Page 51 - CombinedTest_Neat

Site Performance Summary:

KY supply expense is unfavorablet 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 $491K in
inventory variance from physical inventories due to a duplicate surgical tray
entry in 2016. Our Implant other is unfavorable by $248K due to $47K in
Breast reconstruciton implants, $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, $8,500 in Aquamantys due to less utilization on knees,

Key Challenges: 2-3 key contributors for each expense subaccount
Lourdes Leader's Summary
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
340B savings at $100K for December 2017
Rx

Neuro- 4 stimulators were placed with total cost of $95K. 2 Medtronic and 2
Boston Sci. 2 Pain Pumps were also placed at $20K. Last year's nuero spend
hit $426K, yet we only budgeted for $281K. We spent $329K.
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
(2 cases), and 2 Occluders at $20K. Increased usage on Neuro Biologics
infuse and Nannos totaling $25K, and the 4 impellas for $100k that use to
Lab expense is an unfavorable variance of $72K partially due to $5200 of old
invoice received in during clean up and $8600 spend in flu kits. Also, an order
of Pap smear vials at $5600 was ordered this is ordered twice a year. Was
Minor Medical Equip- Surgery ordered 2 additional stainless tables $2k, IQ
Other Expenses Power Driver $4k, wilson frame pad replacements- $4900, and two
handpieces replaced $9k. Pharmacy had to buy flexlock for all refrigerators
that link to Omnicell$4k. Radiology replace leg supports on table $2k. 5th
IV and IV Sets- 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 LR 3,000 costing roughly $1 more per bag due
Actions Taken/Planned:
Volume Data
rd
Alt Sourcing Total 3 party vendor savings: $6,400 in savings.
Capital Avoidance