Page 144 - CombinedTest_Neat

Site Performance Summary:
St. Joseph's supply expense is under budget by $1.02M (32.5%) on expected
inpatient volume and surgical volume that fell short of budget by 24
procedures (4.5%). EIPA was 5% under the target. Inventory adjustment
per the recent physcial count resulted in a $942K favorable adjustment
(pick-up). Excluding this adjustment adjustment supply expense was below
budget by $80K (3%). Excluding inventory-related transactions, MedSurg
supplies were $200K (24%) favorable to budget on volume-related
decreases in the OR. Drug expense was $107K (7.4%) over for the period
excluding a favorable $312K inventory adjustment. Increase in oncology
drug expense drove this variance. Orthopedic implants were over budget
$64K (46%) on increased orthopedic revision volume vs. YTD and PY.
Expense in this area did, however exceed expectations as December
primary joint volume fell short of historic levels. The facility is reviewing
processes to assure the expense is recognized timely. Implant Other and
Spinal Implants were a combined $83K favorable to budget on fewer
neurostimulator implant procedures compared to PY (one in December,
five total/trial installations same period PY). A decrease in vascular-related
procedures in Radiation Oncology drove the remainder of this variance.
Freight was under budget 23K on a $32K reclass of Omnicell freight charges.

Key Challenges: 2-3 key contributors for each expense subaccount
MedSurg supplies $200K favorable to budget due to decrease in surgical
Leader's Summary
volume ofor the period.

Nuke Med under budget $30K, a $14K Xofigo credit was booked to
Med/Surg December.

Drugs was over budget ($132K / 8%) due in part to Oncology Pharmacy
being over ($107K), Hormones & Synthetiic Subs over ($49K) and Nuclear
Med Drugs over ($49K).
Rx
Outpt Infusion meds up $28k, Remicade $66k, Tysabri down -$28k, Xolair
down -$10k
Oncology meds: up $137k
Resolved long-standing Cook Zilver stent consignment shortage -
negotiated $15K settlement on $18,500 shortage. Expense booked to
December.
Despite Total Surgeries being below budget, Total Joints were over budget
(64K) due to 2 Knee Revisions ($24K). Implant Matching Tool requires
Implants further communication with and support by Ortho Surgeons.