Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 5 - Health Planning
Chapter 109 - Implementation Strategies
Subchapter B - Implementation Plans
Section I-10907 - Department of Health and Human Resources Health-Related Offices Implementation Activities
Universal Citation: LA Admin Code I-10907
Current through Register Vol. 50, No. 9, September 20, 2024
A. Development of services at the community level directed toward informing, educating and motivating the public to accept responsibility for protecting their health.
1. Office of Preventive and
Public Health Services (OPPHS)
a. To motivate
industries and groups to initiate health promotion activities for their
employees and/or members. Planned activities include:
i. general Health Risk Appraisal (HRA)
information to new requestors;
ii.
HRA demonstration or orientation to a potential new user;
iii. follow-up HRA information or assistance
to potential new user;
iv. HRA
batch processing for client or potential new user group;
v. target completion date: June 30, 1987 (and
ongoing);
vi. resource requirement:
Continuation of state funding at standstill level.
b. To sponsor, assist and monitor new HRA
users. Key activities to be recorded will include:
i. new HRA users sponsored or
assisted;
ii. the number of formal
training sessions for HRA and the number of individuals trained;
iii. HRA User Status Reports solicited from
users to obtain baseline data that would provide direction for health promotion
in the state;
iv. target completion
date: June 30, 1987 (and ongoing);
v. resource requirement: State funding at
standstill level.
c. To
develop and print a statewide Health Education Resource Directory which
provides resource information by region. Component activities will be:
i. to obtain Health Education Resource
information from eight regions;
ii.
format Health Education Resource information onto computer disc;
iii. to print a minimum of 500
directories;
iv. target completion
date: February 28, 1987;
v.
resource requirement: State funding at 100 percent level.
d. To provide health education resources,
equipment and audiovisuals to DHHR, OPPHS Programs and selected target
populations. These materials will include:
i.
pamphlets, posters and artistic designs created for health promotion activities
of OPPHS programs;
ii. audio-visual
materials and equipment loaned to support program activities;
iii. target completion date: June 30, 1987
(and ongoing);
iv. resource
requirement: State funding at standstill level.
e. To plan and implement educational/media
campaigns for vari ous health promotion activities. These will include but not
be limited to:
i. World Health Day;
ii. Great American Smoke-Out;
iii. Diabetes Awareness Campaign;
iv. Secretary's Health Promotion
Awards;
v. component activities
will include:
(a). developing, printing and
distributing flyers;
(b).
developing news articles and proclamations, and distributing media
packets;
(c). assisting various
DHHR Programs.
vi.
target completion date: June 30, 1987 (and ongoing);
vii. resource requirement: State funding at
standstill level.
f.
Aids prevention:
i. to provide information,
risk reduction counseling, and antibody testing for high-risk
persons;
ii. to provide information
and risk reduction counseling to adolescents and young adults who are forming
the lifestyles that will determine their long-term risk of contracting the
disease;
iii. to make information
about AID/HTLV-III infection effectively available to the public;
iv. to collect epidemiological information
from clients in our service programs;
v. benefits: approximately 200 new cases of
AIDS are expected to occur in Louisiana during the coming year. Most of these
will become the medical responsibility of the state. For each case prevented,
approximately $100,000 in treatment costs will be saved; treatment costs which
are increasing as survival time increases;
vi. target completion date: On-going (annual
update).;
vii. resource
requirement: $1,060,000 per year.
2. Office of Prevention and Recovery from
Alcohol and Drug Abuse (OPRADA)
a. To
coordinate national media campaign activities in Louisiana aimed at preventing
alcohol and drug abuse ("The Chemical People," "Just Say No", "Fetal Alcohol
Syndrome Awareness", "Drunk and Drugged Driving Week", etc.):
i. target completion date: June 30,
1987;
ii. resource requirement:
Continuation of current funding.
b. To plan and coordinate a "Substance Abuse
Awareness Week" in October of each year. This event, which will be proclaimed
by the governor, will include media and community events to publicize
deleterious effects of alcohol and drug abuse. The events will be geared toward
the adult and youth population of Louisiana:
i. target completion date: June 30,
1987;
ii. resource requirement:
Continuation of current funding.
c. To conduct a statewide media campaign to
coincide with the governor's proclaimed "Fetal Alcohol Effects Awareness Week"
in April, 1987. This event is designed to impact 1.5 million women.:
i. target completion date: June 30,
1987;
ii. resource requirement:
Continuation of current funding.
d. To disseminate information on alcohol and
drug abuse from state office, Regional Clearinghouses for Drug and Alcohol
Information, and OPRADA clinics to all parts of the state. This will be a
continuous process:
i. target completion
date: June 30, 1987 (and ongoing);
ii. resource requirement: Continuation of
current funding.
e. To
coordinate the development of employee assistance programs for persons with
alcohol or drug-related problems in each department of state government by the
end of FY 87-88:
i. target completion date
(first phase): June 30, 1987;
ii.
resource requirement: Continuation of current funding.
f. To conduct one regional alcohol and drug
abuse prevention workshop per quarter in FY 86-87 aimed at galvanizing
communities to establish local comprehensive prevention programs:
i. target completion date: June 30,
1987;
ii. resource requirement:
Continuation of current funding.
g. To continue interfacing with other state
agencies to coordinate efforts for the prevention of alcohol and drug abuse,
via cooperative and interagency agreements:
i.
target completion date: June 30, 1987 (and ongoing);
ii. resource requirement: Continuation of
current funding.
h. To
establish, at the state and local levels in all regions, networks of agencies,
groups, and individuals to stimulate planned, concerted actions to prevent
alcohol and drug abuse, by the end of Fiscal Year 1986/87:
i. target completion date: June 30, 1987 (and
ongoing);
ii. resource requirement:
Continuation of current funding.
i. To facilitate the development of at least
one privately funded new women's initiative to combat alcohol and drug abuse in
Louisiana's major population centers (Baton Rouge, Monroe and New Orleans) by
the end of FY 87:
i. target completion date:
June 30, 1987;
ii. resource
requirement: Continuation of current funding.
3. Office of Hospitals (OH)
a. To develop a primary health care model
program to provide Health Maintenance Organization (HMO) services, including a
wellness component, to the indigent and uninsured in Louisiana. If grant
funding is secured, activities for the first year would include formulation of
a small task force to study the relevant requirements for organizing and
implementing the HMO and to develop written suggestions for its implementation:
i. target completion date: June 30,
1987;
ii. resource requirement:
Robert Woods Johnson Foundation grant funds.
B. Goal 2: Containment of the Rapidly Rising Costs of Health Care and Promotion of Greater Efficiency in the Health Care Delivery System
1. Office of
Preventive and Public Health Services (OPPHS)
a. To establish a home care system of
services, in cooperation with the Office of Family Security and Children's
Hospital, for families with ventilator dependent or assisted children, through:
i. obtaining a federal SPRANS grant for
training of families and community outreach personnel (including Handicapped
Children's Services (HCS) staff);
ii. planning for the future without a
Medicaid Model Waiver;
iii.
successfully placing 24 children at home;
iv. Target completion date: December 31,
1986;
v. Resource requirement:
Medicaid Model Waiver questionable. An estimated $500,000 per year will be
needed for training and case management of ongoing community
networks.
b. To reduce
the number of premature heart attacks, strokes, and kidney failures, and the
state health expenditures by maintaining and improving the High Blood Pressure
Control program available through the local health units:
i. target completion date: June 30, 1987 (and
ongoing);
ii. resource requirement:
$673,108 from Preventive Health Block Grant.
c. To develop and maintain a diabetes control
program to provide:
i. demonstration projects
to 1) assess needs, 2) develop and implement programs to meet these needs, 3)
obtain funds from third party carriers for out-patient education programs and
4) evaluate program accomplishments;
ii. education for health professionals and
patients which will enable better use of knowledge available on diabetes
control and treatment. This is expected to reduce hospitalization and delay the
onset of debilitating complications which result in costly hospitalizations and
disability;
iii. target completion
date: June 30, 1987 (and ongoing);
iv. Resource requirement: Centers for Disease
Control continuation funding.
d. To prevent or facilitate the prevention of
health problems associated with medically indigent infants and children,
promote their health and participate in efforts to reduce infant mortality and
morbidity in Louisiana by:
i. provision of
child health nursing services targeted to medically indigent children ages
birth to five years;
ii. provision
of limited child health physician services targeted to medically indigent
children ages birth to five years;
iii. provision of nutrition services to
indigent children and their parents;
iv. provision of lead poisoning screening,
treatment and follow-up services for indigent young children at risk of or
suffering from lead poisoning in areas with excessively high lead
levels;
v. provision of
audiological screening, vision screening, and diagnostic clinic services to
pre-school and school age children and training for school nurses and other
persons;
vi. provision of
preventive and orthodontic dental services to handicapped and medically
indigent children;
vii. provision
of medical social services for a Sudden Infant Death Syndrome (SIDS) follow-up
for high-risk medically indigent infants and young children;
viii. target completion date: June 30,
1987;
ix. resource requirement:
Continuation of Maternal and Child Health (MCH) funding at FY 85-86
levels.
e. To prevent or
facilitate the prevention of health problems of medically indigent pregnant
women and adolescents, promote their health and participate in efforts to
reduce infant and maternal mortality and the high rate of adolescent pregnancy
in Louisiana through:
i. provision of
targeted maternity nursing services to low-risk medically indigent women and
adolescents in areas with 1983 infant mortality rates of 13.2 per 1000 births
or higher where no other maternity services are available;
ii. provision of limited targeted maternity
physician services to low-risk medically indigent women;
iii. provision of nutrition services to
indigent pregnant women and adolescents;
iv. provision of medical social services to
pregnant women and adolescents;
v.
provision of comprehensive family planning services and health education in all
regions of the State;
vi. target
completion date: June 30, 1987 (and ongoing);
vii. resource requirement: Continuation of
MCH and Family Planning funding at FY 85-86 levels.
2. Office of Prevention and
Recovery from Alcohol and Drug Abuse (OPRADA)
a. Subgoal: To ameliorate the problems and
reduce the costs associated with alcohol and drug abuse through the statewide
provision of services including prevention, early intervention and provision of
care to the substance abuser and his/her family.
i. To fund and implement at least one
publicly financed treatment program for females in the northern and southern
parts of the state, by the end of FY 87:
(a).
target completion date: June 30, 1987;
(b). resource requirement: Continuation of
current funding.
ii. To
analyze the unmet need for substance abuse prevention and recovery services and
develop proposals for meeting these needs in conjunction with the Louisiana
Commission on Alcohol and Drug Abuse:
(a).
target completion date: June 30, 1987;
(b). resource requirement: No additional
funds.
iii. To provide
geographically accessible screening, evaluation and treatment services to the
approximately 200,000 substance abusers dependent on public treatment resources
in order to provide services to clients with as little disruption to their
lives as possible:
(a). target completion
date: June 30, 1987;
(b). Resource
requirement: $768,499.
iv. To provide for the special needs of
addicted women through development of four 10 bed programs of social
detoxification:
(a). target completion date:
June 30, 1987;
(b). resource
requirement: No additional funds.
3. Office of Hospitals (OH)
a. To evaluate the possibility of privatizing
in-house functions in the Office of Hospitals system as a cost reduction
measure. One such possibility is contracting with a private provider for laser
dine technology in the medical records department:
i. target completion date: June 30,
1987;
ii. resource requirement: No
additional funds.
C. Goal 3: Development and promotion of a comprehensive array of services directed toward preventing or postponing long term institutionalization and terminating inappropriate institutionalization.
1. Office of Preventive and Public Health
Services (OPPHS)
a. To locate and provide
habilitation or rehabilitation services to 20,000 handicapped children in order
to prevent their institutionalization:
i. to
develop a case management system for ventilator assisted children at
home;
ii. to continue training of
community based personnel for ventilator dependent children;
iii. to assist with planning for group homes
as the least restrictive environment for ventilator dependent
children;
iv. target completion
date: June 30, 1987;
v. resource
requirement: Approximately $500,000 a year for five years.
b. Maintain Genetics clinics in 10 locations
(of them utilizing Handicapped Children's Services (HCS) clinics and staff):
i. hold specialty outpatient
clinics;
ii. hospitalize when
necessary;
iii. provide appliances
to the HCS staff nurses assigned to hold Genetics clinics;
iv. target completion date: June 30, 1987
(and ongoing);
v. resource
requirement: Maintain standstill budget for HCS program, and maintain Genetics
program funding for staff.
c. To enable persons who are essentially
confined to their homes and who currently have no insurance coverage to receive
necessary nursing and related health care at home, in order to reduce the
incidence of prolonged hospitalization, and prevent or postpone unnecessary
costly institutionalization.
i. target
completion date: June 30, 1987 (and ongoing);
ii. resource requirement: $250,000.
d. To maintain clinics for the
treatment of children with Juvenile Rheumatoid Arthritis in 5 Handicapped
Children's Districts:
i. target completion
date: June 30, 1987 (and ongoing);
ii. resource requirement: Maintain
Handicapped Children's Services Program standstill budget.
2. Office of Human Development
(OHD)
a. To provide physically and/or
mentally handicapped individuals with specialized services designed to (a)
develop, enhance or create their employment potential and/or (b) assist them in
acquiring personal skills to meet the demands of daily living:
i. target completion date: June 30,
1987;
ii. resource requirement:
undetermined.
b. To
provide adoption services to eligible children who are determined to be in need
of such services and are available for adoption, and to increase by 36 percent
the number of adoptive placements for children with special needs resulting
from their age, race, nationality, physical/ mental and/or emotional condition
or from being a member of a sibling group which should not be separated. (There
are 171 subsidized adoptive placements projected for 1986-87):
i. target completion date: June 30,
1987;
ii. resource requirement:
$2,284,000. Services will be provided directly by OHD Division of Children,
Youth and Family Services.
c. To provide eligible individuals with
counseling to assist with their inter/intra-personal functioning, resolve
problems, alleviate emotional/situational stresses, and change maladaptive
behavior:
i. target completion date: June 30,
1987;
ii. resource requirement:
$228,000. Service will be provided directly by OHD staff.
d. To assist eligible individuals to
alleviate stressful family situations; to acquire or improve their self-care
and social skills; to prepare for, secure, or maintain employment, or to
recuperate from temporary disabilities by providing day care for children.
i. target completion date: June 30,
1987;
ii. resource requirement:
$11,525,651. These services will be provided directly through vendor agreements
with $9,592,605 and indirectly with $1,933,045 in purchase of services
contracts with private providers.
e. To provide family services to eligible
families determined by OHD to need such services:
i. to provide pre-placement or preventive or
reunification services to 13,880 families determined eligible by OHD-DCYFS or
DYS staff;
ii. to reduce the
placement of children out of their homes as a result of abuse or neglect by 4
percent;
iii. to limit the number
of children in long-term placements (over 24 months) to 55 percent of the total
foster care population;
iv. target
completion date: June 30, 1987;
v.
resource requirement: $12,437,916. These services will be provided directly by
OHD staff with $12,061,920 and indirectly with $375,996 in purchase of service
contacts with private providers.
f. To allow eligible individuals and families
to improve, maintain or develop the capacity for independent functioning in
their own homes, family setting or other living arrangement by providing
homemaker services:
i. target completion
date: June 30, 1987;
ii. resource
requirement: These services are to be provided directly by OHD staff, but the
expenditures are included in Family Services and Protection for adults
categories.
g. To assist
individuals to locate, access and utilize Title XX and related services by
providing information and referral services:
i. target completion date: June 30,
1987;
ii. resource requirement:
These services will be provided directly by OHD staff to persons in need of
emergency assistance with the cost being absorbed by all other
services.
h. To enable
eligible individuals to achieve their maximum potential for independent
functioning so that they can remain in or move into the optimum environment in
which they are able to function:
i. target
completion date: June 30, 1987;
ii.
resource requirement: $2,347,656. Services being provided directly by OHD
staff. This dollar amount excludes the cost of room and board estimated $56.50
per day.
i. To provide
respite care services to eligible disabled/handicapped individuals so their
families can benefit from temporary relief from caregiving responsibilities.
This serves to support the family as principal care-giver in order to prevent
or delay placement of such disabled/handicapped individuals in restrictive
settings:
i. target completion date: June 30,
1987;
ii. resource requirement:
$1,076,629 in purchase of service contracts with private providers.
j. To provide temporary, but
stable parenting, nurturing and/or oversight for eligible individuals
(including those eligible for IV-E funded services) in foster family homes
while permanent plans are being made for restoring the family unit, for
adoptive placement or for independent living:
i. Target completion date: June 30,
1987;
ii. Resource requirement:
$8,342,012. These services will be provided directly by OHD staff at a cost of
$8,204,472. They will also be provided through purchase of service contracts
with private providers with expenditures of $137,540. These dollar amounts
exclude the cost of room and board estimated at $7.74 per day.
k. Transportation - Terminated
3. Office of Mental
Health
a. Sub-Goal: Development and promotion
of a comprehensive array of services directed toward preventing or postponing
long term hospitalization or terminating inappropriate, long term
hospitalization.
i. To provide acute day
hospitalization care on a regional basis for all adults determined to be in
need of this level of care:
(a). target
completion date: June 30, 1987 (ongoing);
(b). resource requirement: With possible
budget reductions and associated manpower reductions, this objective may
require revision.
ii. To
continue research into and development of residential programs which offer an
alternative to long-term hospitalization, e.g, supervised boarding homes and
substitute foster care:
(a). target
completion date: Ongoing;
(b).
resource requirement: No additional funds.
iii. To provide residential services in each
region for all patients determined to be in need of:
(a). residential backup for acute day
hospital services;
(b).
transitional residential services during rehabilitation;
(c). long-term residential rehabilitation
services (chronically mentally ill population); and
(d). respite care.
(e). target completion date: June 30, 1987
(ongoing);
(f). resource
requirement: With possible budget reductions and associated manpower
reductions, this objective may require revision.
iii. To provide case management services for
every client determined to be in need assistance in:
(a). brokering services provided by other
community caretakers;
(b).
socialization/rehabilitation services so individualized they cannot be offered
through other programmatic elements; and
(c). arranging transportation to essential
services identified in individual treatment plans.
(d). target completion date: June 30, 1987
(ongoing);
(e). resource
requirement: With possible budget reductions and associated manpower
reductions, this objective may require revision.
iv. To provide essential outpatient mental
health services to priority and target populations at the level possible with
existing resources:
(a). to provide in at
least one location in each OMH Region 24-hour telephone availability, 24-hour
walk-in availability, on-call professional staff, medical staff back-up and
inpatient availability;
(b). target
completion date: June 30, 1987 (ongoing);
(c). resource requirement: With possible
budget reductions and associated manpower reductions, this objective may
require revision.
v. To
provide adequate assessment, individualized treatment planning and treatment
for all OMH patients through adequate staffing of all community mental health
centers:
(a). target completion date June 30,
1987 (ongoing);
(b). resource
requirement: With possible budget reductions and associated manpower
reductions, this objective may require revision.
vi. To provide essential inpatient mental
health services to priority and target populations at the level possible with
existing resources:
(a). to provide
short-term and acute inpatient care on a regional basis for all individuals
determined to be in need of this level of care;
(b). target completion date: June 30, 1987
(ongoing);
(c). resource
requirement: With possible budget reductions and associated manpower
reductions, this objective may require revision.
AUTHORITY NOTE: Promulgated in accordance with P.L. 93-641 as amended by P.L. 96-79, and R.S. 36:256(b).
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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