Program B: Patient Care

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Program B: Patient Care

Program Authorization: R.S. 28:380-451

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide residential living and other supports and services to individuals with disabilities living at Southwest Louisiana Developmental Center.

The goal of the Patient Care Program is to provide person-centered, 24-hour residential living services and supports and services to individuals with disabilities living at Southwest Louisiana Developmental Center.

The Patient Care Program provides support, supervision, and training of professionally prescribed activities (including medical, dietary, habilitative, and therapeutic services) to the individuals residing at Southwest Developmental Center. Person-centered planning and training focuses on self-help skills, personal hygiene, leisure time management, home living skills, social interaction, and community orientation. Southwest Developmental Center utilizes an individual values-asked approach to provide supports in a cost-effective manner, while protecting the rights and dignity of individuals with disabilities.

This program has one major activity: Residential Services.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Community Support Program of Southwest Developmental Center is funded from Interagency Transfers, Fees and Self-generated Revenues, and General Fund. Interagency Transfers include Title XIX reimbursement for services provided to Medicaid-eligible residents received from the Department of Health and Hospitals, Medical Vendor Payments Program. Self-generated Revenue includes payments for services provided to patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$347,353	$4,953,545	179	ACT 19 FISCAL YEAR 1998-1999

			BA-7 TRANSACTIONS:
$0	$0	0	None

$347,353	$4,953,545	179	EXISTING OPERATING BUDGET – November 20, 1998

$0	$60,385	0	Annualization of FY 1998 -1999 Classified State Employees Merit Increase
$0	$61,592	0	Classified State Employees Merit Increases for FY 1999 -2000
$0	$50,000	0	Acquisitions and Major Repairs
$0	($51,778)	0	Nonrecurring Acquisitions and Major Repairs
$0	$45,621	0	Salary Base Adjustment
$0	($159,806)	0	Attrition Adjustment

$347,353	$4,959,559	179	TOTAL RECOMMENDED

$0	$6,014	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.0% of the existing operating budget. It represents 93.5% of the total request of $5,303,132 for this program. This program has remained essentially unchanged from existing operating budget.

PROFESSIONAL SERVICES

$5,865		Neurological services
$35,020		Dietitian services - provide qualified dietitian services meeting professional standards, ICF/MR licensing requirements, and ACDD accreditation standards
$12,593		Psychological services – provide consultations on research designs and evaluate developmentally disabled clients
$14,352		Pharmacy services – provide prescribed medication on a timely basis
$5,431		Dental services - provide a comprehensive dental plan and implement such a plan on each client. Provide emergency treatment on a 24-hour, seven days per week basis. Provide in-service training to employees and parents pertaining to good dental hygiene methods.
$30,127		Physical Therapy services – provide medical consultations; renders emergency medical services to clients; supervises programs of immunizations, preventive health services, sanitation, and nutrition; performs physical examinations on all new admissions
$9,568		Behavioral Analysis - provide technical assistance on the development of behavioral programming
$28,496		Peer review – increase the training level of the staff in order to provide the highest quality services to the clients. Peer reviews and training assist employees and professional staff in coping with the behavioral and medical problems of lower functioning clients. The peer review system was designed to stop law suits when clients are not properly handled, and thereby become injured or die.
$15,298		Emergency Medical Visits – eye evaluations, emergency dental work, dental appliances, and oral surgery

$156,750		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$434,000		Provider Based Fee - paid to the Department of Health and Hospitals in accordance with LA R.S. 46:2601-2605, which states that a fee of $9.62 per patient day will be imposed on all intermediate care facilities

$434,000		TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$50,000		Funding for replacement of inoperable and obsolete office and computer equipment

$50,000		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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