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Program B: Patient Care

Program Authorization: Concurrent House Resolution #12 of 1959; Act V of 1980; R.S. 28:382

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 Columbia 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 Columbia 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. Columbia 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 24 individuals with developmental disabilities living in Columbia Developmental Center.

SOURCE OF FUNDING

The Patient Care Program of Columbia 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. 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

 

 

 

 

 

$145,103

$1,277,815

39

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$145,103

$1,277,815

39

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$230

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$25,296; Replacement/New: +$25,526)

$0

$16,187

0

 

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

$0

$18,467

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($14,894)

0

 

Attrition Adjustment(s)

$0

($4,468)

0

 

Retirement Rate Adjustment(s)

 

 

 

 

 

$145,103

$1,293,337

39

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$15,522

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.2% of the existing operating budget. It represents 84.3% of the total request ($1,533,594) for this program. Full funding has been provided for all 39 recommended positions. The recommended funding for salaries and related benefits includes an adjustment to reflect an anticipated attrition factor of four percent

PROFESSIONAL SERVICES

$27,200

 

Medical services

$18,780

 

Dentistry services

$3,500

 

Oral Surgery services

$5,270

 

Podiatrist services

$9,010

 

Occupational Therapy services

$7,700

 

Psychological services

$13,700

 

Pharmacist services

$9,240

 

Physical Therapy services

$4,000

 

Medical consultants

$5,600

 

Psychiatry services

$10,000

 

Nutritional services

$11,400

 

Communications services

$1,200

 

Medical records review

$1,950

 

In-Service training

$1,400

 

Behavioral consultant

$6,850

 

Accreditation Council survey - training for certification - ensures quality in delivery of services

$1,200

 

Behavioral Management Peer Review

 

 

 

$138,000

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

 

 

Interagency Transfers:

$100,430

 

Provider Based Fee - paid to the 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

 

 

 

 

 

$100,430

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$25,526

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$25,526

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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