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Program B: Patient Care

Program Authorization: R.S. 28:25.1; and Louisiana Code of Criminal Procedure, Title XXI, Article 641-661

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide inpatient services which are clinical and therapeutic in nature.

The goal of the Patient Care Program is to provide patient services to improve the probabilities of the patient population's successful return to society as productive self-supporting individuals.

The Patient Care Program provides clinical and therapeutic inpatient services, evaluation, treatment, security and rehabilitation services that are designed, organized, and administered to meet the needs of the patient and in a multi-disciplinary manner.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will establish committees and other informal reviews, or modify services as needs are identified.

1 The average length of stay is high due to successful discharge of long-term patients, e.g., Not guilty by reason of insanity and Lockhart vs. Armistead.

2 Five classes per social service counselor.

3 Eight slots allowed per class.

2. In FY 1998-99, the Patient Care Program will provide substance abuse treatment to forensic patients and enhance security by adding ten corrections guards/therapeutic to the hospital T.O.

3. In FY 1998-99, the Patient Care Program will alleviate heavy supervisory workload, keep security staff in line with other agencies in the immediate area, aid in staff retention, and reduce the amount of time needed for new staff training.

SOURCE OF FUNDING

The Patient Care Program is funded from general fund and interagency transfers. Interagency transfers consist of Title XIX reimbursement for services provided to Medicaid eligible patients received through the Department of Health and Hospitals which have been "pooled" from other mental health agencies.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$1,668,152

$13,668,152

333

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$1,668,152

$13,668,152

333

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$23,935

$23,935

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$80,000; Replacement/New: +$103,935)

$168,215

$168,215

0

 

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

$171,579

$171,579

0

 

1998 -'99 Merit Pay Adjustment(s)

($6,882)

($6,882)

0

 

Retirement Rate Adjustment(s)

($98,445)

($98,445)

0

 

Attrition Adjustment(s)

 

 

 

 

 

$1,926,554

$13,926,554

333

 

TOTAL RECOMMENDED

 

 

 

 

 

$258,402

$258,402

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.8% of the existing operating budget. It represents 95.8% of the total request ($14,527,341) for this program. The major changes reflected in this analysis include: an attrition adjustment and an increase of $339,794 in interagency transfer means of finance for merit pay adjustments. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$906,320

 

Contractor provides clinical director, psychiatrists, neurologists, psychiatric residents and administrative support for the treatment of patients

$28,840

 

Dental services provided to patients

$21,048

 

Psychological assessments to allow submission of competency/sanity reports to courts in order to identify malingerers and inappropriate admissions, thereby making services more readily available to those individuals who actually need treatment

$3,900

 

Barber services to patients confined to the facility to maintain appearance and teach patients hair care

$7,200

 

Deaf interpretation contract to provide sign language for deaf patients

$14,750

 

Music Therapy contract to provide patients the opportunity to express themselves while giving staff the opportunity to observe the patients in a different environment

$47,880

 

Medical services provided for patients

$10,000

 

Contractor performs documentation review to meet requirements of accreditation

$5,294

 

Travel for the above mentioned professional services

 

 

 

$1,045,232

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

 

 

Interagency Transfers:

$27,750

 

Pro-rata cost of laboratory procedures performed at East LA State Hospital

$390,000

 

Pro-rata cost of medical supplies and pharmacy furnished by East LA State Hospital

$26,850

 

Pro-rata cost of medical services (EEG's, EKG's, Eye Clinic, Dental Clinic, Emergency Clinic, etc.) performed by East LA State Hospital

$11,552

 

LSU Medical Center performs utilization review of prescription drugs administered for patients

 

 

 

$456,152

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$103,935

 

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

 

 

 

$103,935

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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