Page 18 - Mercy MOR All Regions_FinalwVideo

Anderson Hospital
Key Performance Indicators Metric $1,920 Budget $1,963 Variance 0.5% % Variance -2.6% $20,416,263
Actual
Prior
$3,911,837
$4,106,437
$3,814,047
($97,790)
Supply Expense
($76,416)
-0.4%
Net Patient Revenue
$20,784,230
$20,860,646
2.7%
20.1%
Supply Expense % Net Patient Revenue
18.8%
18.3%
2.2%
$43
Supply Expense per EIPA
$2,036
1,187
75
1,219
Total Admissions
1,144
6.6%
4,925
408
Total Patient Days
5,083
8.7%

4,675
Total EIPAs
94

2,017
2,037
1,943
4.8%
IP Surgeries
543
478

506
OP Surgeries
13.6%
65
733
755
-1.8%
(13)
Total Surgeries
720

54
64
(10)
-15.6%

Outpatient Cath Lab Procedures 177 255 (78) -30.6% 249
71
Site Performance Summary
Anderson is over budget by 107k in total supply expense primarily due to increased volume in the cardiac cath lab space. Supply expense
per EIPA $1,925, down $48 to budget and $111 under prior year. 4 additional pacemakers ($21k increase), 2 additional AICDs ($20k
increase) 5 additional BIV ICDs ($66k increase) and 7 additional leads($5k increase) led to a $146k spend over budget. 4 Additional
ablation cases done in January 2018 contributing to $15k in additional Med/Surg spend. Flu cases are up compared to January 2017 and
flu related item expenses are up 11k over spend in January 2017. Spinal implants were over budget $13k. There were 2
Neuromodulation cases done in the Outpatient Surgery Center totaling $33k in total supply spend.
Anderson Hospital Leader's Summary
Key Challenges
11k increase in Flu related supplies over 2017 numbers.
Med/Surg 4 Additional ablation cases done in the cath lab contributing to $15k in additional spend
Aquamantys usage decreased from 30 uses in 2017 to 10 uses in 2018
$36k reduction in Remicade spend $44k down to $8k
Rx $23k of Activase purchased in 2017 and none in 2018
$16k of Isuprel purchased in 2017 and none in 2018
CRM volume up in all categories account for $146k over budget in the category. Average cost per
procedure dropped for most procedures with the exception of pacemakers due to new
technology
Implants Orthopedic volume was flat year over year with reduction in average case cost for total hips,
knees and shoulders
2 pain pump cases done by Dr. Buffington in the Outpatient Surgery Center totaling $34k in
spend.
IV and IV set spend continues to be over budget. Contributing to this is the IV catheters that were
classed as Med/Surg supplies last year, and increased spend in IV solution
$51k in Davinci instrument spend for Davinci XI. This includes $13k in spend for instruments that
Other Expenses
were purchased from a 3rd party discount provider
Actions Taken/Planned:
$8625 in total savings by purchasing Davinci Instruments and Myosure through West Coast
Medical.
Bulk buy of Aquamantys done saving $3,029. Unused product placed into a perpetual inventory
account.
Spinal implant cases to be evaluated, specifically pain pump and stimulator cases done by Dr.
Buffington in the Outpatient Surgery Center.
Increasing amount of items in Cath Lab perpetual inventory to more closely align costs with in
period revenue.