Page 29 - Mercy MOR All Regions_FinalwithVideo

Key Performance Indicators Metric Clermont Hospital Variance ($24) % Variance -2.6% $10,119,665
Budget
Prior
Actual
($41,011)
$1,605,070
$1,564,059
Supply Expense
$1,362,935
($175,927)
Net Patient Revenue
$10,461,389
$10,285,462
-1.7%
13.5%
15.6%
15.0%
0.6%
Supply Expense % Net Patient Revenue
4.0%
-2.4%
$1,005
$867
$1,029
Supply Expense per EIPA
684
12
667
679
1.8%
Total Admissions
2,752
2,981
Total Patient Days

-3.3%
2,883
(98)
0.3%
1,560
1,572
4
Total EIPAs

1,556
45
82
IP Surgeries

73
519

OP Surgeries
538
19
3.7%
634
601

583
(18)
-3.0%
Total Surgeries
Site Performance Summary (37) -45.1% 561
Clermont was $47k over budget in supply expense this month, while missing net patient revenue by $152.5k. Implant other had an
increase of $40k accounted for by Dr. Wiggins increasing case load at Eastgate Surgery Center from 9 cases in 2017 to 28 in 2018
accounting for an additional $39k in implant other spend. New Drs. on-boarding also accounted for variances in Instruments ($25k over
budget) and Minor Equipment ($30k over budget.) $11.5k instrument set purchased for Drs. to perform ACL surgeries as up to this point
those instruments have been borrowed from other facilities, and new Drs. are planning on increasing number of these surgeries
performed. $12k instrument set purchased by Eastgate Surgery Center for new Dr. to perform shoulder surgeries at this site. This will be
a new procedure for this site. $8,500 worth of GI equipment was purchased by Ambulatory Nursing for new GI Dr. $10k worth of
computers purchased for BHI unit by IT also contributed to the budget overage for the Minor Equipment category.
Clermont Hospital Leader's Summary
Key Challenges
$23k increase in flu related supply expense over 2017
Med/Surg
24k in Activase purchased in 2018, none in 2017
Rx 21k in Firazyr purchased in 2018, none in 2017
17k in Entyvio purchased in 2018, none in 2017
Spinal implants were right on budget. Dr. Danko performed last 2 pump insertions at Eastgate,
and I would anticipate this supply expense to come in under budget in the coming months
Implants Orthopedic joints was $26k under a budget of $59k, attributable to the lack of total joint cases in
January.
Dr. Wiggins increasing case load. Performed 28 cases in 2018 compared to only 9 in 2017. This
contributed to $39k in additional implant other spend
$24k of Instrument spend for new surgeons to perform cases at Eastgate and Clermont
10K in computers purchased by IT and charged to BHI. 5k for Bravo recorder purchased for new
Other Expenses
GI physician. $3,500 for new storage cabinet for scopes.
Actions Taken/Planned:
Converted to 2 port primary tubing vs. the 3 port that was being used. Conversion took place at
the vey end of January, so cost savings will begin to show in February.
$30k of over ordered product for the Surgery department transferred to perpetual inventory.
Dr. Danko performed his last 2 cases at Eastgate Surgery Center. This has been a driver of supply
expense over the past year, and has not seen the revenue to support it.
Sure up process of ordering implants prior to surgeries. 2 are ordered and 1 needs to be
returned, and this month we had 1 item that is still awaiting return.