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Program J: Medical Center of Louisiana at New Orleans and University Hospital

Program Authorization: R.S. 36:251-259; 1-15 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of Medical Center of Louisiana at New Orleans and University Hospital is to provide acute general medical, surgical, psychiatric, inpatient and acute/chronic ambulatory medical care for the medically indigent, Medicaid and/or Medicare eligible and self-paying patients on two campuses. One campus is the Charity campus and the other is the University campus. The hospitals are currently staffed for 693 beds.

The goal of Medical Center of Louisiana at New Orleans and University Hospital 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.

The facilities deliver a comprehensive range of quality health care to any Louisiana resident, especially to the medically indigent or anyone needing emergency care. The Medical Center provides services without regard to race, creed, color, national origin or ability to pay, and serves as the tertiary referral center for the charity hospital system and as a resource to other hospitals and medical care providers. The primary service area includes Orleans, Jefferson, Plaquemine, St. Bernard, St. Charles and St. John the Baptist parishes. The Charity Hospital and Medical Center of Louisiana serves as an educational center of the LSU Medical School and the Tulane University School of Medicine that fosters excellence in training, education and research, and maintains an environment where patients and staff are treated with dignity, compassion and respect.

OBJECTIVES AND PERFORMANCE INDICATORS

1. During FY 1998-99, the Medical Center of Louisiana at New Orleans and University Hospital 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 by amendment during the FY 1997-98 appropriations process for the New Orleans Health Corporation, 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. The recommendation includes no general fund which was non-recurred.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$600,000

$378,486,399

5,014

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$12,548,412

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

(96)

 

Transfer 12 vacant positions to Administration and 84 vacant position to Earl K. Long Hospital with no associated means of financing for the positions

 

 

 

 

 

$600,000

$391,034,811

4918

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

($12,548,412)

0

 

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

($600,000)

($600,000)

0

 

Non-Recurring Adjustment(s) for funding for the New Orleans Health Corporation, added by amendment

$0

$40,000

0

 

Equipment/Major Repairs Adjustment(s)

$0

$3,091,362

0

 

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

$0

$3,153,190

0

 

1998-'99 Merit Pay Adjustment(s)

$0

($496,024)

(145)

 

Personnel Reduction(s)

$0

$965,330

0

 

Attrition Adjustment(s)

$0

($795,803)

0

 

Retirement Rate Adjustment(s)

$0

$20,687

0

 

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

$0

($826,620)

0

 

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

$0

$18,211

0

 

U P S Fees

$0

$13,660

0

 

Legislative Auditor Fees

$0

$585,000

0

 

Add funds for equipment maintenance contracts for which warranties will expire during FY 1998-'99

$0

$1,465,000

0

 

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

$0

$133,774

0

 

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

$0

$0

(4,773)

 

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

$385,254,166

0

 

TOTAL RECOMMENDED

 

 

 

 

 

($600,000)

($5,780,645)

(4,918)

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 98.5% of the existing operating budget. It represents 94.1% of the total request ($409,371,941) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $600,000 of general fund added by the amendment for the New Orleans Health Corporation, and $12.5 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, interagency transfers were increased by $585,000 for equipment maintenance contracts for equipment with warranties expiring during FY 1998-1999, and by $1.5 million for a 5.91% pay raise for house officer supplied by the LSU Medical Center and Tulane University. Full funding has been provided for salaries. Professional services have been reduced, one hundred forty-five (145) 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 $264,658,722 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

$9,848,954

 

Tulane University Medical Center for House Officers

$6,097,120

 

Tulane University Medical Center for resident supervision and physician services

$1,115,433

 

Tulane University Medical Center for medical direction services

$819,000

 

Tulane University Medical Center for providing physician services to the hospital's trauma services

$623,653

 

Tulane University Medical Center for HIV in-patient and outpatient services

$150,000

 

Tulane University Medical Center for radiation oncology physician services

$17,983

 

Tulane University Medical Center for specialized clinical services

$6,378,212

 

Van Meter & Associates for management of Emergency Medical Services and physician clinical care coverage to patients in the Emergency Department

$3,237,900

 

CHNO Independent Staff for physicians

$350,000

 

Extracorporeal Alliance for Perfusionist services

$120,990

 

Xavier University of LA for clinical pharmacist services

$45,000

 

Thomas Miller for electroencepholograph/testing services

$41,500

 

Physical therapy services

$10,000

 

Mike Diaz for occupational therapy services

$24,000

 

Orleans Parish Medical Society for providing data collection and documentation services

$10,000

 

B & M Marketing Group for Joint Commission on the Accreditation of Healthcare Organizations consultation

$9,000

 

Deaf Action Center of Greater New Orleans for sign language interpreter services

$9,000

 

Professional Translators & Interpreters for translating forms accompanying informed consent policy and procedures into Spanish, French, and Vietnamese

$75,000

 

Gregory Meier for Revenue enhancement accounting services

$37,890

 

OACIS Healthcare Systems for clinical management order

$30,000

 

George Leblanc - Human Resource computer consultant

$20,000

 

GEC, Inc. for providing consulting and staffing services related to modification of the patient accounting system

$7,000

 

Computer Consultants

$45,000

 

Various ministers for chaplain services

$12,500

 

American Appraisal for fixed asset accounting

$12,500

 

Michael Palumbo for photographic services

$8,000

 

Professional Security Training, Inc. for firearms training

$10,000

 

Bartels & Company for providing graphic artist services for the design and typesetting of newspaper advertisements

 

 

 

$29,165,635

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$133,586

 

Legislative Auditor expenses

$215,805

 

Costs associated with medical stipends and scholarships for Allied Health students in return for pledged services after graduation.

$24,010

 

Costs associated with salaries and related benefits for the Great Expectations contract with the city of New Orleans

$31,841

 

Costs associated with MCLNO Print Shop

$117,050

 

Costs associated with the WIC program

$6,000,000

 

Costs associated with LPFA payment for bonded indebtedness on University Hospital

$533,333

 

Costs associated with Federal HIV funds for early intervention program

$310,487

 

Costs associated with HIV funds from the City of New Orleans for early intervention program

 

 

 

$7,366,112

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$20,999,658

 

Payments to LSU Medical Center for physician services, and supervision

$16,409,050

 

Payments to LSU Medical Center for house officer salaries

$3,570,151

 

Payments to LSU Medical Center for HIV outpatient clinic services

$537,050

 

Payments to LSU Medical Center for dental clinic services

$207,100

 

Payments to LSU Medical Center for Telemedicine

$191,000

 

Payments to LSU Medical Center for renal transplant services

$10,925,000

 

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

$183,011

 

Payments to Northeast LA University for clinical pharmacy services

$404,023

 

Payments to the Department of Civil Service

$134,254

 

Payments for Uniform Payroll System expenses

$39,061

 

Payments to the Comprehensive Public Training Program

$6,070

 

Payments to the Treasury Department for bank service charges

 

 

 

$53,605,428

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$3,565,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$3,565,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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