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Program A: Executive Administration and General Support

Program Authorization: R.S. 40:2002; 40:2014; 40:2331; 40:1232; and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Administration Program is to provide assistance and administrative support services to each of the State operated acute care Health Care Services Division medical centers.

The goals of the Administration Program are:

1. Support and provide resources to enhance quality patient care and allow easy and timely access to inpatient and outpatient hospital services which meet or exceed accepted medical standards.

2. Assist in providing an optimal environment for practical educational experiences for medical residents and students of all Louisiana institutions of higher education in relevant fields of study.

This program includes the administrative executive staff and clerical support assigned to these positions. Funding for the Medical Education and Research (Anatomical Services) Program is included in the Anatomical Services activity in the Executive Administrative Program. The Service and Resource Office provides support and resources to the hospitals in the areas of fiscal services, reimbursements, contracting, purchasing, auditing, information systems, human resources, quality assurance, accreditation support, legislative liaison, community networking/partnering, managed care, and patient advocacy. Some administrative support is also provided.

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

This program is funded with General Fund, Interagency Transfers, Self-generated Revenue, and Federal Funds. The General Fund represents funding for the dispensing of various outpatient medications for asthma, diabetes, and heart failure that are not considered allowable, or reimburseable costs from the Medicaid program. The Interagency Transfers represent reimbursement from the Medicaid Program for services provided to Medicaid eligible and "free care" patients. The Interagency Transfer means of financing is collected at the individual hospital level, based on costs allocated from the Administration Program, and the funds are then "pooled" back to fund the Administration Program. The Self-generated Revenue represents anatomical fees collected from medical students to help defray the costs of cadavers supplied by the Anatomical Services activity. The Federal Funds means of financing is collected at the individual hospital level, and the funds are "pooled" back to fund the Administration Program.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$900,000

$22,258,457

9,993

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$900,000

$22,258,457

9,993

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

$0

$25,358

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$54,309

0

 

Classified State Employees Merit Increases for FY 1999 -2000

$0

($2,081)

0

 

Risk Management Adjustment

$0

$224,000

0

 

Acquisitions and Major Repairs

$0

($287,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($9,532)

0

 

Legislative Auditor Fees

$0

$31

0

 

UPS Fees

$0

$161,370

0

 

Salary Base Adjustment

$0

($174,212)

0

 

Attrition Adjustment

$0

($57,350)

0

 

Salary Funding from Other Line Items

$0

$1,365

0

Civil Service Fees

$0

$28,320

0

 

Other Adjustments – Provide funding for equipment maintenance contracts

$0

$837,440

11

 

Other Adjustments – Provide funding for Corporate Compliance Program, with intent to combat Medicare billing fraud and abuse

$1,194,223

$6,613,873

0

 

Other Adjustments - Partially fund Disease Management Program, with the intent to achieve standards of care for the following disease entities: Asthma, Diabetes, and Heart Failure

$0

$0

(9,862)

 

Other Technical Adjustments – Transfer positions from Administration to individual hospitals to reflect appropriate T.O. by hospital

($900,000)

($900,000)

0

 

Other Technical Adjustments –Transfer funding for the adolescent rehab program by the Rapides Parish Law Enforcement District to Youth Development

 

 

 

 

 

$1,194,223

$28,774,348

142

 

TOTAL RECOMMENDED

         

$294,223

$6,515,891

(9,851)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 129.3% of the existing operating budget. It represents 59.4% of the total request ($48,438,427) for this program. Most of the increase reflected above is a result of partial funding for a Disease Management initiative and the addition of a Corporate Compliance Program, including 11 positions. These additions are expected to have a significant impact on the delivery of services by the Charity Hospital System. The Disease Management initiative will allow the hospital system to set up standards of care for asthma, diabetes, and heart failure, with a focus on preventive care. The Corporate Compliance Program will protect the hospital system against Medicare/Medicaid billing fraud and abuse.

PROFESSIONAL SERVICES

$39,000

 

American Appraisal Associates for real property appraisal and consulting services

$2,500,000

 

Health Management Systems for retroactive Revenue Recovery Services that are paid on the basis of a percentage of the amounts collected

$100,000

 

Prospective Payment Specialist for Medicare Payment Review

$1,000,000

 

Southern Credit Recovery for collection of delinquent accounts

$259,338

Health Care Education strategies for billing training to hospitals

$9,800

American Research Group for LAN Protocols training program

$48,000

DBM Services for developing financial application requirements for Peoplesoft

$19,920

Health Care Microsystems for clinically-based software that measures Provider Performance

$29,500

S. Longo and Associates for developing management plans for hospitals to comply with JCAHO Environment of Care Standards

$87,200

Luther Speight for review and evaluation of MCLNO Patient Billing

$17,630

Intermountain Health Care for providing consulting services on Disease Management

$31,000

 

Software applications for consulting

$129,502

 

Allen, Gooch, Bourgeois for legal services

$50,000

 

Jones, Walker, Waechter for legal services

$123,750 

 

Tulane Medical Center for physician to consult on Disease Management

$61,110

 

Lakelawn Funeral Home and Tharp-Sontheimer Funeral Home for anatomical services

$91,063

 

LSU Medical Center for embalming, cremation services and cadavar storage

     

$4,596,813

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$6,613,873

 

Disease Management

$13,130

 

Legislative Auditor expenses

 

 

 

$6,627,003

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$15,223

Payments to Civil Service for Comprehensive Public Training Program

$3,308

Payments for Uniform Payroll System expenses

$3,000

Payments to Department of Social Services for computer services

$16,666

Payments to the Department of Corrections, Public Safety Services for data processing services

$81,445

 

Payments to the LSU School of Medicine for office supplies, telephone, postage, and general support

$15,430

 

Payments to LSU Board of Supervisors for rent of the Systems Building

$109,350

 

Payments to LSU Board of Supervisors for internal audit services

$91,063

 

Payment to the LSU School of Medicine for the Anotomical Services Program

$232,536

 

Payments to LSU School of Medicine for IDX Physicians Billing System link with Health Point

$17,343

Payments to LSU School of Medicine for legal services

$1,711,275

Payment to LSU School of Medicine for information services

 

 

 

$2,296,639

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$288,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$288,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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