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Medical Surgical
                                                     (452,579) CATH Lab  Periodic inventory adjustement totaled $451,822.35
                                OR                        Periodic inventory adjustement totaled $137,167.06
                                                          3 DNE External Fixation totaled $51K
                                                          1 large Stryker External Fixation procedure totaled $50K
                                                          Increase in Intuitive Surgical supplies totaling $18K due to the increase in 8 robotic
                                                          procedures
          Drugs
                         (252,463)                        Jewish Pharmacy periodic inventory adjustement $386.622




          Cardiology Implants
                                                           1,031 Stents
                                                          Increase in 9 Esophageal stents in Endoscopy totaling $21K

                           13,145 CRM                     Increase from 1 ICD in 2016 to 3 ICD in 2017 totaling $33,029
                                                          Decrease from 9 Pacemakers in 2016 to 6 Pacemakers in 2017 totaling ($13,837)
                                                          Decrease from 22 leads in 2016 to 4 leads in 2017 totaling ($7,382)
                           (2,213) Valves

          Non-Cardiology Implants
                         (158,961) Spine                  Increase in spinal fusion procedures from 14 in 2016 to 24 in 2017
                                                          Cost per procedure up slightly from $8,745 in 2016 to $8,817 in 2017
                                                          Spending over prior year by $39K
                         (150,977) Ortho
         Variance Analysis  Other  CATH Lab               Over budget by $353K and over prior year $101K
                                                          Increase in knee revesions from 6 in 2016 to 11 in 2017 adding $83K

                         (533,331) Other
                                                                               Over Budget by $129K
                                                                          5 Watchman procedures totaling $85K
                                                          Biologics used in spine procedures totaled $50K
                                OR
                                                          Wright Medical Bone Graft Augment used in Podiatry service line totaled $42K
                                                          Over budget by $56K
                                Wound
                                                          28 TIM grafts totaling $56K

                             150 Dietary
                          (44,903) Blood

                           6,481 Endomechanical

                                                                78 Other Non-Medical  Spending in line with run rate and 2018 budget
                                                       (21,168) IV and IV Sets  New 2018 budget set to $79K to account for reclassifications
                                                        39,795 Physical Plant/Maintenance  Savings due to Clinical Engineering transition to GE
                                                       (26,254) Laboratory  Under prior year by $2K and close to 2018 budget
                                                       (13,825) Chemistry Supplies  Under prior year by $25K and in line with 2018 budget
                                                         (2,108) Radiology
                                                        12,682 Office
                                                       (21,007) Minor Equipment Non-Medical
                                                              484 Suture
                                                          Increase in Intuitive Surgical Supplies totaling $6K
                                                          Spending through Medline previously through MS totaled $11K
                                                       (42,558)  Crossroads Extremity Motoband supplies totaled $7K previously in implants
                                                          $10k in progressive medical instrumentation purchases at beginning of month that was
                                Instruments               budgeted
                                                           5,701 Minor Equipment Medical
                                                        34,055 Linen & Laundry  Supplies reclassified to purchased services
                                                        84,786 Freight  Medline LUM fee reclassified to purchased services
                                                              162 Housekeeping & Laundry
                                                             (748) Contrast Media
                                                              853 Gases, Medical
                                                           1,278 Forms
                                                              248 Fuel (aircraft & auto)
                                                              886 Uniforms
                                                              150 Film, Radiographic
                                                             (344) Anesthesia
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