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Tiffin Hospital
                                                                                   Key Performance Indicators  Metric                                 201                                173                                  (94)  % Variance 16.2%                                180
                                                                                                                 Actual
                                                                                                                                        Variance
                                                                                                                                                                Prior
                                                                                                                             Budget
                                                                                                                                                                  $701,106
                                                                                                                                           ($47,209)
                                                                                      Supply Expense
                                                                                                                   $782,465
                                                                                                                               $735,256
                                                                                                                                                         -6.4%
                                                                                                                              $6,028,749
                                                                                                                                                         2.5%
                                                                                                                  $6,181,009
                                                                                      Net Patient Revenue
                                                                                                                                           $152,260
                                                                                                                                                                 $5,841,377
                                                                                                                                             0.5%
                                                                                                                                 12.2%
                                                                                                                                                                    12.0%
                                                                                      Supply Expense % Net Patient Revenue
                                                                                                                     12.7%
                                                                                                                                                         4.1%
                                                                                      Supply Expense per EIPA
                                                                                                                                                        -20.0%
                                                                                                                                 $888
                                                                                                                                            ($178)
                                                                                                                                                                    $873
                                                                                                                     $1,066
                                                                                                                                              28
                                                                                      Total Admissions
                                                                                      Total Patient Days
                                                                                                                                                                     536
                                                                                                                                                         9.8%
                                                                                                                      593
                                                                                                                                  540

                                                                                                                                              53
                                                                                                                                                                     803
                                                                                                                                  828
                                                                                                                                                        -11.4%
                                                                                                                      734
                                                                                      Total EIPAs

                                                                                                                       27
                                                                                      IP Surgeries
                                                                                                                                   21
                                                                                                                                                        28.6%
                                                                                                                                               6
                                                                                                                                                                      25

                                                                                      OP Surgeries
                                                                                                                                                                     303

                                                                                                                                  366
                                                                                                                                                        -13.1%
                                                                                      Total Surgeries
                                                                                                                      318
                                                                                                                                              (48)
                                                                                                                                                        -65.4%
                                                                                                                                   26
                                                                                                                                              (17)
                                                                                      Outpatient Cath Lab Procedures                                   291                                345                                 (54)  -15.7%                                278
                                                                                                                        9
                                                                                                                                                                      22

                                                                                                                    Site Performance Summary
                                                                                      Tiffin's supply expense for January was unfavorable to budget by 6.4% ($48.8K), mostly attributable to continuous growth from Oncology
                                                                                      services on Rx spend, Inpatient Surgery volumes up 28.6% to budget, as well as notable increases in Admissions (16.2%) and Patient
                                                                                      Days (9.8%) corresponding with the influx of flu patients.
                                                                                      Strong Inpatient and Ortho volumes contributed to unfavorable spend in the Implant - Ortho Joint and Implant - Other subaccounts,
                                                                                      respectively.
                                                                                      Lab's supply subaccount was also unfavorable to budget due to doubled spend on Flu Kits from PY (+3.6K) as well as an additional $3K
                                                                                      spend on supplies to kick off a new Hematology Analyzer. Overall, Flu supplies held an increase of $11.6K in spend over PY.
                                                                                                                         Key Challenges
                                                                                    Tiffin Hospital Leader's Summary
                                                                                                              Successfully maintained supply spend below budget despite increased Admissions, Patient Days,
                                                                                                                                    and Inpatient volumes.
                                                                                              Med/Surg
                                                                                                               Oncology continues to grow its volumes, including acceptance of transferred patients from
                                                                                                                            Willard due to maximum capacity reached there.
                                                                                                               High-dollar drug spend continues from Oncology services as well (i.e. Keytruda, Avastin, and
                                                                                                 Rx
                                                                                                                                       Neulasta).
                                                                                                                 Inpatient Volumes up 28.6% over PY and Ortho Volumes also saw an increase over PY.
                                                                                               Implants
                                                                                                                 Additional unfavorable spend attributed to IV's and IV Sets, Laboratory, and Physical
                                                                                                                                    Plant/Maintenance.
                                                                                             Other Expenses
                                                                                                                      Actions Taken/Planned:
                                                                                                               Working to identify and review Pharmacy initiatives for 2018 that could be favorable to Drug
                                                                                                 Rx
                                                                                                                                      supply spend.
                                                                                             IV's and IV Sets      Initiative set to convert from 3-port IV set to 2-port IV set, effective February 1.
                                                                                                             Scheduling meeting with several areas of Leadership to discuss subaccounts impacted by multiple
                                                                                                 All
                                                                                                                    departments to better control areas like Minor Equipment and Instruments.
                                                                                             Administration     Meeting with Administration to discuss potential of robotics addition by the end of 2018.
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