Program Authorization: Act 253 of 1972 and Act 40 of the 1981 Special Session
The mission of the Patient Care Program is to provide mental health evaluation, treatment, and rehabilitation services to children and adolescents ages six to 18 in the Office of Mental Health Region 1.
The goals of the Patient Care program are:
1. Provide mental health evaluation, treatment, and rehabilitation services to children and adolescents in a manner that will assist the patient to return to the optimal level of functioning so that the patient can be maintained on an outpatient basis, or if hospitalized, then integrated into society in the least restrictive setting.
2. Provide mental health services in accordance with state licensing standards, Health Care Financing Administration (HCFA) certification requirements, and standards of the Joint Commission on the Accreditation of Health Care Organizations (JCAHO).
The Patient Care Program includes a continuum of care comprised of inpatient and outpatient services for Region I and inpatient services for other regions. The outpatient program provides child and adolescent outpatient services to Office of Mental Health Region I, composed of Orleans, Plaquemines, and St. Benard Parishes. Admission to hospital inpatient services is through the Office of Mental Health Single Point of Entry Process. The criteria for admission are those as utilized statewide by the Office Of Mental Health
OBJECTIVES AND PERFORMANCE INDICATORS
1. In FY 1998-99, the Patient Care Program will provide leadership, program support, program development and maximization of resources within the hospital and as a part of a larger system as evidenced by operating within the approved expenditure authority.
2. In FY 1998-99, the Patient Care Program will provide and improve support services and physical resources to assure quality patient care and compliance with all required federal and state certification, licensing, accreditation, and other regulatory body standards as indicated by retention of full certification and accreditation.
3. In FY 1998-99, the Patient Care Program will coordinate hospital resources and programs with the Adam A consent decree, and outpatient services.
RESOURCE ALLOCATION FOR THE PROGRAM
SOURCE OF FUNDING
The Patient Care Program is funded from interagency transfers and fees and self-generated revenues. Interagency transfers include Title XIX reimbursement for services provided to Medicaid eligible patients, and reimbursement from the State Department of Education for eligible meals provided under the School Lunch Program. Self-generated revenue represents reimbursement from ineligible patients with insurance or personal payments based on a sliding fee scale.
ANALYSIS OF RECOMMENDATION
The total means of financing for this program is recommended at 99.7% of the existing operating budget. It represents 84.2% of the total request ($12,243,542) for this program. The major changes reflected in this analysis include the reduction of (4) vacant positions from personnel reductions and an increase of $291,239 in interagency transfer means of financing for merit pay adjustments. The changes should have no significant impact on the delivery of these services.
This contract provides respite psychiatric care to children and adolescents in Orleans, Plaquemine and St. Bernard Parishes. Under the contract, Kingsley House retains families on contract who provide emergency respite care. This level of care is utilized as part of the overall continuum of care for children and adolescents, providing out of home emergency care. Respite care is frequently an effective means of deterring more expensive admission to an inpatient facility.
This contract provides crisis evaluation and treatment services for children and adolescents in Orleans, Plaquemine and St. Bernard Parishes. The services provided under this contract are an important part of the overall continuum of care, and serve to provide emergency evaluations directed avoiding admission to an inpatient facility where hospitalization is not needed. Services provided by the contractor are 24 hour/7 day per week and include acting as the Single Point of Entry during evenings, nights, and weekends.
ACQUISITIONS AND MAJOR REPAIRS
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