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Program D: Huey P. Long and England Airpark Medical Centers

Program Authorization: R.S. 36:254, 258, 259; R.S. 40:2012, 2014; Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Huey P. Long Pineville and England Airpark Medical Centers are to provide acute general medical, surgical, psychiatric, inpatient and acute/chronic ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible patients, and self-paying patients residing in the central Louisiana parishes of Allen, Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, and Winn. The hospitals are currently staffed for 123 beds.

The goal of Huey P. Long and England Airpark 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, Huey P. Long and England Airpark Medical Centers 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

$44,566,973

593

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$509,199

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

$45,076,172

593

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($509,199)

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

$20,000

0

 

Equipment and Major Repairs Adjustment(s)

$0

$365,074

0

 

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

$0

$372,376

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($217,475)

(21)

 

Personnel Reduction(s)

$0

$155,677

0

 

Attrition Adjustment(s)

$0

($91,269)

0

 

Retirement Rate Adjustment(s)

$0

$4,770

0

 

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

$0

($163,503)

0

 

Risk Management Adjustment(s)

$0

$1,830

0

 

U P S Fees

$0

$3,608

0

 

Legislative Auditor Fees

$0

$42,000

0

 

Adjustment to fund the cost of a 5.91% pay raise for house officers supplied by Tulane University

$0

$10,609

0

 

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

$0

$355,000

0

 

Adjustment to fund the cost of upgrading the telephone systems at both the Pineville and England Aripark facilities for year 2000 compliance

$0

$0

(572)

 

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

$45,425,670

0

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$349,498

(593)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

 

 

 

 

 

The total means of financing for this program is recommended at 100.2% of the existing operating budget. It represents 89.7% of the total request ($50,432,296) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $509,199 of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, increased interagency transfer means of financing by $355,000 to upgrade the telephone systems at both the Pineville and England Airpark facilities for year 2000 compliance. Full funding has been provided for salaries, twenty-one (21) vacant positions have been eliminated, and additional interagency transfer means of financing has been added to provide the necessary funding needed in the salaries and related benefits catgories. 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 $31,039,687 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

$10,000

 

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

$3,156,686

 

Tulane University for physician and supervision services

$750,836

 

Tulane University for house officer salaries for 13 full time equivalent positions

$160,000

 

Tulane University for cardiology studies

$150,000

 

Tulane University for neurology clinics

$57,614

 

Tulane University for HIV services

$18,000

 

Tulane University for pediatric neurology clinic services

$7,200

 

Tulane University for EEG services and studies

$2,387,480

 

C & M Medical Services for emergency room staffing and management

$300,000

 

Joe Rankin Radiology physician services

$9,000

 

Joe Rankin Ultrasound services

$175,000

 

WM Chen anesthesia physician coverage and consultation

$154,280

 

Geriatrics Rehabilitation for speech and occupational therapy services

$150,000

 

Pathology physician services

$138,000

 

St. Francis Cabrini Hospital for mammography and sonogram reading services

$135,000

 

Dental services

$60,000

 

Cancer Treatment Center for radiation therapy services

$44,450

 

Paula Amsden Ultrasound physician services

$40,000

 

Therapeutic radiology physician services

$37,128

 

Central Louisiana AIDS Support - HIV case management

$35,000

 

Freedman Clinic for Holter monitor, EKG and Stress Test readings

$12,550

 

Alexandria Neurological Center - EKG's

$10,000

 

Alexandria Imaging for Magnetic Resonance Imaging interpretations

$4,000

 

Echocardiogram interpretation physician services

$4,000

 

Rapides General for Histology services

$28,814

 

Various ministers for chaplain services

$7,500

 

Professional Travel

 

 

 

$8,042,538

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$15,267

 

Legislative Auditor expenses

 

 

 

$15,267

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$1,140,000

 

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

$106,000

 

Payments to the LSU School of Medicine for two emergency room residents

$55,000

 

Payments to the Medical Center of Louisiana at New Orleans for Certified Registered Nurse Anesthetist scholarships

$26,208

 

Payments to Work Training Facility, North for the supervision of inmate labor at the hospital

$50,444

 

Payments to the Department of Civil Service

$15,192

 

Payments for Uniform Payroll System expenses

$4,658

 

Payments to the Comprehensive Public Training Program

$307

 

Payments to the Treasury Department for bank service charges

$1,397,809

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$760,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$760,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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