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Program B: Patient Care

Program Authorization: R.S. 28:25.1; and Louisiana Code of Criminal Procedure, Title XXI, Article 641-661

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to assure pretrial evaluation for competency and assure the provision of treatment, rehabilitation and community supports that assist in restoration to competency and/or recovery from mental illness and emotional disturbance.

The goal of the Patient Care Program is to provide patient services to improve the probabilities of the patient population’s successful return to society as productive self-supporting individuals.

The Patient Care Program is responsible for the provision of therapeutic treatment to chronic adult male and female psychiatric patients, in accordance with licensing and JCAHO certification and accreditation standards. The general population served is considered as: persons committed on recommendation of a sanity commission; persons found guilty by reason of insanity and considered dangerous to self or others; persons transferred from Louisiana Department of Corrections institutions who are in need of inpatient treatment for illness; persons civilly committed after being found incompetent to proceed to trial in the foreseeable future; and patients transferred from civil hospitals who are extremely dangerous to self and others and who cannot be safely served in a civil setting.

The major activities of the Patient Care Program are Admissions and Special Security Area (75 bed maximum security); Intermediate Treatment Unit (64 bed minimum security); Crossroads Rehabilitation Unit (72 bed minimum security); and a Female Unit (24 bed minimum security).

Admissions and Special Security Area serves as an evaluation, treatment and referring point for all admissions except females. The unit also provides care and custody for the patient with anti-social tendencies, the more dangerous psychotic patient and other patient with special needs. Females are paper-processed through this unit and admitted to the Female Unit.

Intermediate Treatment Unit provides services to the chronic psychiatric patient, the chronic organic patient and the developmentally disabled patient.

Crossroads Rehabilitation provides services in the least restrictive environment of the hospital. Most patients on this unit are involved in Rehabilitation Work Therapy, a job training therapy.

Female Unit (24 bed minimum security) provides services to the female population of the hospital. These patients have a variety of psychiatric problems and illnesses. Females are admitted and treated in the primary female treatment area and, as acceptable levels of functioning are achieved, are transferred to a step-down annex which affords greater flexibility and freedom for these patients.

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 from General Fund.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$13,926,554

$13,926,554

333

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$20,357

0

 

Carry Forward

$0

$0

3

 

Transfer from 09-351 Office of Alcohol and Drug Abuse

 

 

 

 

 

$13,926,554

$13,946,911

336

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$137,862

$137,862

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$140,619

$140,619

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$136,458

$136,458

0

 

Acquisitions and Major Repairs

($103,935)

($103,935)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($20,357)

0

 

Nonrecurring Carry Forwards

$265,760

$265,760

0

 

Salary Base Adjustment

($395,936)

($395,936)

0

 

Attrition Adjustment

($79,094)

($79,094)

(3)

 

Personnel Reductions

($33,060)

($33,060)

0

 

Salary Funding from Other Line Items

$10,000

$10,000

0

 

Workload – Interagency agreement with Secretary of State for microfilming

$6,475

$6,475

0

 

Other Adjustments – Interagency agreement with East La. State Hospital for medical supplies

$120,500

$120,500

0

 

Other Adjustments – Interagency agreement with East La. State Hospital for medical supplies

$1,421,223

$1,421,223

26

 

New and Expanded Adjustments - Forensic Proposal to reduce the number of parish prison inmates 

         

$15,553,426

$15,553,426

359

 

TOTAL RECOMMENDED

       

$1,626,872

$1,606,515

23

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET

 

The total means of financing for this program is recommended at 111.5% of the existing operating budget. It represents 77.4% of the total request ($20,089,130) for this program. The major changes reflected in this analysis include an increase of $1,421,223 and 26 positions to implement a plan to reduce to over 90 day waiting list in the parish prisons and an increase of $115,245 to fully fund salaries.

PROFESSIONAL SERVICES

$906,320

 

Contractor provides clinical director, psychiatrists, neurologists, psychiatric residents and administrative support for the treatment of patients

$26,022

 

Dental services provided to patients

$30,600

 

Contractor physician provides psychiatric are to patients

$17,280

 

Payments to Tulane Medical School for psychiatric Forensic Fellows for Aftercare clinic

$7,200

 

Deaf interpretation contract to provide sign language for deaf patients

$10,000

 

Contractor performs documentation review to meet requirements of accreditation

$14,750

 

Contractor to provide speech therapy for patients

$102,892

 

Funding for Forensic Proposal

 

 

 

$1,115,064

 

TOTAL PROFESSIONAL SERVICES

 

OTHER CHARGES

 

 

Interagency Transfers:

$33,325

 

Pro-rata cost of medical services (EEG's, EKG's, Eye Clinic, Dental Clinic, Emergency Clinic, etc.) performed by East La. State Hospital

$510,500

 

Pro-rata cost of medical supplies and pharmacy furnished by East La. State Hospital

$11,552

 

LSU Medical Center performs utilization review of prescription drugs administered for patients

$27,750

 

Pro-rata cost of laboratory procedures performed at East La. State Hospital

$10,000

 

Payment of Secretary of State for microfilming of patient records

     

$593,127

 

TOTAL INTERAGENCY TRANSFERS

     

ACQUISITIONS AND MAJOR REPAIRS

$185,303

 

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

 

 

 

$185,303

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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