Program D: Huey P. Long Medical Center
Program Authorization: R.S. 36:254, 258, 259; R.S. 40:2012, 2014; Act 3 of 1997
PROGRAM DESCRIPTION
The mission of the Huey P. Long Pineville and England Airpark Medical Centers is to provide accessible quality health care for the medically indigent, uninsured, Medicaid and Medicare eligible patients, and self-paying patients.
The goal of Huey P. Long Pineville (an inpatient facility) and England Airpark Medical Center (an outpatient facility) is ensure that the Medical Centers provide quality health care to the community in the most effective and efficient manner possible.
Huey P. Long Medical Center was opened in 1939 to provide care to indigent families residing in the central Louisiana parishes of Allen, Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, and Winn. The hospital is currently staffed for 123 beds.
The medical centers provides additional support functions such as pharmacy; blood banks; respiratory therapy; anesthesiology; and various diagnostic services and other support functions of a non-medical nature, such as administration; maintenance; housekeeping mail service; purchasing; accounting; and admissions and registration. The facility also maintains a stipend program for medical residents and contracts for physician and anatomical services and works cooperatively with medical schools and other health education institutions to broaden the opportunity for clinical training in the hospital.
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
This program is funded with 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.
ANALYSIS OF RECOMMENDATION
|
GENERAL FUND |
TOTAL |
T.O. |
|
DESCRIPTION |
|
|
|
|
|
|
|
$0 |
$45,803,969 |
0 |
|
ACT 19 FISCAL YEAR 1998-1999 |
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS: |
|
$0 |
$0 |
0 |
|
None |
|
|
|
|
|
|
|
$0 |
$45,803,969 |
0 |
|
EXISTING OPERATING BUDGET - November 20, 1998 |
|
|
|
|
|
|
|
$0 |
$245,035 |
0 |
|
Annualization of FY 1998-1999 Classified State Employees Merit Increase |
|
$0 |
$253,574 |
0 |
|
Classified State Employees Merit Increases for FY 1999-2000 |
|
$0 |
($575,809) |
0 |
|
Risk Management Adjustment |
|
$0 |
$450,761 |
0 |
|
Acquisitions and Major Repairs |
|
$0 |
($760,000) |
0 |
|
Nonrecurring Acquisitions and Major Repairs |
|
$0 |
$4,428 |
0 |
|
Legislative Auditor Fees |
|
$0 |
$1,480 |
0 |
|
UPS Fees |
|
$0 |
$222,228 |
0 |
|
Salary Base Adjustment |
|
$0 |
($646,480) |
0 |
|
Attrition Adjustment |
|
$0 |
($15,052) |
0 |
|
Salary Funding from Other Line Items |
|
$0 |
$6,738 |
0 |
|
Civil Service Fees |
|
$0 |
($5,052) |
0 |
|
State Treasury Fees |
|
$0 |
$62,584 |
0 |
|
Other Adjustments – Fund equipment maintenance contracts |
|
$0 |
$5,380 |
0 |
|
Other Adjustments – 1% House Officer Stipend increase to the Southern Regional Average for public hospitals |
|
$0 |
$68,930 |
0 |
|
Other Adjustments – Increase transfer of Ryan White Federal Funds from the Office of Public Health for HIV medication |
|
$0 |
$0 |
575 |
|
Other Technical Adjustments - Transfer positions from Administration to individual hospitals to reflect appropriate T.O. by hospital |
|
|
|
|
|
|
|
$0 |
$45,122,714 |
575 |
|
TOTAL RECOMMENDED |
|
|
|
|
|
|
|
$0 |
($681,255) |
575 |
|
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 86.7% of the total request ($51,997,061) for this program. The major reason for the net decrease in this program is a reduction in Risk Management premiums. This decrease is offset by a 1% House Officer Stipend increase to the Southern Regional Average for public hospitals, the transfer of additional Ryan White Federal Funds from the Office of Public Health for HIV medications, and an increase in funding for equipment maintenance contracts. The changes should have no significant impact on the delivery of services.
PROFESSIONAL SERVICES
|
$10,000 |
|
S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organization consultation |
|
$3,376,914 |
|
Tulane University for physician and supervision services |
|
$789,194 |
|
Tulane University for house officer salaries for 13 full time equivalent positions |
|
$160,000 |
|
Tulane University for cardiology interpretations |
|
$150,000 |
|
Tulane University for neurology clinics |
|
$9,600 |
|
Tulane University supervision and interpretation of EMG Procedures |
|
$18,000 |
|
Tulane University for pediatric neurology clinic services |
|
$2,024,455 |
|
C & M Medical Services for emergency room staffing and management |
|
$300,000 |
|
Joe Rankin Radiology and ultrasound services |
|
$175,000 |
|
WM Chen anesthesia physician coverage and consultation |
|
$236,938 |
|
Geriatrics Rehabilitation for speech and occupational therapy services |
|
$108,270 |
|
LSU School of Medicine for emergency medicine residents |
|
$60,000 |
|
Sonat Sanghani for therapeutic radiology services |
|
$81,942 |
|
Cenlo Echo for ultrasound services |
|
$150,000 |
|
Pathology Associates for pathology services |
|
$50,000 |
|
St. Francis Cabrini Hospital for mammography and sonogram reading services |
|
$172,000 |
|
Bruce Phillips for dental services |
|
$70,000 |
|
Cancer Treatment Center for radiation therapy services |
|
$10,000 |
|
Central La. Imaging for interpretation of Films of Component Procedures |
|
$37,128 |
|
Central Louisiana AIDS Support - HIV case management |
|
$25,000 |
|
Freedman Clinic for Holter monitor, EKG and Stress Test readings |
|
$5,000 |
|
Alexandria Neurological Center - EKG's |
|
$6,665 |
|
Dan Landry for Echocardiogram interpretation |
|
$4,000 |
|
Rapides General for Histology services |
|
$15,312 |
|
Various ministers for chaplain services |
|
$2,500 |
|
Professional Travel |
|
|
|
|
|
$8,047,918 |
|
TOTAL PROFESSIONAL SERVICES |
OTHER CHARGES
|
$19,695 |
|
Legislative Auditor expenses |
|
|
|
|
|
$19,695 |
|
TOTAL OTHER CHARGES |
|
|
|
|
|
|
|
Interagency Transfers: |
|
$1,140,000 |
|
Payments to the Office of Mental Health for operation and management of the acute psychiatric unit |
|
$106,000 |
|
Payments to the LSU School of Medicine for computer services support |
|
$55,000 |
|
Payments to the Medical Center of Louisiana at New Orleans for Certified Registered Nurse Anesthetist scholarships |
|
$26,208 |
|
Payments to Department of Corrections for the supervision of inmate labor at the hospital |
|
$54,245 |
|
Payments to the Department of Civil Service |
|
$16,672 |
|
Payments for Uniform Payroll System expenses |
|
$2,850 |
|
Payments for Comprehensive Public Training Program |
| |
|
|
|
$1,400,975 |
|
TOTAL INTERAGENCY TRANSFERS |
ACQUISITIONS AND MAJOR REPAIRS
|
$450,761 |
|
Funding for replacement of inoperable and obsolete equipment |
|
|
|
|
|
$450,761 |
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS |
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