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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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