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Program B: Patient Care

Program Authorization: Act 50 of 1967, R.S. 40:2013.71

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 Northwest 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 Northwest 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. Northwest 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 176 individuals with developmental disabilities living in Northwest Developmental Center.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Patient Care program of Northwest 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.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$381,653

$9,721,137

342

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$381,653

$9,721,137

342

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$357

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$135,629; Replacement/New: +$135,986)

$0

$150,048

0

 

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

$0

$153,049

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

($108,126)

0

 

Attrition Adjustment(s)

$0

($40,477)

0

 

Retirement Rate Adjustment(s)

$0

($39,457)

0

 

Personnel Reduction(s)

$0

($3,650)

0

 

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

 

 

 

 

 

$381,653

$9,832,881

342

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$111,744

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.1% of the existing operating budget. It represents 89.2% of the total request ($11,025,038) for this program. Full funding has been provided for all 342 recommended positions. Professional services have been reduced and interagency transfers increased by $151,864 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

$4,000

 

Neurology services

$4,000

 

Radiology services

$11,000

 

Dental services

$1,000

 

Enterostomal services

$38,350

 

Physician services

$2,000

 

Speech Pathology services

$2,000

 

Physical Therapy services

$7,000

 

Psychiatry services

 

 

 

$69,350

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$220,495

 

Adult Day Habilitation Programs at Caddo-Bossier Association of Retarded Citizens - sheltered workshop that provides a maximum of 43 clients with a natural setting to teach the elements of work, pay, and recreation

$62,489

 

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

 

 

 

$282,984

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$724,312

 

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

 

 

 

 

 

$724,312

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$135,986

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$135,986

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS

09 DEPARTMENT OF HEALTH AND HOSPITALS


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