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Program B: Patient Care

Program Authorization: R.S. 28:380 through R.S. 28:444

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide residential living and other supports and services to individuals with developmental disabilities living at Hammond Developmental Center.

The goal of the Patient Care Program is to provide person-centered, 24-hour residential living services and supports to individuals with developmental disabilities living at Hammond Developmental Center.

The Patient Care Program is a program within Hammond Developmental Center, the purpose of which is to provide living and other supports and services for individuals with developmental disabilities living at Hammond Developmental Center.

The Patient Care Program consists of the following activities: (1) Unit Operations, (2) Staff Development, (3) Recreation, (4) Beauty/Barber Services, (5) Food and Nutritional Services (6) Quality Assurance, (7) Social Services, (8) Nursing Services, (9) Medical-Physicians, (10) Dental, (11) EEG, (12) Laboratory, (13) Respiratory Therapy, (14) Radiology, (15) Communications, (16) Occupational Therapy, (17) Physical Therapy, and (18) Pharmacy.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators 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 for Hammond Developmental Center is funded from a combination of Interagency Transfers, Fees and Self-generated Revenues, and General Fund. Interagency Transfers include Title XIX reimbursement for services provided to Medicaid-eligible residents from the Department of Health and Hospitals, Medical Vendor Payments Program. Fees and Self-generated Revenues include reimbursement for employee meals and from residents for services provided based on a sliding fee scale.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$473,120

$23,053,908

701

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$473,120

$23,053,908

701

 

EXISTING OPERATING BUDGET November 20, 1998

 

 

 

 

 

$0

$158,763

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$0

$161,654

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

$230,539

0

 

Acquisitions and Major Repairs

$0

($644,714)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($486,535)

0

 

Salary Base Adjustment

$0

($317,733)

0

 

Attrition Adjustment

$0

$57,231

0

 

Other Annualizations Annualization to bring the staff to client ratio up to Department of Justice recommendations

$0

($38,648)

0

 

Other Adjustments Change in provider fee charged to the facility by the Department of Health and Hospitals

$0

($340,000)

0

 

Other Technical Adjustments Transfer of salaries to the Administration and Support Program

 

 

 

 

 

$473,120

$21,834,465

701

 

TOTAL RECOMMENDED

         

$0

($1,219,443)

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 94.7% of the existing operating budget. It represents 86.2% of the total request of $25,318,036 for this program. The major reason for the decrease from existing operating budget is the full funding of salaries and the transfer of $340,000 in salaries to the Administration and Support Program.

PROFESSIONAL SERVICES

$79,568

 

Speech Pathology services - provide professional monitoring of communication skills programs, speech/language evaluations, assist in program planning, provide in-service training for staff, and provide therapeutic services

$50,470

 

Occupational Therapist services - provide services such as client screenings, client assessments, general and comprehensive evaluations, in-service training for the Occupational Therapy Department staff and Hammond Developmental Center staff in general, establish and implement active treatment programs, and provide training in the implementation of such programs and the improvement of existing programs

$46,840

 

Physical Therapy services provide services which include in-service education, professional supervision, consultation regarding program and personnel development based on meeting mental retardation certification standards, and assistance in developing individual care plans

$32,136

 

Psychiatrist services services include psychiatric evaluations, neurological evaluations, screening clients on psychotropic drugs prior to the institution of medication, follow-up examinations for side effects of medications, and making recommendations regarding medication therapy to the staff physician

$76,736

 

Psychologist services - provide psychological services with emphasis on the development of functional assessments which leads to the creation of Behavior Treatment Programs

$61,800

 

Sitter service - provide health support services for hospitalized clients when required by hospital or treating physician. These services include, but are not limited to bathing and providing other personal care, changing bed linens, assisting bedridden clients with turning, assisting with ambulation, and maintaining a safe environment for the client

$122,570

 

Training provide the supports necessary for adults with developmental disabilities to achieve self-identified employment/habilitative outcomes

$200,000

Vocational Program

$685,880

 

Mortality Reviews; On-Going Intensive Peer Review; Nationally Recognized Management consultants; Psychology; Specialized Medical/Nursing services; Physical Therapy; Specialized Training

 

 

 

$1,356,000

 

TOTAL PROFESSIONAL SERVICES

 

OTHER CHARGES

$3,102

 

Staff training in areas of facility annual review, cardio-pulmonary training, behavior management, and handling disasters/emergencies

$76,516

 

Peer review for nutritional and programmatic services

$1,228,407

 

Provider Base Fee - paid to the Department of Health and Hospitals in accordance with LA R.S. 46:2601-2605, which states that a fee of $9.62 per patient day will be imposed on all intermediate care facilities

 

 

 

$1,308,025

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$230,539

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$230,539

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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