MISSION STATEMENT
The mission of the J.D. McCarty Center for Children With Developmental Disabilities is to provide a comprehensive program of habilitative care to Oklahoma's children (0 - 21) with developmental disabilities.
To utilize measurable quality standards and to ensure excellence in healthcare through a comprehensive, multi-disciplinary approach to service delivery which will enable children with developmental disabilities to maximize their potential and enhance their quality of life.
To provide an intensive and comprehensive habilitative environment through direct services, referral and consultations that will lead to increased productivity, and a quality standard of living throughout adulthood.
To increase the physical and emotional well-being of patients and their families through an empowering process of education, training, transitional planning and community support.
To advocate for the needs of children with developmental disabilities by increasing awareness and supplementing habilitative services in all communities as well as pro-actively seeking solutions to expressed concerns.
To facilitate ongoing education and training for staff in order to ensure continous quality improvement.
THE COMMISSION
The Oklahoma Cerebral Palsy Commission is composed of three members, appointed by the Governor and selected from a list of ten persons submitted by the Grand Voiture of Oklahoma of La Société des Quarante Hommes et Huit Chevaux (FORTY ET EIGHT). Each member serves a term of three years.
DUTIES / RESPONSIBILITIES
The J. D. McCarty Center was established by statute in 1949 to provide care, maintenance, training, treatment, education and general mental and physical habilitation to residents of the 77 counties in the state of Oklahoma afflicted with cerebral palsy. In 1981, the statutes were amended to provide for all developmental disabilities.
Services provided at the Center include physical therapy, speech therapy, occupational therapy, recreational therapy, developmental screening, medical and social services, referral services, infant stimulation, special education, psychological testing and counseling, dietary services, dental services, complete nursing care to include post-operative care and rehabilitation, outpatient pediatric, neurologic and orthopedic clinics and the manufacture and provision of specialized equipment.
For a child to be eligible for services at the center, he or she must be evaluated and diagnosed by the Center's physicians as having cerebral palsy or another developmental disability, his or her parents must have an established residence in the state of Oklahoma and the child must be under 21 years of age. An additional requirement for inpatients and daily outpatients is that they must be able to profit from one or more of the professional services offered at the Center. The Center is licensed by the State Department of Health as a 60-bed specialized hospital and accredited by the State Department of Education for grades K-12 and is under the direction of the Cerebral Palsy Commission. The Center's staff serve as a statewide resource for information to other agencies and schools.
STATUTORY REFERENCES
Statutory Reference: Title 63, Sections 485.1 - 485.10 of the Oklahoma Statutes.
PERFORMANCE CRITERIA / SERVICES PROVIDED
FY-93 FY-94 FY-95
Criteria/Service: Actual Actual Budgeted
IN-PATIENTS
Admissions 218 131 150
Discharges 222 131 150
Utilization 78.46% 78.00% 78.00%
Average Daily Census 32.5 28 28
Billable Days 10,066 8,425 6,384
Patient Days/Total 12,028 10,240 10,220
Habilitative Program 4,675 4,582 5,720
Evaluation 6,177 5,658 4,500
Respite# 1,176 0 0
AMBULATORY CARE
Clinics Patients
(Orthopedic, Neurologic & Dental) 857 805 1,000
Out-Patient Therapy Encounters 775 40 50
Intake Assessments 184 155 175
# Due to funding structure changes, the agency only provides this service on an emergency basis.
EXPENDITURES BY FUND
FY-93 FY-94 FY-95
Type of Fund: Actual Actual Budgeted
State Appropriated Funds $491,392 $960,000 $1,372,126
State Continuing/Revolving Funds:
210 Revolving Fund 3,234,963 2,523,282 2,556,368
215 Gifts and Bequests 38,845 7,467 15,000
Total Revolving Funds 3,765,200 3,490,749 3,943,494
Federal Funds: 0 0 0
Total Expenditures by Fund $3,765,200 $3,490,749 $3,943,494
Capital Outlay Expenditures:
210 J.D. MCCarty Revolving Fund $361,596 $0 $0
Total Capital Outlay Expenditure $361,596 $0 $0
EXPENDITURES BY OBJECT
FY-93 FY-94 FY-95
Object of Expenditure Actual Actual Budgeted
Salaries and Benefits $3,037,652 $2,795,138 $3,161,106
Professional Services 187,081 150,297 175,496
Travel 13,316 16,150 21,550
Equipment 24,681 45,963 65,923
Payments to Local Governments 143,369 156,051 158,500
Other Operating Expenses 359,101 327,150 360,919
Total Expenditures by Object $3,765,200 $3,490,749 $3,943,494
EXPENDITURES BY BUDGET ACTIVITY / SUB-ACTIVITY
FY-93 FY-94 FY-95
Activity No. and Name Actual Actual Budgeted
01 General Administration $3,711,880 $3,456,154 $3,900,619
10 Children's Recreation Program 38,845 7,467 15,000
88 Data Processing 14,475 27,128 27,875
Total Expenditures by Activity $3,765,200 $3,490,749 $3,943,494
FULL-TIME-EQUIVALENT EMPLOYEES (FTE) and VEHICLES
FY-93 FY-94 FY-95
Activity No. and Name Actual Actual Budgeted
01 General Administration 106.1 92.3 100.0
Total FTE 106.1 92.3 100.0
Number of Vehicles 4 4 4
HISTORICAL PERSPECTIVE / REVIEW
The J.D. McCarty Center was established in 1949 to provide care and general mental and physical habilitation to Oklahoma residents with cerebral palsy. In 1981, the statutes were amended to allow the agency to provide for all developmental disabilities.
The Commission of Human Services approved a request to increase the funding for the Crippled Children's Program contract with the center from $100,000 to $200,000 beginning in FY'89. The funds were reimbursements for outpatient services already performed by the agency. The Commission also encouraged the agency to actively pursue Medicaid collections for inpatient hospital care. They felt the potential increased collections could range from $100,000 to $300,000 by FY'90. Senate Bill 393 limited the amount of revolving fund money that could be used by the agency for capital expenditures to $25,000 per year, unless otherwise authorized by the Legislature.
For FY'90 the Legislature approved an expansion of the Respite Care program from one to three beds provided that the Center could fund the expansion through increased revenues from its revolving fund. The expansion cost the agency approximately $155,000. The Center provided services to 25 families per year and anticipated that two additional beds would allow it to serve up to 75 families per year. The FTE limit was increased to allow for six additional FTE for this program as well as to supplement current services.
The Center was successful in pursuing Medicaid collections for inpatient hospital care and as a result it was able to use more revolving fund revenue to fund operations that were previously funded with general revenue. This enabled the Center to reduce its appropriations consecutively for three years by a total of $970,284 or 66.4%. The reduction in appropriations did not prevent the Center from expanding services during this time period. Also, at this time, the Center began Phase I of a capital improvement renovation project.
The Center was not able to reduce its appropriations in FY'94 because, in an effort to control costs, the Department of Human Services reduced the reimbursement rate for Medicaid during FY'93. This meant an estimated $589,300 in reduced revolving fund revenue for the Center in FY'94. Instead of reducing the Center's appropriation for FY'94, the legislature increased its appropriation by $468,710 to help offset the projected shortfall.
For FY-95, the agency received an appropriation of $1,372,126, a 42.9% increase over the previous year, to help continue to offset the annualized shortfall from the previous previous year's Medicaid reductions.