Page 64 - CombinedTest_Neat

Medical Surgical
$307,878 Over budget by $38K. 21 Neurointerventionalist cases- Emboshield, Micro Caths,
Cath Lab
Revascularization Devices, misc caths, guidewires, sheaths ($44K)
Over budget by $50K (12%), revenues up 16%. New supplies for Dr. Sirac’s Maze and
OR Mitos-Cruz's vascular procedures ($15K). Ordering our own Perfusion supplies ($7K).
Neuro stimulator supplies ($4K).
CV Surgery under budget by $27K (33%)

Home IV Therapy 6 month usage of enterals/nutritionals held for pricing dispute ($106K)
Reallocation of $101K to Endomechanical ($74K)and IV/IV Sets ($28K)
307,878 Total
Drugs
841,645 Chemo volumes down 15% in December. Positive variance due to $902K inventory
adjustment for Employee Pharmacy and OP Oncology inventory increases.

Cardiology Implants
46,347 Stents Cath Lab volumes under budget by 9%, saving $20K.
Abbott Xience stent usage (63) triple the usage of Boston Scientific’s Promus stent
(21), totaling $26K in savings.
New neurointerventional volumes driving usage of specialty carotid stents ($10K).
Dathan has confirmed pricing is good.
Stent per case utilization down 20% in December due to case mix/patient need
totaling $8K in savings.
(187,153) CRM Cath Lab over budget by $140K (52%).
10 Loop recorder cases vs avg of 5 ($24K).
7 Cardiomem procedures, which just started in November ($133K)
(37,786) Valves Very high open heart volumes requiring valves. Did 19 cases vs 13 cases (only 2 valves
used) in 2016 ($31K). Also, 5 new Maze procedures ($8K)
(178,592) Total
Non-Cardiology Implants
(165,836) Spine Over budget by 50%. Volumes over PY by 14%, nearly all fusions ($59K). 5 stimulators
vs 0 in PY ($86K).
(105,724) Ortho Over budget by 70%. Ortho volumes up 52% vs prior year ($53K). Also, did 4x more
Revisions, 1 elbow vs prior year ($60K).
(128,493) Other
Over budget by $32K (31%); 2 impellas vs avg of 1 ($25K); 5 occluders vs avg of 2
Cath Lab
($26K); 3 Watchman ($51K)
Over budget by $93K (31%); Increased spine volume drove increase of Grafton and
OR
Infuse ($49K); Leads for 5 Neurostimulators cases ($11K); Shunts for Neuro ($10K)
Wound Over budget by $5K (133%). Used 6 skin grafts vs avg usage of 1 ($3K).
(400,053) Total
Other
31,982 Dietary
(26,674) Blood Increased volumes of Open Hearts.
(70,318) Endomechanical Reallocation from Med/Surg
(20,794) Other Non-Medical Continued strong performance throughout 2017.
(25,837) IV and IV Sets 15 skus that were formerly charged to med/surg.
43,369 Physical Plant/Maintenance
Laboratory Correct variance is positive to budget by $160K due to offsetting dept transfer of
(164,335)
$324K to NVML joint venture.
Radiology Consistently over budget in 2017 due to non-budgeted supplies for new CT injectors.
(10,130)
5,441 Office Continued strong performance throughout 2017.
18,268 Minor Equipment Non-MedicalContinued strong performance throughout 2017.
13,505 Suture
Instruments Large volume of misc instrument purchases/replacements to minimize flashing per
Joint Commission standards. High surgical site infection rate due to low inventory of
(90,645)
necessary instruments ($64K). New instruments for new Neuro & ENT phsysicians
($26K).
(20,397) Minor Equipment Medical Multiple purchases for several physician practices.
12,744 Linen & Laundry
17,901 Freight
10,045 Housekeeping & Laundry
(13,515) Contrast Media Higher utilization in CT ($11K).
(4,625) Gases, Medical
(83) Forms
(149) Fuel (aircraft & auto)
(7,734) Uniforms