Oversight of the VA's Extended Care and Geriatric Programs: Hearing Before the Subcommittee on Hospitals and Health Care of the Committee on Veterans' Affairs, House of Representatives, Ninety-seventh Congress, Second Session, July 14, 1982

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Page 42 - Chairman, this program provides grants to assist states to acquire or construct state home facilities for furnishing domiciliary or nursing home care to veterans and to expand, remodel, or alter existing buildings for furnishing domiciliary, nursing home or hospital care to veterans in state homes...
Page 53 - Mr. Chairman and members of the subcommittee, it is a privilege for me to appear before you again, and I appreciate this opportunity to discuss with you our appropriation request for fiscal year 1974.
Page 103 - Each is licensed by a state to practice medicine and surgery. Thus, an ophthalmologist is the specialist who can deliver total eye care (ie, "vision services," contact lenses, medical eye care, and surgical eye care) as well as diagnose general diseases of the body. The ophthalmologist has completed four years of college premedical training, four years or more of medical school, one year of internship, and three or more years of specialized medical training and experience in eye care. Refraction...
Page 65 - ... veterans. Originally, the Homes were converted barracks and there was little intent to provide medical care. During World War I some medical facilities were created, and these became more developed when the Veterans Bureau became the Veterans Administration in 1930. Enactment of Public Law 293 in 1946 increased the emphasis on medical services with the establishment of the Department of Medicine and Surgery, but the domiciliaries continued essentially as a protected residential program. The present...
Page 103 - An ophthalmologist is a physician (doctor of medicine or doctor of osteopathy) who specializes in the comprehensive care of the eyes and visual system. The ophthalmologist is the only practitioner medically trained and qualified to diagnose and treat all eye and visual system problems. Each is licensed by a state to practice medicine and surgery. Thus, an ophthalmologist is the only provider who can deliver total eye care (ie, -vision services-, contact lenses, medical eye care, and surgical eye...
Page 65 - Domiciliar ies represent the original programs in the Veterans' Administration and derive from 1866 legislation which established Soldiers Homes for disabled veterans. Originally, the Homes were converted barracks and there was little intent to provide medical care. During World War I some medical facilities were created, and these became more developed when the Veterans Bureau became the Veterans Administration in 1930. Enactment of Public Law 293 in 1946 increased the emphasis on medical services...
Page 103 - An ophthalmologist is a. physician (doctor of medicine or doctor of osteopathy) who specializes in the comprehensive care of the eyes and visual system. The ophthalmologist is the medically trained specialist qualified to diagnose and treat all eye and visual system problems.
Page 66 - Since the enactment of Public Law 88450 in 1964, VA grants have been utilized by 22 States for construction projects for nursing home beds. Public Law 91-178 made it possible for the VA to participate in the remodeling of existing hospital and domiciliary facilities. The provisions of Public Law 95-62 enabled the VA to continue to assist...
Page 59 - Level 0 (no disability); Individuals at this level are essentially well and need no services. They should have access to and take advantage of periodic examinations to rule out and treat nascent and otherwise unrecognized disorders, particularly those with serious potential. Older individuals, just as the very young, should receive appropriate immunizations. Level 1 (minimal disability); These are patients with established diagnoses, which require periodic services, especially visits to the physician's...
Page 63 - First, improvements in psychiatric therapy; second, the advent of a large variety of psychotropic drugs which have made it possible for many psychiatric patients to function independently; third, a recognition of the poor rehabilitation potential of geographically isolated institutions; fourth, the recognition that psychiatric care is more effectively delivered when it is on a service of a general medical and surgical teaching hospital; fifth, a change in philosophy which has encouraged returning...

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