Program B: E. A. Conway Medical Center

Program Authorization: R.S. 46:811-818 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the E. A. Conway Medical Center is to provide acute general medical, surgical, and psychiatric health care to the medically indigent, uninsured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

The goal of E. A. Conway Medical Center is to provide the highest level of acute general medical and speciality services of medicine, surgery, obstetrics-gynecology, ophthalmology, urology, orthopedics, pediatrics and critical care to all patients, including, the medically indigent, the Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.

The service area is comprised of the parishes of Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll. The E. A. Conway Medical Center began operations on May 23, 1987, in a new 252-bed facility in Monroe and is currently staffed for 196 beds. The hospital is an acute care teaching facility affiliated with Louisiana State University Medical School in Shreveport.

OBJECTIVES AND PERFORMANCE INDICATORS

1. During FY 1998-99, E.A. Conway Medical Center will provide professional quality, acute general medical and specialty health services to the patients in the hospital.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program's existing budget is funded with interagency transfers, self-generated revenue and federal funds. The interagency transfers represent Title XIX reimbursement from the Medicaid program for services provided to Medicaid eligible and "free care" patients. The self-generated revenue represents insurance and self pay revenues for services provided to patients who are not eligible for "free care". The federal funds are derived from Title XVIII, Medicare payments for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

The total means of financing for this program is recommended at 99.5% of the existing operating budget. It represents 95.6% of the total request ($58,733,639) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $1.5 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Increased interagency transfers by $267,000 to fund a 5.91% pay raise for house officers supplied by the LSU Medical Center. Full funding has been provided for salaries. The other compensation and professional services line items have been reduced, six (6) vacant positions have been eliminate, and additional interagency transfer means of financing has been added, to provide the necessary funding adjustment needed in the salaries and related benefits categories. All positions authorizations remaining after the position reductions specified above for this and the other HCSD hospitals have been combined in the Administration program to provide additional management flexibility in determining individual hospital manpower needs.

The Total Recommended amount above includes $38,321,576 of Supplementary Recommendations of which $0 is State General Fund for 70% of the budget of this program. Funding of this Supplementary Recommendation is dependent upon renewal of the current sales tax rate of 3% on the sales tax suspension of exemptions base.

PROFESSIONAL SERVICES

OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS