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Program G: Lallie Kemp Regional Medical Center

Program Authorization: R.S. 36:259 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Lallie Kemp Regional Medical Center, located in the town of Independence, is to provide acute general medical, surgical, inpatient and ambulatory medical care for the medically indigent, Medicaid and/or Medicare eligible and self-paying patients in the service area which includes Tangipahoa and St. Helena parishes. Lallie Kemp Regional Medical Center is committed to serving its patients, staff, and community with quality and dignity, while constantly striving to improve its performance.

The goal of Lallie Kemp Regional Medical Center is to provide the quality health care to the community in the most effective and efficient manner possible.

On August 15, 1939, Lallie Kemp Medical Center opened the doors of an establishment to help the indigent and needy patients of Tangipahoa, St. Helena, Livingston, and East and West Feliciana parishes. Mrs. Lallie Kemp, who was a member of the State Welfare Hospital Board was the main instrument in opening this facility, at which it was named Florida Parishes Charity Hospital.

Today, Lallie Kemp Medical Center is considered an acute care hospital, still with the primary mission of treating all citizens of the Florida parishes. While the primary mission is the medically indigent, the hospital was mandated to provide health care to all citizens of the State of Louisiana. With 90 licensed beds and a compliment of over 450 personnel, the hospital has become a major force in health care delivery in the area. The hospital is currently staffed for 67 beds.

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. The facility 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.

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

$29,341,907

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$29,341,907

0

 

EXISTING OPERATING BUDGET - November 20,1998

 

 

 

 

 

$0

$269,148

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$275,254

0

 

Classified State Employees Increases for FY 1999-2000

$0

($491,737)

0

 

Risk Management Adjustment

$0

$290,000

0

 

Acquisitions and Major Repairs

$0

($286,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($5,179)

0

 

Legislative Auditor Fees

$0

$1,253

0

 

UPS Fees

$0

$285,177

0

Salary Base Adjustment

$0

($558,739)

0

 

Attrition Adjustment

$0

($206,088)

(7)

 

Personnel Reductions

$0

$1,775

0

 

Civil Service Fees

$0

$58,583

0

 

Other Adjustments - Fund equipment maintenance contracts

$0

$128,100

0

 

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

$0

$0

485

 

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

 

 

 

 

 

$0

$29,103,454

478

 

TOTAL RECOMMENDED

         

$0

($238,453)

478

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.2% of the existing operating budget. It represents 77.5% of the total request ($37,516,504) for this program. The overall net reduction in this program is a result of a reduction in Risk Management premiums and a reduction of seven (7) vacant positions. This decrease is offset by an increase in the transfer of additional Ryan White Federal Funds from the Office of Public Health for HIV medications. The changes are not anticipated to have a significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$8,000

 

S. Longo for Joint Commission on Accreditation for hospital consultations

$203,665

 

Tangipahoa Parish Sheriff's Office for hospital security services

$10,000

 

Mary Pirosko for Public Information Officer

$20,000

 

Don Arnold Architectural Services for various hospital renovation projects

$10,000

 

Assaf Simoneaux for engineering services

$790,500

 

C & M Medical services for emergency room physician services

$427,000

 

Radiology Management Associates for radiology services

$370,000

 

Nelson, Liner & Hines for general surgical services

$250,000

 

Internal Medicine Group for inpatient medical services

$199,992

 

Charles Bridges for urology physician services

$175,000

 

North Oaks Medical Center for OB/GYN clinic and surgery physician services

$160,000

 

Arthur Mauterer for general medical physician services

$135,000

 

Walter Campbell for physician services

$67,000

 

Biomedical applications for Dialysis services

$139,122

 

Professional Physical Therapy for physical therapy services

$277,120

 

Young for pediatric services

$2,072

 

Manning for pediatric services

$125,000

 

Reginald Goldsby for medical director of the hospital

$102,000

 

Scully, Sartin & Jones pathology services

$70,000

 

Daniel Sinclair for orthopedic physician services

$58,240

 

Steven Littlewood for Ear, nose and throat physician services

$45,000

 

Gregory Lanata for podiatry physician services

$42,500

 

Harry Burgess for dermatology physician services

$37,438

 

Registered dietitian services

$188,000

 

Mary Bird Perkins Cancer Center for contract cancer treatment services

$12,960

 

Crocifissa Yenni for Electroencephlagraph technician services

$9,600

 

Diane Africk for pediatric neurology clinic physician services

$9,600

 

Mohan Ghandi for allergy immunology physician services

$4,800

 

John Labbe for pediatric optometry physician services

$622,520

 

LSU Medical Center for physicians and dental services

$23,400

 

Financy Anzalone for family practice services

 

 

 

4,595,529

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$9,929

 

Legislative Auditor expenses

 

 

 

$9,929

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$460,037

 

Payments to LSU Medical Center for physician services

$49,176

 

Payments to the Department of Civil Service

$13,566

 

Payments for Uniform Payroll System expenses

$4,889

 

Payments to the Comprehensive Public Training Program

 

 

 

$527,668

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$290,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$290,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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