Program C: Earl K. Long Medical Center
PROGRAM DESCRIPTION
The mission of Earl K. Long Medical Center is to provide acute general medical, surgical, psychiatric, inpatient and ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible, and self-paying patients for an eight-parish area around Baton Rouge; and to provide the clinical environment for medical education of physicians and paramedical personnel. In addition, Earl K. Long Medical Center will foster innovation and leadership in the delivery of efficient and effective medical treatment and education. Earl K. Long Medical Center is currently staffed for 204 beds.
The goal of Earl K. Long Medical Centers 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, Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.
OBJECTIVES AND PERFORMANCE INDICATORS
1. During FY 1998-99, Earl K. Long Medical Center will provide professional, quality, acute general medical and specialty health services to the patients in the hospital.
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
|
GENERAL FUND
|
TOTAL
|
T.O.
|
|
DESCRIPTION
|
|
|
|
|
|
|
|
$0
|
$74,297,379
|
856
|
|
ACT 18 FISCAL YEAR 1997-1998
|
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS:
|
|
$0
|
$5,014,109
|
0
|
|
Carryforward federal funds for various equipment not received by June 30, 1997 and for various major repair projects in progress at June 30, 1997
|
|
$0
|
$0
|
84
|
|
Transfer 84 vacant positions from the Medical Center of Louisiana at New Orleans to convert temporary clerical and data processing personnel to permanent status pursuant to the direction of the Department of Civil Service
|
|
|
|
|
|
|
|
$0
|
$79,311,488
|
940
|
|
EXISTING OPERATING BUDGET - December 10, 1997
|
|
|
|
|
|
|
|
$0
|
($5,014,109)
|
0
|
|
Non-Recurring Carryforward for various equipment not received by June 30, 1997 and for various major repair projects in progress at June 30, 1997.
|
|
$0
|
$71,000
|
0
|
|
Equipment/Major Repairs Adjustment (s)
|
|
$0
|
$605,640
|
0
|
|
Annualization of 1997-'98 Merit Pay Adjustment(s)
|
|
$0
|
$617,753
|
0
|
|
1998-'99 Merit Pay Adjustment(s)
|
|
$0
|
($140,014)
|
(8)
|
|
Personnel Reduction(s)
|
|
$0
|
$1,409,308
|
0
|
|
Attrition Adjustment(s)
|
|
$0
|
($158,119)
|
0
|
|
Retirement Rate Adjustment(s)
|
|
$0
|
$11,169
|
0
|
|
Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
|
|
$0
|
($1,322,146)
|
0
|
|
Reductions in various Expenditure Categories; Including Reductions to fully fund salaries
|
|
$0
|
($392,625)
|
0
|
|
Risk Management Adjustment(s)
|
|
$0
|
$3,240
|
0
|
|
U P S Fees
|
|
$0
|
$7,051
|
0
|
|
Legislative Auditor Fees
|
|
$0
|
$190,000
|
0
|
|
Adjustment to fund the cost of a 5.91% pay raise for house officers
|
|
$0
|
$24,939
|
0
|
|
Adjustment to fund the cost of Civil Service mandated reallocations for central service workers
|
|
$0
|
$0
|
(932)
|
|
Combine all positions authorizations for this, and all other HCSD hospitals in the Administration program to provide additional management flexibility in determining individual hospital manpower requirements
|
|
|
|
|
|
|
|
$0
|
$75,224,575
|
0
|
|
TOTAL RECOMMENDED
|
|
|
|
|
|
|
|
$0
|
($4,086,913)
|
(940)
|
|
DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)
|
|
|
|
|
|
|
The total means of financing for this program is recommended at 94.8% of the existing operating budget. It represents 96.4% of the total request ($78,020,144) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $5 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, increased interagency transfer means of financing by $190,000 for a 5.91% pay raise for house officers. Full funding has been provided for salaries. The other compensation and professional services line items have been reduced, eight (8) vacant positions have been eliminated, and additional interagency transfer means of financing added to provide the necessary funding adjustments needed in the salaries and related benefits categories. The recommended funding for salaries and related benefits also includes the annualized cost for 84 positions, moved from the Medical Center of Louisiana at New Orleans by BA-7 during FY 1997-98 with no associated means of financing, to permit the agency to comply with a civil service mandate to transfer clerical staff from temporary status to classified positions in the authorized table of organization of the agency. 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 $51,687,367 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
|
$2,025,650
|
|
C & M Medical Services for emergency room staffing and operation
|
|
$380,000
|
|
C & M Medical services for emergency medicine residency program
|
|
$600,000
|
|
Baton Rouge Radiology for X-Ray staffing, supervision and administration
|
|
$90,000
|
|
Louisiana Cardiology Associates for cardiology services
|
|
$100,000
|
|
Mary Bird Perkins Cancer Center for radiation therapy services
|
|
$5,350
|
|
Mary Bird Perkins Cancer Center for irradiation of blood products
|
|
$20,000
|
|
Bio Medical applications for inpatient dialysis services
|
|
$37,960
|
|
Roger Peak Dental clinic physician services
|
|
$6,390
|
|
Kilgores for nuclear medicine services
|
|
$24,000
|
|
Various ministers for chaplain services
|
|
$5,000
|
|
Mary Kelly for psychological services
|
|
$10,000
|
|
S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organizations consultation
|
|
$52,525
|
|
Don Arnold Architectural Services
|
|
$15,000
|
|
Professional Engineering Topographic Survey
|
|
$6,750
|
|
Grace & Hebert Asbestos Abatement
|
|
$5,000
|
|
Leblanc & Associates Electrical Engineers
|
|
$132,000
|
|
Vascular Associates Laboratory Testing
|
|
|
|
|
|
$3,515,625
|
|
TOTAL PROFESSIONAL SERVICES
|
OTHER CHARGES
|
$24,650
|
|
Legislative Auditor expenses
|
|
|
|
|
|
$24,650
|
|
TOTAL OTHER CHARGES
|
|
|
|
|
|
|
|
Interagency Transfers:
|
|
$5,904,396
|
|
Payments to LSU Medical Center for faculty supervision and physician services
|
|
$3,424,912
|
|
Payments to LSU Medical Center for house officer salaries
|
|
$230,765
|
|
Payments to LSU Medical Center for physical therapy and faculty supervision services
|
|
$50,000
|
|
Payments to LSU Medical Center for psychology services
|
|
$2,001
|
|
Payments the LSU Nursing School for staff training
|
|
$5,500,000
|
|
Payments to Greenwell Springs Hospital for operation and management of acute psychiatric inpatient unit.
|
|
$76,591
|
|
Payments to Civil Service
|
|
$25,153
|
|
Payments for Uniform Payroll System expenses
|
|
$6,671
|
|
Payments to the Comprehensive Public Training Program
|
|
$3,172
|
|
Payment to the Treasury Department for bank service charges
|
|
|
|
|
|
$15,223,661
|
|
TOTAL INTERAGENCY TRANSFERS
|
ACQUISITIONS AND MAJOR REPAIRS
|
$688,000
|
|
Funding for replacement of inoperable and obsolete equipment
|
|
|
|
|
|
$688,000
|
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS
|
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