Page 125 - CombinedTest_Neat

Medical Surgical
(12,282) OR Impressively came in 3% under budget even with Admissions (7%) and Total Patient
Days (16%) both over budget. YE Inventory Adjustment impact ($15k).

Drugs
Spend is lower than PY, but over budget by $67K. Heavy drivers of excess spend are
(48,737)
high-dollar drugs. (3) specifically totaling $70K.
Krystexxa, to treat gout, O/P Injection, $37K
Keytruda, to treat chemo, O/P Injection, $18.3K
TNKase, reordered to replenish stock, $14.9K

Cardiology Implants
(2,269) CRM (2) Pacemakers at $4.1K/EA exceeds $7.3K budget alone.

Non-Cardiology Implants
0 Spine
(15,634) Ortho Ortho volume consistent YOY, spend is equal to that of PY.

Significant spike in bunions and hammertoe corrections for December by Dr. Bohach
Willard Variance Analysis
required (7) Compress Twin Screws totaling $6K.
One patient had non-healing wound that required (2) 44CM Apligrafs totaling $2.6K.
(11,444)
Ordering issue left two implant trays empty; had to restock, (5) Profyle Self-Tap Screws
totaling $4.3K
Other
CATH Lab
OR

Wound
Other
1,647 Dietary
1,331 Blood
651 Endomechanical
1,141 Other Non-Medical
$1.3K purchase of Arrow Intraosseus needles from ED. These are purchased
inconsistently, as needed, but have been used much more frequently in ED for
(2,671) overdoses/codes when regular IV access cannot be obtained. Also a steady increase in
IV Catheter use in Med/Surg and ED, respectively with increased admissions. Note
IV and IV Sets Expense code change from 56000000 to 56060000.
(12,099) Physical Plant/Maintenance Excess salt supply purchases to compensate for hard Winter.
$20K purchase of 6-12 month supply of Liquichek diabetes/hemoglobin and
immunoassay control products; purchased in bulk for lot to lot control.
(27,880) Hematology showing up $7.5K from PY; however, it is due to a PO issue that was
entered incorrectly. PO 67803709852 was supposed to be entered as a standing order
Laboratory but instead was sent EDI for a 12 month order, totaling $8.1K.
573 Chemistry Supplies
(409) Radiology Mobile Lead Shield purchase for $370.
378 Office
1,897 Minor Equipment Non-Medical
368 Suture
1,062 Instruments
97 Minor Equipment Medical
Promotional/Reward Backpacks ordered from HR:
$139.30 Freight charge; ship to Tiffin
(521)
$113.92 Freight charge; ship to Defiance
Freight $64.88 Freight chargte; ship to Willard
331 Housekeeping & Laundry
16 Contrast Media
(1,284) Gases, Medical
133 Forms
(168) Fuel (aircraft & auto)
39 Uniforms
(6) Film, Radiographic
17 Dietary Utensils Disposable