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Program F: W. O. Moss Regional Medical Center

Program Authorization: Act 218 of 1956; Act 753 of 1972; Act 800 of 1990; and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the W. O. Moss Regional Medical Center is to provide quality acute and primary health care services to all individuals, as well as to provide a clinical setting.

The goal of W. O. Moss Regional Medical Center is to ensure that the Medical Center provides quality health care to the community in the most effective and efficient manner possible.

Walter Olin Moss Regional Medical Center was known as Lake Charles Charity Hospital when it was constructed in 1958 and was renamed in 1978 to honor a pioneering surgeon in the 1920ís. The four-story facility started accepting patients in July of 1960. Act 3 of the 1997 Regular Session of the Legislature mandated the establishment of the LSU Medical Center Health Care Services Division of which W.O. Moss is currently a part. The Medical Center serves a five-parish area in Southwest Louisiana, including Beauregard, Calcasieu, Cameron, Jefferson Davis and adjacent parishes. The hospital is currently staffed for 74 beds.

The facility provides acute general medical and specialty services and critical care to the indigent, uninsured, Medicare, and Medicaid patients of the hospitalís service area. The hospital 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.

As of fiscal year 1996-1997, W.O. Moss was licensed for 108 beds with twenty psychiatric beds managed by the Department of Health and Hospitals, Office of mental Health. Moss, in 1997, entered into a cooperative endeavor with Lake Charles Memorial Hospital to provide obstetrical services. This action benefits both the patients and the public system. The patients benefit from this public/private section integration being allowed to have pre-natal and post-natal care locally as opposed to traveling sixty miles to the nearest hospital. The LSUMC-HCSD benefits by preventing other LSUMC hospitals from becoming backlogged with patients referred from W.O. Moss. Most importantly, from a long- term perspective, appropriate care reduces high-risk pregnancies and deliveries. Another similar arrangement has taken place with radiation/oncology services.

Moss now includes medical education as part of its system. Currently, Moss provides training from residents from LSU Medical School University in orthopedics and pediatrics. In addition, students from McNeese State University are trained in the disciplines of nursing, radiology, and dietary services. Clinical experience for graduate nursing students is also provided affiliation with Northwestern State University, McNeese State University, and the University of Texas Medical Branch at Galveston. Local Vo-Tech schools, such as Sowela, have the opportunity to allow their students to gain training, as well.

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

$28,355,184

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$28,355,184

0

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

$0

$191,936

0

 

Annualizaiton of FY 1998-1999 Classified State Employees Merit Increase

$0

$196,458

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

$13,086

0

 

Risk Management Adjustment

$0

$281,000

0

 

Acquisitions and Major Repairs

$0

($270,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($260)

0

 

UPS Fees

$0

$253,419

0

 

Salary Base Adjustment

$0

($448,093)

0

 

Attrition Adjustment

$0

($147,524)

(6)

 

Personnel Reductions

$0

$2,594

0

 

Civil Service Fees

$0

($356)

0

 

State Treasury Fees

$0

$29,265

0

 

Other Adjustments - Fund equipment maintenance contracts

$0

$272,060

0

 

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

$0

$0

443

 

Other Technical Adjustments Ė Transfer positions from Administration to reflect appropriate T.O by hospital

 

 

 

 

 

$0

$28,728,769

437

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$373,585

437

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.3% of the existing operating budget. It represents 83.0% of the total request ($34,589,690) for this program. The major reason for the overall increase is the transfer of additional Ryan White Federal Funds from the Office of Public Health for HIV medications. Six (6) vacant positions were reduced through personnel reductions. These changes should have no significant impact on the delivery of services.

PROFESSIONAL SERVICES

$8,000

 

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

$4,071,089

 

Regional Physicians for physician coverage

$331,200

 

Regional Physicians for cardiac catherizations

$1,604,000

 

C & M Medical Services for emergency room staffing services and day clinic triage

$500

 

Deaf Action Center for interpretation for the hearing impaired

$113,987

 

Lake Charles Area Rehabilitation for physical therapy services

$30,000

 

Don Arnold for architectural services

 

 

 

$6,158,776

 

TOTAL PROFESSIONAL SERVICES

 

 

 

OTHER CHARGES

$18,050

 

Legislative Auditor expenses

 

 

 

$18,050

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$1,324,300

 

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

$142,001

 

Payments to LSU Medical Center for physician services

$32,049

 

Payments to the Department of Civil Service

$12,725

 

Payments for Uniform Payroll System expenses

$3,038

 

Payments to the Compehensive Public Training Program

 

 

 

$1,514,113

 

TOTAL INTERAGENCY TRANSFERS

 

 

 

ACQUISITIONS AND MAJOR REPAIRS

$281,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$281,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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