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Program C: Earl K. Long Medical Center

PROGRAM DESCRIPTION

The mission of Earl K. Long Medical Center is:

1. Provide quality medical care to residents of the service area, regardless of their ability to pay.

2. Serve, through affiliation with LSU School of Medicine, as a teaching hospital for physician education.

3. Support training in nursing and allied health care professions.

4. Support the community through health education and prevention services.

5. As a public hospital, to assure the public’s trust through prudent management of financial and human resources.

The goal of Earl K. Long Medical Center is to ensure that the medical center provides quality health care to the community in the most effective and efficient manner possible.

LSUMC-Earl K. Long Medical Center (EKLMC) is a state operated, acute care medical facility that has served East Baton Rouge Parish, and the seven surrounding parishes within its designated area, since 1968. The seven parishes outside East Baton Rouge are West Baton Rouge, East and West Feliciana, Iberville, Livingston and Pointe Coupee. The medical center 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.

LSUMC-EKLMC offers graduate medical education to physicians training in the following specialties: anesthesiology, dermatology, emergency medicine, family medicine, internal medicine, obstetrics/gynecology, ophthalmology, oral surgery, orthopedics, pediatrics and surgery, nursing and other allied health students receive a portion of their clinical experience at the Medical Center.

The Medical Center provides on site outpatient services by appointment at the Woman’s Clinic at the EKLMC Annex and the Medicine & Eye Clinic and Early Intervention/HIV Ambulatory Care Clinic, the Family Practice Center, General Surgery/Orthopedic Clinics, Pediatric Clinic, and Oral Surgery Clinic.

Additional clinic services are provided through LSUMC-EKLMC Outreach Clinics, staffed by LSUMC-EKLMC (to provide primary medical care). These clinics are located in Baton Rouge at the North Baton Rouge Community Center and the Leo S. Butler Community Center, and at the Chaneyville Community Center in Zachary, Louisiana. A Diabetic Foot Care Clinic recently opened and is located in Baton Rouge.

The operation of LSUMC-EKLMC is overseen by the LSUMC Health Care Services Division. The hospital is licensed for 257 beds. Of these beds, six are designated for prisoner care and 44 beds are located off site for psychiatric care.

The Medical Center is accredited by regulatory agencies including the JCAHO, HCFA, CLIA and numerous others.

 

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

$76,442,423

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$76,442,423

0

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$0

$545,358

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$559,173

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

$166,075

0

 

Risk Management Adjustment

$0

$793,000

0

 

Acquisitions and Major Repairs

$0

($688,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($3,314)

0

 

Legislative Auditor Fees

$0

$2,122

0

 

UPS Fees

$0

($138,154)

0

 

Salary Base Adjustment

$0

($766,101)

0

 

Attrition Adjustment

$0

($70,575)

(3)

 

Personnel Reductions

$0

$7,803

0

 

Civil Service Fees

$0

$192,205

0

 

Other Adjustments - Fund equipment maintenance contracts

$0

$23,413

0

 

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

$0

$839,360

0

 

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

$0

$0

953

 

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

 

 

 

 

 

$0

$77,904,788

950

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$1,462,365

950

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.9% of the existing operating budget. It represents 89.6% of the total request ($86,896,771) for this program. Most of the increase reflected above is a result of the transfer of Ryan White Federal Funds from the Office of Public Health for HIV medications, and an increase in funding for equipment maintenance contracts. The increase in funding will allow for dispensing of additional HIV drugs to Medicaid eligible and indigent patients where medically appropriate. Positions have been transferred from the Administration Program to each hospital to accurately reflect T.O. by hospital.

 

PROFESSIONAL SERVICES

$2,025,650

 

C & M Medical Services for emergency room staffing and operation

$380,000

 

C & M Medical Services for emergency medicine residency program

$800,000

 

Baton Rouge Radiology for X-Ray staffing, supervision and administration

$90,000

 

Louisiana Cardiology Associates for cardiology services

$5,000

 

Mary Bird Perkins Cancer Center for irradiation of blood products

$20,000

 

Bio Medical applications for inpatient dialysis services

$6,476

 

Kilgores for nuclear medicine services

$24,000

 

Various ministers for chaplain services

$10,000

 

S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organizations consultation

$40,000

 

Don Arnold Architectural Services

 

 

 

$3,401,126

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$21,336

 

Legislative Auditor expenses

$508,000

 

Cancer Treatment Program costs

 

 

 

$529,336

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$5,742,463

 

Payments to LSU Medical Center for faculty supervision and physician services

$3,434,462

 

Payments to LSU Medical Center for house officer salaries

$424,370

 

Payments to LSU Medical Center for physical therapy and faculty supervision services

$48,360

 

Payments to LSU Medical Center for psychology services

$5,500,000

 

Payments to Greenwell Springs Hospital for operation and management of acute psychiatric inpatient unit.

$73,321

 

Payments to Civil Service

$27,275

 

Payments for Uniform Payroll System expenses

$6,748

 

Payments to the Comprehensive Public Training Program

 

 

 

$15,256,999

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$793,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$793,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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