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Key Performance Indicators  Metric                                  Willard Hospital  Variance ($120)  % Variance 19.3%  Prior  11.9%
 Actual
  Budget
                                        $268,790
 $309,453
    $249,424
                ($60,029)
                              -24.1%
 Supply Expense
                               4.0%
                                       $2,267,533
 $2,376,993
                 $91,952
 Net Patient Revenue
   $2,285,041
 13.0%
                   2.1%
 Supply Expense % Net Patient Revenue
       10.9%
 $1,068
                              -12.7%
       $948
                                          $980
 Supply Expense per EIPA
 Total Admissions
                                           58
        49
                              24.5%
 61
                    12
 237

       184

                              28.8%

 Total Patient Days
                                           214
                    53

                              10.3%
                                           274
 Total EIPAs

 290
                    27
       263


                                            8
         5
                     2
                              40.0%
 IP Surgeries
 7


 OP Surgeries

        80
 68
                              -11.8%
        85
                   (10)
 Total Surgeries
 75
                                           71

 Site Performance Summary  (12)  -15.0%                                 63
 Willard's supply expense was unfavorable to budget by 24.1% ($60K), mostly driven by excess drug spend ($53.6K) on high-
 dollar IV infusions. Additional areas of unfavorable spend included Implant - Ortho, Implant - Other, both driven by an
 increase in Inpatient volume (40% over budget). Unfavorable spend is also found in Med/Surg, and Lab, driven by increases
 in Admissions (24.5% to budget) and Total Patient Days (28.8% to budget) correspondingly contributed to these areas.
 Further, overall flu supply spend was $5.3K over prior year, specifically notable in Lab & IV/IV Sets subaccounts.
 Willard Hospital Leader's Summary
 Key Challenges
 High Admissions and Patient Days compared to both PY and Budget with influx of flu patients.
 Also had a few infrequent Med/Surg supply purchases of $1K+/EA  from the OR. Spend was
  unfavorable to budget by 15% for these reasons.
 Med/Surg
 Driven heavily by patient treatments requiring high-dollar drugs such as Keytruda and Krystexxa
     contributed $50K toward drug spend.
 Rx
 Ortho volumes increased over prior year, putting subaccount over by $5.5K; however, cost per
   case decreased an average of over $.8K/case.
 Implants
 Lab:  Supply spend unfavorable to budget by 24%, driven in-part by flu supplies as well as
           expanded testing.
 Instruments:  ($4.9K over budget); Additional instruments needed to support increased inpatient
 Other Expenses
             volumes.
 Actions Taken/Planned:
 Working to identify and review Pharmacy initiatives for 2018 that could be favorable to Drug
 Rx
            supply spend.
 Working with Surgery/OR Leadership on Instrument and Minor Equipment spend to identify
 Surgery/OR
          areas of need in '18.
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