MEDICAL SERVICES ADMINISTRATION.

LEGAL AUTHORITY

Act Num. 66 of June 22, 1978, as amended, known as the Puerto Rico Medical Services Administration Act created this Administration which became part of the Department of Health.


MISSION

To effectively, promptly, safely and respectfully provide clinically competent specialized health services to patients and consumer educational institutions. Likewise, to contribute to the preparation of health professionals serving as a teaching and scientific research facility whose objective is the well-being and health of the citizenship.


VISION

To make our mission a reality through individual and collective efforts expressed in terms of quality of service, efficiency and at the lowest possible cost.


ORGANIZATIONAL STRUCTURE

The Medical Services Administration (MSA) is comprised of the following organizational units:

  • Administration and Public Policy Committee
  • Engineering Department
  • Auxiliary Services Department
  • General Services Department
  • Medical Services Department
  • Medical Faculty
  • Participating Entities Board
  • Legal Assessment and Labor Relations Office
  • Internal Auditing
  • Institutional Information Management Office
  • Planning and Budget Office
  • Fiscal Resources Office
  • Human Resources
  • Patient Services and Community Relations Office
  • Security and Transportation Office
  • Office of the Executive Director

GEOGRAPHIC LOCATION

The Puerto Rico Medical Services Administration is located on the third floor of the Abigail Robles Building next to the Industrial Hospital in the Medical Center, Rio Piedras, San Juan.

PROGRAMMATIC STRUCTURE

POSITIONS FILLED

Authorized and Proposed Positions 2009 2010 2011 2012
Sept./08 Sept./09 Sept./10 Feb./11 Proj.

 

Total amount of positions 2,376 2,355 2,249 2,231 2,231

Data comes from the Agency's Certified Headcount Reports. Figures for Fiscal Year 2011-2012 were estimated during the budget formulation process.


PROGRAMS

General Management and Administration

Program Description

This program is comprised of managerial services and Medical Services Administration consultants. The managerial area has the following administrative offices: Human Resources, Institutional Information Management, Fiscal Resources, and Security and Transportation. The consulting offices are: Internal Auditing, Patient Services and Community Relations, the Organizational Performance Improvement Program and the Planning and Budget Office.


Objectives

  • Continue the implementation of the Billing and Collection Division restructuring plan intended to increase and maximize the collection of payments for services received in the Medical Service Administration.
  • Guarantee 100% collection for services provided with the terms of the Prompt Payment Act.
  • Complete the implementation of the Meditech modules: Admissions, Medical Records, Medical Appointments, Medical Order Registry, Imaging and Therapeutic Services, Laboratories, Operating Room Administration, Pharmacy, Materials Administration, Billing and General Accounting.
  • Complete 75% of the integration of the Meditech Information System between MSA and the Adult University Hospital (UDH) and the Pediatric University Hospital (HOPU).
  • Implement a reengineering and cost effectiveness program in the purchase of medications with a 20% discount.


Customers

Organizational units that comprise MSA and the institutions that form part of the Puerto Rico Medical Center


Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 86 83 81 77
Judges, Lawyers, and Legal Staff 3 3 3 3
Other staff 7 7 7 7
Total, Positions 96 93 91 87


Operation Services

Program Description

It includes all of the activities related to auxiliary, general, engineering and conservation services of MES physical structure. The auxiliary services consist of providing centralized food, clothing and building maintenance services. Included in general services are the following divisions: Purchasing, General Delivery Warehouses and Office Services. The physical structure includes engineering and the conservation of 31 facilities, the electrical systems (regular and emergency), air conditioning, medical gases, fire alarms, vapor (or steam) and drinking water.

Customers

Member institutions of the Medical Center

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 228 218 211 204
Other staff 164 164 159 154
Other Safety and Protection Staff 99 99 97 95
Maintenance and General Services Staff 221 205 191 182
Health Services 109 106 93 95
Total, Positions 821 792 751 730


Direct Medical Services to Patients

Program Description

This program encompasses the centralized medical services area, such as: the Trauma Hospital, the Mayaguez Stabilization Unit attached to the Rio Piedras Trauma Hospital, the "Cerebro-Vascular" and Neuro-Specialties Center Complex that includes: the Neuroendovascular Center, the Stroke Center, the Spinal Cord Center and the Gama Knife Center, the Emergency Room, the Operating Room, Implants, Pulmonary Function, External Clinics, Laboratories, Blood Bank, Radiology, Pathologic Anatomy, Hyperbaric Medicine, Biomedical Instrumentation, Sterile Deliveries, Field Medicine, Pharmacy and Poison Center. These medical services classified as tertiary and supra-tertiary are offered 24 hours per day, 365 days/per year. It is also in charge of implementing Agency rules, planning, organizing and directing activity related to service quality as well as research and medical education.


Statistical Data 2010 2011 2012

 

Medical-surgical interventions 13,510 16,920 13,510
Patients treated in emergency room 38,370 39,353 38,370
Patients treated in trauma hospital 16,227 17,039 17,090

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.


Customers

Medical Center Institutional patients


Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 205 231 224 221
Other staff 12 12 12 12
Maintenance and General Services Staff 0 4 3 3
Health Services 1,242 1,223 1,168 1,178
Total, Positions 1,459 1,470 1,407 1,414



FISCAL YEAR 2011-2012 ADOPTED BUDGET

The adopted consolidated budget for Fiscal Year 2011-2012 is $245,447,000. This funding includes: $17,710,000 from Special Appropiations-General Fund and $227,737,000 Revenues from Internal Sources.

Operational Expenses reflect a decrease of $14,246,000 when compared to the funds allocated in Fiscal Year 2010-2011. These funds were budgeted for ASEM's (Spanish acronym) capital improvements.

The Special Appropiations-General Fund will provide $1,700,000 for the Puerto Rico and Caribbean Vascular-Brain Center employee payroll, $10,460,000 to reinforce payroll expenses, $3,000,000 to purchase medications, supplies and others, and $3,000,000 for the Stabilization Unit for the Mayagez Trauma Center.

These funds will enable the Medical Services Administration to comply with its commitmentst: to provide specialized health services to patients, consumers and educational institutions efficiently, promptly and respectfully. Likewise, to provide the tools necessary for the preparation of health professionals, act as a teaching and scientific research setting intended to see to the well being and health of the general citizenship.

To carry out the capital improvement projects, the Medical Service Administration allocated $16,363,000 from Revenues of Internal Sources. Examples of these projects include: Trauma Hospital administrative offices, an Intensive Trauma patient waiting room, a cargo elevator in the central building, an External Clinic Waiting Room and an Emergency Room Orthopedic Room, among others. In addition, improvements will be made in the electrical system in several buildings and restoration of the electrical distribution system will be conducted throughout the Rio Piedras Medical Center including the installation of electrical generators, replacement and conditioning of air extractors, and the repair of sidewalks and curbs to comply with the American Disability Act - ADA among others.




SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2009 2010 2011 2012

 

Program  
Operational Expenses Actual Actual Budget Adopted
Direct Medical Services to Patients 126,531 119,274 157,862 149,151
General Management and Administration 6,786 8,499 7,392 7,968
Operation Services 61,948 60,173 78,076 71,965
Subtotal, Operational Expenses 195,265 187,946 243,330 229,084
 
Capital Improvements
Direct Medical Services to Patients 0 654 0 1,540
Operation Services 0 0 0 14,823
Subtotal, Capital Improvements 0 654 0 16,363
Total, Program 195,265 188,600 243,330 245,447
 
Funding Sources  
Operational Expenses  
Special Appropriations - General Fund 16,700 15,160 15,160 17,710
Revenues from Internal Sources 178,565 172,786 228,170 211,374
Subtotal, Operational Expenses 195,265 187,946 243,330 229,084
 
Capital Improvements  
Other Income 0 654 0 0
Revenues from Internal Sources 0 0 0 16,363
Subtotal, Capital Improvements 0 654 0 16,363
Total, Funding Sources 195,265 188,600 243,330 245,447
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 126,777 125,134 166,114 136,108
Rent and Utilities 8,637 8,802 8,637 8,802
Purchased Services 3,716 3,413 5,630 5,617
Donations, Subsidies, and Distributions 24,375 21,475 25,049 23,802
Professional Services 10,403 10,022 12,524 21,486
Other Expenses 9,498 13,167 10,384 12,879
Non Distributed Allocations 0 1,700 3,000 2,550
Equipment Purchases 4,877 572 5,001 10,001
Office Supplies and other Materials 6,982 3,661 6,991 7,839
Subtotal, Operational Expenses 195,265 187,946 243,330 229,084
 
Capital Improvements  
Capital Improvements Program 0 654 0 16,363
Subtotal, Capital Improvements 0 654 0 16,363
Total, Expense Category 195,265 188,600 243,330 245,447



SUMMARY OF RESOURCES BY PROGRAM

General Management and Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Revenues from Internal Sources 6,786 6,799 7,392 7,968
Special Appropriations - General Fund 0 1,700 0 0
Subtotal, Operational Expenses 6,786 8,499 7,392 7,968
Total, Funding Sources 6,786 8,499 7,392 7,968
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 5,806 5,938 6,334 6,638
Rent and Utilities 95 161 95 161
Purchased Services 80 96 108 105
Donations, Subsidies, and Distributions 89 94 99 140
Professional Services 607 443 646 708
Other Expenses 2 50 0 2
Non Distributed Allocations 0 1,700 0 0
Equipment Purchases 101 16 104 208
Office Supplies and other Materials 6 1 6 6
Subtotal, Operational Expenses 6,786 8,499 7,392 7,968
Total, Expense Category 6,786 8,499 7,392 7,968
 

Operation Services

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Revenues from Internal Sources 56,948 60,173 78,076 71,965
Special Appropriations - General Fund 5,000 0 0 0
Subtotal, Operational Expenses 61,948 60,173 78,076 71,965
 
Capital Improvements  
Revenues from Internal Sources 0 0 0 14,823
Subtotal, Capital Improvements 0 0 0 14,823
Total, Funding Sources 61,948 60,173 78,076 86,788
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 31,911 31,180 46,438 37,273
Rent and Utilities 7,931 8,090 7,931 8,090
Purchased Services 1,827 1,391 2,630 2,227
Donations, Subsidies, and Distributions 6,832 5,148 6,832 5,866
Professional Services 1,223 867 1,111 1,167
Other Expenses 9,444 12,396 10,316 12,755
Equipment Purchases 1,483 316 1,521 3,042
Office Supplies and other Materials 1,297 785 1,297 1,545
Subtotal, Operational Expenses 61,948 60,173 78,076 71,965
 
Capital Improvements  
Capital Improvements Program 0 0 0 14,823
Subtotal, Capital Improvements 0 0 0 14,823
Total, Expense Category 61,948 60,173 78,076 86,788
 

Direct Medical Services to Patients

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Revenues from Internal Sources 114,831 105,814 142,702 131,441
Special Appropriations - General Fund 11,700 13,460 15,160 17,710
Subtotal, Operational Expenses 126,531 119,274 157,862 149,151
 
Capital Improvements  
Other Income 0 654 0 0
Revenues from Internal Sources 0 0 0 1,540
Subtotal, Capital Improvements 0 654 0 1,540
Total, Funding Sources 126,531 119,928 157,862 150,691
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 89,060 88,016 113,342 92,197
Rent and Utilities 611 551 611 551
Purchased Services 1,809 1,926 2,892 3,285
Donations, Subsidies, and Distributions 17,454 16,233 18,118 17,796
Professional Services 8,573 8,712 10,767 19,611
Other Expenses 52 721 68 122
Non Distributed Allocations 0 0 3,000 2,550
Equipment Purchases 3,293 240 3,376 6,751
Office Supplies and other Materials 5,679 2,875 5,688 6,288
Subtotal, Operational Expenses 126,531 119,274 157,862 149,151
 
Capital Improvements  
Capital Improvements Program 0 654 0 1,540
Subtotal, Capital Improvements 0 654 0 1,540
Total, Expense Category 126,531 119,928 157,862 150,691