MEDICAL SERVICES ADMINISTRATION.


LEGAL AUTHORITY

Act 66 of June 22, 1978, as amended, known as the Puerto Rico Medical Services Administration Act created the 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 and 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.


ORGANIZATIONAL STRUCTURE

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

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.


Customers

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


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 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


Direct Medical Services to Patients

Program Description

This program encompasses the centralized medical services area, such as: the Trauma Hospital, the Mayaguez Stabilization Unit ascribed to the Rio Piedras Trauma Hospital, the "Cerebro-Vascular" and Neuro-Specialties Center 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 2011 2012 2013

 

Medical-surgical interventions 12,686 13,510 13,143
Patients treated in emergency room 32,182 38,370 38,370
Patients treated in trauma hospital 15,667 17,090 17,090

The statistical data was provided by the Agency during the Fiscal Year 2012-2013 budget formulation process.


Customers

Medical Center Institutional patients


FISCAL YEAR 2012-2013 ADOPTED BUDGET

The adopted consolidated budget for Fiscal Year 2012-2013 is $234,439,000. This amount includes $24,710,000 from the Special Appropriations General Fund and $209,729,000 in Revenues from Internal Sources.

Operational expenses reflect a increase of $5,355,000 when compared to funds assigned in fiscal year 2011-2012 This change is due to the allocation of resources for the completion of permanent improvements for the Stabilization Unit at the Mayagüez Trauma Center and due to adjustments in revenue projections.

Capital Improvement resources for fiscal year 2011-2012 were used for: Trauma Hospital's administrative offices, an intensive trauma's patient waiting room, a cargo elevator in the central building, an external clinic's waiting room and an orthopedic area at the emergency room. In addition, improvements were made in the electrical system of several buildings and a restoration of the electrical distribution system at 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.

Resources from the Special Appropiations-General Fund will provide $1,700,000 for The Puerto Rico and Caribbean Vascular-Brain Center's payroll, $13,010,000 for payroll expenses of the Río Piedras Medical Center, and $10,000,000 to complete improvements to the Trauma Centerin Mayagüez. These funds will enable the Medical Services Administration to comply with its commitments: 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 facility intended to see to the well-being and health of citizens.


SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2010 2011 2012 2013

 

Program  
Operational Expenses Actual Actual Budget Adopted
Direct Medical Services to Patients 119,274 116,742 149,151 145,654
General Management and Administration 8,499 7,063 7,968 8,057
Operation Services 60,173 60,885 71,965 80,728
Subtotal, Operational Expenses 187,946 184,690 229,084 234,439
 
Capital Improvements
Direct Medical Services to Patients 654 0 4,940 0
Operation Services 0 0 14,823 0
Subtotal, Capital Improvements 654 0 19,763 0
Total, Program 188,600 184,690 248,847 234,439
 
Funding Sources  
Operational Expenses  
Special Appropriations - General Fund 15,160 15,160 17,710 24,710
Revenues from Internal Sources 172,786 169,530 211,374 209,729
Subtotal, Operational Expenses 187,946 184,690 229,084 234,439
 
Capital Improvements  
Other Income 654 0 0 0
Public Improvements Fund 0 0 3,400 0
Revenues from Internal Sources 0 0 16,363 0
Subtotal, Capital Improvements 654 0 19,763 0
Total, Funding Sources 188,600 184,690 248,847 234,439
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 125,134 113,832 136,108 131,981
Rent and Utilities 8,802 9,484 8,802 10,108
Purchased Services 3,413 3,228 5,617 5,604
Donations, Subsidies, and Distributions 21,475 20,050 23,802 21,237
Professional Services 10,022 17,135 21,486 24,915
Other Expenses 13,167 10,165 12,879 13,120
Non Distributed Allocations 1,700 3,000 2,550 12,550
Equipment Purchases 572 4,882 10,001 8,000
Office Supplies and other Materials 3,661 2,914 7,839 6,917
Advertising and Media Expenses 0 0 0 7
Subtotal, Operational Expenses 187,946 184,690 229,084 234,439
 
Capital Improvements  
Capital Improvements Program 654 0 19,763 0
Subtotal, Capital Improvements 654 0 19,763 0
Total, Expense Category 188,600 184,690 248,847 234,439