Page 137 - CombinedTest_Neat

Medical Surgical
457,888 Blood Bank Over budget by $20K, $37K in accrued On-Base invoices
Over budget by $40K - $21K in ProBNP, $14K in D-Dimer received at EOM. Increased
Chemistry
order quantities for specific flu-season related tests
Special procedures up $7K (10.6%) on additional volume and increased
IR neurovascular procedure volume - Dr. Kainth $28K in Microvention hydrocoils and
related items used during the month, check on correct expense coding (implant?).
Over budget by $12K (48%) - department ordered contract direct from Bracco using
CT
wrong exp code $15K - should have hit Contrast Media expense.
Over budget by $14K (20%) - three doses of Xiofigo were administered during the
Nuke Med
month ($48K total). Consider expensing to a different account.
Drugs
872,781
2017 December additional variance data, $ variance vs 2016 Dec Spend
Cardiovascular Meds $41k total, Lexiscan (outpt) $41k, Activase $17k
Critical Care Meds $46k total, Isuprel $21k, Cleviprex $19k
Outpt Radiology Med Cath Flo $10k
Cardiology Implants
(24,736) Stents Stent expense came in higher than budget (27.5%), however in-line with 2017 YTD
performance compared to budget (25.5% over). A look-back at same period, 2016
shows tha the facility was extremely successful in migrating providers to the Abbott
agreement.
82,358 CRM
Positive variance due to decrease in ICD volume compared to budget, run rate and
PY, pacers were up significantly
(191,424) Valves Eight TAVR implanted at $32,500 - 2017 run rate is seven per month. In discussion
with Medtronic to bring in their self-expanding device (Evolut) - minimal savings
opportunity, has potential to increase TAVR volume as can be used where current
Edwards device is contraindicated.
Non-Cardiology Implants
Expense for St. Jude Prodigy neurostim procedure from 2016 hit this month, checking
(8,649) Spine
to see if was previously accrued. Investigating transactions with Jennafer Duff and
St Elizabeth Variance Analysis (99,893) Other $32K under Dec 2016.
Suzie Keane. Current suspected out-of-period impact $25,410
$21K spine procedure performed with six spacers, not typical for SEYH
Total joint came in under budget due to lower than expected volumes. 11
14,317 Ortho
TJR/revision cases for the period vs. 15 PY. Expense came in $14K under budget,
Increase in Microvention Hydrocoils experienced in December - worked with rep on
improved price point, discount is in-line with other Mercy locations (St. Rita's).
Seven absorbable pacer puches (Tyrx/Medtronic) used at a total of $7K. $24K in
CATH Lab
pouches were used in December, 2016.
Penile prosthesis (with incontinence device - $13,234) - Dr. Memo
Six neuro shunt valves wewe installed at a total expense of $29,533 - double the
volume and expense of December, 2016 (increase corresponds with Dr. Kainth's
OR
arrival). $17K Izalrov ex-fix case performed, per Chief of Trauma apparent recent
case increase is an anomaly. Considerable WL Gore payments were made in
December, it appears that at least one AAA was paid, not accrued prior (or accrual fell
off). $6K male bladder sling
Wound
Other

(26,402) Dietary
Credit to blood expense is related to delay in Red Cross tranferring expense from St.
Elizabeth to SJWH/SEBH (blood housed at St. Elizabeth is expensed by Red Cross to
139,122 Blood
these sites when blood is transferred). Increased expense is noted at each of these
locations.
Endomechanical expense is on-par with prior periods, should resolve with the new
(13,871) Endomechanical
budget
19,974 Other Non-Medical
(31,180) IV and IV Sets
58,312 Physical Plant/Maintenance
$10,503 in RSV and Flu test supplies - Austintown ED $16,500 Brahms Procalcitronin -
(60,573) Laboratory
Elecsys analyzer
15,407 Office
3 ea. refrigerators purchased for Laboratory and POC testing $16K total
(26,370) Minor Equipment Non-Medical
$10K in PCs/WOWs - various depts.
3,055 Suture
$8K in daVinci acquired late in the month, $2K in reusable Davol tips acquired as
Stryker lap suction irrigators on extended backorder (Puerto Rico).
Replaced/upgraded components on several trays including Debakey bulldog clamps -
(17,688) Instruments
$3K. The removal of daVinci reposables from the perpetual inventory will improve
visibility to the spend as inventory issues account for $12K of the $31K overall OR
spend in this area ($9K of this is daVinci).
(3,600) Minor Equipment Medical $2,800 instrument table - OR, $2,700 in lead clips/cables - Anesthesia
1,720 Linen & Laundry
1,505 Freight
1,343 Housekeeping & Laundry
(2,745) Contrast Media
Cost center has been consistently over budget for the year. December variance of
60% is in-line with YTD of 58.5%. A Supply Chain Tech reported increased in H-tank
(9,381) Gases, Medical O2 consumption at our Outpatient Center adjacent to the facility - long walk to
deliver large tanks. Upon investigating it was discovered that a manifold was leaking -
required replacement.
(817) Forms
(23) Uniforms
$3,400 in power injector syringes incorrectly expensed to this line, PMM 209408 -
(2,953) Film, Radiographic
should hit 56000000?
915 Anesthesia