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Program B: Patient Care

Program Authorization: Act 25 of 1974; Acts 680 and 786 of 1978; Act 400 of 1990

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide person-centered supports and services to individuals who are mentally challenged and/or multi-handicapped.

The goal of the Patient Care Program is to provide active treatment and personal choice supports to developmentally disabled individuals residing at Peltier-Lawless Developmental Center in a cost effective manner.

The Patient Care Program provides support, supervision, and training of professionally prescribed activities (including medical, dietary, habilitative, and therapeutic services) to the individuals residing at Peltier-Lawless Developmental Center. Person-centered planning and training focuses on self-help skills, personal hygiene, leisure time management, home living skills, social interaction and community orientation. Peltier-Lawless Developmental Center utilizes an individual values-asked approach to provide supports in a cost effective manner, while protecting the rights and dignity of individuals with disabilities.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will provide active treatment services consistent with state and federal regulations and in accord with the level of care for an average daily census of 44 individuals with developmental disabilities living in Peltier-Lawless Developmental Center.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Patient Care Program of Peltier-Lawless Developmental Center is funded from interagency transfers, fees and self-generated revenues, and general fund. Interagency transfers include Title XIX reimbursement for services provided to Medicaid-eligible residents received from the Department of Health and Hospitals, and funds from the Department of Education for the School Lunch Program. Self-generated revenues include reimbursement for employee meals, and payments from residents for services provided based on a sliding fee scale.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$35,381

$2,619,626

70

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$35,381

$2,619,626

70

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$1,724

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring -$30,738; Replacement/New: +$32,462)

$0

$32,330

0

 

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

$0

$32,977

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($18,132)

0

 

Attrition Adjustment(s)

$0

($8,376)

0

 

Retirement Rate Adjustment(s)

$0

($10,891))

0

 

Personnel Reduction(s)

$0

($16,167)

0

 

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

$0

$24,385

0

 

Transfer Expenditure Authority from the Administration and Support Program, Interagency Transfers, to the Patient Care Program, Other Charges

$0

$20,000

0

 

Transfer Expenditure Authority from the Community Support Program, Professional Services, to the Patient Care Program, Professional Services

$0

$0

3

 

Transfer of three (3) positions from Northwest Developmental Center

 

 

 

 

 

$35,381

$2,677,476

73

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$57,850

3

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 102.2% of the existing operating budget. It represents 89.6% of the total request ($2,988,385) for this program. The net increase in expenditure authority for this program is primarily due to transferring $24,585 of interagency transfers from the Administration and General Support Program to fund the active treatment of adult residents who age out of school, and $20,000 from the Community Support Program. Three authorized positions were transferred from Northwest Developmental Center per the request of the Department of Health and Hospitals. Full funding has been provided for all 73 recommended positions. Professional services have been reduced and $20,118 was added to provide the necessary funding adjustments needed in the salaries and related benefits categories.

PROFESSIONAL SERVICES

$48,240

 

Physician services

$127,308

 

Contracted nursing services

$15,546

 

Dental services - annual exams and cleanings

$4,500

 

Pharmacy services - drug checks and records' review

$39,347

 

Physical Therapy services

$28,106

 

Occupational Therapy services

$13,440

 

Speech Therapy services

$4,432

 

Dietary services

$10,560

 

Psychiatrist services

$3,468

 

Psychologist services

$22,000

 

Hospital sitters for clients - sit with clients who are hospitalized

$7,226

 

Peer review services - provide professional expertise in medical, nutritional, and programming areas.

$3,000

 

Oral Surgeon services

 

 

 

$327,173

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$267,740

 

Contract with Lafourche Association of Retarded Citizens (ARC) to provide adult habilitation services

 

 

 

$267,740

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$155,272

 

Provider Based Fee - paid to Department of Health and Hospitals in accordance with LA R.S. 46:2601 - 2605, which states that a fee of $9.42 per patient day will be imposed on all Intermediate Care Facilities for the mentally retarded

 

 

 

$155,272

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$32,462

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$32,462

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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