Program A: Personal Health Services
Program Authorization: R.S. 17:1700, 2111-2; R.S. 24:253; R.S. 33:1561; R.S. 36:8, 51.1, 253, 256(B), 258; R.S. 39:171- 4, 231, 241, 321, 361-365: R.S. 40:2-7, 18, 28, 29, 31.2, 299.111-20, 1061-65, 1299.1-5, 1299.151 et. seq., 2481- R.S. 46:950-70, 971-2; R.S. 49:121, 190-9, 951 et. seq.; and Act 390 of 1991
PROGRAM DESCRIPTION
The mission of the Personal Health Services Program is to provide and assure clinical and preventive services to Louisiana citizens to promote reduced morbidity and mortality resulting from: 1) high risk conditions of infancy and childhood; 2) infectious/communicable diseases; 3) chronic diseases; and 4) accidental and unintentional injuries.
The goals of the Personal Health Services Program are:
1. Reduce the high-risk conditions of infancy and childhood.
2. Prevent and/or control infectious and communicable diseases.
3. Promote and encourage healthy behaviors in communities, families and individuals and reduce the risk behaviors associated with the emergency and prevalence of chronic disease.
4. Reduce the incidence of death and disability due to unintentional injuries.
The Personal Health Services Program and its related activities provide a rich array of services to the diverse populations in Louisiana. This program exists for the citizens of Louisiana, providing health information and health education and assurance of essential health care services for the underserved. Services are provided to infants, children, adolescents, women of childbearing age, pregnant women, newborns suspected of having genetic diseases, children with tuberculosis, HIV/AIDS, sexually transmitted diseases, persons at risk for injury and violence, etc.
The Personal Health Services Program includes the following activities: Chronic Disease, Environmental Epidemiology, HIV/AIDS, Immunization, Infectious Epidemiology, Injury Research and Prevention, Sexually Transmitted Disease, Tuberculosis Control, Maternal and Child Health, Nutrition Services, Genetic Diseases, Family Planning, Children's Special Health Services, Laboratory Services, and Pharmacy Services.
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
This program is funded with General Fund, Interagency Transfers, Self-generated Funds, and Federal Funds. Interagency transfers include funds received from the Medical Vendor Program for medical services to Medicaid eligible patients; funds from the Department of Education to provide health services to infants and toddlers (ChildNet); and funds from the Office of Community Services to be utilized in parenting training. Self-generated Revenues are comprised of donated funds utilized for provision of child car safety seats on a loaned basis; patient fees or third party reimbursements received for medical services rendered; manufacturer's rebates received from infant formula purchases in the Women, Infants, and Children (WIC) Nutrition Program; local funds generated by parish millage or contributions for parish health units; and allocation for drivers' license sales and fees for testing charged in the Emergency Medical Services activity. Federal sources of funding include funds for AIDS Prevention, Drugs, New Initiatives, and Reporting; a grant from the Center for Disease Control (CDC) to study behavioral risk factors; the USDA Commodity Supplemental Food and WIC Program grants; a grant to assess the extent of exposure of the population to environmental contaminations; the Family Planning Title 10 Grant; the Healthy Futures Case Management Grant for at risk pregnant women; the Immunization Grant for Children; a Laboratory Training Grant; the Maternal and Child Health Grant; the Preventive Health Grant; the Safe Drinking Water Grant; a Tuberculosis Control Grant; a Toxic Site Health Assessment Grant; and the Sexually Transmitted Disease Control Grant.
ANALYSIS OF RECOMMENDATION
|
GENERAL FUND |
TOTAL |
T.O. |
|
DESCRIPTION |
|
|
|
|
|
|
|
$40,291,613 |
$189,295,489 |
1,696 |
|
ACT 19 FISCAL YEAR 1998-1999 |
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS: |
|
$0 |
$864,000 |
0 |
|
Funding for YK2 |
|
($5,151,799) |
$0 |
0 |
|
Align means of financing between programs |
|
$0 |
$0 |
(23) |
|
Transfer positions to other DHH agencies |
|
|
|
|
|
|
|
$35,139,814 |
$190,159,489 |
1,673 |
|
EXISTING OPERATING BUDGET – November 20, 1998 |
|
|
|
|
|
|
|
$722,689 |
$722,689 |
0 |
|
Annualization of FY 1998 –1999 Classified State Employees Merit Increase |
|
$791,303 |
$791,303 |
0 |
|
Classified State Employees Merit Increases for FY 1999 -2000 |
|
$99,562 |
$99,562 |
0 |
|
Unclassified State Employees Merit Increases for FY 1999-2000 |
|
($434,715) |
($140,858) |
0 |
|
Risk Management Adjustment |
|
$1,373,213 |
$1,750,915 |
0 |
|
Acquisitions and Major Repairs |
|
($1,288,212) |
($1,665,914) |
0 |
|
Nonrecurring Acquisitions and Major Repairs |
|
$0 |
($864,000) |
0 |
|
Nonrecurring carry forward |
|
$237,127 |
$237,127 |
0 |
|
Legislative Auditor Fees |
|
$4,435 |
$4,435 |
0 |
|
Rent in State-owned Buildings |
|
$229,413 |
$229,413 |
0 |
|
Maintenance of State-owned Buildings |
|
$904 |
$904 |
0 |
|
UPS Fees |
|
$1,703,280 |
$1,703,280 |
0 |
|
Salary Base Adjustment |
|
($2,198,019) |
($2,198,019) |
0 |
|
Attrition Adjustment |
|
($1,118,815) |
($1,118,815) |
0 |
|
Salary Funding from Other Line Items |
|
$26,134 |
$26,134 |
0 |
|
Civil Service Fees |
|
$0 |
$6,100,000 |
0 |
|
Workload – Increase funding for H.I.V. drugs |
|
$500,000 |
$0 |
0 |
|
Means of Financing Substitution – Replace Inter Agency Transfers with General Fund to match revenue projections |
|
$0 |
$1,729,089 |
0 |
|
New and Expanded Adjustments – Fund Home Nurse Visitation Program |
|
$1,018,176 |
$1,018,176 |
3 |
|
New and Expanded Adjustments – Fund expansion of School Based Health Centers |
|
|
|
|
|
|
|
$36,806,289 |
$198,584,910 |
1,676 |
|
TOTAL RECOMMENDED |
|
|
|
|
|
|
|
$1,666,475 |
$8,425,421 |
3 |
|
DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET) |
The total means of financing for this program is recommended at 104.4% of the existing operating budget. It represents 95.9% of the total request ($207,122,498) for this program. The two major changes was a increase of $6.1 million in federal funds for the HIV Drugs, $1.7 million for the Maternal and Child Health Home Nurse Visitation Program and $1.02 million for School Board Based Health Centers.
PROFESSIONAL SERVICES
|
$2,625 |
|
Employee Assistance Program |
|
$45,720 |
|
Assist OPH in the planning and designing of OPH owned and/or operated parish owned facilities. |
|
$26,824 |
|
Develop a comprehensive inventory management program tool. |
|
$35,760 |
|
Assist in presentations and preparation of materials concerning governance for "Turning Point Tools for Change" sessions |
|
$25,000 |
|
Develop and implement a consolidated strategic plan for Children’s Services |
|
$50,000 |
|
Operation & development of the South Central Public Health Leadership Institute for personnel in LA., ALA., ARK., and MS. |
|
$47,122 |
|
Administrative Internship/Residency Program |
|
$48,826 |
|
Consulting services to develop a collaborative planning, implementation, monitoring and evaluation process of the human resources system, process, policies, procedures, etc. at OPH. |
|
$44,500 |
|
Objective assessment regarding the PH-9 billing and reconciliation systems. |
|
$8,600 |
|
Electronic billing and payment procedures to collect laboratory fees, oversee and monitor ongoing collection of laboratory fees and perform an internal audit of the system annually. |
|
$6,500 |
|
Collect animal heads from laboratory |
|
$28,000 |
|
Personal health services within the a managed care framework for the Medicaid Managed Care pilot. |
|
$600,345 |
|
Sickle Cell patient care and educational information. |
|
$59,330 |
|
Develop and operate a statewide Hemophilia Surveillance Project. |
|
$301,504 |
|
Genetics evaluation and counseling at Regional Genetics Clinics. |
|
$297,292 |
|
Lead Surveillance System which is essential for determining the extent of the lead toxicity problem in each parish. |
|
$27,680 |
|
Sign language interpreter; Specialty training in the "Impact of Early Identification on the Development of Deaf and Hard-of-Hearing Infants and Toddlers". |
|
$139,907 |
|
Home visiting program for MCH Services. |
|
$38,500 |
|
Primary speech/language provider in OPH Clinics. |
|
$50,000 |
|
OPH certified child care health consultants. |
|
$220,000 |
|
Expanded community based primary health care services. |
|
$103,435 |
|
Patient education to women, infants, and children in PHU’s through WIC, MCH, and Family Planning Clinics. |
|
$896,157 |
|
Medical services to Children’s Special Health Services Clinics. |
|
$10,000 |
|
Computer expertise in developing, documenting and implementing computer software package for CSHS |
|
$372,317 |
|
Family Planning Services to adolescent and adult patients |
|
$198,000 |
|
Cervical cytological slide diagnosis |
|
$647,150 |
|
Consultation and technical assistance to the Maternal and Child Health Program in the arena of health education/communication, social marketing, evaluation and public health practice |
|
$397,993 |
|
Establish a model home visiting program |
|
$173,265 |
|
Provide administrative, expert policy consultation and technical assistance on adolescent and comprehensive school health program |
|
$66,000 |
|
Consultant and toxicology advisor to the Environmental Epidemiology & Toxicology |
|
$44,500 |
|
Develop, update and track fish consumption/health advisors in Louisiana |
|
$44,500 |
|
Research for the Environmental Component of the Lower Mississippi River Interagency Cancer Study |
|
$192,245 |
|
STD screening and treatment, HIV counseling and testing services |
|
$52,900 |
|
Implementing a new STD computerized system |
|
$136,392 |
|
Conduct STD screening and treatment of inmates at the In-Take Division of the Jefferson Community Correction Center |
|
$6,100 |
|
Dispense STD medication |
|
$60,382 |
|
Infertility prevention project in New Orleans area |
|
$8,550 |
|
Coordinate the State of LA emergency investigation of methyl parathion (MP) exposure |
|
$175,372 |
|
Public Health Educators and Coordinators for the Immunization Program |
|
$29,451 |
|
Develop software to electronically transfer reportable disease data from LA hospitals to the Epidemiology Section |
|
$750,380 |
|
HIV Prevention and Consulting services |
|
$188,453 |
|
Identify and arrange breast cancer education, clinical breast examination and pelvic examination as appropriate, mammography and Pap smear, data collection and follow-up |
|
$28,083 |
|
Tobacco Control Regional Workshops professional conference support |
|
$137,302 |
|
Medical Director for the Injury Research and Prevention Program |
|
$101,321 |
|
Childhood injury prevention projects and violence prevention program |
|
$162,835 |
|
Tuberculosis screening and treatment |
|
$738,054 |
|
Medical services for Maternal Child Health Program, Eye Health, Family Planning,, and Tuberculosis Programs for patients in parish health units through out the state |
|
$16,075 |
|
Issue burial transit permits |
|
$1,500 |
|
Write a programmatic software required for automated operations in MCH |
|
$4,800 |
|
Staff development training workshops |
|
$64,431 |
|
Sudden Infant Death Syndrome (SIDS) |
|
$6,000 |
|
Write and edit section of the Healthy Communities Tool Kit that relate to group facilitation and comm. |
|
$9,600 |
|
Develop a multi-user Microsoft Access 97 based software service program to manage Marriage License Office services |
|
$26,000 |
|
Conversion of Vital Records Registry customer service transaction tracking and accounting software for Ms Access 97 based multi-user application to a SQL server version suitable for use over the DHH Wide Area Network |
|
$920,139 |
|
To include media/radio outreach services for WIC/Nutrition campaign for MCH Program and for HIV/AIDS |
|
$66,000 |
|
Medical Services for School Board Health Centers |
|
|
|
|
|
$8,939,716 |
|
TOTAL PROFESSIONAL SERVICES |
OTHER CHARGES
|
$625,876 |
|
Carry out duties as part of the National Registry examination process according to the Louisiana/National Registry exam orientation guidelines. EMS training program |
|
$16,000 |
|
PALS Workshop Faculty/Coordinator |
|
$2,464,519 |
|
Comprehensive primary care and preventive health services to students registered in the school health centers |
|
$44,641 |
|
Health Insurance Continuation Program |
|
$45,000 |
|
Organize the annual campaign to vaccinate dogs and cats against rabies |
|
$2,947,162 |
|
HIV Prevention Services |
|
$95,019 |
|
HIV case management and housing assistance |
|
$3,900,000 |
|
HIV Home Health Services |
|
$2,218,804 |
|
Provide services for the Ryan White C.A.R.E. Act (P.L. 101-381) |
|
$396,956 |
|
Protect health of LA residents and to prevent disease and injury |
|
$59,534 |
|
LA State Loan Repayment Program |
|
$159,829 |
|
Multifaceted outreach program that will reduce the rate of HIV/AIDS perinatal transmission |
|
$1,196,747 |
|
WIC banking services |
|
$892,012 |
|
Commodity Supplemental Food Program |
|
$283,100 |
|
City of New Orleans – Continue the WIC linkage to enhance immunization services |
|
$50,000 |
|
Analysis for the increasing of WIC participation statewide |
|
$5,978,116 |
|
Children’s Special Health Services – Other Charges, including hospital care, appliances, eye glasses, dental and orthodontic services for children with cleft palate, transportation of patients and their parents, and private medical and surgical therapy services |
|
$97,872 |
|
Tuberculosis control |
|
$60,109 |
|
Refugee Health Program – screening for TB, parasites and immunization of status of refugees entering Louisiana |
|
$182,208 |
|
Provide Sexually Transmitted Disease screening and treatment to patients |
|
$117,656 |
|
Assist with the implementation of Phase –2 of the project entitled "Innovations in Syphilis Prevention" |
|
$343,860 |
|
Continue the WIC likage to enhance immunization services; Clinical services and clerical support |
|
$24,718 |
|
Tobacco Control |
|
$110,945 |
|
Breast Cancer screening and evaluation |
|
$623,082 |
|
Rape Crises Services – Hospitals and YWCA’s |
|
$162,685 |
|
MCH Home Nurse Visitation program |
|
$364,352 |
|
Legislative Auditor’s expense |
|
$57,035,268 |
|
WIC Food |
|
$800,000 |
|
Medical Services for School Board Based Health Clinics |
|
|
|
|
|
$81,296,070 |
|
TOTAL OTHER CHARGES |
|
|
|
|
|
|
|
Interagency Transfers: |
|
$9,511 |
|
Tuberculosis Control Program |
|
$10,491,514 |
|
HIV/AIDS Program and Ryan White Title II ADAP |
|
$2,328,000 |
|
HIV/AIDS Program and Ryan White Title II ADAP for LSU-Health Care Services Division |
|
$110,000 |
|
Comprehensive primary care and preventive health services to students registered in the school health centers |
|
$608,319 |
|
Provide professionals services to cover Special Projects related to the control of HIV and STDs including developing and piloting new interventions be used for HIV STD control |
|
$64,850 |
|
Medical services for Children’s Special Health Services |
|
$179,520 |
|
LSUMC, School of Dentistry Orthodontics and Oral and Maxillofacial Surgery to OPH’s CSHS |
|
$106,996 |
|
Medical services for Maternal and Child Health Services |
|
$4,800 |
|
LSUMC – Physician for Family Planning Program |
|
$150,044 |
|
Statewide Tobacco Prevention Resource, Research and Action Center at Stanley Scott Cancer Center |
|
$263,097 |
|
Statewide STD Program medical consultant |
|
$28,408 |
|
Medical and genetic counseling of patients; genetic laboratory studies |
|
$184,426 |
|
Provide health care providers and support staff to provide prenatal care at the Orleans Women’s Health Clinic |
|
$55,631 |
|
Train school health center staff to upgrade the quality of utilization data from school based health centers on specially designed software |
|
$160,295 |
|
LSU School of Medicine, Dept. of OB/GYN – Continue the demonstration model prenatal clinic in the Desire Housing Project |
|
$40,000 |
|
Comprehensive school health training & research |
|
$43,546 |
|
LA Behavioral Risk Factor Survey and Supplemental LA Minority Behavioral Risk Factor Survey |
|
$294,083 |
|
Services for WIC Supplemental Food Program to HCSD |
|
$26,250 |
|
LSUMC Pathology Dept. – Provide professional consulting services |
|
$7,200 |
|
LSUMC – Otologists for Children’s Special Health Services |
|
$65,000 |
|
Clinical Director of the Delgado Communicable Disease Clinic |
|
$237,207 |
|
Dept. of Civil Service for agency’s share of Civil Service costs |
|
$37,755 |
|
Treasurer for banking costs |
|
$21,218 |
|
Division of Administration for Comprehensive Training Program |
|
$58,658 |
|
Uniform Payroll for agency’s share of payroll costs |
|
$67,116 |
|
Northeast LA Univ. – Interviews for Grant |
|
$10,000 |
|
LA State Police – Criminal records checks on employees |
|
$25,000 |
|
University Southeastern Louisiana – Conference services provided |
|
$51,000 |
|
Louisiana State University – Grand Bois Investigation |
|
$89,300 |
|
LSU - Printing of various educational documents for distribution to clients receiving medical services |
|
$1,059,441 |
|
DOA - Maintenance and rental of sate - owned buildings |
|
$38,481 |
|
Peltier - Lawless Development Center for agency's share of utilities |
|
$80,000 |
|
LA State Planning Council on Developmental Disabilities for Maternal Child Health Services |
|
|
|
|
|
$16,996,666 |
|
TOTAL INTERAGENCY TRANSFERS |
ACQUISITIONS AND MAJOR REPAIRS
|
$1,759,291 |
|
Funding for replacement of obsolete, damaged, or inoperative equipment. See Analysis of Recommendation |
|
|
|
|
|
$1,1,759,291 |
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS |
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