Program B: Patient Care

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Program B: Patient Care

Program Authorization: Act 50 of 1967, R.S. 40:2013.71

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

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

The Patient Care Program provides residential living options, active treatment services and other supports for 176 mentally retarded/developmental disabilities residing at Northwest Developmental Center.

The Patient Care Program consists of the following activities: (1) Residential Living Operations, (2) Medical Services Operations, (3) Nursing Services Operations, (4) Occupational Therapy Services Operations, (5) Physical Therapy Services Operations, (6) Psychological Services Operations, (7) Individual Client Program Planning Operations (QMRP), (8) Habilitation/Sheltered Workshop Operations, (9) Recreational Operations, (10) Pharmacy and Central Medical Supply Operations, (10) Pharmacy and Central Medical Supply Operations, (11) Dietary and Food Service Operations, (12) Adaptive Equipment Operations, (13) Social and Family Services Operations, and (14) Auxiliary Fund Operations.

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 Northwest 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. Fees and Self-generated Revenue includes payments for services provided to patients based on a sliding fee scale.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$381,653	$9,832,881	342	ACT 19 FISCAL YEAR 1998-1999

			BA-7 TRANSACTIONS:
$0	$0	0	None

$381,653	$9,832,881	342	EXISTING OPERATING BUDGET – November 20, 1998

$0	$94,030	0	Annualization of FY 1998 -1999 Classified State Employees Merit Increase
$0	$95,911	0	Classified State Employees Merit Increases for FY 1999 -2000
$0	$68,904	0	Acquisitions and Major Repairs
$0	($135,986)	0	Nonrecurring Acquisitions and Major Repairs
$0	($215,698)	0	Salary Base Adjustment
$0	($271,981)	0	Attrition Adjustment
$0	$400	0	Other Adjustments – Increase in the collection for participation in the Special Milk Program
$0	$12,848	0	Other Adjustments – Change in provider fee charged to the facility by the Department of Health and Hospitals

$381,653	$9,481,309	342	TOTAL RECOMMENDED

$0	($351,572)	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 96.4% of the existing operating budget. It represents 86.7% of the total request of $10,941,806 for this program. The major reason for the decrease from existing operating budget is the full funding of salaries.

PROFESSIONAL SERVICES

$4,000		Neurology services
$4,000		Radiology services
$11,000		Dental services
$1,000		Enterostomal services
$38,350		Physician services
$2,000		Speech Pathology services
$2,000		Physical Therapy
$7,000		Occupational Therapy

$69,350		TOTAL PROFESSIONAL SERVICES
OTHER CHARGES
$220,495		Adult Day Habilitation Programs at Caddo-Bossier Association of Retarded Citizens - sheltered workshop that provides a maximum of 43 clients with a natural setting to teach the elements of work, pay, and recreation
$62,489		Peer review - provide expertise in medical, nutritional, and programming areas
$737,160		Provider Base Fee - paid to the 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

$1,020,144		TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

$68,904		Funding for replacement of inoperable and obsolete office and computer equipment

$68,904		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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