Program H: Washington-St. Tammany Regional Medical Center

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Program H: Washington-St. Tammany Regional Medical Center

Program Authorization: Act 210 of 1948 and Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the Washington-St. Tammany 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 and self-paying patients in Washington and St. Tammany Parishes. The hospital is currently staffed for 55 beds.

The goal of Washington-St. Tammany 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, 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, Washington-St. Tammany Regional 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 Medical Vendor Payments 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	$14,005,859	190	ACT 18 FISCAL YEAR 1997-1998

			BA-7 TRANSACTIONS:
$0	$1,219,640	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	$15,225,499	190	EXISTING OPERATING BUDGET - December 10, 1997

$0	($1,219,640)	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	$2,000	0	Equipment/Major Repairs Adjustment(s)
$0	$158,130	0	Annualization of 1997-'98 Merit Pay Adjustment(s)
$0	$161,293	0	1998-'99 Merit Pay Adjustment(s)
$0	$280,088	0	Attrition Adjustment(s)
$0	($41,011)	0	Retirement Rate Adjustment(s)
$0	$1,900	0	Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
$0	(295,903)	0	Reductions in various Expenditure Categories; Including Redictions to fully fund salaries
$0	$970	0	U P S Fees
$0	$596	0	Legislative Auditor Fees
$0	$0	(190)	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	$14,273,922	0	TOTAL RECOMMENDED

$0	($951,577)	(190)	DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 94.1% of the existing operating budget. It represents 88.3% of the total request ($16,162,589) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $1.2 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Full funding has been provided for salaries. Professional services have been reduced and additional interagency transfer means of financing added, to provide the necessary funding adjustments needed in the salaries and related benefits categories. All positions authorizations 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 $9,806,460 of Supplementary Recommendations of which $0 is State General Fund for 70% of the Budget for 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 Accrediation of Healthcare Organizations consultation
$766,500		C & M Medical Services for emergency room staffing and management
$242,300		Richard Conlon Oritz for electrocardiogram services
$150,000		Mitchell Massey for radiology services
$125,000		Allen Singleton for OB/GYN physician services
$92,400		T.R. Brustowicz for OB/GYN physician services
$65,000		Appurao Jayagopal for clinic coverage
$48,000		Parish Physical Therapy for physical therapy services
$36,400		Louisiana Eye Care Associates for opthamology physician services
$26,000		Urological Surgery Associates for urology physician services
$26,000		Northshore EEG Services for electroencephalograph (EEG) services
$26,000		Lakeview Regional for OB/GYN physician services
$10,000		Michael Schanzbach for anesthesiology services
$9,000		Oscar Mendez for Physical, Speech and Occupational Therapy services
$9,000		EEG Services
$6,000		Gerald Berenson for cardiology physician services
$3,083		Professional travel
$1,650,683		TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$10,019		Legislative Auditor services

$10,019		TOTAL OTHER CHARGES

		Interagency Transfers:
$1,501,523		Payments to Southeast Louisiana State Hospital for operation and management of the acute psychiatric unit
$45,700		Payments to LSU Medical Center for pathology services
$16,938		Payments to the Department of Civil Service
$5,111		Payments tfor Uniform Payroll System expenses
$1,534		Payments to the Comprehensive Public Training Program
$240		Payments to the Treasury Department for bank service charges

$1,571,046		TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$132,000		Funding for replacement of inoperable and obsolete equipment

$132,000		TOTAL ACQUISITIONS AND MAJOR REPAIRS

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