Page 5 - Mercy MOR All Regions_FinalwithVideo

Cincinnati Variance % Variance -4.4% $19,780,042
Key Performance Indicators Net Patient Revenue $1,923 $115,426,249 $1,061,958 -1.1% $110,209,039
Budget
Actual
Prior
Metric
$20,455,167
$19,596,771
Supply Expense
($858,396)
0.9%
$116,488,207
0.6%
3.5%
Supply Expense % Net Patient Revenue
17.9%
17.0%
17.6%
($21)
$1,929
Supply Expense per EIPA
$1,902
5,189
5,564
5,341
7.2%
375
Total Admissions
29,454
Total Patient Days
30,516
5.0%
29,070

1,446
10,306
329
3.2%
10,635
10,253

Total EIPAs
IP Surgeries
2,283
4.6%
100

OP Surgeries
2,180
2,183

-6.2%
2,983
3,181
(198)
Total Surgeries
3,201

-14.3%
266
(38)
Outpatient Cath Lab Procedures 700 997 (297) -29.8% 1,021
228
249
Site Performance Summary
Overall supplies were over budget by $912K and over prior year $729K. Supplies per adjusted admission was $18 over budget and $1
under prior year. Implants ($1,131K) and Medical Surgical supplies ($496K) was the driving force behind the budget variance. CRM
implants had a large decrease due to 41 additional procedure over prior year adding $428K to the variance. Medical surgical supplies
were increased due to excess supplies to support influenza ($175K), increased ablation supplies at Fairfield to support new physician
($144K) and increase in external fixation and robotic procedures at Jewish ($80K). Pharmaceutical supplies were favorable to budget
primarlily due to less complex drugs needed for Jewish transplant volumes. Other expenses were aided by a large rebate and incentive
pickup of $619K from Medtronic, Roche and Johnson and Johnson.
Key Challenges
Fairfield: Added new Physician in December 2017 driving up ablation supplies by $144K
Cincinnati Leader's Summary
Region: Additional cost for supplies due to influenza totaled $175K. This hits multiple categories,
Med/Surg but the medical surgical cost center bears the most of these expense
Jewish: Over budget $113K and over prior year $85. Increase in one external fixation procedure
adding $50K in cost over prior year. Increase in $30K for Intuitive Surgical supplies to support
increase in 11 robotic procedures.
Reduction in high cost Jewish Hospital transplant regimens (Atgam, Carmustine, and Mozabil)
attributed to large favorable variance of $416K over prior year
Increase at West of $165K over prior year driven by an increase in 13K pharmacy orders over
Rx
prior year
CRM implants over budget by $388K. Increase in 14 pacemaker ($48K), 15 ICD procedures
($250K), 54 leads ($54K) and 12 Loop recorders ($58K)
Volume down from 265 cases in 2017 to 261 cases in 2018
Increased volume for hip revisions (6), shoulders (8) and ankles (1) added $131K
Implants
Decreased volume in hips (13), knees (5), and knee revisions decreased costs $254
Average cost per knee decreased $452 and average cost per hip decreased $200
Cardiology implants for Watchman and Impella catheters added $87K. Orthopedic hardware
vendors increased spending by $151K.
Rebates and incentives from Medtronic, Roche and Johnson and Johnson had a favorable
variance of $619K
5 order days for the regional lab this month adding $85K. Jewish reagents increase $31K over
Other Expenses
prior year. Overages were identified and booked to inventory by month end.
IV and IV sets continue to exceed budget due to supplies previous classified under a different
category for IV catheters and IV sets. Impact of flu totaled
Actions Taken/Planned:
Placed multiple supply overages into inventory including ablation supplies, laboratory reagents,
Inventory Transfers
kyphoplasty supplies, and Aquamantys supplies
Accruals Indentified high dollar accruals at Fairfield and Jewish to remove.
Supply Orders Held multiple non-essential supply orders to reduce financial imapact at the end of the month