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Representative Cameron HenryChairmanRepresentative Franklin FoilVice ChairmanFY19-20 HB 105 ReviewLOUISIANA STATE UNIVERSITY HEALTH SCIENCE CENTERHEALTH CARE SERVICES DIVISIONHouse Committee on AppropriationsPrepared by the House Fiscal DivisionApril 9, 2019
Department Organization and Functions3Budget History5Major Sources of Funding6Funding Overview7Expenditure Change Overview8Significant Expenditure Changes9Expenditure History10Other Charges11Personnel Information12Performance Information13Other Items14Public/Private Partnerships15Department Contacts19House Fiscal DivisionLSU Health Care Services Division· Pg 2Daniel Waguespack 225.342.7477
LSU Health CareServices DivisionExecutive Health andBusiness AdministrationHouse Fiscal DivisionLallie Kemp RegionalMedical CenterLSU Health Care Services Division· Pg 3Daniel Waguespack 225.342.7477
Lallie Kemp Regional Medical Center Is a rural 24 bed acute care critical access hospitalserving the Florida Parishes region of SoutheastLouisiana. Located in Independence the hospital provides acutecare hospital services including inpatient, outpatient,emergency, surgery, and ancillary support services.The hospital also serves as the Medical Home for it’spatients as well as providing Offender Care for theDepartment of Corrections. The facility is certifiedtriennially (for a three-year period) by the JointCommission on Accreditation of HealthcareOrganizations. The medical center not only provides acute, primary, and general critical medical care to indigent, Medicare, and Medicaid populations,but also provides support functions such as pharmacy, blood bank, respiratory therapy, anesthesiology and various diagnostic services.State legacy obligations associated with six former state hospitals Health Care Services Division’s legacy management costs include retiree group insurance, risk management insurance, legal fees associatedwith the partnerships, IT systems management and salary, benefits and overhead allocated to the management of the state obligations.House Fiscal DivisionLSU Health Care Services Division· Pg 4Daniel Waguespack 225.342.7477
1,000 900 897.5 789.2 800 834.3 700 600Transfer of hospitals to Private Partners 500 435.8 400 300 200 164.8 100 72.2 95.7 41.8 7.6 131.1 64.3 19.3 35.9 8.7 3.9 68.9 43.5 36.1 59.9 37.2 24.7 64.3 43.5 27.1FY16FY17FY18 62.2 39.9 24.4 62.1 39.7 24.0 0FY11FY12FY13FY14State General FundFY15State EffortFY20**Total Means of FinanceSource: Budget Supporting Documents and HB 105 of 2019 RSHouse Fiscal DivisionFY19*LSU Health Care Services Division· Pg 5*Existing Operating Budget as of 12/1/18**HB 105 of 2019 RSDaniel Waguespack 225.342.7477
InteragencyTransfers 17.6 Million Medicaid andUncompensated CareCost (UCC)reimbursements fromLDH and prisoner carecost from DOCSelf-GeneratedRevenue 15.7 Million Collections ofInsurance ProceedsFederalFunds 4.9 Million Medicare CollectionsState GeneralFund 24.0 MillionHouse Fiscal DivisionLSU Health Care Services Division· Pg 6Daniel Waguespack 225.342.7477
Means of FinancingFY 17-18Prior Year ActualFY 18-19ExistingExpendituresOperating BudgetFY 19-20HB 105 Changefrom% Changefrom Changefrom% ChangefromExistingExistingActualsActualsState General Fund 27,062,061 24,427,906 23,981,083( 446,823)(1.8%)( 3,080,978)(11.4%)Interagency Transfers 15,982,678 17,542,527 17,616,847 74,3200.4% 1,634,16910.2%Fees and Self-Gen Rev 15,098,202 15,472,658 15,670,284 197,6261.3% 572,0823.8%Statutory Dedications 1,385,265 0 0 00.0%Federal Funds 4,800,336 4,800,336 4,850,666 50,3301.0% 50,3301.0% 64,328,542 62,243,427 62,118,880(0.2%)( 2,209,662)(3.4%)Total Means of Finance( 124,547)( 1,385,265)(100.0%) 124,547 Total Means of FinanceAll FY 19-20 budget changes are related to standard statewide budget adjustmentsdetailed by means of finance on slide 9, the Significant Expenditure Changes slide.House Fiscal DivisionLSU Health Care Services Division· Pg 7Daniel Waguespack 225.342.7477
ExpenditureFY 17-18FY 18-19Prior Year ActualExistingExpendituresOperating BudgetFY 19-20HB 105 Change% ChangefromfromExistingExistingSalariesOther CompensationRelated BenefitsTravelOperating ServicesSuppliesProfessional ServicesOther ChargesAcq/Major Repairs 17,969,600 14,276,883 14,601,381 324,4982.3% 0 0 0 00.0% 27,007,024 24,503,261 24,640,506 137,2450.6% 794 12,291 12,291 00.0% 7,335,951 4,481,685 4,481,685 00.0% 8,521,196 4,457,651 4,457,651 00.0% 937,817 1,833,086 1,833,086 00.0% 1,199,369 12,298,111 11,711,821 1,356,791 380,459 380,459Total Expenditures 64,328,542Authorized PositionsHouse Fiscal Division0 62,243,427 62,118,8800LSU Health Care Services Division· Pg 80( 586,290) 0( 124,547)0(4.8%)0.0%(0.2%)0.0%Daniel Waguespack 225.342.7477
Salaries and Related Benefits 461,743 Increase funding by 84,961 SGF, 128,826 IAT, 197,626 FSGR, 50,330 FED for classifiedemployee market rate adjustments.Other Charges ( 586,290) Reduce funding by ( 540,523) SGF, ( 54,506) IAT for the Office of Risk Management.Increase funding by 5,496 SGF for the Office of State Procurement.Increase funding by 3,514 SGF for Civil Service Fees.Reduce funding by ( 271) SGF for Legislative Auditor Fees.House Fiscal DivisionLSU Health Care Services Division· Pg 9Daniel Waguespack 225.342.7477
Fiscal Year:2014-152015-162016-172017-182018-19 EOB2019-20 HB 105 50 45 39.2 40 35 30 25 20 15 11.7 9.0 10 5 1.8 0.4 0Other ChargesPersonnel ServicesProfessional ServicesOperating ExpensesAcquisitions & MajorRepairsSource: Budget Supporting Documents and HB 105 of 2019 RSHouse Fiscal DivisionLSU Health Care Services Division· Pg 10Daniel Waguespack 225.342.7477
AMOUNT 11,439,740DESCRIPTIONState legacy obligations associated with six former state hospitals, services provided by the LSU Health Sciences Center,and other Lallie Kemp expenses 166,879Transfers to other state agencies 72,886Office of Risk Management (ORM) 32,316Legislative Auditor Expenses 11,711,821TOTAL OTHER CHARGESSource: Budget Supporting DocumentsHouse Fiscal DivisionLSU Health Care Services Division· Pg 11Daniel Waguespack 225.342.7477
9 Year FTE Positions/Salaries ExpendedFY 19-20Personnel/Budget Ratio8,000 14.6 M 24.6 M 39.2 M7,000Salaries and Other Comp.Related BenefitsTotal Personnel Services6,000 34877.8% of budget expenditures(excluding Other Charges) 400 335 350 2906,765 3005,9905,000 250Transfer of hospitalsto Private Partners4,000 2003,000Authorized Positions 0 (0 classified and 0 unclassified) 0 Other Charges Positions 0 full-time non-T.O. positionsMillions 1502,000 59 185211,0009720201120122013 100 17457 19434 18408 144132016201720182019*5372014 50 02015*Existing Operating Budget as of 12/1/18Source: Data from the Dept. of Civil Service and the Budget Supporting DocumentsHouse Fiscal DivisionLSU Health Care Services Division· Pg 12Daniel Waguespack 225.342.7477
ActualYear-EndPerformanceFY 13-14Lallie Kemp Regional MedicalCenter Performance IndicatorsHospital AdmissionsActualYear-EndPerformanceFY 14-15ActualYear-EndPerformanceFY 15-16ActualYear-EndPerformanceFY 16-17ActualYear-EndPerformanceFY 17-18831907778624599Number of Clinic 72Number of EmergencyDepartment 761Overall Patient SatisfactionSurvey Rating79%83%74%85%94%Willingness to RecommendHospital82%85%77%81%88%House Fiscal DivisionLSU Health Care Services Division· Pg 13Daniel Waguespack 225.342.7477
Lallie Kemp Regional Medical Center requested 3.2 million for acquisitions to replace medical and otherequipment; however, the bill currently contains 380,459. The requested funding is for medical equipment that is beyond useful life. Not replacing this equipment hasimpact to patient care, patient safety, and accreditation of the hospital. As medical equipment reaches end of life, manufacturers discontinue maintenance on the equipment aswell as discontinuing replacement parts needed to keep the equipment functioning. Medical equipment that can no longer be repaired causes patients to go without services or requirespatients to go elsewhere for those services. Accreditation and reimbursement rules require hospitals to maintain safe, up to date equipment.House Fiscal DivisionLSU Health Care Services Division· Pg 14Daniel Waguespack 225.342.7477
Hospital Transition Dates4.15.2013 Earl K. LongRegional MedicalCenter(Baton Rouge)6.24.201310.1.2013 Chabert RegionalMedical Center(Houma) E.A. ConwayMedical Center(Monroe) Interim LSU PublicHospital(New Orleans) LSU HealthSciences CenterShreveport Hospital(Shreveport)3.17.2014 Bogalusa RegionalMedical Center(Bogalusa)7.1.2014 Huey P. LongMedical Center(Pineville) University MedicalCenter (Lafayette) W.O. Moss RegionalMedical Center(Lake Charles)House Fiscal DivisionLSU Health Care Services Division· Pg 15Daniel Waguespack 225.342.7477
LSU HospitalsPrivate Hospital PartnerEarl K. Long Regional Medical Center (Baton Rouge)Our Lady of the Lake (OLOL)Interim LSU Public Hospital (New Orleans)Children's Hospital and University Medical CenterManagement CorporationUniversity Medical Center (Lafayette)Lafayette General Health System and University Hospitalsand Clinic (UHC)W.O. Moss Regional Medical Center (Lake Charles)Southwest Louisiana Hospital Association (SLHA) d/b/aLake Charles Memorial Hospital (LCMH)Chabert Regional Medical Center (Houma)Bogalusa Regional Medical Center (Bogalusa)Lallie Kemp Regional Medical Center (Independence)House Fiscal DivisionSouthern Regional Medical Corporation; Hospital ServiceDistrict #1 of Terrebonne Parish; and Ochsner HealthSystem(Franciscan Missionaries of) Our Lady of the LakeAscension Community Health System; new entity: OurLady of AngelsNo PartnershipLSU Health Care Services Division· Pg 16Daniel Waguespack 225.342.7477
LSU Hospitals in addition to Health Care Services Division(these hospitals fall under Higher Education’s budget)LSU HospitalsPrivate Hospital PartnerLSU Health Sciences Center Shreveport HospitalOchsner Health System and LSU Health Shreveport jointlyformed Ochsner LSU Health ShreveportE. A. Conway Medical Center (Monroe)Ochsner Health System and LSU Health Shreveport jointlyformed Ochsner LSU Health ShreveportHuey P. Long Medical Center (Pineville)CHRISTUS Health Central Louisiana and Rapides HealthcareSystemHouse Fiscal DivisionLSU Health Care Services Division· Pg 17Daniel Waguespack 225.342.7477
Hospital Cooperative Endeavor Agreement ouse Fiscal DivisionLSU Health Care Services Division· Pg 18Daniel Waguespack 225.342.7477
House Fiscal DivisionDr. Wayne WilbrightChief Executive Officer504.568.2259Ms. Lanette BuieDeputy Chief Executive Officer225.354.7008Rhonda GreenChief Executive OfficerLallie Kemp Regional Medical Center985.878.1330Mr. Chad ThompsonChief Financial OfficerLallie Kemp Regional Medical Center985.878.1350LSU Health Care Services Division· Pg 19Daniel Waguespack 225.342.7477
Number of Emergency Department Visits 27,206 28,213 26,881 24,924 22,761 Overall Patient Satisfaction Survey Rating 79% 83% 74% 85% 94% . -16.3%. House Fiscal Division LSU Health Care Services Division· Pg 14 Daniel Waguespack 225.342.7477 Lallie Kemp Regional Medical Center requested 3.2 million for acquisitions to replace medical and .
