Program D: Huey P. Long and England Airpark Medical Centers
Program Authorization: R.S. 36:254, 258, 259; R.S. 40:2012, 2014; Act 3 of 1997
PROGRAM DESCRIPTION
The mission of the Huey P. Long Pineville and England Airpark Medical Centers are to provide acute general medical, surgical, psychiatric, inpatient and acute/chronic ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible patients, and self-paying patients residing in the central Louisiana parishes of Allen, Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, and Winn. The hospitals are currently staffed for 123 beds.
The goal of Huey P. Long and England Airpark 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, Huey P. Long and England Airpark Medical Centers 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
|
GENERAL FUND
|
TOTAL
|
T.O.
|
|
DESCRIPTION
|
|
|
|
|
|
|
|
$0
|
$44,566,973
|
593
|
|
ACT 18 FISCAL YEAR 1997-1998
|
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS:
|
|
$0
|
$509,199
|
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
|
$45,076,172
|
593
|
|
EXISTING OPERATING BUDGET - December 10, 1997
|
|
|
|
|
|
|
|
$0
|
($509,199)
|
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
|
$20,000
|
0
|
|
Equipment and Major Repairs Adjustment(s)
|
|
$0
|
$365,074
|
0
|
|
Annualization of 1997-'98 Merit Pay Adjustment(s)
|
|
$0
|
$372,376
|
0
|
|
1998-'99 Merit Pay Adjustment(s)
|
|
$0
|
($217,475)
|
(21)
|
|
Personnel Reduction(s)
|
|
$0
|
$155,677
|
0
|
|
Attrition Adjustment(s)
|
|
$0
|
($91,269)
|
0
|
|
Retirement Rate Adjustment(s)
|
|
$0
|
$4,770
|
0
|
|
Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
|
|
$0
|
($163,503)
|
0
|
|
Risk Management Adjustment(s)
|
|
$0
|
$1,830
|
0
|
|
U P S Fees
|
|
$0
|
$3,608
|
0
|
|
Legislative Auditor Fees
|
|
$0
|
$42,000
|
0
|
|
Adjustment to fund the cost of a 5.91% pay raise for house officers supplied by Tulane University
|
|
$0
|
$10,609
|
0
|
|
Adjustment to fund the cost of Civil Service mandated reallocations for central service workers
|
|
$0
|
$355,000
|
0
|
|
Adjustment to fund the cost of upgrading the telephone systems at both the Pineville and England Aripark facilities for year 2000 compliance
|
|
$0
|
$0
|
(572)
|
|
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
|
$45,425,670
|
0
|
|
TOTAL RECOMMENDED
|
|
|
|
|
|
|
|
$0
|
$349,498
|
(593)
|
|
DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)
|
|
|
|
|
|
|
The total means of financing for this program is recommended at 100.2% of the existing operating budget. It represents 89.7% of the total request ($50,432,296) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $509,199 of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, increased interagency transfer means of financing by $355,000 to upgrade the telephone systems at both the Pineville and England Airpark facilities for year 2000 compliance. Full funding has been provided for salaries, twenty-one (21) vacant positions have been eliminated, and additional interagency transfer means of financing has been added to provide the necessary funding needed in the salaries and related benefits catgories. 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 $31,039,687 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
|
$10,000
|
|
S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organization consultation
|
|
$3,156,686
|
|
Tulane University for physician and supervision services
|
|
$750,836
|
|
Tulane University for house officer salaries for 13 full time equivalent positions
|
|
$160,000
|
|
Tulane University for cardiology studies
|
|
$150,000
|
|
Tulane University for neurology clinics
|
|
$57,614
|
|
Tulane University for HIV services
|
|
$18,000
|
|
Tulane University for pediatric neurology clinic services
|
|
$7,200
|
|
Tulane University for EEG services and studies
|
|
$2,387,480
|
|
C & M Medical Services for emergency room staffing and management
|
|
$300,000
|
|
Joe Rankin Radiology physician services
|
|
$9,000
|
|
Joe Rankin Ultrasound services
|
|
$175,000
|
|
WM Chen anesthesia physician coverage and consultation
|
|
$154,280
|
|
Geriatrics Rehabilitation for speech and occupational therapy services
|
|
$150,000
|
|
Pathology physician services
|
|
$138,000
|
|
St. Francis Cabrini Hospital for mammography and sonogram reading services
|
|
$135,000
|
|
Dental services
|
|
$60,000
|
|
Cancer Treatment Center for radiation therapy services
|
|
$44,450
|
|
Paula Amsden Ultrasound physician services
|
|
$40,000
|
|
Therapeutic radiology physician services
|
|
$37,128
|
|
Central Louisiana AIDS Support - HIV case management
|
|
$35,000
|
|
Freedman Clinic for Holter monitor, EKG and Stress Test readings
|
|
$12,550
|
|
Alexandria Neurological Center - EKG's
|
|
$10,000
|
|
Alexandria Imaging for Magnetic Resonance Imaging interpretations
|
|
$4,000
|
|
Echocardiogram interpretation physician services
|
|
$4,000
|
|
Rapides General for Histology services
|
|
$28,814
|
|
Various ministers for chaplain services
|
|
$7,500
|
|
Professional Travel
|
|
|
|
|
|
$8,042,538
|
|
TOTAL PROFESSIONAL SERVICES
|
OTHER CHARGES
|
$15,267
|
|
Legislative Auditor expenses
|
|
|
|
|
|
$15,267
|
|
TOTAL OTHER CHARGES
|
|
|
|
|
|
|
|
Interagency Transfers:
|
|
$1,140,000
|
|
Payments to the Office of Mental Health for operation and management of the acute psychiatric unit
|
|
$106,000
|
|
Payments to the LSU School of Medicine for two emergency room residents
|
|
$55,000
|
|
Payments to the Medical Center of Louisiana at New Orleans for Certified Registered Nurse Anesthetist scholarships
|
|
$26,208
|
|
Payments to Work Training Facility, North for the supervision of inmate labor at the hospital
|
|
$50,444
|
|
Payments to the Department of Civil Service
|
|
$15,192
|
|
Payments for Uniform Payroll System expenses
|
|
$4,658
|
|
Payments to the Comprehensive Public Training Program
|
|
$307
|
|
Payments to the Treasury Department for bank service charges
|
|
$1,397,809
|
|
TOTAL INTERAGENCY TRANSFERS
|
ACQUISITIONS AND MAJOR REPAIRS
|
$760,000
|
|
Funding for replacement of inoperable and obsolete equipment
|
|
|
|
|
|
$760,000
|
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS
|
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