Page 45 - CombinedTest_Neat

Site Performance Summary:

KY supply expense is unfavorable by $384K with admissions up 4%, Obs up
40%, CT 11%, MRI 49% and Surgery up 4.8%. ED admissions were down
17% and Cath is down 6%. The primary driver of our variance is the $485K in
inventory variance from physical inventories due to a duplicate surgical tray
entry in 2016. Our Implant other is unfavorable by $248K due to New
business in Breast reconstruciton implants $47K, $20k in Penile implants (2
cases), and 2 Occluders at $20K. Incremental usage on Neuro Biologics
infuse and Nannos totaling $25K, and the 4 impellas for $100k that use to
fall into Med/surg bucket. Spinal implants is ovebudget by $108K primarily
due to 4 Neuro Stimulators totaling $95K and 2 pain pumps totaling $20K,
as well as 4 high dollar cases that totaled $62K. We did get a savings of
$100K from 340B program and $8,500 in Aquamantys due to less utilization
on knees.
Kentucky Leader's Summary
Key Challenges: 2-3 key contributors for each expense subaccount
In OR the Aquamantis usage is down 48% over last year, using 17 less and
saving $8,500 on Dr. Patel Knee cases.
Specials used 10 more drug coated balloons than last year totaling $14k. 3
Med/Surg
angiojets used totaling $9k also not used in 2016.
Cath lab used 3 Cryo Arctic Caths and accessories- $20,445 that were not
used in 2016.
$122K increase in spend on chemo drugs for the month; Ocrevus, Rituxan,
Opdivo
Rx 340B savings at $100K for December 2017

Neuro- 4 stimulators were placed with total cost of $95K. 2 Pain Pumps
were placed at $20K. 4 multilevel with higher cost totaling $62K.

Ortho – Total Joint case volumes are under budget by 20% and 20% less
Implants
than 2016; $112k favorable to budget
Implant Other – New spend of $47K in Breast reconstruction, $20k in Penile
cases, and 2 Occluders at $20K. Increased usage on Neuro Biologics infuse
and Nannos totaling $25K
Lab expense is an unfavorable variance of $72K partially due to $8600 spend
in flu kits and an order of Pap smear vials at $5600 ordered twice a year.

Minor Medical Equip- Surgery ordered IQ Power Driver $4k, wilson frame
Other Expenses pad replacements- $4900, and two handpieces replaced $9k. Pharmacy had
to buy flexlock for all refrigerators that link to Omnicell$4k.
IV and IV Sets- Shortages Still shappening requiring larger bag utilization and
substitutes at higher pricing. Saved $2700 in IV tubing and J-Loops
standardization.
Actions Taken/Planned:
Volume Data
rd
Alt Sourcing Total 3 party vendor savings: $6,400 in savings.
Capital Avoidance