Page 113 - CombinedTest_Neat

Medical Surgical
(25,328) CATH Lab Spend was very favorable at 66% to budget prior to $54K YE Inventory Adjustment
entered.
OR

Drugs
Drug Supply Spend was unfavorable $25K.
46,272 Bulk of spend driven largely by Oncology volume continually increasing.
Rx Keytruda and Avastin were higher use high dollar items.
Additional drugs also needed for patients sent from Willard as they are at max volume for
their capacity.
Flu season in full gear requiring surplus anti-infective drugs.
Also had a handful of drugs expiring 12/31 that needed reordered. Have requested details
of which drugs.
Cardiology Implants
(6,240) Stents Used by Dr. Burkett; He will typically use consigned Boston Sci. stents, but unique case
required Viabahn stent (6.2K) due to size/fragility of artery undergoing operation.

12,174 CRM

0 Valves
Non-Cardiology Implants
(1,424) Spine
$0 Spine Budget; $1.4K for Supplies allocated to TASA. Working to identify the reasoning.
Tiffin Variance Analysis
(11,909) Ortho Excess spend driven by less-common surgeries (Tibia and Femur) that required cannulated
trochanteric nails, (3) @ $2.5K/EA as well as an Achilles case requiring a Biocomposite
Achilles Speedbridge, $1.8K.
Increased number of Lap Appy cases resulting in additional reload staplers. Also had two
(4,087) slings purchased for Dr. Zacewski at $6.2K/EA. His volume has increased in this category
due to the increased GYN presence in Tiffin (Cases often in conjunction with).
Other
CATH Lab

OR

Wound
Other
4,053 Dietary
3,271 Blood
530 Endomechanical
(227) Other Non-Medical
(8,224) IV and IV Sets Expense code change from 56000000 to 56060000
7,903 Physical Plant/Maintenance
$20K Payment to the College of American Pathologists to cover for 2018 Surveys.
(27,090)
Laboratory Also had a high volume of flu kits.
- Chemistry Supplies
4,203 Radiology
1,265 Office
449 Minor Equipment Non-Medical
2 Artherex Suture purchases at $400/EA. 1 for a Shoulder case; the other will be credited
(1,206) for a killed PO. Prolene Sutures also being used in ED in, whereas only ethelon were being
Suture used in 2016.
Dr. Haven needed a Soft-Tissue Retractor for Shoulder Case, $1K
(1,274)
Instruments Dr. Nye needed a Deep Tissue Retractor for Hip Case, $1.5K
Set of 10 New Medical Transport Chairs (STAXI Corp) purchased, requested by Lynn
Detterman, $12.4K
(14,329)
Respiratory purchased a new AIRVO 2 oxygen delivery system/flow generator, $2K
Minor Equipment Medical Cath Lab purchased (6) new finger probes and sensor ends, $3K
19,162 Freight ($18.3K) Omnicell Freight entry
860 Housekeeping & Laundry
1,666 Contrast Media
(2,560) Gases, Medical
836 Forms
(42) Fuel (aircraft & auto)
67 Uniforms
35 Film, Radiographic
- Radiopharmaceuticals
171 Pack & Gowns
- Anesthesia