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Neuro volumes totaled $129K, primarily 7 Solitaire  Intraluminal Support ($22K);  Incremental Impact: $129K ($16K). Megadyne transducer pad replacement ($13K).   Incremental Impact: $104K  (284K) and hematopoietic agents ($120K).  over PY ($22K). Incremental Impact: $63K  Open Heart volumes up 181% ($25K).   Spine Volumes up 44% ($178K)  Incremental Impact $132K  Incremental Impact: $121K 4 Impellas vs avg of 1 ($70K); 6 Watchman ($108K); 1  CardioMEM ($20K); 16 Coils ($31K); Incremental Impact $229K $75K in Coils incorrectly classified as owned inventory-   Pending response from Food Services Director



                  Comments  Revascularization Devices ($46K), 7 Emboshield ($10K), Lvis JR  IOS over budget ($63K).  Purchasing own perfusion supplies  Increased urchin positioners for open heart cases.  ($6K).   Higher oncology drugs utilization in antineoplastic agents   5 Endo AAA Vascular stents ($41K).  Cath Lab volumes up 44%   EP Volumes steady.  7 Loop Recorders vs avg of 4 ($15K); 1  Micra Transcatheter for Loop Recorder procedure ($9K); Case  mix required more leads ($23K). Incremental Impact: $47K  Ortho volumes up 82% overall ($62K); Revisions up 500% ($69K)  Spine Volumes up 44% ($70K). 1 Neurostim ($17K); Speci











                  Department  Cath Lab  OR                                   OR     Cath Lab  corrected.






                  Supply Category  Med Surg  Drugs  Stents  CRM  Valves  Spine  Ortho  Other     Other Non-Medical  Physical Plant/Maintenance  (3,210) Minor Equipment Non-Medical  (438) Minor Equipment Medical  Linen & Laundry  (535) Housekeeping & Laundry  Film, Radiographic  Radiopharmaceuticals  Inventory Variance  Premier Incentive  Rebates & Incentives



                                                                                          (60,812) Dietary  (13,506) Blood (34,862) Endomechanical  28,023  (42,971) IV and IV Sets  10,832  (51,817) Laboratory  (3,817) Radiology  Office  10,145  Suture  13,503  (16,137)  Instruments  1,163  Freight  7,908  (36,684) Contrast Media  Gases, Medical  2,288  Forms  4,110 (1,819) Fuel (aircraft & auto)  Uniforms  1,859  25  6,619  (1,647) Anesthesia  Dept Transfers  121,003  27,462  24,066  125,179 (2,318) Purchase Discounts



                  Budget Variance  ($227,785)  ($131,772)  ($57,316)  ($27,659)  ($25,447)  Non-Cardiology Implants  ($134,655)  ($76,393)  ($481,528)



                     Med/Surg        Drugs  Cardiology Implants                          Other Expenses  Lima Variance Analysis
   95   96   97   98   99   100   101   102   103   104   105