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Program B: Patient Care

Program Authorization: Act 253 of 1972 and Act 40 of the 1981 Special Session

PROGRAM DESCRIPTION

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

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$0

$10,342,231

228

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$10,342,231

228

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$1,763

0

 

Equipment/Major Repairs Adjustment(s)

$0

$142,451

0

 

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

$0

$148,788

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($172,607)

(4)

 

Personnel Reduction(s)

$0

($92,745)

0

 

Attrition Adjustment(s)

$0

($44,038)

0

 

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

$0

($5,133)

0

 

Retirement Rate Adjustment(s)

 

 

 

 

 

$0

$10,320,710

224

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

($21,521)

(4)

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

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.

PROFESSIONAL SERVICES

$711,734

 

Employment of psychiatrists providing direct inpatient unit care including cost of hospital clinical director

$165,507

 

Employment of medical school residents to provide evening, night, weekend and holiday on grounds medical coverage of patient care

$73,158

 

Contract of medical school residents and psychology interns for services provided at the hospital and related supervision

$17,177

 

Contract for psychologists and neuropsychologists providing direct patient care

$17,500

 

Employment of social services staff assisting in documentation of patient medical record discharge summaries

$51,207

 

Various medical services including dental, psychopharmacology, pathology, radiology, neurology, speech and hearing, and patient general medical care

 

 

 

$1,036,283

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$200,000

 

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.

$85,000

 

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.

 

 

 

$285,000

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$32,363

 

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

 

 

 

$32,363

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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