Program B: Patient Care
Program Authorization: Act 253 of 1972; Act 519 of 1978; and Act 1 of First Extraordinary Session of 1988
PROGRAM DESCRIPTION
The mission of the Patient Care Program is to provide evaluation, treatment, and rehabilitation for the mentally-ill population of the hospital's catchment area.
The goal of the Patient Care program is to provide outpatient mental health services for emotionally disturbed adolescents and children and acute inpatient psychiatric services for adults.
The Patient Care Services Program provides mental health services for emotionally disturbed adolescents and children (an outpatient day hospital program), acute psychiatric services (inpatient) for adults, and residential treatment for adolescent girls in the Office of Community Services custody.
OBJECTIVES AND PERFORMANCE INDICATORS
1. In FY 1998-99, the Patient Care Program, through its Partial Hospitalization activity, will provide psychiatric and psychosocial services to meet the individualized patient needs of adolescents and children needing a level of care that must be provided in the structure of a day hospital inpatient setting, through the provision of 6,500 days of patient care.
2. In FY 1998-99, the Patient Care Program, through its Residential Treatment Unit activity, will provide a consistent and secure environment which contains and redirects the maladaptive behaviors of 16, aged 13-17, so that they can learn from their experiences and have the benefit of uninterrupted schooling and adult guidance.
3. In FY 1998-99 the Patient Care Program, through its Acute Unit - Distinct Part Earl K. Long, will provide psychiatric and psychosocial services to meet the individualized patient needs of adults needing an acute level of inpatient care, through the provision of 14,865 days of patient care.
SOURCE OF FUNDING
The Patient Care Program is funded with general fund and interagency transfers. Interagency transfers include Title XIX reimbursement for services provided to Medicaid eligible patients, reimbursement from Office of Community Services for the Spring House, IAT from the Health Care Services Division - Earl K. Long Medical Center for the inpatient psychiatric acute unit and reimbursement from Vocational Rehabilitation.
ANALYSIS OF RECOMMENDATION
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GENERAL FUND
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TOTAL
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T.O.
|
|
DESCRIPTION
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|
|
|
|
|
|
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$653,634
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$5,604,884
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132
|
|
ACT 18 FISCAL YEAR 1997-1998
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|
|
|
|
|
|
|
|
|
|
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BA-7 TRANSACTIONS:
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$0
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$442,796
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0
|
|
BA-7 #115 which provides residential treatment to OCS foster children
|
|
|
|
|
|
|
|
$653,634
|
$6,047,680
|
132
|
|
EXISTING OPERATING BUDGET - December 10, 1997
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|
|
|
|
|
|
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$0
|
$2,015
|
0
|
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Equipment/Major Repairs Adjustment(s)
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|
$0
|
$53,815
|
0
|
|
Annualization of 1997 -'98 Merit Pay Adjustment(s)
|
|
$0
|
$54,891
|
0
|
|
1998 -'99 Merit Pay Adjustment(s)
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|
$0
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($253,708)
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0
|
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Reductions in various Expenditure Categories; Including reductions to fully fund Salaries
|
|
$0
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$129,294
|
0
|
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Attrition Adjustment(s)
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|
$0
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$90,351
|
0
|
|
Annualization BA-7 #115 which provides residential treatment services to OCS foster children
|
|
$0
|
($3,098)
|
0
|
|
Retirement Rate Adjustment(s)
|
|
$0
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$0
|
13
|
|
Transfer 13 positions from the Administration Support Program to the Patient Care Program for the Office of Community Support Residential Agreement with Greenwell Springs Hospital
|
|
|
|
|
|
|
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$653,634
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$6,121,240
|
145
|
|
TOTAL RECOMMENDED
|
|
|
|
|
|
|
|
$0
|
$73,560
|
13
|
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DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)
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The total means of financing for this program is recommended at 101.2% of the existing operating budget. It represents 94.3% of the total request ($6,484,436) for this program. The major changes reflected in this analysis include: an increase in interagency transfers by $90,351 to annualize BA-7 #115, which funded an increase in residential treatment services, with a behavioral treatment component, for children in state custody. The changes should have no significant impact on the delivery of these services.
PROFESSIONAL SERVICES
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$10,600
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Serves as radiologist for GSH; provides daily interpretation of X-rays taken by GSH's radiology technician. Provide written report of such interpretation. Contractor to provide overall supervision on a consultant basis for operation of radiological services at GSH.
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$42,522
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Contractor to provide psychiatric/medical evaluation and care to clients of GSH on an as needed basis in absence of regular staff psychiatrist.
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$40,688
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Part-time pharmacist to dispense medication and maintain necessary controls of medications. Give consultation to GSH professional clinical staff as needed. Contractor will rotate with other contractual pharmacy staff to provide weekend and holiday coverage, workload coverage, or emergency coverage. Also required to review medication records of patients.
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$28,000
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Clinical dietician assist in assuring provision of optimal nutritional care and documentation of appropriate dietetic information for patients of the adult psychiatric service. Services include dietary assessments, diet instruction/counseling, nutrition classes, food and drug interaction instruction/counseling, writing and/or calculating special diets.
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|
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$8,400
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Contractor to serve as GSH minister. Contractor to provide religious instruction and individual pastoral counseling to patients, and to serve as liaison with local churches.
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$1,200
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Provision of therapeutic services to hearing impaired clients of GSH. Services to be provided include the following: Individual, group and/or family therapy, social evaluations, and consultation as necessary. Contractor must be proficient in sign language and must have specialized training in the psychosocial treatment of the hearing impaired.
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$13,500
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Provision of radiological technician services at GSH. Responsibilities shall include picture taking and development of X-rays for clients and maintenance of required yearly tests on staff as required by JCAHO.
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$6,000
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Contractor to serve as librarian for GSH professional library. Contractor will organize and maintain the library collection, develop an unattended system to check out and return library materials, receive, catalog, and shelve new journals and books, remove torn and outdated material from the collection. Develop a plan for a patient library for the APs.
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$15,960
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Contractor will assist hospital physicians in maintaining timely patient record documentation, as required by JCAHO and HCFA, by review of staff medical record entries for composition of patient discharge summaries. Contractor shall be responsible for producing a dictation that is acceptable for transcription by the medical records clerical employees.
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$16,200
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Contractor to organize, manage and operate a volunteer service for GSH which shall be directed toward enhancements of services to meet clients' social, recreational, and interactional needs. Assist GSH staff in determining specific services and assignments which can be provided by volunteers. Plan and implement a program for recruiting volunteers to meet GSH needs. Provide orientation program for volunteers which will familiarize them with GSH goals and acceptable patterns of interaction with agency clients. Organize activities of community agencies/individuals in resource provision/development for benefit of GSH clients.
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$9,450
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Contractor to provide psychiatric medical evaluation and care to clients of GSH. Serve on hospital committees as directed by hospital administrator. Contractor to work five hours per week.
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$16,558
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Contractor to provide psychiatric medical services to clients of Greenwell Springs Hospital on an as needed basis. Must be licensed to practice medicine in Louisiana.
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|
|
|
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$209,078
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TOTAL PROFESSIONAL SERVICES
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OTHER CHARGES
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|
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Interagency Transfers:
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$13,080
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Payments to LSU to serve as neurologist and perform all necessary neurological services scheduled by GSH professional staff. Services include interpretation of all Eggs and neurological evaluation of patients.
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$46,302
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Payments to LSU to provide two (2) externs and three (3) interns to provide psychological assessment services and therapy services to clients. Services include administering, scoring and interpreting psychological screening batteries; team participation in development of patient treatment plans and on-going clinical staffing, conducting of individual, group, family psychotherapy, and providing weekly educational seminars.
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$9,093
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Payments to LSU to provide drug testing services to GSH employees and staff
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|
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$68,475
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TOTAL INTERAGENCY TRANSFERS
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ACQUISITIONS AND MAJOR REPAIRS
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$19,000
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Recommended level of funding for the replacement and repairs of obsolete, inoperable or damaged equipment and buildings
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|
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|
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$19,000
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TOTAL ACQUISITIONS AND MAJOR REPAIRS
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