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Program H: Washington-St. Tammany Regional Medical Center

Program Authorization: Act 210 of 1948 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Washington-St. Tammany Regional Medical Center is to provide the same level of quality care to all patients of all ages served in a timely manner. Each patient is treated with concern, respect, and courtesy in a professional and confidential manner. The care shall be consistent with generally accepted standards of health care delivery. The Washington-St. Tammany Regional Medical Center shall strive to create a safe, risk-free environment for patients, visitors and employees. The facility is committed to continuously assessing and improving the quality of care delivered.

The goal of Washington-St. Tammany Regional Medical Center is to provide quality health care to the community in the most effective and efficient manner possible.

Washington-St. Tammany Regional Medical Center, which opened in 1951, is an acute care facility providing quality medical care for the population of Washington and St. Tammany Parishes. 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 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. The hospital is currently staffed for 55 beds.

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 Medical Vendor Payments 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

$14,507,236

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$14,507,236

0

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

$0

$153,787

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$158,262

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

(71,523)

0

 

Risk Management Adjustment

$0

$152,000

0

 

Acquisitions and Major Repairs

$0

($132,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

($172)

0

 

Legislative Auditor Fees

$0

$660

0

 

UPS Fees

$0

$75,793

0

 

Salary Base Adjustment

$0

($299,534)

0

 

Attrition Adjustment

$0

($51,193)

(1)

 

Personnel Reductions

$0

$1,495

0

 

Civil Service Fees

$0

$20,432

0

 

Other Adjustments – Fund equipment maintenance contracts

$0

$64,050

0

 

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

$0

$0

201

 

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

 

 

 

 

 

$0

$14,579,293

200

 

TOTAL RECOMMENDED

         

$0

$72,057

200

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.5% of the existing operating budget. It represents 80.9% of the total request ($17,999,325) for this program. The overall net increase is a result of an increase in the transfer of Ryan White Federal Funds from the Office of Public Health for HIV medications and an increase for equipment maintenance contracts. These changes will have no significant impact on the delivery of services.

PROFESSIONAL SERVICES

$1,000

 

Kenneth Novak for engineering services

$488,460

 

EM Care for emergency room staffing and management

$273,637

 

LSU Medical Center for OB/GYN services

$175,000

 

Richard Conlon Oritz for electrocardiogram services

$7,000

 

S. Longo and Associates for Joint Commission on the Accreditation of health care organizations consultation

$150,000

 

Mitchell Massey for radiology services

$125,000

 

Allen Singleton for OB/GYN physician services

$185,000

 

John Gallaspy for OB/GYN physician services

$85,000

 

Appurao Jayagopal for clinic coverage

$28,000

 

Vijaya Jayacaopal for Anesthesiology services

$48,000

 

Parish Physical Therapy for physical therapy services

$37,100

 

Louisiana Eye Care Associates for opthamology physician services

$26,000

 

Urological Surgery Associates for urology physician services

$9,000

 

Northshore EEG Services for electroencephalograph (EEG) services

$9,000

 

Michael Schanzbach for anesthesiology services

$3,500

Professional travel

$1,650,697

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$9,847

 

Legislative Auditor services

 

 

 

$9,847

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$1,501,523

 

Payments to Southeast Louisiana State Hospital for operation and management of the acute psychiatric unit

$45,700

 

Payments to LSU Medical Center for pathology services

$18,720

 

Payments to the Department of Civil Service

$5,771

 

Payments for Uniform Payroll System expenses

$1,473

 

Payments to the Comprehensive Public Training Program

 

 

 

$1,573,187

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$152,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$152,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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