Page 106 - CombinedTest_Neat

Medical Surgical
(2,082,029) Year end inventory adj $1.7M, radiology ($235K), lab ($123K), surgery ($791K),
Various specials ($637K)

Flightr ops YOY increased spend, four products (Sensor flow CO2, Airways, trauma ortho device,
vent valve) - impact $5,200, reallocation to other expense code impact $1,700
YOY spend increased for 3 products (sys cardiohelp (14), oximeter optical cable(10),
CVOR
tube suct card (12) - impact $36K, issues greater YOY impact $12K
Pediatric cardiology YOY spend decreased $8K, $26K v $34K, $9K budget not enough
7 C Obstetrics Purchased state req'd metabolic screening kits impact $22K
Central supply $64K charged to wrong expense code, YOY 85% increase in DME impact $19K
YOY higher net accrual impact $84K, (includes inventory replenishment $111K, for
Specials
revascularization ($55K) and trevo products ($56))
Renal Med YOY increased dialyzer spend - impact $8K
Drugs
635,020

Cardiology Implants
3,065 Stents
Cath lab volume over budget by 2%
308,186 CRM
EP lab procedures down YOY 51 vs 96, Defib and Pacer spend down 47% YOY, impact
$292K
St Vincent Variance Analysis
9,979 Valves YOY Tavars one vs five, impact $120K, Valves 7 vs 7 YOY, CVOR cases increase 28%, 41
vs 32 YOY
Non-Cardiology Implants
100,010 Spine
Case volume down YOY, 35 vs 74, spend decreased 53% YOY, $103K v $219K, Dr
Raychaudhuri, only Mercy spine doc on leave of absence
(13,902) Ortho TJR YOY increased 58%, 19 vs 12, Impact - $52K, TJR YOY avg cost/case decreased -
impact $8,500 [Knee ($8K), Hip ($500)]
(256,333) Other
Prior period expense - impact $54K, Saphenous vein YOY spend increased - impact
CVOR $24K
YOY 6 fold increase in penile implant cases, 6 vs 0, impact $60K, stapler reloads in
Surgery wrong expense code -impact $36K
Specials YOY spend $188K vs $166K, $41K budget not sufficient - impact $84K
Higher net accrual, impact $46K, (includes $39K for Dr Akbani, AAA), YOY vessel
Cath lab closure and endurant stent spend increased - impact $7K
Other
338 Dietary
(1,464) Blood
Robotics spend impact $34K, (45MM stapler YOY spend increased 4X, impact $28K,
(42,936) 44% increase in reload spend YOY impact $6K), Dr Fourman's Davinci instrument use
Endomechanical increased YOY, he did 33% of the procedures
Unbudgeted spend: Nursing region std room signs- $8K, Pharm Omnicell install - $4K,
(45,005)
Other Non-Medical Physical Therapy supplies - $5K, Cancer Center MFD - $4,500
(45,107) IV and IV Sets Reallocation of 10 products from 5600 to 5606
81,237 Physical Plant/Maintenance
(8,909) Laboratory
34,441 Radiology
(4,051) Office
Unbudgeted expense: Sunforest clinic stationary bike -$2,433, ED supply carts $8,563,
(22,730) Renal Med iPads - $9,231, 3B recliner - $4,900, Admin laptop and locks (100ea) -
Minor Equipment Non-Medical $5,600, Cath lab WOW - $3,415
(2,888) Suture
Surgery spend decreased 7% YOY impact ($12K), 4 Davinci products increase spend
(53,549)
Instruments YOY impact $60K, (scissors, sealer, forceps, grasper)
Reallocate to correct expense code Affinity centrifugal pumps for CVOR, impact $21K
(20,453)
Minor Equipment Medical (perfusion)
(179) Linen & Laundry
29,691 Freight
2,007 Housekeeping & Laundry
325 Contrast Media
(19,449) Gases, Medical YOY spend increase 3 fold, $17K v $5K, out of period spend impact $10K
4,211 Forms
(17,626) Fuel (aircraft & auto) Fuel tank inventory adjustment $6K, flights ops over budget $8K
5,208 Uniforms
165 Film, Radiographic
(358) Pack & Gowns
373 Research Animals