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Program B: Patient Services

Program Authorization: Act 230 of 1979; Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Patient Services Program is to provide quality medical and nursing care and ancillary services to the patients in the New Orleans Home and Rehabilitation Center.

The goal of the Patient Services Program is to provide quality inpatient evaluation, treatment and rehabilitation for the chronically ill population according to an established physician plan of care, while holding costs to a minimum.

The Patient Services Program provides quality medical care to the citizens of Louisiana who require temporary or long-term nursing care or rehabilitation services.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will provide quality in-patient evaluation, treatment and rehabilitation in order to provide 67,525 in-patient days of care while maintaining compliance with Health Care Financing Administration standards.

2. In FY 1998-99, the Patient Care Program will increase the number of in-patient days from 67,525 to 70,900 or by 5%.

3. In FY 1998-99, the Patient Care Program will meet the medical, nursing and rehabilitation needs of the residents served as prescribed by the residents' physician plan of care and increase the units of service provided by allied health professionals by 924 or 3%.

SOURCE OF FUNDING

The Patient Services Program is funded with interagency transfers, fees and self-generated revenues, and Title XVIII federal funds (Medicare). Interagency transfer means of financing represents Title XIX reimbursement for services provided to Medicaid eligible patients received from the Department of Health and Hospitals, Medical Vendor Payments program. Fees and self-generated revenue include: (1) payments from patients for services based on a sliding fee scale; (2) employee meal reimbursement; and (3) miscellaneous income, such as funds received from the Veterans Administration for contract services provided.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$0

$3,541,496

109

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$3,541,496

109

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$423

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$15,681; Replacement/New: +$16,104)

$0

$52,037

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$0

$53,077

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

$56,410

0

 

Attrition Adjustment(s)

$0

($14,541)

0

 

Retirement Rate Adjustment(s)

$0

($154,402)

0

 

Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries

$0

$32,442

0

 

Adjustment for the Increase in the DHH Bed Provider Fee

$0

$0

20

 

Adjustment to make twenty temporary positions permanent

 

 

 

 

 

$0

$3,566,942

129

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$25,446

20

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.7% of the existing operating budget. It represents 82.8% of the total request ($4,306,720) for this program. The table of organization was increased by 20 authorized positions to reflect a change to permanent status for employees who had previously been employed on a "temporary" basis. Full funding has been provided for all 129 recommended positions.

PROFESSIONAL SERVICES

$32,461

 

Medical Director

$30,505

 

Staff Physician

$5,795

 

Podiatrist

$8,089

 

Dental services

$3,050

 

Pharmacy consultant

$12,520

 

Respiratory consultant

$37,105

 

Rehabilitation Therapy

$10,070

 

Physical Therapy

$38,384

 

Occupational Therapy

 

 

 

$177,979

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

 

 

Interagency Transfers:

$281,141

 

Provider Based Fee - paid to the Department of Health and Hospitals based on the number of occupied beds

 

 

 

$281,141

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$16,104

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$16,104

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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