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Program E: University Medical Center

Program Authorization: R.S. 36:254,258, 259; 40:2002,2014; Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the University 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 in the following parishes: Acadia, Evangeline, Iberia, Lafayette, St. Martin, St. Landry, Vermilion, and St. Mary. The hospital is currently staffed for 142 beds, and is a teaching hospital affiliated with the LSU School of Medicine in New Orleans.

The goal of University 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, 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, University 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 general fund added pursuant to Act 1281 of 1997 for the payment of a legal fee of an employee of the hospital found innocent of the charges brought against him in the course of his employment at the hospital, 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

$57,198,935

881

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$13,121

$13,121

0

 

Add general fund pursuant to Act 1281 of 1997 for payment of the legal fees of an employee of the hospital acquitted of the charges brought against him in the course of his employment with the hospital

$0

$2,061,006

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

 

 

 

 

 

$13,121

$59,273,062

881

 

EXISTING OPERATING BUDGET - December 10. 1997

 

 

 

 

 

$0

($2,061,006)

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

($13,121)

($13,121)

0

 

Non-recurring Adjustment(s) for legal fees for an employee of the hospital found innocent of the charges brought against him in the course of his employment at the hospital

$0

$30,000

0

 

Equipment/Major Repairs Adjustment(s)

$0

$491,507

0

 

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

$0

$501,337

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($1,578,930)

(74)

 

Personnel Reduction(s)

$0

$2,309,980

0

 

Attrition Adjustment(s)

$0

($126,803)

0

 

Retirement Rate Adjustment(s)

$0

$6,691

0

 

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

$0

($785,187)

0

 

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

$0

($3,638)

0

 

Risk Management Adjustments

$0

$2,520

0

 

U P S Fees

$0

$7,419

0

 

Legislative Auditor Fees

$0

$10,000

0

 

Add funds for the costs of equipment maintenance contracts for equipment with warranties expiring during FY 1998-99

$0

$140,000

0

 

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

$0

$10,980

0

 

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

$0

$280,000

0

 

Fund the cost of upgrading the telephone systems at both the Pineville and England Airpark facilities for year 2000 compliance

$0

$0

   (857)

 

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

$58,494,811

0

 

TOTAL RECOMMENDED

 

 

 

 

 

($13,121)

($778,251)

(881)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 98.7% of the existing operating budget. It represents 86.3% of the total request ($67,776,041) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $13,121 of general fund added for payment of the legal fees of an employee of the hospital found innocent of charges brought against him in the course of his employment with the hospital, and $2 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. In addition, interagency transfers have been increased by $140,000 for a 5.91% pay raise for house officers and by $280,000 to upgrade the telephone systems for year 2000 compliance. Full funding has been provided for salaries. Professional services have been reduced, seventy-four (74) 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. 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 $39,987,588 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 Organizations consulting services

$5,995

 

Barras Architects for architectural services

$3,000

 

Louis Capozzoli for soil borings and tests

$1,887,980

 

C & M Emergency Medical Services for emergency room staffing, operation and management

$128,710

 

Sarita Sharma-Choudry Neonatology physician service for the Neonatal Intensive Care Unit

$128,710

 

Parvin Safari Neonatology physician services for the Neonatal Intensive Care Unit

$51,738

 

Dynamark for Inpatient physical therapy services

$49,000

 

Rehabilitation Services for inpatient physical therapy services

$12,000

 

Burch McQuitty Electroencephalograph physician services

$12,000

 

Robert Martinez for EEG's

$10,000

 

Steven Snatic for EEG's

$5,000

 

Deaf Action Center for interpreter services

$38,525

 

Diocese of Lafayette for chaplain services

 

 

 

$2,342,658

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$22,598

 

Legislative Auditor expenses

 

 

 

$22,598

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$6,445,457

 

Payments to LSU Medical Center for physician services and supervision of house officers

$2,116,832

 

Payments to LSU Medical Center for house officer salaries

$134,000

 

Payments to LSU Medical Center for emergency room staffing

$1,330,000

 

Payments to the Office of mental health for operation of the acute psychiatric inpatient unit

$70,797

 

Payments to the Department of Civil Service

$23,440

 

Payments for the Uniform Payroll System expenses

$6,613

 

Payments to the Comprehensive Public Training Program

 

 

 

$10,127,139

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$835,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$835,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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