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Program B: Patient Care

Program Authorization: R.S. 28:4; and R.S. 28:380 through 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 Pinecrest/Leesville Developmental Centers.

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

The Patient Care Program provides support, supervision, and training of professionally prescribed activities (including medical, dietary, habilitative, and therapeutic services) to the individuals residing at Pinecrest Developmental Center. Person-centered planning and training focuses on self-help skills, personal hygiene, leisure time management, home living skills, social interaction, and community orientation. Pinecrest Developmental Center utilizes an individual values-asked approach to provide supports in a cost-effective manner, while protecting the rights and dignity of individuals with disabilities.

Major activities of this program include Medical Services, Dietary Services, Habilitative Services, Therapeutic Services, and Person-Centered Planning.

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 PROGRAM

SOURCE OF FUNDING

The Patient Care Program of Pinecrest Developmental Center is funded from Interagency Transfers, Fees and Self-generated Revenues, Federal Funds, and General Fund. Interagency Transfers include Title XIX reimbursement for services to Medicaid-eligible residents through the Department of Health and Hospitals, Medical Vendor Payments Program. Self-generated Revenues include reimbursements for employee meals and laundry, and payments from residents for services based on a sliding fee scale. Federal Funds include Title XVIII reimbursement for services provided to Medicare-eligible patients, and funds received from the federal Foster Grandparents Program pursuant to P.L. 94-113.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$1,320,598

$52,105,138

1,934

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$4,602

0

 

Carry Forward

 

 

 

 

 

$1,320,598

$52,109,740

1,934

 

EXISTING OPERATING BUDGET November 20, 1998

 

 

 

 

 

$0

$1,044,308

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$0

$1,065,194

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

$527,850

0

 

Acquisitions and Major Repairs

$0

($1,381,782)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($4,602)

0

 

Nonrecurring Carry Forwards

$0

$1,936,948

0

 

Salary Base Adjustment

$0

($1,861,855)

0

 

Attrition Adjustment

$0

($658,489)

0

 

Salary Funding from Other Line Items

$0

$931,365

0

 

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

 

 

 

 

 

$1,320,598

$53,708,677

1,934

 

TOTAL RECOMMENDED

         

$0

$1,598,937

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 103.1% of the existing operating budget. It represents 94.7% of the total request of $56,724,950 for this program. The major reasons for the increase from existing operating budget are the annualization of positions which were added in order to meet Department of Justice recommendations in the amount of $931,365 and the full funding of salaries.

PROFESSIONAL SERVICES

$182,903

 

Physician services

$505,238

 

Psychological services

$180,775

 

Professional Peer Review

$30,900

 

Support services

$1,210

 

Independent Quality Review

$5,150

Horseback Riding Therapy

$8,240

 

Direct Care staff training

$11,840

 

Computer based staff training

$31,750

 

Employee drug testing

$52,100

Psychiatric services

 

 

 

$1,010,106

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$1,000

 

Client Recreational Outings - funds used for clients who do not have or generate income for recreational activities and clothing.

$282,000

 

Foster Grandparent Program - Federal Grant providing senior citizens the opportunity to provide one-on-one interaction with clients who are of school age, which provides a 'family-type' relationship thus enhancing socialization and quality of life for clients

 

 

$3,306,000

 

Provider Based 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

 

 

 

$3,589,000

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$527,850

 

Funding for replacement of inoperable and obsolete office and computer equipment and various repairs

 

 

 

$527,850

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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