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Program B: Patient Care

Program Authorization: Act 69 of 1847 and Act 253 of 1972

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide safe, individualized rehabilitative care for mental health patients in the least restrictive setting, in collaboration with the community.

The goals of the Patient Care Program are:

1. Provide (through one of the established distinct units of the hospital) inpatient evaluation, diagnosis, treatment, and rehabilitation services to adult psychiatric patients of the hospital’s catchment area.

2. Provide efficient utilization of manpower and material resources in a cost-effective manner. This facility also provides ancillary services prescribed in medical laboratory, radiology, dental, pharmacy, and general medical areas.

The Patient Care Program is responsible for the provision of therapeutic treatment to chronic adult male and female psychiatric patients in accordance with licensing, HCFA (Health Care Financing Administration), and JCAHO (Joint Commission on Accreditation of Health Care Organizations) certification and accreditation standards. The general population served is very disabled, as most patients have typically been admitted to more acute settings in the past and are specifically referred to the East Louisiana State Hospital for longer care and treatment.

The four distinct units of the hospital are Cedarview (a 50 bed unit housing the admission unit and the acute/intermediate unit); Evangeline (a 120 bed long-term chronic care psychiatric unit); Gabriel (a 92 bed long-term chronic care psychiatric unit for longer term, recidivist, hard to place patients); and Dorthea Dix (a 12 bed behavior treatment program for mental health/mental retardation (MH/MR) acute psychiatric treatment unit).

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 the Office of Substance Abuse, Dixon Correctional Institute, Feliciana Forensic Facility, State Department of Veteran's Affairs, Villa Feliciana Geriatric Hospital and Vocational Rehabilitation 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 and telephone supplied to employees, utilities and supplies utilized by Jackson Regional Laundry and meals served to employees and visitors.   Federal Funds are Title XVIII reimbursement for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$16,383,935

424

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$946

0

 

Carry Forward

$0

$0

(1)

 

T.O. decreased for O.S. legal services

 

 

 

 

 

$0

$16,384,881

423

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$231,736

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$0

$236,370

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

$119,328

0

 

Acquisitions and Major Repairs

$0

($76,503)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($946)

0

 

Nonrecurring Carry Forwards

$0

$1,213,329

0

 

Salary Base Adjustment

$0

($593,824)

0

 

Attrition Adjustment

$0

($687,610)

(25)

 

Personnel Reductions

$0

($400,001)

0

 

Salary Funding from Other Line Items

 

 

 

 

 

$0

$16,426,760

398

 

TOTAL RECOMMENDED

         

$0

$41,879

(25)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100% of the existing operating budget. It represents 86.1% of the total request ($19,083,836) for this program. The major changes reflected in this analysis include personnel reductions. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$60,301

Contracts for consulting for Joint Commission on Accreditation of Healthcare Organizations (JCAHO) survey

$1,158,240

Contracts for psychiatric services

$90,954

 

Contracts for the following medical services: dental, radiology, opthamalogy, and internal medicine

$112,000

 

Contracts for other professional services, which include physical therapy, behavioral therapy, speech therapy, sign interpretation services for deaf patients, residential program with vocational education, religious services, pastoral services, and pastoral consultation

 

 

$4,601

 

Professional travel for the above contracts

$1,426,096

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$5,000

 

Training courses developed in cooperation with the hospital's Education and Training Department to provide courses to improve the knowledge of nurses, aides, social workers and other staff members as to mental health treatment

 

 

 

 

 

$5,000

 

TOTAL OTHER CHARGES

 

ACQUISITIONS AND MAJOR REPAIRS

$119,328

 

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

 

 

 

$119,328

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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