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Site Performance Summary:


                                             Supply expense over budget by $55.9K despite admissions, total pateint
                                             days & IP/OP surgery volumes down 10%, 5%, 7% & 25% respectively.
                                             Primarly driver of varaince was the transtion of several clinical entitities to
                                             hospital departments ($42.3K)  & Central Store inventory adjustment
                                             ($17.8K). Surgery vloume decline attributed to Dr Thomas being out of
                                             country for 1/2 the month & Dr Davis is no longer performing cases


                   Key Challenges: 2-3 key contributors for each expense subaccount
                                             Additional Kyphoplasty supplies  - Incremental impact $23.k



                 Defiance Leader's Summary
                                             Clinical enties that transioned to hospital accounts - Impact $12.7K
                           Med/Surg











                               Rx




                                             Total joint volume up slightly from PY. Incremental impact $18.7K


                                             Implant Other - Mesh usage for treatment of large hernias & wounds.
                            Implants
                                             Incremental impact $19.2K





                                             Lab, Radiology & Contrast Media subaccounts impacted by clinical enties
                                             transtioing to hospital accounts. Impact $42.3K


                         Other Expenses







                   Actions Taken/Planned:
                          Volume Data
                           Alt Sourcing
                        Capital Avoidance
   84   85   86   87   88   89   90   91   92   93   94