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hospitals and other new facilities and systems. And we will have a composite VA hospital staffing ratio of 150 employees per 100 patients, an increase of one over 1973 and four over 1972. And this of course will be the highest that we have ever had.

Then the statement makes reference to our research program and our construction program and what we plan to do with respect to those programs.

It also makes some reference to an educational program.

With that, Mr. Chairman, I would now like to call on Dr. Musser to make his comments and then we will of course be pleased to answer such questions as you may have.

Dr. MUSSER. I appreciate this opportunity to share with you some of the improvements that we think have taken place in the medical program of the Veterans' Administration in the last several years.

In this period of time we have been seeking to do a number of things among which was to try to develop the medical program as a health care delivery system, because there has been much talk of the need for some concept of a health care delivery system in this country.

In addition we have tried to make the system more responsive to the needs of sick veterans, and in this effort we have been concerned with the efficiency of the system, with the performance of personnel, and indeed with the utilization of the various kinds of skills that are necessary to take care of the sick in a number of different settings.

These transparencies, which we will now begin to project, I think give you an over view of some of these changes that have taken place.

May I have the first projection please ?
[Slide presentation.]
The slides follow:

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VA PATIENTS ARE ALSO CARED FOR IN NON-VA HOSPITALS, STATE HOSPITALS, STATE
DOMICILIARIES, STATE NURSING HOMES, AND COMMUNITY NURSING HOMES, AND RE-
CEIVE OUTPATIENT TREATMENT ON A FEE-FOR-SERVICE BASIS FROM PRIVATE PHYSI-
CIANS AND DENTISTS.

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0 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 FISCAL YEAR

Est. Est.

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