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Program B: Patient Care

Program Authorization: Act 107 of 1962: R.S. 28:380 et.seq., R.S. 6:251(C); R.S. 258 and R.S. 39:1554(D)

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 Metropolitan 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 Metropolitan 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. Metropolitan 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 and an overall ratio (2.09:1) for an average daily census of 260 individuals with developmental disabilities living in Metropolitan Developmental Center.

SOURCE OF FUNDING

The Patient Care Program of Metropolitan 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, Medical Vendor Payments Program, and funds from the Department of Education for the Special Milk Program. Self-generated revenue includes payments for services provided to patients based on a sliding fee scale, and reimbursement for meals served to employees and visitors.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$177,021

$15,660,697

441

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$177,021

$15,660,697

441

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$250

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$159,000; Replacement/New: +$159,250)

$0

$232,664

0

 

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

$0

$237,318

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

$1,227,168

0

 

Attrition Adjustment(s)

$0

($60,862)

0

 

Retirement Rate Adjustment(s)

$0

($249,386)

0

 

Personnel Reduction(s)

$0

($70,000)

0

 

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

 

 

 

 

 

$177,021

$16,977,849

441

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$1,317,152

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 108.4% of the existing operating budget. It represents 104.9% of the total request ($16,341,892) for this program. Full funding has been provided for all 441 recommended positions. Professional services have been reduced and interagency transfers increased by $1,377,764 to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding for salaries and related benefits includes an adjustment to reflect an anticipated attrition factor of four percent.

PROFESSIONAL SERVICES

$88,700

 

Dental services

$20,000

 

Nursing services

$100,380

 

Psychiatric services

$599,639

 

Physician services

$15,120

 

Neurologist services

$6,248

 

Orthopedic services

$5,000

 

Podiatrist services

$26,624

 

Respiratory Therapy services

$45,500

 

Dietitian and Nutrition services

$9,252

 

Peer Review services - provides expertise in medical, nutritional, and programming areas

$89,997

 

Hospital Sitters services - provide 24-hour care to medically fragile clients that are hospitalized

$49,500

 

Adult Habilitation services - evaluation, training, placement, and follow-up services for clients seeking employment with the intention of transitioning a client from on-campus pre-vocational activities to off-campus job placement

$9,950

 

Accreditation Council

$3,000

 

Qualified Mental Retardation Professional (QMRP) consultation services

$15,675

 

Psychology services

$51,731

 

Psychology consultation services

$100,700

 

Physical Therapy Evaluation

$10,320

 

Audiological Examination

$5,400

 

Speech Language Pathology

$7,414

 

Speech Pathology Evaluation

$69,850

 

Occupational Therapy Evaluation

 

 

 

$1,330,000

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$55,000

 

Gary Melerine fund - funding is due to a consent judgment from Melerine v. Fischer J.D.C. #24-036 in which Metropolitan Developmental Center is ordered to pay all costs of future medical expenses and costs of care for Gary M. as of May 1, 1986

 

 

 

$55,000

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$897,393

 

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

 

 

 

$897,393

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$159,250

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$159,250

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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