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Program I: Leonard J. Chabert Medical Center

Program Authorization: Act 38 of 1973; Act 25 of 1974; Act 744 of 1985; and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Leonard J. Chabert Medical Center is to provide acute general medical, surgical, psychiatric, inpatient and acute/chronic ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible patients, and self-paying patients. The goal of Leonard J. Chabert Medical Center is to provide the highest level of acute general medical and specialty services of medicine, surgery, obstetrics-gynecology, ophthalmology, urology, orthopedics, pediatrics and critical care to all patients, including: the medically indigent, Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

The goal of Leonard J. Chabert Medical Center is to ensure that quality health care is provided to the community in the most effective and efficient manner possible. Leonard J. Chabert Medical Center is committed to serving as a community medical center of excellence where knowledge heals and people care. It is also the intent of this facility to provide the best quality of care to everyone who comes into its sphere of influence.

Leonard J. Chabert Medical Center (CMC), located in Houma, Louisiana, was originally dedicated in 1978 as South Louisiana Medical Center under mandates of the 1973 and 1974 legislative sessions. It was renamed in 1992 in honor of the late state senator who was instrumental in getting the facility established. CMC was built to accommodate the general health care needs of the population, and particularly the indigent, in a five-parish area near the Gulf of Mexico southwest of New Orleans. These parishes include: Assumption, Lafourche, Terrebonne, the western portion of St. James, and the eastern portion of St. Mary. 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 144 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 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

$58,011,010

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$58,011,010

0

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

$0

$543,196

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$555,371

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

($532,492)

0

 

Risk Management Adjustment

$0

$592,000

0

 

Acquisitions and Major Repairs

$0

($527,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

$6,062

0

 

Legislative Auditor Fees

$0

$2,545

0

 

UPS Fees

$0

$333,103

0

 

Salary Base Adjustment

$0

($1,026,514)

0

 

Attrition Adjustment

$0

($274,490)

(8)

 

Personnel Reductions

$0

$7,027

0

 

Civil Service Fees

$0

($6,710)

0

 

State Treasury Fees

$0

$184,997

0

 

Fund equipment maintenance contracts

$0

$9,830

0

 

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

$0

$230,580

0

 

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

$0

$0

881

 

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

 

 

 

 

 

$0

$58,108,515

873

 

TOTAL RECOMMENDED

         

$0

$97,505

873

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.2% of the existing operating budget. It represents 81.1% of the total request ($71,702,273) for this program. The overall net increase in this program is a result of the transfer of additional Ryan White Federal Funds from the Office of Public Health for HIV medications and an increase for equipment maintenance contracts. This increase is offset by a reduction in Risk Management premiums and a reduction of 8 vacant positions. These changes should have no significant impact on the delivery of services.

PROFESSIONAL SERVICES

$4,547,865

 

South Louisiana Medical Associates for physician services

$3,524,548

 

South Louisiana Medical Associates for emergency room physician services

$420,673

 

South Louisiana Medical Associates for nuclear medicine and ultrasound physician services

$255,322

 

South Louisiana Medical Associates for pediatric physician services

$156,000

 

South Louisiana Medical Associates for OB/GYN physician services

$110,335

 

South Louisiana Medical Associates for walk-in clinic physician services

$94,159

 

South Louisiana Medical Associates for internal medicine physician services

$1,432,149

 

Ochsner Medical Foundation for house officer salaries

$80,000

 

Ochsner Medical Foundation for hemodialysis services

$366,949

 

The Therapy Group for physical therapy services

$187,898

 

The Therapy Group for occupational therapy services

$27,000

 

The Therapy Group for speech therapy services

$16,000

 

Physics services

$363,788

 

Psychiatric physician services

$60,000

 

James Schweitzer for Oncology physician services

$15,032

 

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

$1,500

 

Ethel Madden for medical library consulting services

$38,316

Belcher-Nesbit, Inc. for medical gas project

 

$11,697,534

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$18,053

 

Legislative Auditor services

 

 

 

$18,053

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$78,831

 

Payments to the Department of Civil Service

$25,371

 

Payments for Uniform Payroll System expenses

$7,058

 

Payments to the Comprehensive Public Training Program

$423,575

 

Payments to LSU Medical Center for physician services

 

 

 

$534,835

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$592,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$592,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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