Page 183 - Mercy MOR All Regions_FinalwithVideo

Budget Variance Supply Category Department Comments
Med/Surg
YOY med surg exp as a % of patient rev flat 4% (2018 & 2017), EP
EP
Lab revenue $5.6M on bud of $7M, 20% var - impact $90K
$306,034 Med Surg
YOY med surg exp as a % of patient rev dec to 1.4% (2018) vs 3%
OR (2017) - impact $532K
Drugs
St: Vincent: Ambulatory and Family Care pharmacies over
budget $91K and $74K respectively. Increase in revenue
($99,652) Drugs commensurate with expense increase.

Cardiology Implants
YOY lower stent price - impact $9,000
$18,549 Stents

($28,990) CRM Pacer/ICD vol inc YOY 26 (2018) vs 14 (2017)

St. Vincent Medical Center Variance Analysis
($55,227) Valves TAVR inc 2 YOY, 4 (2018) vs 2 (2017), impact $60,000
Non-Cardiology Implants
YOY overall neuro procedures dec 30%, 47 (2018) vs 67 (2017),
$4,711 Spine
fusion procedures inc 7%, 46 (2018) vs 43 (2017)
YOY general ortho procedures flat, dec 3%
($5,227) Ortho
TJR procedures dec 27%, 24 (2018) vs 33 (2017)
Penile implants YOY inc 2, 3 (2018) vs 1 (2017) - impact $41K
Reclass stapler reloader - impact $39K
OR Phasix mesh exp inc YOY, $31K (2018) vs $0 spend in (2017) -
impact $31K, Dura seal exp inc YOY, $23K (2018) vs $6K (2017) -
impact $17K
Pipeline device exp inc YOY, $65K (2018) vs $0 (2017) - impact
($316,510) Other Specials $65K, Angioseal exp inc YOY $21K (2018) vs $5K (2017) - impact
$16K

Vas products for Drs Hacker and Oriwo, $0.0 (2017) vs $60K
(2018),
Cath Lab
Angioseal exp inc YOY $39K (2018) vs $7K (2017) - impact $32K
Other Expenses
Exp one month behind, increase in holiday parties, additional
(45,633)
Dietary catering and 5th week in Dec.
- Blood
(19,560) Endomechanical Ligasure issues reclass fm med surg - impact $16K
6,211 Other Non-Medical
(44,677) IV and IV Sets IV sets, IV cath and IV start kits, reclass $35K, flu $10K
(6,622) Physical Plant/Maintenance Unexpected boilier repairs and lighting upgrade, impact $5,600
Reclass of glucose strips fm medsurg for 4B, ICU, CAR2, &
(7,946) Laboratory
LifeFlight - impact $6K
1,178 Radiology
12,327 Office
Power mic exp for peds, cardio, med ed - impact $7K,
(28,461)
Minor Equipment Non-Medical RHVC replaced task stools - impact $18K
YOY inc cath lab exp for vasc clos device 1 (2018) vs 0 (2017),
(6,463)
Suture impact $5K
30,764 Instruments YOY dec in Davinci inst exp - impact $35K
9,095 Minor Equipment Medical
38 Linen & Laundry
(10,481) Freight
9,304 Housekeeping & Laundry
204 Contrast Media
(13,274) Gases, Medical $27K prior period exp, $17K accrued - impact ($10K)
11,684 Forms
8,491 Fuel (aircraft & auto)
1,502 Uniforms
126 Film, Radiographic
1,053 Pack & Gowns
4,600
3,438 Inventory Variance
32,986 Premier Incentive
218,696 Rebates & Incentives Medtronic rebates
(8,044) Purchase Discounts