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Program B: Patient Care

Program Authorization: Act 253 of 1972 and Act 40 of the 1981 Special Session

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide mental health evaluation, treatment, and rehabilitation services to Louisiana’s children and adolescents ages six to 18 in the Office of Mental Health Region 1, 3 and 10 , and also for statewide utilization as needed.

The goals of the Patient Care program are:

1. Provide mental health evaluation, treatment, and rehabilitation services to children and adolescents in a manner that will assist the patient to return to the optimal level of functioning. In doing this, the patient can be maintained on an outpatient basis, or if hospitalized, then integrated into society in the least restrictive setting.

2. Provide mental health services in accordance with state licensing standards, Health Care Financing Administration (HCFA) certification authority, and standards of the Joint Commission on Accreditation of Health Care Organizations (JCAHO).

The Patient Care Program includes a continuum of mental health services comprised of five community mental health clinics, crisis intervention services, respite services and hospital inpatient services. The outpatient clinics provide an array of services that include screening and assessments, emergency crisis care, individual evaluation and treatment, medication administration, clinical casework services, specialized criminal justice services and pharmacy services. The acute care psychiatric care inpatient units provide psychiatric, psychological and medical services in compliance with all licensing and accreditation standards to meet the individualized need of child and adolescent patients who need a level of care that must be rendered in an inpatient setting. All services are designed for continuity of care throughout the system for maximum benefit and convenience to the patients and clients.

The outpatient program provides services to Orleans, Plaquemines, and St. Bernard Parishes. Admission to hospital inpatient services is through the Office of Mental Health Single Point of Entry Process. The criteria for admission are those as utilized statewide by the 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 Patient Care Program is funded from General Fund, Interagency Transfers and Fees and Self-generated Revenues. 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. Self-generated Revenue represents reimbursement from ineligible patients with insurance or personal payments based on a sliding fee scale.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$10,320,710

224

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$19,093

0

 

Carry Forward

$0

$500,000

0

 

BA-7 # 300 Interagency Transfer from MVP for capital improvements

 

 

 

 

 

$0

$10,839,803

224

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$151,642

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$0

$154,675

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

$32,500

0

 

Acquisitions and Major Repairs

$0

($32,363)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($19,093)

0

 

Nonrecurring Carry Forwards

$0

$348,613

0

 

Salary Base Adjustment

$0

($294,785)

0

 

Attrition Adjustment

$0

($360,145)

(10)

 

Personnel Reductions

$0

($500,000)

0

 

Other Nonrecurring Adjustments – Nonrecurring BA-7 # 300

$1,862,823

$0

0

 

Means of Financing Substitutions – Replace IAT with SGF based on IAT projections for FY 2000

 

 

 

 

 

$1,862,823

$10,320,847

214

 

TOTAL RECOMMENDED

         

$1,862,823

($518,956)

(10)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 95.2% of the existing operating budget. It represents 85.9% of the total request ($12,018,475) for this program. The major changes reflected in this analysis include a decrease of $500,000 to non-recur a one-time increase for capital improvements and personnel reductions. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$681,772

 

Employment of psychiatrists providing direct inpatient unit care

$189,044

 

Employment of medical school residents to provide evening, night, weekend and holiday on grounds medical coverage of patient care

$37,147

 

Contract of medical school residents and psychology interns for services provided at the hospital and related supervision

$30,177

 

Contract for psychologists and neuropsychologists providing direct patient care

$25,442

 

Employment of social services staff assisting in documentation of patient medical record discharge summaries

$72,701

 

Various medical services including dental, psychopharmacology, pathology, radiology, neurology, speech and hearing, and patient general medical care

 

 

 

$1,036,283

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$200,000

 

This contract provides respite psychiatric care to children and adolescents in Orleans, Plaquemines and St. Bernard parishes. The contract will retain families on contract who provide emergency respite care to at risk children when needed. This level of care is utilized as part of the overall continuum of care for children and adolescents, providing out of home emergency care. Respite care is frequently an effective means of deterring more expensive admission to an inpatient facility.

$85,000

 

This contract provides crisis evaluation and treatment services for children and adolescents in Orleans, Plaquemines and St. Bernard parishes. The services provided under this contract are an important part of the overall continuum of care, and serve to provide emergency evaluations directed avoiding admission to an inpatient facility where hospitalization is not needed.

 

 

 

$285,000

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$32,500

 

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

 

 

 

$32,500

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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