Page 173 - Mercy MOR All Regions_FinalwithVideo

St. Vincent Medical Center
Key Performance Indicators Metric $2,656 Budget $2,835 Variance $179 % Variance 12.9% $2,483
Actual
Prior
-0.2%
$7,324,659
$7,308,885
($15,774)
Supply Expense
$6,608,254
Net Patient Revenue
$1,717,635
$43,784,208
$42,066,573
4.1%
$37,790,835
17.4%
17.5%
16.7%
-4.0%
-0.7%
Supply Expense % Net Patient Revenue
Supply Expense per EIPA
6.3%
1,551
Total Admissions
177
1,374
1,542
(210)
-3.3%
6,381
6,171
6,869
Total Patient Days

2,661
2,578
7.0%
2,758

Total EIPAs
180
IP Surgeries
OP Surgeries
677
(84)
-12.4%
593

562
(122)

-13.2%
922
800
846
Total Surgeries
149
2
Outpatient Cath Lab Procedures 207 245 (38) -15.5% 284
151
134
1.3%

Site Performance Summary
St Vincent supplies expense totaling $7.3M is over budget $16,000 driven by a $252,000 credit for rebates and incentives. There were
budget variances in several expense categories. Medical surgical supplies were under budget $306,000 driven by EP and Surgery. The
EP lab medical surgical expense as a percentage of patient revenue was 4% year over year the impact was $90,000. The Surgery medical
surgical expense as a percent of patient revenue was 1.4%, a year over year decrease of 2.6%, the impact was $532,000. Heart Valve
expenses were over budget $55,000 driven by an increase in the number of TAVRs implanted year over year, four this month and two in
2017 resulting in a $60,000 increase in expense. Implant Other over was budget $317,000 driven by several products, increase in penile
implants ($41K), vascular products used by new physicians ($91K), expense reclassification of products to endo mechanical ($39K),
increased vascular sealer product expense ($65K), and an increase in Pipeline devices used to treat aneurysms ($65K). IV Sets over
St. Vincent Medical Center Leader's Summary
budget $45,000 due to product expense reclassification ($35K) and flu ($10K). Increases in various expenses related to the flu total
$47,000.
Key Challenges
Maintaining medical surgical expense as a percentage of revenue ratio in an environment of
declining and increasing volume
Med/Surg
Rx
Addressing procedures producing negative contribution margins, (e.g., penile implants, neuro
stimulators )
Determining contribution margins for Special Procedures, Radiant system not integrated with
Implants
EPIC
Improving management of medical gas expense
Other Expenses Managing peaks and valleys associated with Davinci instrument expense
Actions Taken/Planned:
Scheduling meeting with surgery to address negative contriubtion margin for penile impnats and
Implants
spinal stimulators for incontinence.
Implants Working with Patty Hook and Terry Skiba to access/integrate Radiant information
Other Expenses Establishing online processing of medical gas invoicing