Page 131 - CombinedTest_Neat

Medical Surgical
333,112
Radiology/CT Flood compromised a supply room, $5-7K in supplies were impacted/replaced.
$10K over budget - Overage due to Sage TAP expense - $100K over budget YTD.
Have proposal from Medline, will evaluate Q1, annual savings potential $15-20K
4 South
across the Region. Will discuss with Home Office as Medline should be able to
undercut by a wider margin
$35K over budget - $49K in State Metabolic Screening kits were erroneously booked
Mother/Baby to MedSurg. Have asked finance to reclass and reminded requestors and approvers
to check coding.
$12K over budget, consistently running over by similar amount each month - $12,400
in daVinci instrument expensed to MedSurg supplies, others to SPD instruments.
Central Supply (SPD)
Directing staff to move all such expense to OR cost center for better expense
recognition and tracking
Drugs
7,380 2017 December additional variance data, $ variance vs 2016 Dec Spend <--
Outpt Infusion meds up $12k total; Nucala $23k, Ocrevus $16k (new MS drug),
Entyvio $10k, Remicade down -$39k, Xolair down -$31k
Antibiotic meds down -$35k; Cubicin down -$27k, Invanz down -$8k
Surgery meds up $23k, Neostigmine up $23k
Cardiovascular Meds down -$10k, Lexiscan (outpt) down -$10k
OB meds down $-10k, Cervidil down -$10k
Diabetes meds up $9k Humalog
St Elizabeth Boardman Variance Analysis
Cardiology Implants
(8,506) Stents Six Wallflex stents used in ERCP procedures ($15K total) . Volume on the increase,
spend is similar to preceeding months.

4,253 CRM
No procedures
0 Valves
No procedures
Non-Cardiology Implants
(16,162) Spine
Neurostim (urinary) implanted - $15K
(40,290) Ortho Ortho exceeded budget but is in-line with historic spend/volume.
Average price per knee $4,203. Stryker: $3,969 Zimmer: $4,698
Avg price per hip: $4,623 Stryker: $4,625 Zimmer: $4,621
$13K Revision hip Opportunity to improve on device matching as facility is not
hitting the 80/20 Standard:Advanced ratio.
Other Tenoglide tendon protector,$15,823 total. 4 ea. / AMS Advance urinary sling -
$5,868 / Nerve wrap-graft:Axogen $6,850 (3 pcs), Integra $9,400 - 4 pcs. / Propel
(89,576)
sinus implant - four procedures totaling $15,900 / 2 ea. Resolution clips, $4,400
total, $15,800 in skin substitute (10 total pieces - five vendors)
Some Zimmer non-file total hip expense continues to hit implant other. This has
been reclassed for December and will be scruitinzed closely by the Site Director
(find/use/create PMM #).

Other
18,979 Dietary
Continued catch-up, Red Cross billing, blood transferred from St. Elizabeth
(17,080)
Blood corresponding low expense at that facility.
(8,280) Endomechanical $4,500 daVinci stapler kit,
22,978 Other Non-Medical This account has been under budget by the same general amount all year
(21,145) IV and IV Sets Expense related to stocking Braun IV Catheters
15,862 Physical Plant/Maintenance
(19,713) Laboratory $11K in strep test kits
549 Office
2,692 Minor Equipment Non-Medical
Suture has been runnning 60% over budget all year (volume/budget issue?) items
(5,597)
Suture expensed here appear to be correct
3,867 Instruments
4,418 Minor Equipment Medical
6 Linen & Laundry
94,208 Freight $52K in Medline LUM fees reclassed, $42K Omnicell freight charge credit
(2,194) Housekeeping & Laundry
(9) Contrast Media
3,485 Gases, Medical
(233) Forms
(324) Uniforms
33 Film, Radiographic
- Anesthesia