Program F: W. O. Moss Regional Medical Center

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Program F: W. O. Moss Regional Medical Center

Program Authorization: Act 218 of 1956; Act 753 of 1972; Act 800 of 1990; and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the W. O. Moss Regional Medical Center is 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 in Beauregard, Calcasieu, Cameron, Jefferson Davis and adjacent parishes. The hospital is currently staffed for 72 beds.

The goal of W. O. Moss Regional 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.

OBJECTIVES AND PERFORMANCE INDICATORS

1. During FY 1998-99, W.O. Moss 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

GENERAL FUND	TOTAL	T.O.	DESCRIPTION

$0	$27,666,172	430	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$458,718	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	$28,124,890	430	EXISTING OPERATING BUDGET - December 10, 1997

$0	($458,718)	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	($16,000)	0	Equipment & Major Repairs Adjustment(s)
$0	$245,243	0	Annualizaiton of 1997-'98 Merit Pay Adjustment(s)
$0	$250,148	0	1998-'99Merit Pay Adjustment(s)
$0	($1,044,897)	(41)	Personnel Reduction(s)
$0	$1,006,479	0	Attrition Adjustment(s)
$0	($61,729)	0	Retirement Rate Adjustment(s)
$0	($83)	0	Civil Service Fees
$0	$1,349	0	U P S Fees
$0	$2,360	0	Legislative Auditor Fees
$0	$8,600	0	Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
$0	$0	(389)	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	$28,057,642	0	TOTAL RECOMMENDED

$0	($67,248)	(430)	DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 99.8% of the existing operating budget. It represents 84.9% of the total request ($33,133,787) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $458,718 of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Full funding has been provided for salaries, forty-one (41) vacant positions have been eliminated, and additional interagency transfer means of financing has been added in order to provide the necessary funding adjustments 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 $19,456,256 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 Organizations consultation
$4,071,089		Regional Physicians for physician coverage
$331,200		Regional Physicians for cardiac catherizations
$824,687		C & M Medical Services for emergency room staffing services
$331,200		Cardiovascular Institute for cardiology services
$300,000		Robert Schumacher Radiology for radiology services
$175,000		Lake Charles Anesthesia for anesthesiology services
$100,000		Lake Charles Area Rehabilitation for physical therapy services
$15,600		Everett Schneider for pediatric hyperactivity physician services

$6,158,776		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$18,050		Legislative Auditor expenses

$18,050		TOTAL OTHER CHARGES

		Interagency Transfers:
$1,324,300		Payments to the Office of Mental Health for operation of the acute psychiatric inpatient unit
$142,001		Payments to LSU Medical Center for physician services
$29,464		Payments to the Department of Civil Service
$12,985		Payments for Uniform Payroll System expenses
$2,825		Payments to the Compehensive Public Training Program
$560		Payments to the Treasury Department for bank service charges

$1,512,135		TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$276,000		Funding for replacement of inoperable and obsolete equipment

$276,000		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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