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

Health Services Administration Budget Summary
HEALTH SERVICES - HEALTH SERVICES ADMINISTRATION BUDGET SUMMARY
Health Services Administration (HSA) provides for the Director
of Health Services and staff to administer the Department of
Health Services (DHS). The organization provides centralized
support and direction for DHS facilities and includes
centralized functions such as quality improvement, academic
affairs, pharmacy management, clinical resource management,
emergency medical services, nursing administration,
ambulatory and managed care administration, information
technology services, policy and government relations, Board
relations, program planning and oversight, contracts and
grants coordination, audit and compliance services, fiscal
planning, supply chain organization, risk management, and
human resources services. The costs of HSA are primarily
distributed to other DHS General Fund and Enterprise Fund
units.
The 2011-12 Recommended Budget reflects:
■ The reversal of the labor-management savings placeholder
adjustments included in the FY 2010-11 Final Adopted
Budget. Labor-management savings are being replaced by
changes in the County’s deferred compensation program.
■ An increase of 8.0 positions for the DHS Quality Improvement
Program to reduce the time frame for processing Correction
Action Plans (CAPs), and creating accurate CAPs, and to
HEALTH SERVICES
Budget Summaries
FY 2009-10 FY 2010-11 FY 2010-11 FY 2011-12 FY 2011-12 CHANGE FROM
CLASSIFICATION ACTUAL ESTIMATED BUDGET REQUESTED RECOMMENDED BUDGET
FINANCING USES
SALARIES & EMPLOYEE BENEFITS $ 129,494,047.62 $ 134,309,000 $ 140,394,000 $ 141,183,000 $ 141,183,000 $ 789,000
SERVICES & SUPPLIES 159,683,448.45 176,692,000 179,575,000 200,550,000 202,332,000 22,757,000
OTHER CHARGES 5,485,448.00 5,335,000 5,211,000 5,195,000 5,195,000 (16,000)
CAPITAL ASSETS - EQUIPMENT 3,751,214.89 4,798,000 6,032,000 6,033,000 4,033,000 (1,999,000)
GROSS TOTAL $ 298,414,158.96 $ 321,134,000 $ 331,212,000 $ 352,961,000 $ 352,743,000 $ 21,531,000
INTRAFUND TRANSFERS (8,162,269.02) (12,822,000) (12,743,000) (12,721,000) (12,677,000) 66,000
NET TOTAL $ 290,251,889.94 $ 308,312,000 $ 318,469,000 $ 340,240,000 $ 340,066,000 $ 21,597,000
REVENUE 209,728,061.61 224,000,000 232,794,000 230,427,000 228,227,000 (4,567,000)
NET COUNTY COST $ 80,523,828.33 $ 84,312,000 $ 85,675,000 $ 109,813,000 $ 111,839,000 $ 26,164,000
BUDGETED POSITIONS 1,471.0 1,478.0 1,478.0 1,491.0 1,491.0 13.0
FUND FUNCTION ACTIVITY
GENERAL FUND HEALTH AND SANITATION HEALTH
provide a system-wide culture of patient safety with clear
priorities that will improve quality and reduce claims.
■ 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 to
aid in the transition to the new Health Care Reform, which
requires certain language capability for patients needing a
medical home.
■ Adjustments for the Emergency Medical Services Urban Area
Security Initiative for Year 9 of the grant and the reversal of
funding and revenue for the expiration of the Homeless
Prevention Initiative Project 50 grant.
■ Funding of Board-approved increases in health insurance
subsidies and adjustments to salaries and various employee
benefits.
■ The elimination of the Department's proportional share of the
costs associated with the issuance of the 1994 Pension
Obligation Bonds. The bonds were fully paid in FY 2010-11.
The retirement of the 1994 Pension Obligation Bonds reflects
a reduction in expense that will partially offset other net cost
increases.
FY 2011-12 Recommended Budget Volume One 27.12 County of Los Angeles