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Program B: E. A. Conway Medical Center

Program Authorization: R.S. 46:811-818 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the E. A. Conway Medical Center is to provide acute general medical, surgical, and psychiatric health care to the medically indigent, uninsured, Medicare and Medicaid eligible and self-paying patients of the hospital’s service area. E.A. Conway Medical Center is committed to providing quality care equally to all citizens within a safe environment.

The goal of E. A. Conway Medical Center is to ensure that the hospital provides quality health care to the community in the most effective and efficient manner possible.

E.A. Conway Medical Center is an acute care teaching facility licensed for the operation of 252 beds. The hospital is affiliated with Louisiana State University Medical School in Shreveport, and licensed by the Department of Health and Hospitals. The hospital received a three-year accreditation by the Joint Commission of Healthcare Organizations in November 1996. Laboratory and Blood Bank operations are accredited by the College of American Pathologists and the American Association of Blood Banks.

The hospital first opened its doors in 1941, and moved into its present facility in 1987. The facility provides acute general medical and specialty services and critical care to the indigent, uninsured, Medicare, and Medicaid patients of the hospital’s service area. The hospital also provides additional support functions such as pharmacy; blood bank; respiratory therapy; anesthesiology; and various diagnostic services and other support functions of a non-medical nature, such as administration; maintenance; housekeeping; mail service; purchasing; accounting; and admissions and registration. The facility also maintains a stipend program for medical residents and contracts for physician and anatomical services and works cooperatively with medical schools and other health education institutions to broaden the opportunity for clinical training in the hospital.

Obstetrical and Surgical Services comprised approximately 42% of the patient discharges in Fiscal Year 1997.

The facility provides inpatient and outpatient medical care to the residents of a 12-parish service area in Northeast Louisiana. The medical center service area is comprised of the parishes of Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll.

The average unemployment rate for the Region 8 Service Area is 14.7%. Families with incomes below the poverty level account for approximately 55% of the population.

 

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 Interagency Transfers, Self-generated Revenue, and Federal Funds. The Interagency Transfers represent Title XIX reimbursement from the Medicaid Program for services provided to Medicaid eligible and "free care" patients. The Self-generated Revenue represents insurance and self pay revenues for services provided to patients who are not eligible for "free care". The Federal Funds are derived from Title XVIII, Medicare payments for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

$0

$56,793,242

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$56,793,242

0

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

$0

$520,030

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$532,061

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

($492,545)

0

 

Risk Management Adjustment

$0

$564,000

0

 

Acquisitions and Major Repairs

$0

($545,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

$4,366

0

 

Legislative Auditor Fees

$0

$2,070

0

 

UPS Fees

$0

$88,538

0

 

Salary Base Adjustment

$0

($985,917)

0

 

Attrition Adjustment

$0

($29,575)

(1)

 

Personnel Reductions

$0

$10,103

0

 

Civil Service Fees

$0

$52,925

0

 

Other Adjustments - Fund equipment maintenance contracts

$0

$31,356

0

 

Other Adjustments - 1% House Officer Stipend increase to the Southern Regional Average for public hospitals

$0

$74,420

0

 

Other Adjustments - Increase transfer of Ryan White Federal Funds from the Office of Public Health for HIV medications

$0

$969,878

0

 

Other Adjustments – Transfer funds from the Medical Center of Louisiana at New Orleans to E.A. Conway for additional primary care services

$0

$0

892

 

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

 

 

 

 

 

$0

$57,589,952

891

 

TOTAL RECOMMENDED

         

$0

$796,710

891

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

 

 

 

 

 

The total means of financing for this program is recommended at 101.4% of the existing operating budget. It represents 85.7% of the total request ($67,203,402) for this program. Most of the increase reflected above is a result of a transfer of funds from the Medical Center of Louisiana at New Orleans to E.A. Conway for additional primary care services. Other adjustments resulting in the overall increase include a 1% House Officer Stipend increase to the Southern Regional Average for public hospitals, and a transfer of Ryan White Federal Funds from the Office of Public Health for HIV medications. Positions have been transferred from the Administration Program to each hospital to accurately reflect T.O. by hospital. There is a personnel reduction of one (1) vacant position. The overall increase will have a significant impact on the delivery of services, allowing the hospital to provide additional primary care services to E.A. Conway’s catchment area.

 

PROFESSIONAL SERVICES

$191,099

 

Radiology Consultants for radiology services and consultation

$53,126

 

Ochsner Medical Institutions for opthamology services

$12,576

 

Arthritis Clinic for rheumatology services

$13,920

 

Various ministers for chaplain services

$10,000

 

S. Longo & Associates for Joint Commission on the Accreditation of Healthcare Organizations for consultations

 

 

 

$280,721

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$17,715

 

Legislative Auditor expenses

 

 

 

$17,715

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$2,509,398

 

Payments to LSU Medical Center for faculty staff for resident supervision and physician services

$4,833,901

 

Payments to LSU Medical Center for house officer salaries and medical staff

$947,491

 

Payments to LSU Medical Center for emergency room physician services

$139,122

 

Payments to LSU Medical Center for data processing services

$1,900,000

 

Payments to the Office of Mental Health for operation and management of the acute psychiatric inpatient unit

$69,238

 

Payments to the Department of Civil Service

$24,605

 

Payment for Uniform Payroll System expense

$6,030

 

Payments to the Comprehensive Public Training Program

$405,462

 

Payments to LSU Medical Center for computer services

     

$10,835,247

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$564,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$564,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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