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Program B: Patient Services

Program Authorization: Act 230 of 1979; Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Patient Services Program is to meet the medical, nursing, and rehabilitation needs of the residents served, by providing continuous treatment through an array of professional and paraprofessional services as prescribed by the residents’ plan of care.

The goals of the Patient Services Program are:

1. Increase the average daily occupancy rate.

2. Control the per resident day operating cost.

3. Control the staff to resident ratio.

4. Increase the average daily census.

The Patient Services Program provides quality nursing care and ancillary services medical care to resident patients. Patient conditions include birth defects, accident trauma, debilitating illnesses, dependency due to old age, stroke, and multiple sclerosis. The facility also provides a comprehensive integrated system of medical care for residents requiring long-term care, nursing care, and rehabilitation services including ventilator assistance. The facility is licensed for 202 beds and staffed to operate 195 beds.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indictors 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 Patient Services Program is funded with Interagency Transfers, Fees and Self-generated Revenues, and Title XVIII federal funds (Medicare). Interagency Transfer means of financing represents Title XIX reimbursement for services provided to Medicaid eligible patients received from the Department of Health and Hospitals, Medical Vendor Payments Program. Fees and Self-generated Revenue include: (1) payments from patients for services based on a sliding fee scale; (2) employee meal reimbursement; and (3) miscellaneous income, such as funds received from the Veterans Administration for contract services provided.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$4,016,942

129

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$4,016,942

129

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$33,640

0

 

Annualization of FY 1998 - 1999 Classified State Employees Merit Increase

$0

$34,522

0

 

Classified State Employees Merit Increases for FY 1999- 2000

$0

$16,587

0

Acquisitions and Major Repairs

$0

($16,104)

0

Nonrecurring Acquisitions and Major Repairs

$0

($82,971)

0

Salary Base Adjustment

$0

($124,578)

0

Attrition Adjustment

$0

$34,876

0

Other Adjustments – Increase in the provider fee charged to the facility by the Department of Health and Hospitals

 

 

 

 

 

$0

$3,912,914

129

 

TOTAL RECOMMENDED

         

$0

($104,028)

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

 

The total means of financing for this program is recommended at 97.4% of the existing operating budget. It represents 87.6% of the total request of $4,465,826 for this program. The major reason for the decrease from existing operating budget is due to the full funding of salaries.

PROFESSIONAL SERVICES

$33,824

 

Medical Director

$31,786

 

Staff Physician

$87

 

Podiatrist

$8,429

 

Dental services

$13,046

 

Respiratory consultant

$90,213

 

Physical Therapy

$39,996

 

Occupational Therapy

 

 

 

$217,381

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$316,017

 

Provider Based Fee – paid to the Department of Health and Hospitals based on the number of occupied beds

     

$316,017

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$76,587

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$76,587

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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