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 person-centered supports and services to individuals who are mentally challenged and/or multi-handicapped.

The goal of the Patient Care Program is to provide active treatment and personal choice supports to developmentally disabled individuals residing at Northwest Developmental Center in a cost effective manner.

The Patient Care Program provides support, supervision, and training of professionally prescribed activities (including medical, dietary, habilitative, and therapeutic services) to the individuals residing at Northwest Developmental Center. Person-centered planning and training focuses on self-help skills, personal hygiene, leisure time management, home living skills, social interaction and community orientation. Northwest Developmental Center utilizes an individual values-asked approach to provide supports in a cost effective manner, while protecting the rights and dignity of individuals with disabilities.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Patient Care Program will provide active treatment services consistent with state and federal regulations and in accord with the level of care for an average daily census of 176 individuals with developmental disabilities living in Northwest Developmental Center.

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. 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	$9,721,137	342	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$0	0	None

$381,653	$9,721,137	342	EXISTING OPERATING BUDGET - December 10, 1997

$0	$357	0	Equipment/Major Repairs Adjustment(s) (Non-recurring: -$135,629; Replacement/New: +$135,986)
$0	$150,048	0	Annualization of 1997 -'98 Merit Pay Adjustment(s)
$0	$153,049	0	1998 -'99 Merit Pay Adjustment(s)
$0	($108,126)	0	Attrition Adjustment(s)
$0	($40,477)	0	Retirement Rate Adjustment(s)
$0	($39,457)	0	Personnel Reduction(s)
$0	($3,650)	0	Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries

$381,653	$9,832,881	342	TOTAL RECOMMENDED

$0	$111,744	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.1% of the existing operating budget. It represents 89.2% of the total request ($11,025,038) for this program. Full funding has been provided for all 342 recommended positions. Professional services have been reduced and interagency transfers increased by $151,864 to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding for salaries and related benefits includes an adjustment to reflect an anticipated attrition factor of four percent.

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 services
$7,000		Psychiatry services

$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

$282,984		TOTAL OTHER CHARGES

		Interagency Transfers:
$724,312		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 $9.42 per patient day will be imposed on all intermediate care facilities


$724,312		TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$135,986		Funding for replacement of inoperable and obsolete office and computer equipment

$135,986		TOTAL ACQUISITIONS AND MAJOR REPAIRS

09 DEPARTMENT OF HEALTH AND HOSPITALS

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