PROVINCE OF BRITISH COLUMBIA
HOSPITAL INSURANCE ACT
Twenty-fourth Annual Report
British Columbia
Hospital Insurance Service
JANUARY 1 TO DECEMBER 31
1972
Printed by K. M. MacDonald, Printer to the Queen's Most Excellent Majesty
in right of the Province of British Columbia.
1973
Victoria, B.C., January 20, 1973.
To Colonel the Honourable John R. Nicholson, P.C., O.B.E., Q.C., LL.D.,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour:
The undersigned has the honour to present the Twenty-fourth Annual Report
of the British Columbia Hospital Insurance Service covering the calendar year 1972.
DENNIS G. COCKE
Minister of Health Services and Hospital Insurance
British Columbia Hospital Insurance Service,
Victoria, B.C., January 20, 1973.
The Honourable Dennis G. Cocke,
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 1972.
WILLIAM J. LYLE, F.C.I.S.
Deputy Minister of Hospital Insurance
The Honourable Dennis G. Cocke, Minister of Health Services and Hospital Insurance.
DEPARTMENT OF HEALTH SERVICES AND
HOSPITAL INSURANCE
BRITISH COLUMBIA HOSPITAL INSURANCE SERVICE
The Honourable Dennis G. Cocke, Minister of Health Services
and Hospital Insurance.
Senior Administrative Staff
W. J. Lyle, F.C.I.S., Deputy Minister of Hospital Insurance.
J. W. Mainguy, B.A., M.H.A., Assistant Deputy Minister of Hospital Insurance.
C. F. Ballam, M.D., Senior Medical Consultant.
N. S. Wallace, C.G.A., Manager, Hospital Finance Division.
K. G. Wiper, Senior Administrative Officer.
P. Breel, Manager, Hospital Consultation and Inspection Division.
D. S. Thomson, B.A., M.P.A., Director, Research Division.
J. G. Glenwright, Manager, Hospital Construction and Planning Division.
D. M. N. Longridge, M.A., B.Ch., F.R.C.S., Medical Consultant.
CONTENTS
General Introduction
British Columbia Regional Hospital Districts Act
British Columbia Regional Hospital Districts Financing Authority Act
The Hospital Insurance Act
The Hospital Act
Persons Entitled to or Excluded From the Benefits Under the Hospital Insurance
Act
Entitled to Benefits
Excluded From Benefits
Hospital Benefits Available in British Columbia
In-patient Benefits
Other Benefits
Application for Hospital Insurance Benefits
The Hospital Rate Board and Methods of Payment to Hospitals
BCHIS Planning Group
Organization and Administration
Assistant Deputy Minister-
Hospital Consultation and Inspection Division .
Research Division
Hospital Finance Division
Hospital Accounting
Hospital Claims Section
Hospital Construction and Planning Division.
Page
. 13
. 15
. 16
. 16
. 17
17
17
17
18
18
18
19
19
20
21
21
21
23
24
25
26
28
Hospital Projects Completed During 1972 30
Hospital Projects Under Construction at Year-end 31
Projects for Which Tenders Have Been Called but no Contract yet
Awarded 35
Projects in Advanced Stages of Planning 35
Additional Projects Approved and in Various Planning Stages in
1972 35
Medical Consultation Division-
Administration Division
37
39
Eligibility Representatives' Section 39
Third-party Liability Section 40
General Office 40
Information Office_
.. 41
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BRITISH COLUMBIA
Approved Hospitals.
Page
. 42
. 42
. 43
. 43
Public Hospitals
Outpost Hospitals
Federal Hospitals
Private Hospitals (Providing General Hospital Services) 43
Rehabilitation Hospitals 43
Extended-care Hospitals 43
Statistical Data.
44
Table Ia—Patients Separated and Proportion Covered by British Columbia Hospital Insurance Service, British Columbia Public General Hospitals Only (Excluding Federal, Private, Extended-care, and Out-of-
Province Hospitalization) 45
Table 1b—Total Patient-days and Proportion Covered by British Columbia
Hospital Insurance Service, British Columbia Public General Hospitals Only (Excluding Federal, Private, Extended-care, and Out-of-
Province Hospitalization) 46
Table 2a—Patients Separated, Total Days' Stay, and Average Length of
Stay According to Type and Location of Hospital for BCHIS Patients
Only, and Days of Care per Thousand of Covered Population 47
Table 2b—Summary of the Number of BCHIS In-patients and Outpatients 48
Table 3—Patients Separated, Total Days' Stay, and Average Length of Stay
in British Columbia Public Hospitals for BCHIS Patients Only,
Grouped According to Bed Capacity, Year 1972 (Excluding Extended-care Hospitals)
48
Table 4—Percentage Distribution of Patients Separated and Patient-days
for BCHIS Patients Only, in British Columbia Public Hospitals.
Grouped According to Bed Capacity, Year 1972 (Excluding Extended-care Hospitals) 4 8
Charts 49
I—Percentage Distribution of Days of Care by Major Diagnostic Groups,
1971 50
II—Percentage Age Distribution of Male and Female Hospital Cases and
Days of Care, 1971 51
III—Percentage Distribution of Hospital Cases by Type of Clinical Service,
1971 52
IV—Percentage Distribution of Hospital Days by Type of Clinical Service,
1971 53
V—Average Length of Stay of Cases in Hospitals in British Columbia by
Major Diagnostic Groups, 1971 (Excluding Newborns) 54
Hospitalization by Major Diagnostic Categories, 1971 (Excluding Newborns)— 55
Statement of Receipts and Disbursements for the Fiscal Year Ended March 31,
1972.
61
Twenty-fourth Annual Report of the
British Columbia Hospital Insurance Service
GENERAL INTRODUCTION
Wm. J. Lyle, F.C.I.S., Deputy Minister
On December 31, 1972, the British Columbia Hospital Insurance Service completed 24 years of operation,
nearly a quarter of a century of continuous and vital
development in the provision of expanded hospital facilities and improved services for residents of British Columbia. This development could not have been achieved
without the co-operation and joint effort of the boards
and staff of hospitals, the medical profession, regional
hospital districts, and the Provincial Government. I
would like, at this point, to pay special tribute to Donald
M. Cox, who retired as Deputy Minister during the past
year, and who guided this Service from its infancy and
placed the planning and operation of hospitals on a
sound basis. Mr. Cox has been an outstanding administrator and deserves much credit for the tremendous development in the hospital field
which exists today in British Columbia.
During 1972, payments to hospitals, toward expenses incurred by residents,
totalled $220,000,000, which is the equivalent of $97.38 being paid on behalf of
each man, woman, and child residing in British Columbia. Hospital insurance daily
payments to hospitals amounted to $602,740 as compared with $534,247 in the
1971 calendar year, an increase of 12 per cent. A number of hospitals has encountered operating difficulties since 1970, due in part to policy which did not allow
acceptance of the total wage-rate increases negotiated between hospitals and their
employees in that year. During the last months of 1972 the Government agreed to
restore the 30 per cent of wage increases not previously accepted. This was retroactive to January 1, 1972, and provided the hospitals with more than $3,000,000 in
additional funds.
The average length of stay of in-patients continued to decrease, and for 1972
is estimated to be 8.78 days compared with 8.94 days for public hospitals in British
Columbia during 1971. While this further reduction of about one-sixth of a day
may not seem significant, it does mean that the total days of in-patient care provided
by the public hospitals in British Columbia would have been 60,505 more than the
estimated 3,320,087 for 1972 if the decrease in average stay had not taken place.
Of greater significance is the trend recorded during the past 10 years, since in 1963
the average length of stay of adult and child patients was 9.65 days compared with
the estimated 8.78 days for 1972, a reduction of 0.87 of a day. If this reduction
had not been achieved, the 378,154 patients admitted by public hospitals in British
Columbia in 1972 would have recorded an additional 328,000 patient-days of care,
or 10 per cent more than the number estimated for the year. To provide an additional 328,000 patient-days of care would call for more than 1,000 hospital beds.
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BRITISH COLUMBIA
There are many reasons for the continuing decrease in the average length of stay
of in-patients apart from improvements in medical treatment, new techniques, and
medications, and one of the most important is the control of patient stay by the
medical staff of hospitals. Another contributing factor is the development of extended hospital care units to which long-term patients are transferred.
Hospital construction projects under way at year-end, many due for completion
early in 1973, will cost an estimated $20,546,560. Major projects completed during
the year involved construction of space and services for a total of 950 new beds, of
which 586 were for extended care. In addition, 1,164 beds were under construction
at year-end, with 679 of these for extended care. Details of construction projects are
shown commencing with page 30.
There has been a dramatic increase in open-heart surgery in British Columbia
over the past four years, as indicated by the following comparisons:
Operations
1969 252
1970 348
197L
..476
1972 600 (estimated)
Surgery for correction of congenital defects and valve replacements has remained
relatively constant. The great increase has been in coronary artery bypass procedures, and there are strong indications there will be a similar rate of increase over
the next few years.
In accordance with recommendations of the Third Heart Surgery Review Committee, approval was given for construction and renovation programmes at the Vancouver General Hospital; St. Paul's Hospital, Vancouver; and the Royal Jubilee
Hospital, Victoria.
The Vancouver General Hospital has been given the use of the second floor of
the east wing in the Willow Chest Centre. Renovations are now well under way,
with the enlarged unit scheduled for opening in February 1973. Upon completion,
there will be 27 beds, including recovery and intensive-care beds, and the unit will
have the full use of two operating-rooms and related facilities, with a third operating-
room being available for emergency and other use not normally requiring a "heart
lung pump." The capacity of the new unit will be 20 operations a week.
St. Paul's Hospital proposed to place its chapel elsewhere in the hospital and
construct in the existing chapel area a 15-bed unit for open-heart surgery patients.
This was approved as was a later proposal to construct, on the second floor of the
chapel space, a respiratory treatment unit to serve the entire hospital. Construction
on the combined project commenced on December 11, 1972, with completion
planned for May 1973. The new unit can provide for up to six operations a week.
The open-heart surgery unit of the Royal Jubilee Hospital, Victoria, will have
a capacity of two operations a week. The hospital is completing its plans and is
placing orders for equipment. Because of the time required for staff training and
perfecting team techniques in an entirely new unit, the hospital does not anticipate
that it will be ready to admit patients until the summer of 1973.
Earlier in the year, Shaughnessy Hospital looked into the possibility of developing an open-heart surgery unit for veterans whose hospitalization will, in most
instances, be chargeable to the British Columbia Hospital Insurance Service. In
view of the number of patients awaiting open-heart surgery, the Hospital Insurance
Service gave strong support to the project, and the hospital was urged to proceed
as quickly as possible. The first open-heart operation was performed there on
December 5, 1972.
HOSPITAL INSURANCE SERVICE, 1972
P 15
The four hospitals will have a combined capacity of more than 1,500 open-
heart surgery procedures a year.
During the past year, hospital insurance coverage was made available to cover
diabetic day-care services at four selected hospitals in the Province.
The Methadone Treatment Programme, provided by the Narcotic Addiction
Foundation in Vancouver, was extended to cover treatment in centres established
in Victoria, Prince George, Nanaimo, Trail, Coquitlam, and Kamloops. Costs of
pharmacy and laboratory service is provided by the Service, as well as social service
work for the Vancouver unit.
Assistance continued to be given by Hospital Insurance personnel in the devel-
opement of programmes for personal care units in Vancouver, Victoria, and Kamloops being constructed by the Provincial Government.
During the year a ways and means committee was set up to assist in the implementation of recommendations contained in a report, prepared for the former
Minister, on cancer services in British Columbia. The Hospital Insurance Service
is represented on this committee.
The Service is also represented on such committees as the B.C. Medical Association's Hospitals Committee, the Advisory Sub-committee for Chronic Renal Failure, and other committees involved in the development of special services.
Throughout the year, helpful advice and guidance were provided by the medical
profession, and I should like to thank the College of Physicians and Surgeons and
the B.C. Medical Association for their co-operation. The continuing assistance of
the B.C. Hospitals' Association, the Registered Nurses' Association, and the Architectural Institute of British Columbia is appreciated. My appreciation also to the
laboratory and radiological advisory councils for helping hospitals to improve laboratory and radiological services and in advising this Service regarding the approval
of Provincial grants-in-aid for purchasing major hospital equipment. Also, I would
like to express my appreciation and thanks to the staff of the Hospital Insurance
Service for the conscientious way in which they performed their varied roles over
the past year.
Reports by the various divisions which comprise the administrative structure of
this Service commence on page 21 under the heading "Organization and Administration."
BRITISH COLUMBIA REGIONAL HOSPITAL DISTRICTS ACT
The Act provides for the division of the Province into large districts to enable
regional planning, development, and financing of hospital projects to be carried out
under a formula which provides substantial financial assistance from the Provincial
Government toward the capital cost of hospital projects. The Province was divided
into 29 areas, and 28 of them have been incorporated as regional hospital districts.
The district not incorporated is located in an area without hospitals in the northern
part of the Province.
As is the case with school construction, each regional hospital district, subject
to the requirements of the Act, is able to pass money by-laws authorizing debentures
to be issued covering the total cost of one or more hospital projects. When approval
has been obtained from the Minister of Health Services and Hospital Insurance, the
district is able to raise any funds immediately required by temporary bank borrowing
on a uniform basis. The Regional Hospital Districts Financing Authority (see
page 16) in due course issues and sells its own debentures. At that time the districts
are able to sell their long-term debentures to the Authority. Following this, a district
can repay any sum which has been temporarily borrowed from a bank.
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BRITISH COLUMBIA
Each year the Provincial Government pays through the Hospital Insurance
Service its share of the amortization cost in accordance with section 22 of the Act.
Each district in turn raises, by taxation, the remainder of the annual amortization
cost required to retire its debentures which are held by the Authority.
Under the formula the Province pays annually to each district 60 per cent of
the net cost of amortizing the district's borrowings for an approved hospital project,
after deduction of any items which are the district's responsibility, such as provision
of working funds for hospital operation, etc. If a 4-mill tax levy by the district is
inadequate to discharge its responsibility in regard to annual charges on old debt for
hospital projects, as well as the remaining 40 per cent of the charges on the new
debt resulting from hospital projects, the Province will provide 80 per cent of the
funds required in excess of the 4-mill levy.
The affairs of each regional hospital district are managed by a board comprised
of the same representatives of the municipalities and unorganized areas who comprise
the board of the regional district (incorporated under the Municipal Act) which
has the same boundaries as the regional hospital district. The board of the regional
hospital district is responsible for co-ordinating and evaluating the requests for
funds from hospitals within the district, and for presenting money by-laws to the
taxpayers in respect of either single projects or an over-all programme of hospital
projects for the district.
A hospital society or corporation is not compelled to seek financing under this
Act if the cost of the project, over and above the amount of the Provincial Government grant, can be raised by other means.
BRITISH COLUMBIA REGIONAL HOSPITAL DISTRICTS
FINANCING AUTHORITY ACT
This Act established a Provincial Government authority similar to the one set
up to assist school districts in financing their projects. The functions of the Authority
are referred to briefly in the second paragraph of the preceding commentary regarding the Regional Hospital Districts Act.
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.
The main provisions of this Act and the regulations may be summarized as follows:
(1) Generally speaking, every permanent resident who has made his
home in British Columbia during the statutory waiting-period is
entitled to benefits under the Act.
(2) Approved hospitals are paid an all-inclusive per diem rate for medically necessary in-patient care rendered to qualified British Columbia
residents who are suffering from an acute illness or injury, and those
who require active convalescent, rehabilitative, and extended hospital
care. The payment made to a hospital by the British Columbia Hospital Insurance Service amounts to $1 less than the per diem rate
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 in-patient and out-patient benefits provided under
the Act are described on the following pages.
HOSPITAL INSURANCE SERVICE, 1972
P 17
(4) Qualified persons who are temporarily absent from British Columbia
are entitled to certain benefits for a period of 12 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 the
Act.
The Hospital Act controls the organization and operation of hospitals, which
are classified as follows:
(1) Public hospitals—nonprofit hospitals caring primarily for acutely ill
persons.
(2) Private hospitals. This category includes (a) small public hospitals,
most of which are operated in remote areas by industrial concerns
primarily for their employees, and (b) licensed nursing-homes which
are not under hospital insurance coverage.
(3) Rehabilitation and extended-care hospitals. These nonprofit hospitals are primarily for the treatment of persons who require intensive
rehabilitative and extended hospital 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 establishes 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 statutory waiting-period (which expires at midnight of the last day of
the second month following the month in which the person moved
to the Province); or
(b) Having qualified under item (a), he leaves the Province temporarily
and returns after an absence of less than 12 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 statutory waiting-period, a person is permitted to be temporarily
absent from British Columbia for a brief period 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.
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 resides outside the Province; or
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BRITISH COLUMBIA
(b) A qualified person who leaves British Columbia temporarily and
fails to return and re-establish residence within 12 months; or
(c) A qualified person who leaves British Columbia and who establishes
residence elsewhere; or
(d) An inmate of a Federal penitentiary; or
(e) 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
(f) Persons entitled to receive hospital treatment under the Statutes of
Canada or any other government; for example, members of the
armed forces or Royal Canadian Mounted Police, and consular
officials of other countries.
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;
other approved services rendered by employees of the hospital.
(Note—Private or semiprivate rooms cost more to maintain than standard
wards, and the patient is required to pay extra for such accommodation if it is
requested by or on behalf of the patient.)
Other Benefits
The following services and treatments are also provided in British Columbia
public hospitals to beneficiaries who do not require in-patient care:
Emergency treatment within 24 hours of being accidentally injured.
Operating-room or emergency-room services for minor surgery, including application and removal of casts.
Day-care surgical services are available to patients who require operating room or other specialized-treatment facilities, but who can
be discharged within 24 hours.
Out-patient cancer therapy is provided by the branches of the B.C. Cancer
Institute in Vancouver and Victoria.
Day-care and night-care psychiatric services are available to patients
who come to a designated hospital for an organized programme of
treatment which requires that they remain for a minimum of seven
hours, but does not necessitate formal admission as in-patients.
Out-patient psychiatric care is available to patients who come to a designated hospital for a particular psychiatric service. (During 1972
the number of hospitals authorized to provide day-care and outpatient psychiatric services as insured benefits was increased.)
HOSPITAL INSURANCE SERVICE, 1972
P 19
A cytology service provides for examination of cervical smears for the
early detection of cancer in women. The service is operated by the
B.C. Cancer Institute and is universally available for residents of
the Province.
Day-care rehabilitative services at the G. F. Strong Rehabilitation Centre
in Vancouver apply to patients requiring an organized and comprehensive programme of treatment which would require that they
remain at the centre for at least a half day.
A methadone substitution programme established by the Narcotic Addiction Foundation of British Columbia is available at six centres in
the Province.
Coverage for diabetic day-care services is now available in a number of
the larger hospitals in the Province.
Day-care services at The Arthritis Centre of British Columbia, Vancouver, which is operated by the Canadian Arthritis and Rheumatism
Society, British Columbia Division, is now under hospital insurance
coverage. This centre provides physiotherapy and other services
on an out-patient basis to persons suffering from arthritis and rheumatism.
A beneficiary is required to pay a nominal sum for each visit to the hospital
for these services, and the remainder of the cost is paid by the British Columbia
Hospital Insurance Service. Charges for medical services incurred at the hospital
are payable by the British Columbia Hospital Insurance Service, and nonbenefici-
aries are required to pay the full charge for the hospital services and treatment
received.
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 in the Hospital Insurance Act and regulations. Payment is then requested
by the hospital from the British Columbia Hospital Insurance Service, which may
reject any account if either the patient's status as a qualified resident or the medical
necessity for his receiving hospital-care benefits has not been satisfactorily established.
THE HOSPITAL RATE BOARD AND METHODS OF
PAYMENT TO HOSPITALS
The Hospital Rate Board, appointed by Order in Council, is responsible for
advising the Deputy Minister in regard to the rates of payments to hospitals for
both in-patient and out-patient benefits.
A system of firm budgets for hospitals, which, with modifications, has been
in use since January 1, 1951, provides for a review of hospitals' estimates by the
Rate Board. Under the firm-budget procedure, hospitals are required to operate
within the total of 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. However, hospitals retain surplus funds earned as a result of
keeping expenditures within the total amount approved. The value of variable
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BRITISH COLUMBIA
supplies used in patient-care has been established. 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 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.
Policies to be used in the allocation of the total funds provided are approved
by the Government. The Hospital Rate Board reviews the detailed revenue and
expenditure estimates forwarded by each hospital and applies the policies in establishing approved budgets.
Approximately 96 per cent of all in-patient hospital accounts incurred in British Columbia are the responsibility of the British Columbia Hospital Insurance
Service. Cash advances to hospitals are made on a semimonthly basis, so that
hospitals are not required to wait for payment until patients' accounts are submitted
and processed by the British Columbia Hospital Insurance Service. Qualified
patients are charged $1 per day, which is deductible when calculating payments to
hospitals from the Service. Nonqualifying 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.
BCHIS PLANNING GROUP
The Planning Group co-ordinates and expedites planning for hospital facilities.
Its functions are to review research reports on hospital bed needs, study submissions
from hospitals and regional hospital districts for increases in beds or services, consider other problems related to orderly planning and provision of facilities and services to meet the needs of the Province, and to consider other matters referred
to it by the Deputy Minister. The Planning Group is responsible for making recommendations on these matters to the Deputy Minister. It is composed of six senior
members of the service.
Planning Group held 20 full meetings during the year, in addition to which
members of Planning Group held a number of meetings with regional hospital district boards or committees and with representatives of hospitals. Detailed discussions were held with the advisory committee of the Greater Vancouver Regional
Hospital District in connection with the programme set out in the $95 million bylaw presented to and passed by the rate-payers in December.
Planning Group reviewed the contents of programmes proposed by four other
regional hospital districts, of which two were placed before the ratepayers in December. The money vote of the Kitimat-Stikine Regional Hospital District, involving
a comprehensive programme, was passed and so was the more limited one placed
before the ratepayers by the Kootenay Boundary Regional Hospital District.
Several special studies were undertaken. One of these involved diabetic day
care. This resulted in hospital insurance coverage being extended to programmes
in five hospitals. A comprehensive review of day-care psychiatry was also undertaken, which included a review by the programme consultant to the Mental Health
Branch and a literature survey under his direction. The results of the study and
recommendations were being finalized at the year-end.
HOSPITAL INSURANCE SERVICE, 1972
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ORGANIZATION AND ADMINISTRATION
The British Columbia Hospital Insurance Service is a branch of the Department of Health Services and Hospital Insurance, the other branches being Health,
Mental Health, and the Overall Medical Services Plan. During the year the Assistant Deputy Minister, W. J. Lyle, advanced to the position of Deputy Minister, and
the Director, Hospital Consultation, Development and Research, J. W. Mainguy,
was appointed Assistant Deputy Minister.
The following reports provide a brief outline of the work carried out during
1972 by the various divisions and offices which comprise the administrative structure of this branch:
ASSISTANT DEPUTY MINISTER
J. W. Mainguy, B.A., M.H.A.
The Assistant Deputy Minister is responsible for
the operation of the Service in the absence of the Deputy
Minister. He is directly responsible for the Hospital
Consultation and Inspection Division and the Research
Division. He is a member of both the Hospital Rate
Board and Planning Group, and represents the Service
on a number of committees of government and community agencies, including the Liaison Committee between the Service and the B.C. Hospitals' Association
and the Sub-Committee on Quality of Care and Research, Ottawa.
Hospital Consultation and Inspection Division
P. M. Breel, Manager
The resources of this Division are available to public and private hospitals for consultative services in all
matters of hospital operation and administration, with
emphasis on quality of care, utilization, and operational
efficiency. The Division is responsible for an inspec-
tional programme to ensure that basic standards are
met, and for the licensing of private hospitals.
Its staff is composed of administrative, nursing,
dietary, and management engineering consultants.
The Division co-operates with all other divisions
of the Service in achieving aims of mutual interest and
responsibility. It is responsible for the analysis, and
makes recommendations, relative to hospital staffing
patterns which are considered in establishing approved operating budgets. The
Division is represented on the Hospital Rate Board, the Planning Group, the Functional Programme Review Committee, and the Equipment Committee. Staff members also participate in the hospital planning functions of the British Columbia
Hospital Insurance Service, including the review of the operational implications
of construction projects, and the setting of standards. Programmes and plans
for construction are analysed and assessed in conjunction with the Medical Consultation and Hospital Construction and Planning Divisions. The Division represents the Service on a large number of councils, committees, and working parties
associated with hospitals and the health field, and works with Federal, Provincial,
and municipal representatives on related matters.
P 22 BRITISH COLUMBIA
Throughout the year, 256 visits were made to acute, rehabilitation, chronic,
convalescent, and extended-care hospitals and 294 to private hospitals giving nursing-home care, with inspection reports recommending ways and means of improvement being made both to government and hospitals.
With salaries and wages forming the largest portion of hospitals' budgets, administrative consultants again this year concentrated their efforts on staffing requests
and allowances, coupled with a continuing evaluation and validation of standards
used, and on actual utilization of staff by hospitals. Another major area of concentration was the evaluation of the effectiveness of the board, medical staff, and
administration of a sizeable number of the Province's hospitals. Almost all hospitals
received the normal annual visit and inspection. Liaison was maintained by membership on the Radiological Advisory Council, Laboratory Advisory Council, the
Community Care Facilities Licensing Board, the Provincial Youth Resources Panel,
the B.C. Hospitals' Association's Education Committee, and many other ad hoc
boards and committees. One administrative consultant accepted the position of
interim administrator of a hospital, and, prior to the arrival of a new administrator,
was able to measurably assist that hospital to improve its operating and financial
status. The same consultant, additionally qualified as a graduate pharmacist, represented the Service on both Federal and Provincial pharmacy committees. Several
members participated in presentations to the B.C. Institute of Technology courses
and programmes sponsored by the B.C. Hospitals' Association.
The Hospitals' Management Engineering Unit carried out 18 studies of projects during the year, 14 of which were undertaken for individual hospitals or
groups of hospitals. The unit continued its involvement with the Federally sponsored hospital dietetic project at Penticton. Three hundred and forty copies of
study reports, in addition to those distributed on behalf of the two Regional Management Engineering Units, were provided to interested parties, including 45 to
other provinces and 51 to other countries. A close liaison was maintained with the
Regional Management Engineering Units in Victoria and Vancouver. Unit personnel participated in the B.C. Hospitals' Association's education programmes.
The unit continued to sponsor the "Idea of the Month" feature of the Service's
bulletin.
The nursing consultants continue to participate in National and Provincial
nursing organizations. Visits to hospitals and private hospitals were less frequent
but of longer duration, with emphasis being placed on the quality of patient care.
Two large hospitals with schools of nursing were reviewed during the year, with
resultant reports and recommendations being made in depth. Advice on matters
related to staffing, nursing procedures and techniques, patient-care programmes,
construction plans, and hospital equipment demanded increased nursing consultants' time. The Senior Nursing Consultant participated in the Federal-Provincial
Hospital Nursing Consultants' Conference and was a member of the Nursing Advisory Committee of the B.C. Institute of Technology, the Council of Practical
Nurses, and of the working group responsible for the production of the Glossary
on Canadian Hospital Terminology and Definitions.
In addition to the routine visits and inspections of hospital dietary facilities,
the Consultant in Dietetics participated in the courses for Supervisors and Senior
Cooks in Small Hospitals held in Vernon and Kitimat and acted as an adviser to students taking the Canadian Hospitals' Association's Food Service Supervisory Course.
Many new facility plans were evaluated and consultation given, along with advice
on equipment and renovation layouts. In collaboration with a member of the Management Engineering Unit, the total planning of the dietetic department of the pro-
HOSPITAL INSURANCE SERVICE, 1972
P 23
posed Saanich Peninsula Hospital was undertaken, in addition to continued involvement with the research project at the Penticton Hospital which is designed to
evaluate chilled and frozen food production with point-of-service reheating. The
Consultant in Dietetics maintained participation in both National and Provincial
dietetic affairs throughout the year.
The Division's Administrative Consultant based in Vancouver kept in close
contact with the private hospital field through more than 200 visits and inspections.
Five private hospitals, totalling 128 beds, closed down during the year. At present
there are 57 private hospitals providing 2,969 patient beds. Special visits, encompassing an all-inclusive sanitation inspection of each private hospital visited, were
carried out during the year in Vancouver and Victoria, in co-operation with the
Vancouver City Health Department and the Victoria Metropolitan Health Unit.
Special weekly visits to ensure continued safe patient care were made by both administrative and nursing consultants to a private hospital experiencing management/labour difficulties.
Special investigatory studies were undertaken by members of the Division on
the quality of care being provided in the Vancouver General Hospital's Annex
accommodating extended-care patients, and on the efficiency and personnel relations
of the department of dietetics of the Royal Columbian Hospital with reports and
recommendations being submitted for the Minister's and hospital's guidance.
All extended-care hospitals and hospitals with extended-care units were provided with copies and were counselled in the application of the Extended Care
Programme Guide completed last year.
Two university students were employed during the summer on research studies.
One student completed a review of the work-load statistics of British Columbia
hospitals which provided indicators allowing the identification and subsequent investigation of atypical production rates in the various hospitals and departments.
The other student assisted Management Engineering Unit personnel in the collection, collation, and analysis of data pertaining to current studies.
Members of the Division once again attended a number of in-service and other
educational and informative sessions, including a seminar on Community Health
Centres presented in October at the University of British Columbia. The manager
of the Division also attended the Advanced Program in Health Services Organization and Administration (Part 1) presented by the University of Toronto, School
of Hygiene.
Research Division
D. S. Thomson, B.A., M.P.A., Director
The Research Division is responsible for assessing
the need for additional hospital beds and services. In
order to determine the need for new facilities, the Division carries out studies both on an individual hospital
and regional basis. These studies involve a comprehensive analaysis of hospitalization data as well as economic
and demographic information. The formation of regional hospital districts has brought about a greater need
for planning hospital services on a regional scale, and
this Division co-operates with other divisions of the
Service for the purpose of providing guidelines for hospital development on a regional basis. During the year
the Division continued to update five-year projections
of bed requirements by region.
vmm
P 24
BRITISH COLUMBIA
This Division is also responsible for compiling and maintaining statistical data
relating to hospitalization and morbidity in the Province. The admission/separation
records submitted by the hospitals for each patient form the basis of this information.
All diagnoses and operations are coded according to the International Classification
of Diseases Adapted (8th revision). By use of this classification system it is possible to analyse the incidence of disease by age, sex, and geographical location as
well as other variables. In connection with morbidity reporting, the Division publishes a number of annual reports. Statistics of Hospital Cases Discharged includes
the standard morbidity tables which all provinces have agreed to publish in order
that national health statistics can be developed. Statistics of Hospitalized Accident
Cases, which also is prepared annually, provides a broad analytical coverage of
hospitalized cases by circumstance, by type of accident, and by nature of injury.
A report of the Day Care Surgery British Columbia Hospitals is prepared in conjunction with the Medical Consultation Division for the purpose of showing the
potential of this type of service. In addition to these reports the Division supplies
data to many agencies both inside and outside of the Government. The demand
for hospital morbidity data continues to grow and has become particularly useful
in planning of specialized hospital services. Every attempt is made to provide
information for worth-while projects.
Since the change in the Criminal Code in 1969 permitting therapeutic abortions, the Division has maintained a reporting system for all therapeutic abortions
performed in hospitals in the Province. The current interest in this subject has
stimulated an increasing demand for information relating to therapeutic abortions.
Hospital Finance Division
N. S. Wallace, C.G.A., Manager
Hospital accounting, the payment of hospital
claims, and financing of hospital capital projects are the
three main functions of the Hospital Finance Division.
At the 1967 Session of the Legislature, two Acts
were passed which changed the method of financing hospital capital projects—the Regional Hospital Districts
Act and the British Columbia Regional Hospital Districts Financing Authority Act. The Finance Division
is responsible for reviewing the annual budgets prepared
by each regional hospital district as required by the legislation, and works closely with the Hospital Financing
Authority and the regional hospital districts in the financing of hospital capital projects and repayment of
debentures. During 1972 the Finance Division assisted the regional hospital districts in debenture sales to the British Columbia Regional Hospital Districts Financing Authority amounting to $21,428,000.
The Finance Division is also responsible for the approval of grants to assist
hospitals in the purchase of equipment. In 1972, after a review of approximately
6,100 applications received from hospitals, grants estimated at $2,700,000 were
approved on movable and fixed technical equipment costing $8,200,000.
As a means of assisting hospital employees to maintain high working standards,
the Hospital Insurance Service provided over $150,000 during the year to enable
hospital employees to attend or participate in short-term training programmes.
This was additional to the longer-term educational training courses sponsored for
certain hospital employees.
HOSPITAL INSURANCE SERVICE, 1972
P 25
Close liaison was continued with 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 reach maximum retirement age.
The Division Manager continued to perform duties as a member and Secretary
of the Hospital Rate Board and a member of the following committees: Subcommittee on Hospital Finance and Accounting (a subcommittee appointed by the Federal Government to advise on the administration of the Hospital Insurance and
Diagnostic Services Act), the Radiological Advisory Council, the B.C. Hospitals'
Association Computer Committee, the Health Sciences Centre Computer Advisory
Committee, and as an adviser to the Cancer Control Ways and Means Committee.
Experience during the first few years' operation of the British Columbia Hospital Insurance 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 board is 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.
Hospital Accounting
H. G. Benjamin, C.G.A., Supervisor
The five main functions of the Hospital Accounting Section are as follows:
(a) The assembling of relevant information and preparation of data
for the use of the Hospital Rate Board in its review of hospitals' annual and pre-construction estimates. During this process, estimated
revenues and expenditures are examined in detail, and adjustments
to estimated amounts are recommended. The gross expenditure
approved by the Hospital Rate Board for public general, rehabilitation, and extended-care hospitals for the year 1972 amounted to
$226,000,000.
(b) The detailed annual inspecting of each budget-review hospital for
purposes of verification of annual and other financial statements.
Final settlement with each hospital for that year is based on inspection and review results.
(c) The assembling of relevant information and preparation of data for
the Deputy Minister in the review of the annual budgets of regional
hospital districts.
(d) The auditing of hospital construction projects, in the field, to determine the amount shareable by the Province and the regional hospital district.
P 26
BRITISH COLUMBIA
(e) The tabulating of monthly statistical and financial reports from hospitals, correlating these with approved budgets, and the calculation
of semimonthly cash advances to be made to hospitals.
Other functions performed by the Hospital Accounting Section include:
(a) The review and amendment of annual financial and statistical reports
prepared by hospitals for submission to the Dominion Bureau of
Statistics and the Department of National Health and Welfare.
(b) The preparation of monthly and annual claims on the Federal
Government under the Hospital Insurance and Diagnostic Services
Act.
(c) The tabulation of temporary borrowing for construction projects by
regional hospital districts, and the calculation of the Provincial share
to be paid to the district. The preparation and issue of debentures
to replace short-term borrowing and the calculation of the Provincial share of repayment.
(d) The provision of accounting and financial assistance and instruction
to public hospitals in the Province.
(e) The review of annual operating results and recommendations of
year-end adjustments to the hospitals' approved budgets.
(f ) The preparation of the Annual Report on Hospital Statistics covering the administration of the Hospital Act.
One hundred and sixty hospital-operating, pre-construction, and regional hospital district budgets were reviewed and processed in 1972. Inspection visits were
made to each of 105 public general, rehabilitation, and extended-care hospitals during the year. Construction projects involving approved expenditures of $20,024,000
were audited, and cost reports involving approved expenditures of $781,600 for
minor construction projects were prepared for regional hospital districts.
Hospital Claims Section
W. J. Wade, Supervisor
The staff of Hospital Claims is responsible for processing the Admission-
Separation Records (accounts), which hospitals submit for each patient, and approving the payment of all acceptable claims. Assistance is provided to hospitals
by this Section in the proper method of submitting the individual accounts. This
is accomplished by correspondence, telephone, and personal visits.
During the year the Supervisor of Hospital Claims attended an Admitting and
Eligibility Seminar held at Kimberley, which was attended by hospitals in the region.
The Supervisor also visited hospitals in the Greater Vancouver area as well as hospitals on Vancouver Island. In September the Supervisor of Hospital Claims
attended a seminar for Vancouver Island hospital accountants held at Parksville.
In November the Assistant Supervisor of Hospital Claims attended a Workshop on Admitting Procedures sponsored by the B.C. Hospitals' Association. Approximately 60 people from 26 hospitals attended.
Research and adjustment to accounts showed an increase in volume, due primarily to changes in responsibility for payment. In addition to the required accounting amendments, it was necessary to direct over 1,000 queries to the hospital concerning claims.
Accounts processed were in excess of 1,900 per working-day, and over 900
emergency-service and minor-surgery account forms were handled per working-day.
HOSPITAL INSURANCE SERVICE, 1972
P 27
Discussions with the Data Processing Centre were continued during the year
regarding the efficient use of IBM electronic data processing equipment in order
to refine statistical procedures.
A brief outline of the work and duties performed by the various offices of the
Hospital Claims Section follows.
The staff of Admission Control reviews each application for benefits made by
patients who claim to be qualified for benefits under the Hospital Insurance Act.
Details of residence are also checked with the verifying documents, and as a result
over 3,900 claims had to be returned to hospitals during the year because they were
incomplete or unacceptable, and over 1,800 letters were written on eligibility, verification, and related matters.
Advice and assistance were given to hospital admitting staffs on the proper
method of obtaining and recording the patient's residence information and employment history.
In order to assist further in the co-operation between the British Columbia
Hospital Insurance Service and hospitals, the Supervisor of Admission Control
visited hospitals for discussions of procedures being used for verification of residence of patients. He also attended Admitting and Eligibility Regional Seminars
held at Terrace and Kimberley. These seminars were well attended by the hospitals
of the areas.
The Accounts Payment staff pre-audits the charges made to the British Columbia Hospital Insurance Service, and ensures that all information shown on each
claim is completed so that it can be coded for statistical purposes, also that it is
charged to the correct agency, such as the British Columbia Hospital Insurance
Service, Workmen's Compensation Board, the Department of Veterans' Affairs,
or other provinces and territories. During the year over 6,000 queries were addressed to British Columbia hospitals on such matters.
Preliminary figures for 1972 show that more than 445,000 accounts (excluding
out-of-Province) were processed.
The Day-care Surgical Services, Day-care/Night-care Psychiatric Services,
and Out-patient Psychiatric accounts increased in volume from 4,403 per month
in 1971 to over 5,000 per month in 1972. During the year the quarterly statistical
run of Day-care Surgical Services was continued as it has proven to be very useful
to the hospitals of the Province.
The Voucher and Key-punch staff are responsible for batching and vouchering
the checked accounts, in order to determine the amounts payable to each hospital
and the punching of the data processing cards for each account. The cards are
punched daily to record statistical, financial, and medical data, and are used to
tabulate remittance listings of payments due to hospitals and for morbidity statistics
for the Research Division. This procedure includes punching cards for out-of-Prov-
ince accounts and Day-care Surgical Services accounts.
During the year the Hospital Claims Section completed compiling statistics
for a linkage study of congenital anomalies being carried on by Atomic Energy of
Canada Limited. Over 250,000 statistical cards were punched and verified by
this Section.
The out-of-Province personnel process all claims for hospital accounts incurred
by British Columbia residents in hospitals outside the Province. This requires establishing eligibility and the payment of claims. During 1972 over 5,800 accounts
amounting to an estimated $2,250,000 were paid on behalf of qualified residents
hospitalized in other provinces and territories of Canada, the continental United
States (including Alaska and Hawaii), Algiers, Australia, Austria, Bahamas, Bar-
P 28
BRITISH COLUMBIA
bados, Belgium, Brazil, British Honduras, Canary Islands, Chile, Denmark, El Salvador, England, France, Germany, Greece, Guatemala, Holland, Hong Kong,
Hungary, India, Ireland, Israel, Italy, Japan, Kenya, Mexico, New Zealand, Norway,
Rhodesia, Scotland, Senegal, Singapore, South Africa, Spain, Sweden, Switzerland,
Trinidad, Tunisia, Uganda, Wales, and Yugoslavia.
An up-to-date Hospital Rate Schedule is maintained for every hospital in
Canada. All claims are coded for statistical purposes and a data processing card
is punched for each account.
The Filing and Mail Unit sorted and filed over 9,500 documents and letters
daily. In order to handle increased volume, new procedures were instituted.
Hospital Construction and Planning Division
John Glenwright, Manager
The main functions of the Construction and Planning
Division can be briefly described as follows:
The Division provides hospital boards of management, their architects and planning committees, with a
consultative service in the planning of hospital construction projects, including new hospital facilities as well as
additions and renovations to existing hospitals. Special
emphasis is given to the need for the development of
master programmes which contain a clear definition of
the hospital's role supported by written functional programmes for construction projects related to the proposed new or expanded facilities.
During the year a great deal of time was spent in
reviewing programmes and plans of proposed hospital projects, both at the sketch-
plan stage and the working-drawing stage. Drawings and architectural programmes
which evolved from the hospital's functional programme were reviewed with the
various professions represented in the Consultation and Medical Consultation Divisions as well as other allied organizations including the Radiology Advisory Council
and the Laboratory Advisory Council.
Reviews are made with several objectives in mind, but basically the intent is
to ensure that in terms of the capital funds available the greatest benefit consistent
with economical operation is derived from the construction projects. In planning
hospital facilities, attention is also given to the need and method of future expansion
in conjunction with the most logical and the best use of the hospital site. Proposed
hospital sites are approved by this Division and direction and guidance are given in
site selection. Wherever possible, potential sites are inspected by a member of the
Division.
Over 300 sets of plans were received by the Division during the year. These
drawings covered many phases of planning, including small-scale schematic drawings
and final working drawings and specifications, including the architectural, mechanical, electrical, and plumbing drawings.
During 1972, 23 hospital construction projects were completed throughout the
Province. These projects resulted in a total of 950 new and replacement beds coming
into service, together with supporting improved and expanded diagnostic, treatment,
and service facilities.
The Division is responsible for processing, and recommending for approval,
applications for Provincial grant assistance, either by direct grants-in-aid or by funds
provided through regional hospital districts, for major expansion and improvement
projects as well as minor renovations for all public hospitals throughout the Province.
HOSPITAL INSURANCE SERVICE, 1972
P 29
The Division works with representatives of hospitals and regional hospital districts in the review and processing for consideration of Government those programmes of proposed capital expenditures to be included in money by-laws and
made the subject of regional hospital district referendums.
Continuing benefit was derived during 1972 from the co-operation of the Department of Public Works in the assignment of architects to the Division. In September, 1972, Lome Macdonald, architect, Department of Public Works, joined the
planning staff of the Division, which brings the number of architects on staff in the
Division to three.
The Manager of the Division is a member of the BCHIS Planning Group, which
has the responsibility of reviewing and making recommendations to the Deputy
Minister on matters concerning the development of hospital facilities throughout the
Province. He is Chairman of the Functional Programme Review Committee; also,
the Division has representation on the Equipment Committee. These committees
are subcommittees of Planning Group.
C. N. Beattie, formerly of the Veterans' Affairs Treatment Division and most
recently Administrator of the Col. Belcher Hospital, Calgary, joined the staff of the
Construction and Planning Division early in 1972 as a planning consultant.
The members of the medical and nursing professions and the staff of the Provincial Health Branch, through the Technical Supervisor of Clinical Laboratory
Services and Technical Supervisor of Radiology, contributed materially to the provision of consultative services to hospitals. Also, through the co-operation of the
Provincial Department of Labour, the office of the Inspector of Factories provided
a consultative service to this Division related to proposals for elevators and dumbwaiter installations in hospitals.
During the year, liaison was maintained with the mechanical engineering profession in recognition of the need to design high-quality mechanical systems which
would make a maximum contribution toward an efficient and economical hospital
operation. Some of the elements included in designs for mechanical systems for
new hospital buildings, reflecting this approach, included air recirculation and zoned
heating and ventilating controls.
W. H. Cox, Engineer in the Division, was also actively engaged in studies
undertaken by a Committee on Electrical Safety in Hospitals. The primary aim of
the committee was to develop recommendations to provide minimum standards
designed to obtain a more consistent pattern of electrical installation in hospitals in
conjunction with a high level of patient safety. These studies are being carried out
in liaison with the Health Facilities Design Division of the Department of National
Health and Welfare, Ottawa.
Members of the Division are also involved in the Systems Advisory Committee which acts as an advisory subcommittee of the Equipment Committee.
A simplified system of preventive maintenance (known as the COM AC system) developed by members of the Engineering staff of the Division is now in use
or is being incorporated in many hospitals throughout the Province. Consultative
advice is provided in the field of plant operation and maintenance and equipment
selection. During the year visits were made to hospitals for inspection and advice
pertaining to mechanical plants and electrical installations.
Liaison was maintained with the Hospital's Committee of the Architectural
Institute of British Columbia. The function of this committee is to review and
endeavour to resolve problems arising out of hospital construction projects which
affect members of the Architectural Institute. An architect on the Division's staff
is a member of this committee.
P 30
BRITISH COLUMBIA
During 1972 the Manager, as well as the architects and engineers, made a number of inspectional, advisory, and educational visits to hospitals throughout the
Province.
(a) Hospital Projects Completed During 1972
Ashcroft and District General Hospital—The new 41-bed acute hospital was
officially opened by D. M. Cox, Deputy Minister, on April 29, 1972. This new
hospital replaces the old 29-bed Lady Minto Hospital.
Chilliwack General Hospital—Phase II of the current expansion programme
was completed with its official opening on February 27, 1972, by Hon. Kenneth
Kiernan. The project entailed the addition of a 77-bed extended-care unit, as well
as 20-bed psychiatric and 16-bed activation/rehabilitation units.
Dr. Helmcken Memorial Hospital, Clearwater—This new facility of 10 beds
was officially opened by Dr. John Helmcken, great-grandson of Dr. John Sebastian
Helmcken, on September 23, 1972.
Cranbrook and District Hospital—The 15-bed addition to the extended-care
unit came into use on January 22, 1972, bringing the total number of extended-care
beds at this hospital to 50.
Stuart Lake Hospital, Fort St. James —■ This new 25-bed facility came into
operation on May 23, 1972. The then Minister of Health Services and Hospital
Insurance, Hon. Ralph R. Loffmark, presided at the official opening ceremonies
held on July 15, 1972.
Lady Minto Gulf Islands Hospital, Ganges ■— A new wing containing 15 extended-care beds was officially opened by Hon. W. A. C. Bennett on May 19, 1972.
Fraser Canyon Hospital, Hope—Hon. Ralph R. Loffmark officially opened the
expanded hospital on March 25, 1972. The hospital now has 38 acute beds and
enlarged service departments.
Windermere District Hospital, Invermere—An additions and alterations project
was recently completed at this hospital, which now has 31 acute beds. J. W. Mainguy, Assistant Deputy Minister of Hospital Insurance, presided at the official opening
on November 26, 1972.
Royal Inland Hospital, Kamloops—In order to provide additional acute beds,
the psychiatric unit was moved into the school of nursing, thus providing an additional 30 medical and surgical beds.
Nicola Valley General Hospital, Merritt—The remaining two unfinished wards
were completed at this hospital at the end of the year. The hospital's capacity was,
therefore, increased by four acute beds.
Nanaimo Regional General Hospital—Mayor Frank Ney officially opened the
new Reactivation Wing on April 23, 1972. This project involved the construction
of a two-storey addition providing 24 psychiatric and 25 activation/rehabilitation
beds, and an 85-bed extended-care unit built round an open court. Existing areas
adjoining the new wing were altered to provide an enlarged dietary department,
pharmacy, etc.
Royal Columbian Hospital, New Westminster—By the end of the year the
renovations and demolition of most of the 1912 wing, included as part of Phase I
of the expansion programme at this hospital, was completed.
South Okanagan General Hospital, Oliver—This new 45-bed acute hospital, replacing St. Martin's hospital, which had 37 beds, was completed by the end of the
year.
HOSPITAL INSURANCE SERVICE, 1972
P 31
Penticton Hospital—Hon. F. X. Richter, Minister of Mines and Petroleum Resources, officially opened the expanded hospital on April 15, 1972. This marked
the completion of the expansion programme which resulted in an increase in capacity to 159 acute beds, a new 63-bed extended-care unit, and enlarged service
departments.
West Coast General Hospital, Port Alberni—Although 38 additional acute beds
were brought into use last October, the renovations were not completed until this
year. The project, which provided a 30-bed extended-care unit as well as the acute
beds, and expanded service departments, was officially opened on April 8, 1972, by
Hon. Wesley Black.
Port Alice Hospital—-This new 10-bed facility was brought into operation on
September 17, 1972.
Port Hardy Hospital—This new 10-bed facility was brought into operation on
April 24,1972.
Richmond General Hospital—The 75-bed extended-care unit, built adjacent to
the acute hospital, was officially opened by Ernie LeCours, M.L.A., on February 13,
1972.
Shuswap Lake General Hospital, Salmon Arm—The additions and renovation
project at this hospital, which has provided a 25-bed extended-care unit and an additional 12 acute beds as well as enlarged service departments, was recently completed.
The Minister of Health Services and Hospital Insurance, Hon. Dennis G. Cocke,
opened the new wing on December 16, 1972.
Stewart General Hospital—The addition and renovation project was completed,
which added one more acute bed to the hospital for a total of 10, and provided enlarged diagnostic and treatment facilities and a doctors' clinic.
Tatla Lake—This outpost nursing station, operated by the Red Cross, was completed recently. The new facility has three holding beds, clinic room, etc., and a
house for the nurse.
Vancouver General Hospital—Ceremonies were held on December 1, 1972, to
mark the official opening by Hon. Dennis G. Cocke of the new 201-bed extended-
care unit built on property owned by the hospital between Heather and Ash Streets.
This unit, as well as providing the facilities usual to extended-care units, is also designed to care for patients requiring extra nursing.
Victoria General Hospital — The ambulatory care unit for day-care surgery
patients was officially opened on February 25,1972.
(b) Hospital Projects Under Construction at Year-end
Armstrong and Spallumcheen Hospital, Armstrong—Alterations and renovations to upgrade diagnostic, treatment, and service facilities.
R. W. Large Memorial Hospital, Bella Bella—Replacement of existing building
with a new hospital of 19 acute and four extended-care beds.
Burnaby General Hospital—A 150-bed extended-care unit is being constructed
adjacent to the acute hospital.
Chemainus General Hospital—Alterations and renovations to upgrade diagnostic, treatment, and service facilities.
Chilliwack General Hospital—Third phase of expansion programme—the renovation of existing areas of the hospital, including a new emergency department, enlarged operating suite, central sterilizing room, etc.
Major Hospital Projects, 1972
Completed—Ashcroft, Chilliwack, Clearwater, Cranbrook, Fort St. James,
Ganges, Hope, Invermere, Kamloops, Merritt, Nanaimo, New Westminster (Royal
Columbian), Penticton, Port Alberni, Port Alice, Port Hardy, Richmond, Salmon
Arm, Stewart, Tatla Lake, Vancouver General, and Victoria General Hospital.
Under construction—Armstrong, Bella Bella, Burnaby, Chemainus, Chilliwack, Duncan, Enderby, Fernie, Gold River, Kelowna, Maple Ridge, Nelson
(Mount St. Francis), New Westminster (Royal Columbian), Prince George, Quesnel, Squamish, Tahsis, Vancouver (Vancouver General) (St. Paul's) (St. Vincent's)
(G. F. Strong Rehabilitation Centre), Vanderhoof, Victoria (Royal Jubilee).
For details, see pages 30, 31, and 34.
«-
West Coast General Hospital,
Port Alberni, with the new Extended-care Unit showing at right.
(Architects: The Gardiner Thornton Partnership.)
Architect's conception of the new
41-bed Ashcroft and District General Hospital. (Architects: Thompson, Berwick, Pratt & Partners.)
■■:■■:■■ ••■■?-.■.■..;,■ ''■:::,«■:-:
■■-::*:■■
The new extended-care addition
at Lady Minto Hospital, Ganges.
(Architects: Wagg & Hambleton.)
Architect's conception of Penticton Hospital, showing the new addition for acute beds and extended-
care unit. (Architects: Thompson,
Berwick, Pratt & Partners.)
Richmond General extended-care
unit. (Architects: Thompson, Berwick, Pratt & Partners.)
Exterior view (north exposure)
of Vancouver General's new extended-care unit. (Architects:
Paul Smith Associates.)
Nanaimo General, showing the
new extended-care, rehabilitation,
and psychiatric unit. (Architects:
The Gardiner Thornton Partnership.)
P 34
BRITISH COLUMBIA
Cowichan District Hospital, Duncan—A 100-bed extended-care unit (75 beds
to be finished initially) being built on the old King's Daughters' Hospital site.
Enderby and District Memorial Hospital—Alterations and additions to improve
diagnostic, treatment, and service facilities.
Fernie Memorial Hospital—Replacement of existing building with a new hospital of 66 beds to serve Fernie, Michel, and surrounding areas.
Gold River—Diagnostic and treatment centre.
Kelowna General Hospital—Final phase of the expansion programme, consisting of the renovation of the old hospital building, now known as Block A. The project will provide 74 acute beds (for a combined total of 250 acute beds), including a
23-bed psychiatric unit, a 21-bed activation/rehabilitation unit, new physiotherapy
and occupational-therapy departments, and five beds for future use. A new regional
laboratory, also part of this project, is already in use.
Maple Ridge Hospital—A 75-bed extended-care unit is being constructed adjacent to the acute hospital.
Mount St. Francis Hospital, Nelson-—Renovations and improvements to upgrade the facilities to provide 84 extended-care beds.
Royal Columbian Hospital, New Westminster—A new power plant, including
two new water-tube boilers and related mechanical and electrical services, is under
construction.
Fringe George Regional Hospital—Construction of the West Wing Addition to
provide a net gain of 135 beds, an enlarged power plant, dietary, central sterilizing,
and laundry departments, storage, etc. (35 beds in the existing hospital will be allocated to extended care once the project has been completed).
G. R. Baker Memorial Hospital, Quesnel — A 40-bed extended-care unit is
being constructed adjacent to the existing hospital. The project also includes the
expansion of the radiological and dietary departments.
Squamish General Hospital ■— An addition to provide new operating, post-
ana.sthetic recovery/labour rooms; conversion of the old operating-room to a case
room; improvement of services.
Tahsis Hospital—A new 10-bed hospital to replace Esperanza General Hospital.
Vancouver General Hospital—(1) Phase I of the programme to expand the
Pathology Department, consisting of the relocation of the Personnel Department in
the Women's Residence; (2) a 15-bed psychiatric assessment unit; (3) (Willow
Chest) provision of 21 beds for open-heart surgery.
St. Paul's Hospital, Vancouver—Conversion of the old chapel to provide 15
cardiac surgical nursing beds and a pulmonary unit.
St. Vincent's Hospital, Vancouver—Expansion of the hospital to provide a 75-
bed extended-care unit; 20 psychiatric beds; 10 day-care psychiatric spaces; occupational-therapy facilities, personnel lockers, storage and dietary facilities.
G. F. Strong Rehabilitation Centre, Vancouver—Construction of an addition
containing 100 activation/rehabilitation beds as well as the renovation of the existing
building.
St. John Hospital, Vanderhoof—A new 45-bed acute hospital to replace the
existing building.
Gorge Road Hospital, Victoria—The 300-bed extended-care unit, being constructed as a wing onto the existing activation/rehabilitation hospital, is expected
to be completed early in 1973.
Royal Jubilee Hospital, Victoria—Facilities for open-heart surgery.
HOSPITAL INSURANCE SERVICE, 1972
P 35
(c) Projects for Which Tenders Have Been Called but no Contract yet Awarded
Campbell River and District General Hospital—An addition containing 30
acute beds; expansion of services.
St. Joseph's General Hospital, Comox—Completion of the unfinished top floor
to provide approximately 50 acute beds, construction of an addition for 20 psychiatric beds; day-care facilities; expansion of services.
Kootenay Lake District Hospital, Nelson—The first phase of an expansion and
renovation programme, including the upgrading of the electrical service; a four-bed
intensive care/coronary care unit, and second X-ray room.
Vernon Jubilee Hospital—A new extended-care unit is planned for construction
adjacent to the existing acute hospital which will provide 75 adult beds on the main
floor and 26 pa.dia.ric beds on the lower floor.
Cariboo Memorial Hospital, Williams Lake—Completion of unfinished areas to
provide 98 acute beds and a three-bed intensive care/coronary care unit; plus an
addition to house a new emergency department, laboratory, and central storage.
(d) Projects in Advanced Stages of Planning
Saanich Peninsula Hospital, Central Saanich—A 75-bed extended-care unit.
Chilliwack General Hospital—Phase IV of expansion programme: six-bed
intensive-care unit; finishing of 20-bed acute area for 10 extended-care beds; improvement of pa.dia.ric department and services.
Langley Memorial Hospital—Expansion programme—finishing of 35 acute
beds now in "shell," 15 additional acute beds on fourth floor; services expansion.
Lillooet District Hospital—Expansion of acute hospital, plus three extended-
care beds; alterations to improve diagnostic, treatment, and service facilities.
Arrow Lakes Hospital, Nakusp—A new hospital to replace existing 15-bed
hospital.
Kootenay Lake District Hospital, Nelson—Phase II of expansion and renovation programme—additional acute beds and improvement of services.
Bulkley Valley District Hospital, Smithers—Eight additional acute beds plus
seven extended-care beds.
Richmond General Hospital—Emergency department.
Children's Hospital, Vancouver—Care-by-parent unit; classroom space and
activity areas, etc.
Holy Family Hospital, Vancouver—Expansion to 80 activation and rehabilitation beds, plus-day-care facilities; 150-bed extended-care unit.
Mount Saint Joseph Hospital, Vancouver—Conversion of existing extended-
care beds to acute, upgrading services, and 150-bed extended-care unit.
Royal Jubilee Hospital, Victoria—Renovation of the Bay Pavilion for paediatrics and renal dialysis.
(e) Additional Projects Approved and in Various Planning Stages in 1972
Matsqui-Sumas-Abbotsford General Hospital, Abbotsford—Expansion programme to include extended-care beds.
St. George's Hospital, Alert Bay—Improvements to buildings and grounds.
P 36
BRITISH COLUMBIA
St. Joseph General, Dawson Creek—Expansion and improvement of services.
Fort Nelson General Hospital—Expansion.
Providence Hospital, Fort St. John—Expansion and improvement of services.
Boundary Hospital, Grand Forks—Addition for extended-care beds.
Wrinch Memorial Hospital, Hazelton—Replacement of existing building with
a new acute hospital to include extended-care beds.
Royal Inland Hospital, Kamloops—Expansion of acute hospital, including activation/rehabilitation beds and extended-care unit.
Kitimat General Hospital—Extended-care unit.
Maple Ridge Hospital—Expansion of acute hospital.
Mount Waddington Regional Hospital District—Approval to select and acquire
a site and plan a central regional hospital facility.
100 Mile District General Hospital, 100 Mile House—Expansion of acute hospital.
Mills Memorial Hospital, Terrace—Expansion of acute beds and services.
Trail Regional Hospital—Construction of a nine-bed intensive/coronary care
and renal dialysis unit.
Burnaby General Hospital—Expansion of acute beds and services.
Delta Centennial Hospital—Acquisition of site and construction of health
facilities.
Royal Columbian Hospital, New Westminster—Expansion of acute beds and
services.
Queen's Park Hospital Society, New Westminster—Extended-care unit.
Lions Gate Hospital, North Vancouver—Expansion of services.
Coquitlam and District Hospital, Port Moody—New acute facility.
Richmond General Hospital—Expansion of acute beds and services.
B.C. Cancer Institute, Vancouver—Expansion of acute beds.
Children's Hospital, Vancouver—Continuation of planning and development
of pediatric facilities in the area of the Vancouver General Hospital.
Louis Brier Hospital, Vancouver—Expansion of extended-care unit.
St. Paul's Hospital, Vancouver—Services expansion.
Sunny Hill Hospital, Vancouver—Expansion and renovations.
Vancouver General Hospital—Activation unit; renovations.
Health Sciences Centre, Vancouver—350-bed acute hospital.
Vernon Jubilee Hospital—Conversion of existing extended-care unit for acute
care; expansion of services, renovations.
Royal Jubilee Hospital, Victoria—Expansion and renovations.
HOSPITAL INSURANCE SERVICE, 1972
P 37
7t -w
MEDICAL CONSULTATION DIVISION
Charles F. Ballam, M.D., Senior Medical Consultant
Dr. Ballam returned to the British Columbia Hospital Insurance Service as Senior Medical Consultant,
October 1, 1972, consequent upon the resignation in
June of Dr. D. G. Adams. Dr. Ballam held the post of
Medical and Educational Director at the Royal Jubilee
Hospital in Victoria prior to resumption of his duties at
the Service.
Dr. David M. Longridge continues as Medical Consultant, acting as principal Administrative Assistant to
the Senior Medical Consultant and having in addition to
these duties prime responsibility for the supervision, advice, and administration of the Medical Coding Section
and for all questions of a medical nature arising out of
the review by the Medical Coders and by the Claims Division of the Admission-
Separation Records.
During the year, Dr. Doris E. Mackay was appointed full-time Medical Consultant, Extended Care and Rehabilitation. Dr. Mackay had been employed on a
part-time basis by the Service since the inception of the Extended-care Programme in
1965/66, and continues to have principal responsibility for consultative advice concerning this programme, as well as in the field of rehabilitation.
These two medical consultants work in the Division under the general direction
and supervision of the Senior Medical Consultant.
This Division is responsible for medical consultation within the Hospital Insurance Service, between the Service and other departments of Government, with hospitals at all levels of care, and with regional hospital districts. Other responsibilities
include liaison with other health agencies such as the B.C. Medical Association, the
B.C. Hospitals' Association, and the University of British Columbia; the medical
coding and assessing of all discharge records received from hospitals; the initial
medical assessment and continuing quarterly review of patients to determine their
eligibility for coverage by the Hospital Insurance Service under the Extended-care
Programme; and medical record consultation to hospitals and related organizations.
The staff of the Division is composed of physician medical consultants, physiotherapy and medical record librarian consultants, and nurses who are trained to
undertake the assessment and coding of claims received from hospitals.
The medical consultants assist in the planning and implementation of new services in hospitals by representation on the Planning Group, the Equipment Committee, and the Functional Programme Review Committee at the Hospital Insurance
Service.
The medical consultants provide continuing and active liaison with all health
agencies, through visits to hospitals, special disease groups, societies, regional hospital districts, and professional bodies, and represent the Service as members of
committees developed by these organizations. Liaison with the B.C. Medical Association has become particularly important, and active participation on its Hospitals
P 38
BRITISH COLUMBIA
Committee and the Advisory Subcommittees on Chronic Renal Failure, Intensive
Cardiac Care, Nuclear Medicine, and Cancer Therapy Services continued during the
year.
The Admission-Separation Record, which is completed for each patient admitted to a hospital either in British Columbia or outside the Province, is assessed
with regard to medical eligibility for coverage, and is then coded in accordance with
the "International Classification of Diseases, Adapted for Indexing Hospital Records
by Diseases and Operations." Graduate nurses undertake the review and coding
functions, and in areas of difficulty receive the assistance of a medical consultant.
The coded records are then utilized by the Research Division for compiling and
maintaining statistical data relating to hospitalization and morbidity in British
Columbia.
Day-care surgical services, approved as a hospital insurance benefit in 1968,
have improved the utilization of the Province's health facilities, and the Senior
Medical Consultant continues to advise the Service in its planning for an expanded
role in ambulatory patient care. As is the case with the in-patient admission records,
all day-care surgical services records are assessed and coded according to the International Classification of Diseases, so that this data may be tabulated in preparation
for statistical reviews.
Applications for admission to the Extended-care Programme, submitted on behalf of patients, were assessed for medical eligibility by the Medical Consultation
Division. At the end of 1972, extended-care coverage was being provided in some
2,535 beds in the Province. During the year, approximately 4,500 applications for
admission to this programme were assessed for medical eligibility by the Medical
Consultation Division. Additionally, 89 reviews of extended-care hospitals were
undertaken to ensure that the hospitals' extended-care population continued to remain medically eligible for this benefit. During many of these audit reviews the
hospital's programme was also assessed to ensure that the care which the patient received was commensurate with current thinking in the management of chronically
disabled individuals.
The Medical Record Consultant provided consultative advice to the Service, to
hospitals visited in the Province, and participated as a member of the Provincial Education Committee of the British Columbia Association of Medical Record Librarians.
The encouragement of hospitals to achieve accreditation standards imposes
certain pressures to conform to the requirements of accreditation, and when these
pressures produce problems for the medical staff of the hospital, the Senior Medical
Consultant is able to render assistance with the help of the Hospital Consultation and
Inspection Division and the Hospitals Committee of the B.C. Medical Association,
together with representation from the College of Physicians and Surgeons of British
Columbia.
The medical consultants participate in postgraduate continuing medical education programmes sponsored through the university and the Provincial and local
medical societies, as well as special and pertinent continuing medical education
seminars or courses offered outside British Columbia.
HOSPITAL INSURANCE SERVICE, 1972
P 39
ADMINISTRATION DIVISION
K. G. Wiper, Senior Administrative Officer
The Senior Administrative Officer 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.
This officer provides advice and information on a
wide range of matters to the Minister, Deputy Minister,
and other officials of the Department.
Hospital societies and corporations are provided
with assistance in connection with the drafting of hospital constitutions and by-laws, and their interpretation
and application. Changes in hospital by-laws are reviewed by this office prior to their submission for Government approval, as required
under the Hospital Act. A set of model by-laws has been developed for use by
hospitals as a guide in making revisions.
Under the Regional Hospital Districts Act, described earlier in this Report,
the staff of this Division worked closely with the officials of other divisions, Government departments, and the various districts in arranging for money by-laws, temporary borrowing, and related matters.
In collaboration with the Hospital Consultation and Inspection Division, this
Division processes, for approval under section 14 of the Hospital Act, transfers of
private-hospital property and transfers of shares in the capital stock of private-
hospital corporations. The Division is also involved in the acquisition and disposal
of hospital sites. In addition, close liaison is maintained with the Land Registry
Office to ensure that the property records of both general hospitals and private
hospitals are suitably endorsed so that land transfers are not made until they are
approved under sections 14 (2) and 41 (1) (c) of the Hospital Act.
As in previous years, considerable time was spent in 1972 on matters related
to the Federal-Provincial hospital insurance arrangements. Methods of streamlining
administrative procedures and improving liaison were discussed with officials of the
Federal Government.
This Division handles pay and personnel matters concerning the staff of the
Hospital Insurance Service and works closely with the Civil Service Commission
and the Finance Department in this regard. The Senior Administrative Officer is
also responsible for the over-all supervision of the Eligibility Representatives' and
the Third-party Liability Sections and the General Office.
Eligibility Section
P. A. Bacon, Supervisor
In order to ensure that only qualified British Columbia residents receive hospital insurance benefits, the staff of the Eligibility Section review the Applications
for Benefits made by, or on behalf of, persons admitted to hospital. A detailed check
is made of all doubtful applications, resulting in the rejection of a considerable
number of claims for hospital insurance benefits made by unqualified persons. Numerous inquiries from the general public with regard to eligibility matters are dealt
with by personal interview, telephone, and correspondence.
P 40
BRITISH COLUMBIA
Eligibility representatives visit hospitals on a regular schedule to see that the
British Columbia Hospital Insurance Service eligibility procedures are being properly
carried out. The representatives also assist in the training of hospital admitting
personnel to deal with problems connected with the admission of patients to hospitals
and the determination of their status under the Hospital Insurance Act. This training
assistance is provided by means of visits to hospitals and by regional meetings. During 1972, regional meetings were held in Terrace and Kimberley and this Section
also participated in a workshop on admitting procedures held by the B.C. Hospitals'
Association in Vancouver. In all, 96 persons attended, representing 37 hospitals.
This Section keeps the great majority of employers in British Columbia supplied
with certificates on which an employee's length of employment can be certified. The
representatives maintain close liaison with these firms to ensure their continuing cooperation in providing their employees with this form of proof of residence for hospital insurance purposes.
Close liaison is maintained with the British Columbia Medical Plan, and eligibility representatives supply Medical Plan applications and information to the
general public in many communities throughout the Province. Eligibility representatives are located in Prince George, Kamloops, Nelson, Kelowna, Vancouver, and
Victoria.
Third-party Liability Section
J. W. Brayshaw, Supervisor
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 Eligibility Representative in Vancouver, H.
E. Drab, 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 in the Lower
Mainland area 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, which deals with cases arising elsewhere in British
Columbia.
General Office
C. R. Leighton, Supervisor
One of the main responsibilities of the General Office is the handling of funds
and the review of requisitions and vouchers submitted by other divisions. These
include travel expenses, requisitions for supplies and equipment, grant payments to
hospitals, and administrative vouchers. These are then forwarded to the appropriate
branch of Government for further action. The Supervisor is responsible for gathering information from all divisions and co-ordinating this material in the preparation
of the annual estimates of the Hospital Insurance Service which are submitted to
Treasury Board for inclusion in the Provincial Budget. The General Office also
handles the storage and dispatch of the various forms supplied by this Department to
hospitals. Mail is opened, sorted, and distributed in this office, and stenographic
services to other offices are provided on an occasional basis.
HOSPITAL INSURANCE SERVICE, 1972
P 41
INFORMATION OFFICE
C. N. Shave
The Information Officer is responsible for providing a basic programme of general information and public relations. His three main areas of involvement are
general public, approved hospitals, and in-service requirements.
To keep the public informed during the year, numerous press releases were
prepared for the news media, dealing with hospital construction programmes, policy
changes, and other items of interest. Regular editions of the BCHIS Bulletin were
published every two months for distribution to public and private hospitals, as well
as interested members of the public. (A total of 10,800 was sent out during 1972.)
The Bulletin is an administrative aid providing detailed explanation of policy and
procedures with items of interest for hospitals and our own staff. (Circulation at
the present time is 1,800.)
The General Information pamphlet was again revised and reprinted and over
20,000 copies were distributed to hospitals, business and industry, civic organizations, welcome-wagon agencies, and other services which come in regular contact
with new residents of the Province.
Visits were made to the Pacific National Exhibition in July for the purpose of
having our Departmental exhibit updated. A pamphlet containing statistical data
and other information of interest to administrative personnel of hospitals was prepared for distribution at the B.C. Hospitals' Association Convention in October, and
an information booth was set up and manned for the convenience of delegates meeting with Departmental personnel.
British Columbia Hospital Insurance Service films, located in the Health Branch
Film Library, which are maintained for the free use of hospitals for in-service training purposes, were used fairly extensively throughout 1972. In all, 55 screenings
were made by hospitals.
A map was prepared for the Radiological Advisory Council, and in consultation
with a member of the Council, details for graphic illustration were worked out to
denote (a) number of radiologists at each hospital in British Columbia, (b) size of
the hospital, and (c) number of procedures and sophistication of equipment.
Assistance was rendered to Camosun College for a resource programme sponsored by the college to provide information on benefits to senior citizens, people
about to retire, and persons who have senior citizens in their charge at home.
Other duties included summarizing reports for the Deputy Minister, maintaining
newspaper and photograph files, writing news and feature items for the Bulletin,
answering telephone and written requests for information, also the compiling and
initial editing of this 24th Annual Report.
P 42
BRITISH COLUMBIA
APPROVED HOSPITALS
Public Hospitals
Armstrong and Spallumcheen Hospital,
Armstrong.
Arrow Lakes Hospital, Nakusp.
Ashcroft and District General Hospital,
Ashcroft.
Bella Coola General Hospital, Bella Coola.
Boundary Hospital, Grand Forks.
British Columbia Cancer Institute, Vancouver.
Bulkley Valley District Hospital, Smithers.
Burnaby General Hospital, Burnaby.
*Burns Lake and District Hospital, Burns
Lake.
*Campbell River and District General Hospital, Campbell River.
Cariboo Memorial Hospital, Williams Lake.
Castlegar and District Hospital, Castlegar.
Chemainus General Hospital, Chemainus.
Chetwynd General Hospital, Chetwynd.
Children's Hospital, Vancouver.
*Chilliwack General Hospital, Chilliwack.
*Cowichan District Hospital, Duncan.
*Cranbrook and District Hospital, Cranbrook.
Creston Valley Hospital, Creston.
Cumberland General Hospital, Cumberland.
Dr. Helmcken Memorial Hospital, Clearwater.
Enderby and District Memorial Hospital,
Enderby.
Esperanza General Hospital, Esperanza.
Fernie Memorial Hospital, Fernie.
Fort Nelson General Hospital, Fort Nelson.
Fraser Canyon Hospital, Hope.
G. R. Baker Memorial Hospital, Quesnel.
* Golden and District General Hospital,
Golden.
Grace Hospital, Vancouver.
* Kelowna General Hospital, Kelowna.
Kimberley and District Hospital, Kimberley.
Kitimat General Hospital, Kitimat.
*Kootenay Lake District Hospital, Nelson.
Lady Minto Gulf Islands Hospital, Ganges.
Ladysmith and District General Hospital,
Ladysmith.
*Langley Memorial Hospital, Langley.
Lillooet District Hospital, Lillooet.
*Lions Gate Hospital, North Vancouver.
McBride and District Hospital, McBride.
Mackenzie and District Hospital, Mackenzie.
Maple Ridge Hospital, Maple Ridge.
Mater Misericordia. Hospital, Rossland.
Matsqui-Sumas-Abbotsford General Hospital, Abbotsford.
Michel-Natal District Hospital, Sparwood.
Mills Memorial Hospital, Terrace.
Mission Memorial Hospital, Mission City.
* Mount Saint Joseph Hospital, Vancouver.
Nanaimo Regional General Hospital, Nanaimo.
Nicola Valley General Hospital, Merritt.
Ocean Falls General Hospital, Ocean Falls.
100 Mile District General Hospital, 100
Mile House.
*Peace Arch District Hospital, White Rock.
*Penticton Hospital, Penticton.
Port Alice Hospital, Port Alice.
Port Hardy Hospital, Port Hardy.
*Pouce Coupe Community Hospital, Pouce
Coupe.
* Powell River General Hospital, Powell
River.
Prince George Regional Hospital, Prince
George.
*Prince Rupert Regional 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.
Rest Haven General Hospital, Sidney.
*Richmond General Hospital, Richmond.
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. George's Hospital, Alert Bay.
St. John Hospital, Vanderhoof.
St. Joseph General Hospital, Dawson
Creek.
*St. Joseph's General Hospital, Comox.
St. Martin's Hospital, Oliver.
St. Mary's Hospital, New Westminster.
*St. Mary's Hospital, Sechelt.
St. Paul's Hospital, Vancouver.
St. Vincent's Hospital, Vancouver.
*Shuswap Lake General Hospital, Salmon
Arm.
Slocan Community Hospital, New Denver.
South Okanagan General Hospital, Oliver.
Squamish General Hospital, Squamish.
Stewart General Hospital, Stewart.
Stuart Lake Hospital, Fort St. James.
Summerland General Hospital, Summer-
land.
*Surrey Memorial Hospital, North Surrey.
Tofino General Hospital, Tofino.
* Hospitals with extended-care units.
HOSPITAL INSURANCE SERVICE, 1972
P 43
Public Hospitals—Continued
*Trail Regional Hospital, Trail.
University Health Service Hospital, University of British Columbia, Vancouver.
University of British Columbia Health
Sciences Centre Hospital, Vancouver.
*Vancouver General Hospital, Vancouver.
*Vernon Jubilee Hospital, Vernon.
Victoria General Hospital, Victoria.
Victorian Hospital, Kaslo.
*West Coast General Hospital, Port Alberni.
Windermere District Hospital, Invermere.
Wrinch Memorial Hospital, Hazelton.
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.
Red Cross Outpost Nursing Station, Edge-
wood.
Red Cross Outpost Nursing Station, Kyu-
quot.
Red Cross Outpost Nursing Station, Masset.
Red Cross Outpost Nursing Station, Tatla
Lake.
Federal Hospitals
Veterans' Hospital, Victoria.
Shaughnessy Hospital, Vancouver.
Canadian Forces Station Hospital Holberg,
San Josef.
Canadian Forces Station Hospital Masset,
Masset.
Licensed Private Hospitals
Industrial Hospitals in Remote Areas With Which the Province Has Entered Into
an Agreement Requiring Them to Furnish the General Hospital Services
Provided Under the Hospital Insurance Act.
Cassiar Asbestos Corporation Private Hospital, Cassiar.
Mica Creek Private Hospital, Mica Creek.
Port Alice Private Hospital, Port Alice.
Rehabilitation Hospitals
G. F. Strong Rehabilitation Centre, Vancouver.
The Gorge Road Hospital, Victoria.
Holy Family Hospital, Vancouver.
Pearson Hospital (Poliomyelitis Pavilion),
Vancouver.
Queen Alexandra Solarium for Crippled
Children, Victoria.
*Shaughnessy Hospital, Vancouver.
* Sunny Hill Hospital for Children, Vancouver.
*Veterans' Hospital, Victoria.
(A number of the larger public hospitals
also have rehabilitation units.)
Other
Hollywood Hospital Ltd., New Westminster (licensed under the Mental Health Act).
Extended-care Hospitals
(See also Public Hospitals marked *.)
The Louis Brier Hospital, Vancouver.
Menno Hospital, Abbotsford.
Mount St. Francis Hospital, Nelson.
Mount St. Mary Hospital, Victoria (excluding top floor).
Pearson Hospital, Vancouver (excluding
facilities for tuberculosis patients).
Priory Hospital, Colwood (24-bed unit and
71-bed unit).
Glendale Lodge, Victoria.
Out-patient Clinics
Houston Hospital, Houston.
The Arthritis Centre of British Columbia, Vancouver.
* Hospitals with extended-care units.
P 44
BRITISH COLUMBIA
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 1972 there were 98 public general hospitals, including four diagnostic and
treatment centres, approved to accept British Columbia Hospital Insurance Service
patients. Care was also provided in eight Red Cross outpost hospitals, three Federal
hospitals, four contract hospitals, five public rehabilitation hospitals, one rehabilitation hospital operated by the Provincial Government, and two specialized out-patient
facilities—the Canadian Arthritic Society Vancouver Centre and the Narcotic Addiction Foundation in various centres throughout the Province. Hospital insurance
coverage for patients in nonprofit extended-care hospitals and units commenced December 1, 1965. At the end of 1972 there were 38 hospitals, including two Federal
and two Provincial hospitals providing extended care.
Data for the year 1972 have been estimated from reports submitted by hospitals
to October 31, 1972, and are subject to minor revision when actual figures for the
year are submitted.
Table 1a shows that 378,154 BCHIS adult and children patients were discharged (separated) from British Columbia hospitals in 1972, an increase of 13,072
or 3.6 per cent over 1971. This table also shows that 95.9 per cent of the total
patients discharged (separated) from British Columbia public hospitals were covered by hospital insurance, compared to 95.7 in 1970 and 1971. Table 1b indicates
that in 1972 the British Columbia Hospital Insurance Service paid public hospitals
in British Columbia for 3,320,087 days of care for adults and children, an increase of
60,990 days or 1.9 per cent over 1971.
As shown in Table 2a, the average length of stay for British Columbia adult
and child patients in public hospitals during 1972 was 8.78 days, and the days of
care per thousand population were 1,671. For comparison purposes, the data for
extended-care hospitals are not included in the above observations, but it should be
noted that an additional 372 days of care per thousand population were provided
for these patients.
Table 2b, under "Minor Surgery Patients," includes an estimated 60,000 surgery and psychiatric patients handled on a day-care basis. An additional estimated
31,000 out-patient cancer treatments were covered by the British Columbia Hospital
Insurance Service, which were not included in this table, as well as patients treated on
an out-patient basis by the Canadian Arthritic Society Centre, the Narcotic Addiction
Foundation, and the Houston Diagnostic and Treatment Centre.
HOSPITAL INSURANCE SERVICE, 1972
P 45
Table 1a—Patients Separated and Proportion Covered by British Columbia Hospital Insurance Service, British Columbia Public General
Hospitals1 Only (Excluding Federal, Private, Extended-care, and
Out-of-Province Hospitalization).
Total Hospitalized
Hospitals
in Public
Covered by BCHIS
Adults
and
Children
Newborn
Total
Adults
and
Children
Newborn
Total
Patients separated—
1949 .... ....
164,964
216,743
261,128
271,609
277,073
285,998
292,119
301,510
314,585
326,793
338,923
354,766
371,266
380,651
394,471
26,272
33,190
39,599
38,226
37,697
37,231
35,688
33,555
32,488
32,014
33,529
36,550
36,931
35,101
34,434
191,236
249,933
300,727
309,835
314,770
323,229
327,807
335,065
347,073
358,807
372,452
391,316
408,197
415,752
428,905
140,168
199,774
249,654
259,953
264,655
272,597
278,023
286,799
299,518
311,718
324,769
339,409
355,449
364,452
378,154
84.9
92.2
95.6
95.7
95.5
95.3
95.2
95.1
95.2
95.4
95.8
95.7
95.7
95.7
95.9
24,640
31,515
38,980
37,558
36,505
35,878
34,196
31,863
30,814
30,377
31,635
34,576
35,047
33,732
33,389
93.8
95.0
98.4
98.3
96.8
96.4
95.8
95.0
94.8
94.9
94.4
94.6
94.9
96.1
97.0
164,808
19. .
231,289
I960
288,634
1961
297,511
1962
301,160
1963
308,475
1964 .. .
312,219
1965
1966 - -
1967
318,662
330,332
342,095
1968
356,404
1969
373,985
1970
390,496
19712
398,184
19723
411,543
Percentage of total, patients separated—■
1949 .... ....
86.2
1955
92.5
1960
96.0
1961.
96.0
196?.
95.7
1963.. . .. ..
..
95.4
1964
95.2
196S
95.0
1966
_____
95.2
1967
95.3
1968. _ - ..
95.7
1969
95.6
1970
— —
95.7
19712
95.8
19773
95.9
1 Includes rehabilitation hospitals.
2 Amended as per final reports received from hospitals.
3 Estimated, based on hospital reports to October 31, 1972.
P 46
BRITISH COLUMBIA
Table 1b—Total Patient-days and Proportion Covered by British Columbia Hospital Insurance Service, British Columbia Public General
Hospitals1 Only (Excluding Federal, Private, Extended-care, and
Out-of-Province Hospitalization) .
Total Hospitalized
Hospitals
in Public
Covered by BCHIS
Adults
and
Children
Newborn
Total
Adults
and
Children
Newborn
Total
Patient-days—
1949
1955 .
1,682,196
2,198,863
2,581,042
2,675,402
2,708,337
2,778,668
2.820,122
2,895,476
3,008,632
3,093,372
3,225,333
3,315,760
3,384,586
3,400,366
3,458,168
213,874
227,674
249,273
240,207
274,032
270,298
260,979
245,756
235,796
239,972
244,715
248,324
253,081
227,372
219,127
1,896,070
2,426,537
2,830,315
2,915,609
2,982,369
3,048,966
3,081,101
3,141,232
3,244,428
3,333,344
3,470,048
3,564,084
3,637,667
3,627,738
3,677,295
1,430,646
2,005,165
2,451,839
2,546,344
2,573,634
2,631,671
2,670,176
2,747,232
2,861,260
2,946,000
3,074,959
3,156 171
3,233,553
3,259,097
3,320,087
85.0
91.2
95.0
95.2
95.0
94.7
94.7
94.0
95.1
95.2
95.3
95.2
94.5
95.8
96.0
200,585
212,514
241,157
231,043
263,475
257,736
246,813
230,096
220,270
222,543
226,633
231,803
238,049
216,305
210,979
93.8
93.3
96.7
96.1
96.1
95.4
94.6
93.0
93.4
92.7
92.6
93.3
94.1
95.1
96.3
1,631,231
2,217,679
I960
2,692,996
1961 - -
1962...
1963
2,777,387
2,837,109
2,889,407
1964- -
1965 _
1966
2,916,989
2,977,328
3,081,530
1967
1968.. - — — -
1969 -
3,168,543
3,301,592
3,387,974
1070
3,471,602
19712
3,475,402
19723 .. _ _
3,531,066
Percentage of total, patient-days—
1949 -
86.0
1955 .. - .
91.4
1060
95.1
1961
95.3
1962
95.1
1963 -
94.8
1964
94.7
1965
94.0
1966
95.0
1967
95.0
1968 _
95.1
1969 .. -
95.1
1970 . . .
—
95.4
19712
95.8
19723
96.0
i Includes rehabilitation hospitals.
2 Amended as per final reports received from hospitals.
3 Estimated, based on hospital reports to October 31, 1972.
HOSPITAL INSURANCE SERVICE, 1972
P 47
Table 2a—Patients Separated, Total Patient-days, and Average Length
of Stay According to Type and Location of Hospital for BCHIS
Patients Only, and Days of Care per Thousand of Covered Population.
Total
(Excluding
Extended Care)
B.C. Public
Hospitals
Other B.C. Hospitals,
Including Federal
and Private
Institutions Outside British
Columbia
Extended-
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Adults
and
Children
Newborn
Hospitals
(Including
Federal)
Patients separated—
1949-
1955-
149,280
209,999
264,120
273,293
278,021
286,753
293,144
301,522
314,391
325,861
338,706
353,457
369,210
379,144
391,834
1,491,121
2,100,386
2,650,129
2,756,665
2,789,355
2,850,559
2,905,544
2,985,092
3,110,701
3,189,212
3,309,533
3,397,005
3,465,504
3,486,671
3,540,826
10.03
10.00
10.03
10.09
10.03
9.94
9.91
9.90
9.89
9.79
9.77
9.61
9.39
9.20
9.04
24,989
32,035
39,488
37,968
36,942
36,326
34,652
32,240
31,152
30,804
32,031
34,974
35,431
34,192
33,694
203,197
215,980
244,480
233,794
266,351
260,771
249,827
232,438
222,475
225,479
229,053
234,098
240,657
218,971
212,986
8.13
6.74
6.19
6.16
7.21
7.18
7.21
7.21
7.14
7.32
7.15
6.69
6.79
6.40
6.32
140,168
199,774
249,654
259,953
264,655
272,597
278,023
286,799
299.518
311,718
324,769
339,409
355,449
364,452
378,154
1,430,646
2,005,165
2,451,839
2,546,344
2,573,634
2,631,671
2,670,176
2,747,232
2,861,260
2,946,000
3,074,959
3,156,171
3,233,553
3,259,097
3,320,087
10.21
10.04
9.82
9.80
9.72
9.65
9.60
9.57
9.55
9.45
9.47
9.30
9.10
8.94
8.78
24,640
31,515
38,980
37,558
36,505
35,878
34,196
31,863
30,814
30,377
31,635
34,576
35,047
33,732
33,389
200,585
212,514
241,157
231,043
263,475
257,736
246,813
230,096
220,270
222,543
226,633
231,803
238,049
216,305
210,979
8.14
6.74
6.19
6.15
7.22
7.18
7.22
7.22
7.15
7.32
7.16
6.70
6.79
6.41
6.32
7,093
8,313
11,557
10,361
10,226
10,895
11,605
11,417
11,459
9,436
9,310
8,867
8,307
8,654
8,280
45,960
75,599
169,401
182,690
183,042
187,714
199,164
205,488
212,413
195,564
188,152
186,565
176,086
167,339
167,739
6.48
9.09
14.66
17.63
17.90
17.23
17.16
18.00
18.53
20.72
20.21
21.04
21.20
19.34
20.26
151
361
241
151
157
169
149
114
101
83
80
94
87
109
70
1,146
2,271
1,417
878
850
1,018
878
619
541
451
434
463
450
442
407
7.59
6.29
5.88
5.81
5.41
6.02
5.89
5.43
5.36
5.43
5.42
4.92
5.34
4.06
5.81
2,019
1,912
2,909
2,979
3,140
3,261
3,516
3,306
3,414
4,707
4,627
5,181
5,454
6,038
5,400
21,515
19,622
28,889
27,631
32,679
31,174
36,204
32,372
37,028
47,648
46,422
54,269
55,865
60,235
53,000
10.66
10.26
9.93
9.27
10.41
9.56
10.30
9.79
10.84
10.12
10.03
10.47
10.24
9.98
9.81
198
159
267
259
280
279
307
263
237
344
316
304
297
351
235
1,466
1,195
1,906
1,873
2,026
2,017
2,136
1,723
1,664
2,485
1,986
1,832
2,158
3,224
1,600
7.40
7.52
7.14
7.23
7.24
7.23
6.96
6.55
7.02
7.22
6.28
6.03
7.27
6.34
6.81
. -.
1960
1961
1962...
1963...
1964
1965 - .. ..
1966.
1967 _
1968-
1969-
1970
699
873
990
1,100
1,022
19711
1,495
19722—.-
Patient days—
1949
1,840
1955 -
1960
1961
1962
1963
1964
1965
1966
1967 .
1968- —
1969
1970
305,940
358,675
409,514
502,365
531,808
197U
672,099
19722
Average days of
stay—■
1949
837,000
1955 —
1960
1961
1962
1963
1964
1965
1966
1967- -
1968
437.68
410.85
413.64
1969
456.70
1970
520.36
19711
449.56
19722 . . ...
454.89
1 Amended as per final reports from hospitals.
2 Estimated, based on hospital reports to October 31, 1972. 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, 1,806; 1962, 1,841; 1963, 1,835; 1964, 1,815; 1965, 1,799; 1966, 1,779; 1967,
1,754; 1968, 1,774; 1969, 1,757; 1970, 1,734; 1971, 1,696; 1972, 1,671. (1954 and subsequent years are based on
total population. Because the Armed Forces, Royal Canadian Mounted Police, and some other groups are not
insured under the Provincial plan, the actual incidence of days would be somewhat higher than shown.) In
addition, estimated patient-days per thousand population for extended care amounted to 308 in 1971 and 372
in 1972. Population figures are revised according to latest census figures.
P 48 BRITISH COLUMBIA
Table 2b—Summary of the Number of BCHIS In-patients and Out-patients
Total Adults,
Children, and
Newborn
In-patients
Estimated
Number of
Emergency,
Minor Surgery,
Day Care, and
Out-patients
Total
Receiving
Benefits
1949
174,269
242,034
303,608
311,261
314,963
323,079
327,796
333,762
346,242
357,538
371,727
389,531
405,663
414,831
427,368
29,000
70,553
107,312
121,000
128,000
135,000
141,000
160,000
175,000
195,000
210,000
220,000
235,000
265,000
300,000
203,269
1955
312,587
1960 -
1961
1962.. ...
410,920
432,261
442,963
1963. - .
1964
458,079
468,796
1965 - - -
493,762
1966
521,242
1967 ...
552,538
1968
581,727
1969 —
1970
197H. _
19722
609,531
640,663
679,831
727,368
Totals (1949 to 1972, inclusive)
7,110,856
3,099,073
10,209,929
1 Amended, as per final reports received from hospitals.
2 Estimated, based on hospital reports to October 31, 1972.
Table 3—Patients Separated, Total Days' Stay, and Average Length of
Stay in British Columbia Public Hospitals for BCHIS Patients Only,
Grouped According to Bed Capacity, Year 19721 (Excluding Extended-care Hospitals).
Bed Capacity
Total
250 and
Over
100 to 249
50 to 99
25 to 49
Under 25
Patients separated—
Adults and children
Newborn _.
Patient-days—
Adults and children
378,154
33,389
3,320,087
210,979
8.78
6.32
195,834
15,618
1,812,754
104,248
9.26
6.67
90,938
8,848
724,123
52,931
7.96
5.98
49,376
5,796
487,620
36,330
9.88
6.27
32,916
2,378
234,365
13,719
7.12
5.77
9,090
749
61,225
3,751
Average day's stay—
Adults and children
6.74
5.01
1 Estimated, based on hospital reports to October 31, 1972.
Table 4—Percentage Distribution of Patients Separated and Patient-days
for BCHIS Patients Only, in British Columbia Public Hospitals,
Grouped According to Bed Capacity, Year 19721 (Excluding Extended-care Hospitals).
Bed Capacity
Total
250 and
Over
100 to 249
50 to 99
25 to 49
Under 25
Patients separated—
Adults and children
Newborn
Patient-days—
Adults and children .
Newborn... .
Per Cent
100.00
100.00
100.00
100.00
Per Cent
51.79
46.78
54.60
49.41
Per Cent
24.05
26.50
21.81
25.09
Per Cent
13.06
17.36
14.69
17.22
Per Cent
8.70
7.12
7.06
6.50
Per Cent
2.40
2.24
1.84
1.78
i Estimated, based on hospital reports to October 31, 1972.
HOSPITAL INSURANCE SERVICE, 1972
P 49
CHARTS
The statistical data shown in the following charts prepared by the Research
Division are derived from Admission/Separation forms submitted to the British
Columbia Hospital Insurance Service.
The major diagnostic categories used for the table on pages 55 to 60 are more
detailed than the diagnostic groups shown on the charts. Both lists are based on
the 9th revision, International Classification of Diseases, Adapted, prepared by the
Public Health Service of the United States Department of Health, Education, and
Welfare.
Readers interested in more detailed statistics of hospitalization in this Province
may wish to refer to Statistics of Hospital Cases Discharged During 1971 and
Statistics of Hospitalized Accident Cases, 1971, available from the Research Division.
P 50
BRITISH COLUMBIA
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BRITISH COLUMBIA
Chart V—Avf.ragf. Length of Stay of Cases" in Hospitals in British
Columbia, by Major Diagnostic Groups in Descending Order, 1971
(Excluding Newborns)
Diseases of the circulatory
system
Certain causes of perinatal
morbidity and mortality
Neoplasms
Endocrine, nutritional, and
metabolic diseases
Mental disorders
Diseases of the musculoskeletal
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PROVINCIAL AVERAGE
LENGTH OF STAY
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Diseases of the genito-urinary
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Diseases of the respiratory
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Symptoms and ill-defined
conditions
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§
HOSPITAL INSURANCE SERVICE, 1972
STATEMENT OF RECEIPTS AND DISBURSEMENTS FOR THE
FISCAL YEAR ENDED MARCH 31, 1972
Administration— $
Salaries 1,145,942
Temporary assistance 29,570
1,175,512
Office expense 60,185
Travelling expense 67,502
Office furniture and equipment 15,037
Printing and publications 4,925
Tabulating and rentals 6,587
Educational material
Motor-vehicles and accessories 6,067
Incidentals and contingencies 1,674
Construction and consultation fees 13,998
Technical surveys and new service development 48,608
1,400,095
Payments to hospitals—
Claims 199,531,437
Grants in aid of equipment 2,536,434
Grants in aid of construction 4,599,383
Total 208,067,349
P 61
Printed by K. M. MacDonald, Printer to the Queen's Most Excellent Majesty
in right of the Province of British Columbia.
1973
1,030-1172-9174
BC Sessional Papers
Twenty-fourth Annual Report British Columbia Hospital Insurance Service JANUARY 1 TO DECEMBER 31 1972 British Columbia. Legislative Assembly 1973
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