"72f79ac1-7eae-40e3-a3a1-434277b9e3f3"@en . "CONTENTdm"@en . "HOSPITAL INSURANCE SERVICE, 1960"@en . "http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198"@en . "Sessional Papers of the Province of British Columbia"@en . "British Columbia. Legislative Assembly"@en . "2018-01-08"@en . "[1961]"@en . "https://open.library.ubc.ca/collections/bcsessional/items/1.0362899/source.json"@en . "application/pdf"@en . " PROVINCE OF BRITISH COLUMBIA\nHOSPITAL INSURANCE ACT\nTwelfth Annual Report\nBritish Columbia Hospital\nInsurance Service\nJANUARY 1st TO DECEMBER 31st\n1960\nPrinted by A. Sutton, Printer to the Queen's Most Excellent Majesty\nin right of the Province of British Columbia.\n1961\n Victoria, B.C., January 26th, 1961.\nTo Major-General the Honourable George Randolph Pearkes,\nV.C., PC, C.B., D.S.O., M.C.,\nLieutenant-Governor of the Province of British Columbia.\nMay it please Your Honour :\nThe undersigned has the honour to present the Twelfth Annual Report of the\nBritish Columbia Hospital Insurance Service covering the calendar year 1960.\nE. C. MARTIN,\nMinister of Health Services and Hospital Insurance.\n British Columbia Hospital Insurance Service,\nVictoria, B.C., January 26th, 1961.\nThe Honourable E. C. Martin,\nMinister of Health Services and Hospital Insurance,\nParliament Buildings, Victoria, B.C.\nSir,\u00E2\u0080\u0094I have the honour to present herewith the Report of the British Columbia\nHospital Insurance Service covering the calendar year 1960.\nD. M. COX, F.A.C.H.A.,\nDeputy Minister of Hospital Insurance.\n DEPARTMENT OF HEALTH SERVICES AND HOSPITAL INSURANCE\nBritish Columbia Hospital Insurance Service\nThe Honourable Eric Martin, Minister of Health Services and Hospital Insurance.\nSenior Administrative Staff\nD. M. Cox, F.A.C.H.A., F.C.I., F.C.I.S., Deputy Minister of Hospital Insurance.\nL. F. Detwiller, A.F.C., M.A., M.H.A., M.A.C.H.A., M.R.S.H.,\nAssistant Deputy Minister.\nVV. J. Lyle, F.C.I.S., Manager, Hospital Finance Division.\nA. W. E. Pitkethley, Esq., Manager, Hospital Construction Division.\nJ. W. Mainguy, M.H.A., Manager, Hospital Consultation and Inspection Division.\nW. A. Fraser, O.B.E., E.D., M.D., CM., F.A.C.S., Medical Consultant.\nK. G. Wiper, Esq., Administrative Assistant.\nG. D. Sotiroff, Ph.D., F.R.Econ.S., Director, Research Division.\n CONTENTS\nPage\nGeneral Introduction 9\nIntroduction of Rehabilitation, Chronic Treatment, and Convalescent Care Plan 10\nThe Hospital Insurance Act 13\nThe Hospital Act 13\nPersons Entitled to or Excluded from the Benefits under the Hospital Insurance\nAct 14\nEntitled to Benefits 14\nExcluded from Benefits 14\nHospital Benefits Available in British Columbia 14\nIn-patient Benefits 14\nEmergency Services and Minor Surgery 15\nApplication for Hospital Insurance Benefits 15\nHospital Benefits Available outside British Columbia 15\nThe Hospital Rate Board and Methods of Payment to Hospitals 16\nOrganization Chart 17\nOrganization and Administration 18\nOffice of the Assistant Deputy Minister of Hospital Insurance 18\nHospital Finance Division 18\nHospital Accounting 19\nHospital Claims 20\nHospital Consultation and Inspection Division 22\nHospital Construction Division 23\nHospital Projects Completed during 1960 25\nHospital Projects under Construction at Year-end 25\nProjects in Advanced Stages of Planning 26\nAdditional Projects Developed through Various Planning Stages 26\nSundry Building Improvement Projects 26\nMedical Consultation Division 27\nAdministrative Assistant 2 7\nThird Party Liability Section 30\nEligibility Section 30\nResearch Division 34\nPublic Information 3 4\nGeneral Office 35\nHospitals as Defined under the Hospital Insurance Act 36\nPublic Hospitals 3 6\nOutpost Hospitals 36\nFederal Hospitals 3 7\nPrivate Hospitals (Providing General Hospital Services) 37\nRehabilitation, Chronic, and Convalescent Hospitals 37\nStatistical Data 39\nTable I.\u00E2\u0080\u0094Patients Discharged and Days of Care and Proportion Covered\nby British Columbia Hospital Insurance Service, 1949-60, B.C. Public\nHospitals Only 40\n7\n W 8 BRITISH COLUMBIA\nStatistical Data\u00E2\u0080\u0094Continued Paoe\nTable IIa.\u00E2\u0080\u0094Patients Discharged, Total Days' Stay, Average Length of Stay\nAccording to Type and Location of Hospital, and Days of Care per\nThousand of Covered Population, 1949-60 41\nTable IIb.\u00E2\u0080\u0094Summary of the Number of B.C.H.I.S. In-patients and Short-\nstay Patients, 1949-60 42\nTable III.\u00E2\u0080\u0094Patients Discharged, Total Days' Stay, and Average Length of\nStay in British Columbia Public Hospitals for B.C.H.I.S. Patients\nOnly, Grouped According to Bed Capacity, Year 1960 42\nTable IV.\u00E2\u0080\u0094Percentage Distribution of Patients Discharged and Patient-\ndays for B.C.H.I.S. Patients Only, in British Columbia Public Hospitals, Grouped According to Bed Capacity, Year 1960 42\nCharts 43\nCauses of Illness (Major Diagnostic Groups), Percentage Distribution of\nPatient-days, 1959 44\nA Cumulative Percentage Distribution of the Total Number of Patients\nDischarged from Hospital by Age-group with a Cumulative Percentage\nDistribution Comparison by Sex Shown as Components of the Total,\n1959 46\nA Cumulative Percentage Distribution of Total Patient-days of All Patients\nDischarged from Hospital by Age-group with a Cumulative Percentage\nDistribution Comparison by Sex Shown as Components of the Total,\n1959 47\nAverage Length of Stay of Patients in Acute-care Hospitals in British\nColumbia by Major Diagnostic Groups (Excluding New-borns),\n1959 48\nPercentage Distribution of Patients and Patient-days by Type of Clinical\nService, 1959 49\nHospitalization by Diagnoses According to the Canadian List of Diseases\nand Causes of Death, 1959 50\nStatement of Receipts and Disbursements for the Fiscal Year Ended March 31st,\n1960 54\n Twelfth Annual Report of the British Columbia\nHospital Insurance Service\nGENERAL INTRODUCTION\nD. M. Cox, F.A.C.H.A., F.C.I., F.C.I.S.,\nDeputy Minister of Hospital Insurance\n1960 was the twelfth year of operation for the British Columbia Hospital\nInsurance Service. During the year the Service continued to ensure that the residents of British Columbia were provided with a good standard of hospital services by\npursuing the four main functions carried out since its inception on January 1st,\n1949: to safeguard the residents of the Province from the financial burden associated with hospitalization; to enable hospitals to improve substantially their services by assuring them of a steady income; to assist communities to provide adequate\nfacilities by administering the grant-in-aid programme; and, finally, to help hospitals\nto establish and maintain high standards of patient-care by providing professional\nconsultative services.\nIt is of interest to note that an estimated $340,000,000 has been paid on behalf of 2,788,000 hospital accounts incurred during the twelve-year period of operation. (Payments of hospital accounts to British Columbia hospitals in 1949, on a\ndaily basis, were $50,000; during 1960 daily payments averaged $130,000.) In\naddition to this financial aid extended to hospitalized residents, grants for hospital\nconstruction and equipment have amounted to approximately $35,000,000. The\nProvincial Government pays 50 per cent of approved hospital construction costs\n(both acute and chronic) and 33-1/3 per cent of equipment purchases and building\nimprovements and renovations.\nAt the present time 96 per cent of all patients in the Province's acute-care\ngeneral hospitals receive coverage from the British Columbia Hospital Insurance\nService. (This compares with an average of approximately 85 per cent coverage\nexperienced during the years of compulsory premium payment, January, 1949, to\nApril, 1954.) The remaining 4 per cent are primarily non-residents, workmen's\ncompensation recipients, armed forces personnel, and veterans with pensionable\ndisabilities.\nA major development that took place in 1960 was the commencement of the\nRehabilitation, Chronic Treatment, and Convalescent Care Plan, on September 1st\n(for further details regarding this plan see page 10). Reports relating to the activities\nof the various divisions of the Service appear elsewhere. It is not intended that the\nAnnual Report cover all aspects of the Hospital Insurance Act and regulations in\ndetail, and persons interested in a detailed study are advised to refer to the Act and\nregulations.\n9\n W 10 BRITISH COLUMBIA\nINTRODUCTION OF REHABILITATION, CHRONIC TREATMENT,\nAND CONVALESCENT CARE PLAN\nOn September 1st, 1960, the Province of British Columbia commenced a\ncoverage programme for rehabilitation, chronic treatment, and convalescent care.\nThe new plan is being administered by the British Columbia Hospital Insurance\nService, and participation is limited to approved active-treatment chronic hospitals\nor active-treatment chronic units of general hospitals that present satisfactory\nevidence of ability and intention to provide a full chronic-treatment service.\nThe advice and guidance of the Canadian Medical Association (British Columbia Division) and the Faculty of Medicine of the University of British Columbia\nwere sought in the development of the plan. The president, executive director, and\nmembers of the executive of the association and the Dean and members of the\nFaculty of Medicine very kindly consented to serve on an advisory committee. The\nProvincial Health Branch is also represented on the committee. The success that\nhas been achieved in the initial stages of the plan reflects the expert medical guidance\ngiven by that profession, whose continued assistance will be most essential as the\nprogramme progresses.\nCoverage is extended to the in-patient care of rehabilitation and convalescent\npatients who no longer require the intensive diagnostic and treatment services of an\nactive-treatment general hospital, and who are certified by competent medical\nauthority to be likely to benefit from rehabilitation treatment services to the extent\nthat they may be returned to their homes or to foster homes and, if possible, to useful employment. A broad interpretation is placed on \" rehabilitation,\" and it applies\nto all age-groups. A patient of 75 who can be improved sufficiently to enable him to\nreturn to his home, even for a few months, is considered to be a rehabilitation\npatient just as a youth of 19 who, with proper treatment, can take employment.\nThe classes of patients entitled to coverage are:\u00E2\u0080\u0094\n(a) Those persons who will obviously benefit from rehabilitation procedures;\nand\n(b) The test or observation group comprising patients who appear to be those\nwho can benefit by rehabilitation, but whose rehabilitation potential can\nbe established only after a trial period of intensive rehabilitative treatment.\nThe cost to the patient is $1 per day. Coverage in rehabilitation, chronic\ntreatment, and convalescent hospitals does not include hospitalization outside the\nProvince.\nBenefits do not include treatment of tuberculosis, mental disease, or alcoholism\nor the provision of out-patient service, \" take home \" drugs, prescriptions, or appliances.\nThis entire coverage programme has been designed to fit properly within the\nscope of the Federal-Provincial hospital insurance programme. Due to the fact\nthat there is a very limited background of experience, it has not been possible to\ndefine policies and procedures as clearly as in the acute general hospital field. Therefore, coverage limitations will be subject to review from time to time as experience is\ngained in this new programme.\nIn July the Hospital Insurance Service was fortunate to obtain the services of\nDr. B. M. Fahrni on a part-time basis. Dr. Fahrni, Associate Professor of Medicine\nand head of the Department of Geriatrics at the University of British Columbia, is\nserving in an advisory capacity. The Medical Consultant and Dr. Fahrni, accompanied by the Managers of the Hospital Construction Division and Hospital Consultation and Inspection Division, formed a team whose members visited hospitals on\n HOSPITAL INSURANCE SERVICE, 1960 W 11\nthe Island and in the Interior of British Columbia. Explanatory discussions were\nheld with the boards of directors, medical staffs, and medical societies regarding\nimplementation of the plan in the various hospitals. Owing to such factors as\nscarcity of trained hospital staff, available hospital space, and other related and\nlimiting problems, an early start on the plan in many of the hospitals is not immediately possible. However, in those hospitals equipped to handle chronic care and\nrehabilitation of patients, treatment has commenced and is progressing satisfactorily.\nPlanning and study are continuing, and expansion of the plan will take place as soon\nas it becomes feasible. In order to further such expansion, a request was made to\nDr. T. D. Bain, Senior Treatment Medical Officer, Shaughnessy Hospital, for permission to use the training facilities available at this hospital. The Service was\ngratified to learn from Dr. Bain that approval had been received from the Director-\nGeneral of Treatment Services, Dr. J. N. Crawford, to have Shaughnessy Hospital\nserve as a centre for a training programme. This will be of great value in supplying\ntrained personnel, which are so necessary in the carrying-out of treatment under\nthe Rehabilitation, Chronic Treatment, and Convalescent Care Plan.\n Gorge Road Hospital,\nVictoria.\nREHABILITATION,\nCHRONIC TREATMENT,\nAND CONVALESCENT\nCARE HOSPITALS\nAlso\nHoly Family Hospital, Vancouver.\nPearson Hospital (Poliomyelitis Pavilion ), Vancouver.\nShaughnessy Hospital (Military),\nVancouver.\nVeterans' Hospital (Military), Victoria.\nQueen Alexandra Solarium for Crippled Children,\nVictoria.\nG. F. Strong Rehabilitation Centre, Vancouver.\n HOSPITAL INSURANCE SERVICE, 1960 W 13\nTHE HOSPITAL INSURANCE ACT\nThis is the Statute which authorizes British Columbia's hospital insurance plan\nand under which the British Columbia Hospital Insurance Service is established.\nIts main provisions may be summarized as follows:\u00E2\u0080\u0094\n(1) Generally speaking, every permanent resident who has made his home in\nBritish Columbia for at least three consecutive months prior to going to\nhospital is entitled to benefits under the Act.\n(2) Approved hospitals are paid an all-inclusive per diem rate for the acute\nhospital care rendered to qualified persons. In addition, the plan was\nexpanded on September 1st, 1960, to provide active care for persons\nrequiring rehabilitative procedures or those suffering from a chronic illness or disability. The payment made to a hospital by the British\nColumbia Hospital Insurance Service amounts to $1 less than the per\ndiem rate approved for the particular hospital, and the patient is responsible for paying the remaining dollar. The Provincial Government pays\nthe dollar-a-day charge on behalf of Provincial social welfare recipients.\n(3) The benefits provided under the Act include standard ward accommodation, food and necessary nursing services, the use of the operating-room,\ncaseroom, anaesthetic equipment and supplies, routine surgical supplies,\nalmost all drugs, and all other services that are provided by the hospital.\n(4) In addition to acute in-patient care, qualified persons are entitled to the\nuse of a hospital's out-patient facilities for emergency care within twenty-\nfour hours of an accident or for minor surgery for a nominal charge of $2\nfor each visit.\n(5) Qualified persons who are temporarily absent from British Columbia are\nentitled to the benefits described elsewhere in this Report during the first\nthree months following their departure from the Province.\nTHE HOSPITAL ACT\nOne of the important functions of the British Columbia Hospital Insurance\nService is the administration of the Hospital Act. The Deputy Minister of Hospital\nInsurance is also the Chief Inspector of Hospitals for British Columbia under this\nStatute.\nThe Hospital Act controls the organization and operation of hospitals, which\nare classified as follows:\u00E2\u0080\u0094\n(1) Public hospitals\u00E2\u0080\u0094non-profit hospitals caring for acutely ill persons.\n(2) Private hospitals\u00E2\u0080\u0094generally privately owned and profit-making units.\nThis category includes:\u00E2\u0080\u0094\n(a) Small general hospitals, most of which are operated in remote\nareas by industrial concerns primarily for their employees.\n(_>) Nursing homes, most of which are operated for profit by private\noperators or companies. Several are operated as non-profit organizations\nby religious and other groups.\n(3) Rehabilitation, chronic, and convalescent hospitals\u00E2\u0080\u0094these are non-profit\nhospitals approved under Part III of the Hospital Act, primarily for the\ntreatment of persons who will benefit from intensive rehabilitative care.\n W 14 BRITISH COLUMBIA\nPERSONS ENTITLED TO OR EXCLUDED FROM THE BENEFITS\nUNDER THE HOSPITAL INSURANCE ACT\nEntitled to Benefits\nA person is entitled to benefits if he qualifies as a beneficiary under the Hospital\nInsurance Act. Generally speaking, a person is a beneficiary if he proved to the\nsatisfaction of the Deputy Minister of Hospital Insurance that:\u00E2\u0080\u0094\n(a) He is the head of a family, or a single person, who has made his home in\nthe Province and has lived continuously therein during the preceding\nthree consecutive months; or\n(b) Having qualified under item (a), he leaves the Province and returns after\nan absence of less than twelve months and resumes residence within the\nProvince; or\n(c) He is living within the Province and is a dependent of a resident of the\nProvince, and provided also that the provision of hospital-care benefits\nis a medical necessity.\nDuring the three-month residence qualification period, a person is permitted\nto be temporarily absent from British Columbia for a total of one month without\nsuffering any postponement of the date on which he becomes a beneficiary.\nWith regard to item (c) above, a dependent is either the spouse of the head\nof a family or a child under 21 years of age who is mainly supported by the head\nof a family.\nGenerally speaking, if a man's wife and dependent children arrive in British\nColumbia after he does, they are entitled to assume his residential status as of the\ndate of their arrival.\nThe foregoing general description may be varied somewhat by the special\narrangements that are in effect regarding persons who move to British Columbia\nfrom another Province which has a Federal-Provincial hospital insurance plan in\neffect.\nExcluded from Benefits\nSome of the main classes of persons either permanently or temporarily excluded\nfrom benefits are as follows:\u00E2\u0080\u0094\n(a) A person who works full or part time in British Columbia but who resides\noutside the Province; or\n(b) A resident who leaves British Columbia temporarily and fails to return\nand re-establish residence within twelve months, or who establishes his\nhome elsewhere; or\n(c) An inmate of a Federal penitentiary; or\n(d) A resident who receives hospital treatment provided under the Workmen's\nCompensation Act, or a war veteran who receives treatment for a pensionable disability; or\n(e) Persons entitled to receive hospital treatment from the Government of\nCanada or any other government; for example members of the armed\nforces or Royal Canadian Mounted Police.\nHOSPITAL BENEFITS AVAILABLE IN BRITISH COLUMBIA\nIn-patient Benefits\nIn addition to standard ward accommodation with meals and general nursing\nservices, a beneficiary may receive any of the other services available in the hospital, which may include:\u00E2\u0080\u0094\n HOSPITAL INSURANCE SERVICE, 1960 W 15\nLaboratory and X-ray services.\nDrugs, biologicals, and related preparations (with certain exceptions).\nUse of operating-room and caseroom facilities.\nUse of an_esthetic equipment, supplies, and routine surgical supplies.\nUse of radiotherapy and physiotherapy facilities where available. Active treatment of chronic illness, with particular emphasis on patients whose\nrehabilitation potential has been established. Other approved services\nrendered by employees of the hospital.\n(Note.\u00E2\u0080\u0094Private or semi-private rooms cost more to maintain than standard\nwards, and a patient is required to pay extra for such accommodation.)\nEmergency Services and Minor Surgery\nThe following benefits are also provided in British Columbia public hospitals\nto beneficiaries who do not require in-patient care:\u00E2\u0080\u0094\nEmergency treatment rendered within twenty-four hours of being accidentally\ninjured.\nOperating-room or emergency-room services for minor surgery, including\napplication and removal of casts.\nThe hospital charges beneficiaries $2 for each visit. The remainder of the\ncost is paid by the British Columbia Hospital Insurance Service. However, if the\npatient receives treatment from a private physician, he is responsible for paying for\nthe doctor's services, as such charges are not payable by the Hospital Insurance\nService. Non-beneficiaries are required to pay the full hospital charge for such\nservices.\nAPPLICATION FOR HOSPITAL INSURANCE BENEFITS\nAt the time of admission to hospital, a patient wishing to apply for coverage\nunder the hospital insurance programme is required to make an application for\nbenefits. The hospital is responsible for verifying the patient's statements regarding\nlength of residence, etc., to determine if the patient is a qualified resident as defined\nunder the Hospital Insurance Act and regulations. Payment of the account is then\nrequested by the hospital from the British Columbia Hospital Insurance Service,\nwhich may reject any account where either the patient's status as a qualified resident\nor the medical necessity for his receiving hospital care benefits has not been established. (See Eligibility Section, page 30.)\nHOSPITAL BENEFITS AVAILABLE OUTSIDE BRITISH COLUMBIA\nBenefits are available anywhere in the world to a beneficiary under British\nColumbia's plan, when admitted to an approved general hospital for medically\nnecessary in-patient care for an acute illness or condition within the first three\nmonths after leaving British Columbia. This applies both to beneficiaries who are\ntemporarily absent from the Province and those who have moved elsewhere. The\nmaximum period during which coverage can be provided is three months, and this\napplies only to in-patient benefits; emergency services and minor surgery rendered\nto out-patients are excluded.\nIf hospitalization takes place in another Province that has a Federal-Provincial\nhospital insurance plan, the British Columbia Hospital Insurance Service will pay the\nhospital at the standard ward rate approved by the Provincial authority concerned,\nless $1 per day. If the daily rate includes a capital charge related to the cost of\nhospital buldings or equipment, it is payable by the patient, because such items are\n W 16 BRITISH COLUMBIA\nnot included in the rates charged by British Columbia hospitals. Elsewhere, payment will be made at a rate not exceeding $12 per day ($4 for new-born infants).\nA written application for benefits must be received by the British Columbia\nHospital Insurance Service within six months of the date of admission to hospital.\nTHE HOSPITAL RATE BOARD AND METHODS OF PAYMENT\nTO HOSPITALS\nThe Hospital Rate Board, appointed by Order in Council in January, 1951, is\ncomposed of the Deputy Minister of Hospital Insurance, the Hospital Finance\nManager, and the Hospital Consultation and Inspection Manager. The purpose of\nthe Board is to advise the Deputy Minister in regard to the rates of payments to\nhospitals.\nA system of firm budgets for hospitals, which has been in use since January 1st,\n1951, provides for a review of hospitals' estimates by the Rate Board. Under a\nfirm-budget procedure, hospitals are required to operate within their approved\nbudgets, with the exception of fluctuation in days' treatment and other similar items.\nThey are further advised that deficits incurred through expenditures in excess of the\napproved budget will not be met by the Provincial Government. The value of\nvariable supplies used in patient-care has been determined. It is generally recognized that the addition of a few more patient-days does not add proportionately to\npatient-day costs, because certain overhead expenses (such as heating, etc.) are not\naffected. However, some additional supplies will be consumed, and it is the cost\nof these variable supplies which has been determined. When the number of days'\ntreatment provided by the hospital differs from the estimated occupancy, the budgets\nare increased or decreased by the number of days' difference multiplied by the\npatient-day value of the variable supplies. Individual studies and additional budget\nadjustments are made in those instances where large fluctuations in occupancy\ninvolve additions or reductions in stand-by costs.\nThe majority of hospital accounts (approximately 96 per cent) are the responsibility of the British Columbia Hospital Insurance Service. Every month the\nService pays each hospital the proportion of one-twelfth of the yearly budget represented by B.C.H.I.S. insured days as compared to the total days' treatment. By the\nmonth's end, each hospital is advanced the approximate amount required to cover\nB.C.H.I.S. patients, including those remaining in hospital at the end of the month.\nQualified patients are charged $1 per day, which is deductible when calculating\npayments due hospitals from the Service. Non-qualified residents are charged the\nhospitals' established per diem rates, which are all-inclusive; that is, the daily rate\ncovers 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.\n HOSPITAL INSURANCE SERVICE, 1960\nW 17\nS'S\nH\nP.\n<\nPC\no\no\nH\n<\nN\nHH\n<\na\nPi\no\n5 o\nHi 50 <\nSag\n__ W _j\n3 *\n^ n\nW 2\n\u00C2\u00A3a\nc\no\n* \u00C2\u00A3\na a\n(V o\n3\nIs\nv. C \u00C2\u00AB\nto rt \u00C2\u00B0\nlis\n2J'\nH\nS3 o\na\"\nKB-0\n\"go\n111\nSgS\nw. rt o\nSIS\nage\n81.3 A\nKgPjQ\n\"o.3 _j\nago\nu\n W 18 BRITISH COLUMBIA\nORGANIZATION AND ADMINISTRATION\nThe British Columbia Hospital Insurance Service is a branch of the Department of Health Services and Hospital Insurance. The administrative head is the\nDeputy Minister of Hospital Insurance.\nThe following reports give a brief outline of the work carried out by the office\nof the Assistant Deputy Minister and by the various divisions and sections which\ncomprise the administrative structure of the Branch.\nOffice of the Assistant Deputy Minister of Hospital Insurance\nL. F. Detwiller, A.F.C., M.A., M.H.A., M.A.C.H.A., M.R.S.H.\nThis office is responsible for certain administrative functions, including personnel management and liaison with the Civil Service Commission. During the year\nthe Assistant Deputy Minister actively participated in conferences held in Ottawa,\nin connection with Federal-Provincial hospital insurance planning, through membership on a working party and the Sub-committee on Quality of Care, Research,\nand Statistics. This body was created for the purpose of reviewing the methods\nused by the Provinces in these fields and making recommendations to ensure\nuniformity of measurement and compilation across Canada. As a result of these\nstudies, a series of tabulations has been recommended which will be the basis of\nevaluation of hospital experience within the Province and interprovincial comparisons in the hospital field. One of the major contributions emerging from the project\nis the devolpment of a \" 98-category diagnostic Canadian list.\"\nThe survey of hospital facility requirements of the Lower Mainland, which was\ncommenced last year, resulted in the development of a series of statistical tables\nwhich were published later in the year. A final report was completed during the\nsummer of 1960. The Assistant Deputy Minister worked with the newly formed\nMetropolitan Hospital Planning Council and co-ordinates studies undertaken by\nthe Research Division of the British Columbia Hospital Insurance Service with those\nof the Council.\nThis office also worked in conjunction with other divisions in continuing their\nreview of the Provincial infirmary programme.\nHOSPITAL FINANCE DIVISION\nW. J. Lyle, F.I.C.S., Manager\nThe Hospital Finance Division performs two main functions\u00E2\u0080\u0094hospital accounting, and payment of hospital claims. The Division is also responsible for the\napproval of equipment grants, and in 1960 recommended grants of over $600,000,\nafter a review of 3,500 applications received from hospitals. During 1960 the\nDivision Manager attended two meetings in Ottawa of the Advisory Committee on\nHospital Insurance and Diagnostic Services, which is an advisory body to the\nMinister of National Health and Welfare. The Manager, who has also been\nappointed as the representative of British Columbia on a Sub-committee on Finance\nand Accounting, attended a two-day meeting in Ottawa prior to one of the Advisory\nCommittee conferences. The Sub-committee reviewed financial control methods,\nemployee pension plans, hospital audits, and technical aspects of the Federal sharing\nof hospital costs.\nThe benefits of the Municipal Superannuation Act were made available to all\npublic hospitals in British Columbia from July 1st, 1960. The Division Manager,\nworking in co-operation with the Commissioner of Municipal Superannuation,\nassisted hospitals in making the necessary applications and carrying out required\n HOSPITAL INSURANCE SERVICE, 1960 W 19\ndocumentation relative to the past service of hospital employees. To provide as\nbroad a pension coverage and benefits as considered reasonable, policies were\nestablished by the Provincial Government so that any employee of a hospital, at\nthe commencement date, who could complete ten years' pensionable service in public\nhospitals in British Columbia before reaching retirement age would be eligible, and\npension credits would be allowed for all years of prior service (except for the first\ntwelve month's employment). The hospital employee was not required to contribute to the cost of providing a pension for years of service prior to July 1st, 1960.\nThe Division Manager continued to perform duties as a member, and secretary,\nof the Hospital Rate Board, and to represent the British Columbia Hospital Insurance Service on the Radiological Advisory Council, which acts in an advisory\ncapacity on the development of radiology services and purchase of equipment by\ngeneral hospitals.\nThe following is an outline of the duties, activities, and responsibilities of the\ntwo sections of the Finance Division.\nHospital Accounting\nG. L. Morris, C.A., Supervisor\nThe Hospital Accounting staff is concerned with hospital financial operations\nin relation to the budgets approved by the Hospital Rate Board. This entails visits\nto hospitals to review financial and statistical records and procedures. These visits,\nextending from three days to four weeks, were made to eighty-seven public hospitals\nduring 1960. Accounting assistance and instruction were also provided on request\nto smaller public hospitals in the Province.\nOther functions performed by the Hospital Accounting staff included:\u00E2\u0080\u0094\n(a) The tabulation of monthly statistical and financial reports from hospitals\nand the correlating of these with the approved budgets.\n(b) The determination of the semi-monthly cash advances to be made to\nhospitals.\n(c) Checking and amending annual financial and statistical reports prepared\nby hospitals for the Dominion Bureau of Statistics and the Department of\nNational Health and Welfare.\n(d) The carrying-out of accounting reviews and cost studies of nursing homes\nupon the request of the Social Welfare Department for welfare payment\npurposes.\n(e) The auditing of accounts of hospital construction projects to determine the\namount of construction grants payable by the Province.\nDuring 1960 sixteen completed construction projects, involving expenditures in\nexcess of $18,500,000, were audited and the required statements prepared for the\nFederal Government, in order that the Federal construction grants could be claimed\nby the hospitals.\nAs a result of the introduction from September 1st, 1960, of the Rehabilitation,\nChronic Treatment, and Convalescent Care Plan, investigations of financial and\nstatistical records of certain designated hospitals were made to determine the bases\nof payment on behalf of British Columbia Hospital Insurance Service patients covered in such hospitals. With the anticipated extension of the number of approved\nhospitals providing this type of care, a considerable increase is expected during 1961\nin the volume of work of this nature to be undertaken by this Section.\nExperience during the first few years' operation of the British Columbia Hospital Insurance Service indicated that operating costs required serious consideration\n W 20 BRITISH COLUMBIA\nwhen planning new hospitals and additions to existing hospitals. In order to ensure\nthat plans for new hospitals or hospital additions are prepared with economical and\nefficient operation in mind, a system of pre-construction operating budgets is used.\nThe procedure requires a hospital to prepare an estimate of staff and other costs,\nbased upon a reasonable occupancy for the new area. These estimates are submitted\nto the British Columbia Hospital Insurance Service and are reviewed by the Hospital\nRate Board in the same manner as normal operating estimates. It is essential that\nthe estimated operating costs of the new hospital or new addition compare favourably with other hospitals actually in operation. Where the hospital's pre-construction\noperating estimates do not indicate a reasonable operating cost, it is necessary for\nthe hospital board to revise its construction plans to ensure efficient and economical\noperation. Once a satisfactory pre-construction operating estimate has been agreed\nupon by the hospital officials and the British Columbia Hospital Insurance Service,\nthe hospital boards are required to provide written guarantees relative to the projected operating cost. It is considered that this method of approaching the operating\npicture for proposed hospital facilities ensures more satisfactory planning, efficient\nuse of hospital personnel, and an economical operation.\nUnder the terms of the Federal Hospital Insurance and Diagnostic Services\nAct, whereby the Federal Government has been sharing in the costs of in-patient\ncare in this Province from July 1st, 1958, monthly cash advances are made to the\nProvince by Ottawa, based on payments made by the Province during the previous\nmonth. These advances are later taken into account when the total amount payable\nby the Federal Government is determined for the calendar year. The final calculation for the year is based on the annual audited financial reports of each public\nhospital, after the hospitals' records have been inspected by accountants from this\nSection and approved by Federal Treasury auditors. Compilation of the necessary\ndata required by the Federal authorities for purposes of the final settlement involved\na considerable amount of additional work, before agreement on the amount shareable in respect of the first period (July 1st to December 31st, 1958) was reached in\nthe early months of 1960. Some changes in procedures are in effect for the second\nperiod (calendar year 1959), but with the entry into the Federal-Provincial scheme\nof Ontario and three other Provinces in 1959 no earlier settlement of the final\nshareable costs for that year can be anticipated, since agreement on the costs of all\nparticipating Provinces has first to be reached before the national shareable costs\ncan be determined.\nThe Annual Report on Hospital Statistics, issued by the Department of Health\nServices and Hospital Insurance and covering the administration of the Hospital Act\nfor the preceding year, is prepared by this office.\nHospital Claims\nW. J. Wade, Supervisor\nHospital Claims is responsible for processing all admission-discharge records\n(accounts) which hospitals submit for each patient, and approving for payment all\nacceptable claims. Every claim is checked by this office, whether it is payable by the\nBritish Columbia Hospital Insurance Service or by the patient or other agency.\nApproximately 1,300 claims were processed each working-day during 1960, and, in\naddition, an average of over 400 emergency-service or minor-surgery accounts were\nhandled each day.\nIn addition to the normal processing of hospital claims, as outlined in subsequent paragraphs, improvements were made in internal procedures to facilitate the\nprocessing of a greater volume of accounts resulting from the increase in the number\n HOSPITAL INSURANCE SERVICE, 1960 W 21\nof hospital beds and the expansion of coverage to chronic units. Close co-operation\nwas continued with the Medical Consultation Division for advice on the medical\naspects of claims, and for the control of the daily volume of work.\nThe introduction in October, 1959, of the British Columbia Hospital Insurance\nService manual for hospitals has resulted in an improvement in hospital procedures.\nThis was most noticeable in the year-end cut-off of accounts, with this phase of the\nwork being completed at an early date by most hospitals. The co-ordination of the\ndesigning and planning for the introduction of a new admission-discharge form and\nI.B.M. statistical card was carried out, with the object of commencing new procedures by January 1st, 1961. This revision resulted from a desire for standardization\nby all Provinces participating under the Federal-Provincial agreement.\nThe sections participating in this work and a brief outline of their duties follows.\nThe Admission Control Section reviews each Application for Benefits made by\npatients who claim to be qualified for benefits under the Hospital Insurance Act.\nDetails of residence are checked with the verifying documents, and discrepancies\nreferred back to the hospital or to the Eligibility Inspectors. Over 6,000 hospital\nclaims or some 2 per cent of the total received from hospitals were returned for\nfurther information. Advice and assistance were given to hospital admitting staffs\non the proper methods of admission and discharge affecting the patient's residential\nqualifications. This was carried out by correspondence, by actual visit to the hospital, or by attendance at a hospital regional meeting.\nThe Accounts Payment Section verifies the charges made to the British Columbia Hospital Insurance Service and ensures that all information shown on each claim\nis completed for statistical purposes and that it is charged to the correct agency, such\nas the British Columbia Hospital Insurance Service, Workmen's Compensation\nBoard, Department of Veterans' Affairs, or another Province which has a plan of its\nown. During the year an average of 400 queries per month were addressed to\nBritish Columbia hospitals on accounting matters. In 1960 a total of 300,991\naccounts were paid, compared to 287,685 in 1959 and 272,262 in 1958. The\nincrease in accounts paid was mainly due to an increase in beds within the acute-\ncare hospitals and a further increase in claims accepted for D.V.A. hospitals under\nthe Federal-Provincial agreement, plus some Rehabilitation, Chronic Treatment,\nand Convalescent Care cases.\nThe Social Welfare Records Section continues to maintain the alphabetical file\nof all health services identity cards issued to welfare recipients in this Province.\nWelfare hospital accounts are checked to this file to determine eligibility for hospital\nbenefits. This file is used by the Department of Social Welfare as a source of information.\nThe Voucher and Key-punch Sections are responsible for batching and vouch-\nering the checked accounts, in order to determine the amounts payable to each\nhospital and for the punching of an I.B.M. card for each account. The cards are\npunched daily to record statistical, financial, and medical data, and are also used\nto tabulate remittance listings of payments due to hospitals.\nThe Out-of-Province Section handles all claims for hospital accounts incurred\nby British Columbia residents in hospitals outside the Province. This includes\nestablishing eligibility and the payment of claims. During 1960 a total of 3,176\naccounts, amounting to $410,860, was paid on behalf of qualified residents who\nwere hospitalized in the other Provinces of Canada, in practically all States of the\nUnited States, Australia, Belgium, British West Indies, Eire, France, Holland, Hong\nKong, Italy, Japan, Jugoslavia, Mexico, Norway, Peru, Portugal, South Africa,\nSpain, Sweden, Switzerland, United Kingdom, and West Germany.\n W 22 BRITISH COLUMBIA\nThe Filing Section sorted and filed an average of 3,600 documents and letters\ndaily. This is a reduction of approximately 10 per cent when compared with the\nprevious year, despite an increase in total hospital accounts handled, and resulted\nfrom improvements to procedures. During the year all 1959 claims were microfilmed by the Central Microfilm Bureau; 757,688 documents were photographed\non 25,900 feet of film. Out-of-Province Section claims were also microfilmed.\nThe film was duplicated, and the duplicate stored separately in case of loss or damage\nto the original film. The space occupied by sixty steel filing-cabinets has been saved\neach year by microfilming.\nHospital Consultation and Inspection Division\nJ. W. Mainguy, M.H.A., Manager\nThis Division is concerned not only with responsibilities relating to the administration and operation of approved public hospitals, but also with the licensing and\ninspection of private hospitals. The category \" private hospital\" includes those\nnursing-home facilities which provide skilled nursing care to the aged sick, and also\nincludes some small general hospitals, most of which are operated in remote areas\nby industrial concerns. The majority of the nursing-home facilities are operated for\nprofit by private operators or companies. Another activity of the Division is in the\nfield of hospital clearance. This procedure is a method of moving welfare patients\nfrom acute general hospitals to more suitable facilities when they no longer require\nthe specialized services of an acute general hospital, but do need care beyond that\nwhich could be given in their homes. The actual work of placing these people is\ndone by the Department of Social Welfare at the request of this Division. In 1960\nthis office asked Social Welfare to arrange placement for 128 patients.\nWith regard to work relating to public hospitals, this Division, during the year,\nworked with the Finance Division on the analysis of hospital estimates. The\nManager of the Division continued as a member of the Hospital Rate Board. Other\nfunctions included the reviewing of hospital by-laws with the Administrative Assistant, and providing hospitals and other organizations with information on a wide\nvariety of hospital problems (that is, wage analysis, personnel management, etc.).\nStaff members made a total of forty-six visits to public hospitals, usually involving\na day or more at the hospital.\nA close working relationship continued with Health Branch personnel in\nmatters dealing with hospital care. The staff of the Division was in close contact\nwith the Medical Health Officers and their staffs, the Technical Supervisor of Clinical\nLaboratory Services, and the Technical Adviser in Radiology, whose specialized\nfields also require them to visit hospitals. Their Nutrition Consultant made dietary\ninspections in eight public hospitals. Working in conjunction with the Health\nBranch, this Division helped to prepare and to conduct a dietary institute at Nanaimo\nwhere cooks from twenty-six hospitals and institutions which do not have dieticians\nwere in attendance for five days. This course was similar to those held in 1959\nat Cranbrook and Prince George.\nThe Division continued to represent the British Columbia Hospital Insurance\nService on the Laboratory Advisory Council, which acts in an advisory capacity on\nmatters dealing with laboratory services and equipment in public hospitals.\nA further activity of the Division during the year was participation in preparing\nfor the Civil Defence Orientation Course for directors of nursing, and also participation in the course held for physicians. The Division represented the British Columbia Hospital Insurance Service on the Emergency Health Services Advisory Committee, and also on a committee to review hospital disaster plans.\n HOSPITAL INSURANCE SERVICE, 1960\nW 23\nClose liaison was maintained with the Provincial Fire Marshal during the year\nin order that fire safety in hospitals could be improved upon.\nIn private hospital licensing and inspection, 204 visits were made to the hospitals. Of these, fifty-four were made by the part-time consulting dietician, who\nassists the Division in maintaining a continuing programme of food-service inspection and consultation.\nDuring 1960 a total of 109 new private hospital beds were licensed. Numerous inquiries were received from persons actively interested in establishing private\nhospitals. At the end of the year a new private hospital building of 55 beds was\nunder construction in Richmond. Beds in operation at the end of 1960 were 1,950\nfor nursing-home type patients licensed in fifty-seven private hospitals, and 100 beds\nlicensed in six private acute hospitals, making a total of 2,050 beds. (In 1959 there\nwere 170 private acute hospital beds. The figure was reduced to 100 in April, 1960,\nwhen the private hospital at Kitimat ceased operating after transferring its patients to\nthe newly constructed Kitimat General Hospital.)\nThe Manager of the Division continued as a member of the Welfare Institutions\nBoard, which is involved in the licensing of numerous facilities, including boarding\nhomes for the aged. This has helped to maintain a close liaison between the licensing of private hospitals and of boarding homes. On the authority of the Minister of\nHealth Services and Hospital Insurance, this Division appointed representatives to\nserve with a committee of the Greater Vancouver Health League in the study of\nnursing-home and boarding-home licensing. Informative discussions were held\nduring the year with this committee.\nA Province-wide survey of nursing-home bed requirements was carried out\nduring the year with the assistance of doctors, hospitals, and social workers.\nThe British Columbia Hospital Insurance Service was represented by the\nManager of the Division at the Western Provinces' Rehabilitation Workshop called\nby the Civilian Rehabilitation Branch of the Federal Department of Labour. The\nworkshop was attended by representatives of the Provincial Departments of Health,\nWelfare, and Education, and members of other Government departments or agencies\nconcerned with this problem.\nHospital Construction Division\nA. W. E. Pitkethley, Manager\nThis Division has three main responsibilities:\u00E2\u0080\u0094\n(1) Providing a consultative service to general hospitals when planning new\nhospital facilities, renovations, or additions to existing buildings.\n(2) Processing and recommending for approval applications for Provincial\ngrant assistance toward the cost of capital construction and improvements.\nPreparing applications for submission to the Federal Government for\nFederal grants toward the cost of construction projects.\n(3) The administrative supervision of the Marpole Provincial Infirmary in\nGreater Vancouver, and the branch in Victoria and Haney. The Manager\nof this Division serves as secretary of the Advisory Board of Management\nof the Provincial Infirmaries. (These institutions have a total bed capacity of 283 beds, and during the year had occupancies ranging from 76.02\nto 80.05 per cent.)\nA great deal of time is spent reviewing plans of proposed new facilities forwarded by hospitals. Special attention is given to the design and layout of each\nbuilding to ensure that it can provide a good standard of patient-care, efficient and\neconomical operation, and adequate service and clinical facilities for potential future\n W 24 BRITISH COLUMBIA\nexpansion. Close attention is given to the design and extent of the mechanical\nfacilities proposed for hospital buildings; these include heating, ventilating, and air-\nconditioning systems. With the co-operation of other British Columbia Hospital\nInsurance Service divisions and the Health Branch, hospital boards are provided\nwith a complete consultative planning service. Assistance is given by the Division\nof Public Health Engineering, the Consultant in Nutrition, the technical adviser to\nthe Laboratory Advisory Council, the technical adviser to the Radiological Advisory\nCouncil, and the Public Health Officers, all of the Provincial Health Branch. In\naddition, the Professor of Paediatrics of the Department of Medicine of the University of British Columbia gave valuable assistance in reviewing plans for pasdiatric\nand nursery facilities. The chief of the Hospital Design Division of the Federal Government gave advice on selected problems in hospital design. The supervisor of\nphysiotherapy of the Canadian Arthritis and Rheumatism Society (British Columbia\nDivision) is co-operating in the review of proposed plans for physiotherapy departments in small and medium-sized hospitals.\nThe Construction Division also has the services of an architect, on loan from\nthe Public Works Department. He assisted in the compilation of a survey questionnaire on nursing units distributed to twenty-one of the major hospitals in the Province in the summer of 1959. The answers received have been used as a source of\nreference material in preparing typical floor-plan arrangements, and drawings involving detailed cabinetwork, shelving, and cupboard arrangements, plumbing, and\nmany other features that take into consideration the specialized requirements of\nqualified nursing personnel. During the year, studies were made of the survey\nmaterial, and approval was received for financial assistance from National health\ngrants to assist in the completion of the study.\nThe Division maintained liaison with the Hospital Committee of the British\nColumbia Medical Association, which is co-operating in the study of selected problems referred to it, and also with the Registered Nurses' Association of British\nColumbia.\nMeetings were held with the Hospitals Committee of the Architectural Institute\nof British Columbia. The functions of this Committee include co-ordinating and\npresenting to the British Columbia Hospital Insurance Service the view-points of\nthe Institute members on matters relating to hospital construction projects. It also\nacts as a liaison body to work with the British Columbia Hospital Insurance Service\nin developing and standardizing procedures relating to architectural and engineering services on hospital projects. At the suggestion of the Manager of the Construction Division, and with the fine co-operation of the Architectural Institute of British\nColumbia, a seminar of architects was held during October. It is believed that this\nwas the first seminar of its kind held in Canada.\nInvestigations into the operation and efficiency of air-sterilizing equipment,\nused in conjunction with air-recirculating and air-conditioning systems for operating-\nrooms, were carried out by the Manager of the Division, members of The Association of Professional Engineers of British Columbia, and a bacteriologist on the staff\nof the Vancouver General Hospital. Visits were made to hospitals to examine and\nevaluate two types of aseptic air systems in actual operation.\nDuring the year the Division made a number of inspection trips to hospitals in\nBritish Columbia. With the advent of chronic-care coverage in the Province, it was\nconsidered advisable to examine the physical facilities and operation of hospitals\nproviding chronic care, and the Division Manager, therefore, made inspectional\nvisits to rehabilitation centres in other areas.\n HOSPITAL INSURANCE SERVICE, 1960 W 25\n(a) Hospital Projects Completed during 1960\nPrince George Regional Hospital.\u00E2\u0080\u0094On January 16th, 1960, the Minister of\nHealth Services and Hospital Insurance officially opened the new 125-bed hospital.\nThere is space in unfinished sections of the building for 38 additional beds. Major\nequipment and services installed in the hospital are of sufficient capacity to provide\nfor beds which could be accommodated on a fifth floor.\nVancouver General Hospital.\u00E2\u0080\u0094The mechanical services project, which involved the replacement of the 40-year-old incinerator, renovations of the old boiler-\nhouse, the old morgue and laboratory building, and the generator-house, was completed early in 1960.\nGolden and District General Hospital.\u00E2\u0080\u0094On March 5th, 1960, the new hospital\nwas officially opened. The hospital provides accommodation for 23 active-treatment\nbeds, plus space which has been left in an unfinished state and can be completed to\nprovide additional bed accommodation when required. The hospital is a single-\nstory structure, of frame construction on a reinforced-concrete slab, with a concrete\nand masonry basement.\nKitimat General Hospital.\u00E2\u0080\u0094Official opening ceremonies for the Kitimat General Hospital were held on March 26th, 1960. Due to cut-backs in the expansion\nplans of the Aluminum Company of Canada, all the beds included in the initial\ndesign capacity of 113 beds have not been made available for occupancy. The\nhospital opened with 82 beds placed in service, and the top floor of the hospital is\nbeing used temporarily for accommodation of hospital personnel.\nMatsqui-Sumas-Abbotsford General Hospital.\u00E2\u0080\u0094A previously unfinished area\nof this hospital was completed on May 1st, 1960, to provide 17 additional active-\ntreatment beds.\nBurns Lake and District Hospital.\u00E2\u0080\u0094The new 33-bed hospital, officially opened\non August 15th, 1960, replaces the old 16-bed hospital built in 1931. Generous\nsolaria are provided in the new building, which can readily accommodate additional\nbeds when required.\nKimberley and District General Hospital.\u00E2\u0080\u0094The new hospital of 50 beds was\nofficially opened by the Minister of Health Services and Hospital Insurance during\nceremonies held on December 10th, 1960. It replaces the existing building, which\nhas been in service for over thirty years. The three-story, reinforced-concrete structure includes areas for 22 additional beds for use as required at a future date.\n(b) Hospital Projects under Construction at the Year-end\nSt. Joseph General Hospital, Dawson Creek: A new 71-bed hospital. (During\nthe year approval was granted to increase the number of beds from the original plan\nfor 60 to 71.*) Construction should be finished early in 1961.\nNanaimo Regional General Hospital: A new 160-bed hospital, due for completion in the summer of 1962.\nRoyal Columbian Hospital, New Westminster: Nurses' Residence and\nTraining-school of 195 nurses' beds.\nRoyal Jubilee Hospital, Victoria: Ancillary projects are under way, as preparatory work to building a proposed new wing.\nTerrace and District Hospital: A new hospital of 40 beds; completion expected early in 1961.\nVancouver General Hospital: Construction of a combined locker-room area\nplus alterations to the physical medicine department.\n W 26 BRITISH COLUMBIA\nLions Gate Hospital, North Vancouver: A new 283-bed hospital plus sixth\nand seventh floors.\nSt. Paul's Hospital, Vancouver: Boiler-house and power-plant expansion.\n(c) Projects in Advanced Stages of Planning and for Which Working\nDrawings Are Completed or in the Process of Preparation\nWar Memorial Hospital, Williams Lake: New hospital of 70 beds\u00E2\u0080\u0094out to\ntender.\nProvidence Hospital, Fort St. John: New hospital of 80 beds.\nSt. Paul's Hospital, Vancouver: Laboratory and laundry.\nFort Nelson: New hospital.\nQueen Alexandra Solarium, Victoria: Additional 16 beds plus unfinished\nareas.\nTerrace and District Hospital: Nurses' Residence\u00E2\u0080\u009410 nurses' beds.\nChemainus General Hospital: New addition\u00E2\u0080\u0094out to tender.\nWrinch Memorial Hospital, Hazelton: New addition.\nRoyal Columbian Hospital, New Westminster: Laundry and maintenance-\nshop.\nSt. Bartholomew's, Lytton: New elevator and renovations.\n(d) Additional Projects Developed through Various Planning Stages in 1960\nKing's Daughters' Hospital, Duncan: New hospital.\nBoundary Hospital, Grand Forks: New hospital.\nMcBride and District: New hospital.\nMission Memorial Hospital: New hospital.\nRoyal Inland Hospital, Kamloops: Addition and renovations, also nurses'\nresidence and training-school.\nVernon Jubilee Hospital: Addition and renovations.\nSt. Joseph's Hospital, Victoria: Addition and renovations.\nSt. Joseph's General Hospital, Comox: Addition and renovations.\nSt. Mary's Hospital, Sechelt: New hospital.\nNicola Valley General, Merritt: New hospital.\nLangley Memorial Hospital, Murrayville: New hospital.\nPrince Rupert General Hospital: Alterations and addition.\nPowell River General: Alterations and addition.\nQuesnel General Hospital: Addition.\nMater Misericordia. Hospital, Rossland: Alterations.\nRichmond Hospital: New facility.\nChildren's Hospital, Vancouver: Alterations and addition.\nSt. John Hospital, Vanderhoof: Addition.\nVancouver General Hospital: Laurel Pavilion alterations.\nGorge Road Hospital, Victoria: Alterations.\nPenticton Hospital: Air-conditioning.\nLadysmith General Hospital: Addition.\n(e) Sundry Building Improvement Projects, Including the Installation of\nFixed Equipment\nDuring the year the Division received over 300 applications from hospitals for\ngrants to assist in financing the cost of structural improvements and building alterations, including fixed equipment. The cost of these approved projects totalled\napproximately $418,000.\n HOSPITAL INSURANCE SERVICE, I960 W 27\nMedical Consultation Division\nW. A. Fraser, O.B.E., E.D., M.D., CM., F.A.C.S., Medical Consultant\nAll in-Province and out-of-Province admissions to acute-care general hospitals\nare assessed by the Medical Consultation Division to establish medical eligibility for\nentitlement to coverage under the Hospital Insurance Act. In addition, admissions\nto hospitals designated to receive and treat patients under the Rehabilitation, Chronic\nTreatment, and Convalescent Care Plan are also assessed for medical eligibility.\nMedical report forms on all patients in hospital are submitted by the attending\nphysicians to the Medical Consultation Division for review. When necessary, letters\nof inquiry on medical eligibility are sent to hospitals in respect of patients whose stay\nin hospital appears to be too lengthy.\nThe final discharge diagnosis, submitted by hospitals, is checked by the six\nmedical coders on staff and coded according to the Manual of the International\nClassification of Diseases, Injuries, and Causes of Death. In addition, the coding\nshows the kind of service given in the hospital\u00E2\u0080\u0094that is, medicine, surgery, maternity, etc.\u00E2\u0080\u0094and the information is used by the Hospital Construction Division for\nbed requirement studies. During the year a survey was carried out on new-borns\nand adults by this Division to study the infections acquired in hospital. A pedestrian\ntraffic accidents study on children (up to 15 years) and adults was also made.\nA further study was conducted on all tuberculosis cases treated in acute-care general\nhospitals.\nThe Chief Supervisor, Medical Records and Medical Coders, who is also a\nregistered nurse and a trained medical record librarian, received authorization to\ncarry out hospital inspections and has commenced visiting the record departments\nof hospitals on Vancouver Island and the Lower Mainland. During these visits\nparticular attention is paid to the patients' medical documents, and guidance is\ngiven to the hospital record librarian.\nCommencing on March 15th, 1960, initial exploratory meetings were held in\nVancouver with representatives of the Canadian Medical Association (British\nColumbia Division) and the Faculty of Medicine in anticipation of the announcement by the Government of a plan for the care of patients requiring rehabilitation,\nchronic treatment, and convalescence. These meetings continued at frequent intervals until early in November, and proved to be very profitable to the Hospital\nInsurance Service. The various problems that arose concerning the implementation\nof the plan were thoroughly discussed, and decisions were tentatively arrived at for\nconsideration of Government final approval. (Also see \" Introduction of Rehabilitation, Chronic Treatment, and Convalescent Care Plan\" on page 10.)\nDuring the year the Medical Consultant attended the following medical meetings: The Canadian Medical Association (British Columbia Division), the British\nColumbia Surgical Association, and the American College of Surgeons. In addition,\nhe also attended a meeting in Ottawa of the Working Party of the Sub-committee on\nQuality of Care, Research, and Statistics on August 22nd and 23rd, 1960. At the\nmeeting an intensive study was made of problems related to the preparation of\nuniform medical statistics across Canada. The presence of Medical Consultants of\nseveral hospital insurance plans at the meeting permitted a valuable exchange of\ninformation on the medical review procedures in effect in the various Provincial\nAdministrative Assistant\nK. G. Wiper\nThe office of the Administrative Assistant is responsible for the drafting of\nlegislation, regulations, and Orders in Council for the British Columbia Hospital\n ?*'\n.ctHos?v^\ntf*cE . -,vd.n&a,.-u A960-\nope'\nue-A\nTh6\nne^\nu5.toedVvo^a,5atvuatV\nA 6*.\nGolden and District General Hospital\nOpened March 5th, 1960, the new hospital provides 23 beds plus\nunfinished areas for future use. It cost approximately $343,000.\nKimberley i\nBuilt at a cost of $1,01\nI\n(Model b:\n and the ?\"* hoSpita] Kt^AT c\n^OiOcJi\nat/'o/,\nr n 6e*\nPers\u00C2\u00B0nneL\nfo.\nin\nserv\nice\n'otal\n\u00E2\u0096\u00A0\u00E2\u0096\u00A0 . \u00E2\u0096\u00A0\u00E2\u0096\u00A0\n^W^ggyjj kTi**Wi\n\l Hospital\nied hospital was opened\nIcCulloch. Trail and Vancouver.)\nBurns Lake Hospital\nThe new 33-bed hospital, opened August 15th. I960, cost\nan estimated $342,000.\n W 3(1 BRITISH COLUMBIA\nInsurance Service. In the performance of these duties a close working relationship\nexists between this office and the Attorney-General's Department. A further\nresponsibility is to provide a uniform interpretation of the various Acts and regulations to other B.C.H.I.S. officials.\nAssistance is given, upon request, to hospital societies in regard to problems\nconnected with hospital constitutions and by-laws, and their application. This is\ndone in conjunction with the Hospital Consultation and Inspection Division. This\noffice also reviews changes made in hospital by-laws for the purpose of bringing\nthem to the stage where Government approval may be obtained as required under\nthe Hospital Act. The British Columbia Hospital Insurance Service has developed\na set of model by-laws, which is available to hospitals for use as a guide in making\nrevisions.\nThe Administrative Assistant assists committees in unorganized territory to\nestablish hospital improvement districts, which are necessary for the raising of funds\nby money by-law for the construction of new hospital facilities or the improvement\nof existing buildings. This work is carried out in conjunction with the Water Rights\nBranch of the Department of Lands and Forests and the Chief Electoral Officer of\nthe Provincial Secretary's Department. At the end of 1960 there were twenty-eight\ndistricts in operation and a number of others in the process of formation. Descriptive material outlining the procedure for establishing such a district is supplied upon\nrequest to interested groups.\nDuring 1960 considerable time was spent on matters connected with the\nFederal-Provincial hospital insurance plan. Extensive discussions were held with\nthe officials of the Federal Government and other Provincial plans to consider\nmeans of removing administrative difficulties and provide better liaison.\nA considerable amount of time was spent in working with other B.C.H.I.S.\nofficials to make the necessary arrangements for the Rehabilitation, Chronic Treatment, and Convalescent Care Plan which was inaugurated on September 1st, 1960.\nThe Administrative Assistant also participated in a series of meetings held by\na joint committee on nursing homes and boarding homes comprising representatives\nof the Greater Vancouver Health League, the Department of Social Welfare, and the\nBritish Columbia Hospital Insurance Service.\nThe Administrative Assistant is also responsible for over-all supervision of the\nThird Party Liability and Eligibility Sections.\nThird Party Liability Section\nThe hospitalization reports that are completed by hospitals for every patient\nadmitted with accidental injuries are processed by the Third Party Liability Section.\nThis 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\nbehalf of accident victims. The Senior Eligibility Inspector in Vancouver is responsible for maintaining a third-party liability clearing-house for the convenience of\nsolicitors and insurance adjusters in the Greater Vancouver area. Up-to-date\ninformation regarding the hospitalization of accident victims is available through\nthe Vancouver office, and negotiations may be carried out in person or by telephone,\nthus avoiding the necessity of corresponding with the head office in Victoria.\nEligibility Section\nIn order to ensure that only qualified British Columbia residents receive hospital insurance benefits, the staff of the Eligibility Section review all applications for\n HOSPITAL INSURANCE SERVICE, 1960\nW 31\nbenefits made by, or on behalf of, persons admitted to hospital. A detailed check is\nmade of all doubtful applications, resulting in a considerable number of unqualified\nclaims for hospital insurance benefits being rejected.\nEligibility Inspectors visit hospitals on a regular schedule to see that the\nB.C.H.I.S. eligibility procedures are being properly carried out. These Inspectors\nalso assist in the training of new hospital admitting and eligibility staff members. In\nthis regard, regional meetings were held in 1960 in a number of centres for the purpose of bringing together hospital personnel for panel discussions to deal with problems connected with the admission of patients to hospitals and their status under the\nHospital Insurance Act.\nThis Section has provided the great majority of employers in British Columbia\nwith a supply of employers' certificates, on which an employee's length of employment can be recorded. The Inspectors maintain close liaison with these firms to\nensure their continuing co-operation in providing their employees with this form of\nproof of residence for hospital insurance purposes.\nSince the introduction of the Rehabilitation, Chronic Treatment, and Convalescent Care Plan, the Inspectors visited those hospitals participating in the plan,\nexplaining to the personnel involved the completion of the admission/discharge\nform, the residential requirements for eligibility, and the various methods of obtaining proof of residence. It is anticipated that special attention will have to be given\nto these hospitals during the initial stages of this plan.\n . \u00E2\u0096\u00A0\u00E2\u0096\u00A0\u00E2\u0096\u00A0\u00E2\u0096\u00A0\u00E2\u0096\u00A0... \u00E2\u0096\u00A0\u00E2\u0096\u00A0\u00E2\u0096\u00A0\n'rr_ T-./-M\nHOSPITAL\nPROJECTS\nUNDER\nCONSTRUCTION\nAT YEAR-END\nNanaimo\nThe new Nanaimo Regional General Hospital of 160 beds, due for\ncompletion in 1962.\n(Architects: Gardiner, Thornton, Gathe & Associates, Vancouver.)\nWWIM^S\n*'\u00E2\u0096\u00A0''\nVictoria\nPreparatory work\nis under way\nfor building\na new addition\nto the Royal\nlubilee Hospital.\n(Architects: Townley & Matheson, Vancouver.)\n Also\nTerrace: A new 40-bed hospital.\nDawson Creek: A new 71-bed\nhospital.\nVancouver: Construction of a combined locker-room plus alterations to the physical medicine\ndepartment of the Vancouver\nGeneral Hospital, and a boiler-\nhouse and power-plant expansion at St. Paul's Hospital.\nNew Westminster\nA 195-bed nurses' residence and training-school at the\nRoyal Columbian Hospital.\n(Architects: Townley & Matheson, Vancouver.)\nNorth Vancouver\nThe new 283-bed\nLions Gate Hospital,\nplus sixth and\nseventh floors.\n w 34 british columbia\nResearch Division\nG. D. Sotiroff, Ph.D., F.R.Econ.S., Director\nThe main functions of the Research Division are:\u00E2\u0080\u0094\n(1) To survey geographic areas within the Province, in order to determine the\nneed and size of new hospital construction.\n(2) To tabulate, compile, and analyse morbidity statistics, recorded in the\nadmission-discharge forms forwarded to the Service from British Columbia acute-care hospitals in respect to all in-patients.\n(3) To assist the administration of the Service and other agencies with compilation of data which are not directly available from other sources.\nDuring the year, work continued on the studies of bed needs in the Southern\nOkanagan and Central Border regions of British Columbia. Similar studies were\ninitiated for smaller areas in other parts of the Province. Since the month of September, when the British Columbia Hospital Insurance Service entered the field of\nchronic care, the work of the Research Division has expanded in that direction as\nwell.\nStatistical information was supplied in answer to requests received from a\nnumber of public, private, and semi-private organizations.\nMention was made in the 1959 Annual Report of the activities of the Committee on Quality of Care, Research, and Statistics at Ottawa, consisting of representatives of the Federal Government and the Provincial insurance plans. In 1960\ncertain recommendations were adopted by the Committee, aiming to improve the\nquality and presentation of hospitalization and morbidity statistics throughout\nCanada. The Research Division has taken an active part in the preliminary work\nto these recommendations, and more work of this nature is in progress. Although\nthis Federal-Provincial study has increased the work load of the Research Division,\nthere is reason to believe that, in the end, more accurate information on the health\ncondition of the Canadian people will become obtainable through these efforts.\nThis, in turn, is a prerequisite to improved health services. Specific areas in which\nprogress has been made include the statistical coverage of operations, the grouping\nof statistical data by geographical characteristics, and the classification of diseases\non a national basis.\nPublic Information\nR. H. Thompson\nIt is the responsibility of this office to develop and administer the public information activities of the Service. This year's programme was much the same as that\noutlined in the Eleventh Annual Report.\nDuring the year regular editions of the Bulletin were prepared and distributed\nto over 100 B.C. hospitals. Although intended primarily as an administrative aid\nto clarify policy and procedural changes which affect hospitals, the Bulletin continued to carry more articles of general interest because of their value, particularly\nto the smaller hospital. Such articles included \" We Held a Hospital Fire Drill,\"\n\" No Yardstick of Efficiency,\" \" The Accreditation of Smaller Hospitals,\" \" Responsibilities of Hospital Trustees,\" and \" Meeting Medical Record Problems in Smaller\nHospitals.\"\nThe weekly press release, sent to the Province's news media, carried information on the Government's grant-in-aid programme, the opening of new hospitals, and\nsuch items as the payment of patients' claims and the accreditation of hospitals.\nThrough the co-operation of the Photographic Branch of the Department of Recrea-\n HOSPITAL INSURANCE SERVICE, 1960 W 35\ntion and Conservation, a photographic record was made of new hospital facilities\ncompleted during the year.\nThe major pamphlet printed during the year was titled \"At Your Service,\" and\nwas prepared for use by B.C. public hospitals to be distributed to patients and their\nvisitors. It contained information on hospital insurance benefits and eligibility\nrequirements, and also familiarized the reader with the main aspects of hospital\nroutine. A few minor revisions were made to the \" General Information \" pamphlet, and the revised edition was printed in July. A new pamphlet, printed in two\ncolours, is being prepared for future production. An important source of distribution of the \" General Information \" pamphlets was developed during the year\nthrough the co-operation of the British Columbia supervisor of the Welcome Wagon\nService. Welcome Wagon hostesses, located in Victoria, Vancouver, New Westminster, Prince George, Vernon, Kelowna, Penticton, Gabriola Island, Port Alberni,\nChilliwack, Haney, and other B.C. centres, distribute the pamphlet to newly arrived\nresidents of the Province.\nSeveral hospitals made use of the film library of 16-mm. sound film for instructional purposes as part of their in-service training programmes. An important addition to the library during the year was the outstanding film \" Hospital Sepsis\u00E2\u0080\u0094A\nCommunicable Disease.\"\nTo keep the public and hospital personnel advised on the functions and\nachievements of the Provincial hospital insurance plan, two displays were prepared,\none for use during the summer months in the rotunda of the main Parliament\nBuilding and one for the Western Canada Institute of Hospital Administrators and\nTrustees held in Vancouver in September. The latter display was designed so that\nit can be used indefinitely by merely changing the showcard material. Assistance\nwas also given in the development of the permanent B.C.H.I.S. exhibit in the\nBritish Columbia Building located on the grounds of the Pacific National Exhibition.\nMiscellaneous functions included answering letters of general inquiry; writing\nspecial material for hospital magazines, civic information pamphlets, and the British\nColumbia Government News; maintaining the newspaper clipping file; acting as\nliaison with the Queen's Printer for all printing; and preparing and producing the\nTwelfth Annual Report.\nGeneral Office\nC. R. Leighton\nThe General Office is responsible for the review of requisitions, vouchers, and\nwarrants prepared by the various divisions, and forwarding them to the appropriate\nGovernment department for further action.\nDepartmental purchasing is handled by this office, which also assumes responsibility for furniture inventories, stock-supplies, operation of the teletype service,\noperation of office equipment, and the storage and dispatch of forms for hospitals.\nGeneral personnel matters are dealt with by the office, and pay and personnel\nrecords are maintained by the pay clerk. Stenographic services (including correspondence, typing, and transcribing) are provided from time to time to other divisions\nof the British Columbia Hospital Insurance Service.\nThe preparation of Infirmary estimates is supervised by the General Office.\nCertain expenditures are controlled by processing all requisitions and vouchers\nthrough this office, which also audits the Infirmary accounting and prepares monthly\nstatements of expenditures.\nThe monthly comfort allowance received by all Infirmary patients is paid to\nMount St. Mary patients by the General Office, which also acts as liaison between\nthe Mount St. Mary authorities and the Infirmary business manager.\n VV 36\nBRITISH COLUMBIA\nHOSPITALS AS DEFINED UNDER THE HOSPITAL INSURANCE ACT\nPart I\nHospitals defined as such under section 2 of the Hospital Acu-\n(a) Public Hospitals\nArmstrong and Spallumcheen Hospital, Armstrong.\nArrow Lakes Hospital, Nakusp.\nBella Coola General Hospital, Bella Coola.\nBulkley Valley District Hospital, Smithers.\nBurnaby General Hospital, Burnaby.\nBurns Lake Hospital, Burns Lake.\nCampbell River and District General Hospital, Campbell River.\nCastlegar and District Hospital, Castlegar.\nChemainus General Hospital, Chemainus.\nChildren's Hospital, Vancouver.\nChilliwack General Hospital, Chilliwack.\nCreston Valley Hospital, Creston.\nCumberland General Hospital, Cumberland.\nEnderby and District Memorial Hospital,\nEnderby.\nEsperanza General Hospital, Esperanza.\nFernie Memorial Hospital, Fernie.\nFort Nelson General Hospital, Fort Nelson.\nFraser Canyon Hospital, Hope.\nGolden and District General Hospital,\nGolden.\nGrace Hospital, Vancouver.\nGrand Forks Hospital, Grand Forks.\nKelowna General Hospital, Kelowna.\nKimberley and District General Hospital\n(McDougall Memorial), Kimberley.\nKing's Daughters' Hospital, Duncan.\nKitimat General Hospital, Kitimat.\nKootenay Lake General Hospital, Nelson.\nLady Minto Hospital, Ashcroft.\nLady Minto Gulf Islands Hospital, Ganges.\nLadysmith and District General Hospital,\nLadysmith.\nLangley Memorial Hospital, Murrayville.\nLillooet District Hospital, Lillooet.\nMcBride and District Hospital, McBride.\nMaple Ridge Hospital, Haney.\nMater Misericordiae Hospital, Rossland.\nMatsqui, Sumas, and Abbotsford General\nHospital, Abbotsford.\nMichel Hospital, Michel.\nMission Memorial Hospital, Mission City.\nMount St. Joseph's Hospital, Vancouver.\nNanaimo General Hospital, Nanaimo.\nNicola Valley General Hospital, Merritt.\nNorth Vancouver General Hospital, North\nVancouver.\nOcean Falls General Hospital, Ocean Falls.\nPenticton Hospital, Penticton.\nPouce Coupe Community Hospital, Pouce\nCoupe.\nPowell River General Hospital, Powell River.\nPrince George Regional Hospital, Prince\nGeorge.\nPrince Rupert General Hospital, Prince\nRupert.\nPrinceton General Hospital, Princeton.\nProvidence Hospital, Fort St. John.\nQueen Alexandra Solarium for Crippled\nChildren, Victoria.\nQueen Charlotte Islands General Hospital,\nQueen Charlotte City.\nQueen Victoria Hospital, Revelstoke.\nQuesnel General Hospital, Quesnel.\nRest Haven Hospital and Sanitarium, Sidney.\nRoyal Columbian Hospital, New Westminster.\nRoyal Inland Hospital, Kamloops.\nRoyal Jubilee Hospital, Victoria.\nR. W. Large Memorial Hospital, Bella Bella.\nSt. Bartholomew's Hospital, Lytton.\nSt. Eugene Hospital, Cranbrook.\nSt. George's Hospital, Alert Bay.\nSt. John Hospital, Vanderhoof.\nSt. Joseph General Hospital, Dawson Creek.\nSt. Joseph's General Hospital, Comox.\nSt. Joseph's Hospital, Victoria.\nSt. Martin's Hospital, Oliver.\nSt. Mary's Hospital, Garden Bay P.O.\nSt. Mary's Hospital, New Westminster.\nSt. Paul's Hospital, Vancouver.\nSt. Vincent's Hospital, Vancouver.\nShuswap Lake General Hospital, The, Salmon\nArm.\nSlocan Community Hospital, New Denver.\nSquamish General Hospital, Squamish.\nSummerland General Hospital, Summerland.\nSurrey Memorial Hospital, North Surrey.\nTerrace and District Hospital, Terrace.\nTofino General Hospital, Tofino.\nTrail-Tadanac Hospital, Trail.\nUniversity Health Service Hospital, University of British Columbia, Vancouver.\nVancouver General Hospital, Vancouver.\nVernon Jubilee Hospital, Vernon.\nVictorian Hospital, Kaslo.\nWar Memorial Hospital, Williams Lake.\nWest Coast General Hospital, Port Alberni.\nWhite Rock District Hospital, White Rock.\nWindermere District Hospital, Invermere.\nWrinch Memorial Hospital, Hazelton.\n(b) Outpost Hospitals\nRed Cross Outpost Nursing Station, Alexis\nCreek.\nRed Cross Outpost Nursing Station, Atlin.\nRed Cross Outpost Nursing Station, Bam-\nfield.\nRed Cross Outpost Nursing Station, Blue\nRiver.\n HOSPITAL INSURANCE SERVICE, 1960 W 37\nRed Cross Outpost Nursing Station, Edge- (c) Federal Hospitals\nwood.\nRed Cross Outpost Nursing Station, Hudson\nHope\nVeterans' Hospital, Victoria.\nShaughnessy Hospital, Vancouver.\nRed Cross Outpost Nursing Station, Kyu- Coqualeetza Indian Hospital, Sardis.\nqUOt. Miller Bay Indian Hospital, Prince Rupert.\nRed Cross Outpost Nursing Station, Masset. Nanaimo Indian Hospital, Nanaimo.\nStewart General Hospital, Stewart. R.C.A.F. Station Hospital, Holberg.\nPart II\nPrivate hospitals which are defined as such under section 8 of the Hospital Act,\nand with which the Province has entered into an agreement requiring the hospital\nto furnish the general hospital services provided under the Hospital Insurance Act:\u00E2\u0080\u0094\nBralorne Private Hospital, Bralorne. Gold Quartz Hospital, Wells.\nCassiar Asbestos Corporation Private Hos- Hollywood Hospital Ltd., New Westminster.\npital, Cassiar. Medical-Dental Hospital Unit, Vancouver.\nChatham House Private Hospital, Vancou- Port Alice Private Hospital, Port Alice.\nPart III\nRehabilitation, chronic, and convalescent hospitals, as defined under section\n24a of the Hospital Act:\u00E2\u0080\u0094\nG. F. Strong Rehabilitation Centre, Vancou- Queen Alexandra Solarium for Crippled\nver. Children, Victoria.\nThe Gorge Road Hospital, Victoria. Shaughnessy Hospital, Vancouver.\nHoly Family Hospital, Vancouver. Veterans' Hospital, Victoria.\nPearson Hospital (Poliomyelitis Pavilion),\nVancouver.\n Williams Lake\nThe new War Memorial Hospital of 70 beds.\n(Architects: Thompson, Berwick & Pratt, Vancouver.)\n**\u00C2\u00BB\nz>\nFort St. John\nThe new Providence Hospital of 80 beds.\n(Architects: Gardiner, Thornton, Gathe & Associates, Vancouver.)\nHOSPITAL PROJECTS\nDEVELOPED\nTO THE ADVANCED\nSTAGES OF\nPLANNING IN\n1960\nAlso\nFort Nelson: A new hospital.\nTerrace: A 10-bed nurses' residence.\nChemainus: A new addition.\nHazelton: A new addition.\nNew Westminster: A laundry and\nmaintenance-shop for the Royal\nColumbian Hospital.\nVictoria: Sixteen additional beds at\nthe Queen Alexandra Solarium\nplus unfinished areas for future\nuse.\nLytton: A new elevator plus renovations.\n|I_J II lilt\nII I It tl Ira\nVancouver\nThe new laboratory and laundry addition to\nSt. Paul's Hospital.\n(Architects: Gardiner, Thornton, Gathe & Associates, Vancouver.)\n HOSPITAL INSURANCE SERVICE, 1960\nVV 39\nSTATISTICAL DATA\nThe tables on the following pages represent statistical data compiled by the\nHospital Finance Division. The data deal with the volume of hospital insurance\ncoverage provided to the people of British Columbia through the British Columbia\nHospital Insurance Service. Eighty-eight public hospitals were approved in 1960\nto accept B.C.H.I.S. patients. In addition, care was provided in eight outpost hospitals, six Federal hospitals, and seven private hospitals. Effective September 1st,\n1960, five public hospitals and two Federal hospitals were approved for chronic-\ncare, but data from these hospitals on such care were not available for this Report.\nData for the year 1960 have been estimated from reports submitted by hospitals to\nNovember 30th, and are subject to revision when actual figures for the year are\nsubmitted.\nTable I shows that a total of 249,841 B.C.H.I.S. adult and children patients\nwere discharged from British Columbia hospitals in 1960, an increase of 15,058 or\n6.4 per cent over the previous year. This table also shows that 95.6 per cent of\nthe total patients discharged from British Columbia hospitals in 1960 were covered\nby hospital insurance, compared to 93.7 in 1958 and 95.5 in 1959. The percentage\ncontinues to reflect the result of the reduction in residence requirements on July 1st,\n1958, from twelve months to three months. The second part of Table I indicates\nthat in 1960 the British Columbia Hospital Insurance Service paid public hospitals\nin British Columbia for 2,420,965 days of care for adults and children, an increase\nof 145,838 days or 6.4 per cent over 1959.\nAs is shown in Table Ha, the average length of stay of B.C.H.I.S. adult and\nchildren patients in British Columbia public hospitals during 1960 was 9.69 days,\nthe same as the preceding year. The increase from 1,724 days of care per thousand\npopulation in 1959 to 1,803 in 1960, as shown on the notation to Table IIa, is due\nto an increase in the incidence of hospital admissions, which is largely attributable\nto the considerable increase in available hospital beds, resulting from the intensive\nconstruction programme of the past few years.\n W 40\nBRITISH COLUMBIA\nTable I.\u00E2\u0080\u0094Patients Discharged and Days of Care and Proportion Covered\nby British Columbia Hospital Insurance Service, British Columbia\nPublic Hospitals Only, 1949-60 (Excluding Federal, Private, and Out-\nof-Province Hospital Data).\n1 Amended as per final reports received from hospitals.\n2 Estimated, based on hospital reports to November 30th. 1960.\nTotal Hospitalized\nCovered by B.C.H.I.S.\nAdults\nand\nChildren\nNewborn\nTotal\nAdults\nand\nChildren\nNewborn\nTotal\nPatients discharged\u00E2\u0080\u0094\n1949 \t\n1\n1\n164.964 I 96.779\n191.236\n198,850\n208,256\n217,030\n231,605\n238,976\n249,933\n262,477\n266,293\n275,233\n284,805\n301,077\n140,168\n144,959\n150,116\n154,336\n169,167\n189,713\n199,774\n208,293\n209 405\n222,046\n234,783\n249,841\n84.9\n84.0\n82.9\n81.9\n84.2\n91.7\n92.2\n91.6\n91.5\n93.7\n95.5\n95.6\n1.430,646\n1,476,615\n1.467,102\n1.569,974\n1,712,878\n1,954,823\n2,005,165\n2,041,854\n2,076,336\n2,169,897\n2,275,127\n2,420,965\n85.0\n83.6\n81.7\n81.9\n83.9\n90.4\n91.2\n91.2\n91.2\n93.4\n94.5\n94.8\n24,640\n23,943\n24,172\n25,023\n27,830\n29,483\n31,515\n33,174\n34,963\n37,045\n38,480\n39,032\n93.8\n91.4\n89.2\n87.3\n90.6\n92.2\n95.0\n94.5\n93.5\n96.5\n98.6\n98.4\n200,585\n193,307\n187,891\n184,160\n197,100\n213,587\n212,514\n217,252\n223,079\n232,390\n239,871\n240,911\n93.8\n90.8\n87.7\n85.8\n89.5\n94.5\n93.3\n93.1\n92.6\n95.1\n96.7\n96.6\n164,808\n168,902\n174,288\n179,359\n196,997\n219,196\n231,289\n241 467\n244,448\n259,091\n273,263\n288,873\n86.2\n84.9\n83.7\n82.6\n85.1\n91.7\n92.5\n92.0\n91.8\n94.1\n95.9\n95.9\n1,631,231\n1,669,922\n1,654,993\n1,754,134\n1,909,978\n2,168,410\n2.217,679\n2,259,106\n2,299,415\n2,402,287\n2,514,998\n2,661,876\n86.0\n84.4\n82.3\n82.3\n84.4\n90.8\n91.4\n91.3\n91.3\n93.6\n94.7\n94.9\n1950 -\n1951 \t\n172,645\n181,160\n188.355\n26,205\n27,096\n.8.675\n1952 \t\n1953 \t\n200,893 | 30,712\n206,992 I 31.984\n216,743 I 33,190\n227,359 | 35,118\n228.917 1 37,376\n236,859 | 38,374\n245,766 j 39,039\n961.411 I 19 ftfifi\n1954 \t\n1955 _.\t\n1956 \t\n1957 \u00E2\u0080\u0094 \t\n1958\n19591\t\nI9602 \t\nPercentage of total, patients discharged\u00E2\u0080\u0094\n1949 \t\n1950 \t\n\t\n1951 \t\n\t\n1952 \t\n1953 . \t\n1954 .. \t\n....\n1955 ... . \t\n\t\n1956 . .\n.\n1957\t\n1958 \t\n19591 \t\nI9602 \t\nPatient-days\u00E2\u0080\u0094\n1949\t\n1.6\"2,196\n1.766 680\n1.795,438\n1.916,486\n2,041,615\n2.162.002\n2.198,863\n2.239.646\n2.277.567\n2,322,796\n2,407,134\n2,554,285\n213,874\n212.979\n214,285\n214,701\n220,208\n226.031\n227,674\n233,402\n240,872\n244,429\n248,074\n249,298\n1,896,070\n1.979.659\n2,009,723\n2,131.187\n2.261.823\n2.3S8.033\n2.426.537\n2,473,048\n2.518.439\n2,567.225\n2,655,208\n2,803,583\n1950\t\n1951 \t\n1952 \t\n1953 \u00E2\u0080\u009E \t\n1954 \t\n1955 ...\t\n1956 -\n1957 - \t\n1958 \t\n19591 \t\nI9602 \t\nPercentage of total, patient-days\u00E2\u0080\u0094\n1949 .. . \t\n1950 \t\n1951\n1952 \t\n1953 \t\n1954 \t\n1955 \t\n1956 . - \t\n\t\n1957 -\n\t\n1958 \t\n19591 \t\n\t\nI9602 \t\n r\nHOSPITAL INSURANCE SERVICE, 1960\nW 41\nTable Ha.\u00E2\u0080\u0094Patients Discharged, Total Days' Stay, and Average Length\nof Stay according to Type and Location of Hospital, and Days of Care\nper Thousand of Covered Population, 1949-60.\nTotal\nB.C. Public\nHospitals\nOther B.C. Hospitals,\nIncluding Federal\nand Private\nInstitutions\nOutside B.C.\nAdults\nand\nChildren\nNewborn\nAdults\nand\nChildren\nNewborn\nAdults\nand\nChildren\nNewborn\nAdults\nand\nChildren\nNewborn\nPatients discharged\u00E2\u0080\u0094\n1949 \t\n149,280\n154,643\n159,739\n164,379\n180,149\n199,974\n209,999\n219,218\n221,585\n236,770\n251,393\n264,653\n1,498,121\n1,564,222\n1,551,954\n1,663,149\n1,814,344\n2,046,087\n2,100,386\n2,141,445\n2.188.765\n2,332,502\n2,474,974\n2,624,197\n10.03\n10.11\n9.71\n10.12\n10.07\n10.23\n10.00\n9.77\n9.88\n9.85\n9.85\n9.92\n24,989\n24,336\n24,587\n25,492\n28,381\n29,761\n32,035\n33,783\n35,813\n37,924\n39,257\n39,514\n203,197\n196,333\n190,948\n187,923\n200,738\n215,507\n215,980\n221,022\n228,875\n238,112\n244,615\n244,184\n8.13\n8.07\n7.76\n7.37\n7.07\n7.24\n6.74\n6.54\n6.39\n6.28\n6.23\n6.18\n140,168\n144,959\n150,116\n154,336\n169,167\n189,713\n199,774\n208,293\n209,485\n222,046\n234,783\n249,841\n1,430,646\n1,476,615\n1,467,102\n1,569,974\n1,712,878\n1,954,823\n2,005,165\n2,041,854\n2.076.336\n2,169,897\n2,275,127\n2,420,965\n10.21\n10.19\n9.77\n10.17\n10.13\n10.30\n10.04\n9.80\n9.91\n9.77\n9.69\n9.69\n24,640\n23,943\n24,172\n25,023\n27,830\n29,483\n31,515\n33,174\n34,963\n37,045\n38,480\n39,032\n200,585\n193,307\n187,891\n184,160\n197,100\n213,587\n212,514\n217,252\n223,079\n232,390\n239,871\n240,911\n8.14\n8.07\n7.77\n7.36\n7.08\n7.24\n6.74\n6.55\n6.38\n6.27\n6.23\n6.17\n7,093\n7,617\n7,308\n7,431\n8,173\n7,602\n8,313\n9,473\n10,023\n12,506\n13,908\n11,896\n45,960\n65,326\n62,771\n68,892\n75,518\n66,960\n75,599\n79,428\n93,980\n141,925\n173,343\n173,784\n6.48\n8.58\n8.59\n9.27\n9.24\n8.81\n9.09\n8.38\n9.39\n11.35\n12.46\n14.61\n151\n173\n171\n161\n229\n199\n361\n457\n668\n665\n514\n222\n1,146\n1,288\n1,155\n974\n1,353\n1,251\n2,271\n2,740\n4,299\n4,113\n2,818\n1,334\n7.59\n7.44\n6.75\n6.05\n5.91\n6.29\n6.29\n6.00\n6.44\n6.19\n5.48\n6.01\n2,019\n2,067\n2,315\n2,612\n2,809\n2,659\n1,912\n2,050\n2,077\n2,218\n2,702\n2,916\n21,515\n22,281\n22,081\n24,283\n25,948\n24,304\n19,622\n20,163\n18,449\n20,680\n26,504\n29,448\n10.66\n10.78\n9.54\n9.29\n9.24\n9.14\n10.26\n9.84\n8.88\n9.45\n9.81\n10.10\n198\n1950 \t\n1951 \t\n1952 \t\n1953 \t\n1954 \t\n1955 \t\n1956 \t\n1957\n220\n244\n308\n322\n79\n159\n159\n182\n1958 \t\n214\n19591 \t\nI9602 _.\nPatient-days\u00E2\u0080\u0094\n1949 \t\n263\n260\n1,466\n1950 \u00E2\u0080\u0094\n1,738\n1951 \t\n1,902\n1952 \t\n2,789\n1953 \t\n2,285\n1954\n669\n1955 \t\n1,195\n1956 \t\n1,030\n1957 \u00E2\u0080\u0094\t\n1,497\n1958\n1,609\n19591\t\n1,926\nI9602 \t\n1,939\nAverage days of stay\u00E2\u0080\u0094\n1949 \t\n7 40\n1950 \t\n7.90\n1951 \t\n7.79\n1952 , \t\n9.06\n1953\n7.10\n1954 \t\n8.47\n1955 \t\n7.52\n1956\n6.48\n1957 \t\n8.23\n1958 \t\n7.51\n19591 - .\n7.32\nI9602 \t\n7.46\n1 Amended as per final reports received from hospitals.\n2 Estimated, based on hospital reports to November 30th, 1960.\nEstimated patient-days (including new-born days) per thousand of population covered by British Columbia\nHospital Insurance Service: 1949, 1,528; 1950, 1,548; 1951, 1,496; 1952, 1,527; 1953, 1,600; 1954, 1,733;\n1955, 1,720; 1956, 1,688; 1957, 1,626; 1958, 1,665; 1959, 1,724; 1960, 1,803. (1954 and subsequent years based\non assumption that total population is covered by British Columbia Hospital Insurance Service.) Population\nfigures revised according to latest census figures.\n VV 42\nBRITISH COLUMBIA\nTable IIb.\n-Summary of the Number of B.C.H.I.S. In-patients and\nShort-stay Patients, 1949-60\nTotal Adults,\nChildren, and Newborn In-patients\nEstimated Number\nof Emergency and\nMinor-surgery\nPatients\nTotal Receiving\nBenefits\n1949\t\n174,269\n178,979\n184,326\n189,871\n208,530\n229,735\n242,034\n253,001\n257,398\n274,694\n290,650\n304,167\n29,000\n44,502\n47,656\n46,767\n52,582\n63,621\n70,553\n76,375\n83,530\n91,883\n100,292\n107,312\n203,269\n223,481\n231,982\n236 638\n1950\t\n1951 _\t\n1952\n1953 \t\n261,112\n293,356\n312,587\n329,376\n1954.. .. .... .\n1955\t\n1956 \t\n1957 .... \t\n340,928\n1958. \t\n19591 .\n366,577\n390,942\nI9602\t\n411,479\n2,787,654\n814,073\n3,601,727\n1 Amended as per final reports from hospitals.\n2 Estimated, based on hospital reports to November 30th, 1960.\nTable III.\u00E2\u0080\u0094Patients Discharged, Total Days' Stay, and Average Length\nof Stay in British Columbia Public Hospitals for B.C.H.I.S. Patients\nOnly, Grouped According to Bed Capacity, Year I960.1\nBed Capacity\nTotal\n250 and\nOver\n100 to 249\n50 to 99\n25 to 49\nUnder 25\nSpecial\nHospitals\nPatients discharged\u00E2\u0080\u0094\nAdults and children\t\n249,841\n39,032\n2,420,965\n240,911\n9.69\n6.17\n86,023\n10,804\n1,056,858\n72,553\n12.29\n6.72\n77,305\n13,781\n685,943\n81,950\n8.87\n5.95\n32,270\n7,048\n262,740\n43,484\n8.14\n6.17\n36,438\n4,994\n279,001\n29,342\n7.66\n5.88\n10,926\n1,606\n78,457\n9,228\n7.18\n5.75\n6,879\n799\nPatient-days\u00E2\u0080\u0094\n57,966\n4,354\nAverage days of stay\u00E2\u0080\u0094\nAdults and children\n8.43\n5.45\n1 Estimated, based on hospital reports to November 30th, 1960.\nTable IV.\u00E2\u0080\u0094Percentage Distribution of Patients Discharged and Patient-\ndays for B.C.H.I.S. Patients Only, in British Columbia Public Hospitals, Grouped According to Bed Capacity, Year I960.1\nBed Capacity\nTotal\n250 and\nOver\n100 to 249\n50 to 99\n25 to 49\nUnder 25\nSpecial\nHospitals\nPatients discharged\u00E2\u0080\u0094\nAdults and children .\nNew-born\t\nPatient-days\u00E2\u0080\u0094\nAdults and children-\nNew-born\t\n100.00\n100.00\n100.00\n100.00\nI\n34.44\n27.68\n43.65\n30.12\n30.94\n35.31\n28.33\n34.02\n12.92\n18.06\n10.85\n18.05\n14.58\n12.79\n11.53\n12.18\n4.37\n4.11\n3.24\n3.83\n2.75\n2.05\n2.40\n1.80\nEstimated, based on hospital reports to November 30th. 1960.\n HOSPITAL INSURANCE SERVICE, 1960 W 43\nCHARTS\nThe charts on the following pages have been prepared by the Research Division\nfrom the annual tabulations made for the use of various British Columbia Government agencies. They give a general idea of the relative importance of the various\nhospital services (medical, surgical, etc.); they also provide some insight into\nmorbidity in British Columbia.\nIt should be noted that the diagnostic groups shown in these charts are those\nof the British Columbia list, and not those of the aU-Canadian list used for the table\non pages 50 to 53. In November, 1960, the Working Party of the Sub-committee on\nQuality of Care, Research, and Statistics, meeting in Ottawa, adopted a 98-item\nlist of diseases and causes of death in order to provide uniform morbidity statistics\nin all ten Provinces. The Canadian list is based mainly on the International Statistical Classification of Diseases, Injuries, and Causes of Death, prepared by the World\nHealth Organization (1957 edition).\n W 44\nBRITISH COLUMBIA\ncO\nG\nJ. CB\n* CjB\nt/3<\nO\nOS\nto\nZ\nOS\no\n\u00C2\u00AB\nI\nu.\no\nz\nS\nD\nJ\no\nX\nW\nQ\n\u00E2\u0096\u00A0\nH\nZ\nH\n<\no\nz\no\nH\nD\n\u00C2\u00AB\n2\nW\nCD\n<\nH\nZ\nw\no\nPS\nW\nCL,\n1/1\n\u00E2\u0080\u0094\nD\nO\nO\nO So\nZ <\nai\n\u00C2\u00AB> to\nO *\n1-5 ?_\u00E2\u0096\u00A0 un m cn I vo m oo\n\u00E2\u0096\u00A0JhHfMOOMWOM^ INOr^m\nrtostntnt^r^ootnsotn ivotN\nvo cn w-irtrnm^j i\u00E2\u0080\u0094i\nt- VC rt\n-nOvp\nOn r- vo\noort-^-voNOOWni\u00E2\u0080\u0094'-'OCit\u00E2\u0080\u0094rt-^ti-HND(Nl~-moovOrticnoooNO^rooON\na c\nrt cj\nQ S M\n\u00C2\u00A9 p\nrt TJ\nS rt.^ S3\nS> 5 o o\nu o \u00C2\u00A7 E\n.5 ,0 \"^ ___\nC a a\ny 3 \u00C2\u00B0 \u00C2\u00AB\n_2 5 J= J3\ni i\nU rt P\nHI\nU cn Eg\ni_i u M\nrt rt -g\n3 \"5 <\u00C2\u00A7.\nCM\n'5 M TJ\n3 S I\na \u00C2\u00B0\u00C2\u00B0 G J\na> ^\nrt J_\nWJ ! H\nO ! g\n\u00E2\u0080\u00A2o \u00C2\u00A7 -a j.\n-j rt rt\n11*\nSB\"\n,5 1 O ,'\nra CO \"^ '.^ u\n6 \u00C2\u00A3 rt 5 a *S\n+3 \"3 oo\no o #nVi;t--o6aN\n03\nS rg\n\u00E2\u0080\u00A2h _\no o\n-o *-\n\u00C2\u00A71\nal\nrt 0\na i\ng<\nE \u00C2\u00AB\nO wj\ns. \u00C2\u00B0\n_o\n0 >,\nq*\n1 c\nIS\n\u00E2\u0096\u00A0 a\n\u00E2\u0080\u00A2o H\n\u00C2\u00A73\n|E\n53 \u00C2\u00B0\noo J\"1\nD. rt\n3 *\u00E2\u0096\u00A0\"\nO u\n0o\u00C2\u00A3\nu cs\nC m\n\u00E2\u0096\u00A03 ^^\nu O u\n i\nw\n<\no\n0\nc\n<\nB\n0\nH\nCO\nu\nw\n(0\nu_\nB\non\nP\nH\n0)\nUh\no\no\nz\nCO\n*\n\u00C2\u00AB\nH\nZ\nH\nw\nu\n<\nz\no\nPh\nc.\nHi\nO\n0.\nO\no\n_0J\n-D\n\u00C2\u00AB\nto\n\u00C2\u00A7\n<\n-O\ng\nz\no x\nL r_n\nW CO\njCQ _r<\n20\nOS\nS w\n8a\nz w\n5 Ph\nw\nPh\ng\nVh\n3\n<\nW |_J\nIs\nH\nu, 2\n\u00E2\u0080\u00A2 \u00C2\u00BB\n! 1\ni \u00E2\u0080\u00A2\n\u00C2\u00AB :\n1\n1\n*\n\u00C2\u00BB\n*\nV *\n\\n\\n*\ni\ni\nt\ni *\u00E2\u0080\u00A2\ni\ni\ni\n\u00E2\u0096\u00A0\n* f\n1 * *'\nt\n*\ni\n\\nV\n\\n*\n*\n\\n\\n\\nt\n*\n*\nX\nX ft\nX \\n\\n\\nX\n%\n*\\nI\nw\nW\n\u00E2\u0080\u00A2 \\ni \u00C2\u00BB\nw\n_jA\n i\\nD\nO\n HOSPITAL INSURANCE SERVICE, 1960\nW 47\n\u00C2\u00A3 o\n\u00C2\u00AB z\n3\u00C2\u00B0\nS 3\nS 9\nco X\n_2 W\nUJ w\n*_ J\nO H\nOS O\nPh j-h\nQ W\nO\nW aj\n\u00E2\u0080\u00A2a\nO H\nOS\nc.\n3 n.\nl/J\nB O\n4H\n8S\nC\n\u00C2\u00B0g\nco Z\nu\nH o\nUJ\nZ Ph\na s\nH O\nPh\n-C\nCO\nJ <\nc\nj-1 \u00E2\u0096\u00BA,\n0)\n< 5\n\"3\nEd O\n0\nO B\noo\n\nH\nZ Ph\nt_\nW _\nC3\nB Z\nt. o\n< hH\n0\nPh b\np\no\nJ pa\n4-i\n_e\no\nc\nOJ\n0\nPh\nO Ph\n1\nP. pj\n3 w\nH Ph\n6\nCO ,\nX\n- cti\n0\nQ >\n[H\na.\nH 3\na.\n<\nz s\nUi p\n^\np. *<*\nw B \"o\nHJ _H OV\n\u00E2\u0096\u00A0< Ph CO\n_J P z\n5 O PS\nS os o\n3 O B\n-\\u00E2\u0080\u0094\n\\nV.\nif.\nU\na\ntr\n\u00E2\u0080\u00A2 i\nIT\nV.\nI\nD\nO\na\n0\na\na\n<\n VV 48\nBRITISH COLUMBIA\nAverage Length of Stay of Patients in Acute-care Hospitals in British\nColumbia by Major Diagnostic Groups (Excluding New-borns), 1959\nDiseases of the Circulatory\nSystem\nNeoplasms\nCongenital Malformations\nDiseases of the Bones and\nOrgans of Movement\nDiseases of the Blood and\nBlood-forming Organs\nAllergic, Endocrine, Metabolic\nand Nutritional Diseases\nDiseases of the Nervous System\nand Sense Organs\nInfective and Parasitic Diseases\nMental, Psychoneurotic and\nPersonality Disorders\nCertain Diseases of\nEarly Infancy\nAccidents, Poisonings and\nViolence\nDiseases of the Digestive System\nProvincial Average\nLength of Stay\nDiseases of the Skin and\nCellular Tissue\nDiseases of the Genito-Urinary\nSystem\nDeliveries and Complications of\nPregnancy, Childbirth and\nThe Puerperium\nDiseases of the Respiratory\nSystem\nSymptoms, Senility and\nIll-defined Conditions\nSupplementary Classification\nfor Special Admissions\n15.7\n1\n15.5\n14.1\nMA7//\n1.7\n11.7\nw////////////^a'//////mmm\nV7,\n r\nHOSPITAL INSURANCE SERVICE, 1960\nVV 49\n VV 50\nBRITISH COLUMBIA\noocscNCHo.v_jwrH-tr-.m\u00C2\u00BBno\o.---Hir)W.tNi>\nvSooc_ooo\dddodooodooOrS\nt\u00E2\u0080\u0094 oo (viO^J^Ow-iJ^w-jmco-HOO\u00E2\u0080\u0094J\noocn ajrtoo-iinfjHNJO^JOtfJooN\ndo ot.ddo'Hodo'dj1\n* \u00C2\u00A9 d \u00C2\u00A9\nOs\nov\nB\nH\n<\nPL)\nQ\nPh\no\nco\nUi\nCO\nD\n<\nu\nQ\nZ\n<\nco\nW\nCO\n<\nW\nPCj\nO\nH\nCO\nz\n<\n3\n<\nz\n<\nu\npa\nB\nH\nO\nH\no\nz\no\nu\nu\n<\nco\nW\nCO\nO\nz\no\nco\nZ\no\nH\n<\nN\n3\n*fiv.>Cmo,JisC-'nif.(i.OTtOMP.o\*H\nH/r.HrtTfVO'OOH(SHtNtmHOlNtNHh\nHoddcidiftddodddddddddd\n\OHtN--M30t\O^h(Nfrlh(S\ntNVOCOtNTtODO'H'tTfffifrit^rj\n^C^OCJOOOOOOrtOoO\n >.\ninO O\H/MHH\u00C2\u00BB'tvoova;c-;H0vm\n00 O yOCSOvt^OvOTt'TftNfSrHt^OvOV\n12\nZo\n^Ovrn(SrtCTvrj-Oav>riii-)Or~-in'-Ht--r-oOrttN\nNO^rrvir--cnrnOTt-fnr--if-.ND'fncnr~-fnrtrtVo\nO^t-NOr-m in r-iooo tNaO^vONf^^ON MOv vo\nrj- sotntnOssoooc^OsOor^r^) \u00C2\u00BB\u00E2\u0080\u0094\u00E2\u0080\u00A2 Ov cn cn\" tN cn \u00C2\u00BBn\" \u00E2\u0080\u00A2\u00E2\u0080\u0094\u00E2\u0080\u00A2\n^- rtrt -_rt.rt.r-i rtrt-*\n\"*ov Ttr-v.oo\u00C2\u00A9vovO'CM^r.OixiOa)h>oov(Nr>itNnm\nitr-^ovNr.mM'iooxvDov^oxiNvooo\nr^rncnrno^rt^i-H-^r>nrnw-.O00fNts>r.r--t-ni---\nZ'S\n(^Tf HtfO\*c\u00C2\u00BBM-HOOONO\Om\nCN NO r-H/v.HhOW'-xMOntNt\nTt^ND HloO^HtSHH;-HHmMa'n\nCN cn no cn i-nfN i-Hi-nrn i-h\nz\noo on m cn <\nrn \u00E2\u0080\u0094 oo On (\ni-h \u00C2\u00A9 \u00C2\u00A9 CN \u00C2\u00A9 \u00E2\u0080\u00A2\nM 1ft .\nrt rt \u00C2\u00A9 O rt '\ni t*- i o\n> Ov oo m \"\"t i-h in \u00C2\u00BB-( \u00C2\u00A9 r* wi\n) cn tj- so ___. t\u00E2\u0080\u0094 oo m \u00E2\u0080\u009Eov \",_l\n*CNi-Hi-Hcn\"*rt\u00C2\u00A9t-Hi-Hinr--rt^trti^rtcnfSvo\n.iimmm i r- r- L t- r- IO .vo o -*-*\n\u00E2\u0096\u00A0\u00C2\u00A9\u00C2\u00A9rHrtrtc-IrtrttNi-HrtOfN^rtrtTrN^tCS\n-tI-tt so t- ooin^ji-H\n, rt rt ^ ~ rt ^ ^\u00C2\u00AB \u00C2\u00A3 g \u00C2\u00AB\n' \u00C2\u00A9\"rt oo\"^\nr- On\ncn cn\n\u00C2\u00A9\n. CN \u00C2\u00A9 '\ne _? 52 u ^ '\nB_,S* \u00C2\u00AB\n\u00E2\u0096\u00A03 ^5 \nJ_ \u00E2\u0096\u00A0a\na a\n\u00C2\u00A3 .2\n~ D.\nH O\n\na\no\nO\n\u00E2\u0096\u00A0d\n'C\nrt\na\nrt\nOJ\nu\"\na\nO\nbt>\n-O\nrt\no\n3\ns\nU\n4)\ng\n(L>\nid\nfl\n>.\na\no\nB\nC\n'i\na\no3\n.2. o\nCO \u00C2\u00BBS\ni DO 00 O\n1 >h C _2\n1 O \u00E2\u0096\u00A0- -n\n\u00C2\u00B0g'\n5 ^r P\nBD 3 ^\n\u00E2\u0080\u00A2S O .tJ\nrt\nO O S\n\u00E2\u0096\u00A0S g\ng 00 00\n, rt rt rt\n1 O.S S\nij C ._ ^j rt ^ .- \u00C2\u00AB .W rt .Z7 -- .\nrt rt\nrt rt\nIII\nrt rt ^\nfl C cu C\n_S^&\u00C2\u00BB\n13 S_S,g \u00C2\u00AB\n\"En ** O \u00C2\u00B0 \u00C2\u00AB\nS o c o o\n^ [fl !* t\u00C2\u00BB.\nrt rt cu\nH Jr. \u00C2\u00AB\ni \u00C2\u00A3.a\n\u00E2\u0096\u00A0\nn \"9 \u00C2\u00ABJ\nrt Q,\nIB 0J\n- UJ\nUJ __\nO O -o\n\u00E2\u0096\u00A0P -P fc\nu o o\n& &3 E2\nCHtNr.^Jfl^:*fiboo_\Or.M[.H.ir]j_|-oo\n\u00E2\u0080\u00A2 .23 \u00E2\u0096\u00A0 cu \u00E2\u0080\u00A2 \u00E2\u0080\u00A2 \u00E2\u0096\u00A0\n4 (-. cn irt rs cn cn\n__ >\n HOSPITAL INSURANCE SERVICE, 1960\nW 51\nCNNOrtCorn^tviT]-r^i^O'-HvoiiNr^CNaocnov^QocNCNr--\u00C2\u00A9Ov\npcnpcncnovin_rtc\u00C2\u00BBcnONON\u00C2\u00A9NOc*i^r^i-Hcncn^\nNOCNrtOi-H\u00C2\u00A9CNrtlnrtO\u00C2\u00A9rt\u00C2\u00A9\u00C2\u00A9\u00C2\u00A9'\u00C2\u00A9i^\u00C2\u00A9\u00C2\u00ABctrtr4rtCN\u00C2\u00A9CN\n\u00E2\u0096\u00A0\"\u00C2\u00A9OCNi-Ht-\u00C2\u00A9\u00C2\u00A9\u00C2\u00A9\u00C2\u00BB\nI \u00C2\u00A9 o \u00C2\u00A9 \u00C2\u00A9 \u00C2\u00A9\nftt\u00C2\u00BBH;HN'*tNoot^inc^^r^fNl'c.Nr-ftxr.fNvoOMvovo\nr^\u00C2\u00A9vomincNNO^ONWvocnc\u00C2\u00BB_^cN.vir^^vor^oo\nH/'HddiHrHhdcJdddddddhHdwrtooHrNHrt \u00C2\u00A9^cN\u00C2\u00A9i-<\u00C2\u00A9\u00C2\u00A9'rtrta6\u00C2\u00A9\u00C2\u00A9\u00C2\u00A9i\nI \u00C2\u00A9 \u00C2\u00A9 \u00C2\u00A9 \u00C2\u00A9 rt. rt\ni-H\u00C2\u00A9r^NO^ooinONvo^t\"oocNcnrnoovc>Ortrt^(NNOi-'cnovt^\n\u00C2\u00B0. \u00C2\u00B0_ ^*\u00C2\u00ABN^f^hwc\u00C2\u00BB^hNOvoooow\u00C2\u00BBMm(oft\u00C2\u00AB,XrtOo^t^v_NOinrteocNt^ONc^\u00C2\u00BBn\nrtCN-Hi-H HNHHWtNH H rt ^\nt\u00E2\u0080\u0094r^ON\u00C2\u00A9NOmoomONooovONONONoomi>fnfnin\ncnt^Noo\t--^tr--ov\u00C2\u00BBnr^i-'CNrN'Vicooo(Nvoovoo\0'\ni-h in in !~h tn cn os Ov cn (-^ t^\ *\u00E2\u0096\u00A0*\"* fm^i \"n f*^v ^n rk i/-. rvi m #\u00E2\u0096\u00A0*-* *\nCNincNOooinr-cnm \u00E2\u0080\u0094\nTt NO Tf On i-h (sf \u00C2\u00A9 l> ON -H\n*d- m cn mcN\u00C2\u00A9cNcnmcNCNcNi-H rtin\ni-HfNfNW->OOOOCNNOCTvOONOi-HCNOv\u00C2\u00A900\nmm\u00C2\u00A9cnONNOOvincNcnmON'^tfr.Ti-ON\n\u00E2\u0096\u00A0\u00C2\u00BBjoo>noor-pcn\u00C2\u00A9Tj'OvONCN(--oocN\u00C2\u00ABn\nrtrtin^cwocot^'oTcnr^cxsrti-Hr^cN\n\u00C2\u00A9 cn ^j- cn Ov\nTf^j-oooN(--ooooNor^cNfNNOpONOinovinOv\u00C2\u00A9\nvo\u00C2\u00A9r-vortt\u00E2\u0080\u0094 ONNOcNoomr-Oi-HrtxtoocncNcn\n^cnr^c)ooocNONn\u00C2\u00A9,*NOooooTj'oo\u00C2\u00A9cnr--NOvorn\n\u00C2\u00A9 \u00C2\u00AB\u00E2\u0096\u00A0* vd \u00C2\u00A9\" \u00E2\u0096\u00A0<* *n r-\" m\" 00\" vd on r-\" ^r\" on\" \u00C2\u00A9 cn r->\" i-h \u00C2\u00A9\" cn\nrtcn-fi-HCNi-H in CN 00 HHtNt ,_h CN i-h CN\nc\u00C2\u00A3NOONr^\u00C2\u00A9NOTtMOvcn'nONTtrnin-itincNOOvONT]-rtcn>ncN\n\u00C2\u00A9\u00C2\u00A9ONoo(NON\u00C2\u00A9\u00C2\u00A9m,3-'*>rir\u00E2\u0080\u0094\u00C2\u00A9cNi-Hr-\u00C2\u00A9rtCNvivoi-H\u00C2\u00A9OcN\npt^^->c\u00C2\u00AB\u00C2\u00A9rtCN'rri-HinoortoONOcntninr^cnin'r|-ocnov,*t\nCN cn i-h\" en rn On\" rt r-\" ci i-h cn i-h i-h rt *? i-T on \u00E2\u0096\u00A0* \u00C2\u00A9\" rf \u00C2\u00A9 CN cn\"\n1-1 i-h ^t cn cn\n\u00E2\u0096\u00A0\u00C2\u00BBt m cs t- tn rt no\n'nOvONNO\u00C2\u00A9oocNc3otncn\n)CN\u00C2\u00A9\u00C2\u00A9ooovtj-onOvOn\nT Tr\" in i-h cn cn\" cn \u00C2\u00A9\noor-\u00C2\u00A9Tfoo\u00C2\u00A9r^NONONO\u00C2\u00A9\u00C2\u00A9\n__\". ry-j \u00E2\u0080\u0094h #v. .-\u00E2\u0096\u00A0* *H> --O ^H- __\". ^T. sH^ f^i\n00 \u00C2\u00A9\ni-h\" rt\" cn\" CN CN t-h\" (N '*\nTrvicNr-in'T'tiinwr'cj^at.or-vuvu'itJuu\nNOOvONNO\u00C2\u00A9oocNco\u00C2\u00BBncnrtcnc-'\n^ m vo\nin tn tn\n\u00C2\u00A9 ri\" ON \u00C2\u00A9 \u00C2\u00A9 NO M\n00 00 cn on Ov \u00C2\u00A9\nm in m tn tn vo\n\DOV1vO H\n-i-h *i cn cn\nm \C v5 vo vo\ny-f m\nNO VD\nnO\"cN\u00C2\u00A3\nrt \& so \G\ns2rf^^\nrt rN f'1\nG flJ ___,\n3. a o,\nB \u00C2\u00A3 cn 1\nrt c rt ,\nr- H S\nM C 1_\no \u00C2\u00AB -a\n> w d\n|h a rt\nB.2 *\n9) 01 O\nfn rt \u00C2\u00A3\n0 B \u00C2\u00A3\nrt > \u00C2\u00A3\nIh a\na h 33 m *\u00C2\u00B0 \u00E2\u0096\u00A0\u00C2\u00A3\nrt 2 8 S *\n.a I S1 o\nE .2 ^ \u00C2\u00A7 S.\n3 1- ^ oj rt\nisigji\ni >s\nCO tH\n32 g\nX_ rt iu\nO 3 ta\n\u00E2\u0096\u00A0\u00C2\u00A7,.5 M\no \u00C2\u00B0 b\nBjb 2\no^ \u00C2\u00A3\n71\nrt rt rt \u00C2\u00B0\n1> D 0> cfl\n_to tn co \u00C2\u00AB\n<5 25 \u00C2\u00AB s < obc\"q\n_9 \u00C2\u00AB. \u00E2\u0080\u0094 wj\nO \u00E2\u0096\u00A0\u00C2\u00BB B -*\nsi-Si\n822S\n\u00E2\u0096\u00A0_: 3 u g\n>Kn.O\n\u00C2\u00A3 3 -\n0 o\n\u00E2\u0080\u00A28E\noS\nrt rt *jr\n.5\n\u00C2\u00BBe_\n\u00E2\u0096\u00A03 3 ^\n5 S o\n\u00C2\u00B0 T_\nB'5'O\nO, 3 3\n.3 c_\nP V\np2\n3 o\n\u00C2\u00A7__B\n0 tfl oo\n\u00E2\u0080\u00A2Sis\ni: \u00E2\u0080\u00A2s ih\n2g\u00C2\u00A7\no 3\n\u00E2\u0080\u0094 <-\n.g *\n\u00C2\u00A7 ill\nB a a S\n_; 3 g rt \u00E2\u0096\u00A0\"\u00E2\u0096\u00A0\n5*\u00C2\u00B0 8.1 \u00C2\u00BB\nfl \u00E2\u0080\u00941 B. Ih _t-\n. .-. -r - jrt * S A \u00C2\u00BB \u00C2\u00BB\nCJ .2\na _ . to\n_? H S S 6\n\u00E2\u0096\u00A05 \u00C2\u00A7 i. \u00C2\u00AB S\n\u00E2\u0080\u0094 \u00E2\u0080\u00A2\u00E2\u0080\u00941 U Ih rt\nO 3 cn a) cn\nIS 5.3=3\n\u00E2\u0080\u00A2a i \u00C2\u00B0 1 \u00C2\u00B0\np S \u00E2\u0080\u00A2g g\n?B 6\nO &J_\np 3\nMn\".\n2 rt\ntfj 3\n& :\n__\"2 '\nM _0 ti\n\u00C2\u00ABicS\nDO g\no rt\ns u \u00C2\u00AB\nCU ,1 \u00E2\u0080\u00A2-\n\"' y_ .2 '\nB o co\nnil\nUUUQO\nQ\"\" m Tfr 1\nNO NO V\nX\n\u00C2\u00A35 S a\nis\"ss\n3 S3.2 \u00C2\u00A3\nt-i V cn 3\no .2 43 s\n\u00E2\u0096\u00A0-\u00E2\u0080\u00A23 & \u00E2\u0080\u00A2a\nrt +3 >> aj\nUOBjh\nQ. u\nbi_\n\u00C2\u00AB &E\nS5QO\n VV 52\nBRITISH COLUMBIA\n\u00E2\u0080\u00A2C3\ncu\na\n\u00E2\u0080\u00A25\na\no\nO\nOn\nin\nON\n33\nH\n<:\nw\nQ\nIx.\no\n03\nUi\nCO\np\n<\nu\nO\nz\n rt\nrtW\nIh*\nd [fl\n> >.\nNO^Ttvo\u00C2\u00A9>nONr~i-Hcninin\nZo\nE \u00E2\u0084\u00A2\n|u\nZ'S\nmmi-HOvitNOi-Hvomrtcnvo nhhoi Oivc vo -h\nr\u00E2\u0080\u0094 Tft\u00E2\u0080\u0094 mcNt--\u00C2\u00A9r--cNcN\u00C2\u00A9cn oocNCNm m m n\"ovcN m* tN CN r- f- tT if in\ncn cn cN it cn mrNCN\u00C2\u00A9CNcn -t cn cn _i t-h r-\nm\ntN\ngm i-h m it m on cn\noo vo \u00C2\u00A9 oo cn oo t\n\u00C2\u00A9i-Ht-cn\u00C2\u00A9_ Os v^ t~-\nrt oo\" t^ ri oo\" vo\" cn\" CN\ncn cn i-h vo cn i-h fN\nNOcNi-HONor-incNcnovtN!-<\nrtTfit\u00C2\u00A9itoocnr^Nor-ooin\nTtt-t>r-oocn^tfN'\u00E2\u0080\u0094 noon\u00C2\u00A9\nvo n r- r- r- r- r-\nit^m r- oc on on \u00C2\u00A9 cn cn Ii-mm vo\nvonond vo vo vo vo t~-1^ t^ p r- r~ r- r-\nON\nno m m ?k\nt- ON ON i-V\nr- t- r- 2,\nNO CO 00 \u00C2\u00A9\nr^ r- r- co\nz\nNO\nm\nSoetg!\n1\nCN On Ov i-h On\n00 0\ On CJ J -I\nCO CO 00 00 00\n00 00 0\ 00 \u00C2\u00ABH KJ\n*sl\u00C2\u00AB .*-\n\u00C2\u00A9 O i-h cN CN\nm \u00C2\u00AE __*\" in oo _\u00C2\u00A3\nOO OO Ov oo \u00C2\u00A9 m\n00 00 OO OO OO\nizzzz\nZZZ^J\noo\nSo o a\nz\nS**\n.a p\n\u00E2\u0080\u00A2a .2\ng a g ..\nO u 3 w\no Q p, rt\nS 8 \u00C2\u00AB3\nO c; 3 -h\n3 u\n|8\ng \u00C2\u00B0\n\u00C2\u00B0 p\nu s\n\u00E2\u0080\u00A23 a\n\u00E2\u0080\u00A2cg\u00C2\u00B0\nSo.\nu .\ng 'u ~ 3\nw Utw rt\n3 6. \u00C2\u00B0 C\nO wj 'H\n\u00C2\u00A3\u00C2\u00A3\u00C2\u00A7\u00C2\u00AB\nS-. >. cj *-*\nb H3 _3 \u00C2\u00A3\nof-.14 5?\nO O rt cu\na * \u00C2\u00A71\nrt . u \u00C2\u00AB\nEf gt-S\n0.2 8 g\niiiii\n1**5\no g 8 S \u00C2\u00A7 \u00C2\u00A7\nP .2 fl \u00C2\u00AB \u00C2\u00A7 .2\nO -o \u00C2\u00ABw a CJ -3\nl^iS\u00C2\u00A3&__\nSo 1<:qo\n32\nO 3\n_l u\nI-\n.3 P\n3 rt\n.S O\n1.8\n-j a .g s s a 5 '\nS 5 b. _. rt \u00E2\u0080\u0094 rt\n\u00C2\u00B0 g i* 'S -3 _-\n33 B _J P*J3 fl __\n11 \u00E2\u0080\u00A2\u00C2\u00AB\t\n\u00E2\u0080\u00A23 \u00E2\u0080\u0094 !. '\ni( S rt >, \u00E2\u0084\u00A2.g\no \u00C2\u00BB n - o\nO\nB\n>T3\nB S\n'b.2\n\u00E2\u0080\u00A2-H o\nv. O\nO tn\nB w\nrt\"\nd> B\nO rt\n-H^\n^\nO aj\nB\n\u00E2\u0096\u00A0?fl\n3\n\u00C2\u00AB ^.\nB E\n'(..!=\nrt \u00E2\u0080\u0094\nH1 3 rt\nB o\n3\nB\ntfl J3\na\n3\n\u00E2\u0080\u00A2H-H\nCJ Ih\n0 -M\n- tfl >.\n- OJ Ih\n. 7^ .__>\n\" 3 & .9\n- i* \u00E2\u0096\u00A0-\n-2 ootj x:\n'g \u00C2\u00A7 .\u00C2\u00A3\u00E2\u0096\u00A0 5\nocU S CQ\nB C\nUSUco\n> >\nn \u00C2\u00AB -\nisi\nB .\n>. in\nC/5 oo\nS -B\n11\n>\nE -O\nO O\nT? h CH \"H \"H\n\u00C2\u00B05000\nO ft O O o\nh \u00C2\u00AB_ k h h\n3^333\nO a o o o\nrt 3 rt rt rt\n\" a\u00C2\u00A3s \u00C2\u00A355. aSm55\n3Ph\nu\nu\n<\n>\nX\n HOSPITAL INSURANCE SERVICE, 1960\nW 53\ni\n\u00E2\u0080\u00A2\nc\n\u00C2\u00A9 v\u00C2\u00A3\nj\nI-H T-H\nc-\ncn i-h m no tn\nCN\nt^ rf s\u00C2\u00A3 <\u00C2\u00A3 rf\nON\nCN\n#\n-h co r- cs ^t\nNO\nno m m m i-h\nm\ncn cn no r- r-\n00\nON NO ON CN\nNO\noo tt cn\nOO\nCN CN\nNO\nCN\nno oo t- on cn\ncn\noo m on cn \u00C2\u00A9\n00\ni-h m ov vo\nOv\n\u00C2\u00A9 t~- l-H\n\u00C2\u00A9\"\nit cn\nON\nCN\nr- ov\n^^00\nvdoo\"\u00C2\u00B09\n00 \u00E2\u0084\u00A2<*6\nYOO-8\nYOO\n22, 23,\n24, 25,\n1-18,4\n\u00C2\u00BB -o\no ^ s__\ncs cn r*\n><\u00C2\u00A3.\na\nX\nu\n3\n0\n>\n0_\np\ni\n3\n\"u\n.S~\n.2 M\n\n\u00C2\u00BB1\nP E\n.2 \u00C2\u00A7\nE\n#\n9 x\nrt o\nB\no\na\nI\n-J CJ fe\nJD\nT3\no\nrt w O\n*rt\n\nu\nu\nCQ\n4- *0\n\"-1 rt\n \u00C2\u00AB *\u00E2\u0096\u00A0 \u00C2\u00AB\n?s .3 ,3 aj\nJ.2\u00C2\u00AE SIS\n5 b a a \" rt\nh .ft Of O ? f!\ns z Qg I o\n> _a . -w s iu\n5 t3 b E rt B\n\u00C2\u00A3. - .2, rt a \u00C2\u00A3\n\u00E2\u0096\u00A0^ B rt >\u00E2\u0080\u00A2 i_-_ n\n\u00C2\u00A9.5M\nS S u\naj *\"\nP 3 >\u00C2\u00BB\n73 ^ \"fi B rt\n\u00E2\u0080\u00A2n g \"a \u00C2\u00B0 \" F\n^ u Ji tj rt q\na s s I \u00C2\u00A7 w\n_.ft \u00C2\u00ABg\n\u00C2\u00B02g\".5S\ng *s-l^ I\n\u00C2\u00ABa E -3 J t- 2\n0 * - -.-...\na S-S\nO J\nB 3 H . +2 \"S\nC cj O .32 O >\naj cj \u00E2\u0096\u00A0*-* O tH CU\nrt 2 w h .o u\n W 54 BRITISH COLUMBIA\nSTATEMENT OF RECEIPTS AND DISBURSEMENTS FOR THE\nFISCAL YEAR ENDED MARCH 3 1st, 1960\nAdministration\u00E2\u0080\u0094\nSalaries $393,012.37\nTemporary assistance 8,037.40\n$401,049.77\nOffice expense 21,821.80\nTravelling expense 30,385.21\nOffice furniture and equipment 1,497.20\nPrinting and publications 21,218.53\nTabulating and rentals 2,809.70\nMotor-vehicles and accessories 2,297.80\nIncidentals and contingencies 2,480.50\nConstruction\u00E2\u0080\u0094consulting fees \t\nTechnical surveys 1,721.03\n$485,281.54\nPayments to hospitals\u00E2\u0080\u0094\nClaims $43,553,502.75\nVancouver General Hospital re out-patients\n(Hospital Insurance Act, section 35\n(30)) 283,415.84\n$43,836,918.59\nLess collections, third-party liability 195,954.66\n43,640,963.93\nGrants in aid of construction and equipment of hospitals 4,672,946.94\n$48,799,192.41\nLess chargeable to Government of Canada.. $20,406,091.56\nLess miscellaneous receipts 4,351.83\nLess transfer, Vote 138\u00E2\u0080\u0094Salary Revision __ 28,332.00\n 20,438,775.39\nTotal, Vote 177 $28,360,417.02\nPrinted by A. Sutton, Printer to the Queen's Most Excellent Majesty\nin right of the Province of British Columbia.\n1961\n460-1260-9009\n "@en . "Legislative proceedings"@en . "J110.L5 S7"@en . "1961_V02_15_W1_W54"@en . "10.14288/1.0362899"@en . "English"@en . "Vancouver : University of British Columbia Library"@en . "Victoria, BC : Government Printer"@en . "Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia"@en . "Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia"@en . "Twelfth Annual Report British Columbia Hospital Insurance Service JANUARY 1ST TO DECEMBER 31ST 1960"@en . "Text"@en . ""@en .