Page 70 - CombinedTest_Neat

Medical Surgical
350,520 Cath lab Below budget
Drivers - Urology 12K lithoview disposable ureteroscope and adjunct items
correlates with increase in ureteral stent usage. Urology procedures 39 CY vs 25
OR PY.OBGYN cases - 52 CY vs44 PY 16K in ablation catheters , 10K in ligasure and 9K in
Myosure. 13K in pulse lavage (Zimmer) driven by increased orthopedic volume.
Inventory adjustment dropped this to below budget

Drugs
164,913 Drugs are under budget by $234,963 or 22.4% prior to Inventory adjustment due to
1. Total admissions 8% below budget
2. Patient days are 12% below budget
3. 340 B program fully functioning. Also anticipate net positive inventory variance of
$226,799.63
Cardiology Implants
Cardiac cath volume is below prior year (note budget only shows OP on statistical
39,993 Stents
report) 10 cases
Revenue is 10K over budget and 555K over PY in Cath lab
19,507 CRM
EP volume below budget - some revenue has been going to caht lab In 2018 they are
consolidated.
6,650 Valves
No longer do Open heart
Non-Cardiology Implants
(76,316) Spine Spinal volume is signifantly over prior year 13 fusions CY vs 5 PY leading to a 61K
volume impact. 1more neuro stimulators implanted CY than PY. Volume impact of
(99,013) Ortho Orthopedic colume was signifiacntly higher than PY 52 TJR CY vs 31 PY leding to a
volume impact of $128K
(6,609) Other CATH Lab Under budget
Lorain Variance Analysis Other (10,085) Endomechanical Wound Viabahn stents needs to be reclassed to stents. 7 Kyphoplastys CY vs 3 PY. 10 K in

9K spine cage needs to be reclassed. One more vascular case than PY however they
OR
aer higher dollar caes new Vacular Surgeon Dr. Nemeth. 90K in endo grafts. 3K

25,363 Dietary
14,377 Blood

had 5K of endomechanical reclassed from supplies med surg. 3K of ligasure needs to
be reclassed to supplies med surg. New Colorectal surgeon Dr. Ozuner utilizing more

endo emchanicals, shpincterotome etc. Increae in YOY colorectal and GYN cases 8
GYN cases YOY increase
4,964 Other Non-Medical

Issues with Baxter are causing irregular ordering and receipt of supplies. Prior month
(9,573)

was 23K below budget. YTD is 165K below budget
IV and IV Sets

(710) Physical Plant/Maintenance
See Chemistry variance-some PY Chem supplies are now in supplies lab. Lab also
(24,103) increaed order for seasonal flu supplies 13K. New Enteric pathogent testing not in PY
Laboratory $8,320 K
11,173 Chemistry Supplies see above
(1,688) Radiology
budget issue 0- Mktg budgetd 100K in office supplies all in Dec. 40K in supply chain
164,780
Office holding Co. not spread over rest of year. Budget issue.
7K of computer equipment ordered by IT reclassed from supplies office. 21K of
(43,390) outstanding PO's accrued. 10K of minor equipment expense to dietary that have not
received answer on, only shows up as AVI foodsystems no detal.
Minor Equipment Non-Medical
(1,930) Suture
Instrumentation for new Neuro surgeon Dr. Yoo. Will not use any of on hand
(93,452) insturments, too old. - Primary Driver. Also incremental instrumentation for Dr.
Instruments Ozuner (colorectal) and Dr. Nemeth Thoracic/Vascular.
13K variance MRMC (accrued 15K vital signs monitors outstanding PO's from earlier
in year. 11K variance from physician practices. 4K of Interventional suite costs need
(32,532)
to be reclassed to supplies med surg. Remainder practice equipment Stadiometer,
Minor Equipment Medical refrigerators etc.
1,171 Linen & Laundry
5,433 Freight
(77) Housekeeping & Laundry
(795) Contrast Media
672 Gases, Medical
22,709 Budget issue - non spread budget all loaded into December Holding company
Forms
24,911 Fuel (aircraft & auto) Non spread budget issue all loaded into December holind company
89,628 Uniforms A uniform replacment for Nurses was budgeted but not consumed.
434 Film, Radiographic
12,624 Radiopharmaceuticals
605 Pack & Gowns
35 Anesthesia
3,195 Dietary Utensils Disposable