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Program B: Patient Care

Program Authorization: Act 92 of 1902; Act 143 of 1904; Act 14 of 1948; Act 207 of 1956; Act 253 of 1972; Act 519 of 1977; Act 786 of 1978; Act 1 of the First Extraordinary Session of 1988

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide quality assessment, diagnosis, treatment, and rehabilitation services to patients whose psychiatric/substance abuse disorders are of sufficient severity to require inpatient treatment. These include (1) adult clients in need of intermediate to long-term care, (2) adolescent and children in need of comprehensive psychiatric treatment, and (3) adults in need of intermediate psychiatric care on a day hospital basis. Central Louisiana State Hospital’s specific mission within the Office of Mental Health is to provide important services to clients in the mental health regions served by the hospital. The hospital is committed to cooperative work with other state agencies and with the state and regional mental health programs to ensure the integration and coordination of hospital-community services into a comprehensive system of mental health care.

The goal of the Patient Care Program is to provide inpatient evaluation, treatment and rehabilitation for the mentally ill population of Central Louisiana State Hospital various catchment areas.

Major activities of this program include Adaptive Behavior Services, Structure Rehabilitation Services, Day Hospital, Geriatric Psychiatric Unit, and Adolescent/children’s 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

The Patient Care Program is funded with Interagency Transfers, Fees and Self-generated Revenue and Federal Funds. Interagency Transfers include Title XIX reimbursement for services provided to Medicaid eligible patients, and reimbursements from various state and local agencies for space occupied and services received. Self-generated Revenue represents reimbursement for ineligible patients with insurance or personal payments based on a sliding fee scale, reimbursement for the cost of housing furnished to employees and utilities and supplies utilized by Central Regional Laundry. Federal Funds are Title XVIII reimbursement for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$14,548,577

378

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$62,921

0

 

Carry Forward

 

 

 

 

 

$0

$14,611,498

378

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$147,613

0

 

Annualization of FY 1998 –1999 Classified State Employees Merit Increase

$0

$50,282

0

 

Annualization of FY 1998 –1999 Unclassified State Employees Merit Increase

$0

$150,565

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

$51,288

0

 

Unclassified State Employees Merit Increases for FY 1999 -2000

$0

$138,517

0

 

Acquisitions and Major Repairs

$0

($197,873)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($62,921)

0

 

Nonrecurring Carry Forwards

$0

$316,380

0

 

Salary Base Adjustment

$0

($513,759)

0

 

Attrition Adjustment

$0

($142,569)

(5)

 

Personnel Reductions

 

 

 

 

 

$0

$14,549,021

373

 

TOTAL RECOMMENDED

         

$0

($62,477)

(5)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.6% of the existing operating budget. It represents 89.7% of the total request ($16,226,229) for this program. The major changes include an increase of $202,369 to fully fund salaries and personnel reductions of 5 positions vacant in excess of one (1) year or unjustified. The changes should have no significant impact on the delivery of these services.

 

PROFESSIONAL SERVICES

$10,000

 

Podiatry Physician and Surgeon required for the plethora of instances of very poor foot hygiene mainly by the adults in the mental health program

$19,291

Contract to provide Neurological coverage for clients at the hospital and to interpret electroencephalogram tracings

$9,600

Consultant in Internal Medicine to provide interpretation of electroencephalograms

$2,880

Electroencephalogram Technician Services to work with patients to obtain appropriate readings for interpretation by neurologist

$30,000

Physical therapist that provides a therapy horseback riding program (Equine therapy)

$19,880

Drug screening provided by LSU Medical Center to all employees of CLSH

$10,000

Speech therapist required to provide assessment of speech and language where indicated, provide counseling, treatment and rehabilitation when needed and conduct audiometric screening as required by the Joint Commission on the Accreditation of Healthcare Organizations

$6,000

Contract with a registered nurse to provide professional psychiatric nursing consultation to the hospital's nursing department and its professional staff

$2,500

Contractor to provide audiological screening, testing and proper fitting of hearing aides for those patients requiring such services

$35,908

Psychology Internship staff that provide hands-on service to the patients of the hospital including: group, individual, family and behavioral therapies; psychological assessments; treatment; planning; and documentation

$77,580

Consulting Psychologist to perform psychological evaluations and therapies, supervise unlicensed psychology staff as well as psychology interns and externs, conducts in-house seminars, oversees the critical treatment plan process and consults with staff in general

$2,520

 

Contract to provide a qualified interpreter for deaf clients on an as needed basis

$22,500

 

Contracted services to provide general dentistry services to patients

$26,144

Professional travel

$5,832

Contract to provide for operation of extensive patient library on the grounds of the hospital

$83,000

Chaplaincy program providing pastoral visitations and conducts religious services for patients at the hospital

$146,000

Contract with Volunteers of America for operation of a group home

$541,458

Contracted staff psychiatrists to provide psychiatric services as well as medical care to patients.

$297,230

Psychiatrist and Clinical Director of the hospital directly supervises the activities of full and part-time psychiatrists and consultants, program managers and directors, social services, activity therapy, work therapy, the religion department and the psychology department.

 

 

$1,348,323

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

This program does not have funding for Other Charges for Fiscal Year 1999-2000.

ACQUISITIONS AND MAJOR REPAIRS

$138,517

 

Recommended level of funding for the replacement and repairs of obsolete, inoperable or damaged equipment and buildings

 

 

 

$138,517

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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