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Program B: Patient Services

Program Authorization: Act 91 of 1967; Act 253 of 1972; Act 617 of 1987; and Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Patient Service Program is to provide direct patient care, medical, ancillary, and patient support services necessary to address the specialized health care needs and medical complexity of the patients.

The goal of the Patient Services Program is to provide health care and rehabilitative services to patients with chronic diseases and/or disabilities, who need these services on a long term basis.

The Patient Services Program includes the following activities: Residential Care, Acute Hospital Care, Infectious Disease Care, Restorative/Rehabilitative, Medical Ancillary, Social Services and Counseling, Recreation, and Beauty and Barber.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Services Program will operate a sufficient number of staffed beds to meet the safety net health care needs of the citizens of Louisiana.

2. In FY 1998-99, the Patient Services Program will obtain a staff/client ratio that provides adequate administrative and professional staff to address patient health care needs.

3. In FY 1998-99, the Patient Services Program will manage the hospital in a cost effective manner through effective utilization of staffed beds and medical ancillary services.

4. In FY 1998-99, the Patient Services Program will provide quality inpatient evaluation, treatment, and rehabilitation in order to receive annual hospital licensure and to maintain compliance with federal participation requirements.

SOURCE OF FUNDING

The Patient Services program is funded with general fund, 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 through the Department of Health and Hospitals, Medical Vendor Payments program. Fees and self-generated revenues 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 individuals for copies of patient medical records.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$593,734

$10,638,756

315

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$279,666

7

 

Final Phase of the Infectious Disease Unit (TB Unit)

 

 

 

 

 

$593,734

$10,918,422

322

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$42,547

($53,453)

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$199,170; Replacement/New: +$145,717)

$5,954

$111,669

0

 

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

$6,281

$116,316

0

 

1998 -'99 Merit Pay Adjustment(s)

($4,408)

($81,633)

0

 

Attrition Adjustment(s)

($2,530)

($46,845)

0

 

Retirement Rate Adjustment(s)

$14,834

$14,834

0

 

Increase in the Department of Health and Hospitals Provider Fee

($15,431)

($285,761)

0

 

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

$0

$183,666

0

 

Annualization of BA-7 which Opened the Remaining Ten Beds of the Infectious Disease Unit (TB Unit)

($271,454)

$0

0

 

Means of Financing Substitutions - Replace State General Funds and Fees and Self-Generated Revenues with Interagency Transfers and Federal Funds to Balance to Revenue Projections

$100,000

$100,000

0

 

Transfer from Administration of General Support Program to avoid BA-7 as was needed in past fiscal year

$121,677

$121,677

0

 

Transfer from Administration and General Support Program to adjust for the full funding of Salaries

$356,063

$356,063

0

 

Additional funding for supplies and operating services

 

 

 

 

 

$947,267

$11,454,955

322

 

TOTAL RECOMMENDED

 

 

 

 

 

$353,533

$536,533

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 104.9% of the existing operating budget. It represents 94.9% of the total request ($12,071,253) for this program. The net increase in expenditure authority for this program is primarily due to interagency transfer means of financing increasing by $183,666 to reflect the opening of the remaining ten beds of the Infectious Disease Unit (TB Unit). Transferred $100,000 of general fund from the Administration and General Support Program and increased general fund by $356,063 for additional supplies and operating services to meet increased patient acuity needs. Full funding has been provided for all 322 recommended positions. The recommended funding for salaries and related benefits includes an adjustment to reflect an attrition factor of four percent.

PROFESSIONAL SERVICES

$8,656

 

Pathological services

$22,500

 

Radiological services

$7,000

 

Dermatology services

$6,760

 

Ophthalmology services

$9,650

 

Dental services

$54,400

 

Psychiatric services

$12,750

 

Speech Pathology services

$9,644

 

Occupational Therapy services

$1,868

 

Professional Services travel expenses

$14,000

 

Nutritional services

 

 

 

$147,228

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

 

 

Interagency Transfers:

$404,654

 

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

 

 

 

$404,654

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$145,717

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$145,717

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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