Page 13 - CombinedTest_Neat

Site Performance Summary:

Overall supplies over budget by $171K (0.8%) and over prior year…. Total
periodic inventory adjustments for December were favorable by a total of
$815K. Implant cost were over budget by a total of $1,262K for January due
to increased volume in high dollar procedures and a challenging budget
compared to prior year spending. Compared to prior year, implants were
only over by $280K. Increases over prior year for 12 revisions ($144K), 12
spinal fusions ($96K), 10 pain pumps ($95K), 4 External Fixations ($101K), 5
Watchmans ($85), and 5 Occluders ($47K) were the major contributing
factors. Corporate contracts for GE, AVI and total joints continue to drive
additional savings for the region.

Key Challenges: 2-3 key contributors for each expense subaccount
Periodic inventory adjustments was unfavorable for all medical surgical cost
centers totaling $201K

4 External Fixation procedures at the Jewish Hospital added $101K in
Med/Surg
expenses over prior year through DNE and Stryker
Cincinnati Leader's Summary
($136K)
Increase in 16 Diamondback devices ($55K) and an increase in 28 drug
coated balloons ($42K) over prior year in Cath Lab
Periodic inventory adjustments were favorable for all drug supply accounts
totaling $446K
Rx
$847K

Orthoped Joint implants over budget $215K but under prior year by $70K.
Volume compared to prior year up 5 procedures. Revisions up 12
procedures adding $144K in costs over prior year.
Fusion procedure up 12 procedures over prior year adding $96K in implant
costs. Largest volume growth at the Jewish Hospital with 10 addition
procedures over prior year. Pain pump procedures at the Clermont Hospital
Implants up 10 over prior year adding $95K in expenses
($1,262K)
Non-OR implants in the implant other category added a total of $190K
including the Watchman ($85K), Occluder (47K) and wound care grafts
($58K). OR implant other categories were over budget by $558K but under
prior year by $45K. Increase of $101K at the Jewish Hospital driven by
biologics used in spine ($50K) and bone graft subsititues used in podiatry
($42K)
Periodic inventory adjustment was favorable $571K for all sites
Savings from purchased service transitions totaled $190K for GE and $54K
Other Expenses
for AVI
$380K
Instruments over budget primarily due to increases in intuitive surgical
supplies totaling $60K
Actions Taken/Planned:
Use of MEMData on multiple requisitions to received competitive quotes

Continued use of daily supply projection reports and daily surgery supply
reports to forecast expenses and make real-time supply decisions.

Focus on maximizing all corporate contracts including GE, AVI and TJR