CMMC Director Says Proposed Budget Will Mean Reduced Service
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CMMC Director Says Proposed Budget Will Mean Reduced Service By MARGARET MARTIN Times Medical Writer Services will have to be cut at Confederate Memorial Medical next year if the hospital is given only the $12,750,000 budget now indicated by sources in Baton Rouge, according to Dr. Rod M. Yeager, director of the hospital. The $12.7 million budget would be only $699,514 more than the present fiscal budget which is $12,050,487. Yeager says this is not even enough to maintain current operating expenses, much less institute new programs. To maintain current operating ex-penses, including increasing medical costs, raises already given this year, new positions and merit raises for next year, the hospital must have $13,009,621. Both Yeager and Dr. Edgar Hull, dean of the Louisiana State University Medical School at Shreveport, point out that Confederate is not only important as the medical facility for the indigent of North Louisiana, but as a training center. TRAINING ROLE CITED Perhaps its most important function is as the teaching hospital for the new medical school, which will graduate its first class in June. But other training programs are also c o n d u c t e d here, including residents and interns, x-ray and radiology technicians, nurses and nurses aides. The medical school and the hospital rise or fall together, Hull said. Yeager had originally asked the L e g i s l a t i v e Budget Committee for $16,832,553, but has cult that down to $14,581,045 by scratching several new programs and reducing funds for others. Medical costs have skyrocketed in the past five years, Yeager said in an interview at his office. Confederate has not kept up, but New Orleans Charity Hospital has, Yeager said. Although they are not the same size, Confederate and Charity can be com-pared in terms of services they offer. Roth are teaching hospitals for medical schools and both have a full complement of interns and residents. In addition, both train nurses, nurses aides and techni-cians. Research is conducted at both institutions. Pointing to a graph which shows budget requests for both Confederate and New Orleans Charity over the past five years, the director said that Confederate has just not kept up with the rising cost of medicine. The chart shows that over a five-year period Confederate's budget has risen from $8 million to $12 million, while Charity's budget increased 70 per cent — from $28 million to $48 million. Yeager emphasized that he is not criticizing Charity, nor does he expect Confederate to receive the amount of money Charity receives. "Our problem is that we have not kept up. We have let ourselves get saddled with a budget which has not increased with i n c r e a s i n g costs of medical care," said Yeager, who was named director in January. How did this happen? "I don't know," he answered. "I was not around." Yeager also said that he is not so naive as to think that he can catch up the five-year period in one year. He said he considers the increase he is asking now a survival budget. Using average daily census figures (the number of patients in the hospital in a day), Confederate is 29 per cent the size of Charity. For instance, Confeder-ate has 400 patients while Charity has 1,330. Putting the budget on a proportional basis, with Charity's budget Confederate would get $14.8 million. Yeager said, which is more than the $14.6 million he is asking in the revised proposal. He does not feel this is an unrealistic figure, as compared to hospitals of comparable size. Yeager also p o i n t e d out that Confederate spent less per patient per day in 1970—the latest figures available — than either Charity or the national average. Confederate spent $55 a day for every patient, while Chariety in New Orleans spent over $60, and the national average was $80. He said he felt the state university hospitals have been doing "a pretty good job," but added, "Confederate has not spent enough per patient per day to give acceptable medical care." COMPARES WITH N.O. HOSPITAL Yeager also said that Charity in New Orleans spent $1.4 million for equipment in the past year, whereas Confederate has purchased only $1.6 million in the last 10 years, including $98,000 last year. "We are not keeping up on equipment needs, if we are compared to a similar institution — Charity," Yeager said. Yeager emphasized that he is not comparing Confederate to Charity as far as far as size is concerned, but that the institutions are the only two eaching hospitals connected with medical schools in the state. "Confederate must keep up with increasing costs of medical care, if it is to continue to operate," the director said. —"We are behind we have to catch up," he added. If the legislature approves an inade-quate budget, "we will have to cut services," he said. Yeager would not elaborate on what will be cut. However he has already slashed new programs to bring the budget down to $14,581,045, f r o m the $16,832,553 he originally submitted. Requested earlier was $15,231,234 to maintain current operating level, plus handle anticipated w o r k l o a d adjust-ments. From that, Yeager omitted an order 'for new beds and bedside stands, one electroencephalograph machine, and an increase in the number of residents to bring the $15.2 million down to $13.9 million. Also in that original request, Yeager bad a s k e d for $1,601,310 for new programs. These were: Surgical Intensive Care Unit (ICU), equipment and staff, $67,390; 'Medical ICU, $125,214; diagnostic radiol-ogy expansion, $400,219, for three addi-tional x-ray rooms to handle an increase in workload; newborn ICU, respiratory care center, $87,903; open heart surgery service, $46,103; cardiac catheterization laboratory, $120,030; renal dialysis ex-p a n s i o n , $81,446; medical electronics department, $40,059; Cooper Road satel-lite clinic, $212,472; burn unit, $18,428, and emergency medical service, $217,013. Yeager has brought the total figure down to $674,672 by cutting out requests for radiology expansion; the burn unit and the emergency medical service, and reducing the figures of open heart surgery to $40,353; catheterization lab to $77,221; and Cooper Road satellite clinic| to $100,000. In regards to the intensive care units which are expected to be ready this summer, Yeager emphasized that the units cannot be opened without adequate personnel and equipment. "If they cut the budget, we will have to take a hard look at what to do about ICU," Yeager said. Agreeing with him was Dr. Stephen Glasser who is in charge of the cardiac and medical intensive care units. He said, "we can't open the ICU without proper staffing . . ." Dr. Erich Lang, head of the Depart-ment of Radiology, said that Confederate has purchased no additional equipment since it has opened in the 1950s. Lang said that while the department had 50,000 examinations five years ago, it will have over 70,000 by July. He said that if additional rooms are not built, there is a possibility that the service would have to be run on a 24-hour basis. This would mean, for instance, that a patient might, have to fast 16 hours during the day, so a procedure could be done at 10 p.m. at night. It also would be more expensive, he said. NOT GOOD FOR PROGRAMS The situation would not be good for the training program either, Lang said. "You can't run a training program in the middle of the night," he added. "You disassociate the patient and the film interpretation." The number of patients and proce dures has increased at the hospital over the past four years, Yeager said. For instance, records show that for the years from 1969-70 to 1972-73, the number of outpatient clinic visits jumped from 127,290 t.o 158,304; emergency visits from 8,319 to 10,728; outpatient visits from 135,609 t.o 168,394; surgical proce-dures from 5,676 to 6,692 and hospital admissions from 21,162 to 22,662. To provide quality medical care for patients — including private patients who come for services not available elsewhere in the community and quality training for future physicians. Confederate must have its proportion of the Louisiana health care dollar, Yeager feels.
|Title||CMMC Director Says Proposed Budget Will Mean Reduced Service|
Confederate Memorial Medical Center (Shreveport, La.)
Yeager, Rodric M.
Hull, Edgar, 1904-1984
|Identifier||See reference URL on the navigation bar.|
|Source||Louisiana State University Health Sciences Center Shreveport Medical Library (http://lib.sh.lsuhsc.edu)|
|Coverage-Spatial||Shreveport (Caddo, La.)|
|Rights||Physical rights are retained by Louisiana State University Health Sciences Center Shreveport. Copyright is retained in accordance with U.S. copyright laws.|
CMMC Director Says Proposed Budget Will Mean Reduced Servicefor