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mm CRIPILCD Gwen's Cal-223510)!
DWRTIOR RMJDTETG THIS 1102mm HUME? OF THE mama CRDHED
CHILDREH'S canisszon FOP. BIKINI: 1953-55
Budget 1952-53:
State appropriation '3 1:119.975.00
Federal monumt 195,3hh.00
Total 3
Requested Bulget 1953-51
State apruzniation 700,000.00
Federal allot!th (Gate) 125,;hh.00
Total 895,3hh.00
i G 5 Q
Justication for the reoueate incrusu
The present budget of the Florida Crimad Children's Omission cannot meet
the rising; cost of medical care for the increased number or children seeking
our services. This is the only state agency giving medical aid surgical care
to children, and it is available only to indigent and parth indigent crippled
Children.
The request for an increased appropriation reects the inch cost of
medical and hospital care.
In View of the fact. that this is a medical care progrm, the greatest axpeme
is hospital care. "Ia do not om any hospitals or ccnvalesomt. homes, but this
service is purchased at a. negotiated rate. This rate includes board and
nursing care, operating roan, anesthetics, x-rlys, special drugs, and plveical
therapy. Per diem rate: range from 3.50 for convalescent care to 5510.00
for can.
At the present time, the rate paid hospitals in far below the actual coat of
their services to us. his presents a major problem as these institutions
can no longer afford to absorb the loss incurred on Omission patients. In
our last. scal year, 10 hospitals and convalescent homes were paid 556.30
per day less than it actually coat to give over-all care to crippled children.
For the E82313 deys' care given, it amounted to 011b,886.80
The Comiesion is were of the fact that beginning July 1, 1953, hospitals
met be paid their actual cost for services to crippled children. Unless
additional nd: are received, it. will mean that the nmnber of patients
hospitalized will be drastically reduced.
Inadequate state funds are needed care to many children. As of
Jamar-y l, 1953. these nds 1110: a daily average of approximately 198
patients in hospi tale and convalescent homes. Die waiting list of patients
needing this service is between 350 and too patients and there are
approximately 1450 bed: available in the institutions.
The incidence of polionyelitis during the current year hes amounted to
epidemic proportions, and time our service will be called upon by several
hundred additional patients. In addition to the smnt agent by local
chapters of the rational Foundation for Infantile Paralysis for medical
care to these patients, the Cor-mi seion spent £98,000 in 1951-52. County
Chapters cannot meet the full cost of these patients, so the load falls on
the Canission.
Anticipated increase in salaries 1:: a normal one as the full-time uployees
are under the State iierit Syste... The pert-tine medical personnel, even
though they are highly trained in their specialty of orthopedics, have had
no increase in salaries although the volume of work has greatly increased.
In an effort to encourage nancial participation by parents, medical social
workers are now employed by the Omission.
For the past four years we have been operating on the some annml state
budget of 1L50,(XJ0 in spite of tho 1:ct tint the state register of crippled
children has increased each year by more than 2,500 patients annually.
Tc date, there are here than 10,939 cripple
During the last fiscal year over 6,350 individual children were given some
service b_; the Commission personnel, and eppmximately 1,577 were hospitalised,
representing 69,1131; daye' care. The cost per child hospitalized was $277.75.
In 1953-5h we anticipate that cars will be rim to a ninimsn or 7,850 patients
at the prevailing cost of 15115 per patient for over-all care. The estimated
amount required will be 900,000 per nnmm. Based on the present snot-sent
of Federal Funds, 395.3% will be available per annum from Funds A and B.
PAGE 1
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TTideo-mi T s'.ate fund, are den:-i.:: .meder: r are to irray chi.dre-'.. :13 of si anuarr 1., l 3 3, t":.ese fare al j e -a daily m:gra ze of a---r;-:ox ~ r;a tel-; 136 1:.atiert:= 17. impitf.5 and cer.valesad :1c.nc.s lim -:aitir-g List of patients needia" s arvice is ,ett-reen 3:IG ard L20 patier.ts a tl:ero are -pref.rtin-1:r jdC 1,eds rzailable in tae -_astitutions. iracide-:ce of pi i cr.:rel j ti s dird .-the carrent year has a;-.ewited to epiir:-r_e pr --per tir-im :::1:! ta-s e-r.2 serv~ ce -:rLil de enla d upon by ::everal ?-122.1.: c.d..' i t i mr1 st~ er.ts a :IMi* i on to -.':ie ;,semi-. sp ent 5: -100-11 &sters -: Scat: m:.1 Fr.dmir. cr T-ifantle -rsrs!;'six r:.r --de;-.1 re t, !!-.ese Ent.ar.th tLe CC-".Min arent ~96,&]'l in 1991'. ~oeity .:rters ::ir.".ca tiret the :~i l ecst o'there a-,irrits se the load ic1~.s en -eticipe.t..c rcrossr, in salaries i.a nor:r.al ore as the fu'.1--,i-.r.E oleployees we uider '.e State ar~t 3:.rste.... -j'he raart-tire ii.edical resonnel, even -:cza tjya -:re higl:raind in ti::Gr spe:ci:llty of arth-pedits, have ind ne lac-ecc. ir. nalaries althoui;h the vo".irr.s o:" crir. has greatly increased. 3 an eff rt +.0 encrurnr:e f".r.a: r:tal participation by parcats -iodical accial --cr::ers :::-r rir erdays! by i he Cr-lierij.cn. er U:.e 710fum' :-NTs ':re -:ave han e perati nr an +2:e 3 -:ra a:ir.u-il :state -ir;et cf 1~--' 00 in sitte of tiv: fr.ct t~r.-.t the sta-e regi der of crit:pled -j idren :,:'.7 4,c re --M e ne:-er -r .-.ore t:.ar. 2, 330 pasi ei ta a.:rnil-7. e date, -!-.r:ra we r.--re t: ri 03,'339 cappler' e ildrer, or, i.he reg-ster, urire tix".E fi scal yacr over 6,-n~.' individ-.:a. children were dvc-n ce-ie r-rice b-5. -orr..-inica cemnrel, ane! araproximately 977 1 oro benitalized, rey:resent".nz 694% dy;s' ere. TM cost per child isospinnl ined ras 277.73. 953-5~. '. e :Intk-~1 :de tha c.--re -:ill l'e rjven to a in~nij"m 2..7,850 patients e +::2 pr-: V -: inr ec s t of 115 gr p-st! crit |-c r overall egre ~':-.e es e:sated r.c.-rit reim:irr-' ui'.' te 200,300 per anra::li. ased on the [-resr atletaett of ~-'e:Mrf F o's, a 3,3. Ji '." 11 12 :1Y-.. i).mi. -sr anr.un fro:': ~~rds :s arid F3. -?
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