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Program B: Patient Care

Program Authorization: R.S. 28:380 through R.S. 28:444

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 Hammond 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 Hammond 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. Hammond 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 370 individuals with developmental disabilities living in Hammond Developmental Center.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Patient Care Program for Hammond Developmental Center is funded from a combination of interagency transfers, fees and self-generated revenues, and general fund. Interagency transfers include: Title XIX reimbursement for services provided to Medicaid-eligible residents 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 revenues include reimbursement for employee meals and from residents for services provided based on a sliding fee scale.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$473,120

$20,618,589

684

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$473,120

$20,618,589

684

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$861

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$268,853; Replacement/New: +$269,714)

$0

$273,726

0

 

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

$0

$279,200

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($552,926)

0

 

Attrition Adjustment(s)

$0

(83,612)

0

 

Retirement Rate Adjustment(s)

$0

$0

(4)

 

Transfer four T.O. from the Patient Care Program to the Administration and General Support Program as part of a reorganization plan

$0

$918,070

21

 

Additional funding to bring professional staff ratios up to Department of Justice requirements

$0

$750,000

0

 

Additional funding for medical and professional consultants

$0

$100,000

0

 

Additional funding for vocational services

$0

$75,000

0

 

Additional funding to re-allocate and upgrade existing motor vehicles

$0

$300,000

0

 

Additional funding for temporary staff positions

$0

$75,000

0

 

Additional funding to purchase clothing for clients

$0

$300,000

0

 

Additional funding to purchase equipment and make facility repairs

 

 

 

 

 

$473,120

$23,053,908

701

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$2,435,319

17

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 111.8% of the existing operating budget. It represents 92.5% of the total request ($24,917,252) for this program. The net increase in expenditure authority for this program is primarily due to increasing interagency transfer means of financing by $918,070 and adding 21 positions in order to bring staff ratios up to Department of Justice recommendations. Also, increased interagency transfer means of financing by $1.4 million in order to address Department of Justice concerns in the areas of medical and professional consultations, temporary staffing, equipment purchases, and facility repairs. Four positions were transferred to the Administration and Support Program as part of a reorganization plan. Full funding has been provided for all 701 recommended positions. The recommended funding for salaries and related benefits includes an adjustment to reflect an anticipated attrition factor of four percent.

PROFESSIONAL SERVICES

$85,000

 

Management consultants

$340,000

 

Medical consultants

$425,000

 

Day Program training

$3,991

 

Cardiologist services - provide services in the field of cardiology such as electrocardiogram interpretations and evaluations of clients with heart disease

$77,250

 

Speech Pathology services - provide professional monitoring of communication skills programs, speech/language evaluations, assist in program planning, provide inservice training for staff, and provide therapeutic services

$30,002

 

Dentist services - provide preventative, as well as corrective dental procedures such as but not limited to, oral examinations, scaling, filings, extractions, x-rays, etc.

$2,597

 

Dermatologist services - provide professional physician services in the field of dermatology

$15,388

 

EEG Technican services

$3,852

 

Endocrinologist services - provide services which include the investigation of endocrine or metabolic disorders and evaluation of related syndromes; perform diagnostic procedures; and recommend treatment

$3,600

 

Ear, Nose, and Throat services

$4,556

 

Geneticist services - provides services in the field of genetics such as the investigation of hereditary and/or familiar disorders and evaluations of related syndromes.

$8,400

 

Neurologist services - provides professional medical services in the field of neurology

$46,434

 

Occupational Therapist services - provide specialized occupational therapy services to include the assessments/evaluations of clients in need of wheelchair positioning, in service training to direct care staff, assist in ordering material/supplies/equipment, assist orthopedic clinics, and construct and fit postural devices for clients to use in their wheelchairs

$4,453

 

Ophthalmologist services - provide services in the field of ophthalmology

$2,643

 

Orthopedist services - provide professional medical services in the field of orthopedics

$6,000

 

Pathologist services - provide pathology services such as examination of slides and cultures, discuss problems in the laboratory

$50,484

 

Physical Therapy services

$16,604

 

Weekend Physician services

$20,698

 

Psychiatrist services - provide services in the field of psychiatry

$31,386

 

Psychologist services - provide psychological services with emphasis on the development of functional assessments which leads to the creation of Behavior Treatment Programs

$15,630

 

Radiology services - provide services in radiology such as the reading and interpretation of all x-rays taken, the dictation and findings of x-rays taken, and consultation as needed by the medical staff

$2,597

 

Urologist services - provide professional medical services in the field of urology

$11,935

 

Audiologist services - provide services in the field of audiology including audiological evaluations, inservice training in the maintenance, use and care of hearing aids, develop monitoring systems to ensure appropriate use of hearing aids, and develop and maintain tracking system for repairs

$109,000

 

Sitter service - provide health support services for hospitalized clients when required by hospital or treating physician

$31,500

 

Psychologist services - provide all staff with essential training that will clarify the direction that the agency is moving in the provision of services

$7,000

 

Chief Clinical Officer - provide all staff with essential training that will clarify the direction that the agency is moving in the provision of services

 

 

 

$1,356,000

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$3,102

 

Staff training in areas of facility annual review, cardio-pulmonary training, behavior management, and handling disasters/emergencies

$76,516

 

Peer review for nutritional and programmatic services

 

 

 

$79,618

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$1,267, 055

 

Provider Base 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

 

 

 

 

 

$1,267, 055

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$644,714

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$644,714

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS

09 DEPARTMENT OF HEALTH AND HOSPITALS


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