Program B: Patient Care

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Program B: Patient Care

Program Authorization: Act 107 of 1962: R.S. 28:380 et.seq., R.S. 6:251(C); R.S. 258 and R.S. 39:1554(D)

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide residential living and other support and services to individuals with developmental disabilities living at Metropolitan Developmental Center.

The goal of the Patient Care Program is to provide person-center, 24-hour residential living services and supports to individuals with developmental disabilities living at Metropolitan Developmental Center.

The Patient Care Program is a program within Metropolitan Developmental Center whose purpose is to provide residential living and other support and services to the individuals living at Metropolitan Developmental Center in order to support people being served in identifying, pursuing, and reaching their goals.

The Patient Care Program consists of the following activities: (1) Residential Services, (2) Health Services, (3) Physician Services, (4) Central Clinic, (5) Nursing Services, (6) Dental Services, (7) Pharmacy, (8) Client Records, (9) Social Work Services, (10) Psychology, (11) Habilitation, (12) Speech/Audiology, (13) Occupational Therapy, (14) Physical Therapy, (15) Recreation and Leisure, (16) Rehabilitation Engineering, (17) Work Adjustment and Training, (18) Quality Improvement, (19) OMRP/IPC, (20) Nutrition, (21) Food Services.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators 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 Care Program of Metropolitan Developmental Center is funded from Interagency Transfers, Fees and Self-generated Revenues, and General Fund. Interagency Transfers include Title XIX reimbursement for services provided to Medicaid-eligible residents, received from the Department of Health and Hospitals, Medical Vendor Payments Program, and funds from the Department of Education for the Special Milk Program. Self-generated Revenue includes payments for services provided to patients based on a sliding fee scale, and reimbursement for meals served to employees and visitors.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$177,021	$16,977,849	441	ACT 19 FISCAL YEAR 1998-1999

			BA-7 TRANSACTIONS:
$0	$0	0	None

$177,021	$16,977,849	441	EXISTING OPERATING BUDGET – November 20, 1998

$0	$138,888	0	Annualization of FY 1998-1999 Classified State Employees Merit Increase
$0	$141,458	0	Classified State Employees Merit Increases for FY 1999 -2000
$0	$159,250	0	Acquisitions and Major Repairs
$0	($159,250)	0	Nonrecurring Acquisitions and Major Repairs
$0	($1,630,441)	0	Salary Base Adjustment
$0	($256,912)	0	Attrition Adjustment
$0	$14,173	0	Other Adjustments – Change in provider fee charged to the facility by the Department of Health and Hospitals
$0	$1,557	0	Other Adjustments – Increase in the collection for participation in the Special Milk Program

$177,021	$15,386,572	441	TOTAL RECOMMENDED

$0	($1,591,277)	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 90.6% of the existing operating budget. It represents 93.4% of the total request of $16,466,215 for this program. The major reason for the decrease from existing operating budget is the full funding of salaries.

PROFESSIONAL SERVICES

$94,554		Dental services
$88,732		Psychiatric services
$583,432		Physician services
$15,654		Neurologist services
$6,436		Orthopedic services
$27,423		Respiratory Therapy services
$83,842		Dietitian and Nutrition services
$8,179		Peer Review services - provides expertise in medical, nutritional, and programming areas
$92,697		Hospital Sitters services - provide 24-hour care to medically fragile clients that are hospitalized
$50,985		Adult Habilitation services - evaluation, training, placement, and follow-up services for clients seeking employment with the intent to transition a client from on-campus pre-vocational activities to off-campus job placement
$3,090		Qualified Mental Retardation Professional (QMRP) consultation services – Peer Review
$9,347		Psychology services (Peer Review)
$29,199		Psychology consultation services
$73,151		Physical Therapy Evaluation
$4,820		Physical Therapy Evaluation - Teaching
$10,630		Audiological Examination
$5,562		Speech Language Pathology
$28,346		Speech Pathology Evaluation
$61,646		Occupational Therapy Evaluation
$31,312		Mortality review
$11,433		Professional service on proper client handling
$9,530		Family Medicine Practice (Peer Review)

$1,330,000		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$55,000		Gary Melerine fund - funding is due to a consent judgment from Melerine v. Fischer J.D.C. #24-036 in which Metropolitan Developmental Center is ordered to pay all costs of future medical expenses and costs of care for Gary M. as of May 1, 1986
$911,566		Provider Based Fee - paid to Department of Health and Hospitals in accordance with LA R.S. 46:2601-2605, which states that a fee of $9.62 per patient day will be imposed on all intermediate care facilities

$966,566		TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$159,250		Funding for replacement of inoperable and obsolete office and computer equipment

$159,250		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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