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Program G: Lallie Kemp Regional Medical Center

Program Authorization: R.S. 36:259 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Lallie Kemp Regional Medical Center, located in the town of Independence, is to provide acute general medical, surgical, inpatient and ambulatory medical care for the medically indigent, Medicaid and/or Medicare eligible and self-paying patients in the service area which includes Tangipahoa and St. Helena parishes. The hospital is currently staffed for 67 beds.

The goal of Lallie Kemp Regional 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, Lallie Kemp Regional 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

$28,405,816

470

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$692,850

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

$29,098,666

470

 

EXISTING OPERATING BUDGET - December 10,1997

 

 

 

 

 

$0

($692,850)

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

($4,000)

0

 

Equipment/Major Repairs Adjustment(s)

$0

$302,681

0

 

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

$0

$308,735

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($38,126)

(15)

 

Personnel Reduction(s)

$0

$391,802

0

 

Attrition Adjustment(s)

$0

($77,623)

0

 

Retirement Rate Adjustment(s)

$0

$3,967

0

 

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

$0

($390,459)

0

 

Reductions in various Expenditure categories; Including Redictions to fully fund salaries

$0

($102,590)

0

 

Risk Management Adjustment(s)

$0

$1,196

0

 

U P S Fees

$0

($597)

0

 

Legislative Auditor Fees

$0

$14,000

0

 

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

$0

$0

(455)

 

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

$28,814,802

0

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

($283,864)

(470)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.9% of the existing operating budget. It represents 95.7% of the total request ($30,146,018) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $692,850 of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Full funding has been provided for salaries. Professional services have been reduced, fifteen (15) 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 $19,758,319 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

$195,832

 

Tangipahoa Parish Sheriff's Office for hospital security services

$10,000

 

Don Arnold Architectural Services for various hospital renovation projects

$10,000

 

Leblanc & Associates Engineering Services

$768,600

 

C & M Medical services for emergency room physician services

$624,000

 

Radiology services

$250,000

 

Nelson, Liner & Hines for general surgical services

$200,000

 

Internal Medicine Clinic for inpatient medical services

$199,992

 

Charles Bridges for urology physician services

$175,000

 

North Oaks Medical Center for OB/GYN clinic and surgery physician services

$172,800

 

Russo, Farmer & Jones for general surgical services

$160,000

 

Arthur Mauterer for general medical physician services

$135,000

 

Walter Campbell for physician services

$125,000

 

Reginald Goldsby for medical director of the hospital

$102,000

 

Scully, Sartin & Jones pathology services

$70,000

 

Daniel Sinclair for orthopedic physician services

$58,240

 

Steven Littlewood for Ear, nose and throat physician services

$45,000

 

Gregory Lanata for podiatry physician services

$45,000

 

Harry Burgess for dermatology physician services

$37,440

 

Registered dietitian services

$21,600

 

Family practice and OB/GYN clinic physician services

$20,000

 

Mary Bird Perkins Cancer Center for contract cancer treatment services

$14,560

 

Katherin Yeargain, MSW for Social Services

$12,960

 

Crocifissa Yenni for Electroencephlagraph technician services

$9,600

 

Diane Africk for pediatric neurology clinic physician services

$9,600

 

Mohan Ghandi for allergy immunology physician services

$4,800

 

John Labbe for pediatric optometry physician services

 

 

 

$3,477,024

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$15,108

 

Legislative Auditor expenses

 

 

 

$15,108

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$125,000

 

Payments to LSU Medical Center for opthamology services

$99,720

 

Payments to LSU Medical Center for dental services

$57,460

 

Payments to LSU Medical Center for oncology clinic services

$35,755

 

Payments to the Department of Civil Service

$12,312

 

Payments for Uniform Payroll System expenses

$3,242

 

Payments to the Comprehensive Public Training Program

 

 

 

$333,489

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$286,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$286,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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