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Program B: E. A. Conway Medical Center

Program Authorization: R.S. 46:811-818 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the E. A. Conway Medical Center is to provide acute general medical, surgical, and psychiatric health care to the medically indigent, uninsured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

The goal of E. A. Conway Medical Center is to provide the highest level of acute general medical and speciality services of medicine, surgery, obstetrics-gynecology, ophthalmology, urology, orthopedics, pediatrics and critical care to all patients, including, the medically indigent, the Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

The service area is comprised of the parishes of Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll. The E. A. Conway Medical Center began operations on May 23, 1987, in a new 252-bed facility in Monroe and is currently staffed for 196 beds. The hospital is an acute care teaching facility affiliated with Louisiana State University Medical School in Shreveport.

OBJECTIVES AND PERFORMANCE INDICATORS

1. During FY 1998-99, E.A. Conway Medical Center will provide professional quality, acute general medical and specialty health services to the patients in the hospital.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program's existing budget is funded with interagency transfers, self-generated revenue and federal funds. The interagency transfers represent Title XIX reimbursement from the Medicaid program for services provided to Medicaid eligible and "free care" patients. The self-generated revenue represents insurance and self pay revenues for services provided to patients who are not eligible for "free care". The federal funds are derived from Title XVIII, Medicare payments for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$0

$54,892,268

864

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$1,491,869

0

 

Carryforward federal funds for various equipment not received by June 30, 1997 and for various major repair projects in progress on June 30, 1997

 

 

 

 

 

$0

$56,384,137

864

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($1,491,869)

0

 

Non-Recurring Carryforward for various equipment not received by June 30, 1997 and for various major repair projects in progress on June 30, 1997.

$0

$71,000

0

 

Equipment/Major Repairs Adjustment(s)

$0

$529,176

0

 

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

$0

$539,760

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($89,078)

(6)

 

Personnel Reduction(s)

$0

$1,327,671

0

 

Attrition Adjustment(s)

$0

($139,475)

0

 

Retirement Rate Adjustment(s)

$0

$6,094

0

 

Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities

$0

($1,275,009)

0

 

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

$0

($86,298)

0

 

Risk Management Adjustment(s)

$0

$2,941

0

 

UPS Fees

$0

($1,422)

0

 

Legislative Auditor Fees

$0

$267,000

0

 

Fund the cost of a 5.91% pay raise for house officers supplied by the LSU Medical Center in Shreveport

$0

$31,175

0

 

Fund the cost of civil service mandated reallocations for central service workers

$0

$0

(858)

 

Combine all positions authorizations for this, and all other HCSD hospitals in the Administration program to provide additional management flexibility in determining individual hospital manpower requirements

 

 

 

 

 

$0

$56,075,803

0

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

($308,334)

(864)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.5% of the existing operating budget. It represents 95.6% of the total request ($58,733,639) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $1.5 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Increased interagency transfers by $267,000 to fund a 5.91% pay raise for house officers supplied by the LSU Medical Center. Full funding has been provided for salaries. The other compensation and professional services line items have been reduced, six (6) vacant positions have been eliminate, and additional interagency transfer means of financing has been added, to provide the necessary funding adjustment needed in the salaries and related benefits categories. All positions authorizations remaining after the position reductions specified above for this and the other HCSD hospitals have been combined in the Administration program to provide additional management flexibility in determining individual hospital manpower needs.

The Total Recommended amount above includes $38,321,576 of Supplementary Recommendations of which $0 is State General Fund for 70% of the budget of this program. Funding of this Supplementary Recommendation is dependent upon renewal of the current sales tax rate of 3% on the sales tax suspension of exemptions base.

PROFESSIONAL SERVICES

$191,099

 

Radiology consultants for radiology services and consultation

$49,180

 

Ochsner Medical Institutions for opthamology services

$12,576

 

Arthritis Clinic for rheumatology services

$5,494

 

Various ministers for chaplain services

$12,000

 

Ochsner for physician services

$10,000

 

S. Longo & Associates for Joint Commission on the Accreditation of Healthcare Organizations for consultations

 

 

 

$280,349

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$13,359

 

Legislative Auditor expenses

 

 

 

$13,359

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$4,644,393

 

Payments to LSU Medical Center for faculty staff for resident supervision and physician services

$2,776,398

 

Payments to LSU Medical Center for house officer salaries and medical staff

$947,491

 

Payments to LSU Medical Center for emergency room physician services

$139,122

 

Payments to LSU Medical Center for data processing services

$1,900,000

 

Payments to the Office of Mental Health for operation and management of the acute psychiatric inpatient unit

$65,229

 

Payments to the Department of Civil Service

$22,535

 

Payment for Uniform Payroll System expense

$6,030

 

Payments to the Comprehensive Public Training Program

$3,382

 

Payments to the Treasury Department for bank service charges

 

 

 

$10,504,580

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$545,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$545,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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