Guam Memorial Hospital Authority (FY2010).pdf

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Gaam Memorial Hospitul AuthorityAturidflt Espet6t Mimurift Guflhan

850 GOV. CARLOS CAMACHO ROADOKA, TAMUNING, CUAM 96913

BOARD OFTRUSTEESOFFICIALRESOLUTION

No. 09-29

"RELATIVE TO THE APPROVAL OF FISCAL YEAR 2OIO FNANCIAL PLA]{'

I,VHEREAS, the Guam Mernorial Hospital Auttrority is a component unit of Government of Guam whose sole responsibiliry is toprovide and deliver quality health carc to the people of Guam notwithstanding one's financial ability; and

IIIHEREAS, the annual operational needs of the Hospial is translated into a financial plan that is driven by our mission statement; and

WHEREAS, for Fiscal Year 2010, the Hospital's management team has ascertained the operational needs of the Hospital is projectedto total Ninety-Nine Million Nine Hundred Ninety-One Thousand Eight Hundred Fifty dollars ($99,991,850,00); and

WEEREAS, Hospital management has determined the cost of providing quality medical care is conversely relative to the number ofpatients seen at the Hospital; and

IfiHEREAS, the Hospital recorded a dramatic increase of patient encounters between Fiscal Year 2006 to 2007 of four thousand(4,000) with such influx remained steady in Fiscal Year 2008, with the outlook of Fiscal Year 2009 to be comparable and thusrealistically it is expected that patient capacity levels for 2010 will most likely be maximized; and

IAHEREAS, as the island preparcs for the imminent military buildup, the impact of the accompanylng required auxiliary personnel

could possibly manifest in the increase of patient encounters; and

WHEREAS, the continuity and viability of the proposed 2010 financial plan will weigh heavily upon the Hospital's continuedimproved collection efforts and operational efficiencies; and

IIIHEREAS, the Board of Trustee Planning and Finance Committee has considered the Hospital's proposed 2010 financial plan and

recorrunends the Board of Trustees approve the funding level as recommended by Hospital management as mandated in Section 80115of l0 Guam Code Annotated in which the Hospital suhmit a financial plan to the f rrtr eslatursn Cuahan; now therefore be it

RESOLWD the Board of Trustees directs management and staffto sustain efforts to improve the financial position of the Hospital inorder to meet the expected heatth needs of our community; and, be it further

EESOLYED, the Board of Trustees hereby adopts the Fiscal Year 2010 Financial Plan as submitted by Hospital management and

forwarded by the Planning and Finance Committee; and be it further

RESOLVED that the Board of Trustee Chairperson certify to and the Board of Trustee Secrelary attest the adoption hereof and thatcopies of the same be transmitted to the Honorable Felix P- Camacho, I Magu'Lahen Gaahanl and to the Honorable Michael W.Cruz, M.D., f Segundu na Mega'Lahen Gualran; and to the Honorable Judy Wonpat, Speaker f Mina' Bente Neubi Nu LigeslaturanGualrun.

DULY AND REGULARLY ADOPTED ON THIS 29TH DAY OF JANUARY 2009,

R. MORTERAChairperson, Board of Trustees

IIIItIIIItT

IIIIIIIt

Government ofGuamFiscal Year 2010

Budget Digest

IBBMRBD"U

Function: HEALTIIAgency: GUAM Mf,'MORIAL HOSPITAL AUTHORITY

Program: GRAND TOTAL - SUMMARY

PERSONNEL Sf,RVICES

111 Resular Salaries/Increments $,10.315,019 $41.394.573 ${1,9$,6413,235,U6

$63,1 $$.006.761

ltz Overtime/Special PaY 8,148,08s 4.835.744

113 Benefits 11.275.944 12,776,81( 22,OOl

$65846,8881 $Es,ls! s{ $66.032,&Atotnl prnsoNN EL sERvlcES $s9,739,049 $59.007.13:

OPf,RATIONS

tnlVnl- Om-tsland/l-ocal Mileage Reimbun $1E4,765 $38J23 $170,33s $( $( sr70.335220

230 CONTRACTUAL SERVICES: 9,240,55t 9,457,M;3 7,|J69,6U 3t81"3

s()FFICE SPACE RENTAL:

iuppnrs & MATERTAI-s: 13.497.{|6l 15,782,646 7,015,344 8,366,16! $rsJ81,509240

676,825 1,215,992 734234 512,25( sr.246.48i2s0 EOUIPMENT:

270 IVORKERS COMPENSATION$(

nnucirsrrxciuno 2s,Ofi 23,000 $2:

$0280 iult-Rl,clrrlN r/su

UISCNIIANEOUS: 36-i-78! I,170,5U9 t.269.61! 40,2011 s1J09,815

TOTALOPERATIONS s23.94993 $27,689,603 $16.282.t 37 $( $12,200,0m

UTILITIES$2,240,197

325.741

s2.641.2s81 $( $0 $2.641.2s6361

39140{ 395,40t s39s,40?3A363

Water/ Sewer 476,004434.69r

TOTAL UTILITIES $2,984,834 $3.198,006 s3.512.671 $t $01 $1,s12,671

Patient Revenues

Bioterrorism GrantPharm Fund/GRTTotal Funding

$87,706,695$85'1ss

$87'706'69s$85'1s5

$12,200,m0 $12'200'filo$99'991'850

FULLTIME EQUTVA

PAGE: A-1000001

Government of GuamFiscal Year 2010

Budget Digest

IBBMRBD-ll

Function: HEALTHAgency: Guam Memorial llospital Authority

Program: ADMINISTRATM DMSION - TOTAL

tt cl t)|*:|*

A5400Account

Code Anoropriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governors Kequesr

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

DSTTNNFI. Str'RVICESs- l- rias/f s545.827 $557,322 $554,130 st $ol $554,130

1113,308 0 0l $!lt2

113 Benefits 141.890 140.651 t71,O2r 0 $171,021

TOTAL PERSONNEL SERVICES $691.025 $697,973 $725.15r $0 $01 $725,151

OPERATIONS$39,753 ${ $20,790 $01 $0 $20,790

220 TRAVEL- Off-lsland/Local Mileage Reimbu n

230 CONTRACTUAL SERVICES: 1,619,668 l,609,7ll r.818,80( 0 $l,utu,6uu

233 DFFICE SPACE RENTAL: 0 0 ${

240 ]UPPLIES & MATERIALS: 19.206 77,t| 99,041 0 $99,04?

EOUIPMENT: 4,055 5,200 7,150 0 $7.1502s0

270 WORKERS COMPENSATION 0 0 $(

271 DRUG TESTING/1\{RO 0 0 $0

0 0 $0280 SUB-RECIPIENT/SUBGRANT:

38.693 67,800 92,032 0 $92.032290 VITSCELLANEOUS:

TOTAL OPERATIONS $1,721,37s $1,759,E3|J s2.037.819 $0 $( $2.037.81i

I ITII ITIF,S

36r36236]

$01 $0 $0 $0 ti0 s0

tr/ 0 0 0 $|l

Teleohone/ Toll 0 0 0 $(

${ ${ $0 $0 $01 $0TOTAL UTILI]TES

TOTAL APPROPRIATIONS

Government of GuarnFiscal Year 2010

Budget Digest

[BBMRBD-U

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: OPERATIONS DMSION - TOTAL

UTILITIf,S36r Power s2213.96i 92351,62',, $2,624,978 s( $( $2,624,974

362 Water/ Sewer 325J4r 395,40t 39s401 $39s.40t

363 Telenhone/ Toll 383,591 380981 368p07 $368J0'

TOTAL UTILITIES $2.923J00 s3.128.016 $3J89,292 $( s0 $3389.292

ItIIIIIIIIIIIIlIIIT

A B ( D fr F

A5400Account

Code Annrooriation Classifi cation

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

F"Y 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

F'Y 2010

Total Req,(c+D+f,,)

PERSONNEL SERVICESlll Regular Salaries/Increments $4.057.621 $4.036.791 $4J95,480 $63.154 $( $4.4!d!OJ1

rt2 0vertime/Special Pay 782.71 562,700 191.073 $191,071

113 Benefits 1,292,754 1,462,652 l,655,141 22,001 $r.o .t4)

TOTAL PERSOI{Nf, L SERVICES $6.r33.088 s6.062.143 $6241.694 $85,rs! $0 $6326.84

OPERATIONS220 IRAVEL Off-Island/Local Mileaqe Reimbun $39,613 s( $27,201 s0 $( s27

230 CONTRACTUAL SERVICES: 2.176.1O4 2,81r,73( 1.561,59: I.274,66-' $2836J60

233 )FFICE SPACE Rf,NTAL: $(

240 iUPPLIES & MATERIALS: 908,037 1,292,146 98sf5t 294,500 $r280,3st

250 OQUIPMENT: 7t252 237,06n 237.37r $237J7(

270 WORKERS COMPENSATION $(

271 DRUG TESTING/IVIRO 0 25,000 23.000 $23.000

28Q SUB-RECIPIENT/SUBGRANI : ${

290 MISCELLANEOUS: 136,135 270288 397,135 $97.r3!

TOTALOPERATIONS $3J31.141 $4.636.224 $3,232,15( $0 $1.569,167 $4,801,32:

FULL TIME EQUIVALENCIES

3/3/2009PAGE: A-3

000005


Budget Digest

IBBMR BD-U

Function: HEALTIIAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SERVICES DMSION - TOTAL

E {, t) E

AS4OO

AccountCode Aporopriation Classifi cation

FY 2008

Expend &Encumb

FY 2009

Authorizedf*vel

Governor's Request

F Y 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PI,RSOI\NEL SERVICES

lll Regular Salaries/Increments $3.166.174 $320s.87( $3.269,89r $l $l $3269.89r

ll2 Overtime/Special Pay $250,154 91,11( 62916 62,91(

l13 Benefits 98081' t.052Jrr 1.139.538 t.lJv,5Jr

TOTAL PERSONNEL SERVICES s4391,24r 54J49.30r s4,472345 $( ${ s4.472345

OPERATIONS220 TRAVEL Off-Island/Local Mileaqe Reimburr $133s6 $0 $28.820 $( $( $28,82{

230 CONTRACTUAL SI]RVICES: l2l7.lJ3 1J58,231 1.541.21! 2s0$2{ l,792,o3a

233 OFFICE SPACE Rf,NTAL: 0

240 SUPPLIES & MATERIALS: 138.27t 151.00( 251.731 251,73)

250 )UIPMENT: l12,6t4 2$,02n 278974 278975

280 JUB-RECIPIENT/SUBGRANT:

290 I{ISCELI,ANEOUS: 14.889 89,07{ 8r.60! 8r,605

TOTALOPERATIONS $1.496,26J $r.89rJ2r s2.r82,341 $l $250,8201 $2,433,16i

UTILITIES361 Power $0 s0 $0 ${ ${ $0

362 Water/ Sewer

363 Telephone/ Toll 3sJ04 53.710 107.099 107.099

TOTAL UTILITIES $35J04 $53,71{ s107,099 $( $t $107.099

FULL TIME EQUIVA

IIIIIttIIIIIIIIIIII


Budget Digest

IBBMRBD-l]

Function: HEALTIIAgency: GUAMMEMORIALHOSPITALAUTHORITYProgram: MEDICAL DMSION - TOTAL

UTILITIES36r Power $( ${ $( $( ${

362 Water/ Sewer

363 Telephone/ TollTOTALUTILITIES ${ s( $t $0 $0

s D E F

AS4OO

AccountCode Approoriation Classifi cation

FY 2008

f,xpend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(C+IFE)

PERSONNEL SERVICI,Slll Resular Salaries/Increments $8523.26( $9.s44,931 $l2E78J6i ${ $0 12.878.961

ttz Overtime/Special Pay 133.01! 3,791 46.751 46,751

113 Benefits 1,489,671 1s81.69i 2.559.255 z,55vl!l

TOTAL PERSOI{NI,L SERVICES $r0.r4s.956 $l1.430.422 $15.484,98{ $( $( r5.484.98{

OPERATIONS220 IRAVEL Off-Island/Local Milease Reimbur $24,284 s( $12.00( $l 12.0

230 CONTRACTUAL SERVICES: l,gl4,4l t.60rf,65: 1.505.9t: 66.000 l,57l93!

233 OFFICE SPACE RENTAL: 0

240 TUPPLIES & MATI,RIALS: r2l.s63 l25,E2E 8,491 tt232r 120.825

2s0 EOUIPMENT: 856J 60( l,l 3[ 0 6,60{ 7J3t

280 SUB-RECIPIf, NT/SUBGRANT: 0 0

290 MISCELLANEOUS: 63,75( 750( 4,181 1,000 5,189

TOTALOPERATIONS $2.032.58r $1,734,56: $1.531,759 $( $185,92t 1.717,687

3/3/2009PAGE: A-5

000009


Budget Digest

IBBMRBD-rl

Function: HEALTHAgency: GUAM Mf,MORIAL HOSPITAL AUTHORITYProgram: NURSING SERVICES DMSION - TOTAL

B f) t,

A5400Account

Code Appropriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

PERSONNEL SERVICf,Slll Resular Salaries/Increments s17.443.7U $17238,58t $l9.60r,9ril $0 s( $19.601,910

tl2 Overtime/Special Pay 5.129449 3$34,254 222r.887 2,221,88i

113 Benefits s,411,744 5,934,074 6.667,424

TOTAL PERSONNEL SERVICf, S s27.984,912 s26206,9r4 s28.49t.221 ${ $01 s28,49r,22r

OPERATIONS220 TRAVEL Off-lsland/Local Mileage Reimburr $6J93 ${ $0 $( $01

230 CONTRACTUAL SERVICES: 760982 29584 8l0o 1,30t 9,70t

233 DFFICE SPACE RENTAL:

240 ]UPPLIES & MATERIALS: 3,878,585 3516,279 52,693 3.381.46( 3,434,151

250 EOUIPMENT: 327.46t 299$4n 58,66J 244,12! 303J94

280 SUB-RI CIPIENT/SUBGRANT: 0

290 MISCELLANEOUS: 14271 s4s26l s59,474 s59,474

TOTAL OPf,RATIONS $4.987,700 $4390.r64 s679,23t $( $3.627,499 $4306.734

UTILITIES36t Power $( $( $0 $l $( $0

362 Water/ Sewer 0 0

363 Telenhone/ Toll u

TOTAL UTILIIIUS $0 $0 $( $0I $01 $(

CAPITALOUTLAY

FULL TIME EQUIVA


Budget Digest

[BBMR BD-TI

Function: HEALTIIAgency: GUAM MEMORIAL IIOSPITAL AUTHORITYProgram: PROFISSIONAL SUPPORT DMSION - TOTAL

A e -T u | f, I r

A5400

AccountCode Appropriation Classification

F"Y 2008

Expend &Encumb

FY 2009

AuthorizedLevel

uovernors Kequssl

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.

(c+D+E)

PERSONNNL SERVICES

lll Resular Salaries/Increments $6.57E.4r2 s6.81r,064 s1.243,229 $( $01 s7243,225

ltz Overtime/Special PaY r849,44r 1.143.EE3 713.014 113,0u

113 Benefits 1,959,914 2J05,431 2.515.255

TOTAL PERSONNNL SERVICES $10386.82' $10260J7t $r0.s31.49t $0 $01 $10531,498

OPERATIONS

220 TRAVEL- Off-lsland/Local Mileage Reimburs. $6lJ6z $38J23 $81525 ${

r,6s2254 2$47,162 633,665 1.688.590 23222s.230 CON'I'RAC I UAL SlrlLv lul-s:

233 DFFICf, SPACE RENTAL:

240 TUPPLIES & MATERIALS: 8.431.393 10.620.274 5,617,518 4,577,871 10.195389

4l l.Es9250 EOUIPMENT: rs2873 381.072 150,934 26ttryza

280 SUB.RECIPIENT/SUBGRANT: 0 0

290 MISCELLANf,OUS: 96,041 190,67{ 135,18( 39.20{ tT4JEri

TOTALOPERATIONS $10J9J.924 s13.277,501 $6.618,822 $01 $6,s66,s8( $13.185,40t

ITINS

361 Power $26,2301 $16,28( $16,28( $ol $o $16.28{

362 Water/ Sewer 0 0 0

363 Teleohone/ TollTOTALUTILITIES $26230 $r6,28{ $16,280 $t $ol $1618(

FT]LL TIME EQUIVALENCINS


Budget Digest

IBBMR BD-II

Function: HEALTHAgency: Guam Memorial Ilospital Authority

Program: ADMINISTRATM' DMSION - SUMMARY

UTILITIES361 Power $0 $( $t $0 $0 $0

36;2 Water/ Sewer0 $[

363 Telenhone/ Toll 0 $(

TOTAL UTILITIES $( $( $0 ${ $0 $(

1/ Specify Fund Source

T

IT

IItIIT

ItttIIIIII

A B D U

AS4OO

AccountCode Anoropriation Classifi cation

F"r 200E

Expend &Encumb

r"r 2009

AuthorizedI-evel

Governor's Request

r"r 2010

GMHARevenues

r"r 2010

Federalf,'und(s)

FY 2010

PharmFund

r"r 2010

Total Req.(C+D+E)

PERSONNEL SERVICES

111 Resula r Salaries/Increments $s4s,827 $5s7.322 $554,130 s{ $0 $554,130

tt2 Overtime/Special Pay 3,30r 0 0 $0

ll3 Benefits 141.89( 140,651 r7t,02l $171,021

TOTAL PERSONNEL Sf,,RVICES $691,02s $697.973 $725.1s1 $0 $01 $725,1sr

OPERATIONS

220 TRAVEL Off-lsland/Local lVlileage Reimbun. $39,753 SO $20.790 ${ $( $20,79{

230 CONTRACTUAL SERWCES: 1.619.668 1.609,711 1.El8.E00 0 $r.818.800

233 DFFICE SPACE RENTAL: $0

240 ]UPPLIES & MATERIALS: 19,206 77,119 99,O41 0 $99,04?

250 EQUIPMENT: 4,05! 5,20( 7.150 0 $7.15{

270 ilORKERS COMPENSATION 0 $0

271 DRUG TESTING/MRO$0

2E0 ]UB-Rf, ,CIPIf, ,NT/SUBGRANT :${

290 MISCELLANEOUS: 38,693 67.800 92,O32 $92,032

TOTAL OPERATIONS $r.72r375 $1,7s9,830 s2.037.819 $( $01 $2,037,819

FULL TIME EOUIVALENCIf,S

3/3/200900001 5

TABLEOFCONTENTSDECISION

PACKAGE

Page

BUDGET

DIGEST

Page

TRAVEL

SCHAPage

SCH B-F

Page

EQUIP/SPACE

Page

PROPOSED

SRAFFING

Page

CURRENT

STAFFING

Page

ADMINISTRATION DIVISION

8610 Admin

8710 Med Staff

8792 EEO

B-',1t2

B-13t14

B-21t22

B-3

B-15

B-23

B-gt1',|

B-18

8,-26

B-12

B-19

B-27

B-12

B-20

B-28

B-4t5 8-6/8

B-'t6 B-17

B-24 B-25

000016

IBBMRDP-l|Decision Package

FY 2010

Department: GUAM MEMORIAL HOSPITAL Division/Section: ADMINISTRATION(8610)

IIIItIIItIItIIIItII

Activity Description:To provide leadership direction and management accountability for overall Hospital Operations.

Hospital operations in relation to Strategic Plan as developed and approved by Hospital's Board of Trustees'

ent Performance Improvement Programs to achieve quality patient care outcomes'

full accountability to the Hospital's Board of Trustees, it's patients, and the people of Guam'

HOSPITAL ADMINISTRATION

Major Objective(s):ilinhitting an environment of overall safety and quality patient care and services'

Attainment of recognition from the Joint Commission (JC)'

Realization of the Financial Management Improvement Plan as coordinated by the United States Department of

Interior.Attainment of a full complement of physician workforce to meet the expectations of the island's medical

necessities.

Implementation of the Hospital's Strategic Plan as approved by the Hospital's Board of Trustees'

intain medical certification with the Center of Medicare and Medicaid Services (CMS).

the Hospital sustains compliance with all requirements, federal and local in nature, such as the Annual

Medicare Cost Report, the Annual Single Audit, etc.

nsure the Hospital maintain and improve upon the daily operations as mandated by the Hospital's enabling

legislation.

Realization of additional Federal funding.

o accomplish goals and strategies for 2009 as set fourth in the Hospital operational Plan'

Ensure the availability of maximum resources to support attainment of established objectives'

PNNTONNNINCE IMPROVEMENT PROGRAM

Activity Description:performance lmprovement involves using a PDCA methodology that identihes problematic areas, strategizing on

improvement opportunities, implementing these opportunities, and evaluating whether improvement did occur' It

is a continuous cycle with constant monitoring. performance improvement also integrates the standards of the Joint

ommission. such as the National Patient Safety Goals. Performance Improvement also enhances cost-saving/

inment measures by identifiing these problematic areas and strategizing an improvement process'

PAGE: B-1000017

o provide performance improvement training to all directors, as indicated in the Joint Commission (JC) Standard.

T

II

GoaI:Directors will grasp the concept of performance improvement and incorporate this process in their work activities.By understanding the process of performance improvement, directors will be able to identify problematic areas,develop a team to identify opportunities for improvement, and implement these opportunities. Using this processwill allow directors to perform a cost analysis, which will eventually lead to a cost-saving measure.

Workload Output

Workload Indicator: FY 2008Level of Accomplishment

FY 2009Anticipated Level

FY 2010Projected Level

IIIIIttItIItIIII

3Rt2009PAGE: B-2

000018

Function:

Agency:Program:


Budget Digest

HEALTHGuam Memorial Hospital AuthorityAdiministrative Division - HOSPITAL ADMINISTRATION (8610)

B tl n F

A5400Account


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Requesl

F"Y 2010

GMHARevenues

F Y 2010

FederalFund(s)

F"Y 2010

PharmFund

FY 2010

Total Req.{C+D+E)

PERSONNEL SERVICES

lll Regular SalarieVlncrements 439,198 s443,724 $440,515 $0 $( $440,51!

tlz Overtime/Special Pay 3,132 $(

113 Benefits '|.08,724 r07.549 $135.7r4 135,71:

TOTAL PERSONNEL SERVICES $551,0s4 $551.273 s576,23( ${ $( $576,23(

OPERATIONS220 TRAVEL- Off-Islrnd/Local Milense Reimburs. 39,753 $( 17,972 $( $( $17,972

230 :ONTRACTUAL SERVICES: 1,615,561 1.601"50( 1,786,00{ 0 1.7E6.00r

233 DFFICE SPACE RDNTAL:

240 SUPPLIES & MATERIALS: 15.742 71.000 92,25{ 0 92,251

2s0 EQUIPMENT: 4,05! 5,200 2,651 2,650

280 IUB-RECIPIENT/SUBGRANT: 0

290 VIISCELLANEOUS: 36.{ | 1 64,00( 90,232 90,232

TOTAL OPERATIONS s1,711,223 $r,741,700 $1.9E9.104 $0 ${ $1,989,104

UTILITIES361 Power $( $0 ${ ${ ${ ${

362 Water/ Sewer

363 Telenhone/ Toll 0

TOTAL UTILITIES $0 $t $0 $( $( s{

CAPITALOUTLAY


IBBMR TA-11

ItIIIIIIIIIIIIIII

Schedule A - Off-Island Travel

Department: Guam Memorial Hospitat AuthorityDivision: AdministrationProgram: HOSPITAL ADMINISTRATION (S610)

It

Purpose / Justification for Travell]onfbrencesponsoredbytheNationalAssociationforHealthcareQua@:egard quality care and the Joint Commission's standards on Organizational Performance Improvementrnd the National Patient Safetv Goals.

Travel Date: September/ October 2O09 No. of Travelers: 4

Position Title of Traveler(s) Air Fare Per diem Reqistration Total CostBoard of Trustees - PI Chairperson - PI 2,50Q 193 80( 3,493Performance Improvement CoordinatorPI 2,50Q r93 80( 3,493Quality Management Administrator - pl 2,504 193 80c 3,493Risk Manager - PI 2.500 193 80c 3,493

Purpose / Justification for TravelTraining: Conference/ SeminarAHAP Annual Conference

Travel Date: No. of Travelers: I

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost3ompliance Officer - JC 4,000

Purpose / Justification for Travel

Travel Date: N--fTravele-rs:

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost

3/s/2009

PAGE: B-4

000020

Purpose / Justification for TffYg!

Iravel Date: No. of Travelers:

Position Title of Traveler(s) Air Fare Per diem Reqistration Total Cost

Purpose / Justification for

Air FarePosition Title of Traveler(s)

$ 17,972.00

1/ provide justification for multiple travelers attending the same conference / training / etc.

2/ Rates must be consistent with Titte 5 GCA, Div.2,Ch.23, $23104 and federal Joint Travel Regulations

Hospital Administration (861 0)BBMR96A

IIIIIIIIIIItIIII

Schedule B-Contractual

Schedule G - ies & Materials

III

Patient Safetv - alert bands - pl

aa20a9PAGE:8-6

IIIIIItIIItIItItII

Schedule E - MiscellaneousFunded in

SIJB TOTAL JC

PAGE: B-7000023

lV & Radiopharmaceutical

(JC SOC ProjecULife Safety)llFund Reouest)

Total Capitat Ouflay

T

IIIItIttIT

ItIItIt

3t3t2009PAGE:B-8

ru

000024

ItttIIIIIT

T

tIT

ttItt


BudgetEquipment / Capital and Space Requirement

Agcncy: Guam Memorial Hospital AuthorityFunction: HealthProgram: Administrative Division - HOSPITAL ADMINISTRATION (8610)

IBBMR EL1I

EOU IPMENT/CAPITAL LISTING:

Description QuantityPercent g€ of

Use

Asset I ag No. orSerial No. Comments

;ommemorlourre

BOOKCASE.5 SHELF WOOD 100 qdministration

BOOKCASE. PRESS WOOD CREAM J 100 {dministration

BOOKCASE. WOOD 3 SHELVES 100 No Tae {ACEO - Camacho

]OOKCASE. WOOD 3 SHELVES 100 No Tas

]OOKCASE. WOOD 3 SHELVES 1 100 No Tag

]ABINET. STORAGE STEEL STANDING 100 Production Room

]ABINET. STORACE WOOD I 100 Reception Area

]ABINETS. FILING2 DOOR 4 100 Administration

]ABINETS. FILING 2 DOOR 4 100 Administration

]ABINETS. FILING 2 DOOR I 100 1300r050M002 Comnliance

]ABINETS. FILING4 DOOR 7 100 A.dministration

SABINETS. FILING4 DOOR 2 t00630101050M003;M630101050M004 {ursins - Mandaoat

3ABINETS. FILING 4 DOOR I 100 1610242: 89101 Professional Supporl

CABINETS. FILING 4 DOOR I 00 il2001s0M002

]ABINETS. FILING 5 DOOR J 100 Administration

]HAIRS. CONFERENCE 4 I00 rlo Tag I{ACEO - Camacho

]HAIRS, CONFERENCE 00 rlo Tae

]HAIRS. E)GCUTIVE HI.BACK t2 100 Joard Room

]HAIRS. STEEL 30 100 loard Room

]HAIRS. WAITING WOODEN J 100 {eception Area

]HAIRS" WAITING WOODEN 100 {AMS - Stadler

]HAIRS. WAITING WOODEN 2 100 A.dministration

]HAIRS. WAITING WOODEN 100 BS - Taitano

]HAIRS. WAITING WOODEN z 100

]HAIRS. WAITING WOODEN I 00 EEO - Villavicencio

]HAIRS. WAITING WOODEN 100 AA - Mandapal

]HAIRS. WAITING WOODEN 2 100 HNS2 - Eustaquio

-HAIRS. WAITING WOODEN 100

]LOCK. WALL 100 {dministration

IOFFEE MAKER. DRIP THERMO 8 CUP 00 leceotion Area

]OFFEE MAKER" DRIP 8 CUP 100 LeceDtion Area

]OMPUTER. LAPTOP 100 i13 I IEO - Camacho 3MRP

]OMPUTER. LAPTOP 100 132

3MRP(50%), Loaner'507n) Aflasue/Perez 3MRP

:OMPUTER. LAPTOP 100 r099

HNS2 - Eustaquio(Compliance) VledStaff

^nMPIITFR PiC 00 i702

COMPUTER. PC 100 No Tae \AMS - Stadler

COMPUTER. PC 100 tlo Tas

]OMPUTER. PC 100 575 I \39

]OMPUTER. PC 100 ;l 19 Administration IBPG

]OMPUTER. PC 100 3EO - Villlavicencio

]OMPUTER, PC 100 5887 BS - Taitano

]OMPUTER PC I 100 rlo Tas AA - Mandapat \ss

]OMPUTER. PC I 100 1450 AA - McCollum

]OMPUTER. PC I 100 1693 AA - Ouinto \sg

SOMPUTER. PC I r00 3480557840 I 3 I AAIDE - Calvo

COMPUTER. PC I 100 vIC - V.Aflaeue

]OMPUTER. PC I 100 t463 {eceotion

3/3/2009PAGE: &9

000025


Budget

IBBMRELII

T

tT

IIIIIIIItIItIIII

Equipment / Capital and Space Requirement

Administrative - HOSPITAL ADMINISTRATION I

]OMPUTER PC 00 PC - Perez :Y06

JOMPUTER. PC 00 t43l ReDositorv]OMPUTER. PC I 00 l/.460 WC - Nursine Admin.]OPIER/SCANNER/PRINTER XEROX I 00 )-3824233100]REDENZA, EXECUTIVE I 00 i0012425829 HACEO - Camacho]REDENZA, E)GCUTIVE I 00 )1367)ESK. CUBICLE I 00 Vacant)ESK, CUBICLE I 00 Vacant)ESK, CUBICLE I 00 Vacant

DESK, CUBICLE I 100

Across from BoardSecretarv

DESK. CUBICLE l 100 ReDositorv

DESK, CUBICLE AND CHAIR I r00 {A - McCollum

vfl?lI36102530220101

DESK, CUBICLE AND CTIAIR I 100 {,AIDE - Calvo16102530520)o2

DESK, CUBICLE AND CHAIR 100 VIC - V.Aflaeue :hair No TagDESK, CUBICLE ANDCHAIR 100 \A - ()uinto)ESK, EXECUTIVE LONG 4 DRAWER 100 5001 194608E -IACEO - Camacho)ESK, EXECUTIVE LONG 4 DRAWER r00 J1346)ESK, WOOD & CHAIR 100

)ESK. WOOD& CHAIR I 100 )1635 \dministrationuIatl1370976/,

)ESK, WOOD & CHAIR 00 )1356 EEO - Villavicencio lhair No Tao)ESK. WOOD & CHAIR 00 AA - Mandaoat 1357DESK, WOOD & CHAIR 00 \lursinsDESK. WOOD&CHAIR 00 \Io Tas HNS2 - EustaouioDESK, WOOD & CHAIR 00 PC - PerezDESK, WOOD L-SHAPE & C}IAIR 00 AAMS - StadlerDESK, WOOD L.SHAPE & CFIAIR 100 r960 3S - TaitanoDESK, WOOD L-SHAPE & C}IAIR 100 ,643 WC - NursineDESK. WOODL-SHAPE & CHAIR t00 1360 WC - NuminsFLAG & POLE. GUAM 100 loard Room:LAG & POLE. U.S 100 loard Room

\4ONITOR COMPUTER 100 332KD323C10186\4ONITOR COMPUTER 100 No Tae AAMS - StadlerI1ONI I'OTI- COMPUTER 100 )40050300345\4ONITO& COMPUTER 100 5884 \sg\4ONITOR. COMPUTER 100 tl l9s Administration {BPGVIONITOR, COMPUTER 100 3430575410087 EEO - VilllavicencioVIUNIIOR, COMPUTER 100 t887 BS - TaitanoVIONITOR. COMPUTER 100 ,.41686 {A- Mandapal \sgMONITOR COMPUTER 100 t4802226316 AA- McCollumMONITOR, COMPUTER 100 )3874 qA - Ouinto \sg\,{ONITOR. COMPUTER 100 )4466 {AIDE - CalvoV{ONITOR. COMPUTER 100 MC - V.Aflapue

\,IONITOR COMPUTER I 100 |32KD323C10503 teception\4ONITOR. COMPUTER I 100 )C - Perez\4ONI'I'Oll- COMPUTER I 100 248050300344 ffC - Nursine AdminVfONITOR, COMPUTER I 100 tenositorv]VEN, MICROWAVE 1OOO WAT"TS I 100 \lo Tas \dministration

POSTAGE MACHINE, NEOPOST I 100PRINTER- COMPUTER 100PRINTER. COMPUTER 100 r480578410033 A,AMS - Stadler

3/3/2009PAGE: &10

IIIIIT

IIItIIIItIIII



[BBMREL1I

313t2009

PRINTER. COMPUTER 100 fl20PRINTER. COMPUTER 100 \sg

PRINTER COMPUTER 100 )4955 Administmtion

)RINTERCOMPUTER 100 847087210207 IEO - Villlavicencio,RINTERCOMPUTER 100 BS - Taitano

,RINTERCOMPUTER 100 8480057840298 AA - Mandapat '.|sg

]RINTER. COMPUTER 100 CNBSJ6999O AA - McCollum

]RINTER. COMPUTER 100 848087220209 AA - Ouinto ,,lsg

?RINTER COMPUTER 100 03620 AAIDE - Calvo

PRINTER. COMPUTER 100 MC - V.Aflague

PRINTER COMPUTER 100 Reception

PRINTER. COMPUTER 00 )C - Perez

PRINTERCOMPUTER 00 J3620 leDositorv

REFRIGERATOR(8 CF) 00 l-158 Administration

SORTER, STANDING IO-TRAYS J 100 A.dministration

JORTER. STANDING I8-TRAYS I 100 Adminisfiation

TABLE. OFFICE CONFERENCE I 100 )1347 HACEO - Camacho

IABLE. OFFICE CONFERENCE 100 )1350

f ABLES. MEETING CONFERENCE 2 100 loard Room

WATER DISPENSING MACHINE 100 {eceotion Area

:OMPT]TER/ PC 100fl

IELEPHONE 25

Shared Telephone with Medical Telemetry

Unit Supervisorfl

KEROXMACHINE I 50 Network connection to Administration Office PI

)RINTER t JU

Shared printer with Medical Telemetry Unit

Suoervisor)l

?APER SHREDDER I 25)l

Total ProgramSoace (Sq. Ft): 96

Total ProgramSpace Occupied

(Sq. Fr):

Description SO FT

Percent ofTotal

ProgramSpace Comments

Jffice space 96 50

Shared office space with Medical Telemetry

Unit Supervisorrl

PAGE: &11

AGENCY: Guam Memorial Hospital Authority

ADMINISTRATIVE DIVISION . HOSPITAL ADMINISTRATION .8610

ADMINISTRATIVE DIVISION. HOSPITAL ADMINISTRATION . 8610

Government of GuamAgency Staffing Pattern

Page: B-12

II

(BBMR SP-1)

000028

II

l/: ru !00E (currDt) Gvculhcortrbrtur tu!Lft tnrurfte t $l?4 p*mui Sublea b chsF h ry208

3/3/2009

. Nighi Dil€MaLrl / H.nldo$ / Worlcr" Cohp€hrrtutr / etc.

U: [Y 2008 (cuftnt) evcqm strtilbutlob for Lift herucc i! $U4 Fr rmm; Subisr to dege tn Fy 20t9

' Ntlht Difiemfl / Hsnlour / Wo.k f r CoDlmstuD / .ft.

I I I I r I I I I I I I I I I

ItIIIIIIIIIItIItIII

Guam Memorial Hospital AuthoritYDecision Package

FY 2010

DEPARTMENT: Guam Memorial Hospital DIVISION/SECTION : Administration/ Medical Services

PROGRAM TITILE: Medical Staff

ACTIVITY DESGRIPTION:

Provide trained administrative, secretarial, clerical and related support services to the President

of the Medical Staff, Quarterly Medical Staff Meetings, Medical Executive Committee meetings,

Bylaws Committee meetingi, Credentials Committee meetings, Pharmacy -& Therapeutics

Cbmmittee meetings, Prof6ssional Library Committee meetings, Special Care Committee

meetings, Tumor 6oard meetings, Tissue & Transfusion Committee meetings, Institutional

Review Board Commiftee meetings, Code 72 Committee meetings, Board of Trustees Joint

Advisory and Conference Committee meetings, as well as all Medical Staff Department meetings,

and other Medical Staff Ad Hoc Committee meetings. The Medical Staff Office manages'

coordinates and maintains the Credentialing Process and files for all Practitioners with hospital

privileges. Coordinate revisions, mainten-ance and distribution of the GMHA Medical Staff'eytawl,

Fair Hearing Plan, Medical Staff Rules & Regulations, Medical Staff Departmental Rules

and Regulations, a-nd Delineation/Privilege Forms for the seven Medical Staff Departments.

euery aiO report to the federally mandated National Practitioners Data Bank (NPDB) and Health

Care Integrity Protection Data Bank (HIPDB).

MAJOR OBJEGTIVE (S):

To achieve Joint Commission Accreditation for GMH, and comply with all Medical Staff

Standards. To insure that all practitioners meet the criteria set forth by the Medical Staff Bylaws

for hospital privileging. To continue to participate in the implementation and maintenance of the

Hospital's Ouatity-nEsurance/lmprovement Plan and its goals to achieve.JC. accreditation.

Coniinually evaluate and refine the administrative support system for the_Medical Staff with the

Medical Eiecutive Committee in an effort to support the dynamics of the Medical Staff Office and

the Medical Staff as a whole. To develop and refine policies and procedures for the Medical Staff

Departments, Medical Staff credentialing, and Medical Staff Office. Coordinate with other

Hospital departments as they relate to the Medical Staff review process, physician re-

appointment and appointment, performance evaluation and hospital policies.

sHoRT TERM GOAL (S):

\A/ill continue to implement the Medical Staff Office new physician orientation program. Work with

CVO to insure Medical Staff Credentials compliance with Joint Commission Standards.

lmplement (FPPE/OPPEE) Focused Professional Practice Evaluation and Ongoing Professionalpractice Evaluation for all initial appointments and re-appointments to the Medical Staff. Ensure

31312009

Page: B-20

000029

that all Medical Staff Departments review and refine individual Departmental Rules andRegulations, and Departmental Policy/Procedure manuals. Ensure that all Medical Staff JCstandards are implemented and maintained throughout the Fy2010.

WORKLOAD OUTPUT:

Workload Indicator FY2008Level of

Accomnlishmenf

FY2009Anticipated

Level

FY2010Projected

LevelMedical Staff Applications Processed 210 204 204Meetings Coordinated and Staffed 230 225 225Medical Staff Hearings/lnvestigations 0 0 0

Medical Staff BylawsRevisions/Distributions

1 12 12

Page: B-21

000030


Budget Digest

[BBMRBD.U

Function: HEALTHAgency: Guam Memorial Hospital AuthorityProgram: ADMIN DIV-MEDfCAL STAFF (87f0)

I t D

AS400

AccountCode Aoorooriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governol's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(sl

FY 2010

PharmFund

F'Y ZOIU

Total Req,(c+D+[,)

PERSONNEL SERVICES

lll Regular Salaries/Increments 58,001 $61,936 $61,9s: sl $( $61,95:

tlz 0vertime/Special Pay 177 0 ${

l13 B€nefrts 17.907 19,680 $19.561 19,561

TOTAL PERSONNEL SERVTCES te $81,6r( $81.51t $( s( $81,51[

OPERATIONS

220 TRAVEL- Off-Island/Local Mileage Reimbr $( $( $( s(

230 CONTRACTUAL SERVICES: 4,107 8,211 32,80( 32,80(

233 )FFICE SPACE RENTAL:

240 iUPPLIES& MATERIALS: 3,327 6,000 6,60( 6,60{

250 EOUIPMENT: 4,500 4,50t

280 ;UB.RECIPTENT/SUBGRANT:

290 I{ISCELLANEOUS: 58' l,800 1.80( 1.80(

TOTAL OPERA 'IONS $E. $t6,0ll $45.70{ $( $( s45,70(

UTILITI[,S361 Power $( $( s( $( $( $(

362 Water/ Sewer

J6J Teleohone/ TollTOTAL UTILITIES $( $l $( $( $l $(


Travel Date: No. of Travelers:


$ $ $


Department: GUAM MEMORIAL HOSPITAL AUTHORITYDivision: ADMINISTRATIONProgram: MEDICAL STAFF (3710)

IBBMR TA-U

TOTALI $

IIIIIIIIIIIII

l/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2rCh.23, 523104 and federal Joint Travel Regulations

IIIIII


Date: No. of Travelers: *

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost$ $ $ $$ s $ s

PAGE: B-23

000032

& Materials

tItIIIIIItIIIItIIIT

Government of GuamFiscal Year 2010 Budget

Equipment / Capitat and Space Requirement

Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: MEDICAL STAFF (S7f0)

IBBMR EL-rl

EQU I PMf, NT/CAPITAL L t$f tNG :,

Descriotion I Ouantitv+ Percentage ofUse CommentsJeu ucsKlop Lomputer Ll lae# 6328JeIl uesKIoD Monltor I Iag# 8440-26366Q-0005rxNr ucsKlop Lomputef fw# 5932nyunoal rmage Uuest L,esktoD Monitor las#HP Laserjet 6P tas# 61740703606Dell Desktop Computer Optiplex GX520 fag#ueil L,esKtop Monttor Tas,# 6228HP Laseriet I 160 Printer Iag # 8480-252877-0001

Total ProgramSpace (Sq. tr't ): 695

TotalProgram

SpaceOccupied{Sn I'f l.

Description Square FeetPercent ofTotalProsrnm Snccp Comments

Jltlce area 69s

PAGE: B-25

000034

IIIIGuam Memorial Hospital Authority

rIIGovemment of Guam

Agency Staffing Pattern

I r r r III(BBMR SP-1)

r I I

ADMINISTRATIVE DIVISION - tUledical Staff '8710

* Nigbl DiffcErhl / t{e|rdou! / Work ." CoDPt$.ibtr / etc.

t/: IY 2008 (cffrcol) Goicum contribution for Litc ltrru.mce b $17{ p€r mnumi Suhid to cLegc h IY 2009

ADMINISTRATIVE DIVISION - llledical Staff '8710

. Ni:ht DffirEtrtul / Hszardo$ / Wotk r" ConP.ntdbr / etc.

Ur trY 2s08 (current) Govcum coDtrlbuti!,D for Lit! Inrrrsce it $r7{ I€r uuDi Subiect to clsgc b I^Y 2l}lr

3/3/2009

Page: B-26

III

Decision PackageFY 2010

Department: Guam Memorial Hospital Authoritv Division/Section: Admin - EEO Offic.eTitle: Equal Em nt I

T

IIIT

IT

IIIIIIII

Activity Description:

To ensure equal employment opportunities for all applicants and employees without regards to race,religion, color, sex, including suuol harassment and orientation, notionol

-origin, ag€,

physicaUmental disahility, mnritol status, political affiiatinn und retuliation; To provide qualityservices to applicants, employees, patients and visitors with any sexual harassment concerns orcomplaints; To provide quality services to people with disabilities who have any ADA concerns orcomplaints; To ensure that volunteers are aware of the guidelines of the hospital'sVolunteer/Volunteen Program. That applicants are interviewed and screened to assure suitabilityprior to being assigned to an area where he/she wishes to be assigned to and whether applicant iswilling and able to perform tasks assigned; To conduct a Staff Satisfaction Survey every six (6)months to find out how our valued employees feel about their job satisfaction, -orale, recognitionand future here at GMHA; To conduct an exit interview on employees terminating employmentwith GMHA to obtain comments and opinions conceming

- working conditions, iersonnel

management programs and practices, which may be contributing to employee dissatisfaction and/orexcessive turnover and to get suggestions for improvement.

Major Objective(s): To continue providing updates to staff and management on EEO, SexualHarassment, and ADA to assure non discrimination in employment for applicants and employees,and access to our programs, services and activities for people with disabilities.

Short Term Goal(s): To review and revise the Hospital's Affirmative Action plan, policies andprocedures on EEO, Sexual Harassment, and the ADA.

To continue to monitor the selection and promotions of all applicants and training opportunities toensure that they are non-discriminatory.

To continue to advise employees of their rights on Equal Employment Opportunity, SexualHarassment and ADA, as the need arises.

To continue to provide General Orientation on EEO, Sexual Harassment and ADA to newemployees on a monthly basis.

To continue to provide annual mandatory training, via Safety Fair on Sexual Harassment to allemployees.

To continue to provide confidential counseling and guidance to employees and applicants withEEO, Sexual Harassment and ADA complaints.

To continue to monitor and analyzethe utilization of women and minorities in the workplace to99-ply with the policy of the Office of Federal Contractor's Compliance program, Honolulu,Hawaii.

3t3t20a9Page:827

000036

ItIIIIItIItItIIIIIt

Proposed Budget Plan FY 2010 - EEO

willins and able to tasks assi

Page2 oI2

To continue to assist the Department of Administration conduct counseling services and/or

investigation of discrimination complaints at various GovGuam Agencies. At least one (1) per

quarter.

To continue conducting Exit Interviews on employees terminating employment with GMH to obtain

comments and opinio-ns concerning working conditions, personnel management programs and

practices, and suggestions for improvement.

To continue to provide the Hospital Administrator and Department Managers on a quarterly basis

the Exit Interview Summary which includes significant matters, opinions, or suggestions concerning

the various aspects of the operation, work environment and personnel practices which may be

contributing to employee dissatisfaction and/or excessive turnover.

To continue conducting a Staff Satisfaction Survey every 6 months as a way to find out how our

valued employees feel"about job satisfaction, morale, recognition and their future here at GMHA'

A summary oith. survey wilibe provided to the hospital administrator, management and staff'

To continue to ensure that volunteers/volunteens are aware of the guidelines of the hospital's

volunteerAy'olunteen program. That applicants are interviewed and screened to assure suitability

prior to being assigned tJ an areawhere he/she wishes to be assigned to and whether applicant is

F"r 2010Projected Level


F"r 2008Level of

Workload Indicator

l. EEO Complaints10 -Non-EEO

375 Interviews394Interviews

6% of95049 Exit Interviews4. Exit Interviews

4 Counseling2 Counseling

75

Applicants50

Applicants(11 to present)

48Applicants Processed

7. Coordinates In-HouseVolunteer/Volunteen

10 Trainings10 Trainings10 Trainings(Conducted during

General Orientation.

8. Conducts trainingon EEO, Sexual

Harassment & ADA.

3/3/2009

Page: B28000037


Budget Digest

IBBMRBD-rl

Function: HEALTHAgency: Guam Memorial Hospital AuthorityProgram: ADMIN DtV - f,EO (8792)

UTILITIES361 Power $( $0 $01 $0 $01 ${362 Water/ Sewer 0 0363 Telephone/ Toll 0 0 0

TOTAL UTILITIES ${ $0 ${ $0 $0 ${

A B t. t) tl F

AS4OO


F r 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's RequestFY 2010

GMHARevenues

F"r 2010

tr'ederal

f,'und(s)

FY 2010

Pharmtr'und

FY 2010

Total Req.(C+I}|E)

PERSONNEL SERVICf,Sltl Regular Salaries/Increm ents 48,621 s51.662 $sr.662 ${ ${ s51.66tttz Overtlme/Special Pay113 Benefits r5.25{ 13422 st5,74l ls,74l

TOTAL PERSONNEL SERVICES 63,88: $65,084 $67.40: $0 ${ $67.40:

OPERATIONS220 IRAVEL- Off-Island/Local Milease Reimburs. $0 $2,81t $0t $0 $2,Ert

230 CONTRACTUAL SERVICES: s{

233 OF'FICE SPACE RENTAL:0

240 JUPPLIES & I}IATERIALS: 13G ll9 $197 191

250 EQUIPMENT: 0 $0 0

280 ]UB-RECIPIENT/SUBGRANT:

290 VIISCELLANEOUS: 2,00( 2,00( ${ 0 0

TOTALOPERATIONS $2,r36 $2,119 $3,015 ${ $( $.0r5


3t3t2009

PAGE: B-29000038

IIIIIIIIII

IBBMR TA-U


Department: GUAM MEMORIAL HOSPITAL AUTHORITYDivision: ADMINISTRATIONProgram: EQUAL EMPLOYMENT OPPORTUNITY (8792)

AI.; I s 2,818.00

l/ provide justification for multiple travelers attending the same conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

IIIIIIIIt


To enhance my knowledge and skills on Equal Employment Opportunity in order to be a great asset to

applicants, employees and management.

Travel Date:


Equal Employment Opportunity Officer $1,800 109 x 2 days $800 $2,818

$


Travel Date:

-

No. of 'I'ravelers:


$ $ $ $

s s $ $

PAGE: B-30

Equal Employment Opportunity (gt92lSchedule B-Contractual

UnitPrice

TotalPrice

:unded in FY 2009?Item Quantitv Yes No

o.0(

Schedule E - Miscellaneous

Schedule F -Unit

PriceTotalPrice

runded in FY 2009?rtem euantitv Yes No

0.01

PAGE: B-31


trquipment / Capital and Space Requirement

f,'unction : Health

Agency: Guam Memorial Hospital AuthorityProgram: Administrative - EQUAL EMPLOYMENT OPPORTUNITY (8792)

[BBMRELII

EOI ] IPMENT/CAPITAL LISTING:.Description Quantity Percentase of Use Comments

,-omnuter. PC I 10001 My compurer

really old and so slow. I

need a newone to conunue

meeting the HosPital's

mlsslon ot prouomgquarlly Equemploymenloppomrnnyfor all applicants and

employees.

Total ProgramSnace (Sq. Ft.): 120

Total Program SPace

Occupied (Sq. Ft.):

Description Souare Feet

Percent ofTotalProsram Space Comments

Offrce area t20 10001 120


ADMINISTMTIVE DIVISION . EEO .8792

U: F Y 2008 (Corntrt) Govcue satributbn for Ltfc tr.rrrbcc i! $lt4 pe, MMi Srbjd b chng€ tn tr.f 2009

ADMINISTRATIVE DIVISION . EEO.8792

3/3/2009


Page: B-33

IT

000042

I

(BBMR SP-1)

* Night DtreEDlirl / flu!ftlou / Work /. ComPcurdotr / €b

* Nilhr Dffi.rcDtid / Hsrdo$ / Worler,s CobD.u.doD / ctc,

V: fY 2000 (cumt) covcw oDiribu{oD tor Ltrc InrursF ir $17.t pcr enui Subjd b cbuge iD Fy 2009

I I I I I I I I I I I I r I I I

Gov€rnment ofcuamFiscal Year 2010

Budgct Digest

IBBMRBDTI

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITY

Program: OPERATIONS DMSION - SUMMARY

UTILITIES36t Power $r.9s0"841 s2,016,152 $2.380.478 $UI DU

362 Water/ Sewer 325.741 395.4081 | 39s,40?

363 Telenhone/ Toll 3$,59r 380,981 368,907 368,90?

Gasoline for Motor Vehicles 16,444 17,160 r9,50t

Boiler and Emergency Generitor Fuel 246,681 257,716 225,00( 225,00(

TOTAL UTILITIES $2.923,30t $3.128,01( $:,.389,29' $ol $ol $3,3!2,2e7

IttttIttIItIIIIIItI

1/ SpecifY Fund Source

,t B C D t1,

AS400

AccountCode Aoorooriation Classilication

F Y 2008

Expend &Encumb

F"Y 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

Fv 2010

FederalFund(s)

FY 2010

PharmFund

r"Y 2010

Total Req.(C+D+E)

PERSONNEL SERVICES

llt Resular SalariesAncrements $4.057,621 s4.036.791 $4.395,48t s63,154 DU $4,458,634

rt2 Overtime/Special PaY 1A2-71: 562,70( 19t.073 0 0l 191,07:

113 Benefits r,292,754 t.462.652 1.655.141 22.001 1,677,r42

TOTAL PERSONNEL SERVICES $6.133,088 s6.062.r43 s6,241,694 $85.155 $0 $6,326,849


TABLE OFCONTENTSDECISION

PACKAGEPage

BUDGET

DIGEST

Page

TRAVELSCHAPage

SCHB-FPage

EQr.nPlSPACE

Page

PROPOSED

SRAFFING

Page

CURRENT

STAFFING

Page

OPERATIONS DIVISION

8380 CSR

8400 Materials

8421 Safety

8422 Security

8440 Housekeeping

8460 Facilities

Facilities - SNF

8470 Comm Ctr

8630 Guest Relations

8791 Planning

8650 Human Res

c-1

c-7

c-15

c-21

c-28

c-38

c-54

c€0

c€5

c-71

C-2 C-3 C4t4a C-5

c-8 c-9 C-10t11 C-12

c-16 C-17 C-18 C-19

c-22 C-23 C-24 C-25

c-29 C-30 C-31 C_32

c-39 C40t42 C43t46 C-47

c-51 c-52t53

c-55 C-56 C-57 C-58

C-61 C-62 C-63 C-63a

c-66 C-67 C-68 C-69

c-72 C-73 C-74t75 C-76

c€ c€

c-13 C-14

c-20 c-20

c-26 C-27

c-33t34 C-3s/36

c48t49 C-50

c-59

c-64

c-70

c-77

c-59

c€4

c-70

c-77

IIItIIIIIIIIIIIItII

3t3t2009000044

Decision PackageF',Y2O10

IBBMR DP-l|

OPERATIONS/CSRDivision/Section:Department: GMHA

IIIttIIIT

ItIIIIIT

II

TitIe: CENTRAL SUPPLY AND RECEIVING

Central ;a €Atrfig ts responsible for the cleaning, decontaminating,

sterilizing of surgical procedural trays, equipment and supplies to be used in the sterile process'

ality sterilization process to all

nursing units to service our patients. Will maintain responsive and competent interpersonal relationship with all

icing unit of the hospital.

ck (NIS) and low in stock

LIS) to absolute minimum. To work with all Hospital Departments to improve communication channels to improve

distribution and inventory management and control through established materials management procedures'

ACTIVE LOADS STERILIZED

,{NTITY OF SUPPLIES ISSUED 46,732

ROUTINE SUPPLY REPLENISHING

PAGE: C-1000045


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: OPERATIONS DMSION- CENTRAL SUppLy(&tSO)

IBBMRBD-l|

B D !,

AS400

Account


F r 2008

Expend &Encumb

['Y 2009

Authorized

Level

Goventor's Reouaqt

FY 2010

GMHARevenues

['Y 2010

Federal

Ftrn.l,.)

FY 2010

Pharm

Fund

FY 2010

Total Req.(c+D+El

PERSONNEL SERYICISlll Regular SNlarieYlncrcments 275,188 $286,551 st04,991 $l s( *t04,993ll2 Overtime/Special Pay 43,333 43,393 fl0,0fi 30.00{l13 Benefits 90,590 99,tt61 $rrsJ37 115,33?

TOTAL PERSONNEL SERVICES 413.111 $429,811 $4s0.330 $( $( $4s0.330

OPERATIONS220 IRAVEL Off-Island./Local Mileage Reimburs. 0 ${ s{ ${ ${ $(

230 ]ONTRACTUAL SERVICES: 0 24,871 24,87(

233 OT'FICE SPACE RXNTAL: 0

240 JUPPLIES & MATERIALS: 47,754 40,251 32,404 34,50( 6,904

250 EQUIPMENT: 32,75( 37,03( 37,031

2n'UB-RECIPIf,

NT/SUBGRANT : 0

29n VIISCELLANEOUS: 0 9,143 5,29( s.291

TOTAL OPERATIONS 47,7il $82.143 $99,59r $t *,4,5{X $134094

UTILITIES361 Power $( ${ $( $( s( $(362 Water/ Sewer

363 Telepbone/ Toll

TOTAL UTILITIES s( $( s{ $( $( s(

U Speciry Fund Source

313t2009 PAGE: C-2 000046

IIItIIIIIItIIIIIIII


I)epartment: Guam Memorial Hospital Authority

Division: ADMINISTRATWESUPPORTProgram: OPERATIONS DIVISION - CENTRAL SUPPLY & RECEMNG

IBBMR TA-11

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc'

2/ Rates must be consistent with Title 5 GcA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

/ Justifrcation for Travel

Position Title of Traveler(s)

I .lusfifrcation for Travel

No. of Travelers:

-

*

Total CostTitle of Traveler(s

/ Justification for Travel

No. of Travelers:

-

*

PAGE: C-3000047

CENTRAL SUppLy AND RECEIVING ( 83S0 )

Supplies - OthersNon Chargeable Supplies - OthersOffice

PAGE: C-4

000048

PAGE: C-4


BudgetEquipment / Capital and Space Requiremcnt

Function : HealthAgency: Guam Memorial llospital AuthorityProgram: OPERATIONS DMSION - Centrat Suppty & Receiving (83t0)

IBBMRELII

ttIIIIIIIIItIIIIIII

EQU IPMENT/CAPITAL LISTING:Description Ouantity Percentaqe ofUse Comments

ENTERAL FEEDING PUMP 44 60EXT{AUST HOOD (CLEAN AIR DEVICE) 100FLI]ME EXTIAUST 100]EAT THERAPY PUMP t2 30NFANT TRANSPORT INCUBATOR SYS 100NFUSION PUMP 20 100NSTRUMENT WASHER 00]XYGENMONITOR 00PORTABLE SUCTION PUMP 00STEAM STERILIZER J 00SYRINGE PUMP 2 00VOLUMETRIC INFUSION PUMP-TRIPLE 25 00VOLUMETRIC INFUSION PUMP-DUAL 28 00VOLUMETRIC INFUSION PUMP.SINGLE 9l 00SUPPLY SHELF-ROLLING METAL l4 00]ABINET-FIIE LATERAL 3-DRAWER 4 100RACK-WRAPPER HANGING 2 r00]ART-EXCHANGE NURSE SERVER 18 100]ART-ISOLATION l 70]ART-AUTOCLAVE J 100]ART-UTILITY 100]HAIRS 100IABLE-S/S METAL 4 100]ASKET-AUTOCLAVE w/ CARRIAGE 2 100]OMPUTER-PC I 80]OMPUTER-TERMINAL IBM I 80PRINTER-HP LJ I3OO 80PRINTER-HP LJ 6P 80

}PACE REQUTREMENTfor Personnel and Eouiomcnt/Crnitf, ll

Total ProgramSpace (Sq. Ft): 5.065

Total Program Space 5,065Occupied (Sq. Ft ):

Description Square FeetPercent of TotalProgram Soace Comments

3ENTRAL SUPPLY 4,348 100 CSR need more space for equip., shelves & working areaLINEN 640 100 CSR need more space for shelves to stock linen]FFICE SPACE 77 100 \eed more space

313t2009PAGE: C-5

000050

OPERATIONS D]VISION . CSR.8380

r NiCht Ditferedttd / Hu.rdou. / Woilar" Cohp€ntrft! / eb'

I IITIAGENCY: Guam Memorial Hospital Authority

III I I IIIGovernment of Guam


I I rII(BBMR SP.1)

I

t/: trY 200t (cuEnt) Govc|m conltibfriotr for Lile toturmce ir $l?{ Dcr enm; Subiect ru chilr lr trY 2009

ADMINISTRATIVE SUPPORT DIVISION. CSR. 8380

* Nrght DfeEtrdrl / H&*dou / Worktr'! compeB.tur / elc'

U: trY 200E {currcnl) Govcus onlrlbutiil for Life htrilcc i! S l7'l lxr mnui SubJect to chsgc hFY 1009

31312009Page: C-6

000051

Department: Guam Memorial Hospital

IBBMR DP-l|Decision Package

FY 2010

Division/Section: OPERATIONS/MATERIALS MANAGEMENT

Activity Description: Materials Management oepartment is responsiile for all supplies. equipment an<

and services required for the everyday operations ofthe Hospital in the proper quality and quantity and at the properlocation consistent with the facility's standard of care and in the most cost efficient manner.

:-term Goals: Materials Management shall reviewcollaboration with customeq patients, personnel whenever possible. Expand existing perfromance

lmprovement program review and evaluate the effeciveness ofthe procurement, processing and distributionto more effectively and efficiently meet the Hospital's mission.

Workload Output

Workload Indicator: FY 2008Level of Accomplishmenl

r"r 2009Anticipated Level

F"f 2010 ProjectedIevel

Jpecial Requisitions Processed 1,466 1,613 1,694

Purchase Orders Processed 4,499 5,038 7,032

Quantity of Supplies Issued 79,399 6E.768 72,206

Quantity of Supplies Received 22,017 15,204 15,964

II

tIttIIII

IIIItIIII

Major Objective(s): Management shall create, implement in systems of procuremenlprocessing and distribution so that the facility's objectives can be accomplished in the most cost efficient mannerpossible. Materials Management will enhance its current systems whenever possible and strive to develop newmethods of meeting the facility's strategic goals and objectives, placing the need of those whom we serve aboveall other variables.

aa2ao9

Page: C-7


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: OPERATIONS DIVISIOII\ ' Materials Management (8400)

IBBMR BD.U

UTILITIf,S361 Power SO S( $( s{ $t $0

362 Water/ Sewer

363 TeleDhone/ TollTOTAL UTILITIES $( ${ $( $0 $( s(

B l)

A5400Account

Code Aonrooriation Classilication

FY 2008

f,xpend &Encumb

F Y 2009

AuthorizedLevel

Governor's Request

F Y 2010

GMHARevenues

FY 2010

FedenlFund(s)

FY 2010

PharmFund

F r 2010

Total Req.(c+D+E)

PERSONNEL SERVICES

nl Rpular Salaris/lncrements 511.920 $556,360 $586,590 $( s( $586,590

tt2 Overtime/Special Pay 27,864 23,379 s27,000 27.004

l13 Benelits 156.27t 181,952 s246,979 246,979

TOTAL PERSONNEL SERVICES 696,05 $761,69t $860,s69 $t ${ s860,569

OPERATIONS220 f RAVEL- Off-lsland/Local illileage Reimbr 0 $t $95( s( $( $9s0

nn 'ONTRACTUAL SERVICf,S: 277,98' 230.s0( $221.641J

23J OFFICf, SPACE RENTAL:

240 iUPPLIES & MATERIALS: 22,441 27,995 $3J.920 33,92(

250 EOUIPMENT: 5,43( $l 14,510 ll4,5t0

280 tIJB-RECIPIf, NT/SUBGRANT: 0

290 MISCELLANEOUS: 14, 21.445 $21,255 2r255

TOTAL OPERATIONS 320,51t $279940 $392275 ${ $r60,ooo $ss2,27s

t/ Specifr Fund Source

IBBMRTA-rlSchedule A - Off-Island Travel

Fiscal Year 2010Department: Guam Memorial Hospital AuthorityDivision: OPERATIONSDMSIONProgram: MATERIALSMANAGEMENTDEPARTMENT(8400)

TOTAL | $

1/ Provide justification for multiple travclers attending the same confercnce / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, g23104 and federal Joint Travel Regulations

3t3t2oog


ravel Date: No. of Travelers:


$ $ $ $


Date: No. of Travelers:

losition Title of Traveler(s) Air Fare Per diem Registration Total Cost

$- $- $ $


Date: No. ofTravelers:

losition Title of Traveler(s) Air Fare Per diem Registration Total Cost

$ $ $ $

Purpose / Justification for TravelFair, Square, and Legal, 2lrom legal liability and eliminate or minimize court action through greater awareness and with more effectivelhoices. Learn proper investigation techniques, and court approved progressive disciptineary action prior tolismissal of employee, etc.rrav€t uate: uctober zuug

Position Title of Traveler(s) Air Fare

No. ofTravelers: 2

Per diem Registration Total CostAssistant Supply Management Admin. 475$buyer rupervrsor $_ S_ $ 475 s 47s

Page: C-9

000054

IttII

BBMR96A

GUAM MEMORIAL HOSPITAL AUTHORINMATERIALS MANAGEMENT DEPARTMENT (8400

Schedule B- Gontractua

Total ContractualIIIIT

tIIItIItt

Ex-H/D (60"W X 24"D X 72"H

Page: C-10

Stack & Hano Polv fi4.75" X 5.5" X

Hand Truck, Steel 3-way dconv Dutro

Industrial Grade Steel Personnel 3-unit

IIIIIIIIIIIIIIIIII

000056 I

Page: C-11



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: OPERATIONS DMSION - MATERIAL MANAGEMENT

[BBMRELTI

EOUTPMENT/CAPITAL LIST.ING iDescription Quantity Percentace of Use Comments

:e Desk 2.5'x4' Stock Control Ofc-l',lew

Office Chair, H/D w/o arm1 Stock Control otc-New

lffice Cubical / Dividers Modular 1 2 rocurement ofc

ro File Svstem. Hiqh-Densitv,| I

=i. 4.1'l'*l 4li ore Verti.rl I eoal Procurement Ofc

Storaoe Container 40' Aluminum 2 For stock ovenlows

Sofa, 3-seater darms & side table anached 1 2

fable, Conference w/ 8 chairs 1 )rocurement Conf Rm

2 :or mailinq & shiPPing

Qrrlio 2-wev Hand-held'1s-mile ranqe 1 2 =mero Backuo Comm

lvoewriter HDz

I

Stacker/Lifter-Elec{ric 1I ,lew Warehouse spa@

1 1 New Warehouse spa@

Fnrklift 5000 LBS CaD 2.5 Ton elec 1 1 Replacement

Sfretving, extra Heavy-Duty (60'W X 24"D X 7 2"H)97 1 Pharmacv Warehouse

Shelvino. Closed Commerial Steel 85" 2C

Shetving, Closed Commerial Steel Extra H/D (36'W( 24"D X 75"H) 5( 1 New Warehouse space

3ulk Rack-Extra Hiqh Capacitv 121 1 New Warehouse space

Pallets+las'trc' Recvcted 2500# cap 2!

strc* & Hano Polv Bins 124

rt Truck. Premium Hvdralic 6600# cap,allets. Plastic Sturctural 1500# cap 1 Seneral Warehouse

iteo Ledder. 4-steos 3 -harmacy warenouseNew Warehouse space

2 General Warehouse

Hand Truck, Steel w/continuous handlq 1 General wa.renouse

Securitv Gate. Vvhse Access Dr 1

Scanner, CCD Digital Vision 5

Comouter PCo 2

lomouter PC Delux 65 2 UDorade

-'l."lafnr< Prinfer Desk-ton J ReDlacement (BuYers)

ily'rist WraDs 6 5

Dioifal Recorder I

Total ProgramSpace (Sq. Ft.): 8,574


(sq. Ft):6,174

Description Souare FeetPercent ofTotalProqmm Snace Comments

)ffice spaces t,072 l3

Warehouse space (Include: General, Medical &Pharmaceutical stores) 7-502 87

PAGE: C-12


OPEMTIONS DlVlSlON. Materials - 8400

3t3t2009


Page: C-13

II

(BBMR SP-1)

000058

t Night Ditrenntirl / Hurrhur / Workcr,. Cobpcu.Jlo. / etc.

U: FY 2008 (currcnt) covc|e srtilbrtior for Lif€ lrruse b $174 p.r eruq SobJ.ct b chugc ir try 2m9

I I I II I I I I I I

I IIIIAGENCY: Guam Memorial Hospital Authority

I I I IIIGovernment of Guam


r I III(BBMR SP-1)

ADMINISTMTIVE SUPPORT DlVlSlON. Materials' 8400

FTE

FILLED

. Mlht Difercntiil i Uerrdout / Worke/t CoDpcnldon / etc.

U: FY 2mE (culrDt) Govctm $nHbdbn for LlfG Inturms lt $ l7t Pet ermi Subiwt 1o chms in trY 2009

3/3/2009Page: C-14

000059

IBBMR DP-U

IIIIII

Decision Package

FY 2010

Department: Guam Memorial Hospital Authori8 Division/Section: Onerations/Safetv

m Title: SAFETY (8421\

Activity Description:Application of safety measures to ensure safety of patients, visitors, and staff.

Major Objective(s):o ensure the hospital is in compliance with all federal and local guidelines as it relates to Safety and

Life Safety Programs with Occupational Safety & Health Adminisfation, National Fire Protection Association,Environmental Protection Agency CMS and Joint Commission.

Short-term Goals:To oversee and execute Safety and Life Safety programs in compliance with OSHA, NFPA, EPA, CMS andand Joint Commission.

ItIIIIIT

IIIIt

Workload Output



FY 2010Projectcd Level

Hazardous Surveillance SafetvManagement Program 83% 9s% 95%

Fire Drills 88% 100% r00%

Extinguisher lnventory r00% 100% t00%

Hazardous Waste Pick up l00o/o r00% t00%

3t3t2009

Page: C-15

000060


Budget Digest

IBBMRBI>.rl

Function:

Agency:

Progrrm:

HEALTHGUAM MEMORIAL HOSPITAL AUTHORITYOPERATIONS DIVISION. SAFETY (842T)

A l| c D ElIi

AW

Cde Classification

FY 2008

f,xpend &Encumb

F^v 2009

AuthorizedLevel

Governor's RequstFY 2010

GMHARevenues

F r 2010

FederalFund(s)

FY Z0lO

PhamFund

FY 2010

Total Req.lC+D+R)

PERSONNEL Sf,RVICESlll Regula r Salaries/Increments 94.1 1: $102,75( $110.046 $t st

u2 Overtime/Special Pay 13: l,6ll s{

lll Benefits 28,62:, JJ,6J s3J,46l 33,461

TOTAL PERSONNEL SERVICES 126,86! stJ7,99l $143,50i S( $(

OPERATIONS220 IRAVEL- Off-Island/Local Mileage KermDu 3.93r sl s( $0 $l ${

m CONTRACTUAL SERVICES: 25 $ls, r4.95{ 30,

DFFICE SPACE RENTAL:

uo iUPPLIES & MATERIALS: 4,903 $l(

2S NOIIIPMENT: 2,734 6,50( $9,s0( 9,50(

m TUBRECIPIENT/SUBGRANT:

N T{ISCELLANEOUS: 371 7,90t $9,s0{ 9,501

TOTAL OPERATIONS 37,00( $3E,4sr s44. ${ $14.9s01 $se

UTILITIESsl Power s( $0 s( $( $(

x2 Water/ Sewer

s3 Telenhone/ TollTOTAL UTILITII]S st S( $( $( sOl $(


Purpose / Justification for TravelNFPA Conference/ExPoMandalay Bay Convention Center Las Vegas, NV

No. of Travelers: _l *

Position Title of Traveler(s) Air Fare Per diem Registration Total CostSafety Administrator s 2.000.00 s 1,100.00 $ 1,090.00 s

$ $ $**proposed cost incluggq uqfa"e, r@

IBBMR TA-11Schedule A - Off-Island Travel

Department: Guam Memorial Hospital AuthorityDivision: OperationsProgram: Safety Department (5421)

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2,ch.23, s23104 and federal Joint Travel Regulations

tItItIIItIIIIIIIItI


Date: No. of Travelers: ,r

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost$ $ $ $-$ s $

Page: C-17

IIIIIIIIIIIIIIIIIII

SAFETY DEPARTMENT . 8421

BBMR96A

Funded in FY 2009?

Schedule C - Suoolies & Materials Unit

Price

Total

Price

Funded in FY 2009?

Item QuantitY Yes No

Vliscellaneous Stgns, LaDels lapes (exlts'

ire extinguishers, pull pins, extinguisher:ags, HazMat labels, barricade tapes'.esoirator testino solution. & PPE, etc.) 1 10,000 10.00c X

Total Supplies & Materials $10,000

Funded in FY 2009?

Snhcdule E - Miscellaneous Unit

Price

Total

Price

Funded in FY 2009?

Item Quantity Yes No

Books & Subscription 1 3,500 3.50C X

Training (HAZWOPER, Tech, Retresner'

and Conference) 1 5,500 5,50C X

Personnel Protection Equipment - safety sh< 5 100 50( X

Total Miscellaneous $9,500

Page: C-18000063



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: OPERATIONS DMSION - SAFETY DEPARTMENT (3421)

EQUIPMENT/CAPITAL LISTING:Description Quantity Percentage of Use Comments

Computer PC J l00o/o

Printer I l00Yo

Handheld Radio I l00Yo

)ager2 l00Yo

Hazardous Waste Storase OYo Flazardous Waste Storage is in need of:eplacement as it is unsafe to use. GMHAs a generator ofhazardous waste therefonby federaVlocal guidelines a 90-dayHazardous Waste Storage is mandated.

A.ir Conditioner 2 l00o/o

Total ProgramSpace (Sq. Ft.): 840


(Sq. Ft.): &0{t

Description Square FeetPercent of TotalProgram Soace

Comments

Office Space 840 Jurrently using all available sDace for,vork stations and storase

Page: C-19

000064


I I I

* Night Dincrertirl / tlsrtdou I worker'! Compcbi|ttotr / elc'

l/r FY 2008 (currcbt) Gorcurm cotrtributiotr for Lif€ Inlurucc it S17'l ptr &bumi Subject lo chugc b FY 20D

IIIGovernment of Guam


I I I I III(BBMR SP-1)

I

OPERATIONS DIVISION - Safety ' 8421

r Night Dificrrtrd / Hunthu / Worlar'i compsbdtuD / elc'

l/:FY1008(currcn0ftvcummilribudonforUfelrioru'l!Sl?{pcrmuniSubj'ctlochsS€inFY2009

ADMINISTRATIVE SUPPORT DIVISION - Safetv '8421

3/3/2009Page: C-20

000065


IBBMR DP-ll

Operations/Security

III

Department: Guam Memorial Hospital Division/Section:

Activity Description:o provide a safe and secured environment for all patients, visitors and staffand the

protection of hospital's investment in buildings and grounds. To assist other department in providingphysical security to protect patient's health information.

Major Objective(s): To promote a safe and secured hosoccurences such as theft, vandalism, harassment, assault and other security related threats.

hort-term Goals: To provide security surveillance anrsure the delivery ofquality patient care and safety.

Workload Output




Enforce ID badge 90Yo 1000/0 100VoEnforce visiting policy(Food & Minors) SOYI lO0Vo l00o/oRespond to Fire alarmsactivations to0.| 100',A IOOVuRespond to Fire Exitdoor alarms lO0Vo 1000/T, lO0Vo

IIIIIIIIIIIIIItI

3/3/2009Page: C-21

000066

Government ofcuamFiscal Year 2010

Budget Digest

IBBMRBIFU

Futrction:

Agen.y:

Progrm:

Hf,ALTHGUAM MEMORIAL ITOSPITAL AUTIIORITYOPERATIONS DIVISION - SECURITY (8422'

B CID EIF

Aonropriation Classilication

FY 2008

Expend &Encumb

FY 2UDAuthorized

Level

Slyg4gt!_Request _AW FY 2010

GMIIARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Tot8l Req.(c+Dr-E)

PERSONNEL SERVICESRpular Salaries/Increments 197.667 $167.618 188.91J $01 $( $r88,91!

lll88,56( 16,74{ 18,00{ t8,o{x

ll2 Overtim€/Special PaY

$(

85,683

s292.602l13 Benelits 65,221 62,235 E!

TOTAL PERSONNEL SERVICES I gst'+s'. $246,s9',: s(

OPERATIONSfna.Vnf,- Off-fstand/Local Milelge Reimbur $( $01 $( $(

2m

5U2n CONTRACTUAL SERVICES: 483,r98 483,0{X 500,o{x

23t

uo 40t 7,Off t9,24{ 19,244

1675(2$ EQUIPMENT:

0iIIB.RECIPIENT/SUBGRANT:280

6,24r2W

443 $s12,99( s5r9,24( s( ${ $519,24{'T'O'I'AL UTllr(A

UTILITIESPower $01 $( $01 $( $( sl

361

%2 Water/ Sewer

sl $(J6J Teleohone/ Toll

$0 $( $l ${TOTAL UTILITIES

Page: C-22


Department: Guam lVlemorial Hospital AuthorityDivision: OperationsProgram: SecurifyDepartment (5422)

IBBMR TA-U

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with ritle 5 GCA, Div.2, ch.23,$23r04 and federal Joint Travel Regulations

Purpose / Justification foiTiavEl

No. of Travelers: rr

Air Fare



Title of Traveler(s)

3t3t2009Page: C-23 000068

IIIttIIIlIIIIIIIItI

Security Department 1e4221

Total Miscellaneous

unftPrice

I otalPrice

Funded in FY 2QQ9?


ilutsource Hospital SecuritY Svcs 500.000 X

$500,000

Schedule C -

Unit

Price

TotalPrice

Funded in FY 2009?


)ffice supplies, flag, parking decals,rlank kevs. floopv disc. blank CD's 7.00( X

Jniforms -Shirt 120 4( 4,80( X

pants 120 4( 4,80( X

shoes 24 8( 1,92C X

belts 24 3C 72C X

${9,24(&



Function: HealthcareAgency: Guam Memorial Hospital AuthorityProgram: Operations Division - SECURITY (g422)

IBBMR EL-l1


Total Program SpaceOccupied (Sq. Ft):

Description Square FeetPercent ofTotalPrnorom Snooa Comments

Chief of Security office 360Main Security Booth (for Computer System 720rf'the CCTV)

3/3/2009

PAGE: C-25

000070

OPERATIONS DIVISION - Security - 8422

I IIITAGENCY: Guam Memorial Hospital Authority

I I I

1 Nighl WeEldd / Ed.'d@ / Wotkr! (hFD'rddn / eh

r/: ry 2M (dtt.d) Grfrm confihdon for Ure Iruude it $r?l p'r t|ffii Subject b deg€ h N 2@



I I r I II(BBMR SP-1)

r r

3/3/2009Page: C-26

000071

AGENCY: Guam Memorial Hospital Authority Government of GuamAgency Staffing Pattern

ADMINISTRATIVE SUPPORT DtVtStON - Security - 8422

(BBMR SP-1)

' Nidt M.ludC / Hd.&e / Wdbrt Cmrrtu / .Ey: ry 2s (crudr) tutu @Hhtu tu ho hud.. L il1 Fr smi tubj€c. to chsF h ry 209

3t3t2009

Page: C-27

II

000072

II I I I I I I I I I I I I I I I

tIItIIIIIIIIIIIIIII

Decision Package

FY 2010

GUAM MEMORIAL HOSPITAL Division/Section: OPEItT{TIONS/Environmental Services

Environmental Services ( 8440

ctivity DescriPtion:Clean and sanitize hospital facility for the benefits ofpatients, visitors and/or employees'

l. Patient and non-patient care areas,

2. Administration' public areas and back of the house'

3. Distribute, collect and maintain adequate linen inventory'

Objective's):l. To provide a hygienically clean, safe, and eye appealing environment for patients, visitor and staJf'

2. Increase staff proficiency with implementation of continuous evaluation and training'

3. Improved Discharge room turn-over rate'

4. Minimize suPPlY cost.

l) Implement Cleaning Frequency Matrix, NLT, l0/l/09'

2) Reduce over-time cost from $+$250'000 to less than $50'000'

3) Improve linen distribution and accountability system'

4) Implement automated evaluation system'

5) Improve staff ProductivitY.

EST. ANNUAL LEAVE

ADD EST, ADMIN LEAVE

DD.SPECIAL SVCS. STRIPE & WAX

IRED STAFFING

Page: C-28000073

Government ofcuamFiscal Year 2010

Budget Digest

Function: IIEALTHAgency: GUAM MEMORIAL HoSPITAL AUTHORITYProgram: OPERATIONS DMSION - ENVIROTTMENTAL StrR\.ICES (8440)

IIIIIIIIIItIIIIIItI

OPERATIONS220 f RAVEL- Off-lstand/Local Milease Reimbur 9,53t $ol | $7,20'o $( $( $7.2fi

230 :ONTRACTUAL SERVICE$ 824.923 890.75{ $( 913.7s: 9r3.733

233

240 JUPPLIES & MATERIALS: 344,551 s378,5& 378,544

25020,772 13.21{ $1,sfi 1.5{x

280 i U B.RIJCI PIENT/SU BG RANT:

I{ISCELLANEOUS:

TOTAL OPXRATIONS

29{)rJ,0z5l $7.1s{ 7,t5(

1.175.217 $1.261.53( $394. $( s913.733 $1,308.127

3t3t2009

Page: C-29

[BBMRTA.TI

Schedulc A - Off-Island Travel - FY 2010

Departmentr Guam Memorial Hospital AuthorityDivision: Operations

Program: EnvironmentalServices(8440)

Total Schedule A - Off-Island Travel

l/ Provide justification for multiple travelers attending the stme conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2, ch,23' $231M and federal Joint Travel Regulations

Purnore /.luslificttion for Trevel

ffion Resources - EnvironmentaiiffiilTi6Earnp. Gordon Mizusawa is

Chairperson for GMHA Environmental Services Committcc and must sustain tr|ining to present required

training for all GMHA personnel rcgarding EOX Seven (7) Managcment Plans'

Date:

Air Fare Per diem 2/ Registration Total Cost

$ 1,950 $ 700 s 1.300 s 3,950

$ Si s $

Prrnose /.Iustification for Tmvelstered Exccutive

Housekeeping certification required by position. Ensures compliance with new clcening regulations and

standards, opportunity to review latest cleaning technologr' and maintain contacts within hospital and

related industrv oersonnel.

Date:

Position Title of Traveler(s) Air Fare Per diem 2/ Registration Total Cost

lhief of Environmental Services s 1.950 $ 700 s 600 $ 3,250

$ $ $ $

Prrnnsp / -Irrslificltion

rravel Date: No' ofrravelers:

| = :t | =::!:;:::i:: I F:;:i F;:;Position tl0e of Trrveler(s) N0.()l Pltr(s, I NtErJrr4!rvr I

TOTAL

ENVTRONMENTAL SVCS (8440) BBMR96A

IIIIIIIIIIII

IIII

III

Schedule B- Gontractual Unit Total Funded in FY 2009?Item SUgl Price Price Yes No

) PestControl Services 12 82! 9,90C Xl) Compactor (2) Rentat/Hauling/Tippins Svcs, 24 CU 12 7.20C 86,40C X|) Trash Hauling/Tipping Services (3 c.f.) SNU, 6xl^,k 12 825 9.953 X) Biohazard Waste Transportation Svcs-SNU, 2^vk 12 1,45( 17.40( Xi) Pacific Laundry - Laundry Service & Loss & Damage Fee 12 65.00c 780,00( xi) Guahan Waste - 20 Cubic Bin for Cardboard boxes 12 84C 10,08( Xotal $913,733

Schedule C - Supplies & Materials UnitPrice

TotalPrice

Funded in FY 2009?Item Quantih Yes No

1) Cleaning Suppties 12 29,04( 348,48( X2) Uniforms 20 or 1,86( X3) Cubical curtains with Mesh, disposal 300 37 11,10( X4) \Mndow Drapes 100 152 15.20( X5) Microfiber Gen. Purpose Cleaning Cloth #75150/75151 14 13( 1,904 X

Total Supplies & Materials $378,544

Schedule D - UnitPrice

TotalPrice


1) Tornado CV 38, 15" Upright Vacuum Cleaner 2 75( 1.50C X

I otitl $1,500

Schedule E - Miscellaneous unttPrice

TotalPrice


1) Environment of Care Leader Membership 1 37! 375 x) Executive Housekeeping Membership 1 47! 475 Xl) Hazwoper-40 hr. training 2 60( 1,200 X1) Hazwoper -8 hr., refresher course 17 30( 5,100 x

neous $7,150

3t3t2009PAGE: C-31

IIIIIIIItIIIIIIIIII



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: OPERATIONS DMSION - Housekeeping/ Linen & Laundry services 8440

[BBMRELTI

E6 TrefiFkffilftsruterr,i,i,r,i,i,i,i,;,i,:,i,iii,:,Description Quantity Percentase of Use Comments

1) Tornado Ride On Scrubber 1 l00o/o \EW 6-l-07

Z) Modo Yao 24O0 Vapor Generator 1 50% NEW 6-1-07

3) Tornado CV 38, 15" Upright Vacuum Cleaner 2 100% NEW 6/l/07

4) Tornado BD Trike 28" Scrubbel 1 l00o/o {EW 8-l-07

5) Power Flight 1 lOOo/o 1t8t2008

6) HP Office Jet J5780, All-in-One 1 100% 1t8t2008

il Vaccum Back Pack-Power flight No. PF-300 1 l00Yo 1t10t2008

3) Commercial Dryer 1 l00o/o NEW FY 09

)) Commercial Washer 1 lOOo/o NEW FY 09

i::::::iii

Total ProgramSnace (So. Ft.):

Total Program SPace

Occupied (Sq. Ft.):

Description Square FeetPercent of TotalProgram Space Comments

Cffice space, ll'xl6' t76 8.08% FULL - NO SPACE

HK Storaqe Rm, 20x30 600 27.54o/o FULL . NO SPACE

tK Soiled Rm, 15x15 224 10.33o/o FULL - NO SPACE

-inen Room (Clean Linen) 600 27.54Yo FULL - NO SPACE

.aundrv Room. 17x34 578 26.53Yo FULL -NO SPACE

TOTAL 2.179 r00.00%

3/3/2009

Page: C-32000077

OPERATIONS DIVISION . Housekeeping/ Linen & Laundry - 8440

3/3/2009

III


Page: C-33

II

(BBMR SP-1)

000078

II: I I I I II III I I


I I I

' Nicht DmeMfid / Itudou. / Worle !'t coDpcrusdon / eb

r/: FY 2008 (curent) ftvfrlD conrilbudon for Lift In.ume i! $174 Pct mum; Subisl to chuge h FY 2009

IITGovernment of Guam



I

3/3/2009Page: C-34

000079

ADMINISTRATIVE SUPPORT DIVISION - Housekeeping/ Linen & Laundry - 8440


3/3/2009


Page: C-35

II

(BBMR SP-1)

000080

I I I I I I I I I I I I I I I I I


I I I

' NtCht Dtf€ftntul/ HillrdoN / Workr" Cohp€rstur / rh'

l/: K 2008 (cuftnt) Gvcum conttbution for Lift hiurucc i! $1?4 Fr mum; Subj*t to change ttr trY 2009

rIIGovernment of Guam



I

gosr lHousereepent lBAzA.TlMorHYJ 17 02' 10i1 1i2001 g4{ 17.971 4,521 40' 174 1.391 6 911 24.88!

9032 IOUSEKEEPER I IUFANA. JUSTIN A. 17.021 1011012001 941 17.971 1.521 40, 261 17 1_39: 6,911 21,841

9033 ]OUSEKEEPER I IUNOZ. MONIOUE JO L.G c 3 17.O2/ 10117t200 94{ 7,S7l 1.521 40, x 17 5.361 23.331

9034 IOUSEKEEPER I )UIDACHAY ROSA M c 20.121 o7t19t200t 15, 21.181 30i 17' 1.39: 7 361 28.55,

9035 IOUSEKEEPER I rORJA DONNA T.C. 17.02/ 4,341 22.311 40, 2.971 351 9.681

941 17,S7l 1.521 40, 7,

9036 IOIISEKEEPER I )RUZ, TEODY B c 17.O2/ ou20nool

0.5 f111P IOUSEKEEPER I VACANT'

0.5 f114P IOUSEKEEPER I VACANT.' c. vacANr' cIOUAEKEEPER I

0.6 7123P. VACANT''IOUSEKEEPER I

0.5

0.5

7127P IOUSEKEEPER I . VACANT'' c

712aP {OUSEKEEPER I. VACANT" I

t

0.5 7131P {OUSEKEEPER I . vAcANl-' c

0.6 ?133P. vaca[r' c 10.5 7131P IOUSEKEEPER I

0.5 f11tP IOUSEKEEPER I . VACANT"'

I NEW IOUSEKEEPER II ' vAcaNP D

0.5 t{Ew IOUSEKEEPER. vAcANr' c

0.5 NEW IOUSEKEEPER. vAcaNr' c

0.5 NEW {OUSEKEEPER . VACANT''

NEW {OUSEKEEPER . VACANT' c

0.5 NEW IOUSEKEEPER

IOUSEKEEPER

, VACANT'' c

0.5 NEW. vAcANT.. c

NEW 'RAINER QC MAI'IAGER 'vAcAilr'

r3,i96l 6,0881 49,56' 4,191 344,68: 1.361.79

47 1l GRAND TOTAL 958.83, 24.75i -+a 33,5191 1,017,11( 256,31 15,33,

3/3/2009Page: C-36

Department: Guam Memorial Hosoital

IBBMRDP-rlDecision Package

FY 2010

Division/Section: OPERATIONS/FACILITIES MAINTENANCE

II

t

Provide appropriate staffing levels, sufficient operational funding levels, application of state-of-the-art technology, equipment and methodologyprovide continuous education and training programs to update shop trade skill levels meeting industry stanaarOs, utitize computerized networkir

ongst shops, manage an effective compensation program for trades in a healthcare environment, provide continuous uninterrupted servicesessential equipment and utility systems.

Major Objective(s):

Periodic Maintenance:Ensure all areas ofthe facility, and equipment therein, are inspected and maintained as environmental units, as delineated and outlined by thecorresponding manuals and policies and procedures in accordance to predetermined monthly, quarterly, semi-annual and annual schedules.

ive Maintenancecorrectlve mamtenance in accordance with priority needs and work schedules.

Renovations:Perform minor renovations for the overall improvement, operations, and function ofthe hospital

IIII

000082

Maintenance and repair ofbuilding structures, life safety equipment, medical equipment and utility systems for the hospital facilities, bothand minor equipment and related systems.

Equipment Management Program:Existing and on-going program to upkeep and maintain patient care equipment. The program is designed to ensure that all patient careare properly calibrated, tested, and preventive maintenance is performed on a routine basis in accordance to predetermined scheduled r

;rams. This program is essential to ensure continuum of care is provided to all patients and to maintain compliance with CMS, JCother regulatory agencies.

and on-going program to upkeep and maintain all utility systems and related equipment. The program is designed to ensure calibrated,lal testing and preventive maintenance ofall utility systems and their equipment components are performed on a routine basis in

to predetermined scheduled maintenance programs. This is a JC & CMS requirement.

Existing and on-going program to upkeep and maintain atl life safety systems and related equipment. The program is designed to ensure caliboperational testing and preventive maintenance ofall life-safety utility and building systems and their components are periormed on a routine

assure the patients, staff and visitors are in a safe environment. This is a CMS, JC and OSHA requrrement.

Former program that was in place back in 1998. The program was designed to upkeep and maintain all building structures and grounds andrelated systems and components. The program is designed to ensure continuous preventive maintenance ofall building structures, grounds andrelated components are performed on a routine basis to assure the patients, staffand visitors are in a safe, aesthetically pleasing and conduciveenvironment. This is a CMS, JC and OSHA requirement. In the past, due to continuing decline in the number of FTE s the department was leftwith no choice but to discontinue the progr.tm. In light ofthe recent push for achieving JC accreditation, this program must be brought back totable in full force to support the Hospital's quest for accreditation. Staff support is the key element to success of the program.

3t3t2009

Page: C-37

Support:Maintain and document all maintenance and services performed on environmental units and equipment and utility systems within the hospital

a customer service program to better handle, iddress, and respond to the needs of the hospital staff and patients. Processing and

infections/biohazardous waste streams. Assist in any natural or manmade disaster recovery efforts

Maintain productivity levels of90% or greater in all shop areas and provide continuous unintemrpted and prompt service to other customers

Workload Output ,

Workload Indicator:FY 2008

I-evel of Accomplishment

FY 2009

Anticipated Level

FY 2010

Projected l*vel

l{umber of work order requests 3,320 3,353 3,855

!,Iumber of Eouioment Maintained r.841 1,878 1.916

{umber of Utilities Maintained r,496 t,s26 1.557

Vledical infectious Waste Proc€ssed 232,650 2J7.303 242,O49

trlumber of disaster drills 2 2 )

\umber of lire drills 36 36 36

3rowth on anticipated and proposed levels reflective ofrecent building expansion and renovation as a result of approved FEMA Hzard

Mitieation. Caoital Improvement, Advance Appropriation' Pepartment oflnterior Grants and HHS funded projects'

Page: C-38


Budget Digest

Function: HealthAgency: GUAM MEMORIAL HOSPITAL AUTI{ORITYProgram: OPERATIONS DMSION - Facilities Mainten&nce: Environment of Care Management (8460)

UTILITIES36r Power $r.594.931 $1.66,4.234 $1.984.02: $( sOl $1,984,02r362 Water/ Sewer 295,4U 377.58t 360,4U 360,401363 Telephone/ Toll 349,619 364.48r 338.90t 338.90i

Gasoline for Motor Vehicles 16.441 17.16( 19.5fi 19.5fiBoiler and Emergencv Generator Fuel 246.681 257,716 22S,OU 225.000

'TOTAL UTILITIES $2.s03.08s $2.681.r79 s2,927.A1 $( $( $2,927,831

l/ Specify Fund Source

.l R (l t) F

AS4OO


r"y 2m8Expenditures dEncumbrances

FY 2009Authorized

Level

Governorrs RequestFY 2010

GMIIARevenues

F"Y 2010

Federaltr'rrnd(sl

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

PtrRSONNEL Sf,RVICESul Regular SalarieVlncrements 1,228,0541 $r,21t,639 $1.276.033 $( $( $1.276.03irt2 Overtime/Special Pay 326.55! 439,76 $52.000 52.0{Xl13 B€nefits 394,057 5(n,813 $457.r35 457,13!

TOTAL PERSONNEL SERVICf,,S 1.948.67( $2,1s9,151 $r,785.168 $0 $( $1.785.16t

OPERATIONS220 IRAVEL Off-lsland/lncal Milease Reimhur 26,141 $( $l0.rs( s0 $t $lots(

230 ]ONTRACTUAL SERVICES: 430.63t &14,602 $.140.58: 185.984 626,56i

233 )T'FIC[, SPACE RX,NTAL: 0

240 ;UPPLIES & MATERIALS: 461,471 703.1fi $429.ofi 200.000 629.00{

250 EQUIPMENT: 28,371 l4s,9s( $s2.2m 52.2U

280 SUB.RECIPIENT/SUBGRANT:

2n MISCELLANEOUS3 2,491 5.684 $t2sl 12s0

TOTALOPTRATIONS 949,1't{ $1.689.331 $937.1& s0 st85.9E4 $r323.167

TIME EQUIVALENCIES (

3t3t2009

PAge: C- 39

IBBMR TA-11


Department: Guam Memorial Hospital AuthorityDivision: OPERATIONSProgram: Facilities Maintenance: Environment of Care Management (8460)



Position Title of Traveler(s) Air Fare Per diem Registration TotalCost








vel Date: No. of Travelers:

Air Fare Per diemPosition Title of Traveler(s) Registration TotalCost

c-40



Position ritle of Traveler(s) Air Fare Per diem negistiaUon Totat Cost



Title of Traveler(s) Air Fare per d

IIIItIIIItIIIIIIttt




/ Justification for TravelBiomedical certification and technical training on Defibrilator Monitor

Travel Date: June 2010 No. of Travelers: I

Position Title of Traveler(s) Air Fare Per diem Registration Total CostMedical Electronic Superintendent orElectronic Technician I or II $ 2"300 $ 750 $ 3,500 $ 6,550




3nt2009c-41




PurDose / Justification for Travel

AutoCadd Advanced Upgrade

ravel Date: September 2010 No. of Travelers: I

Position Titte of Travelerlg Air Fare Per diem Registration Total Cost

Engineering Supervisor $ 600 $ 14qq,_$- 200 $ 1'800


Kohler Emergency Generator certification and technical training

ravel Date: April2010 No. of Travelers: I

Position Title of Travelerg Air Fare Per diem Registration Total Cost

ing Supervisor S 600 $ 1,000 $ 200 $ 1

Total Schedule A - Off-Island Travel TOT s10.150

1/ Provide justification for multiple travelers attending the same conference / training / etc.


Facilities Maintenance: Environment of Care Management (8460)

Schedule B- Contractual

BBMR96A

IIIIIIIIIIItIIIIIIt

PAGE: C43

IIIItIIIIIIIIIIIIIt

Schedule C - Supplies & Materials Unit

Price

Total

Price

Funded in FY 2009?

Item Oty Yes No

| ) Plumbing/Mechanic€ll shop:Mechanical and pneumatic parts for utility and equipment systems. PM

naterials for plumbinq svstems and building structures. 1 lot 40,00( 40,00( X

l) Painting/Carpentry Shop'itock paint and materials for patient and non-patient areas of the

acilig. Routine PM, deck and roof sealing on exterior and interior of

ruildinq structure. 1 lot 60,00( 60,00( x!) Tool Room:lommon parts and material usage for all shops and PM program.

lestockinq PPE and replenishment of worn tooling. 1 lot 30,00( 30.00( X

t) BioMedical Shop:Vledical equipment parts and supplies replenishment. PM materials and

niscellaneous supplies and repairs. 1 lot 150,00( 150,00( X

5) Electronic Shop:Spare parts for replenishment, repair and maintenance of safety;ystems, communications, electronic security systems and less-critical

ife support systems. 1 lot 30,00( 30,00( X

i) Refrigeration Shop:ipecial tooling, spare parts and supplies for maintenance and repair of

oof exhaust units, air intakes, fan coil units, air handling units'

efrioerators. window and split units. 1 lot 75,00( 75,00( X

l) Electrical Shop:Special tooling, spare parts and supplies for maintenance and repair ofrlectricallv oowered equipment, power distribution and lighting systems. 1 lot 50.00( 50,00( X

ipecial tooling for testing, repairs and calibration. Spare parts, supplles

rnd materials for routine PM of all Power Plant equipment. Medical

Naste processinq operations and repairs. Includes water softening 1 lot 180,00( 180.00( X

)) Ofiice and Administrative Support Supplies:

3eneral office supplies inventory replenishment. 1 lot 6,00( 6,00( X

l0) Uniforms:ihirts, coveralls and safety shoes. 1 lot 8,00( 8,00( X

Total Supplies & Materials $629.00(

3/3/2009

PAGE: C44

Schedule D -

b) HEPAVacuum Back Pack

IIIIIIIIIIIIIIIIIII

Schedule E - Miscellaneous untfPrice

l olarPrice

Funded ln FY 2009?Item aw Yes NO

t, Nauonat Ftre F,roleqton Assoctaflon:Membership Dues2) National Society of Professional Engineers:Membership Dues3) Association of the Advance of Medical Instruments:Membership Duestl) Environment of Care Leader:lVlembership Dues5) American Society for Healthcare Engineering:Membership Dues

2

1

1

1

1

45(

35(

2,80(

45(

75C

90c

35C

2,800

450

750

X

X

X

X

X

Total Miscellaneous $5,2s(

PAGE: C-45000090

IIIIIIIIIIIItIIIIII

Qrhadrrla G - llfilitiaQ unltPrice

I Otar

PriceFunded in FY 2009?

Item Qtv Yes NO

1l Flactricitu 1 lot 1,744,024 1.984.02i x2) Water/Sewer 1 lot 360,407 360,40, x

l) Telephone/Telegraph/Toll 1 lot 338,90t 338,907 X

) Gasoline for Motor Vehicles 1 lot 19,50( 19,50( X

5) Boiler and Emergency Generator Fuel 1 lot 225.00( 225,00( X

Total Utilities $2,927,83':

PAGE: C-46000091


Equipment / Capital and Space RequirementHealthGuam Memorial Hospital AuthorityOPERATIONS DIWSION - Facilities Maintenance:

IBBMR EL-rl

tIIIIIIIIIIIIIII

Function :

Agency:Program:

Environment of Care Management (8460)

T

It

EQUIEMENT/CAPJTAI||HSTINGi.:.:.J.I . . . I

Description Quantitv Percentase ofUse Commentsl) Terminal Display, IBM l5z) rersonat Uompuler, Uateway t)) Personal Computer. Como USA 75) Personal Computer, Comp USA 75) Personal Computer, Dell t)

6) Monitor, Flat Screen, Dell 757) Printer, HP LJ 1200, Hewlett packard 25) HP Deskiet 670C, Hewlen packard 25

)) Back UPS. APC 100l0) Monitoq Comp USA 45ll) Pgrsonal Computer, Dell t)12) Monitor, Flat Screen. Dell I)13) Printer, HP LJ I100 CXI, Hewlett packard 2514) BackUPS.APC 100l5) Personal Computer, Comp USA 4516) Monitor, Flat Screen. Acer 45| 7) Printer, HP LJ 220D, Hewlen packard 256J Vronltor. Ftat screen, Gateway 45y, Monttor, ttat Jcreen. Acer 45, rnnrer, Hr LJ t tuu sb, Hewlett packard 25

Zl) Personal Computer, Optiplex 45,z) luonltor, t lat Screen. Dell 4523) Plotter, HP DesignJet 800, Hewlett Packard 25?D yP DeskJet 940C, Hewlett packard 25z)) lJacK utsJ.Atsu 10026) Personal Computer, Dell 7527) Personal Computer, Dell 7528) Personal Computer, Dell IJ29) Monitor, Flat Screen. Dell t)30) Monitor. Flat Screen, Dell 753l) Monitor. Flat Screen, Dell 7532) Printer, HP LJ 1100, Hewlett packard 4513) Back UPS. APC 10034) Back UPS. APC I r0015) Back UPS. APC I 100o) Ulgltal CamerA Mavica. Sonv I 25

37) Personal Computer, Dell I 7538) Monitoq Flat Screen, Dell I I)19) Back UPS. APC I 100+u) racslmlte - xerox WCp556 25 Lease/Rental Asreementl) Sign Maker Machine - Gerber GSIS plui I 25

slrac$:IR,EQUIBEMENT : :,:,i I :,:,:,:.i,: ; : ;

(&r Pcf qo4 l !4+d ; Eq uipErenuCapitaii r

Total ProgramSpace (Sq. Ft.):

Total Program SpaceOccuoied (So- I'f-):

Description Square FeetPercent of TotalProgram Snace Comments

3t3t2009Page: C-47

000092

OPERATIONS DIVISION - Facilities ' E460

f,E flEFILEO VAC

I-IIIIIIIIIIIIIIII-AGENCY: Guam Memorial Hospital Authority Govemment of Guam

Agency Stafting Pattem

(BBMR SP-1)

3/3/2009Page: C48

000093


313t200s


(BBMR SP.1)

Page: C-49

II

r Ntsh MrEel / tu.dou / Workir e|l|@tu/ d..l/: ry2w(Nd)Arc|m(tffi|futu.U.|fuftrb$tZFr.|||m; tu}}dbdryrbry20@

r I I I I I I I I I I I T I I I I

I IITTAGENCY: Guam Memorial Hospital Authorily

I I I IIIGovemment of Guam

Agency Statfing Pattern

r I I II(BBMR SP-1)

I II

ADMINISTMTIVE SUPPORT DIVISION - Facilities - E460

' NEh Dtrcrudl / Hrtttu / Wor&t'3 6ry8lnd / dc'

/: n rSE t.xr|Mt) tutur cut|Mor fo. Lf. |fu L Sl?l Fr itlNn tubJcct to 'bry' h fl 2Ur9

3/3/2009Page: C-50

000095


Budget Digst

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: OPERATIONS DIVISION - SKILLED NURSING FACILITY

PERSONNEL Sf,RVICESll Regular SalarieVlncrements $( $( $( $t $( $(il Overtime/Special Payl13 Benelits

TOTAL PERSONNEL SERVICES St $( $( $l ${ s(

OPERATIONS220 TRAVEL- Olf-Island/Local Milease Reimbur $( $l $l $t $(

2J0 ]ONTRACTUAL SERVICES: 73.964 227.701 122.401 122.

233 )FFICE SPACE RENTAL:

240 TUPPLIES & MATERIALS: 41.071 77,25( s3.25( 60, ll3.

2S0 UIFI}II;N I 2, rs.s00l t5. 15.50(

280 JU B-R[CIPIENT/SUBGRANT:

290 VT$CtrLLANEOUS: 45{ 45( 451

.I'OTAL OPf,RATIONS 17. sr20.90{ $191.61 $( $60. $251,601

Page: C-51000096

IIIIIIIIIIIIIIIIIIt


BBMR96A

Supplies

Guam Memorial Skilled Nurcing Unit - Facilities Maintenance

Funded in FY 2009?

& Materials UnitPrice

Total

Price

Funded in FY 2009?

Item Yes No

ijTiffi oin@rvtecnanica snoP:Mechanical and pneumatic parts for utility and equipment systems'

PM materials for plumbing systems and buiqlng Jtr!ct!re!- 1 lot 10.00( 10,00( X

tParntingreerpentry ShoP:

Stock paini and materials for patient and non-patient areas of the

'acility. Routine PM, deck and roof sealing on exterior and interior of

ruildinq structure. 1 lot 5,00( 5,00( X

)) Tool Room:jommon parts and material usage for all shops and PM program'

?estockino PPE and replenishment of worn tooling. 1 lot 5,00( 5,00( X

t) BioMedical ShoP:iedical equipment parts and supplies replenishment' PM materials

rnd miscellaneous supplies and repairs. 1 lot 15.00( 15,00( X

@d maintenance of safetY

iystems, communications, electronic security systems and less-

:ritical life support systems. 1 lot 5,00( 5,00( X

[Fetrigeration SfroP:jpecial tooling, spare parts and supplies for maintenance and repair

li roof exhaust units, air intakes, fan coil units, air handling units'

€frioerators. window and split units. 1 lot 20,00( 20,00( X

@ supplies for maintenance and repair

ri electrically powered equipment, power distribution and lighting

;vstems. 1 lol 15,00( 15.00( X

@airs and calibration. spare parts'

;upplies and materials for routine PM of all Power Plant equipment'

vtedical Waste processing operations and repairs. Includes water

roffenino crvstals and water chemistry 1 lot 35,00( 35,00( X

)) Office and Administrative Support Supplies:

3eneral office supplies inventory replenishment 1 lot 2.50( 2.50( X

l0) Uniforms::hiJ^ ^^r,616llo 66.{ etfah, ehdae 1 lot 75C 75( X

T & $113,25C

3/3/2009

Page: C-52000097

IIIIItIIIIIIIIIIIII

Environment of Care Leader:

Funded in FY 2009?

Schedule G - Utilities UnitPrice

TotalPrice

Funded in FY 2009?Item Yes No

1 lot 363,95t 363.95t XA/ater/Sewer 1 lot 35,00( 35,00( Xl-elephone/Toll 1 lot 30,00( 30,00( Xrasoilne ror Motor ventcles 1 lot 1.50( 1,50( X(itchen LP Gas 1 lot 18.50( 18,50( X:rrlergency (jeneralor Fuel 1 lot 12,50( 12,50( X

$461.451

313t2009Page: C-53

000098

Communications Center

:: : ; lradiodisPatchingservicesgement of telecommunications and

Major Objective(s):

-

iroproG ttte hoipitait tel"pttone communication system'

hort-term Goals:

o assist GTA on installations in department and patient rooms; inform GTA

of any trouble instruments; continueto upgrade communication devices' such as pagers and radio units'

IIIIIIIIIIIIIIIIIII

Department: GuamMemorialHospital

IBBMR DP-rl

Decision Package

FY 2010

Division/Section: Onerations/ Communications Center

Page: C-54

3/3/2009


Budget Digest

Funclion: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: OPf,RATIONS DMSION _ COMMUMCATIONS CTR (3470)

IBBMRBD-U

IIIIIIIIT

IIIrlllrlllrl

:l

TOTAL PERSOM el s.envlcrs

OPERATIONS220

$( ${ $ol s(230

s9,8001 | se.8fi 59.80233 JI'!'ICE SPACE RENTAL:

2402,287 z5{x 7,5{X 7.50(

2s0 OOUIPMF]NT:6,0001 I 6.0{x 6.00{

2800

290 UISCELLANEOUS:

28.i !?3,3001 | $73J0( $( $( $73Jfi

FULL rlME retrrvAr-ExElEs

-

Page: C-55000100

IIIIIIIII


Department: Guam Memorial Hospital Authority

Division: OperationsProgram: CommunicationsCenter(8470)

IBBMR TA-11

TOTALI $

IIIIIIIItI

1/ provide justification for multiple travelers attending the same conference / training / etc'

2/ Rates must be consistent with rifle 5 GcA, Div.2oCh.23,$23104 and federal Joint Travel Regulations


No. of Travelers: tr

Position Title of Traveler(s

Purnose / Justification for Travel

No. of Travelers:

-

*


Communications Center (3470)

3t3t2009 Page: C-57000102



Function: Health

Agency: Guam Memorial Hospital AuthorityProgram: Operaitons Division - COMMUNICATIONS CENTf,'R (E470)

[BEMRELl]

111 Nurse call

iPACE REQUIREMENTfor Personnel and EquipmenVCapital)

Total ProgramSnace(Sq. Ft.): 72O

Total Program Space

Occupied (Sq. Ft.):

Description Square Feet

Percent of TotalProgram Space Comments

lurervisor Office. Z-w inz JbU

Teleohone Operators, Comm. Ctr' 360


Page: C-59

II

OPEMTIONS DIVIS|ON . Comm Center.8470

(BBMR SP-1)

000104

IT

ADMINISTRATIVE SUPPORT DtVtStON - Comm Center - B4ZO

3t3t2009

* Mgbt DifieErttd / Hu!.dou / WorLlr" Coq*lrstlon / cb.

|/: FY 200E (cu.M0 cs.cmm eDtrtbdioD for Lilc lDrurue tu Sl7{ per muq Subjed to cbege in Fy 2009

r Nlglt Dfr.EDatrl / H@rrdou. / Work r'r CompeD.dlor / rtsU: trf 2m8 (currcil) covcuu cortributior tor ut€ ItrrurEe tu Sl?.t p.. utrMi Subjd ro ch&g€ ia Fy 200t,

r I I I I I I I I I I I I r I

IBBMRDP-rl

Guam Memorial Hosnital

Decision Package

x'Y 2010

Division/Section: Operations/ Guest Relations

IIIIItIIIIIIIIIIIII

Page: C-60000105

CUNST RELATIONS

r Description:Administrative support program focused on this role as advocate for patient rights and

responsibilities, addressing-patient satisfaction surveys, problem resolution ofpatient grievances/

complaints, patient self-determination and to support the healthcare team in the delivery of quality care'

Major Objective(s):i fo ascertain patient satisfaction with hospital services'

2 Topublicly report patient data satisfaction using a national and standardize survey tool

@CAHPS surveY tool).

3 To respond to patient grievance/complaints in a timely manner'

4 To assist patients in the formulation of Advance Directives based on referrals from physicians'

5 To serye as a Patient advocate.

6 To Dresent patient satisfaction survey data to decision makers and to hel

To increase survey distribution and patient visits

To increase survey response rates

ToascertaincompletionandunderstandingofadvancedirectivesbypatientsTo keep managers informed of problematic trends' patient complaints, and survey statistics

in a timely manner

Workload Indicator:

ns Referrals for Adv. Dir.

3/3/2009


Budget Digest

Function: Hf,ALTHAgency: GUAM Mf,MORIAL HOSPITAL AUTIIORITYProgram: OPERATIONS DMSION _ GUEST RELATIONS (S630)

3t3t2009

page: C€1

Appropriation Classification

OPERATIONS220

0 $( s( $( $t230

3, 5.Ofi

233

JUPPLIES & MATERIALS:2401.0{x l.sfi 1,sfi

250 79t 4tx 1.1 l.13(280

ITISCELLANEOUS:2900 59!

$1.99S $7.630 ${ ${ $7,61(

000106


Department: Guam Memorial Hospital AuthorityDivision: OperationsProgram: Guest Relations (8630)

IBBMR TA-rl

TOTALI $

1/ Provide justitication for multiple travelers attending the same conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, S23104 and federal Joint Travel Regulations


Date: No. of Travelers: 'k


$ $ $ s

$ $ $ s


Date: No. of Travelers: *

Position Title of Traveler(s) Air Fare Per diem Resistration Total Cost

$ $ $ s

$ s $ $



-

*


$ S $ $

$ $ s $

Page: C-62

GUEST RELATTONS (8630)


Total Contractual

& Materials

& Materials

Total Equipment

Total Miscellaneous

unded in FY 2009?

IT

tIIItII

Function :

Agency:Program:

Government of GuamX'iscal Year 2010 Budget


HealthGuam Memorial HosPital AuthoritYOperations Division - Guest Relations (8630)

[BBMRELII

IIIIIIIttI

)UIPMENT/CAPITAL LISTING:Description Quantity Percentase of Use Comments

IOMPUTER PC. GatewaY I l00o/o fas# 5762

PRINTER" HP Laserjet 1100 I t00% lae# 848057840725

Desk L-shape I Iae# l35l

5-drawer file cabinet I

Office chair, swivel Iliuest chairs 2

Shredder Puichased in FY2007 Shredder was < $5Q

ComDuter PC. Intel l00o/o fae+ OtStS Purchased in FY2008

Ddnfar LIP T aqerlef POTI 5dn l00o/o tas# SqSO-Zll29l-003 Pu..hq!g4-ln IIL- Drawer file cabinet I rue# OSZZO Pu."ltq!g4i! JY2008

ProgramSpace (Sq.

Ft.): 260

Total Program SPace

Occupied (Sq. Ft.):

Description Souare FeetPercent of Total

Snrce Comments

Office space 260 l00Yo Main Office and Secretarial Area

Page: C-63a000109

AGENCY: Guam Memorial Hospital Authority Govemment of GuamAgency Staffing Pattern

OPEMTIONS DIVIS|ON - Guest Retations - 8630

l/: FY 200E (curr€.t) CorCrrD @DtrlbuloD for Litc lnruimc i, $t7J pGr mumi Subled to cbeSc iD try 2009

ADMINISTMTIVE SUPPORT DtVtStON - Guest Relations - 8630

(BBMR SP-1)

0001 10

I

* Nigbt Dtfi€rcbtlal / Hu$dour / Worlcd. Cobl.udioD / .tc,

* Night DificrcDtisl / Herdou / Worker,! Comp€bldioB / €tc.

U: FY 2008 (currcDt) covcqr' contribudoD for Lfe Inruru* ir $t?{ pcr Muh; Subj€cr to chrnge to Fy 2009

r I I I I I I I I I I I I I I I I I

I [BBMRDP.II

Department: GuamMemorialHosnital

Decision Package

FY 2010

Division/Section: gPgI4g@!4!4S

Title:

I

II

I

II

IIIII

Capital Improvement Projects and Emergency

facmla""ttlg-atde-ergencypreparednessactivitiessatisf

Hospital requirements and comply with Joint Commission standards'

ffi-t"gic planning process and develop strategic plan document; manage grants

FEMA mitigation, HHS/ASpR BT Hospital Preparedness Program (HPP) and Compact Impact; oversee disaster

f"Y 2010

Projsted ltvelI

Cfl nital ImDrovement Proiects:3rd/4th Floor Wall Hardening

I

Main Lobby & Front Stairwell Enclosure completed

Securitv Surveillance Svstem comoleted

E'tr'MA Pnhlic A.ci.trnce Proornm I I l

Conversed Phone Svstem (Phase I) I comoleted

IIVA(- I completed

Chiller Replacemcnt I l IDonloocmenl I I I

Roof Insulation t I I/['Phrcel:

Qonlrop Rlecfricrl Power I)istribution Svstemptrarmacy Sterile IV & Radiopharmaceutical Compound

Sterile Prep Forms2nd Flnor Herfins. Ventilation. Air Conditioninq Upgrade I

Portable X-raysI

olemctru Cenfrrl Sfrfion w/ MonitorsRenlace Reverse Osmosis Svstem

l

Rnnm HVAC Ilnomde l

WMD Storaee ContainerI

WMD PPE for Decon/Triaqe SYstemsI

WMD Portable E-Power Generator for Decon System ISwclem I

Ifnnctrrrnfinn Phrsel:I'vnqnsinn

3rd & 4th Floor Wall Hardening Project II

oneratins Room HVAC UpgradeI

Pharmacy Sterile IV & Radiopharmaceutical Compound

Sterile Prep RoomsI

Construction Phase - Iuain snut-olt v a|vc ror tlazaroous

Storase Areas {JC SOC ProjecUlife Safety)I

Coordinate Disaster Drills 2 drills 2 drills 2 drills

I I II I I

Undate WMD I 1

3/3/2009

Page: C-65

0001 1 1

Government ofGuamFisql Year 2010Brdget Digest

Function: IIEALTHAgency: GUAM MEMORIAL HoSPIIAL AUTH0RITYProgram: OPERATIONS DMSION - PLANNING (3791)

B t) E

A5400Account


r"r 2008

Expend &Encumb

r"r 2fiDAuthorized

Level

Governor's RequestIi'Y 2010

GMHARevenues

FY 2010

FederalFund(s)

I"r 2010

PharrnFund

r"r 2010

Total Req.(c+D+E)

PT]RSONNEL SERVICES111 Regula r Salariedlncrements 82,74 $95,66{ $133"31 $6J,154 $l $196.,165tt2 overtime/Special Pay $lIJ Benelits 30,871 29,57t $,lJ,l5! 22,OO1 65,16('O 'AL PERSONNEL SERVICES 13,62' st25,235 $r76.471 $E5,l5l $( $261.625

OPtrRATIONS

220 IRAVEL- Off-Island/Iocal Mileage Reimburs. ${ $01 $01 $(

230 CONTRACTUAL SXRVICES:

233 L,I'TI'ICI] SPACf, RENTAL:

240 JUPPLIf,S & MATERIALS: 1,411 J,OU E,Ofi 8.Ofi

250 OQUIPMENT: 1,54(

280 J U I'-RtrCIPIf, NT/SUBGRANT:

z9t) UISCELI-ANEOUS: 19!

TOTALOPERATIONS 3,15( $3,Ofi $&00{ $( $( $&0{x

UTILITIX,S361 Power $( $( $( $( s( $(362 Water/ Sewer363 Telephone/ Toll

'T'OTAL UTILITIES $( $( $( $l $( $(

Page: C-66

000't12


Department: Guam Memorial Hospital AuthorityDivision: OperartionsProgram: Planning (8791)

IBBMR TA-11

TOTALI $


2/ Rates must be consistent with Title 5 GCA, Div.2, ch.23, $23104 and federal Joint Travel Regulations


Total CostTitle of Traveler(s)


No. of Travelers:


ition Title of Traveler(s)

Page: C-67

Dept name: PLANNING -8791

Department Supplies & Materials (Strategic & Capitalmprovement Planning) (General Fund Request)

31312009

IIIItIIIIIIIIIIIIIt

Function: Health

Agency: Guam Memorial Hospital AuthorityProgram: Operations Division - Planning (8791)


Equipment / Capital and Space Requiremenl

[BBMREL1I

EOI 1 TPMENT/CAPITAL LISTING:Description Ouantitr Percentase of Use Comments I

]OMPUTER MONITOR / UNIT I 100% PROPERTY of (;NTHA I ag N0s.F

]OMPUTER MONITOR / UNIT I 100% PROPERTY of GMHA Iag Nos.# u4w-z4louo-

COMPUTNR MONITOR / UNIT I 1000 'ROPERTY of GIIHA Tag Nos.# E4aU-z4louo-l

COMPUTER MONITOR / UNIT I 100% IROPERTY of GMHA I ag Nos.# u4dtFll,ru-

COMPUTER MONITOR / UNIT I 100% IROPERTI of GMHA Tag Nos.# ETel-uu7'u

IRINTER (HP LASERJET T3OO) I 75o/o PROPERTY of GMHA l Ng No.# 5uoo

IRTNTER (HP LASERJET 3055) 71Vo PROPERTY of GMIIA Tag No.# lZ2llflgglTRINTER (HP LASERJET 6580) 75o/o PROPERTY of GMHA I ag rlo.#

TPACE REQUIREMENTfor Personnel and EquipmenVCapital)

Total

2E5

Total Program SPace

Occupied (Sq. Ft.):rr utsralrSpace

(Sq. Ft ):

Description

SquareFeet

Percent ofTotalProgram Space Comments

DFFICE SPACE 285 IO0o/o

3/3/2009

Page: C-690001 1 5

AGENCY: Guam Memorial Hospital Authority Government of GuamAgency Stafiing Pattern

Page: C- 70

OPERATIONS DIVISION - Planning - 6791

(BBMR SP-1)

0001 16

I

ADMINISTRATIVE SUPPORT DtVtStON - Ptanning - 8791

3/3/2009

' Night Dilfcrential / Euaadous / Wo.lcr,s CompeDrstion / clc,

U: trf 20oE (curml) Govcuam cotrt.ibutio! for Lifc lorur*@ ir $t?.1per uoud; Subjectto cba'ge ir Ff 2UD

* Night Direrotid / Euardour / Worker,r Comp@sttiotr /etcl/: FY 2lt0E (crnett) Govcum co'tributioa for Lite losuruce b Sl7.l pcr 8trDrm; Subjel lo ohuge itr Fy 2009

I I I I I r I I I I I I I I I I r I

IIItttIIItIItIIIIIt

IBBMR DP-ll

Decision Package

FY 2010

Department: GUAM MEMORIAL HOSPITAL Division/Section: Administration/Iluman Resources

Activity Description:The Human Resources department is responsible for the overall administration of an effective and efficient personnel

management programs in accordance with Title 4, Guam Code Annotated. Develop and implement policies programs

d procedure regarding recruitment, training and development, classification and pay administration, and beneftts

ministration. Advise and assist other departmental managers on interpretation and administration of personnel

Major Objective ('s):

(l) Salary compensation review for nurses as required by law to be reviewed every three (3) years and also Allied

Health positions. (2) Update outdated job standards and/or create hospital specific job standards - identiff most critical

iobs or displaced employees. Target to review at the minimum two (2) series per month'

l) Update personnel Rules and Regulations for the GMHA-on-going. (2) Coordinate training and/or workshops for

Supervisory level emPloYees.

Workload Out )ut


Level of AccomPlishment

FY 2009

Anticipated Level

FY 2010

Projected Level

Number of Walk-in customers 4,776 3,900 3,700

lr,lumber of Announcements 922 100 100

Number of Application Received L,076 1,000 1,100

Certifications PrePared 210 150 200

Personnel Action Processed 1,508 lo5o0 1,500

New Hires 182 125 t20

Number of Salary Increments 581 400 350

Number of Separation (Resignations' 113 50 50

Number of Promotions/Reclassifi cation 39 50 50

Number of Detail APPointments 25 15 15

ontract Hires 5 l0 10

Above Step Recruitment 24 20 15

Final Adverse Actions 2 0 0

Creation ofPosition 4 ) ,Amendment of Job Standards , 3 3

Pay Grade Reallocation 0 2 ,Salary Adjustments 92 10 0

3t312009 PAGE: C-710001 1 7

Function:Agency:

Program:


Budget Digest

HEALTHGuam Memorial Hospital AuthorityADMINISTRATION DIVISION - HUMAN RESOURCES (8650)

r\ D l; r.'

AS400Accounl


F"Y 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's ReouestF r 2010

GMTIARevenues

F"y 2010

FederelFund(s)

FY 2010

PharmFund

F Y 2010

Total Req.(c+D+E)

PERSONNEL SERVICESlll Regular Salaries/Increments 322,10t fr!72,69( 376,645 $01 $( s?16 6,Attt2 Overtime/Special Pay 1,894 1.073 0 1.07:n3 Bencfits 99,97: 1t7.274 120,363 120.36:

TOTAL PERSONNEL SERVICES $423,974 $489.964 $498.081 s{ $0 $498.08r

OPERATIONS220 TRAVEL- Off-Island/Local Mileaee Reimbuis $ol $( 8,9001 $0 $ol $8,90{

230 JONT'RACTUAL SERVICES: 34,701 69,821 n2.25n 172.250

233 OFFICE SPACE RENTAL:0

240 JUPPLIES & MATERIALS: 6,80t 12.000 12.500 0 r2.500

250 EQUIPMENT: 8,987 0 0 0

270 WORKf,,RS COMPENSATION 0 0

271 DRUGTESTING/MRO 25,000 23.000 0 23,00(

280 SUB-RECIPIENT/SUBGRANT: 0 0

290 MISCELLANEOUS: 117,257 205,805 348.24a 0 0 348,240

TOTAL OPERATIONS $r67.7s3 s112,633 $564.890 $( ${ $s64.890

UTILITIES361 Power $( ${ $0 $ol $o s(362 Dewer 0 0 0363 l'elephone/ Toll 0 0 0 0rulAL u|lLl'l'lES $0 $0 $( $0 s{ $0

usmFULL TIME EQUIVALENCIES

3t3t2009

PAGE: C-720001 1 I

[uroose / Justi{ication for Travel

necruitment for HealthCare Professional positions

(estimated say = 5 days) 199x5 days =1000 (approximate - subject to change)

fffi#te:Tdtffi;y2010

-fTravelers:

--fPosition Title of Traveler(s) Air Fare Per diem Registration Total Cost

2 HR Staff $ 1,300 g 1,000 $ $ 2,300

4 Cl i nical (Nursing/ProSuppport) $ 2,600 $ 4,ooo $ 6,600

$ $ E,9UU

IBBMRTA-rlSchedule A - Off-Island Travel

Department: GUAM MEMORIAL HOSPITAL AUTHORITY

Division: ADMINISTRATIONProgram: HUMAN RESOURCES (8650)

roTAll $ 8,900

l/ Provide justification for multiple travelers attending the same conference / training / etc'


-

purpose / Justification for Travel


-

*

r I I = :: :: t fililiFlllPosition Title of Traveler(s) Air Fare Per drem I Keglsrrau

s $ s $

$ $ $ $

-


Travel Date:

-

r I I = :: :: I FiiliFiSPosition Title of Traveler(s) Air tr'are Per dlem II t(eglstratlor I

PAGE: C-73

HUMAN RESOURCES (8650)BBMR96A

tIT

IIIII

IIItT

IItI

II

Schedule B - ContractualUnit Total l-unded in tY 2009?

Item Quantitv Price Price Yes NO)rimary Source Verification Fee for Licenses 45C 11.25( x-;ontractuaf Servaces for Compensation Review as oet p.L.24-S2s 100.00( X-egal services (Visa/Atty fees) 10 6.000 60 x(eparr ano matnlenan@ 50( X,uul lel SgMceS x

xx

't72,25(

Schedule F - MiscellaneousUnit Total FUnOeO fn tY 2AU9?

Item Quantitv Pnce Price Yes NoBook: Fair Labor Standards 40( xJournal: TheCompeteffi 30( xldvertising: Pacific Dailv News xaoverustnq: Mananas Vanetv 1 00( x

;ing: American Journal of Nursrno 7.50( x\dvertising: American Dietetics Journai 5. X\0vertising: Advance Physical Therapv Journal 5.00( x

/ertising: Pharmacy Week 6.50t\dvertising: Militarv Transition TimeVtrtavioatoi- 3. x\dvertlsanq: Manila Bulletin 1.00( xlecruitment. Relocation ffi 10 6.500 65.00( xecruitment: Travel Pel Diem, Hotel/Car 10 3.206 32 x.(ecrurlmenl: Atnare (one-wav) ohvsician 10 1.400 14.00( x

tecruitment Airfare (one-wav) staff (Hl- H2 B/CJ 25 600 15.00( X{ecrurtment - Housinq for H2-C (rental) 12 2.500 30 00( Xvlisc: Hospital week pins, etc 8.00( x

;c: Employee of the Quarter 6 585 3. xulembership: Recruitment Trends 30( x

rr ruersntp: DH KM Hrolesstonals 185 1.29! xreotc€tt consultants Human Resources Network Inc 1 500 Xqdvertisinq: Monsters.com 5.00( xovenrsrlg: Americ€ln Journal of Emeroencv Medicine 5.00( x{oventstng: pediatrics Journal x

aqver ustilg: Mananas uaoe vtstgn 4 500 2.00( xclvertising: Rehab News l_ine 5. x

{ovenrsrng: },narmacv News Line 3 00(rtising: Allied Health.Com 5.00( X

PAGE: C-74

Totial Miscellaneous

Total Capital Outlay

IIIIIIIIIItIIIttIII



Agency: GUAM MEMORIAL HOSPITAL AUTHORITYFunction: HEALTI{Program: ADMINISTRATION DryISION - Human Resources Department

IBBMREL-l|

IIIttIIIIIIIIItIItt

EQUIPMENT/CAPITAL I,ISTING ::

Description Quantitv Percentage ofUseAsset Tag No. or

Serial No. CommentsJamsung Computer Monitor 8480241686-r7Window XP Prof CPU 5929JPS-BNT-8OOA

iam sung Computer Monitor 8480241686-lWindowXP CPU 5931JPS 848057840308Jamsumg Computer Monitor 8650241686-03Window XP Prof CPU 5928UPS Tri Pro Power 600Samsung Computer MonitorCPU MIS I2I4

UPS IPCM Power Com

G30800468HP Laser Jet 1200 I CNBIF59879Dual Sided Color P430i I 6687Dell Personal Computer-CPU I 6327s)ptiplex 6X520 6327PC 5Ox-Hard Drive 4955

Swintex 7040 8650-272495-00rCPU 5930Samsung-Syntec Master 793DF 848-0241686-18

Dell Monitor 8480-272418-039sWorkCenter Pro 35 Xerox Machine NYP-02-8639

HP Office Jet 6210 (all in one) I 86s0-271125-001Intel Pentium IV-CPU I )t)lCptiquest Ql lS Monitor IIntel Pentium IV I 5633HTl00- l0 sheet Crosscut Shredder IDell Monitor I 6334SIntel Pentium IV-CPU I 6334 JBPXHIS


Total Program SpaceOccupied (Sq. Ft.):

Descriotion Square FeetPercent of TotalProorqm Snqnc Comments

Cffice area 596

3t3t2009PAGE: C-76

ADMINISTRATIVE DIVISION' Human Resources' 8650


r I I

, Ntgha DffieErtul/ Hurdoui / wo*tk compeil"bn / eh

r/: I.r'200E (curnot) Gorcl|msrlilbututr forLife h3umne i! $174 pcrrnnumi Subisf io dilge h FY 2009

' NiChr Dimrehtul / Hflrfllon! / Worbl'! Compcns'don / etc'

U: FY 2008 (drrcnJ) Govtu cohtdburbtr for Lffe hiut'Ec€ i! Sl74 per 'nDuq

Subi'ct 'o

chsgo h trY 2m9

IrrGovernment of Guam



r

ADMINISTRATIVE DIVISION - Human Resources - 8650

3t3t2009

Page: C-77000123

B C D L u"

A5400

AccountCode Aporopriation Classification

FY 2008

Expend &Encumb

r"Y 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

F"Y 2010

Total Req.(C+D+E)

Government ofGuamFiscal Year 2010 Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SERVICD'S DMSION SUMMARY

[BBMRBD-TI

UTILITIES361 Power $t $( $0 $( $( $0

362 Water/ Sewer0

363 Teleohone/ Toll 35,304 53.71( 107,099 r07"099

TOTAL UTILTTIES s35,304 $53,710 $107.099 $( $0 $107,099


PERSONNEL SERVICESul Resular Salaries/Increments s3.166.174 $3.205.870 $3.269.891 $0 ${ $3,269,891

Lt2 ()vertime/Soccial Pav $250.154 $91,rr( $62,916 62.9r(

l13 Benefits $980.9r2 $1.05231E $1.139,5JE

TOTAL PERSONNEL SERVICES s4,397,24r $4.349,304 $4,472,345 ${ s( s4,472,34!

OPERATIONS220 TRAVEL- Off-Island/Local Milease Reimburs. $13.35( $( $28,820 $( $( $28,820

230 .ONTRACTUAL SERVICES: 1,217,133 1.358.23r 1,541,215 2s0,820 r,792,034

233 DFFICE SPACE RENTAL: 0 0

240 SUPPLIES & MATERIALS: 138,278 r51.00( 25t,732 251.732

250 EQUIPMENT: lt2,6r4 293,02( 278,915 0 218.975

280 SUB-RECIPIENT/SUBGRANT: 0

290 VIISCELLANEOUS: l4.EEg 89,070 81.604 81,604

TOTAL OPERATIONS $1.496.269 $1,E91,32t s2,182347 $0 $250,82{ $2,433,161


TABLE OF CONTENISDECISION

PACKAGE

Page

BUDGET

DIGEST

Page

TRAVELSCH APage

SCH B-F

Page

EQUIP/SPACE

Page

PROPOSED

SRAFFING

Page

CURRENISTAFFING

Page

IItIIIT

8480

8510

8530

8560

8700

FISCAL SERVICES DIVISION

Info Svs

Gen Acctg

Patient Affairs

Patient Reg

Med Records

D-1t3 D4 D-5 D-6/8

D-11 D-12 D-.t3 D-14

D-18 D-19 D-20 D-21

D"25 D-26 D-27 D-28

D-32133 D-33a D-34l35 D-36

D-9

D-15

D-22

D-29

D-37

D-10

D-16

D-23

D-30

D-38

D-10

D-17

D-24

D-31

D-39

IIIIItIT

IIIt000126

IItIIIIIIIIIIItIIII

Decision Package

FY 2010

IBBMRDP-U

Department GUAM MEMORIAL HOSPITAL Division/Sec: FISCAL SERVICES

PAGE: D-1


The GMHA Information Technology Department provides reliable, responsive, secured, cost effective, current and always-

available management information services, healthcare information technology resources, data processing services, network

services and telecommunications support for the Guam Memorial Hospital Authority's mission of providing quality

healthcare to the people of our community. This includes the following activities and responsibilities:

o performs Patient Care Data Processing Services on two IBM AS/400 iSeries Systems, 24 hours a day,7 days a week.performs daily batch Job scheduling and processing, database backups, data and reports printing and distribution on the

A5/400.performs Systems Administration, Security Administration and Database Management on the AS/400 Systems and all

Hospital Network Servers.

o Administers High Availability Data Mirroring on both AS/400 Systems and Network Servers.

o Administers the Local Area Network (LAN), Wide Area Network (WAN), Data Communications, connectivity,

switching, routing, remote access, configuration, firewall, security, contingency planning, backup recovery planning, policy

and quality ofservice assurance.

r Administers Internet, Intranet and Email access and security with secure server locks and encryption certificates' Web

development, Web monitoring and filtering, Security checks for Anti-Virus, Spam, Spyware, Spoofing' Phishing'

and Hackine.provides technical support for all Tele-videoconferencing (Tele-radiology PACS, Tele-CME distance education).

Performs integration and consolidation of organizational data, data mining and data warehousing.

provides financial and patient statistical information on hard copy, magnetic, optical and on-line media.

r provides Centralized Hilp Oesk support for end users, for troubleshooting, repairs, installations, upgrades, and office

automation, Q&A.o Performs bench repairs of desktop PCs, Printers, Laptops, Servers, and UPS.

o performs Systems Analysis and Assessments, Systems Consults, Application Development, Data Query and Desktop

Programming, Adhoc Reports Generation and User Training services.

. Iti*ug", the Advance'Patient Care Systems (APACS) and Healthcare Information Systems Application modules in

coordination with end-users and contracted vendors Keane, Cerner/Dynamic Healthcare, American Healthcare, 3M Health

Systems, ComputerMart Medical Services, First Drug Databank, Websense, Verisign, DataMirror, BosaNova, Emdeon

MediFax-EDI, Philips Medical, FormFast.r Manages, coordinates and evaluates Hardware and Software Supflort Maintenance contracts with vendors IBM, Keane,

Cerner/Dynamic, American Healthcare, 3M Health, ComputerMart Medical, DataMirror, Noridian, SmartTransfer, First

Databank, Connect Imagirig, Intellitype, Xerox.performs Life Cycle Management administration of all computer hardware and software including review and approval of

I computer related requisitions, maintaining standards, maintainin$ computer resources inventory database and license's,

installing and transferring, and certif surveying ofunrepairable corfiputer equipment.

o performs HIPAA Data Security compliance readiness, risk manapiement, administration and Policy development.

r performs JC Management of Information standards IM.l through IM.l0 compliance readiness and Policy development'

o Review new technology products for enhancing efficiency in curlent processes and systems.

r Coordinates and provides end users training on all software appliQations supported. -

o prepares and manages departmental.budgeland Hospital widibudget requGments for Information Resources and Capital

Technolosv Equipment Needs requirement.

3t3t2009 000127

Major Objective(s):are Major Objectives and Special Projects deemed mission critical and part of the Hospital's Strategic Plan for

plementing emerging technologies:

I' Migration of LAB LIS System from old sunsetting LAB Premier System to the new CERNER Mellinnium LAB System.Implementation of new Keane Clinical CPOE iMED application module for Physician's Order Entry.Continue with FMIP Goal #5 Project to achieve a paperless environment by implementing Electronic Health Records

EHR) platform for improved and more efficient storage, archival and retrieval of Medical Records and other Hospital formsand documents.

4. Bar Coding of Order Communications Results Reporting and Transcription Reports in Radiology, and barcoding ofmaterial items, supplies and pharmaceuticals.

5. Provide technical assistance to management in the development and implementation of new business wide strategic planto include new healthcare emerging technologies and requirement.

Send staff to scheduled technical related training on AS/400, Networking, Security, Computer Repairs, HIpAA Security,AT-5 and Fiber Optic Cabling, and Specialized Software Applications.

7. Formal Technical training for technical staffon Microsoft Certified Software Engineer (MCSE) and CompTIA+Security, needed to manage and administer upgrades of Network Servers to Advance Server 2007, Enterprise Exchange

2007 and Office 2007 Suite.

. Work with Operations Division and Facilities Maintenance Department to formulate needed specifications forimplementing a new Facilities Maintenance Management System for assets tracking, resource and project management,

ofpreventive maintenance, and management reporting - that will interface with existine hospital systems.

tIItIIIIIIIIIIIItII

Short-term Goals:l. Formulate Information Technology Services Strategic Plan to address and prioritize the Major Objectives planned forFY20l0.

2. Perform cost beneltt analysis for all planned new purchases for FY20l0 to ensure projects will result In more efficientprocesses, improves workflow and operations, takes the most cost effective approaches with measurable results, and

forms with approved budget.

3. Replace all Desktop Computers (PCs), LaserJet Printers that have served beyond their economic Life Cycle afterHospital wide assessment inventory and tests - this is needed so that end users can functionally work with new

ications and systems that are being implemented (which works better with modern office tools and systems).Implement planned and approved projects including approved FMIP projects with set timelines that are realistic and

i. Identify and justify needed additional technical resources and/or staffto work on projects to ensure implementationimelines can and will be met.

Formulate project implementation teams to include functional end users and technical support to ensure collaborationcommunication of project requirements are followed through to completion.

7. Communicate all Projects requirements with Management and affected areas within the Hospital to ensure informationproject status and feedback are provided.

8. Ensure all new i tations include Training ofaffected areas and end-users.

0001 28

IIIIItIIIIIIIIIIIII

Workload

Workload Indicator:FY 2008 Level ofAccomplishment

FY 2009

Anticipated LevelFY 2010 Projected Level

HIS Service Requests ComPleted on

time 97% 98% 100%

IS Help Desk Trouble Calls

Completed on time 98% 99o/o t00%

Software Vendor Programming and

Sunoort completed on time 90o/o 95% 95%

Computer Uperatlons Dally JoDS

Processing Completed on time 98% 99o/o 100%

Systems Performance Monitoring and

Tunine r00% l00o/o l00o/o

Implement Scheduled Application(s)

Uoerades on time 90o/o 95% 95%

Systems Availability - UP Time 99o/o l00o/o l00o/o

New Hardware Installations on time 98o/o 100% l00o/o

New Operating Systems Software

Installations on time 98o/o 99% l00o/o

Installation of PTFs and New

Releases on time 95o/o 960/o 9s%

Secunty breaches/mcldents reponeo

and resolved t00% l00o/o l00o/o

New Special Projects completed on

time 95o/o 97o/o 95%

3/3/2009

PAGE: D-3


Budget Digest

Function: Hf,ALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SERVICES DMSION - DATA PROCESSING (8430)

It

AS4OO


FY 2{m8

Expend &Encumb

FY2fiDAuthorized

Level

Governor's RequestFY 2010GMHA

Revenues

FY 2010FederalFund(sl

FY 2010

PharmFund

FY 2010

Total Req.(c+I)+D)

PERSONNEL SERI1ICESil1 Regular Salaries/IDcrements 392,754 $391,64t s444,7201 $01 $ol $444,n0l12 OvertimqtSpecial Pay 17,99€ 9.5fil13 BeneliS 127.72G t33.674 sr63,81l 163.81:

IrL UlrRVlCtrS 538.478 sst4.821 $616.53! $l s{ s6l6.s3!

OPERATIONS

7,43a $l $15.600 $( $( $r5,6tx

230 ]ONTRACTUAL SERVICES: 723,7lU 832,46( $617.6fi 617.60{

233 OFFICE SPACE RENTAL:

240 JUPPLIES & MATERIALS: 12,45 30,0u si0.495 30,49:

250 OQUIPMENT: 71,535 262,921 s237.77: 237,77:

280 TUB.RECIPIENT/SUBGRANT :

2n VIISCELLAIYEOUS: I,srt( s2.42n $44,25! 44,25!

TOTAL OPERATIONS 816,739 $r.177. $945.725 $( ${ s94s.72!

000130

IIT

IIIIIIItIIIIIIII

Department/Agency:Division:Program:


Guam Memorial Hospital Authoritv

IBBMR rA-rl

TOTAL : $ 15,600




Travel Date: No. of Travelers: __

Position Title of Traveler(s) Air Fare Per diem 2/ Registration Total Cost

PurDose / Justification for Travel

{ttendtheannualKeaneConferenceandTrainingrequiredforupdatesonhe Clinical and General Financial Applications and Modules changes for proper planning of resources and to schedule

rpgrades implementations, end user training and go-live of new releases for the forthcoming year. Also to review

rew applications developed including system interfaces & hardware configurations re

No. of Travelers:

-L- rt

Position Title of Traveler(s) Air X'are Per diem 2/ Registration Total Cost

Computer Operator III (Clinical Trainer) $ 2,200 $ 800 $ $ 3,000

llosp Information Technology Administrator $ 2,200 $ 800 $ $ 3,000


cecl Technical Conference/Training for recertification on

IBM AS/400 Systems Hardware and Operating Systems Software Configuration and Administration.

This type conference/training not normally provided on-island and usually scheduled once a year at sites

in the U.S. Mainland. Needed to retain and maintain optimum technical "*p"ttit"

to tuppo.t GMHA AS

f Travelers: 2 llTravelDate:-L

Position Title of Traveler(s) Air Fare Per diem 2/ Resistration Total Cost

Systems Programmer $ 40400 $ 1,600 $ 3,600 $ 9,600

3/3/2009

Page D-5

000131

BBMR96A

IIItIIItIIIIIT

IIItI

Information Technology Services/Data processing (84g0)


Schedule C - Supplies & Materials

AS/400 iSeries Hardware Maintenance (Both AS/4OOs)

AS/400 #1 Software Subscription & Support

AS/400 #2 Softrvare Subscription & Support

iCluster (DataMirror) Software License & Support

Websphere Annual Software License &

ne All HIS Applications Annual Software License and

needed Programming and Modifications requests (Keane)

needed Travel related cost for onsite Keane Consultant

Coding & Reimbursement Softrvare License & Support

LAB Mellinium Information System Software License &

EMC, EMR and EMS Software License & SupportHealthCare MDS/OBMN Soflware License &

ast Software License & Support

Twin-ax over TCP-lP Controller Maintenance

ax-EDl, LLC Eleclronic Claims & Remittance

Internet Security and Filtering SW License (400 Seats)

Total Contractual

UnitPrice

TotalPrice

Funded in F'Y 2009?Item v Yes No

Cffice & Administrative Supplies - Standard Stock 20,000 XBM LTO Ultrium (Backup) Cartridge Tape 400GB 30 125.00 3,750 X{P LaserJet Cartridge Toner Replacements t2 r00.00 r.200 XIAT-Se Network Cable Spool 1,000ft. 6 175.00 1,050 XtJ-45 Network Modular Tips (Connectors) s00 0.50 250 XRJ-45 Surface Mount Terminal Block with CAT-Se Keystone Ins. 100 15.00 1,500 Xllectrical Wiring Tie Wraps 100 0.2s 25 XCompressed Gas Duster Cleaner for cleaning Computer Equipment 30 7.00 210 XIype 2 Filter for 3M Shop Vacuum mobile cleaner 6 35.00 210 X3omputer Repair Toolkil J 400.00 1,200 XID-ROM/DVD-RW+ 6666o (100 Pack) 2 300.00 600 X3D/DVD Labeler Kit I 500.00 500 X

I otal Supplies & Materials 30,495

3t3t2009PAGE: D€

000132

IIIIIIIItIIIIIIIIIt

lnformation Technology Services/Data Processing (8480)

Equipment

Schedule D - EquiPment

UnitPrice

TotalPrice

Funded in FY 2009?

Item Yes No

-aserJet and DeskJet Printers Replacement Parts 5,00( X

ityleview Notebook Carts with locking drawers (COWs) l5 2,800 42,000 X

3usiness Desktop Computers PCs - Standard MIS Qo{glglion 60 1,80c 108,000 X

fusiness t-aptop Notebook Computers - Stqlqqtd [,I9 tgnfig'ffi l5 2,00( 30,00c X

)C Computer Replacement Power Supply 10 10( 1,00( X

tC Computer Memory Upgrades - DDRI and DDR2 20 8( 1,600 X

rC Computer Replacement Hard Drives - SAf44 t5 100 1,500 X

'c computer Replacement LcD Flat Eteglgg$gtt 1gft! l5 45C 6,750 X

)C Computer Replacement Mother Board - ATX l0 20( 2,00c X

PC Computer Replacement Keyboards - t 0t[9yt u99 15 t2: 1,87: X

3-Button Replacement Mouse with pad 15 30 45( X

-aserJet Desktop Printers to Replace unrepairable Printers l5 500 7,500 X

{iqh Volume LaserJet Printers to Replace unrepairable Printers l0 2,00c 20,000 X

\ll-in-one PrinUScan/Copy/Fax Deskjets 8 s0c 4,00c X

n/ireless Network Routers - Xtreme N Gigabit Router t4 15( 2,70C X

IISCO 2811 Integrated Services Router - Fast EN I 4,00( 4,000 X

Total $ 237,775

BBMR96A


UnitPrice

TotalPrice

Funded in FY 20tD?

Item tuantitJ Yes No

lomputer A+ Certification Training J 1.45( 4,35Q X

iecuritv + Certification Training J 1,850 5,550 X

r,letwork + Certification Training 2 1,85C 3,704 X

/Vindows XP Introduction to Personal Computers 7 r45 1,015 X

,on? Trainind I evel 1 4 r45 58( X

Microsoft Outlook 2003 Training Level 2 4 145 58( X

Vlicrosoft Outlook 2003 Training Level 3 4 145 580 X

IISCO Aduanced Networking Academy Training 1'2'3'4 4 65C 2,60C X

>C Repair & Maintenance Training 4 20c 80( X

BM AS400 Operations Training 5 1,00( 5,00t X

AfU nS+OO Systems & Security Administration Training 2 1,500 3,000 X

tIPAA Security Certification Training I 2,000 2,000 X

IAT-5 Network \Mring & Testing Training 2 65C 1,30c X

:iber Optic Installation Training 2 1.00( 2,00( X

ui*"^ft Certifiad lT Professional Certification Training 2 5,000 10,00( X

Virtmt Oornai" Name Hosting forwww.gmha.ors Ee!91r9!1,200 X

Total Miscellaneous $ 44,255

3/3/2009

PAGE: D.7000133

BBMR96A

IIIIIIIIT

tIIIIIIIIt

Information Technology Services/Data processing (g4g0)

Schedule F - Capital Outlay

Schedule G - Utilities

Total Capital Outlay

UnitPrice

TotalPrice

Funded in FY 2009?Item Yes No

rusrness Inrernet lOMB Metro Ether Bandwidth (GTA) 38,500 XiMB Metro Ether Logat Loop Connect between GMH and SNL|/LTC (GTA) 15,600 Xf1 1.544Mbps Locat toop Connect between cMH and DFHSS-@i 9,000 X)SL Line 3.SMbps PACS Dedicated VpN for tntettirype Connect 1Cfn1 1,250 x1OMB Symm Bandwidth Direcr Routing tor pnCS nemote REGilF65 40,500 XDSL Line Dedicated VPN for SW Vendor Keane Remote Access (lT&D 573 XfSL Line Ded. VPN for SWV'elplglQgmputermart Remote Access (tT&E) 512 X)SL Line Dedicated VPN for Backup pACS nemote Rccesi (CuamGd 564 XVlodem Line 800 Toll Long Distance services for E-CEims Dial out 600 X

$ 107.099

3t3t2009PAGE: D3

IIt

It

II

tII



Function: HealthcareAgency: Guam Memorial Hospital AuthorityPTOgfAM: FISCAL SERVICES DIVISION - INFORMATION TECIINOLOGY SERVICES (DATA PROCESSING) 8480

[BBMR f,I-TI

IIItI

DOIIIPMENT/CAPITAL LISTING:Descrintion Ouantitv Percentase of Use Comments

BM AS,l00 i5-550 System I 1000/,

BM AS4OO iSERIES 8IO SYSTEM I l00o/

tadioloev PACS Server Svstem I l00o/

ICG/EKG Network Server System 1 1009

lecurity Surveillance CCTV Base Server

lvslem I l00o/

)esktoo PCs u loool

Trainins PCs 12 500/

]OMPUTER TERMINAL. IBM 3487 3 5001

Power 6000 UPS z 10001

IOKVA TJPS t00"1

BM Extemal Disk Storase Exoansion Unil 10001

BM Litrium LTO Hieh Speed TAPE DRIVE 2 5001

BM MAGSTAR Medium Speed TaPe Drive 5001

/299RJI1HUBS z loool

)IGITAL CAMERA 2501

,ROJECTOR- MULTIMEDIA 2 759

IBM Hish SDeed Line Printer 7501

-aserJet Office and Training Room Printer 7501

iet O{fice Printer 5001

GROX DOC-CTR SCAN/COPY/PRINT 10001

O LaptoD 7501

IOSHIBA LAPTOP 7501

BM THINKPAD LAPTOP 75o/,

RM/Lenovo THINKPAD NOTEBOOK 3 t00ol

IOSHIBA Tablet LaDtop 2 l00o/,

r50VA Desktop PC UPS 15 IO0o/o

)ERLE Controller l 100%

tadiolosv PACS Ootical Archive Servet I 10001

,letwork Windows Applications and File Seru t0 100%

)NA Passase Securitv Access 2 10001

IISCO SecurePIX F irewall 2 10tJ"t

IISCC) Laver 3 Routers l0 0001

IISCO Laver 2 Switches 30 10001

Netsear Wireless Routers l8 l00o/

Network Archive Storage (NAS) 2 0001

Network 10/100 Ehtemet Hubs 24 loool

I Line Circuit Cards J 10001

fl PairGain Modems 1.544 MB l 10001

i6Khm Dialun Modems loool

)isital Subscriber Link Modems I Mes 4 1009

vtedium Size lO-sheet Paper Shredder 7501

losaNova Twinax over TCP-IP Controller lo00t

Jaracuda Soam and Sovware Firewall 100,1

JPACE REQUIREMENT'for Personnel and Equipn

Total ProgranSnace (So. FL): 2.220

Description Square FeetPercent of TotalProsram Soace Comments

)ffice space r.160 6201

ldr rinment ( ComDuter/Seruer) Room 260 l40t

raining Room 300 160/,

{ot Site Comouter/Server Room at SNU 150 801

itorase Room or Container (with A/C) J)U 001 NEEDED to Store unused uompller bqutpmenl (rp s a

3/3/2009

Page D-9000'135


FISCAL SERVICES DIVIS|ON . Data processing .8480

Government of GuamAgency Stafiing Pattern

FISCAL DIVISION . Data Processing .8480

3t3t2009 Page: D-10

(BBMR SP-1)

000136

I

!: rnoposio

II/INAGER (Arir hto Tfth Adbln)

r Nighl Dmennlisl / Hsldour / WoIkcr'r Coupalrrtun / eh.

l/: tr'y 200t (arreni) ftrcum sn.rtbufor frr Li'3 Inumce i! Sr?4 per mrumi Subjccilo dmp h Fy 2009

r Ntght Dlficmtul r Hsrr&u, / Wodar'r C.mp€nlltbn / erc.

l/r N 20S (drretri) covfrrm €ontrlbution 6r Ltfe h.ur.hc€ i, St?{ pc. ilnumi Slbjd b cbrg€ h ru 2009

I I I I I r I I r I I I I I I I I I

IBBMR DP-l]

Decision Package

FY 2010

Department: GUAMMEMORIAL HOSPITAL Division/Section: FISCAL/GENERALACCOUNTING

IIIIItIItIIIIIIIIII

Major Objective(s):

annual Financial Statements and get ready for financial audit'

annual Budget for submission to the Legislature.

Goals:Recruit new employees to replace resigned employees.

rain new employees and re-train old employees on use of Accounting Modules.

GENERAL ACCOUNTING

Activity Description:pdate General Ledger from following modules: Accounts Payable, Payroll, Material Management, Patient

Information and Fixed Assets.

Prepare daily Cash Position report.

Process daily Requisitions from Departments'

Process daily GGls from Personnel Department

Process daily Petty Cash Request

Prepare weekly Accounts Payable Audit report.

Process bi-weekly payroll.

Process payment checks to vendors.

Prepare monthly interim financial statements.

Prepare monthly analysis ofbudget vs actual expenses.

Reconcile bank accounts monthlY.

Process annual W-2 and F-l099.

Workload Output


Level of AccomplishmentFY 2009

Anticipated Level

FY 2010

Projected Level

Pavchecks 23615 24796 26036

Vendor checks 2772 29ll 3056

3t3t2009

PAGE: D-11000137


Budget Digest

Function: IIf,,ALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SERITCES - GENERAL ACCOUNTING (85f0)

B D n I

AS4OO

Account

Code ApDroDriation Classifi cation

FY 2(n8Expend &Encumb

FY 2009

AuthorizedLevel

Governorrs RequestFY 2010GMHA

Revenues

FY 2010

FederalFund(sl

FY 2010

OtherFund V

tl Y ,,uluTotal Req.{c+D+El

PERSONNEL SERVICEStll Regular Sala ries/Increments 735, $729.2st 6r6.586 $( $( $61658(tt2 Overtime/Special Pay 8,56illJ Benetits 195.70{ 220,22( 2m,8r4 2U,814

TOTAL PERSONNEL SERVICES 939,63i s949.47t s819.40 $l $( $819.4fi

OPERATIONS220 TRAVEL- Off-Island/Local Mileage Reimbur ${ $8.001 $( $( s8,000

230 ]ONTRACTUAL SERYICES: 138,61: l3l.lfi 102,281 42.82( 14s.1fl

233 )FFICE SPACX, RENTAL:

240 iUPPLIES & MATERIALS: 13,701 18.00{ 20.0{l( 20.0fi

250 EQUIPMENT: 8,502

280 JUB-RECIPIENT/SUBGRANT: 0

2W VIISCELLANEOUS: 4,295 5,00{ 5.0{x 5,00(

TOTALOPERATIONS 155.11 $l54.llx $13s.28{ $( s42,82( sl78.lu

UTILITIESJ6l Power s( st ${ $( $( $(362 Water/ SewerJ6J Telephone/ Toll

TOTAL UTILITIES $( $( $0 $( $( $(

000138

IIIIIIItIIIIIIIIIII

IBBMR TA-11


Department: Guam Memorial Hospital AuthorityDivision: Fiscal Services

Program: GENERALACCOUNTING(85f0)

rorall $ 8,000


2/ Rates must be consistent with Title 5 GCA, Div.2,Ch.23, $23104 and federal Joint Travel Regulations


Position Title of T

Purpose / Justification fgl f4ygl

No. of Travelers: *



he travet is required to meet mission requirements'

ravel Date: August 2010 No. of Travelers: 1

PAGE: D-13000139

General Accounting (8Si0)Schedule B- Contractual


IIItIIIIIIItIIIIIII



Function: HealthAgency: Guam Memorial Hospital AuthorityProgram: Fiscal Services - GINERAL ACCOIINTING

IBBMR ELTI

3/3/2009

ICi]IPMENfl(}IPITALIJSTINGA ;

Dcscription Ouantitv TAG No User/Comments

]OMPUTERPC. DELL I 100.0001 TAG 56ll L 26+ Accoufis rayaDre

]OMPUTERPC" DELL 1 100.0001 TAG 6404 Z 264 Acclunls- l'4Ysq!-SHREDDER. FELLOWS 25.0001 No Tas L 264 Accounts rayaDle

COMPUTER PC. DELL 100.0001 TAG 6407 Z 264 Aida Sumang

Z 258 Auditorz z)u Audltor

]OMPI]TERPC. DELL 100.0001 TAG 6406 2264 Ben Alave

]OMPUTER ESERIES PENTIUM 4 l00.0ctul TAG 5788 Z 254 Landy Lnen

-11419 REIMERS 50.0001 2262 DavidMartinez

]OMPUTER I 2262 DavidMartinez

PRINTER I 2262 David Martinez

]OMPUTERPC. DELL t 100.0001 TAG 6465 Z 268 Elena Celeste

,RINTER HP OFFICEJET 6210 I 50.0001 Red Tas Z 268 Elena Celeqte

Z 250 Jane Flores

z z5u Jane tlores

]OMPUTERPC. DELL I 100.0001 TAG 6393 2268 PaYroll

?RINTER HP OFFICEJET 6210 50.00% Red Tas Z 26t Payrotl

]OMPUTERPC, DELL 100.000r TAG6399 2266 lunlnfante

]OMPUTERTERMINAL. IBM 100.0001 TAG 3435 2266 Junlnfar$e

PRINTER HP OFFICEJET 6210 50.0001 Red Tas 2266 lunlnfante

3OMPUTER PC. DELL 100.0001 TAG 6408 Z 26J Maryann Paulrno

PRINTER 2263 Maryann Pau!!4q

CHECKSICNER" TRI.COLOR 25.0001 TAG2354 2253 Payroll

IYPEWRITER. WHEELWRITER 15 10.0001 TAC242I L 25J Payroll

)RINTER HP LASEzuET 6P 50.0001 Red Tas 2253 PaY!q!!

]OMPUTER PC. DELL 100.0001 TAG 6415 Z 265 Sabina Aguilo

]OMPUTERTERMINAL, IBM t00.0001 TAG1495 Lzo) raDln4ALPRINTER HP LASERJET 1320n 50.00.1 No Tap L 265 sablna Agullo

BINDING MACHINE, ELECTRIC 25.0001 TAG 4264 Hallway z-W!tr&

PRINTERIBM (PK) 25-0001 TAG 3708 Hallway L'wlng,/no r

TYPEWRITER. WHEELWRITER 15 10.0001 TACi2422 Hallwayz-wrng'

iHREDDER. FELLOWS 25.0001 TAG 5741 Hallway z-w1:llqlll,RINTERIBM. LE)CVIARK 50.00% TAG 2933

TotalProgram

Space (Sq.

Ft ): 2.040

Total Program Space

Occupied (Sq. Ft.):

Description SO FT

Percent ofTotal

ProgramSpace Comments

Jffice space 2.040

PAGE: F15000141


FISCAL DIVISION - General Accounting - 8510

3t3t2009

(BBMR SP-1)

aou42

I

Page: D-16

FROPO

* Nigtt lri|Ie6tid / EeordoN / Worker,s C0mpctrretiot / et(.

Ur Ff 200E (curetrt) Govcuu cootribution for LiIc I^uratrcc fu $l?4 pcr srtum; Subject t0 chmg€ in Fy 2uD

r I I I I I I r I I I I I I I I r I

I IIIIIAGENCY: Guam Memorial Hospital Authority


Agency Stafiing Pattern


I I

'Night Differcntial / Hesrdou3 /Workcr's ComDdsatiotr / etc'

l/: FY 2008 (cnrrdt) Govcum contribltiotr fot Life Inrurue is S17{ pcr dnumi Subi€ct to ch&ge in FY 2009

I

FISCAL DIVISION - General Accounting'8510

0001433/3/2009 Page: D-17

Department: Guam Memorial Hosnital

IBBMR DP-IIDecision Package

FY 2010

Division/Section: Fiscal Services/PatientAffairs

ItIIIIIIII

Activity Description: To effectively and efficiently bitt and cottect from l{ealth InsuranceCompanies, Medicare, Medicaid, Medicalty Indigent Program, Government of Guam Agencies/Departments, other State Governments and Selfpay accounts.

Majorobjective(s):Tofirmlycollect$o.1miltionlnontnlycoriaccounts. To accurately and quickly process and send out billing claims within 96 hours orfour days from discharge.

Short-term Goals: To process $11.6 milliobilled charges. t

tt

wglklg{ PEpq!



FY 2010

Projected Level

Collections $67 m $71 m $92m

Billing $126 m $139m $142m

IItIII

Patient Affairs

3t3t2009PAGE: D-18

Govemment of GuamFiscal Year 2010

Budget Digest

[BBMR BD-II

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SVS - PATIf,'NT AFFAIRS (8530)

B D &

AS4OO

AccountCode Aoprooriation Classifi cation

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Govemor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

I"Y 2010

PharmFund

FY 2010

Total Req.(C+D+E)

PERSONNEL SERVICES

11r Regular Salaries/Incrernents 676,58! $744,62r 805,279 $t s( $80s,279

tt2 Overtime/Soecial Pay 72,682

113 Benefits 222.58i 248,498 279,902 279,902

TOTAL PERSONNEL SERVICES 971,851 s993,rr9 $1.085,r81 ${ $0 $r.085.18r

OPERATIONS220 IRAVEL- Off-lsland/Local llileage Reimbut 0 $( s{ $0 $t

230 CONTRACTUAL Sf,RVICES: 12, 4s,068 2t,3Js 2133:

233 )F'F'ICE SPACE RENTAL:

240 iUPPLIES & MATtrRIALS: 79.73! 87,00( 140.86{ 140.

2s0 ,UIPMf,NT: 4.201 30,10( 4r.20{ 41.200

280 ]U B-RECIPIENT/SUBGRANT:

290 VIISCELLANEOUS: 3,tl:lt 15.650 13,350 13.J50

TOTAL OPERATIONS 100,232 $177,818 s216.745 $( $( $216,74s

UTILITIES361 Power s0 $( ${ $( ${

362 Water/ Sewer

363 Telenhone/ Toll 2,4O1

TOTAL UTILITIES 2,404 ${ s( $0 $0 st

IBBMR TA-rlSchedule A - Off-Island Travel

Department: Guam Memorial Hospital AuthorityDivision: Fiscal ServicesProgram: Patient Affairs ( (8530)

TOTALI

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

000146


ion Title of Traveler(s

No. of Travelers:


Position Title of Tra

No. of Travelers:

Purpose / Justification for Traveltravel is required to meet mission requirements.

Patient Affairs Representative

Travel Date: August 2010 No. of Travelers: I

PAGE: D-20

PATTENT AFFAIRS (8530)

UnitPrice

I otalPrice

Funded in FY 2009?


\rmored Car Annually 8,333 X

Medifax-EDl Annually 7,520 X

Oourier Service (TNT) Annually 2,880 X

Newspaper delivery Annually 202 X

lvans Annuallv 2,400 X

$ 21,335

BBMR96A


Schedule E - MiscellaneousunatPrice

TotalPrice

Funded in FY 2009?


News Paper Ad 6 2.00c 12,000 X

Auditino Healthcare Claims 1 400 400 X

Credit and Collection Law I 750 750 X

lealth Care Billing & Collections Forms,

3hecklist and Guidelines 1 20c 200 X

$ 13,350

EQUPMENT/CAFITILL,,[lSfING:Description Ouantitv Percentage of Use Comments

Xerox Copier - Lease z 10oo/o Jtilized for printing itemize billins. suDDortins documentations and scanninsPersonal Comnuter 22 80o/o {ormal ule for all employees providing customer service to our patients/suarantors.Terminal Disolav J 20o/o Jtilized as back-up when PC svstem is downPrinters 5OYo Utilized for printing itemize bills and supporting documents when coDier is down.IBM Printer 6400/6408 l00o/o Utilized for printing billing forms dailyDecollator j%o Allocated from MIS, uttlized to decollate 2-olv comDuter DaDer.Burster 0% Allocated from MIS and solely utilized to decollate 2-Dlv comDuter DaoerShredder 5gyo iecuring patients' confidentialitvIBM Wheelwriter 30 5Yo Jtilized for office oDerational Drocesses.lffice desk t0 l00o/o Jtilized as work station for emoloveeslafe l00o/o Jtilized to safeguard hosortal chanse fund and collectionslabinet 4-drawer l0 1jOVo Itores back-up claims with sunoorting dmumentslabinet 2-drawer 30o/o v{aintain correspondence fi le copres.lacsimile SOYI Form of communicating with external Govemment of Guam Agencies/Departments,

Collection Agencies, Attomeys, Insurance comoanies- and the seneral nublicrree Standing Acoustic Sound-absorbinolcreen/Partitions 5 IOOYy To be 100% HIPAA compliant.\DA Accessible Automalic Door l l00o/o To meet ADA resulations.

Function : HealthAgency: Guam Memorial Hospital AuthorityPrognm: Fiscal Services - Patient Affain (8530)



IBBMREL-II

IItIIIIIttIIIIIIItI

TotalProgram

Space (Sq.x'r-): 3.704 Total Prosram Soace Occunied (So. Ft):

DescriptionSquare

FeetPercent ofTotalProgram Space Comments

lmployee & eouinment use 3.704 7 7o,4

PAGE:D-22

000148


I I

* NiSht Difterentid / ItMrrdou, / Worker'i &mPe$dbb / ets

l/: trY 2tlt)8 (currubi) Covcurm sDtributioD tor Life lDturus ir $17{ Pet 'iluD; subject to chuF itr FY 2009

r rIIGovernment of Guam

Agency Staffing Pattem

I r I I III(BBMR SP-1)

I

FISCAL DIVISION . Patient Affairs '8530

PROPO

3t3t2009

Page: D-23000149


FISCAL DIVISION - Patient Affairs - 8530


(BBMR SP-1)

TA CONTROL CLERK I

FTE

VAC

* Nigha Dmcrentirl / Hu.rdour / Woit€r,s Compcnrdiob / !h.Ut I^Y tmE (crircot) corctm coobtbdioD for Life IDrure ir $l7J p€r unui Srbjd to ch@ge iD Iy 208

3/3/2009Page'. D-24

0001 50

I I I I I I I I I r I r I I I I r r I

Decision Package

FY 2010

Department: GUAM MEMORIAL HOSPITAL Division/Section:

IBBMRDP-U

F'ISCAL DIVISION

Title: PATIENT REGISTRATION (8560)


Timely registration, transfers, and discharge of Inpatients, plus Emergency Department and Professional Support

Services encounters. Obtains accurate and complete demographic data in order to provide organization with

information.

Major Objective(s):Determine eligibility for services, assign patient and medical record numbers, identifr types of patients to be

tted. and to maintain accurate Admission/Discharge/Transfer (A/D/T) records.

Implement Patient Scheduling and Surgery Management Scheduling'

Evaluate effectiveness of Patient Registration's collection

term Goals:

To create a positive patient-hospital relationship during registration interview.

provide local training at Department of Administration to enhance skills of all employees in the department'

Provide additional training and education through other available resources.

Workload Output


Level of Accomplishment

FY 2009

Anticipated Level

FY 2010

Projected Level

No. of patients registered:

A) Inpatients 12000 12000 12000

B) Outpatients 13000 13000 13000

ProfSupport Services

Ambulatory23 hour

L&DEmers Room services 30500 30500 30500

Government ofGuamfiscal Year 2010

Budget Digest

IBBMRBTLI|

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTI{ORITYProgram: FISCAL SV$PATIENT Rf, GISTRATION (8560)

UTILITIf,S361 Power $( $t $ol $01 $01 $(362 Water/ Sewer36t Telephone/ Toll

TOTAL UTILITIES $( s{ $( $t ${ $(

..\ fi (l D rAS4fi)

Account

Code Appropriation Classifi cation

FY 2008

f,xpend &Encumb

FY 2fiDAuthorized

Lcvel

Governor's ReouestFY 2010

GMHARevenu€s

FY 2010

FederalFund{s)

FY 2010PharmFund

nY 2010

Total Req.(C+D+E)

PERSOI\INf,L Sf,RVICESllt Regula r Sala ries/Increments 7{3.86! s664,e2sl I S6go,els $l sOl $6e0,64rtt2 Overtime/Special Pay 43,26( $r0,500 10.50l13 Benefits 231.57t 217,37t $248.239 24[.23t

TOTAL PERSONNEL SI,RVICES 988,70{ $882303 $949.388 $( s( s949J8t

OPERATIONS220 TRAVEL- Off-Island/Local Milease Reimbur ${ $0 $( $01 $(

230 JONTRACTUAL SER\TICES: 6,lo3 20,371 s20,ofi 20,0{x


240 SUPPLIES & MATERIALS: 23,834 26.0{X s40,37t 40,371

250 UQUIPMENT: 6,839 $(


2m WISCELLANEOUS: 2 $3.Ofi J.

TOTAL OPERATIONS 39,664 $6.371 $63,37i $l s( $63,377

000152

IBBMR rA-USchedule A - Offlsland Travel

Department: Guam Memorial Hospital AuthorityDivision: FISCAL SERVICESProgram: PATIENTREGISTRATION(8560)

1/ Provide justification for multiple travelers attending the same

conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23{04 and

federal Joint Travel Regulations

lravel Date: No. of Travelers:

-

*

Position Title of Traveler(s) Air Fare Per diem Registration Total Gost

r Travel

fravel Date: l,lo. of Travelers:

-

n


meIE efis required to meet mission requirements.

Travel Date: August 2010 No. of Travelers: 1

Position Title of Traveler(s) Air Fare Per diem Registration TotalGost

Patient Representative $O.UU

TA

PAGE: D-27

BBMR96APatient Registration (8560)

Schedule B- GontractualUnitPrice

lotalPrice

Funded in FY 2009?Item Quantity YES NO

Staff Training - Customer Service &Effective collection methods 20.000

ran*raa*..- $ 20,000

Schedule D - Equipment




Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Fiscal Services - PATIENT REGISTRATION (8560)

E.OTJ IPMENT/CAPITAL LISTING:Description Ouantitv Percentase ofUse Comments

]OMPUTERPC t2

SHREDDERPAPER STRIP-CUT

PRINTER 6

looier Machine z

felephones t0

SPACE REQUIREMENTf f* p.."oon.f and Equipment/Capital)

Total ProgramSoace {Sq. Ft.): 900

Total Program Space

Occunied (So. Ft,):

Description Scuare FeetPercent of TotalProsrem Sotce Comments

A.dmissions. lst & 2nd flr 900


FISCAL DIVISION - Palient Registration - 8560

* Nighr Dftlnrdsl / Hurrdou / Wo.k!r,r Cosp3trrdtun / &U: FY 2m8 (currcnt) covcue @ilributton tor Life lDiurue i. $174 per uubi Subjcct to clsge io Fy 2009


Page: D-30

II

(BBMR SP-1)

(A) (B) (c) (D) (E) (F) (G) (H) (t) (P) (o)i no pos* ororo

".:. Benefts 2fi ?5

iffi.llE:?

;;*,**i6h *; -s (E+F+c{) (J+R)

Tolal

RotiF

lJr25.33l

Relire(DDl)

1155426)

Soc Sec

Ia ry^rJlMedicac

t, tiu'-trLife tq gfit toEt 6en

(K rhru olt!'i a;a;;*

2E04 COLLECTION AGENT B. 08t21t201 1.17' 22.731 5 S8{ 40 17, 1.38' 181 845 31,1818008 JOHN A. 8 26.71: 7.03 4ol 38 17 1,36' tEl 9.55r

1 E030 PATIENT SVC REP n t0 01to3t201 30.i16: aa2 441 171 1.38', 181 10 1S 40,6518034 EL|ZABETH B. | | 3E.001 10,16 561 17 10.89r 49.50:ao12 SVC REP H r o9t13t2011 1.061 32.591 8.58 fi, 47i 17l 3.'t6/ 12.75. 45 3S:E045 PATIENT 6VC REP P H 1 31,0 E.2S 40, 45: l7l 9.33 40.64i80,1{l NENTSVC REP AMYT. I H | 3 22,47 11t24EO1l 2.,57 6,04i 40, 7, 1.38 E,34( 31,318052 H o9togt201l 99 27.6 7.23:, 4A 391 7' 1.3E l8 9.7618053 PATIENTSVC REP DoREENN I H I z 0u1 5t201 ( 9gl 2A ad 7 19! 40' 41 17' 3.60 41 r2.50( 40.s7E05,f P H 12 40' 17 3.16, 38 t3.18: 15.77

PATIENT SVC REP 3 o6t1Ef201l 1.211 2421 40, 17 3.1 6, 381 10,85! 35,071E050 JANE M. 'tg,s7, 5.251 2g 7, t.E3r 23 7.75, 27.741ffio SVC REP H 3 05/05/201 ( 1.241 21.211 40/ 17' 730 3'1,52,8062 BARBARA 12 1,12:, 33.71r E.E7I 4Al 17 1,E3t 23 11.61r 45.3218063 SVC REP LW' H 10t15801( 2A 46, 7 49: 411 17 3.60; 41, 12 10: 40,5616064 JOANN SN. I I 38, 38.601 10,161 56r t7 1 38' 181 12.451 51.06,8066 SVC REP 13 oaD2t201 33.711 a.a7 4El 17/ 0.54 43,261E067 SHIRIEY A 25. 30,,|€i 8.02 4ot 4: 17/ 41' 13.06 43.52:

1 8068 NVE ASSI3TANT I

8tbg 'AIIENT SVC REP MYMOND R. I H 9S 27,41 7.23, 40, 39t 17 1,3E t8l 9.761 37.2318070 L 12 1nEE012 43.11 1 1.3S 621 l7/ 1.E3 14.221 57 338A27 'ROGRAM il EUZABETHM I L lrt 03/052011 45 &l 12,O11 17t 1_3a 18( 13.75, 59..r0EE26 TIONAGENT vlNcEcii,ARLEsr I c I s 02t12t2010 93 24.E4 6.541 40, 17 1,3E t8l 9,03{ 33,87EE31 SERVICE SUPVR MELtssAs I t lro 12127t2011 8.571 40, 171 17' 1,83i | 1.691 14.28

1 61 34 G 3

1 2309 G 3

1 NEW :OLLECNONAGENT G

4s,Eor 701.141 164.61 5.6,1: 9,50 4,00r 40.09, 1.371 218.23 049.38

I

3t3t2009

I I I I I I I I I

0001 56

r I


I I I rIIGovernment of Guam


I r I I I I(BBMR SP-1)

I I

FISCAL DIVISION - Patient Registration '8560

* Night lxfiererrtd / Hu.rdou / Worker'i ConpeNrdon / eb.

Ur FY il08 (eurEnt) Govcum corfribudob for Lif€ Inrutuce to $17'l pet mnmi Subj€ct b chdge h FY 2009

3/3/2009Page: D-31

0001 57

IBBMRDP-II

IIIDepartment: Guam Memorial Hospital


Division/Section: Fiscal Services

ical Records IIIIIIIIT

IIIIItt

Activityl. Maintain patienVhealth records in accordance with Professional Practice Standards, CMS (Centers for

Medicare/lVledicaid Services) Medical Record Guidelines, JC (Joint commission )Standards and Guidelines, Hospital Medical StaffBylaws, Rules and Regulations,Hospital Administrative Policies and Procedureso and deparhnental Policies and Procedures.

2. Process birth and death certificates for regishation purposes with the Territorial Vital Statistics O{fice.3. Perform data analysis and provide statistical reports to Hospital Administration, Chief Financial Offrcer,

department directors, Medical Staffmembers and others approved by Hospital Administration for use indecision making, strategic planning, and performance improvement.

4. Maintain and operate the coding and abshacting functions for the department.5. Provide computer images and copies of medical reports for billing and reimbursement purposes as requested

from Patient Affairs Department.6. Protect individual patients rights to privacy and confidi:ntiality as mandated by HIPAA (Health Insurance

Portability and Accountability Act of 1996, Privacy Act of 1976, and other federal and territorial laws.Deparhnent is to ensure the safety and security ofprotected health information and aggregate data and to makeavailable protected health information in a timely manner upon submission of proper authorizations andlegitimate "need-to-know" purposes.

7. Control the use of forms in the permanent patienVhealth record.8. Continue efforts to develop a fully-automated, computerized Medical Records Department.9. Provide medical hanscription services for Medical Staffmembers.10. Participate in the Hospital Performance Improvement program.

I l. Provide health information management services to all areas of the hosoital.

Major Objective(s):l. Implement Keane's version of the electronics health record.2. Improve coding tumaround time from 96 hours to 24 hours.3. Prepare the department to meet JC Accreditation Survev standards.4. Increase staffing pattern from 22 positions to26,anaddition offour (4) positions.5. Monitor Medical Staffcompliance with medical record completion standards from JC, CMS, and Hospital

Medical StaffBylaws, Rules and Regulations.6. Implement EDMS (Elechonic Document Management System) to address archival needs of the departrnent.7. Maintain IntelliType Transcription Services serving dictation/transcription medical records, radiology, pathology, and other

professional support services departrnents.8. Reduce the number of paper generated by the iMed Application Software.9. Maintain participation in overall health information data analyses.l0.Maintain daily, weekly qnd monthly productivity and quality control reports of each section of the

3/3/2009PAGE: D-32

000158

IIItIIIIT

tIItIIT

ItI

l. Improve the turnaround time for completing coding and abshacting of all medical records within 24 hours after

discharge.

2. Complete correspondence requests within three (3) days from receipt ofthe requests.

3. Acquire EDMS to expand the need for scanning and imaging records for reimbursement purposes'

4. Maintain the current level of scanning and imaging active records for reimbursement purposes'

5. Complete the updates of departrnental policies and procedures manual to reflect changes due to implementation

ofthe new HIPAA regulations and Patient Safety Act'

. Maintain the work standards for each functional unit based on compliance measufes.

7. Medical reports are transcribed within 24 hours after dictation'

8. Transcribed medical reports are filed within 24 hours after receipt from hanscription services'

. Maintain educational and training programs for all employees'

10. Enroll medical coders in training programs to become certified coders.

l l.Maintain cross-training of employees to maintain full operational levels at times.

l2.Procure software programming for birth/death certificate application'

l3.Respond to Business Offrce requests for medical documentation for billing purposes within 24 hours'

l4.Catch up on backlog of loose medical documents.

l5.Continue with implementation of dictatior/transcription equipment with medical transcription services'

16. Improve dictation capabilities using digital transmission of reports via Dictaphone Boomerang System'

17. Procure another warehouse to store all hospital records'

wo@Workload Indicator:

FY 2008


FY 2009

Anticipated Level

FY 2010Projected Lwel

lomoletion of Records:lnnafient 11,896 12,020 lz.d4d

Emersencv Room 27,507 26,013 29,708

Amhrrlaforu Srtrserv 1,115 1,367 1,204

23 Hours Observation 387 373 418

Others 6,483 4,975 7,002

Records Filed 47,388 44,993 51,179

i*. of Transcription Provided 1.086.620 1.508,644 1.195,2E2

Vital Statistics:

Birth Certificates 2,573 2,264 2,779

Death Certificates 405 469 429

3/3/2009

PAGE: D-33000159

D F

AS400Account


FY 2(n8Expend &Encumb

FY 2009

AuthorizedLevel

Governqr's RequestFY 2010

GMHARevenues

FY 2010FederalFund(s)

FY 2010

OtherFund V

FY 2010

Total Req.(c+D+E)

Government ofGuamFiscal Year 2010Budget Digest

IBBMRBD"U

IIItII

Function: HEALTIIAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: FISCAL SVS - MEDICAL RECORDS (3700)

OPERATIONSfRAYf, L: Off-Istand/Local Mileaqe Reimbur220 $5,921 $( $s,22{ $( s{ s5,220

230 JONTRACTUAL SERVICf,,S: 335,51 9 329,220 780.00{ 208.00{ 988,Ofi

233 f,FFICE SPACE RENTAL:

240'UPPLI!]S

& MATERIALS: 21,00: 20.00{ 20,00( 20.l

250 UQUTPMENT: 21,52a

280 IU E.|{IICI PItrN'I'/SUBGRANT:

290 VIISCELLANEOUS: 3.0 16,Ofi 16,0{x 16.00

TOTAL OPERATIONS $387,00: s36s.22( $82122( $l $208.0fi sr.o29.22(

tItIIItIIIIII

313t2009

PAGE: D-33a

000160

IIIIItIIItIIIIIIItI


Department: Guam Memorial Hospital AuthorityDivision: Fiscal Services

Program: MEDICAL RECORDS (8700)

IBBMR TA-11

Purpose / Justification for Travel*nt personnel. Personnel must attend this

conference to meet continuing education unit requirements by AHIMA. The professional certification

status is required by Joint Commission and the Centers ofMedicare and Medicaid Services.

Travel Date: October 2009

AHIMA ANNUAL CONFERENCE

No. of Travelers: I


Medical Health Record Administrator s 2,500 $ 720 $ 2,000 $ 5,220







$ $

3t3t2009 PAGE: D-34000161




1/ Provide justilication for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Titte 5 GCA, Div.z,Ch.23, 523104 and federal Joint Travel Regulations

313t2009PAGE: D-35

000162

UnitPrice

TotalPrice

Funded in FY 201f9?


MEDICAL RECORDS (8700)

IIIIttIItIItIlItIT

I

UnitPrice

TotalPrice

Funded in FY 2009?

Item Ouantitv Yes No

Rmrzc. PMC| tcD-g-f'M/('P l 5,000 xlIII\rf A Rnnks

Subscriotion: Codine/Reimbursemenl 5,000 X

Joumals

eodine Certifi cation Training 6,000 X

$ l6,ut u



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Medical Records (8700)

[BBMR EL-lI

tIItIIIIII

ItIIII

000164 t

tI

EQUIPMENT/CA PITAL. LISTING :Description Ouantitv Percentaqe of Use Comments

BACK.UPS, APC MATRIX 3OOO)R I 10001CABINET. KODAK FILM I 10001COMPUTER. DICTAPHONE 001 futdated and brokenpESK. CIjEARVIEW W/pRINTER DRAWER I 10001 At Harmon Storage FacilitvDESK. WITH RETURN 7 l00o/rDESK, )(L EXEC DOUBLE PEDESTAL 1000/<

DRAWER. FILE CARD 8 6 l00lMECHANICA4AINTENANCE LADDER t0001MODEM 10001RECORDER, MICROBANK 2 UNITS 0001 futdatedTYPEWRITER, WHEELWRITER IBM 0001 )utdatedCOMPUTER. PERSONAL COMPUTER t7 0001 CutdatedCOMPUTER, MONITOR IBM 3476 8 0001 SutdatedPRINTER 5 0001,RINTER, LASER I O0o/r

Total ProgramSpace (Sq. Ft.): 3.079


Description Square FeetPercent of TotalProsram Snece Comments

MEDICAL RECORDS, IST FLOOR 3.079 l00o/tCONTAINER,20 FOOTER W/AC INSUL. 240 l00o/tHARMONWAREHOUSE s,000 l00o/l

3t3t2009PAGE: D-37

I IIAGENCY: GMhA

r r I r r ttil,*ttt,r I I I I r(BBtl-1)I rAgency Staffing Pattern

FISCAL DIVISION . Medical Records ' 8700

FTE

FILLED

* Nlcit DiffeeDtial / Henrdou / Wolketr! CoEPDtNtrotr / tt'

l/: trY 2008 (curcol) Gorcu&m cotrtribufion for Life Iniurilce ii $l7l pcr 5nm; Srbiect ts chmgs iD trY 2009

3t312009

Page: D-38000165

AGENCY: Gmha

FISCAL DIVISION . Medical Records - 8700

3/3/2009

Government of GuamAgency Staffing Paftern

(BBMR SP-1)

Page: D-39

000166

; i riliipsb ;

.n;

. Nigtt Dlfi.reDtirl / Hearduur / Workert CompcDretio! / e&.

Ur fY 200E (cureDt) covcum coDtribdioD tor Lilc lDsrrmc. i! $l7l pei muj SubJffr ro che!€ tn Fv 2009

I I I I I I I I I I I r I I I I I I I

IBBMRBD"TIGovernment ofGuamFiscal Year 2010

Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL IIOSPITAL AUTHORITY

Program: MEDICAL DMSION SUMMARY

IIIIIT

IItItIIIIItII

1/ SPecifY Fund Source

UTILITIES361 Power $( $( $( $01 $0

362363

Water/ Sewer0 0 0

Telenhone/ Toll 0 0 0

TOTAL UTILITIES $0 $0 ${ $( $( s0

;\ B l)

A5400Account

Code Aopropriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

F Y 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

Pharmf,'und

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICES

tll Resular Salaries/Increments $8.523,26( $9.s44J39 $12.87E,96t $0 $0 $12,878,967

tt2 Overtime/Special PaY 133,0rJ 3,79r 46.751 46,151

113 Benefits 1,489,67n 1.8Er.692 2,559,255 2.55925s

TOTAL PERSONNEL SERVICES $10.145,956 $11.430.422 $15.4E4.9E0 $( $01 $15,484,9E{

TINNS

220 IRAVEL Olf-Island/Local Mileage R $24.285 s{ $12.00( $01 $0 $12,00(

230 CONTRACTUAL SERVICf,SI 1,814,411 1.600.63: 1.505.93s 0 66,00{ r571,935

233 OFFICE SPACE RENTAL: 0 0

240 JUPPLIES & NIATERJALS: r21.56: t2s,82i 8,49i r12J.28 r20,825

250 OOUIPMENT: 8,563 600 1,138 6,60( 7,738

280 IUB-RECIPIENT/SUBGRANT:0 0

290 WISCELLANEOUS: 63,156 7.50( 4,lEJ 1,000 5,r8J

TOTAL OPERATIONS s2.032.584 $1.734,563 $1,531,759 $01 $r85,92t $l,7r7,68?


000167

TABLE OF CONTENTS

MEDICAL SERVICES DIVISION

7450 Anesthesia

8750 Qual Mgmt

Physicians

8660 Employee Heatth

8722 lnleclion Control

E-1

E-7

E-19

E-25

E-2

E-8

E-13

E-20

E-26

E-3

E-9

E-21

E-27

E-4

E-10

E-14

E-22

E-28

E-5

E-1'l

E-23

E-29

E-6 E-6

E-12 E-12

E-15/16 E-17t18

E-24 E-24

E-30 E-30

000168

IIIIIIIIIIIIIItItIT

IBBMRDP-ll

Department:

I)ecision Package

FY 2010

GUAM MEMORIAL HOSPITAL Division/Section: MEDICAL/

Short-term Goals:

l. Increase number of OR rooms serviced by Anesthesia from two OR rooms to 3 OR rooms plus additional room for C-Sections'

Anesthesia Departrnent will be responsible for the adminishation of all anesthetics at Guam Memorial Hospital Authority'

Major Objective(s):

l. Administer general and regional anesthesi4 monitored anesthesia care (MAC) and/or parenteral sedation of elective & emergency

surgical, obstetrical and other invasive surgical procedures in the operating suites, delivery rooms and other areas within the

hospital.

provides consultation for anesthesia adminishation, respiratory or ventilatory support care and pain management'

Provide assistance for airway management and resuscitative efforts within the hospital.

provide pre-anesthetic, peri-anesthetic and post-anesthetic evaluation and management ofall patients.

5. Conduct Quality Improvement and Pgrformance Improvemeff rc

Workload Output

Workload Indicator:FY 2008Level of

Accomplishment

FY 2009

Anticipated LevelFY 2010

Projected Level

lncrease Number of OR Suites 100% lo00 100%

Pre-operative anesthesia evaluation lo00 l00o/o l00o/o

lntra-operative anesthesia evaluation &

documentation 100% 100"/" l00o/o

Post - anesthesia evaluation and follow-up 1000 100% 100%

Response to Code 72 looo l$0o/o l00o/o

Responsetoconsultation (respiratory/

ventilatory care) l00o/o 100"/" 100"/"

Page: E-1


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: MEDICAL DIV - ANESTHESIOLOGY (7450)

UTILITIES361 Power $0 $( $( $( ${ ${362 Water/ Sewer363 Telephone/ Toll

0TOTAL UTILITIES $( $( $0 ${ $0 $(

l/ Specify F'und Source

Il t) f' F'

AS4OO


FY 2008

[xpend &Encumb

FY 2009

AuthorizedLevel

Governorts RequestF"r 2010

GMHARevenues

FY 2010

tr'ederal

Fund(s)

FY 2010

OtherFund I/

['Y 2010

Total Req.

(c+D+f,)

PERSONNEL SERVICESlll Reqular Salaries/Increments $r.478.58{ $1.661.40( $1.910.80{ ${ ${ $1.910.800tt2 Overtime/Special Pay 33,664113 Benefits 326,216 317.38: 454,739 0 454,739

TOTAL PERSONNEL SERVICES $r.$E.462 $r,978.78' $2.365.539 $0 $0 $2365.539

OPERATIONS220 TRAVEL- Off-Island/Local Milease R $6,000 ${ $r2"00( $01 $01 $12.00(

230 CONTRACTUAL SERVICES: 0

233 OI]-FICE SPACE Rf,NTAL:

240 SUPPLIES & MATERIALS: tt4.664 104,000 $( 104.00|l 104,000

250 EQUIPMENT:

280 SU B-RECIPIENT/SUBGRANT:

290 VIISCELLANf,OUS: 0 0

TOTAL OPERATIONS $r20.664 $104,000 $12,00( s( $104,00( $1 16.00(

Page: E-2000170

IBBMR rA-11


Department: Guam Memorial Hospital AuthorityDivision: MedicalProgram: Anesthesia (7450)

Travel Date: _open No. of Travelers: 4

TOTALI $ 12,000.00

1/ Provide justification for multiple travelers attending the sarne conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2rCh.23, 523104 and federal Joint Travel Regulations

000171


uing medical education - for CONTRACT Anesthesiologist

tion Title of Traveler(s)



No. of Travelers:

Purpose / Justitication for Travel

tion Title of Traveler(s

Page: E-3

BBMR96A

Schedule B-Contractual




Function: HealthAgency: Guam Memorial Hospital AuthorityProgram: Medical - ANESTHESIA (7450)

EOU IPMENT/CAPTTAL LISTTNG :

Description Quantity Percentage ofUse Comments

NERVE STIMULATOR DUAL STIM I

SERIES 5OOO ANESTHESIA UNIT I

illffilfn"il""*"0,*,,

TotalProgram

Space (Sq.

Ft.):

Total Program SPace

Occupied (Sq. Ft.):

Description Square FeetPercent ofTotalProsram Snace Comments

same soace as Operating Room

Page: E-5

AGENCY: Guam Memorial Hospital Authority Government of GuamAgency Stafiing Pattern

Page: E€3/3/2009

(BBMR SP-1)

000174

II

I Night Diff.mtial / Eerdous / Workcr,s Compcnrntion / etc.

l/: FY 200t (curreol) covcum @ntribution for Lilc Inlumncc is $174 per annum; Subject to chug€ id F,y !0{D

)ifieEnlisl / Hazsrdous / Wo*e/s Compensation / etc

contribuiion for Life Insumn@ is 9174 per annum; Subject to change in Fy 200

I I r I I I I I I r I I I I I I r

IBBMR DP-U

Decision Package

FY 2010

Department/Agency: GMHA Division/Section: MEDICAL/Oualitv Management

tIItIT

IIIIIItIIItII

Activity Description:purchase the InterQual software to enable the UR Coordinators to input data via computer instead of

riting down data on hardcopy format

Major Objective(s):By using a computerized system it will increase productivity of each UR Coordinator and standardize

was data is entered and interpreted. AII data compiled will be centralized and easily compiled.

Goals:

Interface with the computers already in service on the units via MIS enabling the UR Coordinators to

data immediately while on the unit and receive and compile data in real time thus ensuring patients

aluations are timely and physician contacts are appropriate to the needs of the patient.

Workload O"tp"t ,

Workload lndicator:FY 2008


FY 2009

Anticipated Level

FY 2010

Projected Level

Admissions and contit 65/100 65/100 65/100

23-Hour Observation service monitoring 100 100 100

Post Discharge Audit Review 25 25 25

Denials r00 100 100

All QI Occurrence Screening 100 100 100

StaffQl-Hospital Wide 100 100 100

Qualitv ManagemenUJCAHO Survey P."p4 ----199

100 100

Support QI Activities 100 100 100

Risk Management-Incidents 100 100 100

Risk Manaqement- Legal processing 100 100 100

Insurance Review 100 100 100

3t312009

Page: E-7000175


Budget Digest

tr'unction: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: MtrDICAL DIV - QUALITY MANAGEMENT (S?50)

IBBMR BDTI

A D t) tl Ii

A5400Account


F"r 2008

Expend &Encumb

F"Y 2009

AuthorizedLevel

Governor's Request

F"Y 2010

GMHARevenues

FY 2010

Federal

Fund(s)

F"r 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL Sf,RVICESlll Regular Salaries/lncrements $390,07i $376,015 $$r17( ${ ${ $531.27(rt2 Overtime/Special Pay 4,64! 0 37,82" 37.82!113 Benelits rr5.42! I 11,054 182.754 182,754

TOTAL PERSONNEL SERVICES $510,14i s487.06J $75r.855 $0 $( $75r,855

OPERATIONS220 IRAVEL- Off-Island/Local Milease R $( $( ${ $0 $0 ${

230 UON'T'RACTUAL SERVICES: 1.941 4,768 4,E68 0 4,86{

233 OFF'ICE SPACE RENTAL: 0 0

240 JUPPLIES & MATERJALS: 4.663 12328 6,99',, 6J28 1JJ2!

2s0 EQUIPMENT: 8,409 0


290 MISCf,LLANf,OUS: 7,251 6,00( 2,50{ 2,50{

TOTAL OPDRATIONS 622,269 s23,09( $r4J65 $0 $6J28 $20,693

UTILITIES361 Power $( ${ ${ $0 $( $0362 Water/ Sewer 0 0363 Telephone/ Toll 0

TOTAL UTILITIES ${ s{ $( $( $( $(


IVALENCIES (FTEs)

Page: E-8


Department: Guam Memorial Hospital AuthorityDivision: MedicalProgram: QualityManagement(8750)

IBBMR TA-U

TOTALI $




Travel Date:

-

No. of 'l-ravelers: _J


Hosp QualiW lmprovement Specialist x I $2,500 $1,500 $750 $0

Hosp Utilization Review Specialist x 2 $5,000 $3,000 $1s0 $0


Travel Date:

-

No. ot l ravelers:


$- $- $ $

$- $- $- $


Travel Date:

-

No. of l ravelers:


s- $ $ $

s s- s- $

Page: E-9

Quality Management (S750)

Schedule C - Supplies & MaterialsUnitPrice

TotalPrice

Funded in FY 2009?Item Quantitr, Yes No

cffice&adminsuppties E 7,00c xXMcKessen Heatth solutions contract (books/trainino) 6,32€

Total Supplies & Materials 13,32t


3t3t2009Page: E-10



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Medical - QUALITY MANAGEMENT (8750)

IBBMREL-II

EOIIIPMENT/CAPITAL LISTING:Description Quantity Percentase ofUse Comments

IBMTERMINAL 2

SOMPUTERPC 9

PRINTER 2

FA)VSCANNER IFA)VCOPY/SCAN/PRINTER 2

SHREDDER I

Total ProgramSpace (Sq. FL):

Total Program SPace

Occunied (Sq. Ft.):


Percent ofTotalProsram Space Comments

1{]i^o 680


(BBMR SP-1)

3/3/2009Page: E-12

0001 80

PioPosEul0r0

Relire(DDl)

{1s.52.26)

, Niehl Dlftrenfrl / Hu.fltou. / Wo*rr,. CoDpen"don / cbl/: lY 2008 (crnmt) SrcuE sntdhftn 6r Lil€ lDirrme L $t7d p€r mumi tubJer io ch.nge tD I"y 2009

U: I'Y 200E (.urrcnt) ftvcurm .onrdbuhn tor Lift IBumce b Sl?4 F. enumi S{bjed ,o ds$ h ry 2009

I I I r I I I I I I I I I I I I I I I

Govemment of GuamFiscsl Ysr 2010

Budget Digst

IBBMRBD-lI

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: MEDICAL DIV - PHYSICIANS (7460)

A n r)lglF

AS400


r"v 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

F"Y 2010

PharmFund

Fr 2010

Totd Req.(c+D+o)

PERSONNEL SERVICES

llr Resular Salaries/Increments $6.626,061 $7,481,312 $10332,02! ${ $0 s10332.025

tt2 Overtime/Special Pay 94,40[ 0 0

113 Benelits 1.038.560 1.443.13: 1.8E6.9E6

TOTAL PERSONNEL SERVICES $7.759.02! $8.924,U7 $12,219,0r l $( $0 $12,219,011

OPERATIONS

220 TRAVEL Off-Island/Local !Iileage R, $18,28s ${ $0 $0 ${ ${

2t0 CONTRACTUAL SERVICES: 1.812,411 1.530.00t 1.500,000 l.5uu.ut t

2t3 DFFICE SPACE RENTAL:

240 iTIPPLIES & MATERIALS:

250 EOUIPMENT:

280 TUBRECIPIENT/SUBGRANT :

290 MISCELLANEOUS: s6,4980

TOTAL OPERATIONS $1.887,260 $1.530,0011 $1.500.0011 s0 sOl $1,500,000

UTILITIES36r Power $( $0 s0 s{ SU

362 Water/ Sewer

363 Telephone/ Toll 0

TOTAL UTILITIES $( $0 $t $0 $0 s0




Total Contractual

On Call General & Ortho

IIPHYSICIANS

BBMR96A

IIItIIIIII

IIIII

II


3t3t200s

PAGE: E-14

000182


II I IIIGovernment of Guam


I I I I II(BBMR SP-1)

I r

3/3/2009

Page: E-150001 83


(BBMR SP-l)

* Nigbl Ditfer.rtld / Hssdoo. / Worlci r CoDp.D.dloD / ctc.

U: FY 2008 (curreDt) covcum cobhibdiod for Lifc hruie i! SU4 pcr mm; Subjed to ch&g€ in Fy 2009

3/3/2009Page: E-l6

000184

Ir I I I I I I I I I I I I I I I r I


I II IIIGovernment of Guam


I II II I(BBMR SP.1)

I r

3/3/2009

Page: E-170001 85

c011 ,HYSICIANS-ER ,URPHY. JAMES W 99 249.60C 249.60( 52 89! 3.6't( 17/ 69.5131 319,1 10.50 N016 'HYSICIANS-ER )HENET, AUX J. 99 124,800 't24.80( 3'1.45r 1.81( 17, 34.44i 159.6430.50 N024 ,HYSICIANS-ER )RUZ. OLIVIA L- T 99 114_40A 114.400 28.82( 401 1.65! 32.181 !46.584

F003 )HYSICIANS-ER :EGURGUR. JOHN 9S

N026 IHYSICIANS-ER 3ARRIDO, JOI"IN MARCO H. ss 208 80( 208.80( 52.6'tt 3.028 '172 3.1 6r 38t 61,72i 270,52iI N019 'HYSICIANS-ER iROSHONG, TEDO D. 249.60( 249 AOI 249.60(

o.25 N005 IHYSICIANS-ER IOHNSON. OAVID P. sg 62.40C 62.401 3.86! 901 4.774 67.171N02S IHYSICIANS.ER AST, JAMES P 99 299,600 299.60( 75.49( 404 4.34/ 1.38t 18( 85.1 92 384.792

1 FOOE )HYSICIANS-ER .EE, SIEPHEN J. 99 24S.60t 249.60( 15.474 3,61( 19.09/ 268.6940.25 N010 'HYSICIANS-ER ,UYBER, TODD J. ss 57.201 57.20( 14.411 15.06 72.26'l0.25 NO02 'HYSICIANS-ER IARNN, GEORGE A.T. ss 57.20( 57.20C 14.411 15.061 72.26',|

1 F00,1 'HYSICIANs.ER ,IICHAUD. ROBERT J. 99 249 60( 249.60( 62.89! 4U 3.61( 1.380 18( 1.30i 32f) 9f)"0.50 M)l3 'HYSICIANS-ER 'ARK, CHAN W 99 124.80( 124.AOt 7.73t 81t 9.54i 134.34

1 N036 ,HYSICIANS-ER IICHARDSON. IAN 99 245.60( 249.60a 62.89S 444 3.61e 17t 1.38r 18( 71.47t 321.O7(I N032 ,HYSICIANS-ER iYAN, ROSERT P s9 249 60( 249.60C 'ts 47! 3.61! 1S.OSZ 268.69r

0.25 N012 IHYSICIANS-ER IERLAJE, RICARDO M. 99 57.20( 57.20r 3.54t 4.37C 61.57(0.5 N021 IHYSICIANS{R . VACANT" 99

0.5 N034 THYS|C|AN9€R 'vAcANr. 99

N042 IHYSICIANS€R t9

2S.00t 7.00t s6,00 ,$# "-'r. -"*F:l "..4' .;eil 7 4A1 a12 7.491.312 1.198.71 6.85t 159,971 100.93( 1.73( 24.911 2.90i 1.496.047 8,977.359


* Ntlht DtffercDt|ll / Hsrrdou. / Worker's CoDpeudlon /.tc.U: FY 2m8 (curml.) Covcu* frrtdbutto' fur Lite Inrurece L St?,t per

"-ui Subjcct ro cbeg€ ttr Fy 2009

3t3t2009


(BBMR SP-1)

000186

I

Page: E-18

I I I I r I I I I I I I I I r I I I

ffi::i|,lifi,*.forGMHAemployees.Toassureasafeandhea|thyworkenvironmentfora|l

ffi"il',,""t:hd report the number or emproveeh"",ll 'l,f::,13:::*?g l[l","*$:t are work-rerated'

+: [:lH Slililllll-;";;irt"nt n""rtn **i""" io ar emprovees orthe hospitar'

To provide and facilitate tt* pi"-"rproyment health services of potential new hires'

To participate ano prouioe co-ntinuing education workshops/training regarding the promotion of a

healthy and safe work environment'

Brm Goals:io recruit a full-time Employee Health Nurse'

l::"r:'jl:#',;fiij#:':ffi1ff:il;1t"", or monitorins, trackins and anaryzins emproyee irrnesses

IIIIIIII

tlIT

l,

l:

TBBMR DP-ll

Department: Guam Memorial Hospital


Division/section: Nursinq Division/EmPlovee Health

PAGE: E-19000187

fr-umuer ot eeoq eqminlsterec!

Function:Agency:Program:

Government of GuamFiscal year 20i0Budget Digest

HEALTHGUAM MEMORIAL HOSPITAL AUTHORITYEMPLOYEE HEALTH(8660)

IttIIItT

IIItIII

FY 2010GMHA

Revenues

FY 2010

PharmFund

__ IEBSONNEL SERvrc'ES

Stllx r !3EMs,lncrements(JVertime/Sneaiot Do.,

lllr12 $28,s48 $26,212 $76.189 $0 $0 $76,189n3 Benefits

302 3,79t 3,932 0 3,9329,461 l0,l2lTOTA L P E Rso N= N FI-{;Ei;;;E- 23,663 0 0 23,663$38Jr8 s40,124 $103.784 $0 $0 $103.784

OPERATION-220

$0 ${ $0 $0 $0 $0230 CONTRACTUALS|wicEs

66,4670 65,96t 467 0 66,000

233 AL:0 0 0 0 0

240 UPPI,IES.&Jt/r-1,223 8,000 400 0 2,000 2,400

250 vvurf rVlIJil l:

--

sllR-RnrrprI'l

155 0 39( 0 6,000 6,396280

MISCELLANEO-US:

-ffi

0 0 0 0 0290

0 290 0 r.000-T 1,290

$1,3181 $7J,E67 $1,553 $0 $7s.000 $76,55J

Io!AL UTrLrTrEs

CAPITALOU-LF

Tr|'nffi

Page: E-203t3t2009

ItII

FULL TIMEUNCLASSIFIED

TOTAL FTE;

000188

IIIIIIIIIIIIIIIIIII


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: EMPLOYEE HEALTH

IBBMR TA-U

TOTALI $


2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, S23104 and federal Joint Travel Regulations



No. of Travelers:



No. of Travelers:



No. of Travelers:

PAGE: E-21000189

Employee Health (8G00)Schedule B-Contractual

BBMR96A

IIttIIIIItIIIItIIIt

2359.61


UOG Training: Info and Advance excetUOG Traininq: Effective

3t3t2009Page: E-22

0001 90



Function: HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - Employee Health (8660)

IBBMR f,L-TI

UIPI\{ENT/CAPITAL LISTING:Description Quantity Percentase of Use Comments

lomputer 2 80

Jffice chair I 90

l-drawer filins cabinet f 100

Printer, HP laseriet 1300 I 80

Printer. HP laseriet 1200 I 80

ProgramSpace (Sq.

Ft.): 419

Total Program Space

Occupied (Sq. Ft):

Description Square FeetPercent ofTotalPrnomm Snrce Comments

Admin / Asst Admin Offices 192

Consultant office 85

Secretarial pool r42

Page: E-23

AGENCY: cuam Memorial Hospial Authority Government of GuamAgency Staffing Pattern

' Ntlha Diftrcnbl i Hrr.dtour / Work* CoDpcnnhn / €tc

V: Ff 2008 (orEnt) 6€urD eridbudon for Llfe hiuHc k $ril per |muq SubJ€d ro .tr$ h ro 1009

Page: E-24

(BBMR SP-1)

000192

I

. Nighi Dmcmtul i Hurrdout / Wo.Le r,. Co4eu'tun / €b.

r/: ry 200t (orrent) SrGu.D ertfirtlon ftr Ltf€ IDsuhnN h Sl?4 pe r mhubi Subj€ct b dmge tr Fy 2009

I I I I I I I I I I I I I I I I I I

IBBMR DP-ll

Decision Package

FY 2010

Department: GUAM MEMORIAL HOSPITAL Division/Section: NursinsInfection Control

T

tIIIItIIttIIIIIIII

ctors that Place the Patient'

isitor or employee at risk, and identifies actions to minimize these hazards and decrease the potential for hospital

cquired infections. The goal of the Infection control Program is to reduce the risk of acquisition and transmission

healthcare associated int'ection (HAIs). To accomplish this goal effectively requires and integrated process involving

a collaborative effort by all programs and services throughout the facility.

* The infection control position has been challenged with a high turnover rate over the passed 5 years'

Therefore, this liscal year was focused on setting baseline data for comparison in the future'

INFECTION CONTROL

g in a continuing cYcle:ACtiVity DeSCriptiOn: 'l'he lntectlon UOntrOl frogram aI InlS nosplHl llluolPuratnr ure rvrrvwlrb r'

l. Surveillance: Monitoring patients and healthcare workers for acquisition of infection and/ or colonization'

2. Investigation: Identification and analysis of infection problems or undesirable trends.

3. prevention: Implementation of methods to prevent transmission of infectious agents and to reduce risks for device-

and procedure-related infections.

: Evaluation and management of outbreaks.

5. Reporting: Provision of Information to extemal agencies as required state and federal law and regulation.

dePartment Policies and

rcedures related to the prevention of transmission of infection or employee health practices. Reduce paper waste

placing the Manuel on the facility's web page and removing paper copies from wards. Provide guidelines to

departments to aid in development of department specific infection control policies. Participate in meeting the

hospital,s objective (i.e., reduce waste). Address areas noted on environmental rounds. Serve on teams and committees'

Workload Indicator:

2 to 3 percent decrease

in HAI's and PossiblYlook at new indicators

2 to 3 percent decrease

in HAI's2 to 3 percent decrease

in HAI'sHealth care Associated Infections

Urinarv Tract Infection

Skin and Soft Tissue Infections

3/3/2009

E-25

Government of GuamFiscal Year 2010Budget Digest

Function: HEALTHAgency: GUAM Mf,MORIAL HOSPITAL AUTHORITYPrograrn: INFECTION CONTROL (t722)

rl R It r'

A5400

Account


FY 2008

Expend &Encumb

FY2O(D

Authorized

Level

Governorrs Request

FY 2010

GMHARevenus

FY 2010

Federal

['und/s)

FY 2010

Pharm*'rrnd

FY 2010

Total Req.(c+D+n)

PERSONNEL SERVICESlll Regular Salaries/Increments $( $( $2&678 $t $0 $28,678t2 Overtime/Special Pay 5.ofi 5.0m

t13 Benefits il,113 11,il3TOTAL PERSONNEL SERVICf,S $( $( v479r s( $( w4.791

OPERATIONS220 IRAVEL- Off-Island/Local Milease Reimburs. $( $( $0 ${ $01 $(

230 qONTRACTUAL SERVICES: 6fi 6fi

233 DFFICE SPACf, RENTAL: $(

240 iUPPLIES & MATERIALS: t.0lJ 1.50( t.lm l.l 00

250 EQUIPMENT: 60( 742 6fi t,342

2ffi SUB-Rf, CIPIENT/SUBGRANT:${

2m MISCELLANEOUS: 1.500 t39t 1,39J

TOTAL OPERATIONS sl.0r3 $3.60( $3,841 $( $600 w,441

UTILITIf,S361 Power $( $( ${ s( ${ ${362 Water/ Sewer

361 Telephone/ TollIOTAL IJTILITIES $( $( $( ${ ${ s(

r/ Dpectly Iund source

313t2009Page: E-26

IIIIIIIT

tT

T

IIIIItT

t


Department: Guam Memorial Hospital AuthorityDivision: Nursing DivisionProgram: Infection Control

IBBMR TA-U

TOTALI $




ravel Date: No. of Travelers: I


nfection Control Nurse 3,000 1,500 1,500 $



-

*



ravel Date: No. of Travelers: *


Page: E-27

UnitPrice

TotalPrice

Funded in FY 2009?Item Quantitv Yes No

Share of copier-N ursino Suoervisorand Admin Dept 60c X

60(

& Materials

D.UnitPrice

TotalPrice

Funded in FY 2009?Item Quantitv YCS No

:iling cabinet, 4-drawer 1 219 219 x)ffice chair 1 32t 32a xCffice Desk 1 39( 39€ XPrinter 1 39S 39! X

TotalEquipment 1.341

UnitPrice

lotalPrice

Funded in FY 2009?Item Quantity Yes No

C Data Analvsis Prooram 1 80c 80c XRed Book 2010 Reoort 1 59€ 59! X

1,39(



HealthGuam Memorial HosPital

Infection Control Department (87 22)

IBBMREL-II

Function :

DepartmenUAgency:Program:

Total ProgramSnace (Sq. Ft.):

Total Program SPace

Occupied (Sq. Ft.):

Description Square FeetPercent of TotalProsram Space Comments

Infection Control Offict 192

Page: E-29


(BBMR SP-1)

3/3/2009Page: E-30

000198

I

. Nlght DIFlmdd / ltoardour / Work.'! Compenndoa / Erc.

r/: FY 2mE (drent) ftvfrab snHbutuh for Lft Inflmce i, Sl74 perMub; Subjer b cbsg€ h FV 2009

* Night Dif,eMtul / ILardour / Worter,i Conpcnutun / crc1/: Fy t00E (cu.rent) cov&.b conrdbutrn for Lif€ Inolea b Sl7{ p€} rnuhi Sqbjed to tug€ b Fy 2009



Budget Dig6t

Function: HEALTIIAgency: GUAM MEMORIAL HOSPITAL AUTHORITY

Progrem: NURSING DMSION SUMMARY

B I} F-

AS4OO

AccountCodc Aoorooriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Requesl

FY 2010

GMHARevenues

Fv 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

Pf,RSOI{NEL SERVICES

lll Regular SalarieYlncrements s17.443.719 sl72JE,5Et $19.601,910 st $0 $r9.60r,91{

tt2 Overtime/Special Pay s,129,445 3,034,254 $222r$81 2.221.8E1

113 Benefits 5411,744 5.934,07i $6.667,424 6$67,424

TOTAL PERSOI{NEL SERVICES $27,984:911 s26206:9r4 s28,49r,22r s( ${ $zu,4yrJtl

OPERATIONS220 IRAVEL Off-lsland/Local Mileage R $6J93 s( s{ ${ $( $0

230 CONTRACTUAL SERVICES: 760,982 29,584 8.40{ rJOt 9.70[

233 )FFICE SPACE RI]NTAL: 0

240 {IIPPLIES & MATERIALS: 3.878.585 3.516.27t 52,69: 3,381,466 3.434.r59

2s0 EQUIPMENT: 327,468 299.04n 58,669 244,72! 303,394


290 MISCELLANEOUS: 14272 545,261 ssgA74 ss9474

TOTAL OPT]RATIONS $4.987.70( $4,390,164 $679,235 $( s3,627,499 s4306.734

UTILITIES36r Power $0 $0 $0 ${ $( $0


363 Telenhone/ TollTOTAL UTILITIES $( ${ $( s( $l $(


TABLE OF CONTENTSDECISIONPACKAGE

Page

BUDGET

DIGEST

Page

TRAVELSCHAPage

SCHB-FPage

EQUIP/SPACE

Page

PROPOSED

SRAFFING

Page

CURRENT

STAFFING

Page

NURstltc sERvtcEs DtvtstoN

6010 tcu-ccu

6070 Ntcu

6172 Surgical

6173 Medical Surgical

6174 Medical Telemetry

6290 Pediatrics

6380 Obstetrics

6580 Skilled Nursing

7010 Emergency Dept

7400 Labor & Delivery

7420 Opetating Room

7740 Hemodialysis

8721 Nursing Administration

F-3 F4

F-10 F-11

F-17 F-18

F-26 F-27

F-35 F-36

F-44 F45

F-51 F-52153

F-59 F-60/61

F$7 F-68

F-79 F-80

F-86 F-87t88

F-97 F-98

F-105 F-l06

F-5 F€ F.7

F-12 F-13 F-14

F-19 F-20t21 F-22t23

F-28 F-29l30 F-31t32

F-37 F-38/39 F-40t41

F-46 F-47 F-48

F-54 F-55 F-56

F-62 F-62at63 F-64

F-69/70 F-71 F-72t73

F-81 F-82 F-83

F-89192 F-93 F-94

F-99 F-100 F-101

F-107 F-108 F-109

F-1

F-8

F-15

F-24

F-33

F42

F-49

F-57

F-65

F-74n7

F-84

F-95

F-102t103

F-2

F-9

F-16

F-25

F-34

F-43

F-50

F-58

F€6

F-78

F-85

F-96

F-104

IIIIIIIItIIIIIIIIIt000200

ttIIIIIItItIIIIIIIt


Department: GuamMemorialllospitalAuthority Division/Section: NursineServices/ICU/CCU

I

Short-term Goals:

l. provide safe quality patient care on a24-hour basis. Continue to encourage staff to increase

knowledge and skills through available in-services.

2. To maintain competency skills for all staff providing critical car


The Critical Care Unit exists to provide care to medically unstable patients that require

hemodynamic monitoring, intensive respiratory therapy (including mechanical ventilation)' or

continuous observation urnd us"rr-ent, which may require immediate medical intervention. The

critical care will care for these patients until improvements is such that less frequent observation is

for safe care and less intensive environment is a for the natient's welfares wellare.

Major Objective(s):

1. To provide optimal nursing and medical care to patients with acute medical and/or surgical

conditions through the expertise of specially training physicians, nurses and other health care

providers and centralization of equipment.2. To serve as a setting for continuing education of medical, nursing and para medical personnel

both within the hospital and in the community.3. To open ICU to full capacity - 10 bed unit by hiring additional ICU nurses

Workload Output

Workload Indicator F"r 2008Level of

Accomnlishment



Total number of admissions 472 486 501

Total number of discharges(to home; off-island;transfer to tele/ward) t20 132 r36

31312009

Page: F-l


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: IIURSING - ICU CCU (60f0)

i t2 C l) E fi'

AS,!00

Account


FY 2008Expend &f,ncumb

FY 2009Authorized

Level


GMHARevenues

FY 2010

FedcralFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICESlll Regular Salariesfl ncrements $1,069.620 $1,065,12J $1,247,s051 $01 $o[ $ll47,so5r12 OvertimelSpecial Pay 350,493 181,541 163,18? 163.18?113 Benefits 353,009 346,42i 422.54t 0 422,541

TOTAL PERSONNEL SERVICES $1,773,122 $1.593.09' $1,83J.240 $0 ${ $1.833.24(

OPERATIONS220 TRAVEL- Off-Island/Local Milease R $( $0 ${ $0t $0

230 CONTRACTUAL SERVICES: 0 0 0


240 I TPPLIES & MATERIALS: 40,l2g 31,74r 74( 0 31.000 31,74(

250 EQT]IPMENT: 0 4,40n 400 4,000 4,40n

280 S UB-RECIPIENT/STIBGRANT : 0 0 0

290 MISCELLANEOUS: 0 50( 500 0 50(

TOTAL OPERATIONS $40,12J $36,64{ $1.64{ $0 $35,000 $36,64(

UTILITIES361 Power ${ $( $0 $ol $ol $o362 Water/ Sewer

0363 Telephonc/ Toll 0 0 0

TOTAL UTILITIES $0 $( $( $0 ${ ${

l/ Speci$Fund Source

3t3t2009Page: F-2

00a202


Department: Guam Memorial Ilospital AuthorityDivision: NursingProgram: ICU-CCU(6010)

IBBMR TA-U

TOTALI $




Iravel Date: No. of Travelers:

-

*



fravel Date: No. of Travelers:

-

*




-

*


Page: F-3

TNTENSTVE CARE UN|T - tCU CCU (6010)

Schedule B-Gontractual

IIIIIIII

BBMR96A

IIIIIIIIIII

Total Supplies & Materials


Schedule F -Unit

PricelotalPrice


Visileo monitor, MMHM1. 110V 2 6000 <-in FM BudqetLatitude Laptop Notebook Cart W

autolock drawer 3 6000 <-cut

<-in FM BudoetBariatric Bed Magnum ll, Hil-Rom 'l 18000Portable monitor. HP 200LX 1 10000 <-in FM BudoetTotalCapital

Page: F-4000204



Function : HealthAgency: Guam Memorial Hospital AuthorifyProgram: Nursing - ICU CCUWARD (6010)

E,OT]I PMENT/CAPITAI, LISfi NG IDescription Ouantitv Percentage of Use Comments

Total ProgramSoace (Sq. Ft.): 2,251

Total Program Space

Occupied (Sq. Ft.):

Description Square FeetPercent of TotalPrnorem Snace Comments

ICU/CCU 2.25r


(BBMR SP-1)

3/3/2009Page: F-6

000206

r Night Diffeftrtl.l / Hua.dou! / Worlar! CompeDs.rior /.tc.l/: I'Y 2008 (curftrt) covcurm cobhibutioD for Lifc l!.ursce tu $l?4 pcr eubi SEhjet to cbilg! in Fy 2m9

I I I I I I I I I I I I I I I I I I I


I I I IIIGovemment of Guam


I r I III(BBMR SP-1)

I I

URtENT loqs

FTE

VAC

* Nlrht Difrueilbl / Hesrduut / Workcr't compenlethtr / dc'

U: FY 20ffi (cuiretrt) Gor Gum contrlbulto! for Lif€ lDturmce i! S l?{ pei mrEi Subjed to chilge h IY 2009

3t3t2009

Page: F-7000207

IBBMRDP-U

Itt

Decision Package

FY 2010

Department: GUAMMAMORIALHOSPITAL Division/Section: NURSING/Nurserv/ NICU

Intensive Care Unit

Activity Description: To provide direct patient care

The Nursery-MCU has three(3) Levels of care for the newborn patientsL The Regular Nursery - care of normal newborn babies such as feeding and routine newborn care.II' Intermediate Care Nursery - newbom babies with feeding problems, rule out sepsis that needs antiobiotic therapy,

infants that needs supplemental oxygen & IV therapy. Infants with congenital anomalies that does need ventilatoror less intensive monitoring. Premature/Term infants from step down NICU care.

III' Neonatal Intensive Care Unit - extremely low birth weight & term infants needing constant care, needs ventilatorsupport and parenteral therapy. Newborns with multisystem abnormalities such as cardiac, neuro, gastroentistinaland other congenital abnormalities that requires extensive monitoring and management.

IIIIIIItIIIItIII

Nu

Majorobjective(s):Toprovidequa|itycareincosteffei@

Short-termGoals: promotecort-effectire@itpolicies and procedures based on current standards ofpractice.

Workload Output




Iotal Live Birth 2,562 2,956 3,284Newborn - Normal 2,025 2,376 ) 77)

Newborn - Intermediate Care 476 456 524Newbom - MCU 6l 24 28

Regular NurseryAdmission 2,025 2,376 2,732Discharges 521 396 455Transfer out to Intermediate 200 72 83Transfer in from Roomine-in/ICN 463 516 593Roomins-in 1,731 2,340 2,691

Intermediate NurservAdmission 476 456 524Discharges 314 300 345Transfer out to MCU/Reeular 477 504 579Transfer in from NICU/OBWRes 339 300 u5

NICUAdmission 6'r 24 28Transfer out to Intermediate 69 96 110Transfer in from Intermediate/Saeua 39 48 55

Transfer to GMHA from Sagua Manasu 22 t2 I4

3/3/2009Page: F-8

000208

Appropriation Classilication

IIIIIIII

IBBMRBD.UGovernment ofGuam

Fiscal Year 2010

Budget Dig6t

Function: HEALTHlg.o.y, GUAM MEMORIAL HOSPITAL AUTHORITY

Program: NIJRSING - NICU (6070)

IIIIIIIIIII

Page: F-9

prnsomwr sER!!9E! $1.518,0r:sr5ot,zorl sl.4s7.0l? $1.518,0r: ${

llt439.4r1 263J0(

ttz Overtime/SPecial PaY486,107 486,107

113 Benelits$2J75,325 s2.186339 s2,206,112 $ll ${ s2.206,1 il

'I'(,IAL

OPERATIONS $ol $o 5o[- sol sr

220 TR{VEL- Ull-lslano/Locrl rYrrrratst NErrrruu' r

d6nrmcrunl- SERVIGES:

ffi

01,09t

230

0 0

233

ilupplrrsgMATER4LIs, 14,512 73,50073,50{ 73,50{

240

N(rTIIPME,NT3650 5,700 6,3511

369 6ps(250

0280 ;UB-RECTPI!,N I/JUI'b

r,43! r,435 r{J:

290 tvltsL

s14.881 $82J75 s2,08i $( $79,200 $ur16:

UTILITIES $ol $o $( $( s( bU

361 Power

362 Water/ Sewer0

363s0 $0 $( $(] $ol $t

I-oral rpPnoPRtATloNl/ SpecifY Fund Source

FLILL T|ME EAUNALENCIES

3t312009

Schedule A - Off_Istand Travel

Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: NICU (6070)

l/ Provide justification for muttiple travelers attending the same conference / training / etc.2/ Rates must be consistent with ritle 5 GCA, Div.2, ch.23, $23104 and federal Joint Travel Regulations

Page: F-10

IBBMR rA-u

IIIT

IttIrlrl

:l

III

3t3t2009

/ Justification foffii

Position Tide orr@i

Purpose I "lusUncationEffiili

tion Title of fraveterlsi

Position ridfiiE@i

A

000210

IIIIIIIIIIIItIIIIII

BBMR96A

Nrcu (6070)

Schedule D -unitPrice

TotalPrice

Funded in 'l

Item Quantll Yes No

Dioital thermometer € 45( 2.700 X

lnfanl Resrrscilation Bao A 25C 1,000 X

Ambubao qauqe w/ qasket 4 10c 400 X

:iberoDtic larynqoscope w/ size 1 blade:ihcrnnlin larvnooscone w/ size 0 blade

1 30c 300 X

1 30( 300 X

-arvnooscooe Blade (Miller) size 00 2 10( 200 X

-arvnooscooe Blade (Miller) size 0 2 10( 200 X

\eonatal Transilluminator 2 30( 600 X

Itlachina 1

1

50c15C

500 X

?efrioerator 3 cu ft 150 X

Schedule E -

UnitPrice

TotalPrice

Funded in FY 2009?

Item Quantitv Yes No

)hrrcinianc f)eck Reference 1 7E 75 x

Red Flnnk Flenorl on lnfectious Diseases 1 8( 80 X

Averv's Neonatoloov: Pathophvsioloqv & Mi 1 18( 180 x

rlurserv/NICU P&P (hard copv & disk) 1 90( 900 x

imilh's Recoonizable Pattems of Human Malformati 1 10( 100 x

)hrrcinal f)iannncie in Neonafoloov 1 10( 100 x

1,435

3/3/2009

Page: F-1100021 1


Infant Warmer Bed l3 100.0001Infant Incubator l5 100.0001Infant Bassinets 24 100.0001Viridia Monitorins svstem 8 r00.00%Passport Monitoring system Wstand 6 100.00% vBN 067, 068, 069. 071. 091Medfusion pump 6 100.000t \lBN 075. 07 4. 072" 07 6. 2 wlo tas.Warmer lamp J 80.00%Phothotherapy lughts 8 75.0001Bili blanket w/stand 2 70.0001Bilimeter I 10.00%Infant weigh scale J 20.0001 NBN 080.23.081Portable Pulse Oximeter 2 15.00o/(Digital Thermometer l0 40.00o/tLaryngoscope. fiberootic 4Cpthalmoscope IIransilluminator I)xygen blender J



HealthGuam Memorial Hospital AuthorityNursing - NICU (6070)

IBBMRELII

IIIIIIIIIIII

IItI

Function :

Agency:Program:

III


Total Program SpaceOccupied (Sq. Ft ):

Description Square FeetPercent ofTotalProsmm Snre Comments

NICU 6.610

Page: F-12

I IIIIIAGENCY: Guam Memorial Hospital Authority

IIIGovernmenl of Guam


r r I I III(BBMR SP-1)

I I r

FTE

VAC

FnoP o e

TAFF NURSE II

* Night Dificrcntidl / Ee|rdous / Worlcr'i Compcntalion / etc

l/:trY20m(currunt)GovcumcontribuhoD'orLifeln.uranccisslT4pcrmnum;subjccttochangeinfY2009

3t3t2009

Page: F-13000213


(BBMR SP-1)

r Night Difientrtid / E&trdous / Worker's CompeNatiod / €tc.

l/: I'Y 2008 (currcnt) corcum cotrt.ibutiotr for Life Inrure€ is $174 p€r unum; Subject to chmgc in Fy 2009

3t3t2009Page: F-14

cunr u r.:oos

I I I I I I I I I I I I I I I I

IBBMR DP-II

Decision Package

FY 2010

Department/Agency: Guam Memorial Hospital Division/Section: Nursing Services/

Sureical Ward

IItIIIIIItIItttIIT

I

Activity Description:Ward is 33 bed unit located in the fourth floor. The unit provides pre and post operative care to

patients recovering from any form of inpatient and 23 hour outpatient surgeries. The unit also provides

care to the overflow of patients from other units such as the Medicat Ward, Pediatrics and OB Ward.

Short-term Goals:l) To continuously improve the delivery of safe, eflicient, and compassionate care on a daily basis

To continuously encourage staffto enhance their knowledge and skills through in house in-senice and

training.

Workload Output



FY 2009

Anticipated Level

FY 2010

Projected Level

Number of Admission 1285 L324 1364

Number of Discharges 1822 t877 1933

Major Objective(s):l) To provide adequate and complete care to all patients admitted to the unit in preparation for discharge

planning.2) To create and revise policies and procedures for the unit3) To provide continuing education and staff development opportunities for all staff.

4) Increase the number of licensed stafling to meet the nursing care needs of the patients

5) Imptement team nuring as part of the delivery care system

Train as StaffNurse I and II on how to act as the Charge Nurse in preparation for the switch from

functional nursing to team

3t3t2009

Page: F-15

A { n I l'

A5400Accounl

Code ADpropriation Classification

FY 2008

Expend &Incumb

FY 2009

AuthorizedLevel

Governor's RequestF"Y 2010

GMHARevenues

FY 2010

FederalFund(s)

F Y 2010

Pharm

Fund

FY 2010

Total Req.(C+D+E)


Budget Digest

Function: HtrALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NURSING - SURGICAL (6172)

[BBMR BD-U

UTILITIES361 Power $0 s( ${ $( $( $(362 Water/ Sewer 0


TOTAL UTILITIES $( ${ ${ ${ $( ${

1/ Specify tr'und Source

ItIIItIIT

T

IIIIIIIII

PERSONNEL SERVICESlll Regular Salaries/lncrements $1599.86{ $1.470.19! s1.676.254 $( $01 $1.676Js4rtz Overtime/Special Pay 54839r 230,Sli 129-526 129,52t113 Benefits 4E2.91( 501.14, 576,22Q s76.22n

TOTAL PERSONNEL SERVICES $2.631.18i $2.201.85{ s2J82.00{ $( ${ $2J82,000

OPERATIONS220 IRAVIL- Olf-Island/Local Mitease R ${ $( $( $0 $0 $0

230 CONTRACTUAL SERVICES: 0 0


240 JUPPLIES & MATERIALS: 85,591 100,000 95,00( 95.00{

2s0 OQUIPMENT: 1.471 2s980 19.82t 22,964 42,792

280 tUB-RECIPIENT/SUBGRANT:

290 VUSCELLANEOUS: 350 0 0 350

TOTALOPERATIONS $87,062 $125.98{ $20,r78 $( s117,964 $138.14'

3/3/2009Page: F-16

IIttIIIIIIIIIIIIItI

IBBMR TA-U


Department: Guam Memorial Hospital Authority

Division: NursingProgram: SURGICAL WARD (6172)

TOTALI $


2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23,S23104 and federal Joint Travel Regulations


No. of Travelers:

Purpose / Justificatiq4 foll3""l

Title of Traveler(s

No. of Travelers:

purpose I Justification for Travel

Total CostPosition Title of Traveler(s)


Page: F-17oo0217


suRGrcAL WARD (6172) BBMR96A

tIIIIttIIIT

IIIIIIT

T


nvacare 668 l-5 Economv Stand


3t3t2009Page: F-18

00021 I

tIIItIT

ttIIIIItIIII



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - Surgical Ward (6172)

IBBMREL-l|

EOU I PMENT/CAPITAL LISTING :

Description Quantity Percentage of Use Comments

Defibrillator/ Monitor 2 50%

Patient Bed JJ t00%

lntermittent Suction 20 90%

Vascular DoPPler I 30o/o

Vital Check BP/Pulse Ox Monitor 4 r00%

Personal Computers 9 l00o/o

Printer HP 1200 I rcO%

Chair Sleeper 22 80o/o

Medication Carts ) 100%

fverbed tables JJ 90o/o

Bedside Table JJ 90o/o

Wheelchair 5 100%

Scale standine 80o/o

Bedside Commode 2 70o/o


Total ProgramSpace OccuPied

{Sa- Ft.):

Description Square FeetPercent ofTotalProsram Soace Comments

SURGICAL 13,224

Page: F-1900021 I

AGENCY: Guam Memorial Hospital Authority(BBMR SP-1)


FTE FTE

FILLED VAC

3/3/20091 Page: F-20

000220

(A) (8) (c) (D) (E) o (G) (H) fl) (P) (o)

F-.EoP98EDplf tl i+ir f", ,"+: .'tr Benefits *

FOAIi

Ltila **$,ii'li:*t! ;i ; B"*hi

- *;J', (J+Rl

Tot l

Relire

,J.25-20) 16 2q"r-l\

M€dicare Uf6

ultW,@LiiF.t$t.fiiirb edd; Subtot l fl5.5?26) l?r*bt {K thru Ql

l 4024 }TAFF NURSE I iELGUERA, CHERRY ANN O. 50 42 1At 4,211 09n6P01 2.211 48_53 12 791 40' 701 '17 14n74039 IAFF NURSE I :LY, DIXIE M 11.83 1 18: PT 13.01 60 tEl 17, 1.171 t4.18140,t6 VARD CLERK iHIMIZU.JOYCE O E 6 23.3'l 2.33:, 06DlDO1l 25.4E1 a.s7 40, 38i 17 7.53' 34.,111

4051 IURSE AIDE I ]UINATA, LAURA J. 2 17 69 ozoqmll 1.04 18 731 493 40, 171 3.1& 381 9,33 2E,0814058 |TAFF NURSE II IUMBO, ARIEL MAE D.L 13.761 1,37, 1 5.1 4: 3.98 2l l7' 4.38' 19 32406E IURSE AIDE I

'IADAMNG.ZENAIDA M. 't7.69: 1.771 01t1MO1l 1.04 20.50r 5.40r 40l 17/ 't.3E( 18r 7.E31 28.34

4080 ;TAFF NURSE I iIAPENGCO, ALMA G.S. 46,151 4.61 09E2nO1l 5077. 't3.36i 4Ol ?3e 17 1 3a( lal 16,24" 67.014081 IOSPITAL LPN I TORTOSA,CHERYLUOYCE A. 48 26.961 2.09 1.24 30.911 8 13! 40r 44 17/ 1.38 181 10 72/ t1 634086 .IURSE AIDE I .ORENZO. KATHLEA t7.6S: 177 natlEDol 1,04 20.501 5.40t 10 17' 2A.7440E9 ,IURSE AIDE I SIDRO, MIMSOL M. 21 65 2.16 01t1u201 831 6.4S 40 17, I 381 1Al 6.96

I 4{t91 IURSE AIDE I -vAcANr* I4 IURSE AIDE II }ALATBAT. REBECCA T 't3 29 32 06/06201 9S: 33 25/ 8.751 4Ai 17, 3.16, 12,57 45,6311112 IURSE AIDE II ICFALLE, LEEANNEN 05/06t201 | EEi 26.1 0 a.a7t 40' 371 17' |.3El t8 9.38i 35 481

4114 IURSE AIDE II ALENCIA. LUCEM G I 23.EO 2.38 0v30201 26,18 6.E9( 10. 3Al 17t 3.'t6, 1't.0tr 37.2014124

'IAFF NURSE II AUNTE, JOSIE I. 51 10 6l,941 6.1 9l o4J04no1l 2 161 70 311 't8,51 40, 1.01r 171 1 3Al 21.151 91.601

1124 IOSPITAL LPN 1 HEISEN, RACHELLE A. 48 1 25 S6 258, 0v1 31201 | 99{ 20.56i 7 74, 101 421 171 I 791 3a 35:4144 ;TAFF NURSE II TUSTAMANTE-KATHERINE 51 7 n2nanol 14.A7 10, ao l7 1.38( 17.441 73.'l Sl4160 .IURSE AIDE II .EONG DIVINAV. 11 27.371 2.731 o1n5na1 30.11 7.93r 40l 43 E.94 3S.06'1177 iTAFF NURSE II \GTARAP, MOMI R. 51 11 64,fl1 6.41 0E/06/201 70 s2l 18.561 40/ 1.O2 m,161 s0.6914193 JOSPITAL UNIT SUPERVISOR IO, KATHLEEN E 60_861 6.0E( li,12n00 3.04 89.S81 1A 121 6/ 1.01 17 1.38 lAl 21 5Al 91 56!4205 iTAFF NURSE I A ROSA. FMNKLIN U. 39.94: 399 o3to7Do1 ,16.15( 12.15: 40/ 661 17 1.38 lEl t4.961 61.1't I4211 |TAFF NURSE II ABELLA, EALVACION P 51 61 11 6.41 3n7no11 70 s2l tE.56l 1.O2: I 381 21,141 9t.671232 IOSPITAL LPN II iABINO, NENITA G 49 11 13.721 n37 0z11no1 48.09 12 6Al '17' 1.381 14 9t{ 63 014237 IURSE AIDE II ;ABLAN. RACHEL S-N. t5 31.41 3.11. lZllD$nl |,osl 9.381 5t: 17' 1.381 tE( 11.64t 17.294240 IURSE AIDE I IBERIO. REYZA B. 17.6S o2r21no11 ,04'

,|E.73 4.S3 40, 17' 1,3E1 tE( 7,34 26.081211 IURSE AIDE II IROWN, FEUCIA C E 2 17 A9 04t16no1l 1.04 t8 73 193 40, 27: 17 5.76 24,524247 IURSE AIDE I TAGUINDIN, EARLYNN B 2 17.69 I 771 o5t07t2011 .041 20.50 5.10 40 29, 17, % 7814250 IURSE AIDE I :OU8ALAD. MARIA S 4 15.771 1.971 7 t10t2n10 1,O1' 6.00 40, 33' 17, 6.91 29.7014262 IOSPITAL LPN II :ANO, CHRISTINE D. 4A % 061 7t15nO10 9S 30 66 8.07 40, 41t. 9,091 39.7511245 IOSPITA LPN I )AVIO. ADELA C 4E 26.961 2,6571 3Bn010 ss 30.86r 8.07 40' 441 17, g 091 3S.75r4312 MARD CLERK iAN AGUSTIN. JUUE M. 20.821 2,OE2l 6t13EO10 1.01 23.9,{l 6.30 1A 3,li 17 3.16, 1 0.39 34 331

4325 }TAFF NURSE II :STOY, VICTORIA P 51 16,34' 1.63s1 17,9E, 17 43r 18-4'14325 NURSE I IAROIJE2 EMILY T u3a 4.4381 03N7t201 2.21 51 031 13 13) 4A 741 3.16/ 381 ta 30, 69.34:4330 ;TAFF NURSE II )IZON LORETO J. 5t 53.6861 5,3691 o2n5t201l 2.06 61.121 16.00i 10l 88( 17 17.5S' 7A 67.

1 1t32 }TAFF NURSE II 5t fi (0tl

1 4336 STAFF NURSE II ,AMA. REE€CCA 5t '15 tt.stzl z,sszl 0E/03/201 83.50, 21.98' l7/ 25.831 1m 33!1 4346 IOSP'I'IAL LPN I )AMACHO, ELIZABETH il8 10 rs,sssl r.ssgl o4nat20'l 1 211 40.391 r0.63r 401 58f 171 11.79r 52.181

4349 STAFF NURSE II VALSH. JOHN Y t ss.sosl s.ssol 1n4t200 2.211 11 27, 10 a5 401 5St 171 1.381 1al t3.60: 54.E7,I 4369 JTAFF NURSE II :STOY. ROMALIE S. 51 53.6861 5 36Sl 0sn3rol 2.061 61.121 16.09: lnl EAr 17/ 3.60r 41: 21 S7l a2 691

r IIIIIIIIIIIIIIIIII

I I IIIGovemment of Guam


ITIIlGtt-r) II IIIIIAGENCY: Guam Memorial Hospital Authority

* Night Dilcrential / n{drdow / Workti'i ComDent'tiob / clc'

U:FY!0m(curr.nt)Govcumsnfdbuftnfor|ltelnlurMcliSlT'lperenumisubi€€ttochilgeinFY20D

6.1 9l 2,151 18.51 il0, t.011 17 3.16, 23,65r 93.S6'

1 43EE }TAFF NURSE II

i,ARD CLERK

{URSE AIDE II

IORALES, VICTORIA E 51 't0 61.S41

. VACANT'

'OBLETE,DOMIMDOR ROWE

TORRES, MARIA B.D.

-

I 't,36( 32,801 4392

F 4 20.s4 2,09 05t08201 1 ,'t 0: 24,131 6,351 40

l7 8.061 35,034399

48

5t

1

10

1Z09l200l 99 26,961 7.10r 40/

231

18(

21.101 ES24l4405 IOSPITAL LPN I

61.941 6,191 68,14 17.91 981

13.23 53,1711412 iTAFF NURSE II

:NDERES. LETICIA S1/101200:

2,211

2,21\

39,94 t 0,511 40, 571 17' '1,381

4429 iTAFF NURSE II )UITUGUA, MEANN R

)ENTENO,DIANE OREJUDOS

1FMARINO. MA SIJE ELLEN

37,72'

35,5037,72' 9,93: 40/ 54' 17 3,16, 3El 14,601 s2,321

4430 |TAFF NURSE II50

37,72, 9,931 40, 54 1,3E t2.661 50,3S:

50 35,501 11D71200

4431. VACANT"

;OMERA, MARIDEL L

5l 140, 541 171

171

11,05 4A.7E

I 113250 :

1

35,501

11.E3

12111t2001 2,211 37.721 9,S3i3,86 15.70

1 4604 iTAFF NUSRE I 11.E31 3,,|'l I 40 171

4702 iTAFF NURgE I ]ERMNA, ANNA KARMEL R 502,21 37.72, 9,931 40,

40,

54i 11 11,05: 4A.78

:ANTONALGO, JOSEPH ALBEF

UM MARIA T.

50 1 35,501'131 77 12,74

4704 TAFF NURSE I

46 86{ 9,52 2,50

9040

4ti7,30 80' 26,1 I 8,34 53.67 4,16:, 2.3E1.S9l

1.621.64: 129,54": 54.6't 1,805,78,

47-00 4.00 6tlll!

000221

3/3/2009

Page: F-21


(BBMR SP-1)

".*.'"i-1

3t3t2009 Page'. F-22

000222

I I I r I I I I I I I I I I I I r I I

I IIITIAGENCY: Guam Memorial Hospital Authority

r I

. NiCht Differcilial i Hs.tdo$ / Work€r" compcNadotr / ctc'

l/: IiY 200t (currcrt) Got'Gulb ontribuifutr for Lile Inlur,rc€ t! $17{ pcr ilnum; subj€d fu chshgc h FY 2009



I I I I lre'n-1yl I

4080 irAFF NURSE t lslAPENGco, ALMA G.s. 50 42.181 oaDnoo 2.21 50.701 12 771 40r 73 17 1.39 151 15 631 66.34:

0.333 405E8 TAFF NURSE II iUMBO. ARIEL MAE D.L. 51 | 3.761 2,06 PT 15,831 3.9EI 4.211 20,041

38.06

I 4114 IURSE AIDE II /ALENCIA. LUCENA G, 3.43r 0s/30200 88 27.24' 4Ot 17/ 2.971 10.81,

4431 iTAFF NURSE II , VACANN" 51

1 4129 |TAFF NURSE II . VACANT" 51

1 4197 IUARD CLERK I VACANTt E

424'l IURSE AIDE II. VACANT.' F

I 4051 'luRSE AIDE I

. vAcANl* E

511 4,130 ITAFF NURSE II " VACANT'

1 1405 {OSPITAL LPN I. VACANT" G

I 4132 IOSPITAL UNIT SUPERVISOR 'VACANT" 51

1 4148 iTAFF NURSE II . VACANT- 5t

1 4240 IURSE AIDE I . VACANT' E

4 A7l 45.38, 2.S1 501,1 4 2 201.851

10.0( r*rsdigear MsdiDt : - :.1.1 ::l 1.425.241 230.5121., .) 44,9531 1,700,71 4io.z97l '10,491

3t3t2009

Page: F-23000223

[BBMR DP-l]Decision Package

FY 2010

Department: GUAM MEMORTAL HOSPITAL Division/Section: NURSING'Medical/ Surqical Ward

ActivityMedical Surgical is a 28-bed adult unit with 8 private, 9 semi-private and 2 respiratory isolation rooms. lt operateson a 24-hour basis on the 3rd floor of GMHA. This unit specialized in the delivery of comprehensive medicaland surgical care of adult patients from 18 years old and above. Significant group of patients include endocrinerenal, respiratory' gastrointestinal, gynecology and oncology cases. Special procedures particularly to this area ischemotherapy. This unit is also much involved with patient, fami[, community education on specific disease

by working multidisciplinary with olher departments for an effective planning.

Major Objective(s):1) Provide clinically competent nursing staff who are effective, knowledgeable and efftcient in meeting the

needs of the patient and family during hospitalization.2) Increase the number of nursing staff to meet patient nurse ratio to ensure delivery of safe patient care.3) Open the 16 bed Med/Surg Unit and ensure adequate staff for this additional beds

safe quality care on a 24-hour basis. Continue to encourage staff to increase knowledge and skillsavailable inservices provided in and out of the hospital facility.

Workload Output

Workload Indicator: FY 2008Level of Accomplishmenl

FY 2009Anticapated Level

FY 2010Projeeted Level

Total number of admissions 1,721 1,878 1,990Total number of discharqes 1,524 1,615 1,712

IItIIIIIIIIItIIIItI

a3t20a9PAGE: F-24


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: I\IURSING- MEDTCAL/SURGICAL (6173)

IBBMRBDTI

A t] (lr) F;lt

A5400

AccountCode Aonronriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

OtherFund U

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICES111 Reqular SalarieVlncrements $1.563.582 $1.465.743 $1.753.824 $0 ${ $1.753,824

tl2 Overtime/Snecial Pav 422,783 240,16( 163,022 $163.022

113 Benefits 469,60{ 513.56t 589,603 $589.603

TOTAL PERSONNEL SERVICES $2.455.965 s2,219,47i $2506,450 $( s{ $2,506,45{

OPERATIONS220 IRAVEL- Off-lslandfu ocal lVl ileace R $( $0 $( $0 $0 $0

230 CONTRACTUAL SERVICES: 0 0 0


240 SUPPLIES & MATERIALS: 87,184 52,25( 2,25n 51,75( 54,000

250 OOTIIPMENT: 4.824 38,525 0 16,200 16.200

280 JI.I B-RECI PI ENT/SI.I BGRANT: 0 0 0 0 0

290 MISCELLAI{EOUS: 0 900 14,272 0 14,272

TOTAL OPERATIONS $92,008 $91,675 $r6,s22 $0 s67,950 $84,472

UTILITIES361 Power $( $( st $( st

362 Water/ Sewer

363 Telenhone/ Toll 0

TOTAL UTILITIES $( $0 $( $( $0 $0



Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: Mf,DICAL SURGICAL WARD (6173)

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regutations

IIIItIIIIIIIIIItIII







Page: F-26

IIIIIItttIIIT

IIIIII

Schedule F -

MEDTCAL SURGTCAL WARD (6{73)Schedule B- Contractual

Schedule D -unltPrice

TotalPrice

in FY

Item Quantity YES NO

]RINTER (HIGH VOLUME 2 1,000 2,000 X

V POLES 20 200 4,000 x

SUCTION GAUGE 20 80 1,600 X

HOYER LIFTER 1 2,00c 2,000 X

fr/HEELCHAIR 2 40c 800 X

FAX MACHINE I 30c 300 x

PAPER SHREDDER 2 30c 600 x

KARDEX HOLDER 7 70 1,400 x

OFFICE CHAIRS 10 350 3,500 x

Total Equipment 16,200

Schedule E - MiscellaneousUnitPrice

TotalPrice

Funded in


Phvsicians Desk Reference 1 10c 100 x

Skills Competency Manual 1 50c 500 X

Sleeper chairs 17 786.€ 13.372 x

Wound Care Manual 1 30c 300 x

Total 14,272

Page: F-27



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - MEDICAL SURGICAL (6f73)

EQUTPMENTiCAPITALLTSTING: :

Description QuantiE Percentage of Use Comments


Total Progrom SpaceOccupied (Sq. Ft )3

Description Square FeetPercent ofTotalPrmmm Snsce Comments

Medical Sureical 14.580

Page: F-28

000228

I IIIIAGENGY: Guam Memorial Hospital Authority

I I IIIGovernment of Guam

AgencY Stafiing Pattern

I I I II(BBMR SP-1)

I r

000229

RO?oaRolire

(J.26J3)

Page: F-29

3/3/2009

AGENCY: Guam Memorial Hospitat Authority

r NtSha Dtt€Erit t / Hur.dos / Work r,s Coepdsrtun / €hl/: I'Y 200E (erMr) cbrc|e arHbulioD for Lift Irruee i, SU4 per Mrhi Subjecl .o chee tn try 2009

3t3t2009

Government of GuamAgency Staffing pattern (BBMR SP-1)

000230

I I I I rPage: F-30

I I I I I I I


III ITIGovernment of Guam


r IT rII(BBMR SP-1)

I I

3/3/2009

Page: F-31000231


(BBMR SP-1)

p€r |DuD; Srbj€ct to chqc h tr'Y 2009

3/3/2009Page: F-32

000232

r Ntght Dl|lernel / Hrardor. / lror*Gr', Compil$aton / crc

I I I I I I I I I I I I I I I I I I I

IIIIIIIIIItItIIIIII

IBBMR DP-U

Decision Package

FY 2010

Department/Agency: Guam MemorialHospital Division/Section: NURSING/Medical Telemetrv

onforallnewstafftobecompetentwithPCUpatients.2)T'oinually provide and improve the effectiveness and safety of care for an anticipated 300 patients a month' 3) To

lete all staffunit specific competencies. 3) To educate and familiarize staffon Joint Commission standards of

Care Unit (6174

A"tt"tty D"*"tpiion: 1.tr" felelqet{v Uoit serves as an adult population requiring acute medical management

including pre/post- operative care, diagnostic testing, clinical treatment and convalescence. Such patients are fairly

with less complexity, who require a higher level of nursing care than found on a general patient care unit' It

to care for patients who are stable but with a potential of becoming unstable and require increased nursing care.

The prosressive Care Unit is for monitoring and caring for patients with moderate or potentially severe physiologic

instability. It is for those patients requiring less care than a standard intensive care unito but more than that of a

standard medical-surgical care unit. It consists of 24 Telemetry and }PCIJ beds. These patients require continuous

cardiac and technical monitoring.

e thruough continuing staff development,

education, and training. 2) To have all RNs capable and competent of safely managing both Telemetry and

progressive Care level patients. 3) To open PCU capacity from two to six beds. 4) To reduce the Nurse to

ient ratio to one nurse to four Pati 5) To increase the staffing of @

Workload Outl



FY 2009

Anticipated Level

FY 2010

Projected Level

Telemetry Admissiont 1394 1436 t479

Telemetry Transfer Ins 700 721 743

felemetry Discharges t2t2 1248 1285

Telemetry Transfer Outs 877 903 930

PCU Admissions 200 206 249

PCU Transfer Ins s00 515 530

PCU Discharges 308 317 327

PCU Transfer Outs 393 405 417

3/3/2009

Page: F-33000233


Budget Digest

[BBMRBD-II

HEALTIIGUAM MEMORIAL HOSPITAL AUTHORITYNURSING - MEDICAL TELEMETRY (6174)

1/ Specif Fund Source

A B t) n F'


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governorrs ReouestFY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICESRegular Salaries/Increments $1J29.98{ $1.946.248 $2,046,753 $( $0 $2,046,753Overtime/Special Pay 675,33! 306.545 261.428 0 261.428Benefits 571,309 693.082 716.349 0 716.349

TOTAL PERSONNEL SERVICES $3,076,624 $2,945,875 $3,024.s30 ${ $0 $3.024,530

OPERATIONSIRAVEL- Off-Island/Local Milease Reimburs $0 $t $0 ${ $( $(

CONTRACTUAL SERVICES: 0 1,09{ 0

OFFICE SPACE RENTAL: 0 0

SUPPLIES & MATERIALS: 124,144 513.000 13.203 0 140,791 154,000

EQUIPMENT: 2,lla 38,765 827n 0 24,065 32,335

SI]B-RECIPIENT/SUBGRANT : 0 0

MISCELLANEOUS: l0( 590 0 59(

TOTAL OPERATIONS $t26.2s9 $552.9s! $22.06: $0 $164.86' $186.925

TOTAL UTILITIES

FULL TIME EQUIVALf,NCIES (

3/3/2009Page: F-34

IIIIIIIIIIIIIIIIItI

IBBMR TA-11


Department: Guam Memorial llospital AuthorityDivision: NursingProgram: MEDICAL TELEMETRY (6174)

TOTALI $

l/ provide justification for multiple travelers attending the same conference / training / etc'

2/ Rates must be consistent with Titte 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations




Title of Traveler(s



Page: F-35

MEDTCAL TELEMETRY/PCU (61 74)BBMR96A

tIIIIIIIIItIIIII

Schedule B- Gontractual

III

Schedule E - MiscellaneousunitPrice

I OtalPrice

Funded in FY 2009 ?Item Quantity YES NO

JDR 17! 175 xtions and journals 200 x

:CG Rhythm book 6€ 65 XNurse Drug Guide 1 15C 150 x

590

3t3t2009Page: F-36

000236



IlealthGuam Memorial HosPital AuthoritYNursing - MEDICAL TELEMETRY (6174)

IBBMRELI|

Function :

Agency:Program:

EOTJI PMENTrcAPITAL LISTING :

Description Quantity Percentase of Use Comments

,"rt'.t,Total ProgramSpace (Sq. Ft.): 6'610


(Sq. Ft):

Description Square FeetPercent of TotalProoram Soace Comments

Medical 6.610

Page: F-37


(BBMR SP-1)

(A) (B) (c) (D) (E) (F) (G) fi) nr (P) (o)F*.opotabloro ,.1 ,i}r; :' I'

ec".;l ffi..-::::'r;iNnlll

eo$I i.:!:ffin ilu *

"

* .*i, (E+F+c+D

Subtot l

Relir€ Relire(DDl Soc 566

IA-2%xJl

Medicare

11,45%.Jt

Life

lt^.ry$$:ffi4

ffigf!ilii;;*

Total Ben

De .d{fuG It5-52.261

I 2715 |TAFF NURSE II :URIAN, SUMAIi|OL 51 7 s5 7s, E.36r 1Z02n0l 64.1 t, 16,15 40, 17' 3.1 6, 20,42 E4.S42733 iTAFF NURSE I iVACANT.'

30 I2712 TAFF NURSS II /ELASOUEZ, MARIA CARMELETTE 51 51 A2 7.71: 04102D01 2.58r 6t 941 15 611 40' 8Sr 17' 17 0Al 79,034036 |TAFF NURSE II TAMISIN, ALICIA E 5t 10 6't.94r I 29t o3l11XZ01 71.231 17.95i 1.031 17, 19.1514045 IOSPITAL LPN II }ARCINAS. RUMI A. 49 3 29.94' 40.081 10n2nool 1 06! 71.10 t7.91 40/ L03 17, 3.16, 3E{ s4.1711014 IUREE AIDE I }ELORIO, RHODORA A. 19771 0?r2w01l 1.04' 5.99, 40/ 341 17, 3.1& 38! 10,461 34,25140E7 {URSE AIDE I )ELA PENA.GHIA P 17.6S1 lnEUl '1.04 1A.73 1.72 10/ 27" 17' 1.361 18( 7.13' 25 86!41 03 iTAFF NURSE II 'IOL. ERLINNAV. 5'l 5t.62 7.71. l2n6/2.nol 2.58( 61.S41 15.611 40 8Sl 47 17.0E 78.03'

1 4104 iTAFF NURSE I "VACANT* 50 1 I4106 TAFF NURSE II nrvAcANrt

51

4107 :AROIAC MONITORINC TECHNICIAN .UCERO. JUBELINE A 7 25.27, 3.79 6Z17DO1 30.00: 7.56' 40, 43t 17 1.38 l6l 't 0.13 ,10.1 3'41 0a IURSE AIDE II ,llA, MARIBEL M. 17 69 gsno1 181 1A 741 4,72 40, 27. 't7, t38 tEl 25.86r4114 IOSPITAL UNIT SUPERVISOR IUOUERO, CHRISTINE C. 60.86 9.12! o4not201 3.041 73.03 18 40, 40, L05 17' 3.601 3al 21 nr 97.0614125 JTAFF NURSE II ,UMFORD. MARIA E 51 11 64.'t1 I 61i 0812812A11 2,24, 75.57 1 9.1,11 40' 1,101 l.3El 22.O3 98 00'4127 ITAFF NURSE I ]RUZ, VERONICA A. 50 ,14.3E l0nlDool 1,23, 52.27 13.171 40/ 751 17 t,3Er 18( 16.06r 68.3314129 ]ARDIAC MONITORING TECHNICIAN )ANGATE, GRILDA E. 16 31 52, 5,17 00/05/20 1 3S 70 10,001 571 17 1.381 1A 12.31r 52,01,4131 rVARD CLERK 'ECIM, GEORGIM M, 6 23.3il 349 0Et(]ll.t201 E3: 27.64 10/ 40'| 17 794 35.59:4132 )ARDIAC MONITORING TECHNICIAN OMMY. ALOHA M. 25.271 3.7S a1t12Dn1 30.00: 7.581 101 431 t7 1.361 181 't0.13: 40 13;4133 )ARDIAC MONITORING TECHNICIAN )DULIO, JOSELITA NONESA 11 29.061 4.361 o4n5nol 33,42r 4.42/ 40t frl 171 ,|.831

27 11.59i 45.O2,tl 53 TAFF NURSE I IEUSAN, GLADOESS M 17.93:, l.1gl ozJ16t201 1.20 56.331 14,19 40, 81i l7 15.5E( 71.014166 :ARDIAC MONITORING TECHNICIAN IAYOS. CHONA S t6 34.521 5 t7! 12t142.01 3S.70r 10.00 l7/ 1.38 12.131 51 834164 !,IARD CLERK 'AMASHITA, OIANA J, t0,771 2.96: oTlonol 104 23.7e, 5.99 40' 34 17/ 181 8.47', 12.2411?1 iTAFF NURSE II .EONEN, MARGARITA C 51 10 51 g 9.29'. 02121P01 71 231 17 95 1.03 17/ 183 s2.464172 ;TAFF NURSE II \GUILAR, JILL 51 4 49.04 7 351 04t15801 58.97t 14.86 101 17 t8l 785 76 A3,

4206 |TAFF NUREE II 1

425 IURSE AIDE II'ANGELINAN, LOURDES T 13 29.321 4 3Sl 01l12nUl 99: 34.721 8.751 501 17' 1.38 10 80 15 52

1215 iMERGENCY ROOM TECHNICIAN TUTUC, BERNABE C. JR. 2 1g.Egl il11nnll 1,171 21.06i 5.30i 4A 30i 17' 6.194251 \IURSE AIOE ll (YAMA, KIYOKO 3 1S.841 ogP.0n01l 1.10: 23.911 6,02 40, 34 17' 1.381 t6l E,51: 32.431

)OMEZ. PHILAMER P 7 23.80r 357 03P1D011 68 28.24 712 101 411 17 3.16. 38: 39.9'|4274 .IURSE AIDE I )EVELLES. LORENZO D. 3 1E.73r 2.41 n3tD1DO1l 1.04' 22.59 5.69i tod 3?1 17, 6.5Sr 29 1A4275 .IURSE AIDE I )E VEAS, REVELYN S. 2D A2l 3.12 06t15i2011 1.Dl 21 gA, 6.291 17' 1 3al 161 E.791 33.7814283 ;TAFF NURSE I ;ANTOS, JR., LOUIS D 3 39.94: 5.09 01lzno1l 2.211 1a.15, 12 131 4o4l 6Sl 17 1.381 18{ 14.971 63.12142E6 TAFF NURSE I IALDEVARONA. CHERYL M 50 1 5.321 llDSnOOl 2,211 43.04r 10.841 +o+l 62' 't 1.871 54 g2l4254 ITAFF NURSE II IA2O. TERESIIA 51 I 59 Aa. 8.981 01losno1 2ml 70,szi t7.87 1 n2l 1741 19.071 90.0e

|TAFF NURSE I )AVID, ALMA G 2 sz,zztl 5.651 03t11t201 2.21 45.60 11 19" ,1041 1711 16(4302 l( )ARDIAC MONITORING TECHNICIAN \GUON, FMNKLIN H, 23.4041 3.51 raDrnol 't,17 28.0814309 l( )ARDIAC MONITORING TECHNICIAN )ELA CRUZ, JOSEFINA J. 11 sz,zzal +.es+l oatl2no1 112 3E.1Sl s.6241 t+l rs.srsl

|TAFF NURSE II )ONCEPCION, LIEZL D.J, 5l ss,osel E.0531 0s/03201 2.06 63.80, 16,0701 rctl 711il3l4 IWARD CLERK -VACANT" E 2 0l 0l 0l

000238

I I I I

Page: F-38

I II I I I I


I I I

* Nigbt Differend|l / Heardou / WorLer" Comp.nt.thn / ctc.

U: IiY 2tl0E (currenr) Govcrm contrihution for Ute hdrruce i. $ r7{ p€r aDnumi Subiect to chmgc iD trY 2009



I I I I IT(BBMR SP-1)

I I

IOSPITAL LPN I ;MITH, KASCELYN D 48 25.961 11t17t2i0l 99! 6.791 40 3S 17 7.74i 34.72

4324 ;TAFF NURSE II ]RUZ JODEEN M. 5'1 6 53,681 8.05 o4t122.01l 2.061 63,E0, I 6,07! g2l 't7, 17.171 80.98:

4337 IOSPITAL LPN I :ALULOT, JR. SILVERIO 48 1 7tst201l s9t 26.96 6.79r 40, 17 7.76' x4,721

4342 )ARDIAC MONITORING TECHNICIAN TALECHA. RUTH MARIE l0 2E.08r 2.80{ o2to4t201 30,E9 7 7Al 40/ 141 17, 3.16, 381 1 2.351 ,{3.251

43,15 |TAFF NURSE II'IATEO.

DONNA JEAN 5'l 7 0/16no1l 2,06r 63.39' 15.97r 40, e1l 17' 17.47 E0,86:

4351 ]ARDIAC MONITORING TECHNICIAN ]RALLO. LILIBETH E 10 2E.081 2 80! nzo4nol 98: 31.87i 8.03: 4O1 16:, 17 3,16, 12.231 11.11,

L3B1 ;TAFF NURSE I TADAR CHARLENE B 50 37 72' 05E8E01 13.71 11.01r 40, 17' 1.38 t8( 13.7E

1376 ;TAFF NURSE II JRANTHAM, ROBIN D. 51 11 64.1 1 6,411 05t23no1 70.521 17.77, 40' 1.02 17 19.37. 89.89

4384 ;TAFF NURSE II IECOMONO, RICHIE M 51 57,8,|r 01n2n01 63,591 't6.02 40' s2: 3.16 381 21.O?l 84,67

4393 iTAFF NI.JRSE II ANONG. CARLA 51 13.76 PT 16.14" 40, 231 4,77 21 211

4395 )ATIENT COURIER .EON GUERRERO. ERIC J D 16.E3 aEnol 99i 17.821 4,19 40, 17/ 7.79

1418 IVARD CLERK i,ENGU, DOREEN ANN S 23,311 2,331 o8lo6t201 83: n.48',. 40' 17 3,16 381 11.1E

4436 iTAFF NURSE II .UMBRE, JEANETTE C 51 3 46,45! 5t7 t201 49,04 12,35 40, 71 1,38 t8l 15,03 64.O7

4437 |TAFF NURSE II iOVES, JENNY A 50 2J4/201 2.21 9,50 40, 54 17 3,16 38r 11.17 51.90

4438 iTAFF NURSE II IERNARDO, DANIEL BE 50 35.501 12t5t200 2,?1 40, 54 l7 1.38 1El 12,19 49.9'l

4439 IOSPITAL UNIT SUPERVISOR )UINTANILLA, DIONITA P 11 75,561 7t3m1 2,64 19,711 10t 't.13, 17 3,16, 3E 24,e71 103,20

4603 TAFF NURSE I TARAVILLA, AILEEN M. 50 35,501 1Z11DOi 2,21 37.72' s,50( 40/ 54', 17 't0,63' 48.35

9051 IURSE AIDE II 'AMINTUAN. MARIA MELINDA M. s 25,57 06/30201r 29,01 7.311 40/ 421 17, t.3El 18 s,86{ 3E,E7!

9052 IURSE AIDE II IOBANG, MARYLENE K. 2.83, 12l0EE01l 951 8,09: 40/ 46( 17 9,1 4{ 41,261

9053 .IURSE AIDE II IEMVENTE AFLLEJE, PAMELA A. 7 23,60r t6t26t20011 E81 27,O7 6,AZ 4Ol 39: 17 1.38r s,17: 36.24i

54.00 5.00 $8.m r"lLtuaDcAl TELtMErf*6i71I 1,57A,27 261.421 6E,471 2,306,18 574.39 16.151 33,4691 8,87 74j191 7.30' zr6.34sl 3,024.52r

3/3/2009

Page: F-39000239

AGENCY: Guam Memodal Hospital Authorig Government of GuamAgency Staffing Pattern

(BBMR SP-1)

3t3t2009

rII

Page: F 40

000240

Total Ben

lK th.u Ql

I II I I I I I I I II I I I I

I ITIIIAGENCY: Guam Memorial Hospital Authority

I I

' Ntglt Dlffcrebltrl / Hsddout / Work€rk Cobpentaflob / etc'

l/: I y 200E (curerr) GovCoNm cootribrtutr for Itre lnrurance t! $1il pq uoui subl€d to chsng€ b IiY 2009



r r I II(BBMR SP-l)

I Ir

1 4384 ISTAFFNURSEII IECOMONO. RICHIE M 51 7 16,721 l2DnOO 2.OBl 74.51 1E.78, '1.08 17, I 19.69{

4172 }TAFF NURSE II IISLOVE, VALERIE S. 51 7 16,721 08n6/200 2.061 74.541 1A.7& 40' 1.0E 20.26

9052 JURSE AIDE II IOBANG MARYLENE K F 1 27,37 4.10; 1znEt200 95i 32.44 a.17 40, 471 17 9.22 48.50i

4243 ;TAFF NURSE I ;ANTOS. JR.. LOUIS D. 37.72 oln2noo 2.21 45.601 11 49t 40, 17 't.39i l5l 14,27 63,80(

40s6 }TAFF NURSE TNAMRAN MARIA ROMINA C. 37.72 5.65t 03,/0sr200 i05.60' 11.4e1 40, 86', l7l 12.73 41.62/

41 0G iTAFF NURSE II.HOMAS JOAN V. 5't ,19.04 7,351 03tlaDool 2.58 58.97 14,861 40, 16.12 60,41;

1132 :ARDIAC MONITORING TECHNICIAN IOMMY. ALOHA M. 7 25.271 3.79 07 t12J2001 30.001 40 431 17' 1.39: 151 10.12 /t4.30,

4116 IOSPITAL UNIT SUPERVISOR FRO CHRISTINE C. 4 57.81: 8.671 04l20no0l 3.04: 69.53 17,52 40 t.00r 17 3 1S; 351 22.66i fl't.701

2742 iTAFF NURSE II /ELASOUEZ. MARIA CARMELETTE 51 4 49.041 7,35r 04nz200l 2.58t 58,97 14.86: 851 17 15,E9'

4414 VARD CLERK IGNGU, DOREEN ANN S 23,31r 3.4S 0210112011 26.81 40' 38! 17, 2,081 201 10.00; 39.601

4168 \IARD CLERK /AMASHITA DIAN' i8.731 2,81'

12,791

07to3n00l

01DBt201

1.04' 22.59 5,691 4Ol 7, 1 39: 15( E.t4{ 33,011

9e,05i 24.701 40' 1 42: 17' 1.391 t5( 2A,25 133,401

25.832720 {OSP NURSE SUPERVISOR.II 4MORA. JOCELYN 54 85.26'

4:195 :AROIAC iIONITORING TECHNICIAN . vacANT.' 1

4322 IOSPITAL LPN I. VACANT.' H 'I

27,42

4337 {OSPITAL LPN II. vAcANT.' I

29,21

443S IOSPITAL UNIT SUPERVISOR . VACANF* 52 15E,77

il4:18 |TAFF NURSE II. VACANT' 1

51,42

4245 ;ARDI,AC MONITORING TECHNICIAN . VACANTh25.E3

1087 IURSE AIDE I. VACANF'

4108 IUR8E AIDE II . VACANT'

4,136 TAFF NURSE II . VACANT-' 5l54.42,

1437 iTAFF NURSE II54,42,

4S.3: 10.0;i: ...... ri; 't,878,87 67.37: 2252.75 567.70' 14,12i 30.48ol 7.1321 67,s381 6,1051 693,0E21 3.77s,87:

3t3t2009

Page: F-41000241

IBBMR DP-U

IIII


Department: Guam MemorialHosnital Division/Section: {!g!pPediatrics

ActivityDescription:PediatricWardisdividedinto2|iI isolation room. Both provides care to patients from newborn to sixteen years of age who are acutely or

itically ill; provides education to patients, their parents, family and significant others; and gives guidelinesrd instructions prior to their discharge.

IIIII

Major Objective(s):l. Convert rooms 466 and 467 into Pediatric Progressive Care Unit equipped with cardiorespiratory monitors

that is centrally monitored at the nursing station.

Short-term Goals:l. Have all licensed personnel become PALS, ACLS and EKG certified. I

IIIIIIII

000242 I

Workload Output




Regular Pediatric Census 1228 1350 1500PICU Census 50 60 70

3t3t2009Page: F42


Budget Digest

IBBMRBD-rl

HEALTHGUAM MEMORJAL IIOSPITAL AUTHORITYNURSING - PEDIATRICS (6290)

A 5 t) ll


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governorts Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

TOTAL PERSONNEL SERVICES

OPERATIONSIRAVEL- Off-lslandtuocal lfileage R ${ $0 $0 $0 $( $(

CONTRACTUAL SERVICES: 106,269 0 0

OFFICE SPACE RENTAL: 0 0

SUPPLIES & MATERIALS: r.29t 51,000 10.000 0 36,000 46,00{

EQUIPMENT: 0 73,715 1,22n 72,494 73.715

SUB.RECIPIENT/SUBGRANT : 0 0 0

MISCELLANEOUS: { l3{ l3{ 0 0 130

TOTAL OPERATIONS $107.56t s124.845 sllJs( $0 $108.495 srr9.845

TOTAL UTILITIES

1/ Speci$ Fund Source





$


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: PEDIATRICWARD/PICU(6290)

IBBMR TA-U

ALI $

IIItIIIIIIII

ItII

IIt

l/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2,Ch.23, S23f 04 and federal Joint Travel Regulations


Date: No. of Travelers: _ *

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost$- $ $ $

$- $ $ I


ravel l)ate: No. of Travelers: _ *

Position Title of Traveler(s) Air Fare Per diem Registration Total Cost$- $ $ $

$- $ $ $

Page: F44

'QUIPMENT/CAPITAL LISTINC:

Description Quantitv Percentrgc ofUse Commenb{DDRESSOGRAPH z ,,lot used anymorc aRer convertins to sticker

tllLl(uM 5

]ILI LIGHTJTLTT'LANI(lJ I J

-ARDTOPULMONARY MONITOR DATASCOPE]ART. ATROMICK BEIGE 2 rleed replacement soon

T,Mb,KCENCY ACCESS J Jsed to keeD suDDlies for PICIIPRIN'IbR leplaced new cardioresoiratow monitors

]HAIR, RECLINER 25-'OMPUTER , PC 3

tsK, 1

3rutt, t2

6

2

I {ot verv safe to use\4ONITOR. BEDSIDE HP 2 leplaced with new cardioresoiratoN monitorsUUNIIUIq L'INAMAP I 'retened to use newer modelvlul\t I I borrowed bv Nurserv\4ONITOR, PHILLIPS 3

L,K I Not suitable for vounser natients-ULJT U IMT,I EK, I.IANUHLLL''iCALE, ELECTRIC PROSERIES CHAIR;CALE, INFANT z Vlostlv used for weishins diaoere onlviCALE, INFANT w/TRAY SMART {ot b€ing usedtLALE, PtLrlAIKIC OLYMPIC]TRETCHER ADULT )ld and hard to maneuver. not safeTABLE. OVERHEAD 24 iome needs to be reolaced

2 {eed to be replaced soon5IUN MUNI IOR. WELCHY ALLYN

wH ITELCHAIR, PEDIATRIC J lxceDt 2 are not utilized- not safe,!'HEELC[{AIR. SMALL ADULT

]PACE REQUITTEMENT'for Penonnel and EquiDmetrt/CaDitrl)

TotalProgram

Space (Sq.Ft.):

Tot{l Progrsm SpseOccupicd (Sq. Ft ):


Percetrt of TotllProgram Space

Comments8,556

,edntnc


Equipment I Capital and Space Requiremenl

Function: IlealthAgency: Guam Memorial Hospital AuthorityProgram: Nuning - PEDIATRIC WARD (62m)

IBBMRf,LTI I

II

I

IIIII

3/3/2009Page: F46

000246

IIIIAGENCY: Guam Memorial Hospital Auihority

I I I IIIGovernment oi Guam


I I I I I

900247

III(BBMR sP-1)I

ilgh, Dilf"..otirl i H-'ntout / woik€r'! conDcn*tbr / eb'

l/: fY 2([E (currcot) GovGuam coilribution for Ltfc tnsurile t! SlTl Fr moumi Subicct to chilF iD FY 2009

3/312009

Page: F-47

AGENCY: Guam Memorial Hospitat Authority

FTE FTE

FILLED VAC

Government of GuamAgency Staffing pattern

Page: F-48

(BBMR SP-l)

000248

* NighJ DfrercDfid / Hertu* I Wo"t*rt Cu-p"orumo r "tU: FY 200E (cqr.cur) covcru cort.ibu'on fDr Lfe t lur.ne i, $l7{ per .DuDi SubJlct to chanle b fy 200q

3t3t2009

I I I I I I r r r I I I I I r

IBBMR DP-U


Department: GUAM MEMORIAL HOSPITAL Division/Section: NURSING/Obstetrics/ Gvnecolosv

IIIIIIItIIIIIIIIIII

Title: Ward

ecologyDepartmentprovidedirectpatientscareandwithgreat emphasis on educational instructions to antenatal and postnatal matemity patients that requires

reproduction system interventions. We also provide direct patient care to all well babies rooming-in with

after birth.

ducationalplanstoenhanceincreasecompetencyformore

fficient delivery of quality nursing patient care to both mothers and babies. To maintain cost containment

with department's supplies/ resources, but should not cause any alteration in delivery of quality nursing

t care. Integrate the JC standards throughout the OB Ward Policies and Procedures.

s and adequate unit staffrng in order to deliver quality

ing patient care.

Workload Output




Projected Level

Total Number of patients 4465 5000 5000

Direct admission 311 400 400

Admits from other ward 4155 4500 4500

Iotal discharees 4427 5000 5000

Direct discharees 4380 5000 5000

Iransfers to other ward 83 100 100

Roomins-in 1716 2000 2200

Page: F-49


Budget Digest

Function: IIEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NURSING- OBSTETRICS (6380)

UTILITIES36t Power $( $( $0 ${ $( $(362 Wster/ Sewer363 Telephone/ Toll

TOTAL UTILITIES ${ $0 $t ${ $( $(


A B D tl I

AS400Account


FY 2008

Expend &Encumb

Fy 2009

AuthorizedLevel

Governorts ReouestFY 2010

GMHARevenues

FY 2010

FederalFund(s)

r"Y 2010

PharmFund

FY 20t0Total Req.(c+D+E)

PERSONNEL SERVICESlll Regular Salaries/Increments $94398t $1.069.43( $r.023.2s0 ${ $0 $r.023.25{tt2 Overtime/Special Pay 244JDt 184,764 r242r0 0 r24,213113 Benefits 28l.l4t 364,661 u6,661 0 346,661

TOTAL PERSONNEL SERVICtrS $1.469.52t $r.618.8s! $1.494.121 s{ $( $1.494.12r

OPERATIONS220 IRAVf,L Off-Island/Local Mileaee R $( $( $( $0 $( $0

230 CONTRACTUAL SERVICES: l.l0{ 60{ 50( I,100

233 OF'FICE SPACE RENTAL: 0

240 JUPPLIES & MATERIALS: 50,128 31.000 2,50{ 28,s0( 31.00(

2s0 EQUIPMENT: 4,54r 24,739 4,149 18,59( 22,739


290 I4ISCELLANEOUS: l8( r0.07t 10,07[ 10.07[

TOTALOPERATIONS $54.855 $66.91t s17.321 $( $47,590 $64,91t

Page: F-50

000250

IBBMR TA-11


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: OBSTETRICS WARD (6380)

TOTALI $


2/ Rates must be consistent with Tide 5 GCA, Div.2,Ch.23, S23104 and federal Joint Travel Regulations



No. of Travelers:




No. of Travelers:

Page: F-51

Schedule B- ContractualFunded in FY2009 ?

BBMR96A

IIIItIIT

ItItIIIIIII

Schedule D -UnitPrice

TotalPrice

Funded in FY2009 ?Item Quantity YES NO

itandlng lV poles 5 200 1,000 xjtethoscope. newborn (Litrtmann) 2 70 140 Xlesk models(kardex) t50 300 x:ard racks I 70 70 x:lectric punch I 499 499 xweighing scale 300 300 xpatient charts 2( 30 600 xCffice chairs 100 400 xtvldvdvcr for breastfeeding education I 500 500 X

:hart rack 300 300 xivall pockets 2C 30 600 xldult stethoscope( littman) 70 140 X

gomco & plastibel circumcision trays 2 300 600 x'oom clocks 2C 50 r,000 x;ircumcision board 150 150 xnlcrowave 150 t50 x;harts holder 50 450 xvelch allyn vital signs monitor 3,660 3,660 xrlympic heqt lamps 2,000 4.000 x:oco transducer 690 690 X

rltrasound transducer I 690 690 X:eftigerator t,500 1,500 xce machine I 2,s00 2,500 xtandy ivac thermometer l 700 700 X)AR level cart for intravenous fluid I r,700 1,700 Xlocument holder fbr patients at bedside l0 100 x

Total Equipment $ 22.739.00

3t3t2009Page: F-52

IIIIItIItIIIIIIIIII

Schedule E-Miscellaneous

UnitPrice

TotalPrice

Funded in FY2009 ?


Drus book euide l0( 100 x

ine Medicine I 18( 180 X

lediatric Clinical Practice Guidelines I 7( 70 x

lerinatal Care I 6: 65 X

World Guide to Infant Securit) I t5c 150 X

ICAHO Standards for Nursing Care l 20( 200 X

Phvsician Drue Book latest ed I 40( 400 x

Patient Tracer Methodology I 813 813 x

Iation survey process 35( 350 x

Perfect Fetal Monitor workshop Neonatal I 25( 250 K

Iraining: Adv Supv Workshop, Advance Word

Perfect, Fetal Monitoring Workshop, Neonatal

Resuscitation Course, ACLS Course, Basic Life

Support, Update on Health Settings/Conference 7.500 x

otal Miscellaneous 10,078

Schedule F

UnitPrice

Tota I

Price

Funded in FY2009 ?


lardiac, Monitor I 10,000 <-in FM budget

tlewborn hearing machine 1 7,000 <-in FM budget

\eonatal cardiac monitor I 10.000 <-in FM budget

Outla

3/3/2009

Page: F-53000253


Equipment / Capital and Space Requiremenl

Function : HealthAgency: Guam Memorial Hospital Authority

: Nursins - OBSTETRICS

[BBMRXL.U

IIIIIIT

T

IIItIIIIIII

BED, CENTRA WACCESSORIESART, ATROMICKBEIGE

CHART, REVOLVING DESKDF FIBRILLATOR, WA4ONITOR

INTERMITTENT SUCTION: VACUTRONINTRAPARTUM FETAL MONITOR

RECLINER, CLINICAL

OLYMPIC WARMER

VITAL CHECK MEAS SYS. WSTANDw4B\4 LAMP,ROLLAROUNDWHEELCHAIR. ADULT

COMPUTE& TERMINAL IBM 3487

TotalProgram

Space (Sq.Ft.): 6,532


qescription Square FeetPercent of TotslProqmm Snlne Comments

Obstetrics 6.532

3t3t2009Page: F-54

I IIAGENCY: Gmha

I I I I I

' Nighf DificEnsl / Hurtuur / Wo.lar't CoDpm..tutr / etc

r/r F.Y 2003 (srftno Csremm @nbibutun for trc hsur&e b Sl7'l per mumi SubiEt to tuK h FY 2009



I I r I II(BBMR SP-1)

I I

PR0r08s

FTE

FILLED

FTE

0002553/3/2009

Page: F-55

AGENCY: Gmha Governmenl of GuamAgency Staffing Pattern

(BBMR SP-1)

3/3/2009Page: F-56

000256

FILLED

FTE

VAC

' Nlgha ItlftMfl / Iirrrdd! / Worlar.! Comp6stun / eh.

l/: IY 2008 (orEnt) ftvcru snrilbutu. far Lile IDsrre b SlTl pe r muq Subjer b dmg. h Fy 2009

I I I I I I I I I I I r I I I I I I I

IIIIIItIIT

IIIIIT

T

II

Department:

Decision Package

FY 2010

Guam Memorial Hospital Division/Section:

IBBMR DP-ll

Nursing DivisionSkilled Nursine Unil

Title: Skilled Nu

Activity Description:SNU is primarily engaged in providing Skilled Nursing Care and related services to residents who require medical

nursing care. It also provides rehabilitation and recreational services for the rehabilitation of injured, disabled and

for the rehabilitation ofinjured, disabled and sick persons.

onic illness in the restoration and

maintenance of highest practicable level of health-physical, mental, psychosocial as determined by

his/her assessments and individualized plan of care. To provide protected home-like environment to

residents requiring health supervision and appropriate restoration and supportive services to

terminally ill people. To provide pain relief, symptom management'

lo implement policy and procedure in such manner as to provide each resident with care necessary for him to

established goals. To be in compliance with the Federal, State, and Local regulations'

Workload Indicator:

Number of Admissions

Number of Disch

Page: F-57000257


Budget Digest

tr'unction: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: Nursing - SKILLED NURSING UNIT (65g0)

UTILITIES36r Power ${ ${ $( $( ${ $(362363 Telephone/ Toll 0 0

TOTAL UTILITIES $( $0 $0 ${ ${ ${

l/ Specify tr'und Source

;\ B C U E ['

AS4OO

Account


F'Y 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's RequestF"y 2010

GMHARevenues

FY 2010

tr'ederal

Fund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL StrRVICESlll Regular Salaries/lncrements $1.158.524 $r,r28,8s01 | $2J36.4661 SOI --- SOf $2,336t6(t12 rrverume/speclal Fay 286,024 195,771 l97,l0l l97,l0ll13 |'eneltts 345.291 37r,914 776,783 776,74

TOTAL PERSONNEL SERVICES $1,789,939 $1.696.s41 $3,310.349 $( $( $3.310.34

OPtrRATIONS220 TRAVEI- Off-Istand/Locat Mttease X $0 $( $0 $0 $ol $o

230 CONTRACTUAT, Sbnvrcns: 1,549 4,64n 0 0

233 DF'F'ICE SPACE RENTAL:

240 SUPPLIES & MATERIALS: 147.585 185,000 5.00{ 17s.00{ 180.00{

2s0 OQUIPMENT: t6,s0l 14.096 0 14,57 28,669

280 tUB-RECIPIENT/SUBGRANT :

290 MISCELLANEOUS: 249 245 245

TOTAL OPERATIONS $149.134 $206J9( $19J45 $0 $189573 $208,918

Page: F-58

000258

IBBMR rA-USchedule A - Off-Island Travel

Department: Guam Memorial llospital AuthorityDivision: NursingProgram: SKILLED NIIRSING UNIT (6580)

TOTALI $

l/ Provide justification for multiple travelers attending the same conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2,Ch.23,$23104 and federal Joint Travel Regulations

Purpose / J for Travel

No. of Travelers:



No. of Travelers:



No. of Travelers:

PAGE: F-59

BBMR96A

IItIIIIItIIIIIItIII


Schedule G - Supplies & Materials

Schedule D -

oxygen

1.5 CU FT residentialmicrowave 1100w

system (56346)

3t3t2009Page: F-60

tIIIIIIIIIIIIIIIIII

Page: F-61



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - Skilled Nursing (6580)

IBBMR EL-11

IIIIIIIII

F]QU IPMENT/CAPITAL L,ISTING:Description Quantitv Percentage ofUse Comments

Total ProgramSpace (Sq. Ft.): J6.928

Total Program SpaceOccupied (Sq. Ft ):

Description Square tr'eelPercent ofTotal

Comments

Nr Sarngada 36.928

IIIIIIIIII

3t3t2009PAGE: F-62

000262

I I I J I I II(BBMR SP-1)

IIIIIAGENCY: Guam Memorial Hospital Authority

I I I IIGovernment ot Guam

Agency Stafiing Pattem

I

000263

3/3/2009

Page: F-62


' MgLt Dlr€r€rtilt / Hurdu. / Wort /t C@Frrrtur / ercl/: IY 2OE (curert) Covculb ortrlbuttor for Life hrnre |! $l?l per sar{D; Subjccr to chors b ry AD

Government of GuamAgency Staffing pattern (BBMR SP.l)

3t3t2009

r I I I r I r I r I r I I I I I I r I


I I I

I Nkht Uftrddd / trd{tus / workr's cdP€nt.don / d..

U: n'200s (oildO @vee otrfrblddrd H. Mu. h Sl?4 Ft mMi Subl'd6'bq€ h n 2m9

IITGovernment of Guam


I I I I I II(BBMR SP-l)

I

FILLED VAC

3/3/2009

Page: F-64


Department: Guam Memorial Hospital Authoritv Division/section: Nursing ServicesEmergencv Room

IIT

IIIIIIIIIIIIIIII

Activity Description:The Emergency Room is operated on a 24-hours basis on the second floor of Guam MemorialHospital. ER delivers care to the general population of Guam. ER provides Level II emergencyservices with at least one physician on duty certified in emergency

"ate,and with specialty

consultation available on an on-call basis. Significant subgroups of patients includl patients whoare mildly ill to the critically ill necessitating comprehensive emergency measures, which includes,but is not limited to trauma, cardiac, respiratory, gastrointestinal, infectlous disease and orthopedics.The unit is often used as an outpatient care facility to accommodate patients without primarydoctors and from clinics not in operation during the after hours. Initial assessments aie donl by thenursing staff and the physician on duty in the ER. Patients are referred to their respective privatephysicians if indicated ol may be assigned to an on-call physician if they have no irivate physician.The physical plant include: 8 holding/observation beds; I irauma/cardiac care room; t Oti/cynroom; I suture room; I treatment area;2 doctors assessment rooms; hiage area;2generalexam/observation room: I isolation I waiting room &room; I waiting room & physician office.

Major Objective(s):l. To recruit and retain clinically competent nursing staff who are effective, knowledgeable andefficient in meeting the needs of patient and family.2. To renovate the Emergency Room to increase space, update equipment, meet HIpAAguidelines. /

3. To provide contlnuous in-services training and education in patient care productivity andrapport and encourage customer service training to all staff.

1. Provide safe quality patient care on a24-hour basis. Continue to encourage staffto increaseknowledge and skills through available in-services provided in and out of hosfihl facility.2. To maintain competency skills for all staff prwiding Emergency Room iervices.

Workload Output

Workload Indicator FY 2008Level of

Accomnlishment

F"r 2009Anticipated Level


Total number of ER services 28,007 29,407 30,877Total number of admission 4.451 4.674 4,907Total number of discharses 23.252 24.414 25,635

3t3t2009Page: F-65


Budget Digest

Function: Hf,ALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NURSING - EMtrRGENCY DEPT (7010)

IBBMR BI>rl

A B {: t) t

A5400Account


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

F"r 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

Pharmf,'und

FY 2010

Total Req.(c+D+tr)

PERSONNEL StrRVICES1ll Resular Salaries/Increments $1,664,141 $1.764,61I $1,392,41',' ${ $0 $r392,411

tt2 Overtime/Special Pay 622,334 292,521 12633t 126,339

r13 Benefits 616,6tt 605,57i 474,79r 474,791

TOTAL PERSONNf,L SERVICES $2.903.090 92,662,70t $1.993,54? $0 $t $1.993.54t

OPERATIONS220 TRAVEI- Ott-Island/Local Milease R ${ $0 sI ${ $0 $0

230 CONTRACTUAL SERVICES: t.30{

233 OFFICE SPACN RENTAL: 0

240 TUPPLIES & MATERIALS: 231.99: 265,00( 5,000 255,00{ 260,00{

2s0 EOUIPMENT: 45,544 15.540 1.50{ 14.040 15,54(

280 SUB-RECIPIENT/SUBGRANT:

290 MISCELLANEOUS: 48( 1,86t 1.86t 1,868

TOTALOPERATIONS $278,02: s283.70t $8,36t $( $269,04( s277.40$

UTILITIIS36r Power $0 ${ ${ $0 $( $(


363 Telenhone/ Toll 0 0 0

TOTAL UTILITIES $( ${ $( $( $0 $[


F'ULL TIME DQUIVALENCIES


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: EMERGENCY ROOM (7010)

TOTALI $

l/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

IT

ItT

IIItIIIIIIIIII


No. of Travelers:



No. of Travelers: ?k



vel Date: No. of Travelers: *

Position Title of Traveter(s) Air Fare Per diem Registration Total Cost

3t3t2009F-67

000268


5 minute Clinical Consult

Page: F-68



[BBMREL-II

IIIItIII

Function :

Agency:Program:

HealthGuam Memorial Hospital AuthorityNursing - EMERGENCY ROOM (7010)

tIIIIItIIII

EQIJI PMENT/CAPITA L LISTING:Description Quantitv Percentage ofUse Comments

ADDRESSOGRAPH 4AIT.IOB TABLE WO TABLE TOP IBRIGHT LIGHT FLOOR STAND MDL I

ABINET, MAINFRAME }IP IABINET, WALL (BUILT-TN) IART.EMERGENCY PEDIATRIC I

CENTRAL STATION ICHANNEL RECORDER }IP ICRIB,CITECH CERTIFIED IEAR,NOSE & THROAT INSTRUMENT IFREEZER, CT{EST STAINLESS ITMPRINTER 2INTERMITTENT SUCTION: VACUTRON l0

AMP. OVERT{EADTFEPAK IO 2

MONITOR ADULT/PEDIATRICS 2MONITOR. BEDSIDE I{P 2MONITOR. CARDIAC LIFEPAK 9P 2MONITOR. DINAMAP 2MONITOR. DINAMAP W/PRINTERMONITOR. LIFEPAKVIONITOR, MDL 783544 IMONITOR PACE AID IMONITOR, PHYSIO CTRL LIFEPACK IPRINTER.FIP LJ 4 2PULSE OXIMETER IPUL SE OXIMETER,HAND HELD 2REFRIGERATOR 2

SCALE.INFANT ISLITLAMP SL-IE TABLE ISTRETCFIER, CENTURY CC HIL ROM ISTRETCFIER. ED/TRAUMA 2STRETCFIER. HAUSTED ISTRETCI{ER. HYDRAULIC 2STRETCHER, INSTCARE STRYKER 92 ISTRETCI-IER. STRY 926 7790 ISTRETCHER, UNIVERSAL PROCEDURE 4STRETCHER" #530 ED/TRAUMA J

3t3t2009Page: F-69

000270

ItItIIIIIIIIIIIIIII



IBBMREL-l|

STRETCFIER.UNIVERSAL PROCEDURE I

SYS COMMCONTROLLER I

IEMP. PLUS IIl 2

TYPEWRITER. WFIEELWRITER IULTRASOUND STETHOSCOPE WSPKR J

VITAL CFIECK MEAS SYS. W/STAND J

WATER COOLERHANDICAP ACCESS

COMPUTERPC 4

SOMPUTER. TERMINAL IBM 3486 6

SPACE REQUIREMqNTlfor Personnel and EquipmentiCapital)


Total Program Space

Occupied (Sq. Ft.):

Description Souare FeetPercent of TotalProsrcm Snace Comments

[merggncY room 5,180

ER annex 1,078

!{urse triage r20

),lurse station 150

Exam room 320

Waitins room 135

Office 96

Restroom 60

Clean utility 120

Soil utility 77

Page: F-70

AGENCY: Guam Memodal Hospital Authority Govemmenl of GuamAgency Staffing Pattern

(BBMR SP-1)

3/3/2009Page: F-71

000272

' Nighr Difrercntbl / tu.rdo$ / Wodc/s ConperrtbD / etc

U: K 2ffi (cunenq eGeb eDtdbntur for Lito tniunre tt St?{ Fnrrubi subied h d!q! b ry 2@

r I I I I I I I I I I I I I I I I I I


r I I IIIGovemment of Guam


I III II(BBMR SP-1)

II

CUN|tEETM

3/3/2009

Pagei F-72000273

431 9 VARD CLERK TOLENOA AGNES C. E 16 30,71 4.60 10to1200 35 31! 8 90( 17' 1.391 156f 106221 4594437S iMERGENCY ROOM TECHNICIAN /ILORIA, ALEJANDRO B. G 16 34 S' 5.17 11t09DO0 39 70 t0 00! 17 1.78 12.191 51.90(460 |TAFF NURSE II VATSON, GEORGE T. 16 76,14 11.42 06rcgn01 87 56 22 06', 40 171 1.78 24.6d 112 23i423 :MERGENCY ROOM TECHNICIAN APANTA, ARIS D l2 30 0A 4.51 11t222001 34 59 a71 40 501 17 2.571 13.13 7.724220 IM€RGEilCY ROOM TECHNICIAN 'vAcAl'I]'"4355 iMERGENCY ROOM TECHNIC1AN

s6 TAFF NURSE I VACANT. 50

12128 iilDUATE NURSEIKPPI 'vacANr. I PT

0.333 27104 iTAFF NURSE II 'VACANP' 5l PTg6 TAFF NURS€ I VACANT." 50 t2708 iTAFF NURSE II VACANT." 51

2732 |TAFF NURSE II VACANT.' 5t a

t{Ew |TAFF iIURSE N 'vAcANFNtr |TAFF NURSE I . VACANT.' 51

NEU' |TAFF NURSE II . VACANT' 5t 4

Nil ;TAFF NURSE II . vAcANr. 51

NEW iTAFF NURSE II . VACANT' 51 4

NEW ITAFF NURSE II 'VACAN'I-' 5l a

I'lEW ITAFF NURSE II VACANN' 4

NEW iTAFF NURSE I VACANF' 5t a

NEW ITAFF NURSE $ , VACAilF 4

I'lEW iTAFF iIURSE II . vAcANr. 51 4

41.8: 16.6 -gssc 6l&ff 1.72.4A 292.52 42,141 2,057.13: 511.98: 11.25 1.57 19.47t 5 39' 50 55r 5,281 2.662.70!


' Nthl Diftrennrl / Eustrur / Wo*e1r Cohpmr!tur / .r..,: trV 2m (cuErt) tu curn ondbutuD Ior Lft Inrmtra b $t?4 p€r mobi Subj€d to chqe h K 2ru

Page: F-73

(BBMR SP-1)Government of GuamAgency Staffing Pattern

ooo274

I

3/3/2009

I I I I I I I I I I I I I r I

IIIIIIIIIIIIIIIIIII

Activity DescriPtion:As an interdepartmental of the Guam Memorial Hospital, Labor and_Delivery is governed.by it's mission which states it will

offer specialized care and services to expectant moih"rs who are 20 weeks gestation to term' who are high risk or low

risr pjtients that are in the ante partum, intrapartum, and the immediate postpartgm. our.main concern flows with our

pnifdiopny in that the unit will prbviOe a'safe environment for the mother and the baby during the ante partum.stage'

labor, delivery and the immediate postpartum. we "re

indeed, dedicated to the delivery of optimal quality and safe care

in accordance with locally and nationally accepted standards. We are committed:. To maintain adiquate staffingto provide optimal quality and safe care to our patients.

. To provide the necessary eqiipment and supplies needed to provide quality service to our patients'

. To maintain knowledge 5no it<itts through orijoing continuing education, in-services, training, and Perinatal

conference (on or off island)'

' To constantly evaluate and review routine techniques, proc-edures, and staff competency.

. And to attain national certification in our specialized area of nursing.

Major Objectives:A. To recruit and retain clinically proficient nursing personnelwho are knowledgeable, effective, and efficient in

meeting the needs of the patient and the family during hospitalization.

B. To provide optimal, individualized care through collab--orative, multidisciplinary, family centered approach in the

facilitation of childbirth and to meet the physiial, psychological, spiritual, and social needs of the patient'

C. To provide a safe and therapeutic environment, thai is conducive to the care of the patient's emergent,

restorative, and preventive health needs.D. To improve tne iuality of delivering care in accordance with locally and nationally accepted standards'

E. To upgrade the oB TraceVue (fetal central monitoring system) an obstetrical information management system,

covering the entire continuum of obstetrical care.F. To provide staffing to independently perform cesarean section in Labor and Delivery.

G. To provide outpitient antenatal assessment services to include outpatient observation, Nonstress test, Blood

pressure monitoring, etc.H. To provide pre-op ind post-op services for house patients undergoing a cesarean section.


Department:@ Divisiontsection : NURSING/Labor & Deliverv

Short-term Goals: See attachment A

Page: F-74

3t312009000275

Attachment A:

Short-term Goals:1. Conduct monthly unit in-services:

a. Develop needs assessment survey with staff.scheduled in-services listed and posted for staff. The staff nurses are toconduct the in-services.

b. Prepare a calendar of all in-services to be conducted for the fiscal year.c. Send two RN to aftend High Risk OB Conference for education and skills

update. This person will be obligated to educate staff in Labor andDelivery.

2. Continue providing fetal monitor program at orientation and every 2 years.a. Have the new licensed orientee watch the fetal monitoi training videotapes

during the first week of orientation.Encourage qualified staff to take the National certification exam on FetalMonitoring.Provide a preceptor for the new staff during orientation to train, educateand guide for six weeks.

IIItIItIIIT

IIttIIII

b.

3.

The clinical preceptor will be responsible in providing the orientationand training needed by the new orientee.The clinical preceptor will meet weekly during the orientation periodto review progress/needs of the orientee.The clinical preceptor will complete a proficiency skills checklist forfetal monitoring, central monitoring, lV certification, and Labor andDelivery skills as performed by the orientee.The orientee and preceptor will follow the same work schedulethroughout the orientation period.

Train OBT on the following skills related to their duties:a. insert foley catheterb. perform staple removalc. administer fleets enema.

Schedule all licensed staff to aftend the Neonatal Resuscitation Course and theAdvanced Life support course and continue scheduling for recertification.a. Post a schedule of all certification classes froh the education department

on a monthly basis.b' Post a work schedule for the staff to request to attend needed certification

classes on a monthly basis.Qualified staff will become nationally certified in Inpatient Obstetrics afier 2,000 hoursof service in Labor and DeliverySchedule a fetal scalp insertion training class.

?. Develop a list of RN who cunently meets the qualification for FSE insertion.b Arrange with OB hospitalist to conduct FSE training for staff.Educate staff on identifiTing needs and notifying appropriate Jervices regarding needsidentified for patient.

a. Inform staff to place any services needed by patient in the computer for theother disciplines.

Conduct mock code and neonatal resuscitation for all shifts to evaluate skills andcompetence of staff.

a. Mock code with staff/skills evaluation will be conducted on a quarterlybasis.

b. Conduct mock crash cesarean section on a quarterly basis.Place in unit Scope of Nursing practice as reference foi staff.

-

update and create unit specific standards as reference for Labor and Delivery.Purchase/ replace necessary equipment needed to provide patient care.

7.

8.

5.

6.

9.10.11.

a.b.c.

C-ompfete 2'3 year capital equipment plan for purchase of equipment.Maintain equipment as scheduled by Bio-med department.Report any faulty equipment to the Bio-med department.

3t3t2009

Page: F-75

000276

IIIIIIIIttIIIIIIIII

d. Upgrade central fetal monitoring system (oB TraceVue); The Clinical

lniormation systems for surveillance, alerting, storage, and charting for

obstetrical care.e. Replace fetal monitors since current monitors will be obsolete in 2 years.

f. purchase cordless fetal monitor to be able to continuously monitor fetal

heart tones while patients ambulating.g. Replace anesthesia machine in the cesarean section room to increase the

number of anesthetic gases and monitors.h. Replace surgical table in the cesarean section room'

12. Increase stafrtng (RN Jnd OBT) staffing to be able to provide a crew to perform all

cesarean section by the Labor and Delivery staff.a. currently cesarean section is being done by Labor and Delivery Monday -

Friday OTOO-1SSO. One circulating nurse, one baby catcher, and one OBT

make up the cesarean section crew that are part of the Labor and Delivery

staff. The anesthesiologist is provided by the Operating Rgom'

13. provide a staff (OB Technician) to assist hospitalist with Pre-op and Post-op patients

that present to Labor and Delivery.a. currently, one oB technician is being assigned to assist with the

assessment of pre-op/post-op patients Monday thru Friday, 7-3 shift.

3/3/2009

Page: F-76

000277

Attachment B:

High Risk Category:

Pitocin/cytotec/prostin inductionPitocin AugmentationPreterm LaborPreeclampsia/PlHIncreased BPChronic HypertensionDiabeticVaginal BleedingHouse cases

No prenatal carePublic Health

Pulmonary EdemaProlonged rupture of membranes >24hrsMultiple pregnanciesBreech/Transverse Pres.Face/compou nd/brow presentation

Positive alcohol usePositive drug abuseSmokerAsthmaObese/excess wt. gainParity of 6 or morePreterm premature ROMIncompetent cervixCord ProlapseBicornate uterusPrecipitous del <3hrs.Poor/late/l imited ca re

IIIIIIItIIIIItIIIII

Workload Output: FY 2008 FY 2009 FY 2010 DroiectedL&D Visits: 4339 441 5292

Admitted 2130 232 2784Outpatients 2209 209 2508

Neonate Deliveries: 2352 245 2940Live Births 2312 243 2916

Stillbirths 40 2 24Vaqinal Deliveries 1420 145 1740

Vacuum Assist 69 2 24C-Sections 817 89 1 068

Primary 442 52 624Reoeat 375 37 444

Antenatal/ Postnatal Procedures 6161 587 7176NST's 355 26 312

Fetal monitorino 4339 441 5292Invasive Procedures c/s 87 89 1068

lnductions 175 10 120Augmentations 475 32 384

Outpatient Observation 2209 209 2508Admitted 557 58 696

Discharqed Home 1297 125 1 500Hish Risk Patients 870 124 1488

Page: F-77

IIIIIIIIIItIItIIIII


Budget Digest

Function: EEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NLIRSING - LABOR & DELIVERY (7400)

IBBMRBD-TI

UTILITIES361 Power ${ ${ $0 ${ $( $(

362 Water/ Sewer

363 Telenhone/ TollTOTAL UTILITIES $( $( $0 $( $t $0

,703 ll S2,436,7s9 [ $0 | $437'012 | $2'873'771


B (:. l) il

A5400


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governorts Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

PERSONNEL SERVICES1lr Resular Salaries/Increments $1.404.183 $1.397.082 $1.630.248 $0 $( $r.6J0,24t

l,l2 Overtime/Special Pay 546.171 305.983 233,09',1 233,091

il3 Benefits 450,49t 504,812 560.43r 560,431

TOTAL PERSONiYEL SERVICES $2.400.852 s2,207,87i $2,423,777 $( $( $2.423.777

OPERATIONS220 TRAVEL- Off-lsland/Local Il ileage R $0 $0 $( $0 $0 $0

230 CONTRACTUAL SERVICES: 287 1,090 0 0


240 SUPPLIES & MATERIALS: 294,758 4ll,32l 5,00{ 395,451 400,451

250 EQUIPMENT: 18.08 42,157 6,726 41,561 48,287

2E0 $UB-RECIPMNT/SUBGRANT : 0 0 0 0 0

290 MISCELLAI{EOUS: 546 1,258 1,25[ 0 1,258

TOTAL OPERATIONS $313.680 $455,826 $12,983 $0 $437.012 $449,995

3t3t2009Page: F-78

000279


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: LABOR&DELMRY(7400)

ALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, S23104 and federal Joint Travel Regulations


No. of Travelers: rt


Date: No. of Travelers: ,r



Date: No. of Travelers: _ *


Page: F-79000280

IIIItIIIIT

IIIIIIIII

un|[Price

I Otal

Price -Funded

in FY 2009?


)ther chargeable supplies 1 19,025 x

Cther non-chargeable supplies 137,563 x

Jffice supplies 5,000 X

tharmaceuticals 19,636 x

iutures & surqical packs 39,675 x

uroical supplies 52,900 X

V Solutions 26,450 x

400,451

unitPrice

tourlPrice

Funded in FY 2009?

Item Quanfty YES NO

Ultrasound transducer 7 793 5,551 x

foco Transduc€r 7 /93 5,551 X

oectrum delivery set, instruments 6 459 2,754 x

nfant resusqtators - Ab65u1 5 250 I,ZCL x

Sensors formaldehyde 1 40'l 401 x

Sluteraidehyde 1 401 401 x

Baby memory box package 40 25 1.000 x

Vf anometer w/accessories 9-0027 -4o 2 95 190 x

isoenser deluxe qlove #742O1O93 100 1.100 x

Nelch allen sure{emP thermometer 2 314 626 x

)ffice chairs 3 198.50 595.50 x

leolacement @ver tor P | 566/ 2 E5 170 x

JMP SS8374 Stainless steel Foot stool 2 166 336 x

Vlanometer Pole Bracket 9-0020-00 2 15 30 x

3-Section instruments 1,4d,4 7,420 x

Gzboy QC lounge chair w/sleePer 5 1,226 6.130

Portable Pulse Oximeter-neonate 15U 1.150 X

EVC 8745 Cabinet 3 4,543 13,629 x

16,z6b.5u

un|tPrice

I OtillPrice

-Tunded in FY 2009?


loGN 8nd A\/v}loNN LIFELINE Nursing Joumals 5(jt.CZ 567.52 x

'DR86.25 86.25 x

14633T L&D Policy Manual 2008 316.25 316.25 x

)H701 L&D Electronic Fetal Monitor 287.50 26t.5U x1,25t.52

unttPrice

I otalPrice -Funded

in FY 2009?


Passpbrt Massimo 2 LT for NeoNatal 17.578.00

Philips eordless Fetal Transducer sys 1,500.00

-oqio Boof XP Ultrasound 25,UUU.UU

-atitude Laptop Notebook dcarUdrawer 6,000.00

ffi-r222 Barrier Free Exam Table 1 5,453.00Inr



Function: HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - LABOR & DELMRY (2400)

EQU JPMENTICAPITAL LISTINC :

Description Ouantitv Percentage of Use Comments

u"j,n,,Total ProgramSpace (Sq. Ft.): 7,489

Total Program SpaceOccupied (Sq. Ft)l

Description Square FeetPercent ofTotalPrnomm Snona Comments

Labor & Delivery 7"489

3t3t2009Page: F-81

000282



Agency Statfing Pattern

r I I II(BBMR SP-1)

I II

' NEhl DiffereDfd / tuodour / worlef ! ComFh"tron / etc

l/: il 2M lcrrEnt) frvcu.b oildbutun for Lile hrum$ b $174 peilnnun; Srbjtd to chilge ib K 2w

31312009

Page: F-82000283


313/2009


Page: F-83

(BBMR SP-1)

000284

Rsth(D0l)

(15.s2.26)

' Night lXftftlthl / Urrodou / Wo&li ComFnrtun / dc.

l/: l"Y 2m (crftnt) ftrcu.n corflbubn b! Ute hilmE to Sl7{ Der snuhi subj.ct b chege iD ry 2m9

I I I I I I I I I I I I I I I

tIIItIIIIIIIIItIIII

Decision Package

FY 2010

IBBMR DP-rl

rtMCNt: GUAM MEMORIAL HOSPITAL DiViSiON/SECtiON: NURSING/Operatins Room

ts and to provide continuity ofcare during the

pre-operativeo intra-operative and post-operative phases ofsurgical experience.

quality patient care in accordance to the Nurse

practice Act and Standard Nursing Practice in compliance with JCo CMS' OSHA, Infection

Control SMDA and GMHA Operating Room Policy and Procedure'

gement; adequate and qualified OR/PAR staff;

eflicient management of supplies/resources

Workload Output

3t3t2049

Page: F-84

000285

Government ofGumFiscal Year 2010

Budg€t Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NURSING - OPERATING ROOM (7420)

[BBMR BI}TI

A D E F

A5400Account


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's ReouestI"Y 2010

GMHARevenues

FY 2010

FcderalFund{s)

F"Y 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICES111 Regular SalarieVlncrcments $r,521,359 $1.406.492 $r.542.579 $( $01 $1,542,57Jrt2 Overtime/Special Pay 317.971 344,728 272,409 272,405113 Benelits 439.909 518.85( 561,873 561,873

TOTAL PERSONNEL SERVICES s2,279,24Q s2,270.076 $2,376,861 $( ${ $2,376,861

OPERATIONS220 IRAVf,,L Off-Island/Local Milease Reimhur $0 $0 $01 $01 $01 ${

230 CONTRACTUAL SERVICES: I,153 1,o71

233 )FFICE SPACE RENTAL: 0

240 SUPPLIES & MATERIALS: r.E23J3l 1.280.96[ 1.586.96t 1.586.968

250 EQUIPMENT: 56"005

280 JUB-RECIPIENT/SUBGRANT: 0

290 MISCELLANEOUS: 80r 80, 0 0 802

TOTALOPERATIONS $1.880.48J $r,282.84( $802 $( $1.s86.961 $1.587.770

UTILITIES361 Power s( $( $0 ${ $( $(362 Water/ Sewer363 Telephone/ Toll

TOTAL UTILITIES $0 ${ $( ${ $( ${

CAPITAL OUTLAY


FULL TIME EQUIVALENCIES (FTEs)

Page: F-85

000286

IBBMR TA-llSchedule A - Off-Island Travel

Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: OPERATING ROOM (7420)

TOTALI $


2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, 523104 and federal Joint Travel Regulations


Total CostPosition Title of Traveler(s


Total CostPosition Title of Traveler(s)



No. of Travelers:

Page: F-86


151 SN PDE-109254


Schedule E - MiscellaneousunrtPrice

TotalPrice

Funded in FY 2009iItem Quantity YES NO

)ompetency modules 6 5C 300 x)R Management Resources 1 72 75 xReview of Perioperative Nursing 'l 38.9: 39 xINOR Study Guide & Practice CD Rom 1 7C 70 xAORN Standards of OR Practice/Collection 'l 't0c 100 xPNDS @ Wor! Series 1 6t 68 xrDR 2 7l 150 X

802

Page: F-87

IIIIIIIIT

tIIIIIIIII 3/3/2009

Page: F-88

EQTTIPMENT/CAPITAL LISTING:Description Quantity Percentage of Use Comments

ADDRESSOGRAPH 2ANESTHESIA ABGNOO8 I I VERMTRO lANESTHESIA. MACHINE OHMEDA J

ANESTHESIA. OHMEDA IANESTHESIA, OHMEDA CAFN 00928 I{PRONRACK I{QUATIC, KTHERMA T]NIT IARTHROSCOPE,2.TMM X 30 X 6MM IARTHROSCOPE,VIDEO 4.OMM 30# IARTHROSCOPE.MDE ANGLE 2BED, VARIABLE HEIGHT MOBILE PTBRONCHOFIBERSCOPE OLYMOUS CLVBRONCHOSCOPE, PEDIATRIC

ABINET, FIBERSCOPE SECURITYABINET, FILING 3-DRAWERART, A SMART SYSTEMART, ENDOSCOPY

]ART, ENDOSCOPY WIAZY SUSANART, KTI ENDOSCOPIC OLYMPUS

]ART, MOBILE TISSUE STATION]ART, STERILE WTRAYCART. VIDEO ENDOSCOPY 2CELL SAVERSCOLONOFIBERSCOPE STANDARD SETCOLONSCOPE 4.2MM]OLOR MICROVIDEO SYSTEM]OMPLETE TRAUMA SYSTEM]OMPUTER PC. COMPAO 49IOCOMPUTE& TERMINAL IBM 3487 5

CRYOSURGICAL SYT WNRIGDERMATONEDERMATONE,BROCAN ELECTRODIATHERMY,OPTTIALMICDIATHERMY,TR 3OOO

DINAMAP 1846

DRILL SYSTEM. SURGICAL MPS2OOO

DRILL, R-EAMERWACCESS

?RrLL, SURGTCAL (COMPLETE))UAL LAMTNATOR LIGHT SOURCE)UODENOFIBERSCOPELECTRO SURG VES2 01491208760LECTRO SURGICALUNIT I



IBBMREL-ll

IIIIT

tIIIItIIIIIItI

Function :

Agency:Program:

HealthGuam Memorial Hospital AuthorifyNursing - OPERATING ROOM (7420)

3t3t2009

Page: F-89

IIIIIIIIIIttIIItIIt




[BBMREL1I

Nursinq - OPERAI'ING RO0ll t+La

ENDOSCOPIC SYSTEM,PENTAX VIDEO IFIBERSCOPE I

FORCE 48 ELECTROSURGICAL GEN J

FRAGMATOME FIANDPIECE I

3ASTROINTESTINAL FIBERSCOPE I

IA BOARD w/l PAD lILLUMINATOR I

IMPRINTER IINTERMITTENT SUCTION : VACUTRON 9

LAMP.FBROPTC LIGHT V MEULLER ILAMP.FIBER OPTIC LIGHT ACMI-95;AMP.FIBER OPTIC LIGHT SOURCE 2

LAMP,OR DBL LIGHTNING CASTLE 2

LAPAROSCOPIC SURGICAL SYSTEM

LARYNGOSCOPELECTURE SCOPE

LEG HOLDERLIGHT LITE SOURCE DES

LIGHTHEAD.REMOTE CONTROL

LIGHTSOURCELIGHTS. SURGICALLIGHT.SURGICAL z

LIGHT.UNTVERSAL SOURCE IMECHANICAL SCOPE WASHER 1

MEDICINE CENTER lMICROSCOPE.OPMIZIEZZMICROSCOPE,SURGICALMODULAR HAND IMPLANT INTRO SET

\4ONITORING SYSTEMVIONITOR. BEDSIDE HP 2

MONITOR CO2 INSUFFLTR WOLFMONITOR, CO2 OHMEDA I

MONITOR DEFRIBRILLATOR I

MONITOR. DINAMAP 8

MONITO& EEGHEART RATE OHIO I

MONITOR, ELECTROSURG BOVCSVI L

MONITOR ELECTROSURG CSV I I BCVI l

MONITOR. ELECTRSURG BOVIE IMONITOR ELECYTOSURG IVIONITOR. HEART RATE DATAMEDI 2

MONITOR. MDL 783544 5

MONITOR, MEDICAL GRADE

MONITOR, OXTCAP 2

MONITOR OXYGEN WISAP CO2 PHE

MONITOR. PHYSIO CTRL LIFE PAKMI]LTI-DOPPLEX II

3/3/2009

Page: F-90

000291




: Nursing - OPERATING ROOM

IBBMREL-l|

IIIIIItIIIIIIIIIItI

r+aufRTHOGRAPHIC 2 TABLE AMSCO IoToToME 5056-05 IoToToME 5056-22 IOTOTOME MOTORPACU STRETCHER w/4" MATTRESS 2PANOVIEWPLUSPASTEURMATIC SYSTEMPATIENT LIFTER AMERILIFT 2PERSONAL COMPUTERNEXARPRINTER, LASERJET5PRINTER VIDEOPULSE OXIMETER llPULSEVAC EOUIPMENTq!MP, BLOOD UNTVERSAL HEMOREFRIGERATOR IRX SYSTEM I I SHARPENING SET I]AW. OSCLLATING 3

JAW OSCLLATING BONE]COPE OR CHONOGENOUS ILLUMINAJCOPE, BFITIO BRONCHO WGRAY 3

JCOPE, BRONCHO WBLK CASESCOPE, BRONCHO WGRAY CASE 2SCOPE, BRONEKO 2.6 BTOPSYSCOPE, CHFRIO CHOLEDOCHOFIBERSCOPE, CHOLEDOCHOFIBERJCOPE, CIFXOIO GASTROJCOPE, ENDOC TROLLEY KTL OLYMPSCOPE, GASTRO]COPE, INTUBATIONSCOPE, LAPARA WOLF 12707705SCOPE, LECTURE OLYMPUS LS 10SCOPE. LFI INTUBATIONSCOPE, OR CHONOGENOUS LLUMINA 4SCOPE. PANASCOPE, TELE LUMINA WOLF]ERIES 5OOO ANESTHESIA LINIT 4SMALL FRAGMENT INSTRUMENT SET I]TERILIZER, AMSCO SERIES 30II 2iTERILIZER" RACK & SHELVES J

JTERILIZER, WAilASHER AMSCO SER IJTERIS SYSTEM PROCESSOR ISTERNUM SAW, ZIMMER CONNECTORSTRETCHER t0STRETCHER. BED 2

TRETCHER, BED WACCESSORIES 5

3t3t2009

Page: F-91

ooo292

IIIIIIIIIIIIIIIItII



Function : HealthAgency: Guam Memorial Hospital Authorify

: Nursing - OPERATING ROOM

IBBMREL-l|

SYSTEM H-I025OPERATING/SURGICAL

ABLE. SURGERYURO GRAPHIC WACCESSORI

YPEWRITER,CANON AP.9O I 7

ULTRASONE GENETOR 27085K

URETEROSCOPE, FIBEROPTIC

VITREORETINAL SYSTEM

WARMER. BLANKET WARMING CBNET

WELLLEGHOLDER

WHEELCTIAIR.TOMAC II


Total Program Space

Occupied (Sq. rt.):


Percent of TotalProgram Space

Comments

Ooeratins room / OR recovery 1r.409

3/3/2009

Page: F-92

000293

(A) (B) (c) {D) (E) lFl (G) iH) (n tPl tol

B6nefiG flI:s ; sFTE FTE I POq

ILLED VAc [ 4#!Ll'+

=,'j

SiwlL;= ffi J (E+F+el)

Sqbml

rli.l(J+R,

Tot.l

Reti16

{f633}

R€tr€(DDl)

(15.52'261

Litu ry i,tFiaid

Tobl Ben

(K thru O)'-XA; a

SEVILLE 18 738 18,73 4.721 40' 27 134 18( 7.131ANNIE LG. 16.347 4.08 PT 2D.43 5.14 1.n 291 6.88r 27.321MERCEDITA I 76 14? 12.51 w102011 266 s1,32 23.O1 1 32, l7/ 3,60 38 28.50 119.83'

8USANA G. 16 il? 10.331 PT 25,681 6.72 40 38', 17/ 7.68 34.371CRI.'Z. EVANGELINE 23,404 13.85 07l1MOll 1,1?l 38 421 9.68 40, 55 17 t0.81 4S.24

NICOLE Y 37.724 4.471 ongDoll 2 )11 44.A11 11.291 0 851 | 3Ar 18r 14.08 58.89GILBERT S 1S.881 om4no1 81,83: 20.62 40 1.181 17 3 501 41) 26.40 t08.23MERLA 19.55: IZOSDOOI 1 471 63 2Al 15,S41 911 17, I 3Al 18.421 81.701

MRIETTES B 51 7.08 10t15201( 64 ASI 16 35, 40 941 7' 3 16, 3Al 21,42 s.31rFLORENTIML 5t1gDO1 104 1A 731 4,72 40 27t 7' 1 3at 18t 7.13

50 4.39 01t25DO1 2.21 46 55r 11,731 40' 671 17' I 3al tat 14.541 61.1 0lo L98 offino1 117 23 05 5,80t 4A 7l 1 38( 1at 8,28 31.33i

51 8.96 05/032011 240 a0 05: 20 171 1.16 17 3 16r 3al 105.101

50 l3 5,89, 092,0t2311 2.21 48 05r 12 11 40. 69 17 t38 14,761 62.82D 11 2.61 01/302011 27 91: 7 03, 40 401 17' 138 c 3q{ 37.30

7,511 6t12n011 75 68r 1g 07 40' 1.09 17 1.38r la 2.301 97.9851 | 16 | 7G14 23,23' 11I2gtm1l 9S 3& 25 041 1.41 11 31& 3a an rn 129.59

DINO 7.201 tn2n0l 37 29/ 0 3sl 541 17, 1 38t 11.49 48.7A

991 lnatml 1.171 22 051 5 55! 40 321 17 1 381 29.89,

16 trenol 1.12 33 64 E 171 40 48 17' 0 54, 43,19r

F 01t17t201 1.10: 2292 5771 40, 33 17' 1 381 a 061 30.99i

51 14 1,63 PT 7.98 453 40' b 17. 5 371

51 ,3) t1tffi0l 51 36 12 94 40 74 17. 1.38 15 64r 67.011sl 117 21,70 05/15201 100.5n 1.45 17, 3.16 381 30 stl 131,021

16,65r 4,10 0' A 171 1,36 ta 6,571 ?"1,2:ti

'l'1.84r 041AnA 117 36,41, s.17 & 52 171 10.2A" 46.69

9.11 0417m1l 224 75 471 19.01 4A | 09, 134 18 22.251 97.721

2.54 03t1612011 aa' 27,23 6.86: 4g 391 2)3 23 10.29 37.52(

2.34 0525201 r aat 27.07 6.82: 40 391 38 11.34 38.41'

3.0351 PT 1S,38: 4.88. 4 2A 17 5.74 25.121

1o.1s7l o3t19n11' s3.721 21.101 1 21. 17 22.48 106.21

o I t5311 3.99: 0 zll l7 t,381 llr 6.35 22,1550 tl 2.211 37.72' 950 40 54 17 3.16, 38 1417 51 qn

I 2.3321 07t6m1 83: 26.441 6 67: 40 17 2.23: 23 10m 36,585 z.oazl o6n7m1 1.O4 23 94i 6 03, & 34; 17, 695 30,90

51 t4 1,ffi51 PT 17.SAt 1?' 43 18,41ANGELINAA sl t17 t9,8031 1Mnn1 s8,61t 24,85 1.43( 17' 1,38t 181 28,011 t26.63

G l7 | 2s.2 7 7281 121SDOO| 93 33,94 40' 4s2l 7, 1 38{ l8r 1 1.18: 45,121EILEEN 5't t8t 57.8 13 2B2l oa11ng1l 2.06 73,14 18,43; 1.G11 17' 1,38( 181 21 231 g,3sl

DANIEL C, o I zzftl Dm1l201l 79 25.18r 6.341 3651 17. 6,881 32,O7"

ffiRILOU M e l2l17 | 77Dl 1.04 20,501 5,16 40, zezl 6,04: 26.55

Igg.oo I z.oo I lr.m lru orx*i*n r*ru,2"*t _ds'l t1 I ltsosoa 37,$rl 1,814,9911 452.846'1 11.70t 1.2671 s6.88rl 561.87: 2 376 A6

AGENCY: Gmha Government of GuamAgency Staffing Pattern

(BBMR SP.1)

(K) (L)

FTE FTE

FILLED VAC

' Nlgbt lffi€n!.irl / nrntru / Worlc& Conp.nrfr! / cEil: FY Zm (.rrert) Gvcuu contribrior for trc l&unre A $l?{ per rmM; Subrat b cbqe iD try 208

3t3t2009Page: F-93

000294

IIIIIIIIIIIIIIIIITI

I IIAGENCY: Gmha

I r I I I IIIGovernment of Guam



I I

' Nigba DtfteFrtrl / Hurrdou / Workft cobpe"ltlon / etc

ilr fY 2m (crrreDt) frvGrm contdbrdon for Ule b.urdc€ i3 Sl?4 p€r tmmi Subiect b cht4€ b K 2m9

0002953/3/2009

Page: F-94


Department: GuamMemorialHospitalAuthority Division/section:

tIItI

Nursins Services/Hemodialvsis


Hemodialysis Unit is a12 hours ward employing 4 full+ime RNs; 3 part time RN's 3 full timeLPNs; 6 technicians,2 full-time ward clerks . The unit is currently serving 45 outpatientsreceiving 3-4 times chronic hemodialysis treatment. We also have an acute unit thit provide care toall patients admitted from the other facilities. The unit has 4 stations. patients with stableconditions can have their treatment here and unstable clients can be done at bedside using our 4mobile machines. The number of treatments per day ranses from l0 to 12.

IIIII

Major Objective(s):

l. Continue to provide inpatient and outpatient hemodialysis treatment to all acute and ESRDpatients.

2. continue to incorporatg JC standards throughout the unit,s oolicies and

Short-term Goals:Ensure that our patients, post dialysis will be normovolemic, infection free and can function at theirmaximum capability. I

IIIIIIII

Workload Output

Workload IndicatorF"r200gLevel of

Accomplishment

ry2009Anticipated Level

r"y2010Projected Level

Total no. of treatments 9,659 9,709 10,000

3t3t2009Page: F-95

000296


Budget Digest

f,'unction: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: NURSING - HEMODIALYSIS (7740)

[BBMR BD-II

;\ t] ('lDl[: t1

A5400Account

Code Aoorooriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governorts Request

FY 2010

GMHARevenues

['Y 2010

Federal

Fund(s)

FY 2010

OtherFund I/

FY 2010

Total Req.

{C+D+E)

PERSONNEL SERVICES

ul Resular Salaries/Increments $797,24',, $704,40t s712394 $( $0 $712,394

ttz Overtime/Special PaY 250,495 12t.242 72925 0 72,92:

113 Benefits 24839n 241,10E 249,168 0 249.161

TOTAL PERSONNEL StrRVICES $1.296.132 $l,067Jse $1.034,486 ${ ${ $1.034.48(

OPERATIONS220 IRAVEI- Off-lsland/Local Mileage ll s( $( $( $( $( ${

230 CONTRACTUAL SERVICES: rJ9l 4,86J 0 80r 80t

233 OF'FICE SPACE RENTAL: 0

240 ]UPPLIES & IVTATERIALS: 975,16{ 515,50{ 3.00( 5r2,50( !lt,f,ul

250 EOUIPMENT: | 2.J6r 1,831 10,53? 12.36t


290 VTISCELLANEOUS: 35{ 35{ 3s{

TOTAL OPERATIONS $97655r $s33.08' $s.181 s( $523,845 $529.02(

UTILITIES361 Power ${ $0 ${ ${ $0 $0

362 Water/ Sewer 0

363 Telenhone/ TollTOTAL UTILITIES $( $( $0 $( $( ${

l/ SPecifY Fund Source

FULL TIMf, EQUIVALENCIES


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: HEMODIALYS(7740)

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2o Ch.23,$23104 and federal Joint Travet Regulations

tIIIIIIIIIIIIIIIIII


Travel Date:

-

No. of Travelers:


Purpose / Justification for Travei

Travel l)ate: No. of Travelers:





Page: F-97000298

IIIIIIItIIIIIIItIII

Schedule F - Capital


Lease copier, Xerox DC425 SN EYF-1010777


Schedule D -unitPrice

TotalPrice

Funded in Y 2009?

Item Quantlry YES NO

Fresenius BP cuffs 15 10c 1.500.00 x

Electronic themometer 3 431.21 1.293.75 x

Office chair 2 246.4 492.U0 x

:oldinq & privacy screens/Telescopic curtains 1 99.0( 99 x

.arge capacity Utility Truck 319.00 319 x

Iiam Stool 4 319.0C 1,276 x

3lock (wall) 2 Acute, 3 outpatient 5 30.95 154.75 x

Stethoscope (Liftman Classic) 2 101.04 202.08 x

u1/aiti nq Room Chair/Conference 12 40.74 488.88 x

Iripp-Lite Power Protection 2 92.95 185.90 X

Mlobile BP Units 2 317 634 x

Step Foot Stool 1 7E 79 x

ihredder (60Osheets) 1 250 250 x

frasport \A/heelchair 2 219 438 x

)toscope/Opthalmoscope 2 456.51 913.02 x

land Truck 1 295.97 295.97 x

Recliners 5 58€ <-in Facilitiesrads 1 +b.5.i 45.33 x

lomputer, desktop 1 1 50C <-budoeted in DATA

A/elch Allen Automatic Def 2 1 85C 3.700.00 x

T 12,367.54


Page: F-98

EQUTPMEM/CAPITAL LISTING :Description Quantity Percentaqe of Use Comments

ADDRESSOGRAPH 2 100BEDSIDE RECORDER FOR CONF MON 0 0BED, CENTRA WACCESSORIES 0 0BED WEIGHT SCALE detecto 2 50CENTRY, REVERSE OSMOSIS 0 0 Replaced with Fresenius 2008H3ENTRY, SYSTEM 2ruLTRA-COBE 0 0 Replaced with Fresenius 2008HSENTRY, SYSTEM 3 DIALYSIS 0 0 Replaced with Fresenius 2008HDEFIBRILLATOR, MONITOR I 80DIALYSIS EXCOR DM35O 32127H 0 0ELECT TFMRMOMETER. TEMP PLUS il J 100KIDNEY MACHINE 32 100 Fresenius 2003HMODULE. VARBLE CONCENTR 0 0MOMTOR, BEDSIDE ADULT 0 0MONITOR DINAMAP 0 0NEO-I DIALYSATEMETER 0 0PATIENTLIFTER 0 0PUMP KIDNEY COIL TANK LINIT 100PUMP,INFUSION 0 0SCALE DIALYSIS WPLATFORM

a) Scale Tronix Stand 100b) Scale Tronix Wheel I 00

TABLE. OVERBED t3 00VITAL SIGNS MONITOR 32 FRESENIUS 32 00 Fresenius with built-in Vital SisnsWATERTREATMENT RO 4 00W}IEELCHAIR. ADULT 0 03OMPUTER, TERMINAL TBM 3486 2 r00]OMPUTER PC,MEGABYTE I 100PRINTER.HP LJ 5L I 100

Function :

Agency:Program:



HealthGuam Memorial Hospital AuthorityNursing - HEMODIALYSIS (7740)

IBBMR EL-ll

IIIIIIItT

IIIIIIItT

I



Description Square FeetPercent of TotalProoram Snnce Comments

Hemodialysis 3.t20 100

3t3t2009Page: F-99

000300


I I I

' Nilha Dtfi€Mfrl / H@rdou / Woili.r'3 Compmsttun / €b

U|triV2mt(Cu]rent)covc|rmcuidbufuotorLifclfiurueb$l?4leranuD;subicctt0dmsinry2009



I r r I II(BBMR SP-1)

I I

F*,gPoFBp2r!0

FTE

FILLED

FTE

VAC

3t3t2009

Page: F-100000301


3/3/2009


(BBMR SP-1)

Page: F-101

000302

FTE

FILLED

FTE

VAC

' Nt;hr Difierenttul/ lfra.dou / Worlar'r Cobpstrrtun / eh,

U: rY 200E (drMt) frvcub strtilbututr for Ltf. Innnhce h Sl74 p€r snu6i Subjer h chsle h try 200t

I I I I I I I I-

I r I I I I I I r I

IItIIIItIIIItIIIIIT


Department: Guam Memorial Hospital Authority Division/Section: Nursing Services


The Nursing Services Administration's primary role and function is to plan, administer' direct,

coordinate, and evaluate the entire nursing services of the hospital. Additionally, the office provides

leadership and administrative support for Lf,l twelve (12) patient-care nursing unit with the following

activities:1) processing of requests for the procurement of supplies, equipment and leave requests;

2j iormulating and processing the approval of operational, administrative and clinical policies,

procedures and standards;3) recruitment, retention and promotion of nursing staff;

4) provision and coordination of staff development and training;

5) ioordination, analysis and implementation of the QIIPI reports/findings;

6) provision and coordination of infection control and employee health services;

7) preparation and processing ofbudgetary plans; and

8) marketing and promoting nursing as the profession/career of choice.

The grand total number of nursing personnel that the Nursing Administration serves and is responsible

for ranges between 430-440.Additionally, Nursing Administration has been delegated with the

..rponr=ibility to staffand administer the Infection Control and Employee Health offices.

Major Objective(s):

The major objectives of the Nursing Administration include the following:1) io ,"iu" u, the central clearing house for ALL of nursing services, activities and operations.

Zi fo maintain the delivery of quality, consistent and stable Nursing Services throughout the

hospital.3) To inhance and improve the overall efficiency and effectiveness of the Nursing Services

throughout the hosPital.

4) To promote a -ore collaborative working relationship with the members of the Medical Stafl' othir health care professionals and technicians and all other members/employees of the

hospital.5) To continuously evaluate and improve the overall effectiveness of its services.

6) To represent the practice of Hospital Nursing in various committees and otganizations

throughout the communitY.7) To go paperless in charting.8) To provide/coordinate more on-island training'9) Collaborate with Universitv of Guam and Guam Cqqlqqrr1rylg] in orovidine review

Page: 102

Short-term Goals:

To continue accommodating new patients for the Chronic ESRD program by maintaining a daily three(3) shifts scheduling of patients.

To utilize nursing registry to augment staffing shortfall pending working visa application for thenurses.

Workload Outnut

Workload Indicator FY 2008Level of

Accomplishment

F"r 2009Anticipated

Level


Nursing Division Employees 451 496 521Nursing Division New Hires 83 86 88Number of new RN's recruited 24 27 30Number of new LPN's recruited 6 8 t0Number of StaffDevelopment/Training Programs forNursins Staff

45 59 77

Total Bed Capacity 195 235 235

IIIIIIItIIIIIItIIII

3t3t2009Page: 103

[BBMRBI).UGovernment ofGuamFiscal Year 2010

Budget Digest

'Function: HEALTIIAgency: GUAM MEMORIAL HOSPITAL AUTHORITY

Program: NURSING ADMINISTRATION (872f)

IIIIIIIIIIItItIIIII

1/ SPeciS Fund Source

UTILITIES361 Power $0 $0 $0 $0 $0 $0

362 Water/ Sewer 0 0 0 0

363 Teleohone/ Toll 0

TOTAL UTILITIES $0 ${ s0 ${ $0 $0

A B l) I F

AS400

AccountCode Annronriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICES

111 Resular Salaries/Increments $1,166,696 $r.146,097 $1.514.175 $0 $0 $1.514,175

ll2 Overtime/Special PaY 116,7E2 189.151 160,461 160.467

113 Benefits 344,005 395.888 498,350 498J50

TOTAL PERSONNEL SERVICES $1.627,483 $1,731,136 $2,L72,992 ${ $0 $2,L72,992

OPERATIONS

220 IRAVEL- Off-lsland/Local Mileage Re $6Je3 $0 $0 $0 $0 $0

230 CONTRACTUAL SERVICES: 650,333 L3J22 7.800 0 7,80{

233 OFFICE SPACE RENTAL: 0 0 0 0 0

240 SUPPLIES & MATERIALS: , 11' 6,000 6,000 0 6.000

250 EOUIPMENT: 194,510 0 0

280 SUB-RECIPIENT/SUBGRANT: 0 0 0 0 0

290 MISCELLANEOUS: 13,054 527,592 s27,592 0 527,592

$546,914 $541.392 s0 $01 $s41.392TOTAL OPERATIONS tiE67.U62

3/3/2009

Page: F-104

000305


Department: Guam Memorial Hospital AuthorityDivision: NursingProgram: NURSINGADMINISTRATION (8721)

IBBMR TA-U

TOTALI $

IIIIIIII

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, S23104 and federal Joint Travel Regulations

Purpose / Justification for TravE


No. of Travelers:

Purpose / Justification for Tiavel


Purpose / Justitication for Travel

tion Title of Travele

No. of Travelers:

PAGE: F-105000306

IIItIIIIIIItItIIItI

otal Capital OutlaY

Schedule F - GaPital

BBMR96A

NURSTNG ADMINISTRATION 187211Schedule B- Contractual

inical Practice Guidelines for Adult Patients

3t3t2009 Page: F-106



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Nursing - Nursing Administration

EQUTPMENT/CAPITAL LISTING:Description Quantity Percentage ofUse Comments

]OMPUTER PC l0PRINTER 5

specn nsou,*i;*t 'ifor Personnel and EouipmenVCapitall:, ,

il::r

t'i Total ProgramSpace (Sq. Ft.): 419


Description Square FeetPercent ofTotalProqram Snece Comments

A,dmin / Asst Admin OfEces r92Consultant office 85Secretarial pool t42

PAGE: F-'107


r r

' Ntght Dtfl€rentuI / turdor3 / Worker'! Cohpsution / eto.

1/r FY 2008 (.urlnt) 6Gam sil.lbufon br Llft hlurils ls s1?4 p€t mnubi subjed ro *sug€ b tr'Y 2009

II IIIGovernment of Guam



I

FIE

FILLEO

FTE

3/3/2009

Page: F-',|08000309


3t3t2009

Government of GuamAgency Stiaffi ng Pattern

Page: F-109

(BBMR SP-1)

000310

I

FTE

FILLED

FTE

VACTobl Beh

(Kftru q)

: Nirht Dtl'eMtrd / Ha.nlour / Workr'. Compensrh! / erc.

U: tr"Y 200t (drm0 Govtuu .orrrlbutun tur Ltft Lr.uHnce L $lil p€r nhubi Subjcct to ehrge h Fy 1009



Budget Digest

Function: IIf,ALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYPrograms PROFESSIONALSUPPORTDMSION-SUMMARY

I D ll !-

AS4OO

AccountCode Aooropriation Classificstion

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.

(c+D+E)

PERSONNf,L SERVICES

lll Resular Salaries/Increments $6.578.41' $6,811,06{ $7,243,225 ${ sl 7.243.221

tt2 Overtime./Snecial Pav 1,849,441 I,l43,EE.j 713,014 713.01r

113 Benefits 1.958.97r 2,305,431 2.s75Js: 2,s75,25:

TOTAL PERSONNEL SERVICES $10.386.82: $10,260,3781 | S10,531,491 $( ${ $10.s31,491

OPERATIONS220 TRAVEL Off-lsland/Local iVlilease Reimburs. $61.364 $38,32: s81,s2: $( $( 81,524

230 CONTRACTUAL SERVICES: 1,652,254 2,047,162 633,661 1.68859(


240 ;UPPLIf,S & MATERIALS: 8,431J9: 10,620,274 5,617,51r 4,577,87 r0,19st8!

2S0 EQUIPMENT: 152,87: 381.07' 150,932 260,92: 4l 1.859

280 ;UB-RECIPIENT/SU BGRANT:

290 VIISCELLANEOUS: 96,M( 190.6701 | lJs,lE0 19,20(

TOTAL OPERATIONS $10J93,924 $13.277.50111 $6,61E,E22 $0 s6,566,58( $13.185,40t

UTILITTf,S361 Power $26,23( $16,28( s16.28( $t $( l6.2El

t62 Wrter/ Sewer

363 Teleohone/ TollTOTAL UTILITIES 926,234 $16,281 $16.28( $( s(

TABLE OF CONTENTSDECISION

PACKAGE

Page

BUDGET

DIGEST

Page

TRAVELSCH APage

SCH B-F

Page

EQUIP/SPACE

Page

PROPOSED

SRAFFING

Page

CURRENT

STAFFING

Page

PROF SUPPORT DIVISION

7500 Laboratory

7630 Radilology

7721 Resp Services

7770 Phys Therapy

8210 Education

8213 Education CME

8340 Dietary

8360 Social Svs

8390 Pharmacy

8680 Pastoral Care

7900 Special Svs

G-1

G-9

G-17

G-25t26

G-36

G42

G46t47

G-57

G-62/63

G-71

G-77

G-2

G-10

G-18

G-27

G-37

G-43

G-48

G-58

G€4

G-72

G-78

G-3 G-4t5 c-6

G-11 G-12 G-13t14

G-19 G-20 G-21t22

G-28 G-29t31 G-32t33

G-38 G-39 G-40

G44 G-45

G-49 G-50/51 G-52

G-58a G-59 c-60

G-65 G-66/67 G-68

G-73 G-74 c-75

G-79 G-80 c-81

G-7

G-15

G-23

G-34

G41

G-8

G-16

G-24

G-35

G-41

G-53/54 G-55/56

G-61 G-61

G€9 G-70

G-76 G-76

G-82 G-83

T

IIIIIIIIIT

tItIttT

I3/3/2009 000312

IBBMRDP-l|Decision Package

FY 2010

Department: Guam Memorial Hospital Division/Section: Prof.SuoportDiv.Medical Laboratorv

IIIIItIIIItIIIIT

IIt

Activity Description:The Medical Laboratory provides testing and related activities to diagnose, treat and monitor therapy in the

of: Chemistry, Hematology, Microbiology, Blood Bank (Transfusion Service & Donor Center),

rinalysis, Pathology, Specimen Collection and other services.

Hours of Service: 24-hours a day ,7 days a week.

Major Objective(s):The Medical Laboratory will provide quality medical testing for diagnostic and therapeutic purposes and

maintain the island's blood supply by: maintaining appropriate personnel, assuring that technical competence

services meet or surp.rss all regulatory & accrediting agency requirements & standards, maintaining an

euality program which allows for the review and improvement of areas and/or processes within the

lab ( ical & and assuring an adequate blood

Short-term Goals:

l) Continue to train all personnel regarding regulatory agency standards and guidelines to help maintain

ity services and CAP accreditation; 2)Adhere to budget through effective inventory management and cost

:tive utilization of resources; 3) Have staffparticipate in a structured competency program on a regular basis to

intain knowledge and expertise in laboratory science; 4)Implement new testing services as requested by

rsicians in order to enhance patient care levels ( to also in"l.tde u"quisition of mo

Workload Output



FY 2009

Anticipated Level

FY 2010

Projected Level

Iotal Billable Tests 551.253 588J00 623.300

Page: G-1000313

Government ofGuamfiscal Year 2010

Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: PROF SUPPORT-LABORATORY (7500)

A B D E F

A5400Account


F^Y 2OOE

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's ReoueslFY 2010

GMIIARevenues

F"Y 2010

FederalX'und(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+rFf,)

PERSONNEL SERVICESllt Regular Salaries/Increments $r.20s22t $l.rEE.4sl $rJ47.07[ $( $0 $1347.07trt2 Overtime/Special Pay 250.75i 274.954 74,00{ 74,00(l13 Benefits 3E1.60t 431,101 463,50{ 0 463.50(

TOTAL PERSONNEL SERVICf,S $1.837.58! $r.894.506 $1.884.57[ $t $0 $1.884.578

OPtrRATIONS220 IRAVEL Off-Island/Local Mileage Reimburs. ${ $0 $9,700 sOl $01 $9,700

230 CONTRACTUAL SERVICES: 597,602 612,60n 71.00( 602,00( 673.00(

233 OFFICf, SPACE RENTAL: 0

240 SUPPLIES & MATERIALS: 2.225.871 23sE324 s2J4t 0 2347,624 2399,972

250 EQUIPMENT: 46,473 30,171 3,37( 0 30,17! 33,545

280 SUB.RECIPIENT/SUBGRANT:

290 MISCELLANEOUS: 25,928 48,905 29J80 21.00( 50,380

TOTAL OPf,RATIONS $2.895.874 $3.050.004 $165.798 $0 $3.000.799 $3.166.597

UTILITIf,S361 Power $0 $( ${ $( ${ $t362 Water/ Sewer363 Telephone/ Toll

0TOTAL UTILITIES $( $( ${ $( $0 ${

000314


Page: G-2

IIIIIIIIIIIIIIIIIIT

IBBMR TA-USchedule A - Off-Island Travel

Department: Guam Memorial Hospital AuthorityDivision: Professional SupportProgram: Laboratory (7500)




a,nnuat Conference-ClMA (Clinical Laboratory Managers Association)

Meeting is attended by over 2000 laboratory managers, directors and professionals. Conference

covers topics ranging all aspects of laboratory science (test processes, medicare reimbursement'

inventory management,etc.) Exhibition includes over 500 iod,r.t"y o"td*ravel Date: Spring 2010 No. of Travelers: 1


-aboratory Administrator $ 3,500 $ 750 $ 600 $ 4,850

$ $ $ S


American Association of Blood Banks Annual Meeting.

Meeting covers topics covering all aspects of transfusion therapy, donor services, cord blood bankingo

FDA regulatory issues, etc. It is attended by over 1000 professionals (national and international).

Exhibition includes over 500 blood industry vendors.

ravel Date: Fall (October 2009 No. of Travelers: I

Position Title of Traveler(s) Air Fare Per diem Reqistration Total Cost

Blood Bank Supervisor $ 3,500 $ 750 $ 600 $ 40850

s $ $ $



-

*


$ $ s $

$ $ $ $

TOTAL: $ 9,700

3t3t2009 Page: G-300031 5

Laboratory (7500)BBMR96A

IIIIIItIIItIIIIIIt

000316 I


3t3t2009G-4

tIIIIIIIIItIIIIIIIt

Schedule F - CaPital OutlaY

UnitPrice

TotalPrice

Funded in FY 2009?


lS lJnorade 350.000 x

3ross Lab Senior 1 40,000 x

-ep1

129 I lnarade-Blood Bank 1 70,000 x

Refrioerator 2 6,000 x

ateezer 1 7,500 x

lO2lncubator 1 10,000 x

Microtome,| 12.000 x

ladaver Lift 1 8,000 x

tortable Heat Sealer 1 9,000 X

rarallel Processinq Center 1 50,000 x

lentrifiroes 2 7.000 x

Clinitek 500 1 6,000 x

Point of Care Instruments (PT/lNR' Hgb' etc 4 5,000 x

Teleoatholoqv I nstrumentation 8,000 X

3/3/2009

G-5000317

Government ofGuamFiscal Year 2010 Budget

Equipment / Capital and Space R€quiremeot

IBBMR EL.TI

Function r HealthAgency: Guam Memorial Hospital AuthorityProgram: Laboratory(7500)

Description Ouantitv Percentoge ofUse Commentrlefrigerator l3 100ol1t@ref 2 looot{remonetics Aoheresis 2 s$tllatelet Flatbed Aaitators 2 tovt\nalyar. Clinitek 500 1oopt\nalyrer- Beckma Coults I-H5oo 2 t0001\nalyar, Sysmex CA560 2 IOUI\nalvs. Dade Behrine 2 toootlissue Embeddins Cents 2 5Wlfrostat- microlome 2 lU/lriage Meter 2 l00o/labinet. Corrosive O0o/labinet- Flmmables 2 0(labineg Spill 2 OVr'Shair- Phlebolomr 2 4U/

3Oo/

Yitek 2 Comoact 60 2 lovtVitek Link teminal 7501]act@ 9240 2 | 0001.ncubator-Microbiolow 2 1000r\,licroscopes 7 8Ut

2 1ffi)lasma water Bath tCene$s md otherl 2 3e/)aallel Processinq Center 350/-}vnmic Incubdor 2 f50/]uaturyr 350/ilide Staner 2U/fissue Prccessor 2 4Oo/

rod bak Serofuge 3 @/llintcal Cqtrifuee {tlA BB Chem Hi<ror 6V/fube s@ler-BB 2 3$/llm II Safetu Cabinets 3 8V/,iross lab Station I 3601lell Woher 2 5(

ones 4 l(ptlrck UPS-Pamu 1000tlytospin-Shudon 2 3Vt

3 3U/r{oual cadaver Liff I tV/r'qsnal ComDuters + Monitors 650/lomputer Dummv Teminals 9 6U,

I t$tfelevision-Donor Rmm I 2e/./CR Vido Plaver-Donor Room 50/fableetopsy 50/

linical Rotator 25o/,

Jwikwmh-Blood Bmk 2501File Cabinus 8 l0(

6 6Vt)flice Desks 9 7501rellows Power Shredder 35%ol

s%l;terile Containment Device\utoclave tsuol

rs%l

Total ProgramSDace (So. tr't.): A-ar1

Total Program SpaceOccuDied (So. Ft.l:

Descriptior Souare FetPercetrt of TotalPrwrtm Soace Commerls

-ab Sprce 6.490 r@d additional 357 sq. feet for: Additional snme nederl ro a..nmm.yt,r.Morgue od Viewing Room l-935 whelchar bound Datients (i.e. hadica

313t2009 000318



Agency Staffting Pattem

I I I I I I(BBMR SP-1)

I I

' Nlsb. Utr€ftndd / ts.r{d@ / lYo.kr'' ComP3rdd / .h

V: ry 2M (cutr.nt) tuG|'s.dhibdo! fot Urc b.ur.m b sll P.r rttllMi subr€l b.hsF h E t@

3t3t2009 00031 9

(B) (c) i0) (E) {Hl {[ lP) {o)cufi.RE|rf:fio

-1 x

t9St!'

".*1]-"*,-."r *dF l ;ii,il .

a:aaaaa. i ,4 1

t,:Wj'1it::a I;:-f ::;;' (E+r+G+rl

Subtd(J+R)

rodRetre Rdre(DDl) Soc S.c Litu YI tl1

ffi

Tod B.n

lKfrru Olo Almnl

6424 IED UB TECHNICIAN I LGUINR, BRIGETTE G 21 0E 3,151 03n7t200 17 25.39, 6.38 40 36r 17 t39 15 25 3!,6812 1OSP U8 TECHNOLOGIST NI ACTAD FE A N 53.47 21.381 10t11200 74 651 ta a6 oal 17 t,39 74.A5)

6616 IED [A TECHNICIAN I IIBRES. LOURDES G 2 19 89 298 |,17 24.O41 6.06 40. 8.65 32 701

IED TRANSCRIPTIONIST W GERTRUDE M G 4.67 IUmOE 1.09 36 89! 929 17, )97 35

6841 IORGUEANENDANT NMACHO, EDWARD R 6 22.521 343 )7 )A 6.66i 40' 39! 17 1 39i 15 9.6S 36.9:6425 IEO [8 TECHNICIAN I IERN. LYN P G 6 24 3nl ozlwoo 83r 28.92 7.291 40, 4t! 17' 1 3S: 10 00 38 03:

6630 IED U8 TECHNICIAN il UISON GERATO 25.3S1 3.81 133 30 54 5gi 4tu & 17' 1.3S1 10.45 41.001

IED UB TECHNICIAN III )E MMOS CORAZON L t5,61r 5.34 1/OffiOO1 1.24 42 20 t0 €3 4D' 5 7, I 3S: 15r 56,05r

6837 IED UB TECHNICIAN il :SCOBAR, JUN S. 7 28.871 433 1 061 14 27 49 10.091 44.376834 IED LAB TECHNICIAN III :STREMAOURA, LEONOR M 12 s 861 052&001 1.291 43.6E 1 1.001 40 63 1_39: t4 t0t 57 791

6813 IOSP LAB TECHNOLOGIST ilI :ERNANDEZ ALMIA C N 41.931 16.77, 042il200! I 55, 60 26 l5 t8: t5l t8.46i 78.721

542 IED NB TECHNICIAN il NLUA. MARILYN J. 38 tsl 572 43.87 t1.05: 40 1_39: 4.151 58 036A5d ,ED UB TECHMCNN I ,OPEZ, RIAG. 22,23, 3.331 w17n00l 1.171 26.73 6.73r 40 3A I 39i 5l 36,29

5302 ,ED UB TECHNICNN I .oRDtos. MRctgo z 22.231 3 331 40 36 17' r.39 9.39r 36.136829 IED SB TECHNICIAN il ,UMM, EMMIE C 6 27 AO ,07( 33.04 8.321 10 47 7 t.3s 1.151 44 19

IED HE IECHNICIAN il I MA ANGELINA G 13 5.331 08/0M00{ 1.241 42 151 10 621 40 I 1.671 53.82

6616 IOSP UB TECHNOLOGIST IEIER, CMRLONE M. It 41.17 t6 6l 59,08i 14.88{ 40 85 17/ 1.39 15( 1E.53 n.626417 IED TAB TECHNIChN IV IONTAUM. RUBY B. 5.94: 06/0u00 46.9r I 1.83', 40 68 7 133 l5 d1

6805 IOMLES LORNA B. G 27.14 1 07i 40 171 1.78 42.456832 AMRATORY ASST ,AMINTUAN. EVELYN S, D 2 0d0M00 9S 99r 24 40 17 i.3s 2246602 A8 SVCS ASSTAOMIN 3EUNAN GLENDATYN P tl 52.49 20.99; |Z3MOO 73 1Al 1A 5i 40 17 I,S 15( 22.54 95.02

5512 IED UB TECHNICIAN I :ASCUA, NELMA L 2 19.89 2 9Al 24,O41 6.06 40 34 17 1.78 231 s.276442 IED UB TECHNICIAN I )ATAGUE. ELPIDIO S. 3 t.15{ w1n00 1.17 25.39 6.39 40, 36t 17 33,02

6845 IOSP UB TECHNOLOGIST ilI ]UN, CARU M N 8 43.491 17 39t olDADO1 40, 1.39 15( 18.86 79.75)644 PSP NB TECHNOLOGIST I IEYES, EDqRALUN B, 7 35 80i 14,32 11t19n00 1.32 51.41 l2_96 40 74 17 297 351 1A 20 69 65r

6E2E toSP u8 ]ECHNOLOG|ST I iAMA CRUZ EMILY I 38.45 15.38 on1Do1 53 83', t3 56r aD, 7A 17 2,A7 18.50 72.33

6611 IOSP UB TECHNOLOGIST [I jANTOS, ANNEMARIE G. N 49.911 t0 g6 nlhSDdll 69.88' 17.e1 40, 1.01 17, 2.97 92 A4

,ED UB TECHNICIAN I iOTO. ALOM S 4.01 omgnffil 1.06 8tl a 01' 40, 4 17. ,97 12,39 4.206820 NEO UB TECHNICIAN [I .AMLGO,

GLENDA D. 12 36.61 5.53 1 29i 63 17. 2.0E 14.39 5E.07

,ED UB TECHNICIAN il .HUNDIYIL, ALLIHLI t3 35 571 5,33 1W9n0ol 1.241 42.151 10.421 17, t3c 15 12 A2 54 E7:

6647 TED UB TECHNICIAN I.ROPEL

JUNDY D G 3 21.06. 3.15 04032001 1 171 25 39 6 391 40, 36 1,7A 23 9.47 34.67r

6808 {OSP 4A TECHNOLOGIST [I .UOUERO JOHN G. N 48.2' 1e 2e 1,68r 69.20 17.441 40, t.00 17 19.80 a9 001

6421 IED LAB TECHNICIAN IV 4LNNUEVA. PIURITA L 12 39.6i 5.94 05/01201 | 45.56 tl 48 40. 66 17, I 3C', IF 14,78 60.34i

6819 iED NB TECHNICIAN I 4LN, TERESITA F. K 13 41.00 615 47.15 t1.88i 68 17' 1.39: 15 M.A2 61.97r5A3a \DMIMSTMTNE ASSISTAM VHITE. LURUNE J. 35 6t 5.34 1Z3W@1 40.96 10.32 59 17, 1 30: t5 54,616E0i tD5n. xoap ua srcs lHcA) . VACANF

6E26 IED UB TECHil( . VAilNF6m IED IA8 ECHilICIAil I . vAcaxrtm IBOSTORY ASAT VACAilF D

Gaat tosP uB EcH[oloctsT2 " VACAilT m

IOgPITAL PHLEBOTOMIST I VACAil}'6853 IOSPITAL PHUBOTOT|a'I VACANT

0-5 tosP ua TEcHNoLootsT[l PT

5l6B loaP ua EcHilotoctsTill VACANT N PT

0l 6SP UA ECHilOLOOI]T[l PT0.5 G85IA IA1HOLOST VAilXT PT

35 -r:' t' 1,141,27 272.431 s34 14 05 380 21 I tr\ 18,83 5.551 51.54 3.28) 441.13 1.665.1&

AGENCY: Guam Memorial Hosoital Authoritv Government of GuamAgency Staffting Pattern

(BBMR SP-1)

tM) (N) (o)

ftffiFILLED VAC

' Ngil Dir.reDdd / Hd.rdou / \yorbr,3 cmp.dq / ..c4 ry 2sB (ormt) tu ftM rddhfun for Ur. hrmce b SIZ F. .md; suljdr to chrry h ry ru

3t3t2009u-6

000320

IIIIIIIIIIIIIIIIIII

ItIIIItltItItttIIIt

IBBMR DP-U

Decision Package

FY 2010

Department: cuAM MEMORTAL HOSPTTAL AUTHORTTY Division/Section: Professional supnort Div./Radiolosv

Activity Description:provide direct patient services in support ofthe physician population. Services are rendered as emergency,

in-patients & out-patients and out-patients. Services include CT Scan, Ultrasound,

Computerized Radiography, Digital Fluoroscopy, Nuclear Medicine, Mammography and Vascular'

The Department operates ona24l7 basis'

Major Objective(s):To provide imaging services on a2417 basis to the physician population, via Emergency Room,

In-patients and outpatients. Services provided include whole body imaging utilizing state of the art

CT Scan, Ultrasound, general radiography, general fluoroscopy, CATHLAB, Mammogfaphy Stereotactic Imaging'

and portable work both at GMHA and at the SNU.

rt-term Goals:

Provide continuum of direct patient care in whole body imaging ona24l7 basis'

Workload Output



['Y 2009


Projected Level

General Radiographl 62500 67500 67500

Ultrasound 4000 4000 4000

CAT Scan 5200 8000 8000

Mammography 2000 2000 2000

Page: G-9

000321


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: PROFSUPPORT-RADIOLOGY(7630)

"{ ti ( 1) u lr

A54OO


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel


GMHARevenues

FY 2010

Federalf,'und(sl

FY 2010

PharmFund

FY 2010

Total Req.(C+D+E)

PERSONNEL SERVICESllt Regular Salaries/Increments $860.624 $908.140 $986,587 ${ $01 $986,s8?tt2 Overtime/Special Ply 342,751 192.104 104,000 t04-000l13 Benefits 240,979 304362 331,670 J31.670

TOTAL PERSONNEL SERVICES s1.444.354 $1.4tM.606 sl.422251 $0 ${ $r,422"251

OPDRATIONS220 IRAVEL- Off-Island/Local Milease Reimburs. $5,631 ${ $( $( $0 $(

230 UON'T'RACTUAL SERVICES: 938,25t 878"800 293,601 772,00n 1.065.600

233 DFFICE SPACE RENTAL:

240 JUPPLIES & MATERIALS: 851,161 375,000 129,00( 185.00{ 314.00(

2s0 EQUIPMENT: 10,764 22420n l7J0( 224200 24150{

280 SUB-RECIPIENT/SUBGRANT:0

290 MISCELLANEOUS: 9,00i 8,200 4,800 7,20( 12,000

TOTAL OPERATIONS $r.814"817 $r.486.200 s4u,7M ${ $1,188,400 $r.633.r00

UTILITIES36r Power ${ $( $01 $0 $0t $(362 Water/ Sewer363 Telephone/ Toll

TOTAL UTILITIES $( $( ${ $( s0 ${

FULL TIME EQUTVALENCIES (FTE'i

Page: G-10

000322


Department: Guam Memorial Ilospital AuthorityDivision: ProfessionalSupportDivisionProgram: Radiolory Services (7630)

IBBMR TA-11

TOTALI $

l/ provide justification for multiple travelers attending the same conference / training / etc'

2/ Rates must be consistent with Title 5 GCA, Div.2,Ch.23, 523104 and federal Joint Travel Regulations



-*Position Title of Traveler(s) Air Fare Per diem Registration Total Cost

Puroose / Justification for Travel

ravel l)ate: No. of Travelers:

-

*




-

*


Page: G-11

BBMR96A

-

unttPrice

TotalPrice

runoeo rn FY :zuu9-1Item Quantity Yes No

Ulaintenance: Cath lab equio 104,00( XVlaintenance: Radioloov eouio 265 xVlaintenance: Cat scan (incl oarts) 200.00c xMaintenance: Filmless xrav 105,00c xVlaintenance: ECAMMaintenance: PACS-RIS

62,00c x68. x

Vlammo parts and suoolies 36.00( xrower supp 12. xTROBE. GE LOGIO 24,00( Xlonsultant: Medical Phvsicisl 88.00 Xlepair mammo equioment 7.70( xVIRS Mammo reporting 1.90( xVlammo insoection fees: FDA/ACR I, xfranscription servicesMaintenance: PACS

16.0 x68.00( X

1.065

Schedule & MaterialsunrtPrice

lotalPrice

Funded FY 2009?Item Quantity YES No

Dharmaceuticals108.00( x

tadiation Monitor Badoes 12.OO( xf,ther Charqeable Medical Suoolies 157.00( Xfther Non-charqeable Medical Suoolies 27.00c xfffice & Administrative Suoolies Iqq,E x

314.00C

unIPrice

I olalPrice

In FY 2009?Item Quantil Yes No

(-RAY MACHINE. PORTABLE 1 3600(35000i

X\UCLEAR MEDICINE MACHINE 1 XMIRIMACHINE 1 1 50000 XEXPAND PACS STORAGE 4500( XPACS-RIS INTEGRATED 1 39500( X

000324

IIIIItIIIItIIIIIIII



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Professional Support - RADIOLOGY (7630)

IBBMR EL.lI

ffitETFTt*LiliSTINGJDescription Ouantitv Percentaqe of Use Comments

]ACK UPS"SOLA ADVANCE NETWORK

]ABINET. ACID STORAGE 50 GAL

]ALIBRATOR. DOSE I

]ALIBRATOR, ISOTOPIC I

SALIBRATOR- RADIO ISOTOPE 2

IAMERA. E CAM EMISSION IMAGING I

AMERA, FUJI EC ID I

]AMERA" NUCLEAR COMPUTER I

]ASSETTE HOLDER, MOBILE 2

]ENTRIX SYSTEM 0

DICTAPHONE. EXPRES SWRITER

DICTAPHONE, VOICE REC SYS 4PC

]XPRESS WRITER DICTAPHONE w/MI 3

DTERMINAL.FUJILLUMINATORMAMMOMASKMAGE INTENSIFIER,SIRE. C-ARM

IMAGE READER,FUJIINJECTION STANDMAMMOGRAPY OC KITMAMMOVIEWER-3D WCONSOLEMARK I TUBE CTR-I5555RC)Mr)RII F RADIOGRAPHIC X-RAY 0

\4ONITOR CARD LIFEPAK I\ifr\NIITT)P I IF'FPAI< R

fPTI LUME 4 PANEL LTNIT 2

PANORAMASCOPE.AUTO RETRIEVER

PERSONAL COMPUTER 4

,IGG-O-STAT IMMOBILIZERF IA'KF SVS.sOO PD

)ATNTFR 2

)RINTFR F'IIII DICOM SERVER I

]ULSE OXIMETER HAND HELD 2

R\1 ITNIT SII VFR I

RTA RECORD MASTER HD X RAY SHE z

SCALER/WELL COT]NTE&LUDLOM I

SCANNER,COMP.AS SISTED TOMOGRAP IDIIAI (-r)I ,r)R

NI'r)M ARCHIVF,/DATARASEMAMMr)CAR 5

SINGLE-FACE ADDER 2

SUREVIEW ATS WACCESSORIES

ULTRASOUND SYST (GE LOGIQ 7OO) 0

SNI INN SYST TGF, I,OGIO 4OO) L

SIDFOCON FERENCING SYSTEM I

VITAL SIGNS CHECK I

WORKSTATION,FUJI WDICOM SOFT. I

TINN GAMMA/PI.)I CAPTIIRE IqTATI.)N c)I IADRI IPI,F, MONITOR 0

WORKSTANON,WINRAD FORMAT IX.RAY. C ARM 2

K-RAY, R&F

3/3/2009

Page: G-13000325



K-RAY, MOBILE UNIT PORTABLE 2K-RAY. PROCESSORKODAK IK-RAY, R&F 0X-RAY, VIEWER SETiSYSTEM-3647 ICOMPUTERPC 5

COMPUTER TERMINAL. IBM 3487 9IjOMPUTER, LATTIOP 2

!P'i& re4r tl.Q 4b.as ),

Total ProgramSpace (Sq. Ft): 6"145


(Sq. Ft ):

Description Square FeetPercent ofTotalProsram Snace Comments

Admin/Fluoro/Aneio 5. l7llluclear Medicine 490lT Scan 394Jltrasound 90

3/3/2009Page: G-14

000326

r IITIAGENCY: Guam Memorial Hospital Authority



I r r r r I(BBMR SP-1)

I I

UNCL CnSS ' Nlgha Ditrceldd / Hs.d@ / Nn.bt'r ComPtutM / .to,

LOo 33.00 !:ry2N(or€ni)Gvft.mddbudoDfo.Urebu.Nis$r?4Frtuuisubj"tb'hDFhry20

3/3/2009

Page:G - 15000327

AGENCY: Guam Memorial Hosoital Authoritv Government of GuamAgency Staffing Pattern

H. humeb$l?4Fr.|ltlm: Subid b (huFb ru ZB

3/3/2009Page:G - 16

(BBMR SP.l)

000328

I I I I I I I I I r I I I I I I I I I

IIIItIIItIIIIIIIIIt

IBBMRDP-rl

Decision Package

F"Y 2010

Department: cuAM MEMORIAL HOSPITAL AUTITORITy Division/Section: Professional support Services/

ResPiratorv Care

re practice ofrespiratory care encompasses patient care activities in all aspects ofrespiratory therapy

include the diagnosis, treatment, and management of problems and diseases affecting the pulmonary

and education of the patient, family and public. These services are provided for both the inpatient

outpatient populations and for all age groups.

provide 24-hour coverage ofrespiratory services and to meet patient care needs and maintain adequate

affing levels.

o provide quality diagnostics testing to include - Arterial Blood Gas Sampling and Analysis (ABG), Pulmonary Function

est (PFT), Bedside Spirometry, and Electrocardiograms (EKGs)'

o develop and implement an Asthma Education Program'

o assure technical competency to meet or surpass regulatory and accrediting agency requirements and standards'

o maintain an active Performance Improvement Program'

'o train for an additional technician for Pulmonary Function Testings (PFT).

To educate the patient, family and public on respiratory therapy and diagnostic services'

To participate in and deliver continuing education classes to keep abreast ofnew and ongoing health issues'

rain staffin JC standards and update the departmental policy and procedure manual.

o develop and implement Asthma Education Program

'o develop and implement Therapist Driven Protocols'

To provide bedside spirometry to increase pre-op testing/screening'

Page: G-17000329

A B t) f!

AS400


FY 2008

Expend &Encumb

FY 2009Authorized

Level


GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram : PROF SUPPORT-RESPIRATORY THERAPY (7721)

[BBMR BILTI

IIIIIIIIIItI

UTILITIES36r Power $0 ${ $( $0 $0 s(

0363 t elephone/ Toll

TOTAL UTILITIES $( $0 $0 ${ $( $0

IItIIII

PERSONNEL SERVICESlll Regular Salaries/Increments $799.423 $776283 $979,863 $01 $ol $e79,861rl2 rrverltme/Jpectat ray 408,176 291,774 239,643 239.643113 237.494 3r6.r03 377,759 377,759

L T|IKSIJNNI;L SI'RVICES $1.445.093 $r384.160 s1,597,265 $( $0 $1.597.265

OPERATIONS220 IRAVEL Off-Island/Locai n{ileaee ReimbuE $3.65i $0 $( ${ $( $(

230 ULIN'I'RACTUAL SERVICES: 4.095 5,00( 0

233 OFF'ICE SPACE RENTAL: 0

240 SUPPLIES & MATERIALS: 1.137.426 r,190.000 10.000 1.150.0fir r,r60.000

250 EQUIPMENT: 5.00( 5,000 5,00{

280 JUB-RECIPIENT/SUBGRANT: =-

290 UTSCtr,LLANEOUS: 3,r2i 3,500 3,50( 3500

TOTAL OPERATIONS $1,148J05 $1.203.500 $15,00{ ${ $1.153.500 $r,r68.s0(

3t3t2009

Page: G-18


Department: Guam Memorial Hospital AuthorityDivision: ProfessionalServices

Program: Respiratory Care (7721\

IBBMR TA-11

AL $

1/ provide justification for multiple travelers attending the same conference / training i etc.




-

*




-

*


Purpose / Justificatioo &I!11y{

No. of Travelers:

-

*


Page: G-19

Purpose / Justification for TravelTraining for EEG and EMGTrain I to 2 person on EEG and EMG technician clinicar training(If nenrology is in Special services delete this section)

Travel Date: No. of Travelers: 2_ *

Position Title of Traveler(s) Air Fare Per diem Registration Total CostStaff $ 3,600.00 $ 10,000.00 $ 1.500.00 $ 15.100.00

$ $ $ $

IBBMR TA-11Schedule A - Off Island Travel

Department: Guam Memorial Hospital AuthorityDivision: Professional ServicesProgram:Respiratory Therapy (Special Services-neurolory)



* Provide justification for more than one traveler to the same conference / training / workshop / etc.

Respiratory Care7721

Schedule B- Contractual Funded in FY 2009?

Funded in FY 2009?

Funded in FY 2009?

Page: G-20



Function: IlealthAgency: Guam Memorial Ilospital AuthorityProgram: Respirstory Therapy (77211

[BBMR EIf II

IIIIIIIIIIIIIIIIItI

Description Quantitv Percentase ofUse Commentsy'ision BIPAPs J gOYo

]IPAP S/TD 30 with alams sOYo

IIPAP Dro (home stvle BIPAPs) 4 8oo/o

]IPAP ST SOYI840 Ventilator 6 8V/"140 ventilator with neonatal mode 8V/o7200 ventilators w comDressors 4U/oT200ventilators with monitor screens lIYo)ervo vents ) lOYoSechrist 100B- 7 2OYo

Millenium Sechrist 2OYo

loncha Pak 3 heated humidifier 50Yo

loncha Pak heated humidifien 4 50Yo

New Fisher& Pavkel Heated humidifieB (MR850) 5 0o/"New Fisher& Pavkel Heated humidifier MR730 l0 OYo

)ld Fisher&Pavkl Heated humidifien t0 jYo

1B760 3 2s%o

] 100A Oscillator ventilator zOYo

Achieva Portable ventilator 4 $Yo)ortable ventilator - LP6 Plus Oo/o)ortable ventilator -PLV- 102 3 0o/o)ortable ventilator- Bear 33 2 0o/")ulmonarv Function Unit Vmfi 1000tulmonarv Function monitor I l00vo)ulmonary function soft\ryare I l00o/olalibration svrins for PFT I l00YoPulmonarv Function orinter I l00o/"Respiratory Cart with cables lo0yoPulse Oximetrv/caonosaDhv I OYo

Pulse Oximery/capnographv I 0o/o

A.nalvzer Blood Gas 2 IO00/o

A,erosol tents 9 O%o

Itanding Weight scale I l00yolxvgen monitorsUPS machine I OOYIDummv" terminal monitors md kevboards 2 00o/o

lomputers 4 00Yolrinters 2 O0o/o

\ddressograph ov"tefrigerator lO0Yolontainer for Acid suonlies 1O0o/"

lontainer for Flammable suDnlies 100Yol-drawer file cabinet lWYot drawer file cabinets 1000/"imall copier/Fax machine-HP 5V/olomDuter table lO0o/o

lypins table l0OYo

3t3t2009Page: G-21

000334


BudgetEquipment i Capital and Space Requirement

[BBMREL1I

Total ProgramSnace {So- Ft):

Total Pmgram Space

Occupied (Sq. Ft.):

Description Souare FeetPercent ofTotalPr@rrm Snece Comments

iront office)irectors officelouiDment storase room

JuDDlv storage area

Dirtu utilitv room

Pulm. Function room

LOUnqe

)rf natient ThemDv room -eoulDment storaqe

llood Gas Laboratorv

lomDuter roomfech reDort area

-ocker room/bathroom

IGovernment of Guam

Fiscal Year 2006 Budgetf,,quipment / Capital and Space Requirement

[BBMRf,LII tFunction: IlealthAgency: Guam Memorial Hospital AuthorityProgram: Professional Support - RESPIRATORY CARE

IIIIIIIIIIIItIIIt

'l:A!j,|;ISTII$G::;

Description QuantiE Percentase ofUse Comments

ADDRESSOGRAPH I leplaced with new 8217ANALYZER, BLOODGAS z ln attached BioMedical lislANALYZER. OXYGEN )n attached BioMedical lisl]CI 33OO PORTABLE OXIMETER )n attached BioMedical lislBIPAP MODEL ST I )n attached BioMedical listBIPAP VENTILATORY MACHINE 2 r'ision Bipap]ARDIOGRAPH.PAG EWRITER WCART I )ardiology IKG machine- at SNU)ESK, DOUBLE PEDESTAT EXCE I]CHOMACHINE :ardiolosv 3EiEG SYSTEM.MCOLET VOYACEUR I rcurologyJRASS MOLD- 1 OE ELECTCOPHALOGRA I reurologyNFANT VENTILATOR SECHRISTNTELLIGENT HP PAGEWRITER\4ONITOR, HP PAGEWRITER CART 3 low IKG machine\4OMTOR. KIT 02 0V]UNTTUK. UXYUBN 0 I to be surveyed)asteumatic Washer 0 ;urveYed)ASTEURMATIC WTEMP RECORD 0 iurveyedPRINTER. IBM 5256 0PULMONARY DATA DISPLAY )n atfdched BioMedical listDULMONAR Y FUNCTION UNIT.VMAX22 )n attached BioMedical listPULMONARY UTILITIES (SOFTWARE) )n attached BioMedical list]ULSE OXIMETER 0]TILSE OXIMETE&HAND HELD 2 vrth capno$aphy, on attached BioMedical list.TESPIRATORY CART WCABLESTESPIRATOR BIRD MARK 7 2 n storageG;SPIROMETERMARK 14 ISPIROMETER. RIKO AS 3OO 0 to be surveyed5 I ERILIZER, DRYER 2.DR 8.SHEL I n CSRIABLE, EXAMINATION CORONET I €sp departmentTREADMILL, EXERCISER MAC- I I I )ardiologyVENTILATOR SYSTEM ?gstress test comDut :ardiolosv

VENTILATOR BENNET 72OO WACC 2VENTILATOR, INFANT PRES BP2OO 0 ;urveved

;urvevedVENTILATOR. PANEL ? 2i/ENTILATOR, PLV LIFECARE 2r'ENTILATOR, SERVO 3VBN'fILATOR. VOLUME BEAR 33]OMPUTER PC .IBM PS/2 ? 0 lee new list.]OMPUTER, IBM TERMINAL? 0

3/3/2009 000336


Equipment / Clpital and Space Requirement

IBBMREI.TI

Function : EealthAgency: Guam Memorial llospital AuthorityProgram:Respiratory Therapy (7721) -special Studies (requested to be sep|rated )

Total ProgramSnace (So. Ft):

Total Program SPace

Occuoied (Sq. Ft):

Description Souare FeetPercent ofTotalProsram Soace Comments

ror SDecial Studies area on lst floorll09 - batroom and lounge

I l- Clean utility8103- Exam room

8104- Stress test and Echo room

E105- EEG room

B 106- OfIice {PhYsician's)

107- Reception

lonidors

AGENCY: Guam Memorial HosoitalAuthority

UNCL CLAS' Night lltrcftrtLl /It rrr&u /Wo.brt Comped.lho /c&I 22 U: ry m (drnro ftvtuh srtdbudor b. t ift huee to St?4 Fr moM; Sub.led b ch!ry h Fy 2m9

3t3t2009


(BBMR SP-1)

Page:G- 23

000338

CUS' Night lltrcftrtLl / It rrr&u /Wo.br'r Comped.lho / c&

I I I I I I I I I I I I r I I I I I I

I IIIAGENCY: Guam Memorial HosPital

Authority

I I I I

' Nkh.Dircrenlhl /tuado$ /Worlci! Comp'D"tun / etc

U: FY 2M (.uftnt) ftrcmn coDfibutub for He hiunr@ h Sl74 per 'nnum;

subist to 'hq€

h ru 2009



I I III(BBMR SP.1)

I

FTE

FILLED

FTE

3t31200s

Page:G- 24000339

Guam Memorial Hospital Authority

DECISION PACKAGEFY2010

Department: GuamMemorialHospital Division/Section: Professionalsupnort

Activity Description: An interdisciplinary team of occupation"al ttrerapy 1Of;, physicattlerapy (PT), speech therapy (ST), cardiac rehabilitation (CR), and recieational therapy(RT) staff providing acute, ambulatory, and skilled nursing unit patients rehabilitativeservices.

Major Objective(s): To provide initial evaluation/asseJirnent, treatrnent ptanning, goalattainment, family education/instruction, appropriate discharge planning, and communityreferral.

tIIIIIIIIIIIIItIT

II

Short-Term Goal(s):

l. Increase current staff levels by hiring at least I fulltime physical therapist orphysical therapy assistant, occupational therapist or certified occupational therapyassistant, and 1 full-time speech pathologist.

2. Maintain local and off-island recruitment (foreign or u.S.) through media forlicensed or professional stafi through Fy 2009.

3. Promote use of on-call/or part-time staffto cover the disciplines of pr, or, sr,CR, and RT to comply with JC standards in the absence of regular licensed orregistered staffto provide direction supervision oftechnical staff and provide foradequate staffing with increased workloads by August2009.

4. Improve intra- and interdepartmental communication to improve and maintainoverall efficiency and quality of patient care by January 2009. (ie personalcomputers, printers, etc.).

5. Procure capital and minor equipment and supplies that improve the quality ofpatient care from October 2008 through September 2009 (ie ultravioiet and lasertherapy, positioning devices, splinting, assistive devices, cardiovascular,electronics, recreational therapy, computers, dysphagia, etc.)

6. Procure equipment and supplies specific for program development andenhancement in the areas of CR, fiber-optic endoscopic evaluation of swallow(FEES)/dysphagia/dysphasi4 communication, upper extremity, recreation,employee health and wellness, work capacity evaluation and treatment.

Pase: G-25

000340

IItIIIIIIIIIIIIIIIT

neurodwelopmental/CVA, orthopedics, skilled nursing, wound carc/management,

community outreach and education.

7. Provide financial assistance for off- and on-island continuing education of all

rehabilitative services staff. Promote on-island continuing education and promote

off-island speaker presentations and workshops.

8. Review current fee schedule and make necessary revisions, additions, deletions,

etc. to accommodate any regulatory changes.

g. Upgrade environmental work facilities and acquire additional space for program

enhancement and staff development/increase.

Workload Outpul

WorkloadIndicator:

FY2008Level of

Accomnlishment

FY2009Anticipated Level

FY2010Projected Level

Total Patients 18,250 19"000 19.250

Total Units ofService

29,160 29,760 30,000

Patient Hours 7.290 8.250 8.8400

Total Revenues 8947,700 $1,044,000 $1,052,000

313t2009

Page: G-26000341

B tl

A5400Accounl

Code Appropriation Classilication

FY 2008

Expend &Encumb

r"r 2009

AuthorizedLevel

Govemor's RequestFY 2010

GMHARevenues

F"y 2010

FederalFund(s)

FY 2010

PharmFund

Fr 2010

Total Req.a(,-+I)+El


Budget Digest

HEALTHGUAM MEMORIAL HOSPITAL AUTHORITYPROF SUPPORT-REHAB SERVICES (7770)

Function:Agency:Pmgrarn:

PERSONNEL SERVICESlll Requla r Sala ries/Increments s630.638 $684.736 s906,33? $01 $ol $m6JJ?r12 Overtime/Special Pay 133,r85 101.494 141.095 r41.095113 Benefits tE9.57l 235Jr{ 327,542 327,542

TOTAL PERSONNEL SERVICES $9s3J94 $1,021.546 $1374.974 $t $( st.374.974

OPERATIONS220 I'RAVEL Off-Island/Local Mileaee Reimburs. s20.088 s0 $10,653 $( $0t $10.6s3

230 ]ONTRACTUAL SI,RVICES: 94 3.598 950 3,00{ 3.950

233 )FFICE SPACE RENTAL: 0

240 UPPLIES & MATERIALS: 16.703 J6,00( 3.Ofi 25,000 28,00(

2s0'QUIPMENT:

9.403 3. 40J92 6.550 46,942

280 i U ts-Rf,,CIPIENT/SUBGRANT:

290 VIISCELLANEOUS: 3,329 8.20( 5.80{ 5.800

TOTAL OPERATIONS s49,61? $sr,548 $60.79s ${ $34,ss{ $95.34s

UTILITIES361 Power $( $( ${ sOl $01 $(362 Water/ Sewer363 Telephoney' Toll

TOTAL UTILITIES $( $0 s( SI $( $(

000342

Page: G-27

IBBMRTA-llSchedule A - O{f-Island Travel

FY 2010

Department: Guam Memorial Hospital AuthoritlDivision: ProfessionalSuPPort

Rehabilitative Services

1/ Provide justilication for multiple travelers attending the same conference / training / etc.

2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, Smf 04 and federal Joint Travel Regulations

advancement of occupational therapy serv

2r-24,2010MA AOTA Annual Conference

advancement of physical therapy services'

Provide opportunity for therapist requitment.

Travel Date:

-June 8-ll,2010

ravel Date: March ll-15,

ffirelabilitative services' management'

oerformance imorovement reimbursement, CMS, JCAHO, etc'No' of Travelers: l

Jan Francisco. CAPosition Title of Traveler(s) Air hare Per diem Reeistration Total Cost

lhiefofRehab Services s 2,279.00 $ 600.00 $600.00 $-

W;seniifiAotdn fo, Ttgy4cement ofspeech therapy services'

)rovide opportuni8 for therapist recruitment.No' ofTravelers:

{merican Speech and Hearing Associatio, Tampa, FL

Position Title of Traveler(s) Air Fare Per diem Reeisfation Total Cost

JpeecF Laneuace Pathologist $ 2,421.00 s 600.00 $ 545.00 $

al advancement ofcardiac rehab services'

Provide oorortunity for therapist recruitment.No' of Travelers: l

{mericanAssociationofCardiovascu|arandPu|.onPosition Title of Traveler(s) Air Fare Per diem Reeistration Total Cost

lardiac Rehabilitation Specialist I I $ 2.172.00 $ 600.00 $ 525.00 $ J,297.00

$ 10.653.00

Rehabilitative Services (7770)BBMR96A

IIIIIIItttIIIIIIIII

Schedule B- Contractual Unit

PriceTotal

PriceFunded in FY 20A9?

Item Quantitl Yes NoOardiac monitoring system 750 XSewing Machine servicinq 500 XNlileage reimbursement 1.600 XJamar dynamometer recalibration 100 XMiscellaneous equipment repair 1,000 X

Total 3,950

Funded in FY 2009?

Total Supplies & Materials

Schedule D - UnitPrice

TotalPrice


iling Cabinets 1,000 XStorage Shelves (SNU) 1,000 X)esk Chairs 1,000 XM iscellaneous Recreational Therapy 1,500 XSpecialty WheelChair: Standard Hemi \A 2 157A 3,140 xSpecialty Reclining Back Wheelchairs 2 1 500 3.000 xHi-Lo Treatment table 1 2200 2,200 Xfotal Gym 1 2900 2,900 xfraining stairs I 92C 920 XrVC Ultimate walker (Merry walker) 1 32C 320 x

u rniture--treatment chai rs. 8 20c 1,600 XSaratoga Spirit Cycle 630 Upper Bodv E 1 149Q 1,490 XVoice Monitor computer system 1 2400 2.400 XElectro-larynx 1 575 575 X4-Channel Telemety Cardiac Monitorinq 1 250C 2.500 xStorage Shelves 4 50c 2,000 xile Shelves 4 2,000 x

3t3t2009Page: G- 29

y'alpar 202 Work Hardeninq Equipment 1 1 035 1,035 x

M120 Hiqh Line/Resolution Monitor 1 2617 2,617 X

Splint Pan 1 90c 900 X

Sabinets 2 120C 2,400 x

KCI Sequential Extremity Pump Systen 1 1 56C 1,560 x

itationary bicycle 1 70c 700 X

Hi-Lo hvdraulic parallel bars 1 200c 2,000 X

standinq machine, electric 1 400c 4,000 X

ValPar9 Work Hardenins Equipment 1 2185 2,185 x

Total Equipment 46.942

Schedule E - Miscellaneous UnitPrice

TotalPrice

Funded in FY 2009?

Item QuantitY Yes No

Vlembership Dues 2,500 X

Policies and Procedures Manual 500 X

JC Manual 300 X

Educational Media 500 X

Textbooks 1,000 X

Uniforms 1,000 X

Total Miscellaneous 5,800

Funded in FY 2009?

Electric Hi-Lo Mat

Cold Laser- Low Level LaserTherapy

" inches flat screen television set

Station Functional Capacity Evaluation

Page: G- 30



HealthGuam Memorial Hospital AuthorityProfessional Support - REHABILITATM SERVICES (7770')

IBBMR EL-II

IIIIIIIIIIIIIIIII

tr'unction :

Agency:Program:

II

A U I PM 0lllT/CAP ! TAIi r;I$'r I NcrDescription Quantity Percentage of Use Tag Number Comments

ADDRESSOGRAPH 80ARMWHIRLPOOL l5BIKE,EXERCISE 2 45BIKE.TABLE TOP 45ABINET, TOTE TRAY 2 50

CHAIR,VIDEO FLUOROSCOPIC MAGE I 70CHILLING UNIT.COLPAC I 80CLINIC FORMA-SPLIT PLAN I 80COMBINATION" TILT ELECTRIC I 25CONSULE/CART.PULSEVAC III I l0COVERTIBLE STAIRCASE I l0

UBE, WORK MODEL WC-IOO I 40ELECTROSTIM I8O I 25EXERCISE SET. MOBILE DELUXE I 25FLUIDOT}IERAPY (HAND & ELBOW) I 80FORMA-SPLINT THERMAL BATH I 80FIEATING UNIT,HYDROCOLLATOR l 50HIGH CHAIR. WHIRLPOOL I t0HYDROCOLLATOR I 40KNEE.CPM 2 t0LOCKER, EMPLOYEES 6 UNITS I 100METTLERULTRASOUND I 20MOBILE, LOW PROFILE I l0MOBILE. PODIATRY I l0MONITOR. CARDIAC LIFEPAK 9P I JPARAFFIN BATH I 65PLATFORM TREATMENT HI-LO I 50PRINTER,FIP LJ III 90PRINTER,IBM LEXMARK 90REFRIGERATOR, WHIRPOOL 100REPLACEMENT TURBINE(WHIRLPOOL) 40SERVOX INTON SPEECH PROSTHESIS l5SEWINGMACHINE 25STIMULATOR.JACE TRI 25STIMULATOR,THERATOUCH ELECTR. I l5TABLE, TILTMEDICAL I l5TABLE, TRU TRACTION WACC I l5IRACTIONMACHINE I l5IREADMILL, ELECTRONIC LAB I 70IUB, HUBARD HYDROTT{ERY I 30

3/3/2009Page: G-32

000346

IIIIIIIttIIIIIIIItI



[BBMREL-II

ULTRASOUND, PORTABLE LOW VOLT I J)

LILTRASOUND. SYNCHROSONIC I 25

WHIRLPOOL FOOT TANK 15 M1847 I 25

WORKBENCH,HI-LO 2 25

COMPUTERPC.ACER I 95

COMPUTER. TERMINAL IB}l 3 47 6 95

FEES Equipment 35

Television Sets 2 25

VCRs 20

DVD player I 50

ART I 25

SPICENEOU{REMENTi fdi: Peridniiirt ri *i, Equiptr iant/Clprtal)


Total Program SPace

Occupied (Sq. Ft.):

Descrintion Square X'eetPercent ofTotalPrnorrm Snlce Comments

Physical therapy 3.528

Page: G-33

AGENCY: Guam Memorial Hospital Authority Govemment of GuamAgency Stafting Pattern

(BBMR SP-1)

FTE FTE

FILLED VAC

UNCL CLASS * Night DilleMtisl / Herdou. / Workcrt! ComDeNttiotr / etc.

313t2009Page:G- 34

000348

(A) (B) (c) (D) (E) (F) (c) (H) fl) (P) (o):rdd l.i ": ..;:!:;{' .; Benefits

PO9t{ft

ti i

ib&m

Lffilt)ji;::::iT:

::::::::::i;

I

;:";;:1

{J+R}Totil

(E+F+G+l)

Subtot lRelirc

4J.26-33tSoc Sec Medicare

ll _G.1,llLifelln

!iq:11did;tlt ry'rq Tolal Bel

lK th?u olfDl

6 tt8 :LERK I .VACANP' I (06301

.HERA REC ACT COORD iIUYCO, MAEFE D. M t0 43.01t 1.00( 3 00t 0"4,to u201. 47.O1l 12.341 68i 17' 1.38t t8t 14791 61 8{r

6402 )T TECHNICIAN II 'ANGELINAN, JESUSA O. l2 30.081 't.00t 3 001 01t20n01 1.05: 35.1 3l 9.25t 511 7' I 38t 18t lt dsi 46,63:6403 )T TECHNIC'AN I JOGUE, GUINEVAH F.F. 4 20 s4t I OOI 3,00( '1'ltolt200l 1.10: 26.O41 40/ 7 1.36( 't8( 9.371 35.41e6501 IOSP PHYSICAL THEMPIST II JASCON. ERICKSON G 15 63 85f 1.001 4.E6! 10t01t20'tl 69.72! 18 351 40/ '1,01 7 1.3E( lEt 21.50i 91.2326502 ;ARDIAC REHAB SPECIAUST II

.ERLAJE. GERALDINE P 11 ao rTl 1.00( 3.00( 07l1',lt20'll 2.12: 66 40( 17 4A: lU 96: ,al 21.131 67.53

'| 6503 IHYSICAL THERAPY SUPERVIS 3. NORA P 53 17 74.11t 1.00( 80 64: 21 23i 40/ '1.16{ 't.38( 1E( 24.541 105.1831 6504 'T TECHNICIqN II )RUZ. PERLITA E 15 1.001 3.00( 09/13i201 37 35f 9.83( 1.381 t1.3S( 4a74t

6505 'T TECRNICIAN II lRovvl.l, FRANCES G 15 1.00( 3.00( 03/22t201 9.E3t 1.381 18t 11 57( 1A 92e1 6506 IOSP OCCUP THER II )ONSBRUCK. JANELL M 10 43.01I 1.001 3 00( 04t09t20101 93( 47.95t 12.621 404 691 13 aS! 61.85:1 6507 PEECffireUAGE PA?H SUg ]RISOSTOMO, SIBYL 12 62 401 I 00( 23.412 1012sn001 E6.E1i 22.45t 404 1 25( 17 24.69/ | 1 1.501

t 6!t08 rEC THERAPY TECHiIICI,AN I "vAcANr. F 1 (0 T I1 6509 tDtitil sEc I " VACANT" F I r0 t I

6514 IECR TECHNICIA}I II IOYSTER. MARY 21 341 1.00( 3.001 05/09/20 I 0 | 93( 29.27t 7 70t 40/ 421 17 l.3E( t6l 10.27( 39.5,1{6515 )HIEF REHAS SERVICES )GO. ALESIA C. 15 82.05{ 't3.E9l o2to7t2010l 2 76t 9A71" 25,99 40! 1.43 17, |.E3l 271 30.107 128.41165't6 iPEECIULANGUAGE PATH JAMEZ, SIRIVAHN M t0 55.091 t.00( 4.561 60.76, 15.99r 40/ EE 17 t.83r 271 1S 561 80 32!6517 )CCUPATIOML THEMPIST SL .EGASPI. RICHARD R. 53 t3 64.58i t.00r t3 56 01t16t20t( 2.24t E1.39' 21.431 401 1.181 17' I 38( 18t 24 741 106.13{651E IOSP OCCUPATIOML THER II )UNANAN, MA FARAH 10 39.78( 1 00r 4.591 06rc4n01 45.371 1 1.941 40/ 65r 17, 3.16r 381 16.731 62.1116519 IOSP PHYSICAL THERAPIST II IADO\iVSKI. PAWEL M. 62 't6 66 t0, ,00r 82.661 21 761 4ol 1,191 271 25.471 10E.14(

1 6520 IOSP OCCUPATIONAL TI.IER Af AIMANGLO. MARY B- 60 43.13{ .001 3.001 1'U1412011 47 131 t2 11" 40r l7 3.162 3El 17.22 64.36(1.00 9020A ;PEECH/I-ANG PATHOLOGIST )AMACHO, MAY A, 62 11 18.55r ,001 3.001 PT 22,55/ 5,S31 40r 6,34: 28,89(1.00 90208 IOSP OCCUPATIOML IHER II

-EDTAOTAO, JENNY 62 11 r6,554 ,001 3,001 PT 5.931 404 6.34i 28.89(

1.00 9020c IOSP PHYSICAL THEMPIST II )UENAS, JULIENNE R t8.55r .001 3,001 22.551 5.931 40t 6,341 28,89(1 NEW IOSP PHYSICAL THERAPIS? II . VACANP' 62 (0 t1 NEW IOSP OCCUP THER II " vacANrl L I (0 t t7 NEW IEIIAB TEGHiIICIAN I "VACANF' (0 t

NEW tosP PHYS TI|ER AsSt tUC) " VACANT" 60 (0 ( a

1 NEW :LERK I " VACANTI' G 1 (0

20.00 8.0 f o{* Ftif; Sffi AL'rl{EnAFY i n: .;. :j j 895.1761 19.00( 122.O9! | 1 16 I O17 43) 275 7Al 6 asi 13.12i 2.78i 26.091 3.28' 327.541 1 374 971

4.00 24.0 l/: tr"Y 2Otlt (otroi) GovGuM coDtributior tor Life llrlr&e b $1?4 per strtrum; Subjed to change i! FY 20{19

IIIIIIIIIIIIIIIII-I


I I I IIGovemment of Guam

Agency Staffin g Pattern

I I I I I r I(BBMR SP-1)

I I

* Nigbt Diferentiot / Heirdour / Workcr's CompeNation / etc.

l/: FY 200E (currctrt) Goycnam conlributiotr Ior Lifc Inluracc is $17{ Der sotrumi sobiect to cbaoge itr tr"Y 2009

3t3t2009

Page:G- 35000349

IBBMR DP-U

T

II

Decision Package

FY 2010

Department:

Program Title:

Guam Memorial Hospital Division/Section: Professional Support

Education Department (82f 0)IIII

Major Objective(s):

To provide the best possible continuing educational program for GMFIA staff, to educate patients, families and the community onmedical and healthcare issues, and to support non-clinical staff educational needs. The department strives to maintain ContinuingMedical Education Accreditation and to continue to be the Island's American Heart Association Community Training Center,providing medical and clinical staff with life saving courses.

T

IIt

rt-term Goals:o improve the quality ofcare provided by all hospital staffand physicians by providing educational activities for all staff, physicians

for the medical communitv.

Workload Output

Workload Indicator: FY 2008



Projected Level

#Participants for the American HeartAssociation-Bls, ACLS,PALS andNRP program

600 650 700

CME Sponsored Activities 35 40 50CME hours of instruction 53 60 70CME physician participants 650 700 750\on-physician participants 850 900 950

tIIIIItt


GMH Education Department supports and provides staffdevelopment and continuing medical education for all staff andsicians. The department provides patient/family health education to our patients and participates with community health

ional programs. The Department manages and maintains the accreditation status for the Continuing Medical Education (CME)under the Hawaii Medical Association. The Department provides advanced life support progftlms for all clinical staff and

and continues to be the American Heart Association Trainins Center for Guam.

Page: G-36000350

Government of GuamX'iscal Year 2010

Budget Digest

Function: HEALTIIAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: PROF SUPPORT-EDUCATION (8210)

IBBMR BD"ll

UTILITIES361 Power $0 ${ $( $0 ${ $(


363 Telenhone/ TollTOTAL UTILITIES $( ${ ${ $( $( $(


IIIItIItIIIIIIIIItt

A tl t) t,

A5400Account

Code

PROF SUPPORT DIVISIONEDUCATION - E2IO

Aoorooriation Classification

F'Y 2OOE

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GM}IARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.

(c+D+E)

PERSONNEL SERVICES

lll Resular Salaries/Increments 692,r22 $78,30! s78,305 s{ $( $78J0i

ttz Overtime/Special Pav 354

113 Benefits 26.80t 24,953 29.603 29.603

TOTAL PERSONNI,L SERVICES sl 19.2E4 $103.258 $107.90t s( $( $107BoE

OPERATIONS220 TRAVEL- Off-Island/Local Mileage Reimburs. st7,671 $30,200 $35,35{ $0 $0 $35"35{

230 CONTRACTUAL SERVICES: 20,067 36,00( 16,00( 16.00{

233 OF'FICE SPACE RENTAL:

240 SUPPLIES & MATERIALS: 2,801 5,00( s,00( 0 5,000

2s0 EOUIPMENT: l4.t 10 15,000 2s,000 25ruuu


290 MISCELLANEOUS: 42,213 41,00{ 57.00( s.00( 62,00(

TOTALOPERATIONS $96,86i $127.200 $138J5( $( $5,00( $r43,3s0


3/3/2009

Page: G-37


Department: Guam Memorial Hospital AuthorityDivision: ProfessionalSupportProgram: Education(8210)

1/ Provide justification for muttiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Titte 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

IBBMRTA-11

Purpose / Justification for Travel.1) Travel to Hawaii required for instructors to receine updatenaintain Training Center Status.

l raver rate: zuuy-zulu No. ofTravelers: 5 pax

lqqi!ion Title of Traveler(s) Air Fare Per diem Registration 'L otal Cost)rogram Instructors and TC Coordinator $ 10.000 $ 5,000 ll 3.250 $ 18.250

Purpose / Ju-ification for Travel12) Travel to the Continental U.S. to update Healthleliver Community Benefi t.

l ravet fr&te: March or Anril 2010 No. ofTravelers:

Position Title of Traveler(s) Arr I are Per diem Registration l otal Cost{ealth Educator $ 3.000 $ 2,000 s 600 t; 5.600

i3) Travel to the East Coast required for Neonatal Reruslo maintain program.

I ravet Date: Uctober 21109 No. ofTravelers: 2

Position'f itle of Traveler(s) .{rr lare Per diem Registration Total CostlRP Instructors $ 6.000 t; 4,000 $ 1,500 $ l 1.500

AL $

3/3/2009

Page: G-38

000352

& Materials

Education (8210)

ItIItIIItIT

IIIIItII

unitPrice

lotalPrice

Funded n FY ZUUV'1

Item Quantlty Yes No

Reoair AV equipment 1,00( x(ramers Stavwell (online patient education) 15,00( X

16.00t

Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Education (8210)



IBBMREL-II

tItIIIIIIIIIIIIIIII

qqq rrM EryT/s4E lIaE r.r$TII{S :Description Quantity P€rcentace of Use Comments

Desk I l00o/oDesk - L shape 4 l00o/oSound system with 4 speakcrs I 60Yo)M projector I 60Vo Used for training, internet access and presentationsSony laptop I 80o/o Used for training, internet access and Dresentations-arge TV I 3UYo lrainingI'V (on carts) 4 75Yo Iraining & patient educationTypewriter, wheelwriter I 3IYoComputer PC 6 l00o/oAdult Intubation Manikins 7 20Yo AHA ProgramsResuscitation Annie Trainine Tools 6 20o/o AHA ProeramsChild Manikins 5 20o/o AHA ProgramsInfant Manikins 20% AHA Programs & NRP ProgramAdult Manikins 8 20Yo AHA ProeramsIoddler Manikins J 20Yo AHA ProeramsPatient Simulators 6 20Yo AHA PropnamsAED J 20o/o A.HA ProeramsMetal CartlShelve on wheels 4 00%Tables (classroom & librarv) 5 00%Blue Chairs 50 00o/o

Grey folding chairs 25 00%Brown library chairs 20 00YoWhite tables from GMHEA fund l2 00o/o

It+cE*qournqMpr{r:,q': tt!$qorgii"g.' i, :' :, ; : i

Eq4!Fqrp+t/s. +fliqdit. : : : : : i : :

Total ProgramSpace (Sq.

Ft ): 3,566


(Sq. Ft):

Description Square FeetPercent ofTotalProgram Soace Comments

Office space 400 20 400Classroom 1.891 50 I,891Library 315 l0 315Reference room 646 2 646Patient education 266 8 266Storage 48 l0 48

3Rt2009

Page: G-40


-ight Dm€rctrdrl / Iftzlrdous / worb/s conpenratuo / ctL

r/: FY 2ru (current) &vfrm contdbutur br Lilc tolurmc€ tr $l?4 Fr innuD; Srbie ct b ch'nse h trY 2m9


I I

0003s5



FTE FTE

FILLED VAC

Frential / H*ardous / Workeis comP€nsetion / €tc

)ontibution for Life Insuranca is $174 p€rannum; subj€dto changs in FY 200s

3/3/2009

Page: G- 41

Guam Memorial Hospital Division/Section:

Education CME program (S213)

Department:

Program Title:

Decision PackageF.r 2010

IBBMRDP-ll

Professional SuooorU

IIIIIIIIIItIII

3t3t2009 Page: G-42

IIIIt

Le GMH Education Departrnent supports and provides staffdevelopment and continuing medical education for all staffand

fiffi:ffi1'Jff.ft'j:il'**'r-q*:'r:ail-"1y:#1";F;;;pLi"iput",withcommunitvheartheprosrams' The Department manases and maintains the accreditation ,tuto, io. tr,. con#ff',1:ffit$r::Tillt(3#;#"tjffit;the Hawaii Medical Association' The Dep***ip.."ia* advanced life ,uppoa progru.s for all clinical staffand physicians andcontinues to be the American Heart Association Training Center for Guam.

To provide the best possible continuing educational program for GMFIA stafi to educate patients, families and the community onmedical and healthcare issues' and to support non-clinicil staffeducationar needs. irr" o.pu.t n"nt strives to maintain continuingHrt':Ti1':'Tnffi*il'itT*:il::A::il; 'h'

rsrand's America" H;;;;;o"iation communiv r,"r,,i,g center, pro.,

oJfri|!:"'filff#carc provided bv all hospital staffand phvsicians bv providing educationar activities for all staff, physicians

rticipants for tne amffiiEiBLS, ACLS,pALS and

E hours of instruction-

000356


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL IIOSPITAL AUTHORITY

Program: PROF SUPPORT - EDUCATION CME PROGRAM (8213)

[BBMRBD-TI

D t) !:

AS400

AccountCode

PROF SUPPORT DIVISIONEDUC CME.8213


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSOI\NEL SERI{CESllr Resular Sala ries/l ncrements $t s( $0 $t s0 $(

t12 Ovcrtime/Special Pay 0

113 Benefits 0 0 0 0

TOTAL PERSONNEL SERVICES $ll $0 ${ $( $( $0

OPERATIONS

220 IRAVEL- Off-Island/Local Mileage Reimburs. $0 $7.00{ $7.00{ s{ $0 $7.00{

230 CONTRACTUAL SERVICES: 0 r5,00( 25,000 25,00(

233 OFFICE SPACE RENTAL: 0 0 0

240 SUPPLIES & MATERIALS: 1.000 t,00( 1,000

250 EQUIPMENT: 0

280 SI]B-RtrCIPIENT/SUBGRANT: 0 0

290 MISCELLANEOUS: 21,000 6,00( 6,000

TOTAL OPERATIONS $0 $44,00{ $39,00( $0 $01 $39,00{

UTILITIES361 Power $0 $( s0 $t $ol $(

362 Water/ Sewer 0 0 ol $(

363 Teleohone/ Toll 0 $0

TOTAL UTILITIES $t $( $t $0 $01 $0


FULL TIME EQUIVALENCIES (FTES)

IBBMRTA-USchedule A - Off-Island Travel

Department: Guam Memorial Hospital AuthorityDivision: Professional SupportProgram: Education CME 8213)

1/ Provide justification for muttiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, S23 f 04 and federal Joint Travel Requlations

Purpose / Justification for Travel2)TraveltoChicagorequiredforCMECoordinatorfo.Ciationtomaintan]ME.

r raver uate: zuuy-zulu No. ofTravelers:

Position Title of Traveler(i) Air Fare Per diem Registration Toial CostIME Coordinator $ 3,000 $ 2,000 $ 2,000 $; 7,000

Purpose / Justi{ication for Travel

ravel lrate: 200E-2009 No, ofTravelers: I pax_

losition Title of Traveler(s) Air Fare Per diem Resistration I'otal Cost$

r raver uate: March or Anril ZlIr9 No. of Travelers:

Position Title of Traveler(s) Air Fare Per diem Registration Total Costs

I raver uale: uctoDer zuug No. ofTravelers:

rosntolr I tue ot I raveler(s) | Air Fare Per diem Registration Total Cost

P u rpose / J uslificationEiT ravel

I ravel lrate: No. of Travelers:

Position Title of Traveler(s) Air lt-are Per diem Registration Total Cost

IOTAL $ 7.000

Page: G-44

Education CME Program (8213)

UnitPrice

tolalPrice

Funded in 2

Item Quantity Yes )

IME Conference venues, speakers,ronorariums 25,00( x

lra 25,00[

BBMR96A

Schedule B-Gontractual

Schedule D - MiscellaneousunltPrice

TotalPrice

funded in FY 2009?

Item Quantitv Yes c

IME annual dues 5,00c x:ood (from Dietary) 1,00c X

6,00c

Page: G-45

IBBMRDP-rl

IIIDecision Package

Fr 2010

Department/Agency: Guam Memorial Hosoital AuthoriW Division/Section: Professional Suooort Services IttIItT

IIIItIItI

Activity Description:The Dietetic Seruices Department of the GMHA provides food and nutritional services to its patients and customers while

two complete kitchen facilities at both the hospital in Tamuning and the Skilled Nursing Unit in Barrigada Heights.Food seruices include attractive, palatable and nutritious meals and nourishments for patienb, staff and cafeteria customers.Nutritional services include medical nutrition therapy as performed by licensed, registered clinical dietitians and dietetic

and the provision of nutrition support via enteral and nutrition

Major Objective(s):1. To produce attractive, palatable and nutritious meals for (a) patients on regular and therapeutic diet regimens,

(b) patients and clients at the Dept of Mental Health, (c) physicians, staff, and guests of special functions,and (d) employees and visitors in the cafeteria.

2. To provide medical nutrition therapy for all patients screened and assessed to be at high priority for nutritional risk,and monitor their response to nutrition care.

3. To provide food and nukition products and services to our patients in a safe, accurage, timely, and acceptablemanner' keeping in compliance with rules of local and national healthcare foodservice regulatory agencies,HACCP, and the U.S,D.A FDA Food Code.

To prepare and comply with standards of accreditation with the Joint Commission and the Centers for Medicareand Medicaids Seruices.

Goals:1. Tofill clinical professional vacanciesthatarecritical totheprovisonofclinicat nutritionservicesofthehospital by

December 1, 2009. 1.5 FTE clinical dietitians (registered dietitian) and 1.o FTE Chief Clinical Dietitian.To certiry department supen isors as Certified Dietary Managers (CDM) with the National Dietary Managers Association

by December 30, 2009.

To provide a24-day cycle seasonal menu for patients and residents at both GMH and SNU facilities as planned by cooksand reviewed, analyzed, and approved by Chief Dietitian by April 2010.

To reopen the outpatient clinic services of the Medical Nutrition Management program to include food seruices, and allowup to 35 patients a mon*t to be seen by a RD for various nutrition related diagnosis and conditions, as refened byphysician and be part of the Discharge Planning process by January 2010. A revenue generating service.

To fill the food production management position of the department(t.O FTE Hospital Chef Supervisor)who is certified dietary manager and certified Safeserv that would meet cunent staffing competency requirementsby Public Health regulations and CMS recommendations by October 30, 2009.

6. To reopen the cafeteria grill services and be in full operation with fully trained cooks to provide short order grill itemsand offer a variety of hot grilled items for customerc, by October 2009. A revenue generating service.

7. To open a deli sandwich service in the cafeteria by October 2009 with 3 fully trained Food Service Workers and providequic( fresh sandwiches made to-go for both hospital employees and cafeteria customerc. Revenue generating service,

To open a coffee shop at the SNU facility for hospital employees and visitors, A revenue generating service.To expand the sale of diet-prescribed meals to the public. A revenue generating service.

10' To offer a variety of TO-GO items for sale in the cafeteria and provide delivery service of meals to employees restrictedto their workplace/station. A revenue generating service.

11' To maintain cunent sanitation QI thresholds above 90o/o througout the fiscal year as documented in the pI Reports,

3t3t2009Page: G46

000360

IIItItIItIIttIIIIIT

Workload Output

Workload IndicatorlFY 2OOE


FY 2009

Anticipated LevelFY 2010 Projected Level

VOLUME MEALS SERVED 274.593 285.000 297.000

PATIENT TRAYS SERVED 139.360 140.000 145.000

CAFETERIA MEALS COUNT 102,854 110,000 130.000

\ONTRAY MEALS COUNT 32,329 34,200 35,000

DIET CONSULTS 17,229 20,128 31,000

3/3/2009

Page: G-47000361


Budget Digest

Function: HEALTHAgency: GUAM MEMORIAL HOSPITAL AUTHORITYProgram: PROFSUPPORT-DIETARY (8340)

UTILITIES361 Power $26,230 $r6,280 sr6.280 $( $01 $16280362 Water/ Sewer 0

36J Telephone/ Toll 0

TOTAL UTILITIES s26,23( $16280 $16.280 ${ $( $16280


A t)

A5400Account

Code Appropriation Classilication

FY 2OOE

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMIIARevenues

F Y 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICESlll Regular Salaries/lncrements $1.r788s? $1,177,471 sr274.402 $0 $( $1.274.402tL2 Overtime/Special Pav 168,203 50.121 0 0113 Benelits 372,748 369,144 432,911 432,916

TOTAL PERSONNEL StrRVICtrS $r.719.808 $1.596.740 $1,707J1[ ${ ${ $r.707.318

OPERATIONS220 TRAVEL- Off-Island/Local Mileaee Reimburs. $115 $1,123 $1,123 s( $0 $1,123

230 ]ONTRACTUAL SERVICES: 14,720 J3,800 25,70n 25,70n

233 )FFICE SPACf, RENTAL: 0 0

240 iUPPLIES & MATORIALS: 884.49t r.286.940 630,243 496,691 r.126.940

250 EQUIPMf,NT: 39,24n 41372 34,87i 34,872


290 MISCELLANEOUS: 4,648 9,95( 929( 0 66{ 9.95{

TOTAL OPERATIONS s943220 $1J73.185 $70t.22E $0 s4973s1 $1.198.s85

Page: G48000362

IIIIIIIIIIIT

IIIIIIt


Department: Guam Memorial Hospital AuthorityDivision: Professional SuPPort

Program: Dietetic Services (8340)



IBBMRTA-U



No. of Travelers:


es (Tamuning & Barrigada Heights)

Department employees scheduled to work shirts a7 bothfacilities need to travel from one place.to the other'

Position Title of Traveler(s) No. Travelers RT/mo $3.60/RT/year Total Cost

Hospital Dietary Services Administrator I 4 $ 172.80 $ 172.80

Clinical Dietitians J t2 $ 518.40 s 518.40

Dietetic Technicians 2 I $ 43.20 $ 43.20

Cooks 6 5 $ 216.00 $ 216.00

Food Sewice Workers 4 2 $ 86.40 $ 86.40

Special Diet Assistants 6 2 $ 86.40 $ 86.40

Tnfcl Local Milease s 1,123.20

GRANDTOTAL $ 1,123.20

3/3/2009

Page: G49


IIDietetic Services (8340)

Schedule C - & Materials

BBMR96A

IIIIIItIIIIIIIIII

UnitPrice

I otalPrice


vledrcal Nutrltionals (patient formulas 56,000 xJtner Non-chargeable Medical Supplies 4,000 xVleats/Fish/Pou ltry, others 700.000 X

=oods-Other 350.000 Xlleaning Supplies 6,200 Xfffice & Administrative Suoofies 6,000 XUniforms 4,740 x

1,126,940

UnitPrice

I otalPrice


Food trays, trapezoid lannuEloffi 384 xFood trays, rectangutaiGn nuEiiGi 192 xKitchen supplies, misc untensils 1,980 xLjfassware, 4oz, 8oz, 12oz (annuat orOer)- 2.320 x=latware, knives, forks, spoons (annubl order) 470 xJnrnaware; ptares, cups, saucers, bqwls (annual order) 3.977 Xnermat server: not Deveraqes (annual order) 786 x

Sqlad bar supplies: boets, tonqslEeG 231 xqlqam table pans and sheet pans 905 xqqlery sheets, muffin cups, loaf pans 316 Xrood utility carts 30( 900 X{igh chairs, cafeteria dinins (GMF|&S 4 7t 300 xsreitlilrrg suppiles: oucKets, mops, brooms 667 Xppeurat runcUon suppiles; puncnDOwl. platters 534 x

ood storage bins 1.460 xLateralfile, cabinet 278 550 xCffice chairs 1( 15C 1,500 x-aser prlnter, GMHA standard a 25( 1,000 xlP Laser Jet 4240n printeiGielofrict I 120C 2.400 x)ining tables 2C 211 4,220 xurntng cnatrs 8C 121 9,600 XBar stools z 9C 180 X

u,872otal

Page:G-50000364

unltPrice

TotalPrice

Funded in FY 2009?


Sanitarv permit for GMHA and SNU k 660 x

hauffer license renewal (SNU driver 4 2a 100 x

Membership: American Dietetlc Assol 'l 42C 420 x

Membership: Dietarv Manaqer Assoc J 13t 390 X

Hawaii Diet Manuals, 2006 ed 2C 54 1,080 x

frainino: DOA. UoG, GUU classes 1a 2,300 X

-ood

& Nutrition Services POS system, software info systet 5,000 x9,950

IIIIIIIIIIIIIIIIItI

Function:Agency:Program:



HealthGuam Memorial Hospital AuthorityProfessional Support - DIETARY (8340)

IBBMREL-l1

tIItItIIIIIIIItIIII

qQq IPIT4D$lTrc+trtArj r,i srDescription Quantity Percentage of Use Comments

ChillBox.6 Door 1 1O0o/o 1A, Kitchen FacilitvChill Box, 8 Door, pass throuoh 1 lOOo/o MHA, Kitchen FacilitvCoffee Maker 3 100% 3MHA & SNU, Kitchen FacilitvCold Table 2 lOOo/o HA, Kitchen FacilitvDeep Fat Fryer 2 lOOo/o 3MHA, Kitchen FacilitvDishwasher 2 100o/o SMHA & SNU, Kitchen FacilityFood Warmer 1 lOOo/o 3MHA, Kitchen FacilitvGarbage Disposal 3 lOOo/o GMHA & SNU, Kitchen FacilitvSrill. Small 1 lOOo/o GMHA, Kitchen FacilitvGrill, Large 1 10oo/o GMHA, Kitchen FacilitvGrillwith Oven I lOOo/o GMHA. Kitchen FacilitvGrill with 6 burner & 2 bottom ovens 1 'lOOo/o SNU, Kichen FacilitvHotdog Machine 1 IOOYo IHA, Kitchen FacilitvStove with Oven, 4 Burner 1 lOOo/o lHA, Kitchen FacilitvMeat Tenderizer 1 10lo/o 3MHA, Kitchen FacilitvMixer. Small ,|

lOOo/o GMHA, Kitchen Facilitvlvlixer, Larqe 1 1O0o/o cMHA, Kitchen Facilitvuven, Gas Operated 5 lOOo/o GMHA & SNU, Kitchen FacilitvPlate Warmer, China 1 1O0o/o GMHA. Kitchen Facilitvrlate Warmer 4 lOOo/o SNU. Kitchen Facilitvrlate Warmer & China 1 lOOo/o SNU. Kitchen FacilitvChill Box Reach in, Glass 1 100% SMHA, Kitchen FacilitySoup Kettle 2 100% GMHA, Kitchen FacilitySteam Table 3 Compartment 2 lOOo/o 3MHA, Kitchen Facilitypream raDIe 4 L;ompartment 2 10oo/o 3MHA & SNU, Kitchen FacilitvStove with Oven. 6 Burner 1 lOOo/o 3MHA, Kitchen Facilitvfoaster 3 lOOo/o qMHA & SNU, Kitchen FacilityBuffalo Chopper 1 lOOo/o GMHA, Kitchen FacilitvWeight 1 10Ao/o GMHA, Kitchen FacilitvRoll in Refrigerator 1 1OO"/o GMHA. Kitchen FacilitvBlender 3 10oo/o 3MHA & SNIJ Kilchen FanilitvWalk in Refrigerator 2 100% 3MHA. Kitchen FacilitvWalk in Freezer 2 lOOo/o GMHA Kitchen FacilitvUnder the counter cob ra6le- 1 lOOo/o GMHA. Kitchen FacilitvFrench Fry Warmer 1 'tooo/o GMHA, Kitchen Facilitv

Description Square FeetPercent ofTotalProgram Space Comments

Dining 3.352Kitchen 4,366Office,4th flr 606

3t3t2009Page:G-52

000366

I IIIIAGENCY: Guam Memorial HosPital Authority

I I I IIGovernment of Guam


r r I I I IGilC-0 I I

3/3/2009

Page: G- 53000367

AGENCY: cuam Memorial Hospital Authority Government of GuamAgency Stamng Pattern

(BBMR SP-1)

3t312009Page: G 54

000368

i Nlgbt Dr.r.ndd / Harr&u / Worbt'r CbhFd.tu / .dV: W 2W (.rrrdo Ar'tu csHhdo. for U. hnDs & $t?t pcr mMi Suhi.ct b tuS h ry 200y

I I I I r I I I I I I I I I I I I I I


I I I IIGovernment of Guam


I I I r r I I(BBMR SP-1)

I r

3/3/2009

Page: G- 55000369

ItIIIIIIT

IT

IIItIIII

@@

oirtoo

E

IE

E

:

o-at)to(ll

Ebg=dfbP)o6F6->oo>coooe

6

o

orE

o=Eo

tozulo

Department:

Decision Package

FY 2010

GUAM MEMORIAL HOSPITAI. DiViSiON/SECtiON:

IBBMR DP-U

Professional Support

IIIIIIIItttIIIIIItI

Title: Social Services

ial Services is responsible for meeting the needs of GMHA patients and their families referred for

ices because hospitalization and illness impact on their social situations. Needs are assessed,

solving is initiated with patients/families, solutions to circumstances are identified and referral for

are made in order to meet their needs. Involves discharge planning with the interdisciplinary

of healthcare professionals.

Major Objective(s):To provide social work services to GMHA patients referred to the Social Services departrnent to ensure their

psychological needs are met during hospitalization in preparation for discharge or to an altemate placement'

Goals:

o improve the discharge planning process in collaboration with the interdisciplinary discharge planning

team.

Workload Output


frvel of Accomplishment

FY 2O{D

Anticipated Level

FY 2010

Projected Level

Social Services Cases 4,400 4,450 4475

Page: G-57


Budget Digest

Function: HtrALTHAgency: GUAMMEMORIALHOSPITALAUTHORITYProgram: PROF SUPPORT-SOCIAL SERVICES (8360)

[BBMR BD-TI

UTILITIES36r Power $( $0 ${ ${ $( $0362 Water/ Sewer363 Telephone/ Toll

TOTAL UTILITIES ${ $0 $0 ${ $( $(

A t| { l) H F

A54OO

AccountCode Appronriation Classification

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

F Y 2010

Total Req.(C+D+E)

PERSONNEL SERVICESlll Regular Salrries/l ncrements s234,759 9240,725 $242J38 $0 ${ $242J3[tt2 Overtime/Special Pay 41,474 46,501 34,80( 0 34.800113 Benefits 69"634 85,81t 86,90[ 0 86.90{

TOTAL PERSONNEL SERVICES $345.867 $373,049 $364.038 $0 $0 $364.038

OPERATIONS220 IRAVEL Off-Island/Local Milease Reimburs. $2,700 $0 $3t49 ${ $( $3J49

230 UON'IRACIUAL SERVICES: 2,36( 27,000 34.600 34,600

233 DFFICE SPACE RENTAL: 0

240 ]UPPLIES & SIATERIALS: 1.082 6,000 6,00{ 6,000

250 EQUIPMENT: 1,15( 60( 0 0

280 tUB-RECIPIENT/SUBGRANT: 0

290 VIISCELLANEOUS: r,00( 1.00( 1.00(

TOTAL OPERATIONS $7,304 $34,600 s44949 $( $0 su,949


Page: G-58000372

IIIIIIIIIIIIIIIIIII

IBBMR TA-11


Department: Guam Memorial Hospital AuthorityDivision: Professional SuPPort

Program: SOCIAL SERVICES (8360)

TOTALI $ 3,349

1/ Provide justilication for multiple travelers attending the same conference / training / etc'

2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, 523104 and federal Joint Travel Regulations


Annual Renal Conference, Honolulu HI

Travel Date: June 2010 No. of Travelers:


locial Worker III $ 2,000 $ 1,349 s 3,349



No. of Travelers:

Puroose / Justification for Travel

Position Title of

No. of Travelers:

Page: G-58a

Social Services (8360)


Itant, Master of Social Work


ice & Administrative

Funded in FY 2009


3t3t2009Page: G-59

tIIIIIIItIItIIIIIII



X'unction : HealthAgency: Guam Memorial Hospital AuthorityProgram: Professional Services - SOCIAL SERVICES (8360)

[BBMREL-U

EffiiFM s xfis* ft iral' Li$rINc i :


SOMPUTERPC 65Vo Ias 5614 Main office

COMPUTERPC 65% 348050300335 Trina Rosario Sanchez

COMPUTERPC 65% las.4692 LollY Walsh

COMPUTERPC 6sYo lap 4694 Simon Perez

COMPUTERPC 65o/o #562055807 Rose Vongialorn (SNU)

PRINTER #848057 840295 Main o{fice

PRINTER #848057840600 Trina Rosario Sanchez

PRINTER #7 50057 8410002 Rose Vongialom (SX[D

IBMTERMINALS +848057840135 Main offrce

IBMTERMINALS Ias 3695 Simon Perez

COMPUTER Dell PC 65% Belinda Quenga

FAX MACHINE Ias 09015 Main office

sl(fl

i+pPisry-a,i:Parsodti(

pt*EMTitTiil:irid:Eaitbitrr !ftt/Cir ril ;ali

TotalProgram

Space (Sq.

Ft.): 1,440

TotalProgram

SpaceOccupied

Descrintion Square FeetPercent ofTotalProsram Space Comments

SW main office t.440 koom2252

SW offrce. SNU Room F203" Rose V

SW office. Hemodialvsis Room D129, Quenga B

Social Services Administrator Office Room 2248

SW office Room2,249, Walsh E

SW office Room2256, Perez S

Page: G-60


3/3/2009Page:G- 61

000376

I

(BBMR SP-1)

Ur rY 2m (current) etun otrtdbdur tol Ute hum.c b fi?4 p€r mui Subiecr b chl4€ h n 2W

;ontribution for Lih Insu€nce is $174 prr annum; Slbjed b chsnF in Fy 20Og

I I I I r I I I I I I I I I I I I I


IIIIIIIIIIIItIIIIII

Department: Division/Section: ProfessionalSuooortServices

I Pharmacy management

2 Facilities maintenance

3 Drug distribution and accountability

4 Drug information5 Rational drug theraPY monitoring

6 Clinical services

7 In-Service Presentations8 Committee membershiP

9 Inventory control

l0 Program planning and development

11 Stafftraining and develoPment

rjor Objective(s):I Review existing pharmacy program to reduce waste and improve product cost efficiency.

2 Secure sufficient funding necessary to implement the pharmacy's improvement program'

3 Review and maximize inventory control process and procurement by improving existing system'

4 Identift quatified staff and implement training programs in support of the pharmacy's improvement program'

5 Strive to attain the highest level of standards possible as set forth by both the Health care & Finance

Short-term Goals:

1 The pharmacy department will identifr, recruit and increase the number of qualified pharmacists with specialized skills such

as pediatric, neonatal, chemotherapy backgrounds and compensate them commensurate with their skills according to

nationally competitive pay scales.

2 The pharmacy department will have all stafffully trained and educated in a complete IV/TPN program, ward stock

dispensing and inpatient program. This will upgrade the overall technical support staffability to meet the changing role

of a more involved and interactive Pharmacist presence on the wards'

3 The pharmacy will implement a pilot program of automated medication dispensing systems' such as the Pyxis system' in

certain units thereby improvlng ac*urrtuUltity of drug distribution, revenue capture and medication error reduction'

4 The pharmacy department will"develop and enhance the inventory management and procwement system by taking a direct

role in pharmaceutical supply and procurement decisions which directly affects the pharmacy progftlms goals in the areas

of quality patient care, cost savings and waste reduction'

5 The pharmacy Deparknent will, in anticipation of an increase in demand of production volumes, begin the initial stages of

an automated TpN compounding system that will increase cost efficiency and production ofmulti-additive preparations'

6 The pharmacy department along with the Pharmacy & Therapeutics Committee will review, update and publish the Hospital

Formulary for year 200g-200g. (This will be both in bound book form and online via the internet through the GMHA website')

7 The pharmacy department will increase pharmacist involvement on the wards and presence through review of medication

administration records, evaluation of patient's charts, providing clinical services, and conducting drug regimen reviews'

g The pharmacy department will physically redevelop and redesigr the departments overall work areas to enhance and improve

existing services while expanding p."r.nt r"rponsibilities. This will allow the department to meet the highest standards

mandated bv HCFA, JC and OSHA

3/3/2009

Page: G62000377

orkload Ou

Workload Indicator:FY 2008Level of

Accomplishment



rnyslclans urcels 797.067 E76,774 .t6r'rlumber of Units Dispensed (Med Order) r,063,424 r,169.766 743-lggypacK rrocessecl 68.708 75,579 83,137

10,865 11,952 t3-1TPN Orders 3,004 3,304uurpauenl uroers 193 2t2 233

tIIIIIIIIIIIIIIIItI

3t3t2009Page: G63

II

IBBMR BILrIGovernment of GuamFiscal Year 2010

Budget Digest

Function: IIf,ALTIIAgency: GUAMMEMORIALHOSPITALAUTHORITYProgram: PROF SUPPORT-PHARMACY (8390)


IIIIIIIIIIIIIIItI

t\ D D F F

AS4OO

AccountCode Aooronriation Classification

F Y 2008

Expend &Encumb

FY 2009

AuthorizedLevel

Governor's Request

FY 2010

GMHARevenues

FY 2010

FederalF und(s)

F"r 2010

PharmFund

FY 2010

Total Req.(c+D+E)

PERSONNEL SERVICESllr Regular Salariesfl ncrements $1.162.781 $1.324.034 $1.001.461 $0 $0 $1.001.46r

tl2 Overtime/Special Pay J73,878 153.925 101.475 101.47!

113 Benefits 313,070 397,212 374,$n 314,43(

TOTAL Pf,RSONNf, L SERVICES s1.849.729 $1,875,171 $r,471361 $0 $( $1,47736i

OPERATIONS220 IRAVEL- Off-Island/Local Mileage Reimburs. $!.5f,1 $( $14Js{ $( $( $14.350

230 CONTRACTUAL SERVICES: 38,431 217.584 l.l ll 0 203,510 204,624

233 OFFICE SPACE RENTAL: 0 0 0 0

240 JUPPLIES & MATERIALS: 3,227,466 s.110.01{ 4,773921 t9J.55ll 4,967,47i

250 EOUIPMENT: 4,697 10,97!

280 SUB-RECIPIENT/SUBGRANT :

290 MISCELLANEOUS: 7.4E1 17,21! 15.210 1,840 17,050

TOTAL OPERATIONS $3.283.618 $53s5.784 $4.E04.602 s0 $398,900 $5.203,502

UTILITIES361 Power $0 ${ s{ $0 ${ $(

362 Water/ Sewer


TOTAL UTILITIES $( $( $( s( $( s0

FULL TIME EQUIVALENCIESUNCLASSIFIEI)

Page: G-64000379


DepartmenUAgency: Guam Memorial Hospital AuthorityDivision: Professional Support ServicesProgram: Pharmacy Department (3390)

l/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.2, Ch.23, $23104 and federal Joint Travel Regulations

IBBMR TA-rl

Purpose / Justification for TravelMid Year annual meeting of American society of Health system ptrarmiiists* To broaden visoin for tomorrow's pharmaceutical development and management of modern hospitalpharmacy.

Iravel Date: December 2009 No. of Travelers: I

Position Title of Traveler(s) Air Fare Per diem 2/ Registration Total CostDirector of Pharmacy 2,00( 1.500 90( 4,400

0 t 0

Purpose / Justification for TravelAseptic processing and compliance tools for USp <797>* To be trained to become a trainer for GMHA.

Iravel Date: November 18-20.2009 No. of Travelers:2

Position Title of Traveler(s) Air Fare Per diem 2/ Registration Total CostDirector Of Pharmacv 2,00( 900 2,07: 4,975Staff Pharmacist 2,001 900 2,07a 4,975



Position Title of Traveler(s) Air Fare Per diem 2/ Registration Total Cost0 ( 0

0 0

AL I

Page: G€5000380

IIT

IItIIIIItIIIIIIT

Pharmacy Department (8390)

Schedule B- Contractual Unit

Price

Total

Price

Funded in FY 2009?


{osnilal Formularv Printino 1 1,000 1 x

-aminar Flow Hood Certification 5 300 1.50( x

)cean freight 1 1 15.500 1 15,50( x

\ir freiqht 1 86.625 86,625 X

204.624

Schedule C - Supplies & Materials Unit

Price

Total

Price

Funded in FY 2009?


V Solutions 1 194.040 194.04 xrharmaceuticals 1 4,700,000 4,700,00( x

f,ther Non Charqeable Medical Supplies 1 60.637 60.63r x

)ffice & Administrative Supplies 1 10.000 10.00c x

Jniforms 28 10( 2,80C

4.967.477

Schedule E - Miscellaneous Unit

Price

totalPrice


Licenses I 330 $ 330.00 xPha"rmaclst lralnins l0 385 $ 3,850.00 xrnarrnacy r ecnntclan r ramlng 8 220 $ 1,760.00 xPhamacy Aide I raining 6 220 $ 1,320.00 x4UU / Amencan Drug lndex I 220 $ 220.00 xZOUT PDR 220 $ 220.00 xI nssef s Handbook tor lnJectable Drugs I 220 $ 220.00 xZ0U7 Red Book 2 330 $ 660.00 xjeolatnc L,osage Handbook lzth h,dition 6 110 $ 660.00 x\ourr uosage HanobooK lzth b,drtton 6 il0 $ 660.00 xlnnual Jubscnphon to ldent-A-Drug Retbrence ll0 $ 110.00 x\brlr urug lnlonnauon 385 $ 385.00 x

Year Membershlp ASHP 550 U ))U.UU x\nesthslology & Critical Care Drug handbook ll0 $ 110.00 xntbctious Diseases Handbook 6th Edition 110 $ l 10.00 xLaboratory I est Handbook Concise ll0 $ I10.00 xApphed'l hearpeutics 385 $ 385.00 xrnilmacy I echntctan Joumal 385 $ 385.00 xubr Drug lnlormatlon 385 $ 385.00 xI Year Membershrp to American Pharml Assn 385 $ 385.00 x

hemo Preparation and Technique Instructional VitFo 275 $ 275.00 xr acr.s 6. Lomparlson vlonmly u pcates-Subscnptlon 440 $ 440.00 x)reoman s Lonclse Med Dlctlonary lor the Health protessions ll0 $ 110.00 xMartindale-TheCompleteDrugReference3rlihEilltion 660 $ 660.00 xf, loor Mattlng/Runners l0 275 $ 2,750.00 x

17.05(

IIIIIIIItItIIIIIIII

Page: G-67

IIIIIIItIItIIItIIII



Function : HealthAgency: Guam Memorial Hospital AuthorityProgram: Professional Support - PHARMACY (8390)

IBBMREL-ll

FhT i T bM EmiIcA Prf A:I,: LtrSXINGI| i

Description Quantity Percentase ofUse Comments

ART.SHELF CART WIRE 3

HOOD BIOPHARM/LAMINAR LOOR 2

MULTI AD PUMP 2

PUMP. VACUUM PART OF VIAVAC I

REFRIGERATOR 2

REFRIGERATOR I DOOR I

REFRIGERATOR 3 DOOR GEM 1

SAFE. MOSLER I

SHREDDER, PAPER STRIP CUT

TYPEWRITER 2

PERSONAL COMPUTER J

PRINTER, PLUS IBM 238I 2

PRINTER, HP LJ 11I I

PRINTER,IBM LEXMARK 1

COMPUTER, TERMINAL IBM 3487 I

PE+Iff(ir:I

iERilqi'et'smile

IJ:

IiBESEIYT:::iliC:Eriuinurs rlit/t llrua ipi!41)

TotalProgram

Space (Sq.Ft.): 3,600

Total Program SPace

Occupied (Sq. Ft.):

Description

SquareFeet

Percent ofTotalProgram Space Comments

Pharmacy 2,250

Pharmacv Office I,350

3/3/2009

Page: G-68000383

AGENCY: Guam Memorial Hospital Authority Government of GuamAgency Staffing Pattem

(BBMR SP.l)

3t3t2009Page: G- 69

000384

' NiCt Dfr.etd / Hutu / Worbr,i C@@.om / dV: n'2M (mt) tufrm ddhh for Ur. h$mc b Sl?4 tst rMi ftDjet b chmF h n 2m

I I I I r I I I I I I I I I I I I I I

I rIIIAGENCY: Guam Memorial Hospital Authotity

I I I rIIGovernmenl of Guam

Agency Staffing Patlern

I I I I III(BBMR SP.1)

I

r/: ry 2@s (ffidi) @G|'m @6butu fm Uf. hrs@ b $t1d D.r me; tubit't b ch*& to N toD

Page: G- 70000385

IBBMRDP-UDecision Package

FY 2010

Department: GUAM MEMORIAL HOSPITAL Division/Section: Professional Support

Objective(s):Spiritual Care department provides researched, improved, and updated materials in comforting and caring for patients/

families facing the end of life's joumey, patients/family prayer sources for decision-making and for better understandingAdvance Directive, DNR and withdrawing of life support systems.

term Goals:'o continue research and to improve the ministry through services on the web-site on healing and spirituality.

tIIIIIIIIItIIIIIIII

Description:Spiritual Care Departrnent, staffed by the coordination with the help of two volunteer Chaplins and five lay spiritual

is that part ofhealthcare which addresses the emotional, social, spiritual needs ofthe patients and their families.addition, the deparhnent ministers to the patients /families and stafflfamilies through visitation, information, and guidance

regarding ethics, living will, life support decision and other questions, grief ministry, communication with other pastors/ministersupon request ofpatient /family and/ or referrals from other interdisciplinary teams as requested or reffered.

Workload Output

Workload Indicator: FY 2M8Level of Accomplishmenl

FY 2009


Projected Level

Yisitatiotr 99o/o 99Vo 99Vo

Vleeting the needs ofthe patients 99o/o 990h 99V"

Responding to Code 72 l00o/o l00o/o 1000

Prompt calls l00o/o lOO"/" loooh

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000386


Budget Digest

IBBMRBD"TI

Function: HEALTHAgency: GUAM MEORIAL HOSPITAL AUTHORITY

Program: PROF SUPPORT-SPIRITUAL CARE (8680)

A B {'11} Hlt_

A54OO


FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

uovern0f [Eqursl

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.

(c+D+E)

PERSONNEL SERVICES$30,s151 $45,648 $45.64t $01 $0 $45,648

llltt2 imc/Sneniql Pr 0 0

Benelits 9,417 14.291 14,818

$60,466

l4,8lE113

${ $01 $60,466TOTAL PERSONNEL SERVICES $40,2J2 $59JJe

OPERATIONS$01 $0 $( $01 $0 $(

220 fnaVnU Off-lsland/Local Mileage Reimburs.

230 CONTRACTUAL SERVICES: 0 0

233 DF'FICE SPACE RENTAL:0 0

240 ]TIPPLIES & MATERIALS: 248 7,000 7.000 7,00{

250 IIPMtr'NT 0 U

0 0280 JUB-RI,CIPIIN ITSU I'GI(AN T :

1,700 1.70( 0 1,70{290 MISCELLANEOUS: JI:

$563 $8,700 $8,700 $ll $01 $8,70(TOTAL OPERATIONS

UTILITIES$01 $0 $( $0 $0 ${

36r0

362 Sewcr 0

0 0

$( $0363 TeleDhone/ IollTOTAL UTILITIES $0 $t ${ ${

1/ SPecifY Fund Source


I)epartment: Guam Memorial Hospital AuthorityDivision: Professional SupportProgram: SPIRITUAL CARD (S630)

TOTALI $

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GcA, Div.2,ch.23, $23104 and federal Joint Travel Regulations

Purpose / Justificati,on for Travel


No. of Travelers:

Purpose /





No. of Travelens:

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Spiritual Care (8680)Schedule B- Contractual

Funded in FY 2009?


& Administrative Supplies

Non- stock items (candles, etc)

UnitPrice

TotalPrice

Funded in FY 2009?


Mass literature 700 x

Vlagazinesubscriptions 300 X

Healing care notes 700 X

Total Miscellaneous 1,700


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Function: HealthAgency: Guam Memorial llospitat AuthorityProgram: Professional Services - SPIRITUAL CARE (8680)

IBBMREL-U

UI PM ENf/cilnlTAU IrI$Tg1q 1;

Description Quantity Percentaee ofUse CommentsCOMPUTERPC IPRINTER

EI{rTotal ProgramSpace (Sq. Ft.): 900

Total Program Space

Occupied (Sq. Ft.):

Description Square FeetPercent ofTotalPmorqm Snqan Comments

Chapel 900

Page: G-75


I I I

, Night Dtr€.€ntil / Hrrrtro! / WortcC ! CompeDr.fiotr / ctc.

r/: FY 2N (crrEr0 frvcurn coddbutun ror LfE htumne b Sr74 Pemorunl Srbjecl to d'ry€ iD tr2u9

' NEha Difl€reil.| / kz.rdo$ / Wort€1s ComDen"don / el''

r <- FY 2008 flE




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Department: GUAM MEMORIAL HOSPITAL


Division/Section:

IBBMRDP-l|

Professional Support

Ifnecessary, to provide in-services on at least quarterly basis on new procedures in the growing field ofdiagnostics.fo search for training/conferences related to patient care services the deparhnent provides to gain certification.

increasg the services in this departrnent such as 24 hour Holter Monitor; non invasive detection of pAD.maintain excellent care.

Workload Output


FY 2fl)9Anticipated Level

FY 2010

Projected Level

Total billable seruices 16,000 20,000 25.000

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tIIIItIIIIIIII

ActivitySpecial Services Deparhnent will be utilized by the hospitalists, in which patient care services, such as diagnosticprocedures (i,e, echocardiograms, electrocardiograms, cardiac stress tests; TEE) as well as patient care services related to neuro,and ortho, will also be provided. This will be a24/7 scheduled operation.EEG services is also provided. Special Services Dept. is also providing in and outpatient Cardiology consultations by ourVisiting Cardiologists 4-5 x/year and coordination of Open Heart Surgery, pre and post operative care 2x/year.We also provide in and outpatient Neurology consultations.

Major Objective(s):To provide 24-hour coverage ofabove patient care services to meet patient needs and maintain adequate staffing;to provide quality diagnostic procedures, to aid in appropriate teatment; to assure continuing education requirements

I on licensing standards, and to promote professional enhancement and competency levels; to provide patients andfamilies with the knowledge and education necessary to make informed decisions about their health care, and toto li festyles/behaviors.

3t3t2009Page: G-77

000392


Budget Digest

Function: HEALTHAgency: GUAMMEMORIALHOSPITALAUTHORITYProgram: PROFSUPPORT-SPECIALSERVICES (7900)

[BBMR BD-II

A B (. ll) UIF

AS4OO

AccountCode Appropriation Classilication

FY 2008

Expend &Encumb

FY 2009

AuthorizedLevel

GOVernor Kequcsr

FY 2010

GMHARevenues

FY 2010

FederalFund(s)

FY 2010

PharmFund

FY 2010

Total Req.(c+D+E)

llt $383,171 $387271 $381,210 s( s0 $381,210

tt2 130,665 33,00( 18.000 0 18,000

trJ Rcncfffc 117,645 127.r32 136.11( 136.116

TOTAL PERSONNEL SERVICES $631.48r $547.403 $53s32? $01 $0 $535,32'

OPERATIONS220 IRAVEL- Off-Island/Local Mileage Reimburs. $5,949 $( ${ $( $t s0

230 CONTRACTUAL SERVICES: 36,62( 211,780 165,70{ 108,08( 273,780

233 DFFICE SPACE RENTAL: 0

240 JUPPLIES & MATERIALS: 84,135 245,00{ 0 180,00{ 180,00(

250 EQUIPMENT: 21,041 50.00( 25,00{ 0 25,000

280 tUB-RECIPIENT/SUBGRANT: 0 0

290 VIISCELLANEOUS: 30,000 5,000 5,00(

TOTAL OPERATIONS $153,744 $542,7E11 s195.700 $( $288.0301 $48J,780

ITIF'S

361 Power $0 $0 $( $0 s0 $(

362 Water/ Sewer 0

363 Telephone/ TollTOTAL UTILITIES $( $( ${ $( $01 $(

l/ SpecifY Fund Source


]


Department: Guam Memorial Hospital AuthorityDivision: ProfessionalsupportProgram: Speciat Services (7900)

AL$-

1/ Provide justification for multiple travelers attending the same conference / training / etc.2/ Rates must be consistent with Title 5 GCA, Div.Z,Ch.23,S23104 and federal Joint Travel Regulations

tItrlrlrlrlrl

Purpose / Justification for TravelTopromoteprofessiona|andcompetency|eve|sihcare.

l ravel lrate: No. of

Position Title of Traveler(s) Air Fare Per diem Registration Total Costllospital Unit Supervisor $ 2,000.00 $ 900.00 $ 600.00 $

Purpose / Justification for TravelSAME AS ABOVE

Travel Date: ol lravelers:

Position Title of Traveler(s) Air Fare Per diem Registration Total CostEcho Tech $ 2,000.00 $ 800.00 s s00.00 $

s $ $ $

Purpose / Justification for TravelSAME AS ABOVE

I ravel lrate: No. of Travelers: I ,(

Position Title of Traveler(s) Air Fare Per diem Registration Total CostEEG Tech $ 2,000.00 $ 800.00 s 500.00 $

$ $ $ $

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000398

BBMR96A

SPECIAL SERVICES

UnitPrice

TotalPrice

Funded in FY 2009?

Item auanttlr Yes No

iEG Contract (Proposed) 150.000 x

leart Team (RN's: NP's: MD's) 1 10.000 x

UPS/Fedex 5.700 x

Stress Test and echocardiogram 8,080 x

t^+a 273.780

& Materials



Function: IlealthAgency: Guam Memorial Hospital AuthorityProgram: Professional Services - Special Services (7900)

IBBMREL-lI

tIIIII

t

EQ$|BMEN.T/QA}IT4I":EJSTINQ:; j : : :

Descriotion Ouantitv Percentage ofUse Comments

Desk lO0o/olhairs. swivel 2 IOOYylhairs & Stools to 1O0o/o

f ypewriter, Wheelwriter 600/olomputer, PC 6 l00o/oJfticeiet HP 55 | 0 all in one nrinter 80o/o

ixam table (ilstimrps) 70o/o

EKG Machines Phillios 2 lOOo/o

Stress test machine l00o/oEEG machine IOOVo

HP echocrdiogam machine dPanasonic l00o/oUPS machine

Defibrillator Jode72Video cassette recorder l0OYoEchocardiogram Machine (siemens) IOOo/o

Exam table 50%jithco handler (attached to wall) 5OYo

lrash cart lO0o/o )ode72 (Reolacement)fhermogel warmer 10oo/o

lhairs (Waitine Area) 25 lOOYo A.dditional 4 sOolhairs. swivel 5 90o/o {dditional 2-000lomouter. PC l00o/o \dditional 3.700)rinter . Laser J 9Oo/o \dditional 1.700UPS machine l00o/o \dditional 1-500Holter Monitor gOYo \dditional 4.500Dopnler for PAD detemination 90o/o A.dditional 2-O0O)B Doppler 80o/o Additional 1-000IV Pumn 2 90o/o Additional 3,500Portable Pulse Oximeter 9Oo/o Additional 2.500ichocardiosram Machine 100% Additional 90.000readmill Machine 85o/o Additional 25.000

lKG Machine lO0o/o A.dditional 25.000)efibrillator Code 72 & Standbv {eplacement 25.000

II

II

3t3t2009Page: G-81

000400

TotalProgram

Space (Sq.Ft): 3.000

TotalProgram

SpaceOccupied

s,.F,

(fqt\ciiFr PifPg,

irtQ44c

q,n n*niil:iiiii fiqiiiiiini rtt0Crbi ttB

Description Squarc FeetPercent ofTotalPrognrm Snace Comments

{eception area t63 l3o/o E-to7'nysrclans olttce 96 8Yo E-106lreakroom 153 l3% E-109toilel 0 included with breakroonitorage area 81 7o/o E-1ltEKG room 90 7% E-103Echocard iogram/Stess test room 204 l7o/o E-104EEG room/echo 1t4 9o/o E-l0slorridor 318 260/0

I -IIIAGENCY: Guam Memorial Hospital Authority

r I I

r Night Dificrential / Eu|rdous / Worker'! CompcNation / ctc'

l/: FY 2txl8 (curfent) Govcum conlribution for Lifc lnsurmct is $1?c pcr Nmum; subject to chd$ in FY 2{XD


Agency Stafling Pattern

r r r I I II(BBMR SP-l)

I

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3/3/2009

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AGENCY: Guam Memorial Hospital Authority Government of GuamAgency Staffing Pattem

Page:G - 83

I

000402

I

(BBMR SP-l)

* Nighl Differential / Eenrdous,/ Worlcr's Compedatlon / ctc.

l/r FY 2006 (curreot) Govcum contribution for Life lNuree fu $l?4 per uMi subject to 0huge in Fy 2ut9

I-

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Guam Memorial Hospital Authority (FY2010).pdf

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