Defendant Califano's Response to Plaintiffs' Second Set of Interrogatories

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NATIONAL ASSOCIATION FOR THE 
ADVANCEMENT OF COLORED PEOPLE ° 
ET AL. 

THE WILMINGTON MEDICAL CENTER, 
ET ALL 

       

UNITED STATES DISTRICT COURT 
FOR THE DISTRICT OF DELAWARE 

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Plaintiffs 
v. 

Defendants 

  

‘Defendant, Joseph A. Califano, Secretary of the United {oat 

States Department of Health, Education and Welfare, by his 

undersigned attorneys, pursuant to Rule 33 of the Federal 
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DEFENDANT CALIFANO'S RESPONSE ‘ Pts 

TO PLAINTIFFS' SECOND SET A 
OF INTERROGATORIES BGRLCTP 

Thy   

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Rules of Civil Procedures hereby responds to plaintiffs til 

second set of interrogatories as .follovws. 

       

    
     

   

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Interrogatory ~ nha AR ant 
  

A. 

fully relocated, and has been previously investigated: 

or 

each facility of hospital, including satellites, branches,‘ 

following information: 

* 3 

For each hospital 1/ which has been partially or. 

   

subjected to a compliance review’ in connection wi 

“31, “Legal name of hospital. 
iS 

2. Name, address, and number of inpatient beds ats HY 

and affiliates. 

Ld 
oe 3. Identification of which facility named in #2 is: 

     

    

    

     

   

AE me aii ——— 
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the new facility, date of NEW approval and relocation, and. 
oid 

date of opening of the new facllity. bi 

  

1/ As used herein, the term "hospital" means the 
Of all facilitics,>and the term “facility! moans 
branch, satellite cov affiliate. 

  

    
  

AP Wi BAT Us, ol 0a RE NY 
a, on 

  

  

FI SCPE. EPSP is MCI 

Fe VI SE Se AT Sp Sa 

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collectiva wi 
cach scparate ui. 

    
  

  

    

wre Te 
CRE Shai BEES 

     



      

    
    
    

   
    
    

      
    
   
   
   

    
    

    
     

   

    
     

   
   

    
    

    

      
   

    

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a ; 4. Spccification of whether relocation involved: 

  a) total removal; b) creation of satellite este 

  

of increase or decrease of visits (if outpatient service) 
a" 3 Axe PEL 

RAL 

6. Composition of the population by race and national EMS 

    

origin of the census tract and Zip cade of each facility, | 

and of the area from which each facility draws the majority i: 

of its patients Z2/: | ; 

(i) Original Pacility (at time relocation coonrrad gl 

  

Ae Eigen TRE Gel ie aN 

i CA rat 4     ' 
| 

    
  

  

    
  

Census Tract Zip Code 

% Black % % 

Hispanic % % | 

White % % 
Other % % | 

: 1 (11) Original Facility (for most recent fiscal year, A 

ne whether or not original facility still open). RY 

Tg | 3 Ts : “xa, Census Tract Zip Code Service” 103) 

Ae | pack % % gH nay 

* Hispanic % % 

: 7 White % % 

G Other % % 

  

    

  

i ; . , « 

Be BN 2/ As uscd herein, the area compriscs the fewest number 

Ea census tracts and/or zip codes which produce 51% of the 

Hil facility's paticnts. Ah ps 

ay Fa | : 
30% 

: 

A ) hy ; N \ on . 
Lr { LAE WA » ag » 

A - R “ oon ih i Fa Ry ih : ; ; Ha : 5 . : 5% rv, 3 on “oa h : win “ KN ie a fe we 030128 ¥ 

Vey hese, f 0 adie aT: PR or We TAA vl Mar ey sis oly, Co aid | ! bia phot 3 Wi hg * NS 

2% : / 
  

bs Ahn a wh AE rik | 

i oes Rei a yo, 

  

      
     



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4 - . % , { IARI . . . : | . a heh y 3 : 

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Cad iid 2 | I 
LA NE : WEE 

"ie (111) New Facility (for most recent fiscal year) ah 
’ . 4 : 

- f ' he d 

/ Consus Tract Zip Code Service 5 

7 Black 9 q, JL q rad 

ass | Hispanic a 9, 2 Ah 
: White 1 ik qi : Cg hd i 

2 Other g, q .q iE 

; | Ld RS 
i . J, Give the following information concerning the REL 

i race and national origin of-all patients: oral 

: . (i): Original facility (for Yast fiscal year fh A & 

prior to. .relocation): spliena   
  

Inpatient Emergency Room Clinics 3/:° 

a, ke! Adm, Days 
  

    

Fw Black 

   Fis ¥hite | RP 

Hispanic ~ : ; WA pee, 

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Other : a MRE 

DEE (ii) Original Facility (for most recent 

  

fiscal year 3fietill open): 

    

  

TET “2 Inpatient Emergency Room Clinics¥ 

  

“ve Ry, 'y 
wi 

Adm. Days 
  

  

Black SIE 

White SL wf BL ROTARY 

gi Hispanic bat 

  
  

  

i i =:Othexr 

Bh (1ii) New Facility (for most recent fiscal wiiaia 
i year): : Se 

. : Inpatient Emergency Room Clinics i's 

Adm, Days nl 

Black : rer 

iden White 

  

  

oa Hispanic : SH 

ie Other wr EAE rtm 

\ on ’ tara AQ 

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el 3/ As uscd herein, "clinic!" means primary care SCI'Wilces fox the ood i 

  

| Rene 

| : Tndigent and medically indigent who do not have and/or cannot: -% 5 

| afford private physicians. Wirt BE 

  

  

TT hil 

TR RAR er 
\ hy he JE by & BEPC LE : 

Gra aL A ACh EE TLE 

5 BR i 4 Lo Fo haley apt $ / 
  

  

FSW uly “0 ar Ww 
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4 a 

  

ix%e.® B.. Give the racial and national origin of physicians HERE Rs 

Nv News A vu and employces, in the categories noted below, at the original. Yeal)isdi mg 

AE facility prior to the relocation, and. at each facility curently. 

{1).* Original Pacility Prior to Relocation 
  

| 

      
  

  

3. Se es Black Hispanic Asian Amer. Ind.B@ 3 

+ Administrative 3: 

Clerical 
| me fH 

“ter . 
/ 5 : 0 us   ENE | : : PE 2 SAAT 

Lath Registered Nurses ; : , A 
om nd vk oe! .r— - titi. + ~——— . « iam % 
  

  

  

  

  

  

  

Lic.- Prac. Nurses ronal 

| TT nuRe 
Aides and Orderlies 3 Cha 

: 
: Pa" . AERC 1) NN 

Service’ : i ve : "1 

Technical ie TLS 

a . Physicians a 
  

  

Staff Physicians 4/ 
  

  
Employees . 

fa 

yi Interns ; : RE 
  

Residents Jip Fae 
  

  

   

  

Opiginel ‘Facility (for most recent fiscal 'vear: if still onan BaY 

| ARSE 
ARE “Black Hispanic “Asians Amer, nds 

  

  

  

  

  

  

  

  

% wi a ry ig 30 El a 

yf Administrative RT & 

aA 
Clerical ™ 

fee Registered Nurses 

| 308 Lic. Prac, Nurses 

12 Aides and Orderlies pt 

Service 
  

  

Technical 
  

Physicians : rin 
  

Staff Physicians 4/ 
pasa, 

    

Boge 2 Employees a . i Ne 
    

  Interns . 
    

      

i 
he 

Pa Residents at 
‘ yi 13 

  

4/ Staff physicians arc those who arc not employccs but are private 

practitioners with staff privileges. 

  
  

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hs arn TERR NEREA ANT J SE 2 tell ; ie ETRE NN At SE A ry pdt, MAY 3 » 1 \ 
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FERENCE TERETE 

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(111) New Facility (for most recent fiscal ycar) il) 

Black Hispanic Asian Amer. Ind. White 

| ’ Administrative | a 

% Clerical 

5 : . Liss Mies 

gs Registered Nurses 

{ 58 Lic, Prac. Nurses 

Aides and Orderlies 

2 Service 

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PE RT WPTORNI RR cf diac 

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Physicians 
  

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sa Staff Physicians 

| he, Employees | 
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dang Interns : 
{ne : ;   

  

Residents » 

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. 9. Where there are sill] nultiple traititios. give the rg 

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‘$.° by race and national origin (Black, Hispanic, White, Other) which fats 

PRE each staff physician admitted t0 each facility for the most recent: 
HA \ i | . id nforuation 

  

fiscal yéar as follows 

    

   
   
   
   
   
   
   
   
   

   
    
    

   

   

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{5 : Original Facility New Facility” Eh 

{ Hel Staff Physicians Black White Hisp. Other Black . White. ISP Other i 

  

  

    
  

  

= Response to Interrogatory A 1-9 . 
  

All of the information contained in HEW files concerning- 

4 hospitals which have been partially or fully relocated has previously 
} i Xs 

3 been made available to plaintiffs’ counsel in the Response and 

Request For Production, Inspection and Copying Of Documents served Sn 
4 
bw 

| 45 Supplemental Response to Requests No. 4, 5, 7, 8, and 9 of plaintiffs’. 
13 

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upon Defendant Secretary of Health, Education and Welfare on January 4, 

3977. To ithe extent that the answers: io these interrogatories are oni 

not contained therein, the Secretary docs not presently possess.’      
the information requested. 

Further, to the extent. that these interrogatories rcquest 

that tho: Secretary identify, sstaln, collate and analyze such 

saterinl not presently in his DOs otRich he objects janis 

    

                
   
  

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*interrogatories as unduly burdensome and oppressive, and 

  

  

  

     
    
   

   
    

   

   

   

  

  

  

! HATEN BT J 
that such information is not relevant or likely toiadd to 

: o » : ( LiL UL) . & 

the discovery of relevant evidence. ) X 

& Interrogatory ; | : ji he gs 

Reg MB, State sptelfioly the, "investigative hypothesis” under; 
Ait : : 2h: FA which the inve stization team 1s proceeding separately, for: 

1. The Title VI allegations;   
  

  

FAS 2. The Section 504 allegations; 

[Ean and identify and attach copies of all regulations, 
i ; ; 
Shia and/or policy s 

: are based. 

2 Response to Interrogatory B | 

foe ase +» The general policy under Title VI and Sec. 504 as it relates d 
et BS 3 Sh 

| why ot - 

to the site selection issue in. this case is stated: in the HEW » 

4580 © site’selection regulations (45 CFR 80.3(b) (3) and 45 CFR aa 

peti {5)). "The Director,” OCR, has not yet determined the precise rn ; 
Od 

Hae hy BEDlicatien of {his general policy to.the facts in filnington ie     
   

     

   
3 ~ WMC will be fully defined in the letter of 

     

  

E be sent to the hospital and filed with the court, as: set forth: 

“in our Supplemental Report of May 5, 1977. In addition, the : 

R OCR .Director and his top level staff have taken office very: {a 

16 recently: the new Director assumed his position on Monday, May 2, 

2 3977.5 = : a ee Ls CT 
| 5 The “effects standard” wot idulntes in the regulation,..:ii RE 

: AEST HL fey   however, is the beginning point of our investigation. In this: hai 

   

  

  

  

LT) 

Aa case, the investigation primarily concerns the quality of care : 

} 55 (ONL 
fie and access to,which may be expected under the proposed plan. 

Cyt Discriminatory ‘effects of the relocation might include either: 
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WH t+ or both (1) a disparity of services available to different races, 

WH and (2) avoidable racial segregation. 
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: In the prescnt situation, involving a main hospital and iid AR 

RH a satellite hospital, the investigation involves the question 3 
’ ity . * \ E . ‘ ie H Sis » 

SRT of whether the result of the relocation will be a unitary: 

HR . health care delivery system or two separate units. Our: 

fr) investigation involves a comparison between current health. 

dea! EE 
wh out. ; oh Lad Sak A: 

) i Co . “ EIR RNG Miia : Ni 

| : The elements of the investigation under the site selections 
BETA FATTY YS SER Seer 

fo regulations include: (1) a demographic analysis of race, age, fe: 

and disability/handicap clusters in downtown and out- moouniy 

| G5 areas; (2) an analysis pt the current racial configuration 

Bre of hospital service wtduntion: (3) an analysis: of available 
1 a K ERY 

| private and public transportation-in the area,.of feasible LSE 
: : 1m ene 

: new transportation’ and of municipal (jurisdictional) or : 
RRL . . SEN : REE 

physical impediments to access LO ihe existing and. proposed, 

facilities; 

residents, interns, supervisors, and specialists; and (5) an! 

  

ES 

  

  

  

  

   

seni Lo analysis of .current and projected employee transportation. need 
. 

. . . oes Ui 

ytd 2 : 

pt B20 As to the Answers herein: | 
| 3 

I declare that the above answers are to the best of my in A Ve 
: knowledge and belief, true and correct. Declared to7 Le LL ER RE 

ua be true and correct under penalty of perjury. /| {= {Na 

AY 2 : : . fer a oh k 

ING TE ; David 3. Tatel wal 

I viDireotor ih edith 
rT A 4 rem iOffice ToriCivil Rights FS 
I : : Department of Health, y EOuCREion 

edt ye i - and Welfare “LTE Able 
SPN Hh 

o As to the Objections herein: RRAD AE TUR 

1 ES : 5 . James W. Garvin, Jr. AR INA RY 
SF Ee t gu pate den United States digs   

ei L.. Ross 

  

Attorney: for Defendant. 2 

: : Attorneys, Depaldtment of Justice’ 

¥ 10th and Pennsylvania Ave., NW, © 

v3 RA : : Washingion, D.C. 20330 pe Fd 
WE (Tel: (202) 739 24267 

  

  

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2 $4, - : f Jul CERTIFICATE OF SERVICE qe i 

Np Loy ARE r. : 
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Zh I certify that two (2) copies of Defendant Califano S ih 5 A ALE we 1 "Partial Response to Plaintiffs' Second Set Of Interrogatories:: 
v ; | 

vid Yi 

  

have been served this 18th day of May, 1977 by ‘hand delivery, » 

: to: | Eu } « kpian dvi S 

| Lah 
Marilyn G. Rose RE 3 ; Center for Law & Sogkul Policy fre   Fan : / 1751 N Street, N. ai SA 

| Washington, D.C. 036 FR 

HN and by mail, postage prepared to: 
| CA 

: . 

Hale : Joscph Flowers GEE 
Rm Les : Community Legal Aid, Inc. phe FRE | 204°. 7th Biman FE fdas 

Wilmington, D claware 1198011 

On ; J Charles H. Toliver, IV. 5 JR Fla i yt Alan Scher | 
Assistant City Solicitors. : 

2a 252 Public Building 
: Wilmington, Delaware 19801 

William C. Gordon, Birectors a ; 1 . Health Planning Council, ‘Inc. i 2501 Silverside Road Tia Tg fe Suite #5 FR 
Wilmington, Delaware 19801 

  

Rodney M. Layton 
Richards, Layton and; 

4072 DuPont Building 

‘Wilmington, Delaware 

en ; Malcolm Cobin BREA 
p50 Assistant Attorney General 

‘Division of Fupiie Health 
: ..State of Declawa 

| Eo | " Room 420 
! Jesse Cooper Building : 

Dover, Delaware 19901 

  

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