Program B: Patient Care

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Program B: Patient Care

Program Authorization: R.S. 28:380-451

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 Southwest 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 Southwest 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. Southwest 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 97 individuals with developmental disabilities living in Southwest Developmental Center.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Community Support Program of Southwest 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 Special Milk Funds received from the Department of Education. Self-generated revenue includes payments for services provided to patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$347,353	$4,361,439	155	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$0	0	None

$347,353	$4,361,439	155	EXISTING OPERATING BUDGET - December 10, 1997

$0	$200	0	Equipment/Major Repairs Adjustment(s) (Non-recurring: -$51,578; Replacement/New: +$51,778)
$0	$76,136	0	Annualization of 1997 -'98 Merit Pay Adjustment(s)
$0	$77,659	0	1998 -'99 Merit Pay Adjustment(s)
$0	$96,896	0	Attrition Adjustment(s)
$0	($17,442)	0	Retirement Rate Adjustment(s)
$0	($27,788)	0	Personnel Reduction(s)
$0	($8,250)	0	Reductions in various Expenditure Categories; Including Reductions to fully fund Salaries
$0	$394,695	24	Adjustment to Increase Staffing Ratio

$347,353	$4,953,545	179	TOTAL RECOMMENDED

$0	$592,106	24	DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 113.6% of the existing operating budget. It represents 99.7% of the total request ($4,967,786) for this program. The net increase in expenditure authority for this program is primarily due to receiving additional funding in the amount of $394,695 in interagency transfer means of financing in order to fund 24 additional positions. This action was taken in order to increase the staff to client ratio within the Patient Care Program. Full funding has been provided for all 179 recommended positions. Professional services have been reduced, and $214,654 of interagency transfer means of financing added to provide the necessary funding adjustments needed in the salaries and related benefits categories.

PROFESSIONAL SERVICES

$6,000		Neurological services
$25,750		Dietitian services - provide qualified dietitian services meeting professional standards, ICF/MR licensing requirements, and ACDD accreditation standards
$12,109		Psychological services - provide evaluations and behavior modification plans
$13,800		Pharmacy services
$25,283		Dental services - provide a comprehensive dental plan and implement such a plan on each client
$5,240		Physical Therapy services
$31,968		Physician services - provide medical consultation and services
$9,200		Behavioral programming Consultation - provide behavior evaluations, consultation meeting Professional Best Practices Standards, ICF/MR licensing requirements and the Accreditation Council's standards
$27,400		Peer review - provide expertise and technical assistance in medical, psychological, nutrition, nurse, and facility management

$156,750		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

		Interagency Transfers:
$434,000		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

$434,000		TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$51,778		Funding for replacement of inoperable and obsolete office and computer equipment

$51,778		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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