Page 42 - Mercy MOR All Regions_FinalwVideo

Fairfield Hospital
Key Performance Indicators Metric $1,984 $1,764 142 % Variance -0.1% 1,257
Prior
Variance
Actual
Budget
($497,869)
$4,041,646
-12.3%
$4,539,515
$4,120,004
Supply Expense
$22,959,419
$885,516
Net Patient Revenue
$22,154,163
3.9%
$23,844,935
17.6%
18.6%
19.0%
Supply Expense % Net Patient Revenue
8.0%
1.4%
Supply Expense per EIPA
$1,800
($220)
-12.5%
3.0%
1,218
36
1,254
Total Admissions
5,206

2.8%
5,118
5,260

Total Patient Days
2,288

2,289
(3)

2,291

Total EIPAs
(72)
IP Surgeries
384
OP Surgeries
435
-11.7%
462
(51)

682
664
-18.5%
Total Surgeries
541
83
98
Outpatient Cath Lab Procedures 157 229 (123) -31.4% 220
104
6.1%

6
Site Performance Summary
Overall supplies are over budget by $547K and over prior year $469K. Supply expense per EIPA is over budget $236 and over prior
year by $205. Unfavorable variances for implants ($463K), medical surgical supplies ($209K) and drugs ($35K) made up the supply
variance for the month. Other expenses reduced the impact of these aformentioned categories by posting a favorable variance of
$160K. Increased cardiology volume for 13 additional loop recorders ($63K), 2 additional ICDs ($47K), 1 additional TAVR ($33K), 22
additional CRM leads ($16K) and 3 addional heart valves ($14K) added a total of $173K in expense over prior year. Medical surgical
supplies were also driven by the cardiology service line with an additional
17 ablations adding $132K in expense over prior year. Other expenses were favorable to budget by $160K due to increases in rebates
from Medtronic and Johnson and Johnson totaling $149K over budget.
Fairfield Hospital Leader's Summary
Key Challenges
Increase in Biosensense Webster ablation catheters added $132K in expenses to the Cath Lab
over prior year.
Med/Surg Supplies to support flu totaled $38K over prior year spending
Increase in 7 Kyphoplasty kits for special procedures totaled $25K over prior year
Increase in Isoprel of $18K over prior year
Rx Increase in Adreniline of $15K over prior year
Increase in Phenylephrine of $13K over prior year
CRM implants over budget by $179K and over prior year by $124K. Increase in 13 Loop
Recorders ($63K), 2 ICD procedures ($47K) and 22 leads ($16K) compared to prior year.
Heart valves over budget by $102K and over prior year by $53K. Increase in one TAVR ($33K)
Implants and three heart valves ($14K) from prior year.
Other implants over budget $163K and prior year $80K for surgery. Credit accruals for breast
implants ($49K), increase in spine bone grafts ($24K) and increase in sports medicine knotless
peak ($14K).
Rebates through Medtronic, Roche, and Johnson and Johnson totaled $147 over budget.
Increase in $11K over prior year for flu supplies. Additional increase in $27K for variaous
Other Expenses
solutions over prior year. Reclassification from other categories totaled $20K
Dietary expense is one month in the rears. Increase in December of 2017 due to a five week
invoicing month and larger expenses due to holiday parties.
Actions Taken/Planned:
Moved excess ablation supplies and drug eluting stents to perpertual inventories to reduce
Inventory Transfers
medical surgical supplies
Accruals $33K accrual reversed for Family Birthing Center PO that was received incorrectly
Supply Orders Held over $10K in supply orders at the end of the month.