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St. Vincent Medical Center
 Key Performance Indicators  Metric                             $2,656  Budget $2,835  Variance $179  % Variance 12.9%                            $2,483
 Actual
                                      Prior
                              -0.2%
 $7,324,659
   $7,308,885
                ($15,774)
 Supply Expense
                                       $6,608,254
 Net Patient Revenue
               $1,717,635
 $43,784,208
   $42,066,573
                               4.1%
                                      $37,790,835
       17.4%
                                          17.5%
 16.7%
                              -4.0%
                   -0.7%
 Supply Expense % Net Patient Revenue
 Supply Expense per EIPA
                               6.3%
 1,551
 Total Admissions
                   177
      1,374
                                          1,542
                   (210)
                              -3.3%
      6,381
 6,171
                                          6,869
 Total Patient Days

                                          2,661
      2,578
                               7.0%
 2,758

 Total EIPAs
                   180
 IP Surgeries
 OP Surgeries
       677
                   (84)
                              -12.4%
 593

                                           562
                   (122)

                              -13.2%
       922
 800
                                           846
 Total Surgeries
       149
                     2
 Outpatient Cath Lab Procedures                                 207                                245                                 (38)  -15.5%                                284
 151
                                           134
                               1.3%

 Site Performance Summary
 St Vincent supplies expense totaling $7.3M is over budget $16,000 driven by a $252,000 credit for rebates and incentives.  There were
 budget variances in several expense categories.  Medical surgical supplies were under budget $306,000 driven by EP and Surgery.  The
 EP lab medical surgical expense as a percentage of patient revenue was 4% year over year the impact was $90,000.  The Surgery medical
 surgical expense as a percent of patient revenue was 1.4%, a year over year decrease of 2.6%, the impact was $532,000.  Heart Valve
 expenses were over budget $55,000 driven by an increase in the number of TAVRs implanted year over year, four this month and two in
 2017 resulting in a $60,000 increase in expense.  Implant Other over was budget $317,000 driven by several products, increase in penile
 implants ($41K), vascular products used by new physicians ($91K), expense reclassification of products to endo mechanical ($39K),
 increased vascular sealer product expense ($65K), and an increase in Pipeline devices used to treat aneurysms ($65K).  IV Sets over
 St. Vincent Medical Center Leader's Summary
 budget $45,000 due to product expense reclassification ($35K) and flu ($10K).  Increases in various expenses related to the flu total
  $47,000.
 Key Challenges
 Maintaining medical surgical expense as a percentage of revenue ratio in an environment of
      declining and increasing volume
 Med/Surg
 Rx
 Addressing procedures producing negative contribution margins, (e.g., penile implants, neuro
            stimulators )
 Determining contribution margins for Special Procedures, Radiant system not integrated with
 Implants
               EPIC
  Improving management of medical gas expense
 Other Expenses  Managing peaks and valleys associated with Davinci instrument expense
 Actions Taken/Planned:
 Scheduling meeting with surgery to address negative contriubtion margin for penile impnats and
 Implants
      spinal stimulators for incontinence.
 Implants  Working with Patty Hook and Terry Skiba to access/integrate Radiant information
 Other Expenses  Establishing online processing of medical gas invoicing
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