Program B: Patient Care

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Program B: Patient Care

Program Authorization: Concurrent House Resolution #12 of 1959; Act V of 1980; and R.S. 28:382

PROGRAM DESCRIPTION

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 Ruston 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 Ruston 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. Ruston 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 104 individuals with developmental disabilities living in Ruston Developmental Center.

SOURCE OF FUNDING

The Patient Care program of Ruston 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. Self-generated revenue includes payments for services provided to patients based on a sliding fee scale, and reimbursement for meals served to employees and visitors.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$61,357	$4,369,163	145	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$0	0	None

$61,537	$4,369,163	145	EXISTING OPERATING BUDGET - December 10, 1997

$0	$225	0	Equipment/Major Repairs Adjustment(s) (Non-recurring: -$46,225; Replacement/New: +$46,450)
$0	$65,416	0	Annualization of 1997 -'98 Merit Pay Adjustment(s)
$0	$66,724	0	1998 -'99 Merit Pay Adjustment(s)
$0	($45,412)	0	Attrition Adjustment(s)
$0	($17,198)	0	Retirement Rate Adjustment(s)
$0	($18,180)	0	Personnel Reduction(s)
$0	($7,375)	0	Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries

$61,537	$4,413,363	145	TOTAL RECOMMENDED

$0	$44,200	0	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 101.0% of the existing operating budget. It represents 88.3% of the total request ($4,997,000) for this program. Full funding has been provided for all 145 recommended positions. Professional services have been reduced, and interagency transfers increased by $61,173 to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding includes an adjustment to reflect an anticipated attrition factor of four percent.

PROFESSIONAL SERVICES

$22,625		Physician services
$28,000		Dental services - general dentistry and oral surgery
$24,000		Psychiatric/Psychological services - provide psychiatric and psychological evaluations and/or treatment
$12,000		Occupational/Physical Therapy services
$10,000		Opthalmology services - opthalmological exams, treatments and glasses
$10,000		Peer Review services - provide for technical assistance using Peer Review Best Practice Guidelines
$7,000		Laboratory services
$8,500		Qualified Mental Retardation Professionals (QMRP), Behavior Management/Nutritional Peer Reviews
$8,000		Speech/Language services
$10,000		Social services - provide specialized social evaluation and treatment

$140,125		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$20,000		Sitter services - provide 24 hour care to medically fragile clientele that are hospitalized
$15,000		Security Guard services (off duty sheriffs officers) provide security services on Friday, Saturday, and Sunday nights between 6:00 p.m. and midnight to protect employees and state owned property
$7,000		Indigent fund (client allowances) - provide funds for recreational activities and the purchase of personal items for clients whose source of funding is inadequate to fund these activities

$42,000		TOTAL OTHER CHARGES

		Interagency Transfers
$371,059		Provider Based 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

$371,059		TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$46,450		Funding for replacement of inoperable and obsolete office and computer equipment

$46,450		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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