Program B: Patient Services

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Program B: Patient Services

Program Authorization: Act 91 of 1967; Act 253 of 1972; Act 617 of 1987; and Act 390 of 1991

PROGRAM DESCRIPTION

The mission of the Patient Services Program is to provide direct patient care and ancillary medical services to the residents of the facility.

The goals of the Patient Services Program are:

1. Provide quality health care services to patients through the identification of need and maximizing utilization of existing services.

2. Diversify service delivery by offering medical services to additional users.

The Patient Services Program includes the following activities: Patient Care (Long-Term Care), Physician Services, Nursing Services, Infectious Disease Services, Rehabilitation, Social Services, Pharmacy, Laboratory, X-ray, Cardiology, Respiratory, Recreation, Beauty and Barber, Acute Hospital Unit, and Infectious Disease Unit (TB Unit).

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indictors are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Patient Services Program is funded with General Fund, Interagency Transfers, Fees and Self-generated Revenues, and Title XVIII Federal Funds (Medicare). Interagency Transfer means of financing represents Title XIX reimbursement for services provided to Medicaid eligible patients received through the Department of Health and Hospitals, Medical Vendor Payments Program. Fees and Self-generated Revenues include: (1) payments from patients for services based on a sliding fee scale; (2) employee meal reimbursement; and (3) miscellaneous income, such as funds received from individuals for copies of patient medical records.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$947,267	$11,454,955	322	ACT 19 FISCAL YEAR 1998-1999

			BA-7 TRANSACTIONS:
$0	$48,785	0	Carry forward

$947,267	$11,503,740	322	EXISTING OPERATING BUDGET – November 20, 1998

$8,671	$131,372	0	Annualization of FY 1998 – 1999 Classified State Employees Merit Increase
$6,439	$97,558	0	Classified State Employees Merit Increases for FY 1999 -2000
$114,962	$114,962	0	Acquisitions and Major Repairs
($145,717)	($145,717)	0	Nonrecurring Acquisitions and Major Repairs
$0	($48,785)	0	Nonrecurring carry forwards
$20,313	$307,767	0	Salary Base Adjustment
($23,650)	($358,340)	0	Attrition Adjustment
($11,772)	($178,357)	0	Salary Funding from Other Line Items
$0	$44,175	0	Other Adjustments – Increase in the provider fee charged to the facility by the Department of Health and Hospitals

$916,513	$11,468,375	322	TOTAL RECOMMENDED

($30,754)	($35,365)	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.7% of the existing operating budget. It represents 86.9% of the total request of $13,204,824 for this program. This program has remained essentially unchanged from existing operating budget.

PROFESSIONAL SERVICES

$23,445		Radiological services are provided on a one day per week basis for $1, 875 per month. These services are required in order for the X-ray Department to be certified for participation in the Medicare and Medicaid Programs
$1,839		Dermatology services are provided on a per visit basis
$8,128		Ophthalmology services are provided on a one visit per week basis of $150 per visit. It is estimated that 500 clients will be served during Fiscal Year 1999-2000
$10,055		Dental services are provided on a half-day per week basis for $186 per visit. It is estimated that 300 clients will be served during Fiscal Year 1999-2000
$81,649		Psychiatric services are provided on a 14 hour per week basis for $80 per hour. It is estimated that 300 clients will be served during Fiscal Year 1999-2000
$13,275		Speech Pathology services are provided on a seven hour per week basis for $35 per hour. It is estimated that 100 clients will be served during Fiscal Year 1999-2000
$8,837		Nutritional services and food systems management will be provided for the entire medical complex

$147,228		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$448,829		Provider Based Fee - paid to the Department of Health and Hospitals based on the number of occupied beds

$448,829		TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$114,962		Funding for replacement of inoperable and obsolete office and computer equipment

$114,962		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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