Page 107 - CombinedTest_Neat

Site Performance Summary:

St Vincent supply expense over budget $2.5M despite lower patient and
surgical procedure volumes. Primary drivers are year end inventory
adjustments ($1.7M), implant other ($256K), endomechanical ($43K), other
non medical ($46K), instruments ($54K) and inventory variance ($1.2M).
Lower volumes contributed to $408K positive variances, spine ($100K) and
EP ($308K). Total joint procedures increased 58% including 5 robotic
procedures impact $52K. Unbudgeted equipment expense totaled $50K.
Exclusive use of robotic instruments by high producer (Dr Fourman 33% of
cases) impact $53K.

Key Challenges: 2-3 key contributors for each expense subaccount

Correction of consignment in asset accounts, impact $1.7M, Surgery
$674,098, IR $1,053,438

Med/Surg Reallocation of expense to correct expense code, impact $65K
Leader's Summary

YOY increased expense across numerous products - impact $69K

Rx

Dr Raychaudhuri, only Mercy spine doc on leave of absence, Spine impact
$76K

Implants Penile implant cases YOY 6 fold increase, 6 vs 0, implant other impact $60K,

High cost AAA procedure and YOY increased expense for various products -
impact $46K
Robotic endo mechanical spend impact $34K, (45MM stapler YOY spend
increased 4X ($28K impact) plus 44% increase in reload spend YOY ($6K
impact))

Other Expenses Inventory Variance consigned surgical trays count in 2016 inventory impact
($993K), Inventory floor stock moved into OR pyxis cabinets in 2017 ($237K)

Davinci instruments (scissors, sealer, forceps, grasper) increased spend YOY
impact $60K
Actions Taken/Planned:
Volume Data Adding product classifications to improve data capture in Pyxis
Surgical VAT Managing all request through process
DME Meeting with supplier