Program A: Executive Administration and General Support
Program Authorization: R.S. 40:2002; 40:2014; 40:2331; 40:1232; and Act 3 of 1997
PROGRAM DESCRIPTION
The mission of the Administration Program is to provide assistance and administrative support services to each of the State operated acute care Health Care Services Division medical centers.
The goals of the Administration Program are:
1. Support and provide resources to enhance quality patient care and allow easy and timely access to inpatient and outpatient hospital services which meet or exceed accepted medical standards.
2. Assist in providing an optimal environment for practical educational experiences for medical residents and students of all Louisiana institutions of higher education in relevant fields of study.
This program includes the administrative executive staff and clerical support assigned to these positions. Funding for the Medical Education and Research (Anatomical Services) Program is included in the Anatomical Services activity in the Executive Administrative Program. The Service and Resource Office provides support and resources to the hospitals in the areas of fiscal services, reimbursements, contracting, purchasing, auditing, information systems, human resources, quality assurance, accreditation support, legislative liaison, community networking/partnering, managed care, and patient advocacy. Some administrative support is also provided.
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
This program is funded with General Fund, Interagency Transfers, Self-generated Revenue, and Federal Funds. The General Fund represents funding for the dispensing of various outpatient medications for asthma, diabetes, and heart failure that are not considered allowable, or reimburseable costs from the Medicaid program. The Interagency Transfers represent reimbursement from the Medicaid Program for services provided to Medicaid eligible and "free care" patients. The Interagency Transfer means of financing is collected at the individual hospital level, based on costs allocated from the Administration Program, and the funds are then "pooled" back to fund the Administration Program. The Self-generated Revenue represents anatomical fees collected from medical students to help defray the costs of cadavers supplied by the Anatomical Services activity. The Federal Funds means of financing is collected at the individual hospital level, and the funds are "pooled" back to fund the Administration Program.
ANALYSIS OF RECOMMENDATION
|
GENERAL FUND |
TOTAL |
T.O. |
|
DESCRIPTION |
|
|
|
|
|
|
|
$900,000 |
$22,258,457 |
9,993 |
|
ACT 19 FISCAL YEAR 1998-1999 |
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS: |
|
$0 |
$0 |
0 |
|
None |
|
|
|
|
|
|
|
$900,000 |
$22,258,457 |
9,993 |
|
EXISTING OPERATING BUDGET - November 20, 1998 |
|
|
|
|
|
|
|
$0 |
$25,358 |
0 |
|
Annualization of FY 1998-1999 Classified State Employees Merit Increase |
|
$0 |
$54,309 |
0 |
|
Classified State Employees Merit Increases for FY 1999 -2000 |
|
$0 |
($2,081) |
0 |
|
Risk Management Adjustment |
|
$0 |
$224,000 |
0 |
|
Acquisitions and Major Repairs |
|
$0 |
($287,000) |
0 |
|
Nonrecurring Acquisitions and Major Repairs |
|
$0 |
($9,532) |
0 |
|
Legislative Auditor Fees |
|
$0 |
$31 |
0 |
|
UPS Fees |
|
$0 |
$161,370 |
0 |
|
Salary Base Adjustment |
|
$0 |
($174,212) |
0 |
|
Attrition Adjustment |
|
$0 |
($57,350) |
0 |
|
Salary Funding from Other Line Items |
|
$0 |
$1,365 |
0 |
|
Civil Service Fees |
|
$0 |
$28,320 |
0 |
|
Other Adjustments – Provide funding for equipment maintenance contracts |
|
$0 |
$837,440 |
11 |
|
Other Adjustments – Provide funding for Corporate Compliance Program, with intent to combat Medicare billing fraud and abuse |
|
$1,194,223 |
$6,613,873 |
0 |
|
Other Adjustments - Partially fund Disease Management Program, with the intent to achieve standards of care for the following disease entities: Asthma, Diabetes, and Heart Failure |
|
$0 |
$0 |
(9,862) |
|
Other Technical Adjustments – Transfer positions from Administration to individual hospitals to reflect appropriate T.O. by hospital |
|
($900,000) |
($900,000) |
0 |
|
Other Technical Adjustments –Transfer funding for the adolescent rehab program by the Rapides Parish Law Enforcement District to Youth Development |
|
|
|
|
|
|
|
$1,194,223 |
$28,774,348 |
142 |
|
TOTAL RECOMMENDED |
| |
|
|
|
|
|
$294,223 |
$6,515,891 |
(9,851) |
|
DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET) |
The total means of financing for this program is recommended at 129.3% of the existing operating budget. It represents 59.4% of the total request ($48,438,427) for this program. Most of the increase reflected above is a result of partial funding for a Disease Management initiative and the addition of a Corporate Compliance Program, including 11 positions. These additions are expected to have a significant impact on the delivery of services by the Charity Hospital System. The Disease Management initiative will allow the hospital system to set up standards of care for asthma, diabetes, and heart failure, with a focus on preventive care. The Corporate Compliance Program will protect the hospital system against Medicare/Medicaid billing fraud and abuse.
PROFESSIONAL SERVICES
|
$39,000 |
|
American Appraisal Associates for real property appraisal and consulting services |
|
$2,500,000 |
|
Health Management Systems for retroactive Revenue Recovery Services that are paid on the basis of a percentage of the amounts collected |
|
$100,000 |
|
Prospective Payment Specialist for Medicare Payment Review |
|
$1,000,000 |
|
Southern Credit Recovery for collection of delinquent accounts |
|
$259,338 |
|
Health Care Education strategies for billing training to hospitals |
|
$9,800 |
|
American Research Group for LAN Protocols training program |
|
$48,000 |
|
DBM Services for developing financial application requirements for Peoplesoft |
|
$19,920 |
|
Health Care Microsystems for clinically-based software that measures Provider Performance |
|
$29,500 |
|
S. Longo and Associates for developing management plans for hospitals to comply with JCAHO Environment of Care Standards |
|
$87,200 |
|
Luther Speight for review and evaluation of MCLNO Patient Billing |
|
$17,630 |
|
Intermountain Health Care for providing consulting services on Disease Management |
|
$31,000 |
|
Software applications for consulting |
|
$129,502 |
|
Allen, Gooch, Bourgeois for legal services |
|
$50,000 |
|
Jones, Walker, Waechter for legal services |
|
$123,750 |
|
Tulane Medical Center for physician to consult on Disease Management |
|
$61,110 |
|
Lakelawn Funeral Home and Tharp-Sontheimer Funeral Home for anatomical services |
|
$91,063 |
|
LSU Medical Center for embalming, cremation services and cadavar storage |
| |
|
|
|
$4,596,813 |
|
TOTAL PROFESSIONAL SERVICES |
OTHER CHARGES
|
$6,613,873 |
|
Disease Management |
|
$13,130 |
|
Legislative Auditor expenses |
|
|
|
|
|
$6,627,003 |
|
TOTAL OTHER CHARGES |
|
|
|
|
|
|
|
Interagency Transfers: |
|
$15,223 |
|
Payments to Civil Service for Comprehensive Public Training Program |
|
$3,308 |
|
Payments for Uniform Payroll System expenses |
|
$3,000 |
|
Payments to Department of Social Services for computer services |
|
$16,666 |
|
Payments to the Department of Corrections, Public Safety Services for data processing services |
|
$81,445 |
|
Payments to the LSU School of Medicine for office supplies, telephone, postage, and general support |
|
$15,430 |
|
Payments to LSU Board of Supervisors for rent of the Systems Building |
|
$109,350 |
|
Payments to LSU Board of Supervisors for internal audit services |
|
$91,063 |
|
Payment to the LSU School of Medicine for the Anotomical Services Program |
|
$232,536 |
|
Payments to LSU School of Medicine for IDX Physicians Billing System link with Health Point |
|
$17,343 |
|
Payments to LSU School of Medicine for legal services |
|
$1,711,275 |
|
Payment to LSU School of Medicine for information services |
|
|
|
|
|
$2,296,639 |
|
TOTAL INTERAGENCY TRANSFERS |
ACQUISITIONS AND MAJOR REPAIRS
|
$288,000 |
|
Funding for replacement of inoperable and obsolete equipment |
|
|
|
|
|
$288,000 |
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS |
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