Program B: Patient Care

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Program B: Patient Care

Program Authorization: Act 69 of 1847 and Act 253 of 1972

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide psychiatric, psychosocial, and medical services in compliance with all licensing and accreditation standards to meet the individualized patient care needs of adults needing a level of care that must be rendered in an inpatient setting.

The goal of the Patient Care Program is to provide psychiatric, psychosocial, and medical services to adult patients who need a level of care that must be performed in an inpatient setting.

The Patient Care Program provides therapeutic treatment to chronic adult psychiatric patients in accordance with licensing, HCFA (Health Care Financing Administration), and JCAHO (Joint Commission on Accreditation of Health Care Organizations) certification and accreditation standards. The population served is very disabled, as most patients have typically been admitted to more acute settings in the past and are referred to the East Louisiana State Hospital for longer care and treatment.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will provide patient services through appropriate utilization of resources to ensure an efficient operation of the hospital in providing appropriate psychiatric treatment in a safe/therapeutic environment, all in accordance with governing, licensing, and accreditation bodies and standards.

SOURCE OF FUNDING

The Patient Care Program is funded with interagency transfers, fees and self-generated revenue and federal funds. Interagency transfers include Title XIX reimbursement for services provided to Medicaid eligible patients, and reimbursements from the Office of Substance Abuse, Dixon Correctional Institute, Feliciana Forensic Facility, State Department of Veteran's Affairs, Villa Feliciana Geriatric Hospital and Vocational Rehabilitation for space occupied and services received. Self-generated revenue represents reimbursement for ineligible patients with insurance or personal payments based on a sliding fee scale, reimbursement for the cost of housing and telephone supplied to employees, utilities and supplies utilized by Jackson Regional Laundry and meals served to employees and visitors. Federal funds are Title XVIII reimbursement for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$0	$16,075,987	424	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$779	0	Carryforward of federal funds for the purchase of food service equipment, electrical work, and building renovations

$0	$16,076,766	424	EXISTING OPERATING BUDGET - December 10, 1997

$0	($779)	0	Non-Recurring Carryforward for purchase of food service equipment, electrical work, and building renovations
$0	($16,297)	0	Equipment/Major Repairs Adjustment(s)
$0	$189,475	0	Annualization of 1997 -'98 Merit Pay Adjustment(s)
$0	$195,753	0	1998-'99 Merit Pay Adjustment(s)
$0	($7,836)	0	Retirement Rate Adjustment(s)
$0	$364,796	0	Attrition Adjustment(s)
$0	($150,376)	0	Personnel Reduction(s)
$0	($49,446)	0	Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries
$0	($218,121)	0	Transfer of the Baton Rouge Alcohol and Drug Abuse unit on the East Louisiana State Hospital campus to the Capitol Area Human Services District

$0	$16,383,935	424	TOTAL RECOMMENDED

$0	$307,169	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.9% of the existing operating budget. It represents 76.4% of the total request ($21,430,877) for this program. The major changes reflected in this analysis include: the transfer of the Baton Rouge Alcohol and Drug Abuse unit on the East Louisiana State Hospital grounds to the Capital Area Human Services District; and a means of financing swap of $90,000 of self-generated revenue for interagency transfers to reflect a projected increase in self-pay patient revenue. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$1,199,750		Contract for medical and dental services, provides both a medical doctor and psychiatric services/coverage for seven days a week, 24 hours a day in compliance with JCAHO and Health Care Financing Authority (HCFA) standards. Contracts to the dental program of the hospital provide both patient treatment and a preventative dentistry program, performs procedures as scheduled by the treatment team, and provides overall supervision.
$112,000		Contract for other professional services, which include speech therapy, sign language, and physical therapy. Contract for physical therapist provides both direct patient care and overall supervision of the physical therapy program. Contract for consultation in speech therapy for patients with speech handicaps, for sixteen hours a week.
$4,600		Professional travel for above contracts
$60,300		Contract for medical consulting in internal medicine, opthalmological medicine, and prodiology to the general medical care program of the hospital

$1,376,650		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$5,000		Training courses developed in cooperation with the hospital's Education and Training Department, to provide courses to improve the knowledge of nurses, aides, social workers and other staff members as to Mental Health Treatment


$5,000		TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$76,503		Recommended level of funding for the replacement and repairs of obsolete, inoperable or damaged equipment and buildings

$76,503		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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