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Program B: Patient Care

Program Authorization: R.S. 28:4; and R.S. 28:380 through 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 Pinecrest 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 Pinecrest 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. Pinecrest 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 680 individuals with developmental disabilities living in Pinecrest Developmental Center.

2. In FY 1998-99, the Patient Care Program at the Leesville Developmental Center 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 19 individuals with developmental disabilities living in Leesville Developmental Center.

RESOURCE ALLOCATION FOR PROGRAM

SOURCE OF FUNDING

The Patient Care Program of Pinecrest Developmental Center is funded from interagency transfers, fees and self-generated revenues, federal funds, and general fund. Interagency transfers includes funds from the Department of Education for the School Lunch and Breakfast Program, and Title XIX reimbursement for services to Medicaid-eligible residents through the Department of Health and Hospitals, Medical Vendor Payments Program. Self-generated revenues include reimbursements for employee meals and laundry, and payments from residents for service based on a sliding fee scale. Federal funds include Title XVIII reimbursement for services provided to Medicare-eligible patients, and funds received from the federal foster grandparents program pursuant to P.L. 94-113.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$1,320,598

$43,496,319

1,596

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$1,320,598

$43,496,319

1,596

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$810

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$480,972; Replacement/New: +$481,782)

$0

$901,552

0

 

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

$0

$919,583

0

 

1998 -'99 Merit Pay Adjustment(s)

$0

$354,068

0

 

Attrition Adjustment(s)

$0

($181,632)

0

 

Retirement Rate Adjustment(s)

$0

$1,210,000

0

 

Annualization of BA-7 #365, which Increased Expenditure Authority for Contractual Professional Services

$0

($156,491)

0

 

Personnel Reduction(s)

$0

($20,900)

0

 

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

$0

$4,270,334

338

 

Additional funding to bring the staff to client ratio up to Department of Justice requirements

$0

$61,495

0

 

Additional funding for medical and professional consultants

$0

$700,000

0

 

Additional funding for supplies and equipment

$0

$550,000

0

 

Additional funding to purchase motor vehicles

 

 

 

 

 

$1,320,598

$52,105,138

1,934

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$8,608,819

338

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 119.8% of the existing operating budget. It represents 107.2% of the total request ($48,593,341) for this program. The net increase in expenditure authority for this program is primarily due to increasing interagency transfer means of financing by $4.3 million and adding 338 positions in order to bring the staff to client ratio up to Department of Justice recommendations. Also, increased interagency transfer means of financing by $1.3 million in order to address assorted Department of Justice concerns. Expenditure authority has been increased by $1.2 million for contractual professional services to enhance the provision of services for clients in compliance with Department of Justice guidelines. Full funding has been provided for all 1,934 recommended positions. Professional services have been reduced, and interagency transfers increased by $2.0 million to provide the necessary funding adjustments needed in the salaries and related benefits categories.

PROFESSIONAL SERVICES

$224,960

 

Physician services

$576,635

 

Psychological services

$654,000

 

Physical Therapy services

$5,000

 

Peer review services

$30,000

 

Support services

$60,000

 

Speech Therapy services

$20,000

 

Occupational Therapy services

$98,000

 

External mortality review services

 

 

 

$1,668,595

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$1,000

 

Client Recreational Outings - funds used for clients who do not have or generate income for recreational activities and clothing.

$282,000

 

Foster Grandparent Program - Federal Grant providing senior citizens the opportunity to provide one-on-one interaction with clients who are of school age, which provides a 'family-type' relationship thus enhancing socialization and quality of life for clients

 

 

 

 

 

$283,000

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$3,306,000

 

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

 

 

 

$3,306,000

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$1,381,782

 

Funding for replacement of inoperable and obsolete office and computer equipment and various repairs

 

 

 

$1,381,782

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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