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Program A: Administration and Support

Program Authorization: Executive Reorganization Act; R.S. 38:259C; Mental Health Law; and R.S. 28:1 et. seq.

PROGRAM DESCRIPTION

The mission of the Administration and Support Program is to provide the management structure and overall administrative direction and financing necessary to ensure adequate professional and non-professional level services and therapeutic environment essential for effective evaluation and treatment of psychiatric patients.

The goal of the Administration and Support Program are:

1. Improve organizational management.

2. Enhance staff competency.

3. Maintain a safe, secure, and clean environment for patients and staff.

The Administration and Support Program is responsible for the general management of the facility. General Management ensures that the agency meets or exceeds requirements for fiscal accountability; maintains control systems for supporting management's supervision of the overall program; provides the psychiatric, medical, and educational services with maximum support from appropriated funds; and assures compliance with accreditation standards of JCAHO (Joint Commission on Accreditation of Health Care Organizations), HCFA (Health Care Financing Administration), Title XIX, and other state and federal certification authorities. This program is administered by the Chief Executive Officer (CEO) and the associate administrator. The CEO serves as the primarily liaison between the hospital and the Department of Health and Hospitals/Office of Mental Health.

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 Administration and Support Program is funded with Interagency Transfers and Fees and Self-generated Revenue. Interagency Transfers include, Title XIX reimbursement for services provided to Medicaid eligible patients, and reimbursement from the State Department of Education for eligible meals provided under the School Lunch Program, and reimbursements from the Office of Substance Abuse and Vocational Rehabilitation for space occupied and services received and reimbursement for operation of the Washington-St. Tammany Regional Medical Center inpatient acute psychiatric unit. Self-generated Revenue represents reimbursement for ineligible patients with insurance or personal payments based on a sliding fee scale and meals served to employees and visitors.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$7,409,278

129

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$7,409,278

129

 

EXISTING OPERATING BUDGET November 20, 1998

 

 

 

 

 

$0

$59,082

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$60,263

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

($120,991)

0

 

Risk Management Adjustment

$0

$126,986

0

 

Acquisitions and Major Repairs

$0

($165,792)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

$565

0

 

Legislative Auditor Fees

$0

$1,077

0

 

UPS Fees

$0

$115,375

0

 

Salary Base Adjustment

$0

($59,903)

0

 

Attrition Adjustment

$0

($35,629)

(1)

Personnel Reductions

$0

$5,058

0

 

Civil Service Fees

$0

$50,000

0

 

Other Adjustments Adjustment for JCAHO Certification

 

 

 

 

 

$0

$7,445,369

128

 

TOTAL RECOMMENDED

         

$0

$36,091

(1)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.1% of the existing operating budget. It represents 86.1% of the total request ($8,648,986) for this program. The major changes reflected in this analysis include a reduction of $120,991 for risk management premiums; a personnel reduction of one (1) position vacant in excess of one (1) year; and an increase of $174,817 to fully fund all recommended positions. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$16,101

Contractor serves as medical records administrator and quality control consultant. This position is essential in assuring compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards in the health information and quality support departments as well as medical staff credentialing.

 

 

 

$16,101

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$10,504

 

Legislative Auditor for audit services

 

 

 

$10,504

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$58,125

 

Payments to the Department of Civil Service for personnel services

$5,047

 

Payments for Comprehensive Public Training Program for services

$19,415

 

Payments to the Secretary of State for microfilming

$19,930

 

Payments for Uniform Payroll System for payroll processing

 

 

 

$102,517

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$126,986

 

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

 

 

 

$126,986

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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