Program B: Patient Care

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Program B: Patient Care

Program Authorization: Act 92 of 1902; Act 143 of 1904; Act 14 of 1948; Act 207 of 1956; Act 253 of 1972; Act 519 of 1977; Act 786 of 1978; Act 1 of the First Extraordinary Session of 1988

PROGRAM DESCRIPTION

The mission of the Patient Care Program is to provide inpatient evaluation, treatment, and rehabilitation for the mentally-ill population of the hospital's various catchment areas.

The goal of the Patient Care Program is to provide quality, comprehensive, and appropriate psychiatric treatment programs to the hospital's patients whose psychiatric disorders are of sufficient severity to require inpatient treatment.

The Patient Care Program provides mental health treatment and rehabilitative services to children, adolescents, and adults.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will provide patient services through appropriate utilization of resources to ensure an efficient operation of the hospital in providing appropriate psychiatric treatment in a safe and therapeutic environment, all in accordance with governing bodies and standards.

2. In FY 1998-99, the Patient Care Program, through its Adaptive Behavior Service activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

3. In FY 1998-99, the Patient Care Program, through its Structured Rehabilitation Service activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

1 Changed January 1997.

2 Changed January 1997.

4. In FY 1998-99, the Patient Care Program, through its Group Home activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

5. In FY 1998-99, the Patient Care Program, through its Day Hospital Service activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

6. In FY 1998-99, the Patient Care Program, through its Children and Adolescent Services activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

7. In FY 1998-99, the Patient Care Program, through its Medical Services and Ancillary Clinical Service activity, will maintain provision of quality, comprehensive, and appropriate psychiatric treatment programs to hospital patients whose psychiatric disorders are of sufficient severity to require inpatient treatment, as well as reduce the length of stay for discharged patients by an average of 3%.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Patient Care Program is funded with interagency transfers, fees and self-generated revenue and federal funds. Interagency transfers include Title XIX reimbursement for services provided to Medicaid eligible patients, and reimbursements from various state and local agencies for space occupied and services received. Self-generated revenue represents reimbursement for ineligible patients with insurance or personal payments based on a sliding fee scale, reimbursement for the cost of housing furnished to employees and utilities and supplies utilized by Central Regional Laundry. Federal funds are Title XVIII reimbursement for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$0	$14,963,571	406	ACT 18FISCAL YEAR 1997-1998

$0	$0		BA-7 TRANSACTIONS:
$0	$82,915	0	Carryforward of federal funds for the purchase of food service equipment, electrical work, and building renovations
$0	$0	0	None

$0	$15,046,486	406	EXISTING OPERATING BUDGET - December 10, 1997

$0	($82,915)	0	Non-Recurring Carryforward for purchase of food service equipment, electrical work, and building renovations
$0	($5,527)	0	Equipment/Major Repairs Adjustment(s)
$0	$192,955	0	Annualization of 1997 -'98 Merit Pay Adjustment(s)
$0	$208,514	0	1998 -'99 Merit Pay Adjustment(s)
$0	($7,796)	0	Retirement Rate Adjustment(s)
$0	$102,338	0	Attrition Adjustment(s)
$0	($452,874)	(14)	Personnel Reduction(s)
$0	($52,604)	0	Reduction(s) in Various Expenditure Categories; Including reductions to fully fund salaries
$0	$0	(9)	Transfer of nine (9) T.O. from the Patient Care Program to the Administration and Support Program to properly align the T.O.

$0	$14,948,577	383	TOTAL RECOMMENDED

$0	($97,909)	(23)	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.4% of the existing operating budget. It represents 85.0% of the total request ($17,575,760) for this program. The major changes include the reduction of federal funds by $82,915 for non-recurring acquisitions and major repairs; the transfer of nine (9) positions from the Patient Care Program to Administration and Support to properly align the T.O.; and personnel reductions. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$146,000		Psychiatrist and Clinical Director of the hospital directly supervises the activities of full and part time psychiatrists and consultants, program managers and directors, social services, activity therapy, work therapy, the religion department and the psychology department. Contractor is also responsible for proper medical services at the hospital.

$884,566		Contracted Staff Psychiatrists for Adolescent and Children's Services to provide psychiatric services as well as medical care to children and adolescents at the hospital
$2,160		Contract to provide a qualified interpreter for deaf clients on an as needed basis
$49,980		Consulting Psychologist to perform psychological evaluations and therapies, supervise unlicensed psychology staff as well as psychology interns and externs, conducts in-house seminars, oversees the critical treatment plan process and consults with staff in general
$33,944		Psychology Internship staff that provide hands-on service to the patients of the hospital including: group, individual, family and behavioral therapies; psychological assessments; treatment; planning; and documentation
$7,600		Activity Therapy consultant for occupational, recreation and activity therapy staff, to provide appropriate leisure time and therapeutic recreational activities. Consults with hospital staff as necessary to fill this need.
$2,500		Contractor to provide audiological screening, testing and proper fitting of hearing aids for those patients requiring such needed services
$6,000		Contractor is a Master's Level Registered Nurse, a member of the Louisiana College School of Nursing, and provides professional psychiatric nursing consultation to the hospital's nursing department and its professional staff
$10,000		Speech Therapist required to provide assessment of speech and language where indicated, provide counseling, treatment and rehabilitation when needed and conducts audiometric screening as required by the Joint Commission on the Accreditation of Healthcare Organizations
$22,709		Drug screening provided by LSU Medical Center to all employees of Central Louisiana State Hospital
$30,000		Physical therapist that provides a therapy horseback riding program (Equine therapy)
$2,880		Electroencephalogram Technician Services to work with patients to obtain appropriate readings for interpretation by neurologist
$9,600		Consultant in Internal Medicine to provide interpretation of electroencephalograms
$15,984		Contract to provide Neurological coverage for clients at the hospital and to interpret electroencephalogram tracings
$10,000		Podiatry Physician and Surgeon required for the plethora of instances of very poor foot hygiene mainly by the adults in the mental health program
$81,000		Chaplaincy program providing pastoral visitations and conducts religious services for patients at the hospital
$4,900		Contract to provide for operation of extensive patient library on the grounds of the hospital
$6,000		Professional travel
$22,500		Contracted services to provide general dentistry services to patients

$1,348,323		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

This program does not have funding for Other Charges for Fiscal Year 1998-1999.

ACQUISITIONS AND MAJOR REPAIRS

$197,873		Recommended level of funding for the replacement and repairs of obsolete, inoperable or damaged equipment and buildings

$197,873		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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