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Program C: Earl K. Long Medical Center

PROGRAM DESCRIPTION

The mission of Earl K. Long Medical Center is to provide acute general medical, surgical, psychiatric, inpatient and ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible, and self-paying patients for an eight-parish area around Baton Rouge; and to provide the clinical environment for medical education of physicians and paramedical personnel. In addition, Earl K. Long Medical Center will foster innovation and leadership in the delivery of efficient and effective medical treatment and education. Earl K. Long Medical Center is currently staffed for 204 beds.

The goal of Earl K. Long Medical Centers 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, Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

OBJECTIVES AND PERFORMANCE INDICATORS

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

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

$74,297,379

856

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$5,014,109

0

 

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

$0

$0

84

 

Transfer 84 vacant positions from the Medical Center of Louisiana at New Orleans to convert temporary clerical and data processing personnel to permanent status pursuant to the direction of the Department of Civil Service

 

 

 

 

 

$0

$79,311,488

940

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($5,014,109)

0

 

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

$0

$71,000

0

 

Equipment/Major Repairs Adjustment (s)

$0

$605,640

0

 

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

$0

$617,753

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($140,014)

(8)

 

Personnel Reduction(s)

$0

$1,409,308

0

 

Attrition Adjustment(s)

$0

($158,119)

0

 

Retirement Rate Adjustment(s)

$0

$11,169

0

 

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

$0

($1,322,146)

0

 

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

$0

($392,625)

0

 

Risk Management Adjustment(s)

$0

$3,240

0

 

U P S Fees

$0

$7,051

0

 

Legislative Auditor Fees

$0

$190,000

0

 

Adjustment to fund the cost of a 5.91% pay raise for house officers

$0

$24,939

0

 

Adjustment to fund the cost of Civil Service mandated reallocations for central service workers

$0

$0

(932)

 

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

$75,224,575

0

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

($4,086,913)

(940)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

 

 

 

 

 

The total means of financing for this program is recommended at 94.8% of the existing operating budget. It represents 96.4% of the total request ($78,020,144) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $5 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, increased interagency transfer means of financing by $190,000 for a 5.91% pay raise for house officers. Full funding has been provided for salaries. The other compensation and professional services line items have been reduced, eight (8) vacant positions have been eliminated, and additional interagency transfer means of financing added to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding for salaries and related benefits also includes the annualized cost for 84 positions, moved from the Medical Center of Louisiana at New Orleans by BA-7 during FY 1997-98 with no associated means of financing, to permit the agency to comply with a civil service mandate to transfer clerical staff from temporary status to classified positions in the authorized table of organization of the agency. 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 $51,687,367 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

$2,025,650

 

C & M Medical Services for emergency room staffing and operation

$380,000

 

C & M Medical services for emergency medicine residency program

$600,000

 

Baton Rouge Radiology for X-Ray staffing, supervision and administration

$90,000

 

Louisiana Cardiology Associates for cardiology services

$100,000

 

Mary Bird Perkins Cancer Center for radiation therapy services

$5,350

 

Mary Bird Perkins Cancer Center for irradiation of blood products

$20,000

 

Bio Medical applications for inpatient dialysis services

$37,960

 

Roger Peak Dental clinic physician services

$6,390

 

Kilgores for nuclear medicine services

$24,000

 

Various ministers for chaplain services

$5,000

 

Mary Kelly for psychological services

$10,000

 

S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organizations consultation

$52,525

 

Don Arnold Architectural Services

$15,000

 

Professional Engineering Topographic Survey

$6,750

 

Grace & Hebert Asbestos Abatement

$5,000

 

Leblanc & Associates Electrical Engineers

$132,000

 

Vascular Associates Laboratory Testing

 

 

 

$3,515,625

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$24,650

 

Legislative Auditor expenses

 

 

 

$24,650

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$5,904,396

 

Payments to LSU Medical Center for faculty supervision and physician services

$3,424,912

 

Payments to LSU Medical Center for house officer salaries

$230,765

 

Payments to LSU Medical Center for physical therapy and faculty supervision services

$50,000

 

Payments to LSU Medical Center for psychology services

$2,001

 

Payments the LSU Nursing School for staff training

$5,500,000

 

Payments to Greenwell Springs Hospital for operation and management of acute psychiatric inpatient unit.

$76,591

 

Payments to Civil Service

$25,153

 

Payments for Uniform Payroll System expenses

$6,671

 

Payments to the Comprehensive Public Training Program

$3,172

 

Payment to the Treasury Department for bank service charges

 

 

 

$15,223,661

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$688,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$688,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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