service JANUARY 1 TO DECEMBER 31 1961 British Columbia. Legislative Assembly [1962]

Item Metadata

Download

Media
bcsessional-1.0363258.pdf
Metadata
JSON: bcsessional-1.0363258.json
JSON-LD: bcsessional-1.0363258-ld.json
RDF/XML (Pretty): bcsessional-1.0363258-rdf.xml
RDF/JSON: bcsessional-1.0363258-rdf.json
Turtle: bcsessional-1.0363258-turtle.txt
N-Triples: bcsessional-1.0363258-rdf-ntriples.txt
Original Record: bcsessional-1.0363258-source.json
Full Text
bcsessional-1.0363258-fulltext.txt
Citation
bcsessional-1.0363258.ris

Full Text

 PROVINCE OF BRITISH COLUMBIA
HOSPITAL INSURANCE ACT
Thirteenth Annual Report
British Columbia Hospital
Insurance Service
JANUARY 1 TO DECEMBER 31
1961
Printed by A. Sutton, Printer to the Queen's Most Excellent Majesty
in right of the Province of British Columbia.
1962
  Victoria, B.C., January 25, 1962.
To Major-General the Honourable George Randolph Pearkes,
V.C., PC, C.B., D.S.O., M.C.,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour:
The undersigned has the honour to present the Thirteenth Annual Report of
the British Columbia Hospital Insurance Service covering the calendar year 1961.
ERIC MARTIN,
Minister of Health Services and Hospital Insurance.
 British Columbia Hospital Insurance Service,
Victoria, B.C., January 25, 1962.
The Honourable E. C. Martin,
Minister of Health Services and Hospital Insurance,
Parliament Buildings, Victoria, B.C.
Sir,—I have the honour to present herewith the'Report of the British Columbia
Hospital Insurance Service covering the calendar year 1961.
D. M. COX, F.A.C.H.A.,
Deputy Minister of Hospital Insurance.
 DEPARTMENT OF HEALTH SERVICES AND HOSPITAL INSURANCE
British Columbia Hospital Insurance Service
The Honourable Eric Martin, Minister of Health Services and Hospital Insurance.
Senior Administrative Staff
D. M. Cox, F.A.C.H.A., F.C.I., F.C.I.S., Deputy Minister of Hospital Insurance.
L. F. Detwiller, A.F.C., M.A., M.H.A., M.A.C.H.A., M.R.S.H.,
Assistant Deputy Minister.
W. J. Lyle, F.C.I.S., Manager, Hospital Finance Division.
A. W. E. Pitkethley, Esq., Manager, Hospital Construction and Planning Division.
J. W. Mainguy, M.H.A., Manager, Hospital Consultation and Inspection Division.
W. A. Fraser, O.B.E., E.D., M.D., CM., F.A.C.S., Medical Consultant.
K. G. Wiper, Esq., Administrative Assistant.
Miss E. L. Macklin, B.A., Acting Director, Research Division.
  CONTENTS
General Introduction     9
British Columbia Public Hospitals and British Columbia Hospital Insurance
Service, 1949 to 1961, Inclusive  10
The Hospital Insurance Act  10
The Hospital Act  11
Persons Entitled to or Excluded from the Benefits under the Hospital Insurance
Act  11
Entitled to Benefits  11
Excluded from Benefits  12
Hospital Benefits Available in British Columbia  12
In-patient Benefits  12
Emergency Services and Minor Surgery  12
Application for Hospital Insurance Benefits  13
Hospital Benefits Available outside British Columbia  13
The Hospital Rate Board and Methods of Payment to Hospitals  13
Organization and Administration  14
Office of the Assistant Deputy Minister of Hospital Insurance  14
Organization Chart   15
Hospital Finance Division  16
Hospital Accounting  16
Hospital Claims  18
Hospital Construction and Planning Division  20
Hospital Projects Completed during 1961  22
Hospital Projects under Construction at Year-end...  23
Projects in Advanced Stages of Planning  23
Additional Projects Developed through Planning Stages  24
Sundry Building Improvement Projects  24
Hospital Consultation and Inspection Division  24
Medical Consultation Division  28
Administrative Assistant  30
Third Party Liability Section  30
Eligibility Inspectors' Section  31
Research Division  31
Public Information  32
General Office  33
Hospitals as Defined under the Hospital Insurance Act  35
Public Hospitals  35
Outpost Hospitals  35
Federal Hospitals  36
Private Hospitals (Providing General Hospital Services)  36
Rehabilitation, Chronic, and Convalescent Hospitals  36
Statistical Data  37
Table I.—Patients Separated (Discharged or Died), Total Patient-days and
Proportion Covered by British Columbia Hospital Insurance Service,
British Columbia Public Hospitals Only, 1949-61 (Excluding Federal,
Private, and Out-of-Province Hospitalization)  38
7
 R 8 BRITISH COLUMBIA
Statistical Data—Continued PA0E
Table IIa.—Patients Separated, Total Days' Stay, and Average Length of
Stay According to Type and Location of Hospital for B.C.H.I.S.
Patients Only, and Days of Care per Thousand of Covered Population, 1949-61   39
Table IIb.—Summary of the Number of B.C.H.I.S. In-patients (Including
Rehabilitation Patients) and Short-stay Patients, 1949-61  40
Table III.—Patients Separated, Total Days' Stay, and Average Length of
Stay in British Columbia Public Hospitals for B.C.H.I.S. Patients
Only, Grouped According to Bed Capacity, Year 1961  40
Table IV.—Percentage Distribution of Patients Separated and Patient-days
for B.C.H.I.S. Patients Only, in British Columbia Public Hospitals,
Grouped According to Bed Capacity, Year 1961  40
Charts  41
Causes of Illness (Major Diagnostic Groups), Percentage Distribution of
Days of Care (Excluding Newborns), 1960  42
Cumulative Percentage Distribution of Separations by Age-group of Patient,
with a Cumulative Percentage Distribution by Sex Shown as Components of the Total (ExcludingNewborns), 1960  44
Cumulative Percentage Distribution of Days of Care by Age-group of
Patient, with a Cumulative Percentage Distribution by Sex Shown as
Components of the Total (Excluding Newborns), 1960  45
Average Length of Stay of Patients in Acute-care Hospitals in British
Columbia by Major Diagnostic Groups (Excluding Newborns), 1960 46
Percentage Distribution of Separations and Days of Care by Type of Clinical
Service (Both Sexes, All Ages), 1960  47
Hospitalization by Diagnoses According to the Canadian List of Diseases
and Causes of Death, 1960  48
Statement of Receipts and Disbursements for the Fiscal Year Ended March 31,
1961  52
 Thirteenth Annual Report of the British Columbia
Hospital Insurance Service
GENERAL INTRODUCTION
D. M. Cox, F.A.C.H.A.,
Deputy Minister of Hospital Insurance
The thirteen years since the commencement of British Columbia hospital
insurance coverage on January 1, 1949, have been marked by a continuous development of hospitals and hospital services in British Columbia. This development
has been made possible only through the combined efforts of government and of
the organizations and individuals participating in the financing of hospital construction and in the provision of hospital care. It is evident in the fine new hospital
buildings and hospital additions, in the excellent diagnostic and treatment equipment, in the regional laboratory services established by groups of medium and
smaller hospitals, and in the many other improvements made in hospital services
to keep pace with developments in medical science.
There are few individuals in British Columbia and fewer families who have
not benefited by hospital insurance coverage. This is evidenced by the fact that, by
the end of 1961, well over three million hospital accounts had been paid by the
Service. An indication of the magnitude of hospital insurance operations becomes
apparent when a comparison is made between statistics for the year 1949 and for
1961. Information of this nature appeared in the Service's display exhibited
during the Forty-fourth Annual Convention of the British Columbia Hospitals'
Association, held in Vancouver on October 16 to 19, 1961. The convening delegates, representing hospitals throughout the length and breadth of the Province, expressed a great deal of interest in the comparisons of growth, and for this reason
the data have been reproduced on the following page.
At the present time 96 per cent of all patients in the Province's acute-care
general hospitals receive coverage from the British Columbia Hospital Insurance
Service. (This compares with an average of approximately 85 per cent coverage
experienced during the years of compulsory premium payment, January, 1949, to
April, 1954.) The remaining 4 per cent are primarily non-residents, workmen's
compensation recipients, armed forces personnel, and veterans with pensionable disabilities. It is of interest to note that an estimated $393,000,000 has been paid on
behalf of hospital accounts incurred during the thirteen-year period of operation.
Payments of hospital accounts to British Columbia hospitals in 1949, on a daily
basis, were $50,000; during 1961 daily payments averaged $145,000.
 R  10
BRITISH COLUMBIA
British Columbia Public Hospitals1 (Including Rehabilitation Hospitals),
1949 to 1961, Inclusive
Gross Salaries
1949  $12,375,000
1961     42,500,000
Total Patient-days (Adults and
Children)
1949  1,682,196
1961  2,600,000
Total Bed Capacity
1949  5,840
1961  9,100
Gross Operating Expenditures
1949  $19,730,000
1961     59,000,000
Full-time Employees
1949     7,068
1961  14,000
Total Number of Patients (Adults
and Children)
1949  165,000
1961  270,000
Cost per In-patient
1949  $94.00
1961  187.00
Gross per Capita Expenditure
1949  $17.75
1961     37.00
i Excludes contract and Federal hospitals.
Note.—1961 figures estimated.
British Columbia Hospital Insurance Service, 1949 to 1961, Inclusive
Equipment grants.. $4,250,000 Paid in claims____ $393,000,000
In-patient accounts—
British Columbia hospitals       3,085,000
Out-of-Province  34,000
Daily payments to hospitals now        $145,000
Payments to hospitals—
1949  $14,770,000
1961  (estimated)  $54,000,000
Hospital construction since 1949—1
Total beds  5,020
Total estimated cost  $55,672,800
i Excludes staff beds.
THE HOSPITAL INSURANCE ACT
This is the Statute which authorizes British Columbia's hospital insurance plan,
and under which the British Columbia Hospital Insurance Service is established.
Its main provisions may be summarized as follows:—
(1) Generally speaking, every permanent resident who has made his home
in British Columbia for at least three consecutive months is entitled to
benefits under the Act.
(2) Approved hospitals are paid an all-inclusive per diem rate for the acute
hospital care rendered to qualified persons. In addition, the plan was
expanded on September 1, 1960, to provide active care for persons requiring rehabilitative procedures or those suffering from a chronic illness
or disability. The payment made to a hospital by the British Columbia
Hospital Insurance Service amounts to $1 less than the per diem rate
 HOSPITAL INSURANCE SERVICE,  1961 R 11
approved for the particular hospital, and the patient is responsible for
paying the remaining dollar. The Provincial Government pays the dollar-
a-day charge on behalf of Provincial social welfare recipients.
(3) The wide range of benefits provided under the Act is described on the
following pages.
(4) Qualified persons who are temporarily absent from British Columbia are
entitled to the benefits described elsewhere in this Report (p. 13) during
the first three months following their departure from the Province.
THE HOSPITAL ACT
One of the important functions of the British Columbia Hospital Insurance
Service is the administration of the Hospital Act. The Deputy Minister of Hospital
Insurance is also the Chief Inspector of Hospitals for British Columbia under this
Statute.
The Hospital Act controls the organization and operation of hospitals, which
are classified as follows:—
(1) Public hospitals—non-profit hospitals caring for acutely ill persons.
(2) Private hospitals—generally privately owned and profit-making units.
This category includes:—
(a) Small general hospitals, most of which are operated in remote
areas by industrial concerns primarily for their employees.
(b) Nursing homes, most of which are operated for profit by private
operators or companies. Several are operated as non-profit organizations
by religious and other groups.
(3) Rehabilitation, chronic, and convalescent hospitals—these are non-profit
hospitals approved under Part III of the Hospital Act, primarily for the
treatment of persons who will benefit from intensive rehabilitative care.
PERSONS ENTITLED TO OR EXCLUDED FROM THE BENEFITS
UNDER THE HOSPITAL INSURANCE ACT
Entitled to Benefits
A person is entitled to benefits if he qualifies as a beneficiary under the Hospital
Insurance Act. Generally speaking, a person is a beneficiary if the provision of
hospital care is a medical necessity and if he proves to the satisfaction of the Deputy
Minister of Hospital Insurance that he qualifies under one of the following categories:—
(a) He is the head of a family, or a single person, who has made his home in
the Province and has lived continuously therein during the preceding three
consecutive months; or
(b) Having qualified under item (a), he leaves the Province and returns after
an absence of less than twelve months and resumes residence within the
Province; or
(c) He is living within the Province and is a dependent of a resident of the
Province.
During the three-month residence qualification period, a person is permitted
to be temporarily absent from British Columbia for a total of one month without
incurring any postponement of the date on which he becomes a beneficiary.
With regard to item (c) above, a dependent is either the spouse of the head of
a family or a child under 21 years of age who is mainly supported by the head of
a family.
 R 12 BRITISH COLUMBIA
Generally speaking, if a man's wife and dependent children arrive in British
Columbia after he does, they are entitled to assume his residential status as of the
date of their arrival.
The foregoing general description may be varied somewhat by the special
arrangements that are in effect regarding persons who move to British Columbia
from other Provinces.
Excluded from Benefits
Some of the main classes of persons either permanently or temporarily excluded
from benefits are as follows:—
(a) A person who works full or part time in British Columbia but who resides
outside the Province; or
(b) A resident who leaves British Columbia temporarily and fails to return
and re-establish residence within twelve months, or who establishes his
home elsewhere; or
(c) An inmate of a Federal pentitentiary; or
(d) A resident who receives hospital treatment provided under the Workmen's
Compensation Act, or a war veteran who receives treatment for a pensionable disability; or
(e) Persons entitled to receive hospital treatment from the Government of
Canada or any other government; for example, members of the armed
forces or Royal Canadian Mounted Police.
HOSPITAL BENEFITS AVAILABLE IN BRITISH COLUMBIA
In-patient Benefits
In addition to standard-ward accommodation with meals and necessary nursing
services, a beneficiary may receive any of the other services available in the hospital,
which may include:—
Laboratory and X-ray services.
Drugs, biologicals, and related preparations (with a few exceptions).
Use of operating-room and caseroom facilities.
Use of anaesthetic equipment, supplies, and routine surgical supplies.
Use of radiotherapy and physiotherapy facilities where available.
Active treatment of chronic illness, with particular emphasis on patients whose
rehabilitation potential has been established. Other approved services
rendered by employees of the hospital.
(Note.-—Private or semi-private rooms cost more to maintain than standard
wards, and a patient is required to pay extra for such accommodation.)
Emergency Services and Minor Surgery
The following benefits are also provided in British Columbia public hospitals
to beneficiaries who do not require in-patient care:—
Emergency treatment within twenty-four hours of being accidentally injured.
Operating-room or emergency-room services for minor surgery, including application and removal of casts.
The hospital charges beneficiaries $2 for each visit, and the remainder of the
cost is paid by the British Columbia Hospital Insurance Service. However, if the
patient received treatment from a private physician, he is responsible for paying
the doctor's services, as such charges are not payable by the Hospital Insurance
Service. Non-beneficiaries are required to pay the full hospital charge for such
services.
 HOSPITAL INSURANCE SERVICE,  1961
R  13
APPLICATION FOR HOSPITAL INSURANCE BENEFITS
At the time of admission to hospital, a patient wishing to apply for coverage
under the hospital insurance programme is required to make an application for
benefits. The hospital is responsible for verifying the patient's statements regarding
length of residence, etc., to determine if the patient is a qualified resident as defined
under the Hospital Insurance Act and regulations. Payment of the account is then
requested by the hospital from the British Columbia Hospital Insurance Service,
which may reject any account where either the patient's status as a qualified resident
or the medical necessity for his receiving hospital care benefits has not been satisfactorily established.    (See Eligibility Section, p. 31.)
HOSPITAL BENEFITS AVAILABLE OUTSIDE BRITISH COLUMBIA
Benefits are available anywhere in the world to a beneficiary under British
Columbia's plan, when admitted to an approved general hospital, for medically
necessary in-patient care for an acute illness or condition, within the first three
months after leaving British Columbia. This applies both to beneficiaries who are
temporarily absent from the Province and those who have moved elsewhere. The
maximum period during which coverage can be provided is three months, and this
applies only to in-patient benefits; emergency services and minor surgery rendered
to out-patients are excluded.
If hospitalization takes place elsewhere in Canada, the British Columbia Hospital Insurance Service will pay the hospital at the standard-ward rate approved by
the Provincial authority concerned, less $1 per day. If the daily rate includes a
capital charge related to the cost of hospital buildings or equipment, it is payable
by the patient, because such items are not included in the rates charged by British
Columbia hospitals. Outside Canada, payment is made to hospitals at a rate not
exceeding $12 per day ($4 for newborn infants).
A written application for benefits must be received by the British Columbia
Hospital Insurance Service within six months of the date of admission to hospital.
THE HOSPITAL RATE BOARD AND METHODS OF
PAYMENT TO HOSPITALS
The Hospital Rate Board, appointed by Order in Council in January, 1951,
is composed of the Deputy Minister of Hospital Insurance, the Hospital Finance
Manager, and the Hospital Consultation and Inspection Manager. The purpose
of the Board is to advise the Deputy Minister in regard to the rates of payments
to hospitals.
A system of firm budgets for hospitals, which has been in use since January 1,
1951, provides for a review of hospitals' estimates by the Rate Board. Under a
firm-budget procedure, hospitals are required to operate within their approved
budgets, with the exception of fluctuation in days' treatment and other similar items.
They are further advised that deficits incurred through expenditures in excess of
the approved budget will not be met by the Provincial Government. The value of
variable supplies used in patient-care has been determined. It is generally recognized that the addition of a few more patient-days does not add proportionately to
patient-day costs, because certain overhead expenses (such as heating, etc.) are
not affected. However, some additional supplies will be consumed, and it is the
cost of these variable supplies which has been determined. When the number of
days' treatment provided by the hospital differs from the estimated occupancy, the
budgets are increased or decreased by the number of days' difference multiplied by
 R  14 BRITISH COLUMBIA
the patient-day value of the variable supplies. Individual studies and additional
budget adjustments are made in those instances where large fluctuations in occupancy involve additions or reductions in stand-by costs.
The majority of hospital accounts (approximately 96 per cent) are the responsibility of the British Columbia Hospital Insurance Service. Every month the Service pays each hospital approximately one-twelfth of the yearly budget represented
by B.C.H.I.S. insured days as compared to the total days' treatment. By the
month's end, each hospital is advanced the approximate amount required to cover
B.C.H.I.S. patients. Qualified patients are charged $1 per day, which is deductible
when calculating payments due hospitals from the Service. Non-qualified residents
are charged the hospitals' established per diem rates, which are all-inclusive; that
is, the daily rate covers the cost of all the regular hospital services, such as X-ray,
laboratory, operating-room, etc., provided to patients, in addition to bed, board,
and nursing care.
ORGANIZATION AND ADMINISTRATION
The British Columbia Hospital Insurance Service is a branch of the Department of Health Services and Hospital Insurance. The administrative head is the
Deputy Minister of Hospital Insurance.
The following reports give a brief outline of the work carried out during 1961
by the office of the Assistant Deputy Minister and by the various divisions and
sections which comprise the administrative structure of the Branch.
Office of the Assistant Deputy Minister of Hospital Insurance
L. F. Detwiller, A.F.C., MA., M.H.A., M.A.C.H.A., M.R.S.H.
The administrative functions of this office are varied and include not only line
responsibilities, but several staff functions and research activities.
As a member of two working parties and the Sub-committee on Quality of
Care, Research, and Statistics, the Assistant Deputy Minister took part in conferences held in Ottawa in connection with the Federal-Provincial hospital insurance
plan. These meetings have facilitated co-operation between the Provinces, enabling
a full exchange of information and greater co-ordination of hospital data. Methods
used by the various Provinces were reviewed, and the recommendations made will
ensure uniformity in the measurement and compilation of hospital statistics across
Canada. The Canadian List of Diagnoses for Hospital Statistics was approved by
the Advisory Committee for use in the tabulation of certain data; a uniform definition of "newborn" Was accepted, to be implemented on January 1, 1962; and
considerable changes were made in the forms used for reporting the Annual Return
of Hospitals, to facilitate simplification, reduction, and consolidation in the reporting of data.
This office continued to work with the Metropolitan Hospital Planning Council,
assisting in co-ordinating the studies undertaken by the Research Division of the
British Columbia Hospital Insurance Service and those of the Council. During
the year the report made on the survey of emergency departments in hospitals in
the metropolitan area of the Lower Mainland was completed, and the pediatric
study and bed-utilization study are expected to be released early next year. A progressive programme is envisaged by this body for 1962, including an extended bed-
utilization study. During the year the Assistant Deputy Minister presented several
papers in Canada and the United States on the work of the Metropolitan Hospital
Planning Council.
 HOSPITAL INSURANCE SERVICE, 1961
R 15
<
X
o
z
o
I—I
H
<
SI
H-4
Z
<
o
Pi
o
« in C
ill
(ff  TO  (J
" u o
S.S.S
WBtS
CO
Baa
O g  U
<
•gig
SgQ
U
Hospital
Consultation
and Inspection
Division
Hospital
Construction
and Planning
Division
 R  16 BRITISH COLUMBIA
Hospital Finance Division
W. J. Lyle, F.I.C.S., Manager
The Hospital Finance Division performs two main functions—hospital accounting, and payment of hospital claims. The Division is also responsible for the
approval of equipment grants, and in 1961 recommended grants of over $525,000,
after a review of 3,100 applications received from hospitals. During 1961 the
Division Manager attended two meetings in Ottawa of the Advisory Committee on
Hospital Insurance and Diagnostic Services, which is an advisory body to the
Minister of National Health and Welfare. The Manager, who also represents
British Columbia on a Sub-committee on Finance and Accounting, attended a two-
day meeting in Ottawa prior to one of the Advisory Committee conferences. The
Sub-committee on Finance and Accounting revised the Annual Financial Return
of Hospitals, reviewed hospital accounting procedures and problems, and developed
a check list and guide delineating the line between capital and maintenance expenditures.
The benefits of the Municipal Superannuation Act, which were made available
to all public hospitals in British Columbia from July 1, 1960, were further expanded
so that by the end of 1961 practically every hospital in the Province had made application and had its employees covered. Close liaison was continued between the
Division Manager and the Commissioner of Municipal Superannuation in respect
to the application of the Act to hospital personnel and the postponement of retirement for certain employees who have reached retirement age. Arrangements were
also made, effective from January 1, 1962, to include 50 per cent of acceptable
medical insurance premiums for hospital employees as an approved cost for budget
purposes. By the end of the year most hospitals had granted this fringe benefit to
their employees.
The Division Manager continued to perform duties as a member and secretary
of the Hospital Rate Board, and to represent the British Columbia Hospital Insurance Service on the Radiological Advisory Council, which acts in an advisory
capacity on the development of radiology services and purchase of equipment by
general hospitals.
The following is an outline of the duties, activities, and responsibilities of the
two sections of the Finance Division.
Hospital Accounting
G. L. Morris, C.A., Supervisor
The work of the Hospital Accounting Section falls into two main categories:
(a) the detailed inspection, in the field, of the financial records of the hospitals for
purposes of verification of annual and other financial statements, and (b) the
assembly of relevant information and preparation of tabulations and other data, for
use by the Hospital Rate Board in its reviews of hospitals' estimates. In carrying
out the inspection duties, visits were made at least once during 1961 to eighty-seven
public hospitals, the individual visits extending from three days to four weeks. The
gross expenditures of public hospitals, as approved by the Hospital Rate Board, for
the year 1961 amounted to $58,000,000.
Other functions performed by the Hospital Accounting staff included:—
(a) The tabulation of monthly statistical and financial reports from hospitals
and the correlating of these with the approved budgets.
(b) The determination of the semi-monthly cash advances to be made to
hospitals.
 HOSPITAL INSURANCE SERVICE,  1961 R 17
(c) Checking and amending annual financial and statistical reports prepared
by hospitals for the Dominion Bureau of Statistics and the Department
of National Health and Welfare.
(d) The provision, on request, of accounting assistance and instruction to
smaller public hospitals in the Province.
(e) The carrying-out of accounting reviews and cost studies of nursing homes,
upon the request of the Social Welfare Department, for welfare payment
purposes.
(/) The auditing of accounts of hospital construction projects to determine the
amount of construction grants payable by the Province.
During 1961, construction projects, involving expenditures in excess of
$7,500,000, were audited and the required statements prepared for the Federal
Government in order that Federal construction grants could be claimed on behalf
of the hospitals.
During the year, investigations were made of financial and statistical records
of certain designated hospitals falling within the scope of the new Rehabilitation,
Chronic Treatment, and Convalescent Care Plan to determine the basis of payment
on behalf of B.C.H.I.S. patients covered in such hospitals. As the plan is further
developed and the number of approved hospitals providing this type of rehabilitation
treatment is extended, a further increase is expected in the volume of work of this
nature to be undertaken by this Section.
Experience during the first few years' operation of the British Columbia Hospital Insurance Service indicated that operating costs required serious consideration
when planning new hospitals and additions to existing hospitals. In order to ensure
that plans for new hospitals or hospital additions are prepared with economical and
efficient operation in mind, a system of pre-construction operating budgets is used.
The procedure requires a hospital to prepare an estimate of staff and other costs,
based upon a reasonable occupancy for the new area. These estimates are submitted
to the British Columbia Hospital Insurance Service and are reviewed by the Hospital
Rate Board in the same manner as normal operating estimates. It is essential that
the estimated operating costs of the new hospital or new addition compare favourably with other hospitals actually in operation. Where the hospital's pre-construction operating estimates do not indicate a reasonable operating cost, it is necessary
for the hospital board to revise its construction plans to ensure efficient and economical operation. Once a satisfactory pre-construction operating estimate has
been agreed upon by the hospital officials and the British Columbia Hospital Insurance Service, the hospital boards are required to provide written guarantees relative
to the projected operating cost. It is considered that this method of approaching
the operating picture for proposed hospital facilities ensures more satisfactory
planning, efficient use of hospital personnel, and an economical operation.
Under the terms of the Federal Hospital Insurance and Diagnostic Services
Act, whereby the Federal Government shares in the costs of in-patient care in this
Province, monthly payments are made to the Province by Ottawa, based on advances
to hospitals made by the Province during the previous month. These payments are
later taken into account when the total amount payable by the Federal Government
is determined for the calendar year. The final calculation for the year is based on
the annual audited financial reports of each public hospital, after the hospitals'
records have been inspected by accountants from this Section and approved by
Federal Treasury auditors. Compilation of the necessary data required by the
Federal authorities for purposes of the final settlement is highly complex and involves a considerable amount of detailed work before agreement on the amount
shareable in respect of each financial year is reached.   With the entry of additional
3
 R 18 BRITISH COLUMBIA
Provinces into the Federal-Provincial scheme during 1960, it appears unlikely that
a settlement of the final shareable costs for that year will be made before an advanced
date in 1962, as agreement on the costs of all participating Provinces must first be
reached before the national shareable costs can be determined.
In addition to the growing volume of work relating to the financial operations
of hospitals, arising out of the Federal-Provincial plan, there was a notable increase
during 1961 in the number of observations and inquiries received from Ottawa, and
channelled through this office, regarding the statistical data reported by hospitals in
Part I of the Annual Return of Hospitals, with the object of attaining more complete
standardization and correlation of statistics throughout the Dominion.
The Annual Report on Hospital Statistics, issued by the Department of Health
Services and Hospital Insurance and covering the administration of the Hospital Act
for the preceding year, is prepared by this office.
Hospital Claims
W. J. Wade, Supervisor
The Hospital Claims Section is responsible for processing Admission/Separation Records (accounts), which hospitals submit for each patient, and approving
for payment all acceptable claims. Every claim is checked by this office, whether it
is payable by the British Columbia Hospital Insurance Service or by the patient or
other agency. 1961 was another year of increased production, due in part to an
increase in claims being received under the Rehabilitation, Chronic Treatment, and
Convalescent Care Plan, as well as an increase in admissions to general hospitals.
Approximately 1,330 claims and an average of over 450 emergency-service or
minor-surgery account forms were processed during each working-day of 1961.
In addition to the normal processing of hospital claims, the planning and
reviewing of procedures was continued during the year. This was necessary in order
to devise methods of meeting the increasing volume and complexity of handling
claims, due to amendments to the eligibility requirements of other Provincial plans
as well as changes in statistical procedures implemented as a result of the Federal-
Provincial Agreement.
The five-part interleaved carbon Admission/Separation Record, and punch card,
were redesigned and placed in use on January 1, 1961. The planning and redesigning of these items were carried out in co-operation with hospitals and our Research
and Medical Consultation Divisions.
A brief outline of the work and duties performed by the various sections of
Hospital Claims follows.
The Admission Control Section reviews each Application for Benefits made by
patients who claim to be qualified for benefits under the Hospital Insurance Act.
Details of residence are checked with the verifying documents, and discrepancies
referred back to the hospital or to the Eligibility Inspectors. Over 7,500 hospital
claims, or some 2.4 per cent of the total received from hospitals, were returned for
further information. Advice and assistance were given to hospital admitting staffs
on the proper methods of obtaining and recording the patient's residence information
and employment history. This was carried out by correspondence, by actual visit
to the hospital, or by attendance at hospital regional meetings.
The Accounts Payment Section verifies the charges made to the British Columbia Hospital Insurance Service, and ensures that all information shown on each claim
is completed for statistical purposes and that it is charged to the correct agency, such
as the British Columbia Hospital Insurance Service, Workmen's Compensation
Board, Department of Veterans' Affairs, or other Provinces and Territories. During
the year an average of 500 queries per month on accounting matters were addressed
 North Vancouver
The new 283-bed Lions Gate
Hospital, serving North Vancouver
and West Vancouver, was officially
opened April 22, 1961.
Dawson Creek
The new three-story St. loseph General Hospital,
with accommodation for 71 beds, was opened luly
22, 1961.
MAJOR HOSPITAL
PROJECTS COMPLETED
IN 1961
Also
Chemainus: A new addition providing 5 children's beds, 2 adult
beds, and a 1-bed isolation unit.
Hazelton: A new addition for an
emergency department and admitting office.
Vancouver: Construction of a combined locker-room area plus alterations to provide a physical
medicine department (Vancouver
General Hospital). Boiler-plant
expansion and a new physiotherapy department (St. Paul's Hospital).
Victoria: Completion of ancillary
projects prior to starting construction of a new addition (Royal
Jubilee Hospital).
(See page 22 for details.)
Terrace
On March 4, 1961, the new 40-
bed Terrace and District Hospital
was opened, and in September a
new 10-bed nurses' residence was
completed.
 R 20 BRITISH COLUMBIA
to British Columbia hospitals. In 1961 a total of 309,313 accounts was paid,
compared to 300,709 in 1960 and 287,685 in 1959.
The Social Welfare Records Section continues to maintain the alphabetical file
of all Health Services Identification Cards issued to welfare recipients in this Province. Over 26,000 hospital accounts incurred by welfare recipients were checked
to this file to determine eligibility for hospital benefits. This file is also used by the
Department of Social Welfare as a source of information. The Department of
Social Welfare plans to reissue the identity cards early in 1962, and members of the
Claims Section attended a number of committee meetings in 1961, during which the
reissue arrangements were planned.
The Voucher and Key-punch Sections are responsible for batching and vouch-
ering the checked accounts, in order to determine the amounts payable to each
hospital, and for the punching of an I.B.M. card for each account. The cards are
punched daily to record statistical, financial, and medical data, and are also used to
tabulate remittance listings of payments due to hospitals.
The Out-of-Province Section handles all claims for hospital accounts incurred
by British Columbia residents in hospitals outside the Province. This includes
establishing eligibility and the payment of claims. During 1961 a total of 3,229
accounts, amounting to $470,702, was paid on behalf of qualified residents who
were hospitalized in the other Provinces of Canada and the Territories, in the continental United States, Alaska, Austria, Australia, Denmark, Dutch West Indies,
England, France, Hawaii, Holland, Israel, Italy, Mexico, Norway, Tahiti, Portugal,
Scotland, Spain, Sweden, West Germany, and Yugoslavia.
The work of this Section increased during the year with the entrance of the
Province of Quebec and the Northwest Territories into the Federal-Provincial
Agreement. This Section also compiles up-to-date hospital rate schedules for every
approved hospital in Canada.
The Filing Section sorted and filed an average of 3,800 documents and letters
daily, an increase of 200 daily over last year. During the year all 1960 Part 1
documents were microfilmed by the Central Microfilm Bureau; 595,009 documents
were photographed on 20,000 feet of film. This was a reduction of 172,679 documents from 1959 due to the elimination of the Part 2 Admissions, which are no
longer microfilmed, except when bearing an important notation. The elimination
of the Part 2 Admissions was made possible because the information regarding verification of residence now appears on the Part 1, and this resulted in a saving of 5,900
feet of film and the equivalent film-storage space. This annual microfilming effects
a considerable saving in office space, which would normally be taken up with sixty
filing-cabinets for documents.
Hospital Construction and Planning Division
A. W. E. Pitkethley, Manager
The primary responsibilities of this Division may be summarized as follows:—
(a) Working with hospital boards of management and hospital construction
planning committees in the development of programmes for the construction of new hospital facilities, as well as additions to existing facilities, and
recommending such programmes for approval.
(b) Providing a consultative service to general hospitals when planning new
hospital facilities, renovations, or additions to existing buildings.
(c) Processing and recommending for approval, applications for Provincial
grant assistance toward the cost of capital construction and improvements.
Preparing applications for submission to the Federal Government for
Federal grants toward the cost of construction projects.
 HOSPITAL INSURANCE SERVICE,  1961 R 21
This Division is also responsible for the administrative supervision of the Mar-
pole Provincial Infirmary in Greater Vancouver and the branches in Victoria and
Haney, and the Manager of the Division serves as secretary of the Advisory Board
of Management of the Provincial Infirmaries. (These institutions have a total bed
capacity of 283 beds, and during the year had occupancies ranging from 66.12 to
70.35 per cent.)
A great deal of time was spent during the year reviewing plans of proposed
new hospital facilities. Special attention was given to the design and layout of
each building, to ensure that it could provide a good standard of patient-care, efficient and economical operation, and adequate service and clinical facilities for
potential future expansion. The design and extent of the mechanical facilities proposed for hospital buildings was also reviewed in detail. These included heating,
ventilating, and air-conditioning systems. With the co-operation of other B.C.H.I.S.
divisions, Health Branch personnel, and members of the medical and nursing professions, hospital boards are provided with a complete consultative planning service.
Assistance was given by the Division of Public Health Engineering, the Nutrition
Consultant, the Technical Supervisor of Clinical Laboratory Services, the Technical
Supervisor of Radiology, and the Public Health Officers—all of the Provincial Health
Branch. In addition, the Professor of Paediatrics of the Department of Medicine
of the University of British Columbia gave valuable assistance in reviewing plans
for pediatric and nursery facilities. The Chief of the Hospital Design Division of
the Federal Government gave advice on selected problems in hospital design and
assisted in a consultative capacity in the review of hospital plans. The Supervisor
of Physiotherapy of the Canadian Arthritis and Rheumatism Society (British Columbia Division) co-operated in the review of proposed plans for physiotherapy
departments.
Continued co-operation was received from the Hospitals' Committee of the
British Columbia Division of the Canadian Medical Association. Also, the Canadian Medical Association (British Columbia Division) extended valued assistance
in advising and recommending on selected problems referred to it for study.
During the year the Division continued to benefit through the co-operation of
the Public Works Department, which assigned a member of its architectural staff
to this Division on a full-time basis.
In the summer of 1961 the Federal Government established working parties
under the chairmanship of the Chief of the Hospital Design Division, Ottawa, to
study hospital construction standards. Two working groups were formed—one to
study accommodation problems of hospitals for the chronically ill, with a view to
the development of construction standards for this type of hospital, and the other
to study the revision and expansion of the general hospital construction standards
originally published in 1948. The Manager of the Hospital Construction and Planning Division was appointed to serve on both of these groups.
This Division is consulting with the Faculty of Medicine of the University of
British Columbia on research into the use of ultraviolet rays as a bacteriocidal agent
for air sterilization. The Faculty of Medicine of the University of British Columbia,
and the Vancouver General Hospital, assigned a member of their staffs to work in
co-operation with the Construction and Planning Division, enabling British Columbia
to become the first Province in Canada where a hospital is installing an aseptic air
system in the surgical suite.
The Hospitals' Committee of the Architectural Institute of British Columbia
continued to act in an advisory capacity to the Construction Division in developing
standards and adopting procedures relating to architectural and engineering services
 R 22 BRITISH COLUMBIA
for hospital construction projects. The Hospitals' Committee was formed in 1958
to discuss and resolve problems arising out of hospital projects which relate to the
institute members.
The Manager was appointed to a committee of senior personnel from various
Government departments which will act in an advisory capacity to Dr. A. E. Davidson, Deputy Minister of Mental Health Services, to provide assistance in the study
of the needs and the planning of a new mental-health facility for Victoria.
In June, 1961, the Division Manager and the Assistant Dean of the Faculty
of Medicine, University of British Columbia, visited the Medical Centre, University
of West Virginia, Morgantown, West Virginia, and also the University of Kentucky
Medical Centre, Lexington, Kentucky, for the purpose of investigating and studying
problems associated with the planning and operation of a university medical school.
These studies relate to the planning that is presently under way on the proposed new
medical school on the campus of the University of British Columbia.
The Manager of this Division attended a four-day institute on hospital design
and construction, sponsored by the American Hospital Association, held in Los
Angeles, California. He also made a number of inspection trips to hospitals in
British Columbia during the year, including the examination of facilities being considered for the accommodation of patients receiving treatment under the Rehabilitation, Chronic Treatment, and Convalescent Care Plan.
(a) Hospital Projects Completed during 1961
Terrace and District Hospital.—On March 4, 1961, the Honourable Eric Martin officially opened the new Terrace Hospital of 40 beds. The building is a two-
story reinforced-concrete structure and provides a full range of hospital services.
The new hospital replaces the old building, which had a rated capacity of 32 beds.
Space in the new hospital will provide accommodation for 10 additional beds when
required in the future. A new nurses' residence, which was commenced on March
6, 1961, was substantially completed on September 15, 1961, and the hospital
society took over the building on that date.
Lions Gate Hospital, North Vancouver.—The new hospital of 283 beds was
officially opened by the Minister on April 22, 1961. The hospital is a seven-story
building, the sixth and seventh floors partially completed to provide approximately
138 additional active-treatment beds in the future. Special features include a
pneumatic tube system and a trayveyor for the distribution of food from the main
kitchen to the nursing floors. Service departments are of sufficient size to accommodate the old existing building, which is being considered for use, in part, as a
rehabilitation wing of the Lions Gate Hospital.
St. Joseph General, Dawson Creek.—During a special dedication ceremony on
July 22, 1961, the Minister officially opened the new 71-bed hospital. The new
three-story building provides a full range of hospital facilities, including diagnostic
and treatment facilities, major and minor operating-rooms, an emergency department, and its own laundry facilities. The new hospital replaces the old 29-bed
hospital constructed in 1932.
Vancouver General Hospital. — The construction of combined locker-room
area, plus alterations to provide a physical medicine department, were completed
early in 1961. The physical medicine project included the complete demolition of
the interior of the former B.C. Medical Research Building, and reconstruction on a
revised floor plan. The central locker project included the enlargement of the personnel department, adequate restroom facilities, and a central time-clock arrangement.
 HOSPITAL INSURANCE SERVICE,  1961 R 23
Royal Jubilee Hospital, Victoria. — Ancillary projects completed during the
year, which were preparatory to the commencement of construction of new wings,
included the installation of a fully automatic telephone switchboard, demolition of
the administration block, and construction of a new connecting corridor behind the
administration block.
St. Paul's Hospital, Vancouver.—Boiler-plant expansion and renovations to
the hospital building were completed in 1961. A new boiler, with auxiliary equipment, was also installed. Renovations included a new and enlarged physiotherapy
department, and, in addition, alterations were effected to produce improved facilities for sisters' dining accommodation.
Chemainus General Hospital.—A new addition to this hospital was completed
in 1961 to provide accommodation for 5 children's beds and 2 adult beds, as well
as a complete 1-bed isolation unit. The area previously occupied by pediatric beds
was altered to provide better facilities for a nurses' station, bathrooms, and to provide increased space for the nursery. A net gain of 2 beds has been realized as a
result of this project.
Wrinch Memorial Hospital, Hazelton.—The new addition for an emergency
department and admitting office was completed in December, 1961. The addition
will provide needed facilities for an emergency operating-room, as well as areas for
patients' Waiting and admitting.
(b) Hospital Projects under Construction at Year-end
Royal Columbian, New Westminster: Construction of a new 195-bed nurses'
residence and training-school.
St. Paul's, Vancouver: Construction of a new laundry building and a new
laboratory building.
Providence, Fort St. John: Construction of a new 68-bed hospital, plus semifinished areas for 33 future beds.
Nanaimo Regional General: Construction of a new 160-bed hospital, plus
semi-finished areas for 27 future beds. In addition, the sixth floor will be left unfinished, to provide for a future increase in bed accommodation.
War Memorial, Williams Lake: Construction of a 72-bed hospital, plus semifinished areas for 36 future beds.
Queen Alexandra Solarium, Victoria: Completion of an area to provide 16
additional beds, plus the construction of an addition to be left in a semi-finished
condition for 16 future beds when required.
Royal Jubilee, Victoria: Construction of an addition to provide 195 beds, 31
of which will be left initially in a semi-finished condition. The project includes new
radiotherapy and X-ray departments.
St. Joseph's, Victoria: Renovation of boiler plant and purchase and installation of two new heating-boilers.
(c)  Projects in Advanced Stages of Planning and for Which Working Drawings and
Specifications Are Completed or Are in Process of Preparation
Boundary Hospital, Grand Forks:  35-bed hospital, 5 beds to be left unfinished.
McBride and District Hospital:  26-bed hospital, plus 10 staff beds.
Powell River General Hospital:  Additions and alterations.
Fort Nelson General Hospital:  33-bed hospital, plus 8 nurses' beds.
Royal Jubilee Hospital, Victoria:  Addition to psychiatric unit.
Surrey Memorial Hospital:  Addition to boiler plant and laundry.
 R 24 BRITISH COLUMBIA
(d) Additional Projects Developed through Various Planning Stages in 1961
King's Daughters' Hospital, Duncan:  New hospital.
Mission Memorial Hospital:  New hospital.
Royal Inland Hospital, Kamloops: Addition and renovations, also nurses'
residence and training-school.
Vernon Jubilee Hospital:   Additions and renovations.
St. Joseph's Hospital, Victoria: Addition and renovations, new laundry
building.
St. Joseph's Hospital, Comox:   Addition and renovations.
Sunshine Coast, Sechelt:  New hospital.
100 Mile House: New facility.
Nicola Valley General Hospital, Merritt: New hospital.
Langley Memorial Hospital, Murrayville: New hospital.
Prince Rupert General Hospital: Addition and alterations.
Quesnel General Hospital: Addition and alterations.
Richmond Hospital: New facility.
Gorge Road Hospital, Victoria: Addition.
Ladysmith General Hospital: Addition and alterations.
Kelowna General Hospital: Renovations and extension.
Queen Charlotte Islands General Hospital: Staff residence.
St. Bartholomew's Hospital, Lytton: Renovations.
North Vancouver General: Conversion of old hospital building for rehabilitative care.
Prince George Regional Hospital: Completion of areas previously left unfinished, plus construction of additional unfinished areas.
Squamish General Hospital: Nurses' residence.
Shuswap Lake General Hospital, Salmon Arm: Nurses' residence.
Creston Valley Hospital: Addition and improvements.
Medical Sciences Centre, University of British Columbia:   New hospital.
Royal Columbian, New Westminster: New laundry and maintenance building.
(e)  Sundry Building Improvement Projects, Including the Installation
of Fixed Equipment
During the year the Division received nearly 340 applications from hospitals
for grants to assist in financing the cost of structural improvements and building
alterations, including fixed equipment. The cost of these approved projects totalled
over $150,500.
Hospital Consultation and Inspection Division
J. W. Mainguy, M.H.A., Manager    .
The staff of this Division provides a consultative service to hospitals on problems Of administration and operation in all departments. The Division is also
responsible for the licensing and inspection of private hospitals, including both
private acute hospitals, all but one of which are operated in remote areas of the
Province by industrial companies; and private hospitals giving nursing-home-type
care to the aged sick, most of which are privately owned and operated for profit.
The Manager of the Division is a member of the Working Party on Hospital
Standards, which held three meetings in Ottawa during the year, to draw up suggested minimum qualitative standards for the guidance of hospitals throughout
Canada. The working party was set up by the Sub-committee on Quality of Care,
Research, and Statistics.
 HOSPITAL INSURANCE SERVICE,  1961
R 25
This Division worked with the Finance Division in analysing and reviewing
hospital estimates, including pre-construction operating estimates for projects being
planned, and in this connection the Manager continued as a member of the Hospital
Rate Board. Hospital society by-laws were reviewed with the Administrative
Assistant, and advice was given to hospitals on medical-staff by-laws and regulations
and on other aspects of hospital accreditation.
During 1961 the Division's consultants continued to make inspectional trips
to public hospitals, each visit requiring from one to five days in the hospital. The
consultative services to public hospitals covered a large number of management
problems arising in all departments.
Working with the Fire Marshal, the Inspector of Electrical Energy, and the
Inspector of Elevators, the staff of the Division checked hospital standards of safety
and fire precautions. The Division Manager continued to serve as the B.C.H.I.S.
representative on the Laboratory Advisory Council, which advises the Government
on the development of laboratory services in public hospitals.
Advice was given to many hospitals on disaster planning, and plans submitted
by hospitals were reviewed by a committee on which the Division, the Health
Branch, and Provincial Civil Defence authorities were represented. A member
of the Division attended the Hospital Administrators' Conference on Emergency
Health Services at Arnprior, and another member attended the course for nurse
educators given there.
In many matters the Division works with Health Branch personnel. Contact
is maintained with the Medical Health Officers, and with the Technical Supervisor
of Clinical Laboratory Services and the Technical Supervisor of Radiology, who
also visit hospitals. The Nutrition Consultant assisted the Division in providing
advice on dietary problems in public hospitals.
During the year 140 visits were made to private hospitals, including thirty-five
by the part-time consulting dietician. The consulting dietician was forced by other
commitments to reduce time available to the Service in the latter months of the year.
New beds licensed for the aged sick totalled 191, bringing the Provincial total
of licensed beds to 2,141 in sixty-one hospitals devoted to this type of care. By
comparison, in 1957 there were 1,758 beds in fifty-four establishments. The growth
in the number of beds since 1957 has more than kept pace with the growth of the
population. However, these developments have not yet made up for a shortage of
this type of facility, which has prevailed for many years. There are still few facilities
located in centres away from the metropolitan areas.
One private hospital for acute cases closed during 1961 because of unsuitability
of the premises for continued use as a hospital. This reduced the beds in private
acute hospitals to 76 beds in five hospitals.
In February an Order in Council was passed making Provincial Government
grants available to non-profit organizations for the construction of hospital (nursing
home) facilities licensed as private hospitals under Part II of the Hospital Act. The
grant is not to exceed one-third of the capital cost, which may include such items as
the cost of construction, cost of land, architects' fees, sidewalks, roadways, landscaping, and some fixed equipment.
In the interests of patients' safety and good care, revised standards for construction of nursing-home facilities were established. The conversion of buildings
such as dwelling-houses to private hospitals is not permitted unless they meet the
required standards. At the time the policy changed, some applicants who were in
the process of converting buildings were given a period of time in which to complete
 Major Hospit
through A
Plannij
(Architects-
Vancoovet-)
Powell River, Fort Nelson.
100 Mile House, Merritt, Mui
Kelowna, Queen Charlotte Isl
mon Arm, Creston, New We
couver.
(See pagi
Note.—These are architects' perspective
may not represent the actual appeara
Victoria (St. Joseph's)
(Architects:  Gardiner, Thornton, Gathe & Associates, Vancouver.)
 :s Developed
ind Other
during
>ps, Vernon, Comox, Sechelt,
Rupert, Quesnel, Ladysmith,
ince George, Squamish, Sal-
Vancouver, Victoria, Van-
ietails.)
g the early stages of planning, and they
g upon completion of construction.
Mission
Urctttects: Tn
Mathe:
ls°n, V;
ncouV(
er.)
..MiMM'-'^y ;■■;""
:t:  David P. Fairbank, Nelson.)
McBride
(Architects:  Gardiner, Thornton, Gathe & Associates, Vancouver.)
 R 28 BRITISH COLUMBIA
the necessary renovations. The standards for construction of this type of facility
apply to both profit-making and the non-profit groups.
At the year-end there were six applicants, all proprietary groups, who had
received approval in principle from the Minister of Health Services and Hospital
Insurance to construct new buildings. These buildings would have a total capacity
of 322 beds. One would replace an existing institution, so that the net bed gain
from these projects would be 305 beds.
Following the discussions with the Greater Vancouver Health League, mentioned in the 1960 Annual Report, certain changes in legislation affecting private
hospitals were passed by the Legislature. These changes clarified the type of care
for which a licence is required; added controls over the transfer of shares in private-
hospital corporations; prohibited the use of misleading advertisements by guest
houses, etc., implying that they are licensed to give nursing-home-type care; and
simplified procedures for evidence in prosecutions under Part II of the Hospital Act.
At the same time a change was made to the Welfare Institutions Act, which is
administered by the Welfare Institutions Board. As a result, all boarding homes
must now have a licence to operate from the Welfare Institutions Board, regardless
of whether they care for private cases or welfare cases. Because this brings more
f acilities of this type under the regular inspection of the Provincial and local authorities, it should assist in preventing guest houses and boarding homes from attempting
to give nursing-home-type care, for which they are not qualified and not licensed.
The Manager of the Division continued to serve on the Welfare Institutions Board.
The Registered Nurses' Association co-operated with the Service in screening the
credentials of prospective private-hospital superintendents.
An associated responsibility of the Division is to arrange for the placement by
the Social Welfare Department of welfare patients who no longer need to remain
in acute general hospitals, but must be admitted to nursing-home facilities because
their needs are beyond what can be given in their own homes. The Division is
involved only when service is requested by the acute hospital. In 1961 social
welfare offices placed 121 cases under this arrangement.
Medical Consultation Division
W. A. Fraser, O.B.E., E.D., M.D., CM., F.A.C.S., Medical Consultant
The Medical Consultation Division reviews all Admission/Separation Records
forwarded by hospitals in respect to every in-patient admission. Medical eligibility
is determined as soon as possible following receipt of the patient's admission notification. Particular attention is paid to the length of hospital stay of those patients
receiving hospital insurance benefits. The steady increase in the total number of
patients under care in hospitals each year continued to consume more time in the
processing of hospital claims.
The Medical Coders Section of the Division reviews the diagnoses which appear
on each Admission/Separation Record and allocate a morbidity code based on the
Manual of the International Statistical Classification of Diseases, Injuries, and
Causes of Death.
The Chief Supervisor, Medical Records and Medical Coders, in her capacity
as a qualified medical-record librarian, continued to visit hospitals to assess the
organization of the medical-records department, with particular emphasis on the
accuracy of the discharge diagnoses. She also provided assistance and discussed
mutual problems in reference to the medical records submitted to the British
Columbia Hospital Insurance Service.
 HOSPITAL INSURANCE SERVICE, 1961 R 29
The value of an organized hospital medical-record department, with a qualified
librarian, is obvious from the quality of the medical data received in this Division
for the medical assessment of the claims, as well as for medical coding of the diagnoses and operations performed, for statistical and research purposes. A close
liaison has been established with the Medical Record Librarians' Association, and
their co-operation, both as a group and as individuals in their departments in the
various hospitals, is greatly appreciated.
The Chief Supervisor also attended a medical coding institute in Ottawa, at
which representatives of all Provinces participated.
In 1961 the medical coders assumed additional coding procedures, including
the coding of the principal surgical operations performed in each hospital, for Provincial and Federal health statistical tabulation.
Surveys done within this Division during the year for medical research purposes
included:—
(1) Type and number of cases of tuberculosis, pulmonary and non-pulmonary,
treated in acute general hospitals showing total days and total cost to the
British Columbia Hospital Insurance Service.
(2) Recording of cases of alcoholism treated in acute general hospitals
throughout the Province, and costs involved, with a view to eliminating
abuse of hospital facilities.
(3) Recording of cases of epilepsy with number of hospital days and associated conditions, age-groupings, etc.
The Medical Consultant maintains a close liaison with professional bodies,
including the Faculty of Medicine of the University of British Columbia, the Canadian Medical Association (British Columbia Division), and the College of Physicians and Surgeons. This amicable relationship has contributed much to the medical
aspect of the administration of the Hospital Insurance Service.
The progress of the Rehabilitation, Chronic Treatment, and Convalescent Plan
continues to develop. A short summary of patients cared for under the plan from
September, 1960, to December, 1961, follows. Dr. Brock Fahrni, Associate Professor, Faculty of Medicine, School of Rehabilitation Medicine, University of British
Columbia, continued to provide invaluable assistance in all phases of the development of this programme. An advisory team, consisting of Dr. Fahrni, the Medical
Consultant, and the Managers of the Hospital Construction and Hospital Consultation Divisions, made several trips to hospitals on the Island and on the Mainland to
discuss implementation of the plan.
Summary of Patients Cared For under the Rehabilitation Plan, September, 1960,
to December, 1961 (Excluding Pearson Poliomyelitis Pavilion)
Adults-
Total number of patients treated and discharged  725
Number of patients still in hospital   145
Total number of patients admitted  870
Average length of stay 79.7 days.
Children—
Total number of patients treated and discharged     49
Number of patients still in hospital     19
Total number of patients admitted     68
Average length of stay 120.4 days.
 R 30 BRITISH COLUMBIA
Administrative Assistant
K. G. Wiper
The office of the Administrative Assistant is responsible for the drafting of
legislation, regulations, and Orders in Council for the British Columbia Hospital
Insurance Service. In the performance of these duties a close working relationship
exists between this office and the Attorney-General's Department. A further
responsibility is to provide a uniform interpretation of the various Acts and regulations to other B.C.H.I.S. officials.
Assistance is given, upon request, to hospital societies in regard to problems
connected with hospital constitutions and by-laws, and their application. This is
done in conjunction with the Hospital Consultation and Inspection Division. This
office also reviews changes made in hospital by-laws for the purpose of bringing them
to the stage where Government approval may be obtained, as required under the
Hospital Act. The British Columbia Hospital Insurance Service has developed a
set of model by-laws, which is available to hospitals for use as a guide in making
revisions.
The Administrative Assistant assists committees in unorganized territory to
establish hospital improvement districts, which are necessary for the raising of funds
by money by-law for the construction of new hospital facilities or the improvement
of existing buildings. This work is carried out in conjunction with the Water Rights
Branch of the Department of Lands and Forests and the Chief Electoral Officer of
the Provincial Secretary's Department. At the end of 1961 there were thirty-two
districts in operation and a number of others in the process of formation. Descriptive material outlining the procedure for establishing such a district is supplied upon
request to interested groups.
During 1961 considerable time was spent on matters connected with the
Federal-Provincial hospital insurance plan. Extensive discussions were held, both
in Ottawa and Victoria, with the officials of the Federal Government, and other
Provincial plans, to consider means of removing administrative difficulties and
providing better liaison.
Arrangements were completed in 1961 to record in the various Land Registry
Offices a formal notice against each hospital property to ensure that a transfer cannot take place without the Minister's approval, as provided for under the Hospital
Act.
The Administrative Assistant is also responsible for over-all supervision of the
Third Party Liability and Eligibility Sections.
Third Party Liability Section
The hospitalization reports that are completed by hospitals for every patient
admitted with accidental injuries are processed by the Third Party Liability Section.
This Section also handles the arrangements under which the British Columbia Hospital Insurance Service receives reimbursement from public liability insurance companies and self-insured corporations, for hospital expenses paid by this Service on
behalf of accident victims. The Senior EUgibility Inspector in Vancouver is responsible for maintaining a third-party liability clearing-house for the convenience of
solicitors and insurance adjusters in the Greater Vancouver area. Up-to-date information regarding the hospitalization of accident victims is available through the
Vancouver office, and negotiations may be carried out in person or by telephone,
thus avoiding the necessity of corresponding with the head office in Victoria.
 HOSPITAL INSURANCE SERVICE,  1961 R 31
Eligibility Inspectors' Section
In order to ensure that only qualified British Columbia residents receive hospital insurance benefits, the staff of the Eligibility Section review all applications for
benefits made by, or on behalf of, persons admitted to hospital. A detailed check
is made of all doubtful applications, resulting in a considerable number of unqualified claims for hospital insurance benefits being rejected.
Eligibility Inspectors visit hospitals, on a regular schedule, to see that the
B.C.H.I.S. eligibility procedures are being properly carried out. These Inspectors
also assist in the training of new hospital admitting and eligibility staff members.
In this regard, regional meetings were held in 1961 in a number of centres for the
purpose of holding panel discussions with hospital personnel to deal with problems
connected with the admission of patients to hospitals, and their status under the
Hospital Insurance Act.
This Section has provided the great majority of employers in British Columbia
with a supply of certificates on which an employee's length of employment can be
recorded. The Inspectors maintain close liaison with these firms to ensure their
continuing co-operation in providing their employees with this form of proof of
residence for hospital insurance purposes.
Since the introduction of the Rehabilitation, Chronic Treatment, and Convalescent Care Plan, the Inspectors visited those hospitals participating in the plan,
explaining to the personnel involved the completion of the Admission/Separation
Record, the residential requirements for eligibility, and the various methods of
obtaining proof of residence.
Research Division
Miss E. L. Macklin, B.A.
The main functions of the Research Division are:—
(1) To survey geographic areas within the Province, in order to determine
the need and extent of new hospital construction.
(2) To tabulate, compile, and analyse morbidity statistics, noted in the Admission/Separation Records forwarded to the Service from British Columbia acute-care hospitals in respect to all in-patients.
(3) To assist the administration of the Service and other agencies with compilation of data which are not directly available from other divisions in
the Service.
During the year bed-requirement studies were carried out for the Prince George,
Richmond, Prince Rupert, and Langley districts of the Province, and, at the year-
end, reviews were being made of the Sechelt and Kelowna areas.
As a result of meetings held in Ottawa in connection with Federal-Provincial
hospital insurance planning, a great deal of time was spent in reviewing the recommendations dealing with uniform statistical reporting. The data, collected from all
Admission/Separation Records completed for all hospital admissions, will be incorporated into a series of statistical tables, affording a basis of uniform comparisons
between all Provinces, as well as providing an over-all picture of the hospital-utilization patterns of Canadians. It was necessary to incorporate many changes in the
recording and tabulating of hospital statistics, as follows:—
Changes in terminology and subsequent changes in meaning were introduced;
e.g., " primary " diagnosis changed to " principal " diagnosis.
A new definition of " newborn" was evolved, which necessitated further
changes in the procedures followed by hospitals in the recording of newborn data.
 R 32 BRITISH COLUMBIA
The recording of operations was introduced in British Columbia, plus the
development of a listing of operations and treatments.
A uniform ninety-eight-category Canadian Diagnostic List was developed.
Early in the year an up-to-date compilation of statistical tables, mainly dealing
with hospital utilization, was released as the 1961 supplement to the " Interim Statistical Tables Relating to Hospital Facilities in the Lower Mainland Area." Further
assistance provided by this Division to the Metropolitan Hospital Planning Council
of the Lower Mainland related to the council's study of the Surrey-White Rock
hospital complex. Background data specifically pertaining to these hospitals were
provided to the research group of the council. Tabular data were also prepared
for other projects set up within the framework of the council.
During the year, with the advice of the Co-ordinating Council on Child Care,
a questionnaire was sent to all acute-care Provincial hospitals regarding pediatric
age-limits. Following a review of hospital replies, it was decided that, for statistical purposes, 14 years would be used as the maximum age for paediatrics.
Part of the work load of this office is the preparation of annual statistical information requested by other departments and agencies. "Annual Statistics," a tabular
summary of yearly morbidity data prepared by this Division for the Department of
National Health and Welfare, has received wide recognition in recent years throughout Canada and the United States. In addition, much work is involved in the
preparation of annual rated bed capacity lists, as well as the continual revisal of
'An Alphabetical Listing of Place-Names in B.C. with a Geographic Code."
A continual increase in requests for specific morbidity data has been noticed.
In particular, many tables were prepared giving the British Columbia experience
relating to hospitalized accident cases and the morbidity patterns of persons aged
65 years and over. Annual tables are prepared for the British Columbia Safety
Council, and efforts are being made to facilitate the collection of more detailed
information regarding accidental injuries. Statistics on individual illnesses and
diseases, such as incidence of rheumatic heart diseases, average lengths of hospital
stay of certain diseases, etc., are continually being compiled upon request.
Public Information
R. H. Thompson
This office is responsible for developing and administering the Service's public
information programme as it relates to acute-care hospitals and the general public.
During the year regular editions of the B.C.H.I.S. Bulletin were prepared, and
1,400 copies of each issue were distributed to ninety-three British Columbia hospitals. The Bulletin is an administrative aid, used to clarify those policy and procedural changes which affect hospitals.
Several permanent amendments were drafted for the B.C.H.I.S. Manual on
Policy, Organization, and Procedure, printed on loose-leaf replacement pages, and
forwarded to over 300 British Columbia hospital officials.
During the latter part of the year the Public Information Officer visited hospitals at Duncan, Ladysmith, Chemainus, Nanaimo, Port Alberni, Cumberland,
Comox, and Campbell River. The discussions held with the administrators proved
to be very worth while, and similar trips are planned to hospitals on the Lower
Mainland and in the Interior.
A display was developed for use at the Forty-fourth Annual Convention of
the British Columbia Hospitals' Association, held in Vancouver in October, and
the same display was also set up in the rotunda of the Parliament Buildings, where
 HOSPITAL INSURANCE SERVICE, 1961 R 33
it was on view to the general public. Minor revisions were made to the B.C.H.I.S.
exhibit in the British Columbia Building at the Pacific National Exhibition.
A weekly press release was forwarded to the Province's major news media,
containing information on the Government's grant-in-aid programme, the completion of major hospital construction, the payment of hospital accounts, and other
newsworthy items. Feature articles were accepted for publication in the British
Columbia Government News, the Canadian Doctor (business journal of the medical
profession), and the Canadian Hospital (journal of the Canadian Hospital Association) .
The 1959 pamphlet outlining major developments of the Service since its inception was revised to September, 1961, and reprinted. To meet the continuing
demand for up-to-date information on the Service, a new " General Information "
pamphlet was printed in December. Copies will be distributed to the general public
early next year through hospitals, health units, business organizations, civic groups,
etc.
A reference album was prepared for the Hospital Construction Division containing photographs of all major hospital-construction projects completed since
1952, with related data regarding costs, government grants, architectural firms,
special consultants, and so on.
Miscellaneous duties included the handling of general inquiry correspondence;
maintaining the newspaper-clipping file, the hospital map index, and the 16-mm.
film library; reviewing reports; editing special studies; and compiling and editing
the Thirteenth Annual Report.
General Office
C. R. Leighton
One of the main responsibilities of the General Office is the review of requisitions, vouchers, and warrants submitted by the various divisions. These include
travel expenses, requisitions for supplies, grant payments to hospitals, and advances,
which are then forwarded to the appropriate branch of Government for further
action.
Preparation of the estimates is a further responsibility, and because of the
research required to produce realistic figures, work on the estimates commences in
September of each year.
Other functions of this office include the purchasing of furniture and equipment, operation of the teletype service to the Vancouver office (a service utilized
by other Government offices), and the storage and dispatch of the various forms
supplied by the British Columbia Hospital Insurance Service to hospitals.
In order to offset the storage problems experienced in previous years in connection with the 500,000 I.B.M. cards used annually by the Key Punch Section, a
new procedure was developed during the year whereby the cards were purchased
on a monthly allotment basis rather than a year's supply at one time. This appeared to be working out very satisfactorily.
General personnel matters are dealt with by the General Office, and pay and
personnel records are maintained by the Pay Clerk. The office stenographer continued to handle the typing of correspondence, stencils, pamphlet drafts, and articles, prepared by the Public Information Office, and provided stenographic services
to other offices from time to time.
The monthly comfort allowance received by all Provincial Infirmary patients
was paid to the Mount St. Mary patients, Victoria, by this office, which also acted
in the capac'ty of liaison between Mount St. Mary authorities and the Infirmary
business manager in Vancouver.
 Nanaimo
The new Nanaimo Regional Hospital, expected to be completed
during the summer of 1962, will
provide 160 beds plus semi-finished
areas for 27 beds and an unfinished
sixth floor.
■BrapR3fe»~
.   ■■■'■■ ■■■"■'■
..■■■■..■■ - ■
iiMJHPlriTT miiiiii
HOSPITAL PROJECTS
UNDER CONSTRUCTION
AT THE YEAR-END
Also
Providence, Fort St. lohn.
War Memorial, Williams Lake.
Royal Jubilee, Victoria.
Queen  Alexandra   Solarium,   Victoria.
St. Joseph's, Victoria.
(See page 23 for details.)
New Westminster
Also due for completion next summer is the 195-
bed nurses' residence and training-school at the Royal
Columbian Hospital.
Vancouver
This photo of the new laboratory
and laundry buildings at St. Paul's
Hospital was taken during December.
 HOSPITAL INSURANCE SERVICE,  1961
R 35
HOSPITALS AS DEFINED UNDER THE HOSPITAL INSURANCE ACT
Part I
Hospitals defined as such under section 2 of the Hospital Act:—
(a) Public Hospitals
Armstrong and Spallumcheen Hospital, Armstrong.
Arrow Lakes Hospital, Nakusp.
Bella Coola General Hospital, Bella Coola.
Bulkley Valley District Hospital, Smithers.
Burnaby General Hospital, Burnaby.
Burns Lake Hospital, Burns Lake.
Campbell River and District General Hospital, Campbell River.
Castlegar and District Hospital, Castlegar.
Chemainus General Hospital, Chemainus.
Children's Hospital, Vancouver.
Chilliwack General Hospital, Chilliwack.
Creston Valley Hospital, Creston.
Cumberland General Hospital, Cumberland.
Enderby and District Memorial Hospital,
Enderby.
Esperanza General Hospital, Esperanza.
Fernie Memorial Hospital, Fernie.
Fort Nelson General Hospital, Fort Nelson.
Fraser Canyon Hospital, Hope.
Golden and District General Hospital,
Golden.
Grace Hospital, Vancouver.
Grand Forks Hospital, Grand Forks.
Kelowna General Hospital, Kelowna.
Kimberley and District Hospital, Kimberley.
King's Daughters' Hospital, Duncan.
Kitimat General Hospital, Kitimat.
Kootenay Lake General Hospital, Nelson.
Lady Minto Hospital, Ashcroft.
Lady Minto Gulf Islands Hospital, Ganges.
Ladysmith and District General Hospital,
Ladysmith.
Langley Memorial Hospital, Murrayville.
Lillooet District Hospital, Lillooet.
Lions Gate Hospital, North Vancouver.
McBride and District Hospital, McBride.
Maple Ridge Hospital, Haney.
Mater Misericordiae Hospital, Rossland.
Matsqui, Sumas, and Abbotsford General
Hospital, Abbotsford.
Michel Hospital, Michel.
Mission Memorial Hospital, Mission City.
Mount St. Joseph's Hospital, Vancouver.
Nanaimo General Hospital, Nanaimo.
Nicola Valley General Hospital, Merritt.
North Vancouver General Hospital, North
Vancouver.
Ocean Falls General Hospital, Ocean Falls.
Penticton Hospital, Penticton.
Pouce Coupe Community Hospital, Pouce
Coupe.
Powell River General Hospital, Powell River.
Prince George Regional Hospital, Prince
George.
Prince Rupert General Hospital, Prince Rupert.
Princeton General Hospital, Princeton.
Providence Hospital, Fort St. John.
Queen Alexandra Solarium for Crippled
Children, Victoria.
Queen Charlotte Islands General Hospital,
Queen Charlotte City.
Queen Victoria Hospital, Revelstoke.
Quesnel General Hospital, Quesnel.
Rest Haven Hospital and Sanitarium, Sidney.
Royal Columbian Hospital, New Westminster.
Royal Inland Hospital, Kamloops.
Royal Jubilee Hospital, Victoria.
R. W. Large Memorial Hospital, Bella Bella.
St. Bartholomew's Hospital, Lytton.
St. Eugene Hospital, Cranbrook.
St. George's Hospital, Alert Bay.
St. John Hospital, Vanderhoof.
St. Joseph General Hospital, Dawson Creek.
St. Joseph's General Hospital, Comox.
St. Joseph's Hospital, Victoria.
St. Martin's Hospital, Oliver.
St. Mary's Hospital, Garden Bay P.O.
St. Mary's Hospital, New Westminster.
St. Paul's Hospital, Vancouver.
St. Vincent's Hospital, Vancouver.
Shuswap Lake General Hospital, The,
Salmon Arm.
Slocan Community Hospital, New Denver.
Squamish General Hospital, Squamish.
Summerland General Hospital, Summer-
land.
Surrey Memorial Hospital, North Surrey.
Terrace and District Hospital, Terrace.
Toflno General Hospital, Torino.
Trail-Tadanac Hospital, Trail.
University Health Service Hospital, University of British Columbia, Vancouver.
Vancouver General Hospital, Vancouver.
Vernon Jubilee Hospital, Vernon.
Victorian Hospital, Kaslo.
War Memorial Hospital, Williams Lake.
West Coast General Hospital, Port Alberni.
White Rock District Hospital, White Rock.
Windermere District Hospital, Invermere.
Wrinch Memorial Hospital, Hazelton.
(b) Outpost Hospitals
Red Cross Outpost Nursing Station, Alexis
Creek.
Red Cross Outpost Nursing Station, Atlin.
Red Cross Outpost Nursing Station, Bam-
field.
Red Cross Outpost Nursing Station, Blue
River.
 R 36 BRITISH COLUMBIA
Red Cross Outpost Nursing Station, Edge- (c) Federal Hospitals
wood. Veterans' Hospital, Victoria.
Red Cross Outpost Nursing Station, Hudson Shaughnessy Hospital, Vancouver.
Hope. Coqualeetza Indian Hospital, Sardis.
Red Cross  Outpost Nursing Station, Kyu- Miller Bay Indian Hospital, Prince Rupert,
quot. Nanaimo Indian Hospital, Nanaimo.
Red Cross Outpost Nursing Station, Masset. R.C.A.F. Station Hospital, Holberg.
Stewart General Hospital, Stewart.
Part II
Private hospitals which are defined as such under section 7 of the Hospital Act,
and with which the Province has entered into an agreement requiring the hospital
to furnish the general hospital services provided under the Hospital Insurance Act:—
Bralorne Private Hospital, Bralorne. Hollywood Hospital Ltd., New Westminster.
Cassiar Asbestos Corporation Private Hos- Medical-Dental Hospital Unit, Vancouver.
pital, Cassiar. Port Alice Private Hospital, Port Alice.
Gold Quartz Hospital, Wells.
Part III
Rehabilitation, chronic, and convalescent hospitals, as defined under section 25
of the Hospital Act:—
G. F. Strong Rehabilitation Centre, Vancou- Queen   Alexandra   Solarium   for   Crippled
ver. Children, Victoria.
The Gorge Road Hospital, Victoria. Shaughnessy Hospital, Vancouver.
Holy Family Hospital, Vancouver. Veterans' Hospital, Victoria.
Pearson Hospital  (Poliomyelitis Pavilion),
Vancouver.
 HOSPITAL INSURANCE SERVICE, 1961
R 37
STATISTICAL DATA
The tables on the following pages represent statistical data compiled by the
Hospital Finance Division. The data deal with the volume of hospital insurance
coverage provided to the people of British Columbia through the British Columbia
Hospital Insurance Service. In 1961 there were eighty-seven public general hospitals approved to accept B.C.H.I.S. patients, one fewer than in 1960 because one
hospital was reclassified as a rehabilitation hospital. In addition, care was provided
in nine outpost hospitals, six Federal hospitals, and six private hospitals. Also
approved as of September 1, 1960, were four public rehabilitation hospitals, one
Provincial rehabilitation hospital, and rehabilitation-care areas in two Federal hospitals which also provide general hospital care. Data for the year 1961 have been
estimated from reports submitted by hospitals to November 30th, and are subject
to revision when actual figures for the year are submitted.
Table I shows that a total of 259,713 B.C.H.I.S. adults and children patients
were discharged from British Columbia hospitals in 1961, an increase of 10,290 or
4.1 per cent over the previous year. This table also shows that 96.1 per cent of the
total patients separated from British Columbia hospitals in 1961 were covered by
hospital insurace, compared to 95.9 in 1959 and 95.8 in 1960. The second part of
the table indicates that in 1961 the British Columbia Hospital Insurance Service
paid public hospitals in British Columbia for 2,546,235 days of care for adults and
children, an increase of 112,083 or 4.6 per cent over 1960.
As is shown in Table IIa, the average length of stay of B.C.H.I.S. adult and
children patients in British Columbia public hospitals during 1961 was 9.80 days.
A small part of the increase from 1,804 days of care per thousand population in
1960 to 1,838 in 1961 was due to the added rehabilitation programme, but the
major contributing factor has been the considerable increase in the number of
hospital beds resulting from the intensive hospital-construction programme of
recent years.
 R 38
BRITISH COLUMBIA
Table I.—Patients Separated (Discharged or Died), Total Patient-days
and Proportion Covered by British Columbia Hospital Insurance
Service, British Columbia Public Hospitals Only, 1949-61 (Excluding
Federal, Private, and Out-of-Province Hospitalization).
Total Hospitalized
Covered by B.C.H.I.S.
General Hospitals
Rehabilitation
Hospitals
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Total
Total
Patients separated—
1949                                             -  -
164,964
172,645
181,160
188,355
200,893
206,992
216,743
227,359
228,917
236,859
245,766
260,775
270,071
1,682,196
1,766,680
1,795,438
1,916,486
2,041,615
2,162,002
2,198,863
2,239,646
2,277,567
2,322,796
2,407,134
2,546,357
2,602,597
26,272
26,205
27,096
28,675
30,712
31,984
33,190
35,118
37,376
38,374
39,039
39,599
38,001
213,874
212,979
214,285
214,701
220,208
226,031
227,674
233,402
240,872
244,429
248,074
249,273
239,619
191,236
198,850
208,256
217,030
231,605
238,976
249,933
262,477
266,293
275,233
284,805
300,374
308,072
1,896,070
1,979,659
2,009,723
2,131,187
2,261,823
2,388,033
2,426,537
2,473,048
2,518,439
2,567,225
2,655,208
2,795,630
2,842,216
	
140,168
144,959
150,116
154,336
169,167
189,713
199,774
208,293
209,485
222,046
234,783
249,423
259,713
1,430,646
1,476,615
1,467,102
1,569,974
1,712,878
1,954,823
2,005,165
2,041,854
2,076,336
2,169,897
2,275,127
2,434,152
2,546,235
84.9
84.0
82.9
24,640
23,943
24,172
25,023
27,830
29,483
31,515
33,174
34,963
37,045
38,480
38,980
37,359
200,585
193,307
187,891
184,160
197,100
213,587
212,514
217,252
223,079
232,390
239,871
241,157
230,951
93.8
91.4
89.2
87.3
90.6
92.2
95.0
94.5
93.5
96.5
98.6
98.4
98.3
93.8
90.8
87.7
85.8
89.5
94.5
93.3
93.1
92.6
95.1
96.7
96.7
96.4
164,808
1950                  	
168,902
195]                               	
174,288
1952                                 	
179,359
1953                      	
196,997
1954              .  	
	
219,196
1955             _   	
231,289
1956                 	
241,467
1957
244,448
1958
259,091
1959                             	
273,263
19601                  	
197
1,210
287,903
19612	
297,072
Patient-days—
1949                           	
1,631,231
1950                                    	
1,669,922
1951
1,654,993
1952                	
1,754,134
1953                                        	
1,909,978
1954               - - 	
2,168,410
1955               	
—
2,217,679
1956                       	
2,259,106
1957
2,299,415
1958	
2,402,287
1959. -	
19601      „_._	
19612             	
20,571
67,626
2,514,998
2,675,309
2,777,186
Percentage of total, patients separated—
1949                   	
86.2
1950                       	
—-
84.9
1951
83.7
1952
	
81.9
84.2
91.7
92.2
91.6
82.6
1953               	
85.1
1954
91.7
1955
92.5
1956                   	
92.0
1957
	
91.5
93.7
95.5
95.6
95.7
85.0
83.6
81.7
81.9
83.9
90.4
91.2
91.2
91.2
93.4
94.5
94.8
95.4
91.8
1958
94.1
1959
-
~ "
95.9
19601
95.8
19612
96.1
Percentage of total, patient-days—
1949
86.0
1950
	
84.4
1951
82.3
1952
	
	
82.3
1953
-	
84.4
1954
- —
	
90.8
1955
91.4
1956
91.3
1957
91.3
1958
93.6
1959
94.7
19601
95.0
19612
—
95.4
i Amended as per final reports received from hospitals.
2 Estimated, based on hospital reports to November 30,1961.
 HOSPITAL INSURANCE SERVICE,  1961
R 39
Table IIa.—Patients Separated, Total Days' Stay, and Average Length of
Stay According to Type and Location of Hospital for B.C.H.I.S.
Patients Only, and Days of Care per Thousand of Covered Population, 1949-61.
Total
B.C. Public
Hospitals
Other B.C. Hospitals,
Including Federal
and Private
Institutions
Outside B.C.
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Patients separated—
1949..	
1950	
149,280
154,643
159,739
164,379
180,149
199,974
209,999
219,218
221,585
236,770
251,393
263,889
274,132
1,498,121
1,564,222
1,551,954
1,663,149
1,814,344
2,046,087
2,100,386
2,141,445
2,188,765
2,332,502
2,474,974
2,632,442
2,748,686
10.03
10.11
9.71
10.12
10.07
10.23
10.00
9.77
9.88
9.85
9.85
9.98
10.03
24,989
24,336
24,587
25,492
28,381
29,761
32,035
33,783
35,813
37,924
39,257
39,406
38,410
203,197
196,333
190,948
187,923
200,738
215,507
215,980
221,022
228,875
238,112
244,615
244,480
233,484
8.13
8.07
7.76
7.37
7.07
7.24
6.74
6.54
6.39
6.28
6.23
6.20
6.08
140,168
144,959
150,116
154,336
169,167
189,713
199,774
208,293
209,485
222,046
234,783
249,423
259,713
1,430,646
1,476,615
1,467,102
1,569,974
1,712,878
1,954,823
2,005,165
2,041,854
2,076,336
2,169,897
2,275,127
2,434,152
2,546,235
10.21
10.19
9.77
10.17
10.13
10.30
10.04
9.80
9.91
9.77
9.69
9.76
9.80
24,640
23,943
24,172
25,023
27,830
29,483
31,515
33,174
34,963
37,045
38,480
39,488
38,001
200,585
193,307
187,891
184,160
197,100
213,587
212,514
217,252
223,079
232,390
239,871
241,157
230,951
8.14
8.07
7.77
7.36
7.08
7.24
6.74
6.55
6.38
6.27
6.23
6.19
6.08
7,093
7,617
7,308
7,431
8,173
7,602
8,313
9,473
10,023
12,506
13,908
11,5572
11,4472
45,960
65,326
62,771
68,892
75,518
66,960
75,599
79,428
93,980
141,925
173,343
169,4012
174,8612
6.48
8.58
8.59
9.27
9.24
8.81
9.09
8.38
9.39
11.35
12.46
14.66
15.28
151
173
171
161
229
199
361
457
668
665
514
241
152
1,146
1,288
1,155
974
1,353
1,251
2,271
2,740
4,299
4,113
2,818
1,417
689
7.59
7.44
6.75
6.05
5.91
6.29
6.29
6.00
6.44
6.19
5.48
5.90
4.53
2,019
2,067
2,315
2,612
2,809
2,659
1,912
2,050
2,077
2,218
2,702
2,909
2,972
21,515
22,281
22,081
24,283
25,948
24,304
19,622
20,163
18,449
20,680
26,504
28,889
27,590
10.66
10.78
9.54
9.29
9.24
9.14
10.26
9.84
8.88
9.45
9.81
9.93
9.28
198
220
1951 -
244
1952 	
1953 .	
308
322
1954	
79
1955 	
159
1956  	
159
1957    . 	
182
1958	
214
1959....-	
19601	
263
267
19613    .. .     _
257
Patient-days—
1949	
1,466
1,738
1,902
1950	
1951 	
1952	
1953 	
1954	
2,789
2,285
669
1955 	
1956   ..
1,195
1,030
1,497
1,609
1,926
1,906
1,844
740
1957 _ .
1958	
1959	
19601	
19613         .     .   .
Average days of stay—■
1949	
1950	
7 90
1951.....	
1952	
7.79
9 06
1953 	
7 10
1954	
1955 	
8.47
7 52
1956 	
6 48
1957....	
1958	
1959	
19601	
7.32
7 14
19613 	
7.18
1 Amended as per final reports received from hospitals.
2 Include rehabilitation cases paid by British Columbia Hospital Insurance Service.
s Estimated, based on hospital reports to November 30, 1961. Estimated patient-days (including newborn
days) per thousand of population covered by British Columbia Hospital Insurance Service: 1949, 1,528; 1950,
1,548; 1951, 1,496; 1952, 1,527; 1953, 1,600; 1954, 1,733; 1955, 1,720; 1956, 1,688; 1957, 1,626; 1958, 1,665;
1959, 1,724; 1960, 1,804; 1961, 1,838. (1954 and subsequent years based on assumption that total population
is covered by British Columbia Hospital Insurance Service. Patient-days include rehabilitation patient-days from
September I, 1960.)    Population figures revised according to latest census figures.
 R 40
BRITISH COLUMBIA
Table IIb.—Summary of the Number of B.C.H.I.S. In-patients (Including
Rehabilitation Patients) and Short-stay Patients, 1949-61
Total Adults,
Children, and Newborn In-patients
Estimated Number
of Emergency and
Minor-surgery
Patients
Total Receiving
Benefits
1949
174,269
178,979
184,326
189,871
208,530
229,735
242,034
253,001
257,398
274,694
290,650
303,295
312,542
29,000
44,502
47,656
46,767
52,582
63,621
70,553
76,375
83,530
91,883
100.292
107.317.
203,269
223,481
231,982
236,638
261,112
1950
1951
1952
1953           	
1954
293,356
312,587
329,376
340,928
366,577
390,942
410.607
1955	
1956
1957
1958	
1959       .
19601 	
19612
(3)                            312,542
Totals	
3,099,324
814,073
3,913,397
i Amended as per final reports from hospitals.
2 Estimated, based on hospital reports to November 30, 1961.
3 Not available.
Table III.—Patients Separated, Total Days' Stay, and Average Length
of Stay in British Columbia Public Hospitals for B.C.H.I.S. Patients
Only, Grouped According to Bed Capacity, Year 1961.1
Bed Capacity
Total
250 and
Over
100 to 249
50 to 99
25 to 49
Under 25
Special
Hospitals
Patients separated—
259,713
37,359
2,546,235
230,951
9.80
6.18
96,057
11,380
1,146,790
77,746
11.94
6.83
71,732
11,708
636,409
68,780
8.87
5.87
34,499
6,760
324,513
41,526
9.41
6.14
39,179
5,147
299,489
29.665
11,724
1,706
85,986
9.668
6,522
658
Patient-days—
Adults and children
53,048
3,566
Average days of stay—■
Adults and children
7.64    j          7.33
5.76     !           5.67
8.13
5.42
i Estimated, based on hospital reports to November 30, 1961.
Table IV.—Percentage Distribution of Patients Separated and Patient-
days for B.C.H.I.S. Patients Only, in British Columbia Public Hospitals, Grouped According to Bed Capacity, Year 1961.1
Bed Capacity
Total
250 and
Over
100 to 249
50 to 99
25 to 49
Under 25
Special
Hospitals
Patients separated—
100.00
100.00
100.00
100.00
36.99
30.46
45.04
27.62
31.34
24.99
13.28
18.09
12.75
17.98
15.09
4.51
2.51
Newborn.    	
Patient-days—
13.78              4.57
11.76              3.38
12.85      i        4.19
1.76
2.08
33.66       1       29.78
1.54
1 Estimated, based on hospital reports to November 30, 1961.
 HOSPITAL INSURANCE SERVICE,  1961 R 41
CHARTS
The charts on the following pages have been prepared by the Research Division.
The statistical data shown in these charts are taken from the annual tabulation of
the information shown on Admission/Separation Records submitted to the British
Columbia Hospital Insurance Service by all hospitals designated as acute. The
charts give a general idea of the relative importance of the various hospital services
(medical, surgical, etc.); they also provide some insight into morbidity in British
Columbia.
It should be noted that the Canadian diagnostic list used for the tables on
pages 48 to 51 is a more detailed listing than the diagnostic groups shown on the
charts. Both lists are based mainly on the International Statistical Classification
of Diseases, Injuries, and Causes of Death, prepared by the World Health Organization (1957 edition).
 R 42
BRITISH COLUMBIA
w
A
<
H
u
13   ,
a.
^ s
0
oO
CQ
1§
<
Q
2 u
a.
$<
c
z
5"S
0
0
a
H
3
a
5
H
tn
HH
P
w
o
0
vc
<
ON
z
M
^.
O
CO
02
z
W
ai
Cu
o
«.
ca
to
£
eu
w
3Z
o
«
o
0
z
o
Q
5
H
►j
tw
u
C
X
z
w
o
<
CO
CO
w
Z
hj
ft
o
co
W
CO
<
<
o
a
o
SS
SS
S
*
-3
O
O
M
*
*
'•a
o
cn
a
o
U
 HOSPITAL INSURANCE SERVICE,  1961
R 43
c
u
U
Lt
u
EL.
*                  *                                            *        *        #
»O(«H»0in\DO'CN     j d oo .-<     itnfiH     !
O
u
P
>
o
§
*o
	
§
U
0
><
u
o\mor~ONOsosoONO
cn ""fr ©
vo m r-
OO
o
S>
tNt—cNrf-rf'-ct-maNcnNO
r- -* ©
H1TIH       j
O
u
£
TfmNcooN-^-Nor-ONTf
co tN cn
oo oo cn    !
m
i
NtmOiotS'O'ONHCTi
no m
i-i m
so
*o
3
r- tN            m tN ^r so *&
NO
cn
z
'"",
>n
>>
at
0
o
s
0
«j
c
3
0
Hoerjt^ooOTfifiO(»rlO'd;'rin\ovDr-
o
N co m d h \o ri «' ri r- ri ri Nt h d ci « d
o
to
u
T-* *H *H          ipH                                           r*              |
o
s
DO
B
DO
<
PUi
<
M
NO\ONtri<(T<foottNOcoi»NOt-\fiM>>
■1-
cs
u
nmoMn*oos«iNt'>tcoTi'oiOMMr'Ntr-
Tl-
<£)
rimmHOvHoocoMwvivOinNfno^io
tS
a
(SmOr-^fNnOmiCiNONNr-ooioffli-i
NO
3
Vl(NMr-('^lrt^OOOc>t,T,t'-|t<1         ri ON
CS
z
tN                     i-h m tN m <-h m        i--                     tN
in
[
CA
U
3
d
S
■o
■a
3
rt
9
41
3
P.
■a
3
S
O
0
E
B
3
u
a.
3
oS
O
n
£
a
i
tu
E
DO
E
KJ
R
0
Cfl
a
u
_o
X
tn
'5*
p
3
§
3
3
.2
*
IE
.2
3
U
3
(4-1
O
>>
0
cm
a>
rt
U
I
«
■r"   v
£  C
3   «
5 £
■o c
s &
o'E
!i
2^
11
u
n
X
c
X
'>
C
c
\
c
C
ts
s
c
ft,
I
V
1
r
■E
j
1
I
>
I
1
£
i
V.
E
a
i
2
u
>
u
c
0
i
i
c
c
K
C
g
V-
e
a
E
u
>
G
c—
c
y
C
a
OJ
>
u
3
5
c
c
?
c
C
u
•q
«u
C
C3
OJ
-a
t.
3
*
>
1
a
D
u
C
3
o
.S
_o
u
>>
,3
O.
O
s,
bt
&
a
neurotic, an
nervous sys
circulatory
respiratory
digestive sy
genito-urin;
complicatio:
skin and ce
bones and (
1
3
•g-2.2  «
u
1
H 3
cn   n
■ c
%£
•a*
>
a
c
09
X
3
a
>
onings, ai
classifica
classifica
, all causi
ft
.2 *
,3 £ ££ £ £ "g £ £   |
:rtain disease
mptoms, sen:
xidents, pois
pplementary
pplementary
Totals
•a *-
3     r.
3^t-l     >llHlHlH<HlM     «(,_,(,_,    ,
* i
g g
.5 o
o  3
CD   C
lergic, e
seases o
ental, ps
seases o
seases o
seases o
seases o
seases o
jliveries
seases o
seases o
meenital
C
*-
z
<
0
£
0
0
G
0
Q
Q
G
0
u
0
>
<
3
CO
3
to
\-
P
OJ
■H
o
5
-J
3
TJ
c4
cd
fl
C
*o
to
B
D, TJ
C/l
0
<
y
t/i
u
to
O
c
3
O
s
3
#-o
C)
.—
~
ah
X
T)
3
ed
M
3
in
-1
X
--!.
ed
u.
3
cfl
a
o
£
r
t
5
Q
TJ
g
£1
X
«t
e
ca
ed
to
u
0
TJ
6
3
6
o
r1
3
xi x:
HH
*
+~
X
 R 44
BRITISH COLUMBIA
w
eg
<
H
Z
w
o
ft
ft
Ph
ft
>
o
H ^O
<
ON
ft
(—1
D
a
0
CO
z
ft
•<
o
ft
n
£
H
ft
£
£
^
a
H
z
Z
ft
§
H
ft
<
u
Ph
X
ft
w
O
ft
ft
<r
(J
H
0
O
ft
C3
H
ft
0
<
w
5
H
ft
(x
O
ft
CI
H
r/i
Z
Z
ft
O
z
<
ft
c
ft
S
<
0
ft
ft
u
cn
1/1
<
ft
o
z
z
o
o
H
cn
D
ft
ft
ft
cn
H
to
!x
P
ft
Z
ft
n
<
H
ft-
Z
ft
ft
ft
u
ft
ft
r/l
ft
Ph
P
ft
>
ft
<
ft
D
a
n>
0
a
O
a
£
Y
-tr-
v
v
31
V
i
w
£
•A
ft
<
§1
I-i    *
u a
m .a
< s
CN
GO
O
■d
ft>
<*
5 •
4 8
!.i
O «
l-«
■3   O
cfl  «
C
ft 2
£
„    cfl
p^
v. 13
 HOSPITAL INSURANCE SERVICE, 1961
R 45
ft
z
ft
U
ft
ft
Ph
ft
s <=>
<^
ft
P
P
o
lz
ft
z
S3
H
<
Ph
ft
O
ft
P
o
ft H
o
ft
K
H
ft
o
to
H
Z
ft
§
ft
a
o
U
to
<
Z
o
IK
Wen
u
a
>H
ft
ft
3
u
ft
o
co
$
p
o
H
P
ft
X
co   ft
H Z
o
£
ft
I
z
ft
o
ft
ft
Ph
ft
ft      a
P £
\
44-
a.
3
O
hi
O
 R 46
BRITISH COLUMBIA
Average Length of Stay of Patients in Acute-care Hospitals in British
Columbia by Major Diagnostic Group (Excluding Newborns), 1960
Diseases of rhe circulatory
system
Neoplasms
Congenital malformations
Diseases of the bones and
organs of movement
Diseases of the blood and
blood-forming organs
Certain diseases of early
infancy
Infective and parasitic
diseases
Diseases of the nervous system
and sense organs
Allergic, endocrine,
metabolic and nutritional
diseases
Mental, psychoneurotic, and
personality disorders
Accidents, poisonings, and
violence
Diseases of the digestive
system
Provincial Average
Length of Stay
Diseases of the skin and
cellular tissue
Diseases of the genito-urinary
system
Deliveries and complications
of pregnancy, childbirth,
and the puerperium
Diseases of the respiratory
system
Symptoms, senility, and
ill-defined conditions
Supplementary classification
for special admissions
V////////////////////////////A
v//////////////////^^^^
r^mm^m^ U.6 ^m^^m^
v//////////////m///^^^^
[^^^^^^13.3;^^^^^
W///////////////////// ^////////////////////////A
im^^m^i^^M^mm^
^MMm.ii//mMM%mi
^MM^n^/mmMM
^m^^n.7;m^m^mi
^^M^.».*MmMm^
iw^^^m^m^
tMMl»M»»
iltMiWMl
Y/////////// 8.9 ////////////////////A
6.2
6.2
5.5
v/////^y///A
 HOSPITAL INSURANCE SERVICE, 1961
R 47
 R 48
BRITISH COLUMBIA
0
CNOOOOOOOOOCOOOOOOOO©
O tn o o © i
'©©OO^OO©
o
o\
PC
H
<
ft
p
ft
o
to
ft
CO
<
U
Q
Z
<
cs c
aS
!D   Cfl
ii^CJ'^^^^O^tN^ojcnrn'-HOrNcn'-
i-^©©©'©©>n©©"©d©©©'©©'©©©
3 On (
O©©        --'fN©©©©©©©©'-'©©©
C3\ 1/1 fO [^ O O On TI l"" !"• i"i i" ' 'uii'
u^inNocn©'-;cntr-©r^r^O\©c^ooC'©^'-;
HtNlNH iHrHHtStSntStNl-'l-ltNNr^TI
r-looON      r->-icyNNOONNO'N,rfmmi-"t-t3vaN
<ON©cnoogN«o\PO\^-*ooNOr
IOOhM^h
■<t i-i as
On NO O
tNin'— c»cn<nrj-r-^rJr-^No_'i-*i— on go cn oc
oo" ©' no tN ©" © rn ©" no" ri no" r-^ r^ tTno" r| >n
cntN cSootN      t-icn ih *-■ ■*$■ .-< cn
tn
cn
I—I
P
ft
o
Jmi'tNfiooHtNooNOOONt
in >n cn m vo On
oocn>-HcnNocNOOt—cnOs©m
iH^j-vc^moootNtNtnoNtn
rj-rj-^-i oot-Hc)>h-m--\c©o<nr-i(
ONcncn cn^-i — tNcNr^cNmaNONTj-inc
nc»*no n r-- ri io w -- cs ■* in n m om
»h tN cn^ori      hm HHcn      t
z
<
3
<
z
<
U
ft
x
H
O
ft
O
z
3
ft
o
u
u
<
to
ft
co
O
Z
o
>H
n
z
g
<
N
ft
<
ft
ft
co
O
in no" t*?^_
On oo cn tt ^       K P O •"
cn-^f >o r^ x      „hnh»
Tt ^ no r-* ooij^t-.—
VH  i-H r-t Ht (H *^ „tN
r-ON tNT}-        t-'ONtjNtSNNDCjNOONC
hoc       Im      r-ooo\c7\tNOHfN
tNtN^-icNcM©fN(ScNcScncnfncn
Nrt     © cn     rJDnMmmmrn
•2 S
.3 u
> 'C
o—-
"B _ X)  -Ih  w
■SScjci
P. a
■a a
uH (
si*
£ £ £
Q. Q. 1
O   O (
cu  cu <
B   G I
J .3 J
5   O
+-   l-i
p o fc
>  V   h   U   ^
<   M   CU   *J   >
o ■o
S.3.
o o
E E
oooooogjo
E E E E
to cn co tn i
CtJ C3 Cd n !
, a. a- a a ;
O O O O I
cu tu CU 4) '
a a a a !
E £
c3e3c3c3ctJctjcdcaracdcg
Si S)
;  cd  ctj  cS
J M 60
133
1  cd  cd
a » § m
cdcdcdcdcdcd3cd
B^c^*^^*iX^'o*i>ooON©^tNcn'^'n,Or^oo
.Jh
tu
D,
a
3
O
E
p
u
0
CU
a
BO
<u
CO
cd
u
:
t)
a
TJ
o
H
to
ft
n
o
2
■£J
o
u
H
5
3
■a
<u
o
S
a
|
a ?
H
si
ca .,_,  u
<u
"0 "n
fibromyom
neoplasm o
neoplasm (
cn
s
O X
if
01
a
B
^oS
rine
ign
ign
a «
o E
« tu w
o c
\Z
PC
CQtc
fc
<
c
c
0
a 6
» ca
•S   E
CJ   Ih
o g
T3 -a
Q<«
9 CN c
< CN t
J is
lISs
! E J.' ccf
o o o
IH   O  w
■oS S3
8-a »
e at)
■a -o 8
3-gS o
f "S tS cj
3««  u
3«M   B  &
3  o  cfl w
2 co B
H   CO   cfl ^J
Sq 2
11      c
.Cfl      .    y
-rcOCHC
•35
s its
to a cu
o y o
>> >» «
Oh P*G
 HOSPITAL INSURANCE SERVICE,  1961
R 49
mt^^r^Om^aaMfN^noooooaOiNcr-OfNOoo
C^xr;cNHTrji^riqo\^q^rnrtTfo^*r^t^^OtS'-;
\oci©©'^^c4©NOi^©1©^o1©©^"*H©Tfr,^",^>-H<sots
O \-i rH O «H-0 O CS »H t- O © ■©-<
^C^^MtJ-t^MI>^rnHrHrHlArHHm^^liriDO"ntN>
h^^(N^miTiTh^r^MD^co^iNirihhc>HO\H^qi
iflitmOOMiNOHtNO
©WC^©'H©'O'--TH0d©'©©'w©©©©'T--
'-"Oor-r-ONcocoincn
Mr^NOcnr^fNooNCtN
c>u,rlN£^«)co>n^miN^HnH\^^rnoooo^NOMNDHO OHHt>t^MNO'>ti»,ooO\w,\£iO\5M^^-r-(t-
C^(nNCcnr^NO^C^r^©tntN^Tj-w^^©ONtN^tnNounc^ inorS^^inOm^i»^m^<nHOo\M<ri
r^Hr!^oo't^i/i^ccm^oirJod^r~^^^HaJNr^o^ri^ r-odoNONONo't^cno^oor^o^OsONt^cnNOfncn
,_,   (^   _   «                      HtNHHHClH            H                                        crH                                                  H ^            ,_,   ,_|   f-l                      H                               i-<                     ,-H
ir, ONOcor*HNtHtt^i»ninc>rsi(sooovflooN
CAc»ONTf©NOoocntNtN^r^^rs)r--N£),d-'--'cni:
•— r- 0*> ^. ^ ^ w h c^ w n m h o\ ic r- tx> vi N <
cN tN i—"c
inert
no »n r- -<fr o\ r-      mr-NoomrNSO'-iNOiNcn'-'ONNor-inrHCNiON
moor-^T»-tt-'      c-iHcn^oo»nin-HcnooONcnoo©cooocNtnNO
O no cN oo © ©       oo *o rl- '-h © •<d- -* 00 On oo»ocn©oocjNcN'HOOin
oo c> M ^ y> m wv)H<ftnoorivOHco**ftM r- © r- cn i-< oo
XHiAM^-<nHNcoONC'-tj\oi>ttcoy3^-o ooNDisr-tin
inONNC r-r^tno^-Htno^NO^oo hoovo m r- in»no_©ONNor-©_in
cN<N ~      m cn © --> oo" cn i-i      cs h      T^^Ttci^<n"co"^-Htn"cn
—■ *n ^F h      h      tn
m r— no m so
•* O cn ©^^
i-H rf in ih -d-
tNNMM3MnM0O00NflrHTtniti>H
m«n'nco»rtNO»ncnoo'*r-l(S'^l-
^r cn 0\ tn m ©^ r^ no^ ©, r> cn |> cn
■d* tN cn"      cn" »h cn cn      cn? h cn
cN
oo ^ ©
On cn >n
m m cn
4 Sri
cn cn tj-
m m cn
0\Os00CONOtNitr~NO
^COOOs^HiNW'-
enencn^t^^t^t'''
no r~ ON © Q tN <■ .
n    nflTt   f   ■*   t   '
2-*'<d-in©>nm<n<n
iiijUci©©
o
cn                      M2           ©           vo vo
a
&
uim^OHrjviMiiciiDino^vOo^vBHvtvflioy;
543-
550-
560,
57
57
57
580-
584-
6-539,
590-
590-
60
602,
1, 603,
61
61
622-62
63
.63
1-614,
3,621,
635-
Cfl
+■»
J u
s * °
E a -a
agg.2
Sggg>
u u u b
*3 iS   co   tU
cd   tu  <u   Q,
a ° -S *c
a M*a tu
i 3 * a
Hal
» 9 >, S i?
O   CD   O
■3 a §
-sll
o o
CO >
cc  cfl  cfl
£33
o     S
•a E o
fll
Cfl    >.   t.
S       J3
B &°
'OS'S
S « §
M3 h
a " S
cd c >
cj .a a)
cfl o t;
a.      ca
« o E
ca o §
III
3 s«<ob"b
8\8s
M
CU
*
o
C
y ° S
■^ co -a
co
5 B ■» 8 -i
■S Si
o 5
•si
1 «P c
•jaSe
ft-a s &
E J= ° S
•siSE
a  ed ni w
3 <u 2 &
•3 T> «w  3 S
2 in o  u S
u a » a 3
£0 g<£
.     .     .   to     ,     .
1 ■<* in 'X no r-
- 4 ** Q tFtj-
3S
T3 w
cd >,
TJ8§
a *» <u
rt 2 «
a & >»
s 5
E'S
°»E
.sis
ti a -a
§.■§ °
si
•a cd cu
£ •« *• 1
Jj   "3   (H
-Is-
5 a .2
« °» 3
+3  u  cu
j tu  cd -o
2E o
O
TJ
a
cd
M
4>
ts
-<*
u
ed
cu
H «
Pi
N »
>< .-
>, c
> T
.■= u
n
L
xi
gE
)    CU    CO
cu  tu *; "3
w  u  g  O
"   cn -
.9 *  I
e °;
. ■§ g:i
M ja •— 1
3 «S;
'•3 S i '
Is!
ft 33 c5
3 -O  M
35 '-3
3 hs ca
2'E 2
fife" 1
•r .a <u '
p ■ft'J i
'£ c 3 '
CU T3 "*
MS o
ai  cd   '"'
Use
E >>
las
to a cd
li
•2 3
.a ii o
s *•§
w ca
a > o ca .a
« o co a a
1 u o5 S M
'tt»SSo
; g ca ft a co
■h a c o cd
s«IeJ
. 3 'S'a >
ca j3
OU
o3o
«z;fio6a«S53o
pS £ g
\ © h ^ cN cn Tt
h m >n O <n m «n
\©"rH(N^cni<j"nNo"t
iNQ^NO PnO\On£in5v
bS
_!   cd
a
 R 50
BRITISH COLUMBIA
13
cy
a
3
o
X
<
«
Q
it<
o
i«
W
tfl
P
<
u
Q
Z
<
tn
BJ
CO
<
«
t/3
a.
O
H
tn
Z
<
Q
<
Z
<
O
w
33
H
O
H
O
Z
S
2
o
o
u
<
co
BJ
CO
O
Z
o
z
g
H
<
£
to
O
cat)
Q
h cn 00 in cn
en ih © On"
cn **
1 NO ^o no
-+ r— cn Q\ 1-1      H^r-
0 h* d ri h      ©" ©' ©
tu-J=
CO*
ccmOr-H^
HOC7;»tNH
© cn ih m"
© cn *-< © cn © ©
- tn m **      ^to©»n      oonohq      On m 00
)©©cn      rN-H-HCN      cn no cn tn ©      * •"* ^
< W <-< o     ©,-; ^h" ©     ,j © *■« © i-<    © © ©
> >>
<■ cd
NOttTfNOCNOOr-- — m^m       —< cn cn CN
S 00 c> no m       cjo CN tr.
in cn -* */       i> © tN
r^HviooNO      no* cn »n
>,cd
cdtj
Q
lfli>HhO90a'
■<t cn cn —* cn cn
cNNONor— r^NO*ccn
©oooocn mr—r--^
CN (N cn cn
m t* i> 00" 00 no \0 m
tf" cn cn *h i—1 o\
CN
3- <) c— oo cN      «$■ *
.■*      oW©cnh;      mc
cn © © no      r*"-iintcS      t^c
cnr-r^Tfoor--r^oo'ONCN(Ngv
wt>n»O00'trnitG0P-O^'
cn r-<n" no" cn"      tn cn" cn 00 cN cn
cn cN cN
>0 cn m cn
3 On On ©
© «n no © t> © m —
co'^tcn'ncN »Nmr-
cnNO"*cnNO      *ocntN
OOtN   OO O NO 00 NO Os r-   \i On On On n©
r- 00 r1$• h sf cn     m^mmr-
- '■? t- l- !*■ m t^. r- r- f* r-
I-- On On ^,
r- F. F- Z
II2fI25Sii3Si5^32S2 ^©©i s
■3 3 \c
) no \o r- r- t>
PSKM
»*. -.  ...
r- f- t— 00
.OhO
'HtNN
1 00 00 00
oils
_> © —' CN CN
00 00 00 00 00
On 00 9;
x a a
TT   NO   *
In
A44
In «o«
O0 OO Qs
zzz
i5S
cSScN
> * =>
CO    __,
i " '
I « £2
o ,u 3 «
O £ a cd
5 8 S'3
9 ° p s
B tu -. si
a o o a
III*
ej w o ™
5 3 E
•3 o £
S jj S
<o S S
B § S
9« °
<S    3   K
t; « a
111
X) a u,
a cd o
S3 §
«     H     2
a> Xi el
ell
lis
f he
a .5 '
.2-"
co 2  O
S*o «
y c m
a §3
:•= o
° §Jq
B.SS
•5 n o
u   W   cfl
^ co
■ a I
cj ca
c 11
K to
SftS     1
-S E o
>U<QQO«fiO«<QO
Q1" c*i ^- m cp ^ 7?
:», c
u ca
co c
a ca ^
|QCW j
^ '5 -S ?
■r- c u ft
fail
M 2 o to
ogJS
4h3%
J2 cd w 3
^e 8 fi
cd
(• u  «
(Q H o  W
& "V-o >
i e ■ S S
h 9 s w ai
x   H °* 3
ts*s*
o a » £ 0
cd
T3
cd
•3
§
£3
a
0
0
c
■a
•o
3
H
Cfl
>
.£
CU
U
■a
n
a
b
(U
tu
£
0
CU
3
U
•3
X)
cd
*"X)
&
H
cfl
u
3
x:
c
Q
kH
X
3J
0>   *"
co 3
3
a
0
co
5J
u
?
O
Xj
ai
Oo
-rj co
«     =
(H
O
&
3
3   OOOo
n tu * m IS
S
*J
3
3
3
>*-!
ca
8
Ifc
cd t3
u a
u m
ri u
—   o
■rS
a
>
« a
X
eg
is
Cfl
3
•-CX)
2^3;
00*0 -C
mO cd n
.9 cn" « ^
U 00 U 00
3 c a 5 a
u o a s cj
ftft^ifi
E   . §   .
a u u
a ca ca
5 H.H,
cj S o
2 6-2
hoc
i|g||
!£«Q£
>
 HOSPITAL INSURANCE SERVICE,  1961
R 51
i
i
"1
n
cn
"*
IH
in cn vo
CN
r-"
*o" © cn
CN
On
■*    i cn ^t h*
o    i \D no r-'
On
i
**    ! m cn «n
r-^   i no a\ ih
oo   ; -^ cn
CN
cn   j n
00
CN
«
vo
ONNt
©
cn
t^ cn cn
oo as ^t
00
CN
■*
4
r-   «H
cn
S
cn
i> as
«^oo
oo      SSI
YOO-8
YOO
22, 23,
24, 25,
1-18, 4
.  .0
<=> E* £
CN cS r*
>>><
ft
•s
Ji
11
>
M
.3
•o
_g
cj
a —.
'".SS
ca V
§5
».y
W     Ifl
u
Eg
"S o
Cfl"
5«
3|
a
o
cj c-
rt
u
a
& a
cfl  0
I
M -S
c<t
o ca
X
*> a
u
Si
Is
O  ed
cd  M
CJ  ,-.
m ,2 -
*co "cj  t
co  tu   C
« ax
|
CO    k^
to   ^
1 x
4
*
•a  o
ed   +■*
>» fe 5 c •§ ,2
«h " tj a S
•H   cd O 3  5?   O
plemer
Medic
Matur
Immat
Other i
T
a .   •   .   .
3 £ « r- oo
t/3 On On on cj\
hj
>
;*
m
B
00 XJ
n
a
a
u
cd      .3
w       *
•°     o
43   O
t-c
£
in
0
&
XI
i_
p a
co
cQ2
o o«
J-   "O     Ui
,_ *0 M
O   3 V
""' *o cd
cn  X cj
-* J 2
cu g a
ed  cd   a
aj-   ,*
-  cj <n
§2«
a > -a-"
ill
.K o
T3 *.
a _
5S  .
« ^ cn
3 cd "*
21 a
to        «
Hp o
.a a
 R 52 BRITISH COLUMBIA
STATEMENT OF RECEIPTS AND DISBURSEMENTS FOR THE
FISCAL YEAR ENDED MARCH 31, 1961
Administration—
Salaries—
Permanent         $407,616.24
Temporary   4,950.84
Sub-total, salaries  $412,567.08
Office expense  17,676.70
Travelling expense   27,940.75
Office furniture and equipment  1,889.31
Printing and publications  12,911.64
Tabulating and rentals  2,969.34
Motor-vehicles and accessories  4,000.00
Incidentals and contingencies  1,227.42
Construction and consultation fees  1,065.01
Technical surveys  4,914.34
Payments to hospitals—
Claims   $49,974,845.86
Vancouver General Hospital out-patients  263,833.04
$487,161.59
$50,238,678.90
Less collections, third-party liability  238,102.77
50,000,576.13
Grants in aid of construction and equipment  3,304,365.53
$53,792,103.25
Recoveries—Federal share, hospital cost     22,590,571.70
$31,201,531.55
Less miscellaneous receipts, etc.  7,835.88
Total, Vote 180  $31,193,695.67
Printed by A. Sutton, Printer to the Queen's Most Excellent Majesty
in right of the Province of British Columbia.
1962
810-162-6836

Cite

Citation Scheme:

        

Citations by CSL (citeproc-js)

Usage Statistics

Share

Embed

Customize your widget with the following options, then copy and paste the code below into the HTML of your page to embed this item in your website.
                        
                            <div id="ubcOpenCollectionsWidgetDisplay">
                            <script id="ubcOpenCollectionsWidget"
                            src="{[{embed.src}]}"
                            data-item="{[{embed.item}]}"
                            data-collection="{[{embed.collection}]}"
                            data-metadata="{[{embed.showMetadata}]}"
                            data-width="{[{embed.width}]}"
                            data-media="{[{embed.selectedMedia}]}"
                            async >
                            </script>
                            </div>
                        
                    
IIIF logo Our image viewer uses the IIIF 2.0 standard. To load this item in other compatible viewers, use this url:
https://iiif.library.ubc.ca/presentation/cdm.bcsessional.1-0363258/manifest

Comment

Related Items