Recommended Budget Volume One.book - Chief Executive Office ...

4. Healthcare Interpreters: Reflects an increase of
6.0 positions to convert contract staff to County staff
that will continue the Video Medical Interpretation
(VMI) project to provide interpreter services to patients,
help establish a cultural and linguistic service
infrastructure, and aid in the transition to the new
Health Care Reform, which requires certain language
capability for patients needing a medical home.
5. Radiology PACS: Reflects an increase of 4.0 positions,
offset by the reduction of services and supplies
appropriation, to meet the CMS requirement of
providing dedicated staff to administer the PACS, which
provide digital diagnostic radiology images.
6. Central Sterile Processing at H-UCLA: Reflects an
increase of 3.0 positions, funded by the deletion of
3.0 vacant budgeted positions, to provide cleaning and
sterilization services during the hours of 11:00 p.m. to
7:00 a.m., seven days per week. This will allow Central
Sterile Processing to be open on a 24/7 basis to address
emergent sterilization and equipment needs required of
a Level I Trauma Center.
7. Office of Managed Care (OMC) IHSS Provider Health
Care Plan and Healthy Families Program: Reflects a
net increase in funding and related revenue for the IHSS
Provider Health Care Plan to recognize an increase in
enrollment; partially offset with decreased funding and
related revenue for the CHP Healthy Families Program
based on membership projections.
Critical Issues
1. Realignment: Reflects an increase in estimated
Realignment Sales Tax due to the anticipated economic
improvement.
Curtailments
1. Unidentified Reductions: Reflects a net increase of
$82.0 million to the placeholder reduction to address
the Department’s projected structural deficit for
FY 2011-12. When coupled with the reversal of the
labor-management savings shown below in “Other
Changes,” which was part of the Department’s
placeholder in FY 2010-11, the placeholder increases
from $253.3 million in FY 2010-11 to $312.7 million in
FY 2011-12. These adjustments result in a placeholder
made up of a $290.1 million increase in revenue and a
$22.6 million reduction in appropriation. DHS
anticipates addressing the deficit primarily with the use
of 1115 Waiver revenue, and is working on a plan to
achieve savings and/or generate additional revenue to
mitigate the remaining deficit placeholder.
Other Changes
1. Salaries and Employee Benefits: Primarily reflects
Board-approved increases in health insurance subsidies
and adjustments to salaries and various employee
benefits.
Gross
Appropriation
($)
Intrafund
Transfer
($)
Revenue
($)
HEALTH SERVICES
Budget Summaries
Net
County Cost
($)
299,000 -- -- 299,000 6.0
-- -- -- -- 4.0
-- -- -- -- --
458,000 -- 3,944,000 (3,486,000) --
-- -- 2,026,000 (2,026,000) --
83,089,000 -- 165,061,000 (81,972,000) --
17,930,000 -- -- 17,930,000 --
FY 2011-12 Recommended Budget Volume One 27.4 County of Los Angeles
Budg
Pos