Here is a copy of an email sent out to all employees of the Department of Health and Hospitals last Friday by DHH Secretary Bruce Greenstein:
October 22, 2010
Dear Colleagues:
Every time I write or meet with you, I hope that our discussions are focused on positive ways for us to do our jobs better and more effectively serve our state’s people. Today, we will do that, but we will also be tempered with our budget reality, the challenging economic times faced by our state and nation, and the real impact they will have on the DHH team. Indeed, since I came to Louisiana last month, I have seen the great devotion and passion each of you brings to your work and the value you add to our collective efforts.
Today, Governor Jindal issued an executive order announcing the state’s $106.7 million shortfall from the 2010 fiscal year and directed each of the state’s departments to take a hard look at our operations and find ways to work better, smarter and more efficiently. Our Governor has long been committed to providing the core health care services and programs that our residents need, while providing maximum value for taxpayers. But, today, like so many families in our state, DHH has to live within our means. We are faced with a $20.8 million reduction as part of this shortfall, and we examined our administrative operations as well as programmatic. Further, we have recognized a $50 million funding deficit in Medicaid caused by unfunded increases in utilization.
Facing our challenges head-on, I asked every office to fully review their budget and programs, remembering that our top priority is to protect and improve the public’s health. Starting with administrative staff, including my office, we focused our plan on consolidating functions and streamlining how we work, while considering every source of funding to offer the same services provided today at less cost.
Today, our plan to address this combined $70 million void in our budget includes Medicaid reductions, program consolidations and savings, facility closures or privatization and staff reductions. In Medicaid, a combination of reducing provider reimbursement rates, closing eligibility processing offices, eliminating the CommunityCare program, standardizing limits on emergency room visits for adults, and restructuring certain financing methods are part of our strategy to preserve access and focus funding on programs that truly improve the long-term health of enrollees.
In the Office of the Secretary, we reviewed our core functions and streamlined work flow to reduce our total positions. OAAS and OBH are making better use of federal funding sources, reducing administrative positions and consolidating regional management. OCDD will transition clients from Bayou Supports and Services Center to private providers and other state centers, as well as transition operations of four Leesville group homes to private providers. OPH will achieve savings by consolidating functions and management positions in regional and central offices, and most significantly, redistributing and reconfiguring staffing and services offered by several parish health units across the state.
These reductions, consolidations and reconfigurations of programs and services will lead to a reduction in staff. To alleviate the burden of this transition, a task force led by the assistant secretaries for each program office is working with DHH’s Human Resources Division and the Louisiana Department of Civil Service to ensure impacted employees are provided, whenever possible, opportunities to fill needed vacancies in other offices or departments. In addition, the transition task-force is exploring initiatives to encourage private providers to hire displaced state employees. Further, each office is working closely with every impacted staff member, family, provider and legislator to ensure we are communicating effectively and timely.
I wish the news today was better.
Our state continues to face tremendous financial challenges and will certainly face our greatest challenge yet next year. The responsibility we have to our residents cannot allow us to think and act the same. We must think differently and innovatively.
Soon, we will send you a news release that will fully explain our budget reductions and the impact on our state. If I or a member of my staff can answer questions or provide additional information, please contact us.
Sincerely,
Bruce
Below is the October 22 “General Notice of Impending Layoff” to DHH employees from Undersecretary Jerry Phillips:
In accordance with the requirements of Civil Service Rule 17.12 (s), general notice is hereby given of impending layoffs to be effective no later that January 30, 2011, in the Department of Health and Hospitals. Positions occupied by employees affected by the proposed layoffs are located statewide in all Offices of the Department.
Once the layoff plans have been approved by the Director of Civil Service, they will be made generally available to all employees. Each employee who is directly affected by any layoff will receive two individual notices prior to the effective date of the layoff.
Responsibilities of Employees Affected in a Layoff (Civil Service Rule 17.19):
The responsibility of employees affect in a layoff are listed below. This rule applies to active employees and includes employees who are on leave for any reason, on detail to special duty and on temporary interdepartmental assignment.
a) The employee shall read or otherwise make himself aware of agency-distributed information concerning the layoff.
b) The employee shall supply all informaton required by the agency to determine adjusted state service date in the format and by the deadline set by the agency. Failure to do so will result in the employee’s adjusted service date being set at the date of their most recent hire.
c) If the employee is absent from work, he shall provide to the personnel specified by his agency, correct and current information as required by the agency on how he may be reached at all times.
d) The employee shall respond to a relocation offer in a manner determined by the agency. Failure to do so shall be considered a declinaton of the offer.
e) For purposes of meeting the job qualifications of the relocation offer, an employee must have a grade from Civil Service only in the instance of an employee moving from a sub-professional level job to a professional level job. The employee must have the gradfe before the effective date of the layoff to be eligible for that position. The grade need not be active, it may be expired; however, it must be a grade for the test currently in use and must be verifiable.
f) Once an employee accepts or declines a relocation offer, the decision is final.
More information will be provided by LouisianaVoice as details emerge.


