Page 44 - CombinedTest_Neat

Medical Surgical
132,744 CATH Lab Cath lab used 3 Cryo Arctic Caths and accessories- $20,445 that were not used in
2016.
OR Aquamantis usage down 46% over last year spending $8,500 less in 2017.
11 Bactisure used totaling $6,875 new spend
Specials used 10 more drug coated balloons than last year totaling $14k. 3 angiojets
Specials
used totaling $9k also not used in 2016.
Drugs
234,549 Pharmacy $122K increase in spend on chemo drugs for the month; Ocrevus, Rituxan, Opdivo
340B savings at $100K for December 2017

Cardiology Implants
6,840 Stents Gore Viabhan stent usage at 5, totaling $15K. These were not used in 2016
Incremental Icast stent to 4 totaling $11k only 3 used last year. Incremental spend of
$2,775.

(1,198) CRM
3 Quad MRI ICD $64K. No spend in 2016 on these.
71,867 Valves
4 Aortic Valves placed $25k
Non-Cardiology Implants
(103,059) Spine 4 stimulators were placed with total cost of $95K. 2 Medtronic and 2 Boston Sci. 2
Pain Pumps were also placed at $20K. 4 high dollar multilevel cases made up $62K
of the spend. Last year's neuro spend hit $426K (due to Dr. Couch addition), we only
budgeted for $281K. We spent $329K.
111,614 Ortho Ortho – Total Joint case volumes are under budget by 20% and 20% less than 2016;
$112k favorable to budget
Kentucky Variance Analysis
(248,256) Other
4 impellas at $100K were under med/surg last year and 2 occluders at $20k with no
CATH Lab usage Dec 2016
New spend $47K in Alloderm Breast reconstruciton implants, $20k in Penile implants
OR (2 cases), $42,885 in Medtronic Infuse spend vs $27K in 2016 and $39,500 in RTI
Nannos vs $30K in 2016.
Wound
Other
19,418 Dietary
4,094 Blood
(13,620) Endomechanical
12,875 Other Non-Medical $9k in dietary non-med supplies, waiting on detail
Still using larger bags of solutions in place of the smaller bags and subbing Dextrose
and LR smaller bags where feasible. 3000ml bags will get low and we will sub with
(23,226)
LR 3,000 costing roughly $1 more per bag due to limited Saline. Saved $2700 in IV
IV and IV Sets tubing and J-Loops standardization.
70,759 Physical Plant
Lab expense is an unfavorable variance of $72K partially due to $5200 of old invoice
(72,531)
received in during clean up and $8600 spend in flu kits. Also, an order of Pap smear
Laboratory vials at $5600 was ordered this is ordered twice a year. Was ordered in Nov 2016.
(1,846) Radiology
11,889 Office
Minor Medical Equip- Surgery ordered 2 additional stainless tables $2k, IQ Power
Driver $4k, wilson frame pad replacements- $4900, and two handpieces replaced
(605) $9k. Pharmacy had to buy flexlock for all refrigerators that link to Omnicell$4k.
Radiology replace leg supports on table $2k. 5th floor had to buy a new freezor bc
Minor Equip Non-Medical icepacks were no longer freezing $2K.
$6,905 Prineo used to fall under Med/surg. Cysto Pack not used in 2016 spend
(11,621)
Suture $1600.
Surgery Center spent $2k on insturments (basic scissors, dissectors, forceps) with $0
(1,076)
Instruments budget.
Surgery ordered 2 additional stainless steel tables $2k, IQ Power Driver $4k, wilson
frame pad replacements- $4900, and two handpieces replaced $9k. Pharmacy had
(29,619) to buy flexlock for all refrigerators that link to Omnicell$4k. Radiology replace leg
supports on table $2k. 5th floor had to buy a new freezor bc icepacks were no
Minor Equip Medical longer freezing $2K.
(84) Linen & Laundry M&W ordered $2400 in replacement linen.
$2K in capital purchases, $500 in motor for facilities, $3K in product subs and out of
(5,144)
Freight stocks being overnighted.
Facilities bought $800 of uniform replacements, QAC did not place a large order in
(2,313)
Housekeeping & Laundry November so both orders hit December.
(4,514) Contrast Media Incremental spend of $5k in MRI due to 49% increase in volume.
771 Gases, Medical
Homecare/Hospice ordered in custom books: A New Beginning & Specialized Care
(934)
Forms $3100
(146) Uniforms
- Film, Radiographic
(386) Anesthesia