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Site Performance Summary:


                                             Clermont's supply expense is over budget 181k or 11.9%, while Net Patient
                                             Revenue is over budget 1.265M or 11.9%. Implant spine continued to be an
                                             outlier with 138k over budget or 270%. Total for the year implant spine was
                                             581k over budget.Orthopedic joint program continues to be under budget
                                             in both volume and supply expense. Only 3 total joint procedures done in
                                             2017 compared to 15 in 2016. This led to the implant joint category being
                                             21.5k under budget.


                   Key Challenges: 2-3 key contributors for each expense subaccount
                                             29k worth of products now being classed as IV and IV sets that would have
                                             hit this expense code from last year.


                                             1600 reduction in spend with conversion in repositioning sling from Arjo to
                           Med/Surg
                                             Medline. Increase in total number of slings used from 129 to 142

                                             8k reduction in pack spend for optical surgeries. Reduction in eye surgeries
                                             from 84 in 2016 to 57 in 2017.
                 Leader's Summary
                                             Remicade increased from 3600 to 16k in 2017


                               Rx            8k in Activase used in 2017, none in 2016

                                             Prolia usage increased from 5600 to 12.5k

                                             13 pain pumps done in 2017 compared to only 3 in 2016. 100k difference


                                             Total joint cases down from 15 in 2016 to 3 in 2017
                            Implants

                                             22k increase in SCP knee kits



                                             10k in new instrument purchased for a new Dr. performing ACL repairs.
                                             Instruments were being borrowed when he performed cases, but he is
                                             doing more of these.
                                             Defibrillator batteries purchased to replace old batteries 10k
                         Other Expenses


                                             Infusion sets (17k) IV Caths (8k) and IV start kits (4k) now considered part of
                                             this expense code moving from med/surg supplies. 29k total difference
                   Actions Taken/Planned:
                                             Planned conversion to Arjo slings for patient lifts. We are already using
                   Conversions
                                             alternative product for lift sheets.

                   Surgical Nav              Would like to re-visit getting a surgical Navigator for the East Market.
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