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Key Performance Indicators  Metric                              14.3%                                  89                                 (15)  % Variance 33.6%  Prior  11.5%
 Defiance Hospital
              Variance
 Actual
  Budget
                              -35.2%
                ($105,329)
                                        $224,644
 Supply Expense
    $299,067
 $404,396
                               1.3%
   $2,783,561
 $2,819,334
                 $35,773
 Net Patient Revenue
                                       $1,949,637
 Supply Expense % Net Patient Revenue
                   3.6%
       10.7%
 Supply Expense per EIPA
 $864
                  ($245)
                              -39.6%
       $619
                                          $660
 Total Admissions
 101
                                           101
                              13.5%
                    12
 273
                    50
       223
                              22.4%


 Total Patient Days

                                           255
       483
                              -3.1%


                                           341

 Total EIPAs
 468

                     1
                               7.7%
 IP Surgeries
 14
        13

       181
 137
 OP Surgeries



                              -22.2%
                   (43)
 Total Surgeries

 151
       194

 Site Performance Summary  (44)  -24.3%                             117  133   16
 Supply expense over budget by $96.5K. Admissions & total patient days were up to budget by 13.3% & 22.4%. Surgeries down 22% to
 budget but up 13.5% to PY.
 Primarly drivers of variance were Rx ($39.5K), Lab ($16.2K), Ortho ($12.8K) & Implant Other ($23.5K).
 Drug result of increased Keytruda ($18.3K) & Entyvio ($17.5K) usage, Lab driven by purchase of Flu test kits, Ortho volume increased
 three procuedures versus PY one of which was a knee revision.  Implant Other due to high $ mesh products used in abdominal & hernia
 cases.
 Overall flu related  supply expense was $14.2K
 Defiance Hospital Leader's Summary
 Key Challenges
 Med/Surg
 High dollar Oncology drug spend
 Rx
 Implants
 Flu test kit purchases - $18.5K
 Other Expenses
 Actions Taken/Planned:
 Reclass items to Ortho - $8.4K
 Convert 3 port to 2 port IV set
 Impact of departments moved to Hospital
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