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Program A: Personal Health Services

Program Authorization: R.S. 17:1700, 2111-2; R.S. 24:253; R.S. 33:1561; R.S. 36:8, 51.1, 253, 256(B), 258; R.S. 39:171- 4, 231, 241, 321, 361-365: R.S. 40:2-7, 18, 28, 29, 31.2, 299.111-20, 1061-65, 1299.1-5, 1299.151 et. seq., 2481- R.S. 46:950-70, 971-2; R.S. 49:121, 190-9, 951 et. seq.; and Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Personal Health Services Program is to provide and assure clinical and preventive services to Louisiana citizens to promote reduced morbidity and mortality resulting from: 1) high risk conditions of infancy and childhood; 2) infectious/communicable diseases; 3) chronic diseases; and 4) accidental and unintentional injuries.

The goals of the Personal Health Services Program are:

1. Reduce the high-risk conditions of infancy and childhood.

2. Prevent and/or control infectious and communicable diseases.

3. Promote and encourage healthy behaviors in communities, families and individuals and reduce the risk behaviors associated with the emergency and prevalence of chronic disease.

4. Reduce the incidence of death and disability due to unintentional injuries.

The Personal Health Services Program and its related activities provide a rich array of services to the diverse populations in Louisiana. This program exists for the citizens of Louisiana, providing health information and health education and assurance of essential health care services for the underserved. Services are provided to infants, children, adolescents, women of childbearing age, pregnant women, newborns suspected of having genetic diseases, children with tuberculosis, HIV/AIDS, sexually transmitted diseases, persons at risk for injury and violence, etc.

The Personal Health Services Program includes the following activities: Chronic Disease, Environmental Epidemiology, HIV/AIDS, Immunization, Infectious Epidemiology, Injury Research and Prevention, Sexually Transmitted Disease, Tuberculosis Control, Maternal and Child Health, Nutrition Services, Genetic Diseases, Family Planning, Children's Special Health Services, Laboratory Services, and Pharmacy Services.

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

This program is funded with General Fund, Interagency Transfers, Self-generated Funds, and Federal Funds. Interagency transfers include funds received from the Medical Vendor Program for medical services to Medicaid eligible patients; funds from the Department of Education to provide health services to infants and toddlers (ChildNet); and funds from the Office of Community Services to be utilized in parenting training. Self-generated Revenues are comprised of donated funds utilized for provision of child car safety seats on a loaned basis; patient fees or third party reimbursements received for medical services rendered; manufacturer's rebates received from infant formula purchases in the Women, Infants, and Children (WIC) Nutrition Program; local funds generated by parish millage or contributions for parish health units; and allocation for drivers' license sales and fees for testing charged in the Emergency Medical Services activity. Federal sources of funding include funds for AIDS Prevention, Drugs, New Initiatives, and Reporting; a grant from the Center for Disease Control (CDC) to study behavioral risk factors; the USDA Commodity Supplemental Food and WIC Program grants; a grant to assess the extent of exposure of the population to environmental contaminations; the Family Planning Title 10 Grant; the Healthy Futures Case Management Grant for at risk pregnant women; the Immunization Grant for Children; a Laboratory Training Grant; the Maternal and Child Health Grant; the Preventive Health Grant; the Safe Drinking Water Grant; a Tuberculosis Control Grant; a Toxic Site Health Assessment Grant; and the Sexually Transmitted Disease Control Grant.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$40,291,613

$189,295,489

1,696

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$864,000

0

 

Funding for YK2

($5,151,799)

$0

0

 

Align means of financing between programs

$0

$0

(23)

 

Transfer positions to other DHH agencies

 

 

 

 

 

$35,139,814

$190,159,489

1,673

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$722,689

$722,689

0

 

Annualization of FY 1998 –1999 Classified State Employees Merit Increase

$791,303

$791,303

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$99,562

$99,562

0

 

Unclassified State Employees Merit Increases for FY 1999-2000

($434,715)

($140,858)

0

 

Risk Management Adjustment

$1,373,213

$1,750,915

0

 

Acquisitions and Major Repairs

($1,288,212)

($1,665,914)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($864,000)

0

 

Nonrecurring carry forward

$237,127

$237,127

0

 

Legislative Auditor Fees

$4,435

$4,435

0

 

Rent in State-owned Buildings

$229,413

$229,413

0

 

Maintenance of State-owned Buildings

$904

$904

0

 

UPS Fees

$1,703,280

$1,703,280

0

 

Salary Base Adjustment

($2,198,019)

($2,198,019)

0

 

Attrition Adjustment

($1,118,815)

($1,118,815)

0

Salary Funding from Other Line Items

$26,134

$26,134

0

Civil Service Fees

$0

$6,100,000

0

Workload – Increase funding for H.I.V. drugs

$500,000

$0

0

Means of Financing Substitution – Replace Inter Agency Transfers with General Fund to match revenue projections

$0

$1,729,089

0

New and Expanded Adjustments – Fund Home Nurse Visitation Program

$1,018,176

$1,018,176

3

New and Expanded Adjustments – Fund expansion of School Based Health Centers

 

 

 

 

 

$36,806,289

$198,584,910

1,676

 

TOTAL RECOMMENDED

 

 

 

 

 

$1,666,475

$8,425,421

3

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 104.4% of the existing operating budget. It represents 95.9% of the total request ($207,122,498) for this program. The two major changes was a increase of $6.1 million in federal funds for the HIV Drugs, $1.7 million for the Maternal and Child Health Home Nurse Visitation Program and $1.02 million for School Board Based Health Centers.

PROFESSIONAL SERVICES

$2,625

Employee Assistance Program

$45,720

Assist OPH in the planning and designing of OPH owned and/or operated parish owned facilities.

$26,824

Develop a comprehensive inventory management program tool.

$35,760

Assist in presentations and preparation of materials concerning governance for "Turning Point Tools for Change" sessions

$25,000

Develop and implement a consolidated strategic plan for Children’s Services

$50,000

Operation & development of the South Central Public Health Leadership Institute for personnel in LA., ALA., ARK., and MS.

$47,122

Administrative Internship/Residency Program

$48,826

Consulting services to develop a collaborative planning, implementation, monitoring and evaluation process of the human resources system, process, policies, procedures, etc. at OPH.

$44,500

Objective assessment regarding the PH-9 billing and reconciliation systems.

$8,600

Electronic billing and payment procedures to collect laboratory fees, oversee and monitor ongoing collection of laboratory fees and perform an internal audit of the system annually.

$6,500

Collect animal heads from laboratory

$28,000

Personal health services within the a managed care framework for the Medicaid Managed Care pilot.

$600,345

Sickle Cell patient care and educational information.

$59,330

Develop and operate a statewide Hemophilia Surveillance Project.

$301,504

Genetics evaluation and counseling at Regional Genetics Clinics.

$297,292

Lead Surveillance System which is essential for determining the extent of the lead toxicity problem in each parish.

$27,680

Sign language interpreter; Specialty training in the "Impact of Early Identification on the Development of Deaf and Hard-of-Hearing Infants and Toddlers".

$139,907

Home visiting program for MCH Services.

$38,500

Primary speech/language provider in OPH Clinics.

$50,000

OPH certified child care health consultants.

$220,000

Expanded community based primary health care services.

$103,435

Patient education to women, infants, and children in PHU’s through WIC, MCH, and Family Planning Clinics.

$896,157

Medical services to Children’s Special Health Services Clinics.

$10,000

Computer expertise in developing, documenting and implementing computer software package for CSHS

$372,317

Family Planning Services to adolescent and adult patients

$198,000

Cervical cytological slide diagnosis

$647,150

Consultation and technical assistance to the Maternal and Child Health Program in the arena of health education/communication, social marketing, evaluation and public health practice

$397,993

Establish a model home visiting program

$173,265

Provide administrative, expert policy consultation and technical assistance on adolescent and comprehensive school health program

$66,000

Consultant and toxicology advisor to the Environmental Epidemiology & Toxicology

$44,500

Develop, update and track fish consumption/health advisors in Louisiana

$44,500

Research for the Environmental Component of the Lower Mississippi River Interagency Cancer Study

$192,245

STD screening and treatment, HIV counseling and testing services

$52,900

Implementing a new STD computerized system

$136,392

Conduct STD screening and treatment of inmates at the In-Take Division of the Jefferson Community Correction Center

$6,100

Dispense STD medication

$60,382

Infertility prevention project in New Orleans area

$8,550

Coordinate the State of LA emergency investigation of methyl parathion (MP) exposure

$175,372

Public Health Educators and Coordinators for the Immunization Program

$29,451

Develop software to electronically transfer reportable disease data from LA hospitals to the Epidemiology Section

$750,380

HIV Prevention and Consulting services

$188,453

Identify and arrange breast cancer education, clinical breast examination and pelvic examination as appropriate, mammography and Pap smear, data collection and follow-up

$28,083

Tobacco Control Regional Workshops professional conference support

$137,302

Medical Director for the Injury Research and Prevention Program

$101,321

Childhood injury prevention projects and violence prevention program

$162,835

Tuberculosis screening and treatment

$738,054

Medical services for Maternal Child Health Program, Eye Health, Family Planning,, and Tuberculosis Programs for patients in parish health units through out the state

$16,075

Issue burial transit permits

$1,500

Write a programmatic software required for automated operations in MCH

$4,800

Staff development training workshops

$64,431

Sudden Infant Death Syndrome (SIDS)

$6,000

Write and edit section of the Healthy Communities Tool Kit that relate to group facilitation and comm.

$9,600

Develop a multi-user Microsoft Access 97 based software service program to manage Marriage License Office services

$26,000

Conversion of Vital Records Registry customer service transaction tracking and accounting software for Ms Access 97 based multi-user application to a SQL server version suitable for use over the DHH Wide Area Network

$920,139

To include media/radio outreach services for WIC/Nutrition campaign for MCH Program and for HIV/AIDS

$66,000

 

Medical Services for School Board Health Centers

 

 

 

$8,939,716

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$625,876

Carry out duties as part of the National Registry examination process according to the Louisiana/National Registry exam orientation guidelines. EMS training program

$16,000

PALS Workshop Faculty/Coordinator

$2,464,519

Comprehensive primary care and preventive health services to students registered in the school health centers

$44,641

Health Insurance Continuation Program

$45,000

Organize the annual campaign to vaccinate dogs and cats against rabies

$2,947,162

HIV Prevention Services

$95,019

HIV case management and housing assistance

$3,900,000

HIV Home Health Services

$2,218,804

Provide services for the Ryan White C.A.R.E. Act (P.L. 101-381)

$396,956

Protect health of LA residents and to prevent disease and injury

$59,534

LA State Loan Repayment Program

$159,829

Multifaceted outreach program that will reduce the rate of HIV/AIDS perinatal transmission

$1,196,747

WIC banking services

$892,012

Commodity Supplemental Food Program

$283,100

City of New Orleans – Continue the WIC linkage to enhance immunization services

$50,000

Analysis for the increasing of WIC participation statewide

$5,978,116

Children’s Special Health Services – Other Charges, including hospital care, appliances, eye glasses, dental and orthodontic services for children with cleft palate, transportation of patients and their parents, and private medical and surgical therapy services

$97,872

Tuberculosis control

$60,109

Refugee Health Program – screening for TB, parasites and immunization of status of refugees entering Louisiana

$182,208

Provide Sexually Transmitted Disease screening and treatment to patients

$117,656

Assist with the implementation of Phase –2 of the project entitled "Innovations in Syphilis Prevention"

$343,860

Continue the WIC likage to enhance immunization services; Clinical services and clerical support

$24,718

Tobacco Control

$110,945

Breast Cancer screening and evaluation

$623,082

Rape Crises Services – Hospitals and YWCA’s

$162,685

MCH Home Nurse Visitation program

$364,352

Legislative Auditor’s expense

$57,035,268

WIC Food

$800,000

 

Medical Services for School Board Based Health Clinics

 

 

 

$81,296,070

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$9,511

Tuberculosis Control Program

$10,491,514

HIV/AIDS Program and Ryan White Title II ADAP

$2,328,000

HIV/AIDS Program and Ryan White Title II ADAP for LSU-Health Care Services Division

$110,000

Comprehensive primary care and preventive health services to students registered in the school health centers

$608,319

Provide professionals services to cover Special Projects related to the control of HIV and STDs including developing and piloting new interventions be used for HIV STD control

$64,850

Medical services for Children’s Special Health Services

$179,520

LSUMC, School of Dentistry Orthodontics and Oral and Maxillofacial Surgery to OPH’s CSHS

$106,996

Medical services for Maternal and Child Health Services

$4,800

LSUMC – Physician for Family Planning Program

$150,044

Statewide Tobacco Prevention Resource, Research and Action Center at Stanley Scott Cancer Center

$263,097

Statewide STD Program medical consultant

$28,408

Medical and genetic counseling of patients; genetic laboratory studies

$184,426

Provide health care providers and support staff to provide prenatal care at the Orleans Women’s Health Clinic

$55,631

Train school health center staff to upgrade the quality of utilization data from school based health centers on specially designed software

$160,295

LSU School of Medicine, Dept. of OB/GYN – Continue the demonstration model prenatal clinic in the Desire Housing Project

$40,000

Comprehensive school health training & research

$43,546

LA Behavioral Risk Factor Survey and Supplemental LA Minority Behavioral Risk Factor Survey

$294,083

Services for WIC Supplemental Food Program to HCSD

$26,250

LSUMC Pathology Dept. – Provide professional consulting services

$7,200

LSUMC – Otologists for Children’s Special Health Services

$65,000

Clinical Director of the Delgado Communicable Disease Clinic

$237,207

Dept. of Civil Service for agency’s share of Civil Service costs

$37,755

Treasurer for banking costs

$21,218

Division of Administration for Comprehensive Training Program

$58,658

Uniform Payroll for agency’s share of payroll costs

$67,116

Northeast LA Univ. – Interviews for Grant

$10,000

LA State Police – Criminal records checks on employees

$25,000

University Southeastern Louisiana – Conference services provided

$51,000

Louisiana State University – Grand Bois Investigation

$89,300

LSU - Printing of various educational documents for distribution to clients receiving medical services

$1,059,441

DOA - Maintenance and rental of sate - owned buildings

$38,481

Peltier - Lawless Development Center for agency's share of utilities

$80,000

LA State Planning Council on Developmental Disabilities for Maternal Child Health Services

 

 

 

$16,996,666

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$1,759,291

 

Funding for replacement of obsolete, damaged, or inoperative equipment. See Analysis of Recommendation

 

 

 

$1,1,759,291

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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