Page 54 - Mercy MOR All Regions_FinalwithVideo

Jewish Hospital
Key Performance Indicators Metric $2,629 Budget $2,648 Variance 0.2% % Variance 12.3% $2,972
Prior
Actual
-5.4%
($251,215)
$4,937,190
$4,685,975
$5,189,322
Supply Expense
Net Patient Revenue
$23,522,511
$24,532,616
4.3%
$1,010,105
$23,476,704
22.1%
1.0%
19.9%
20.1%
Supply Expense % Net Patient Revenue
Supply Expense per EIPA
0.7%
$19
1,068
1,026
Total Admissions
9.9%
1,128
102
4,908
Total Patient Days
5,147
565

4,582
1,878
108
6.1%

1,770
Total EIPAs
1,746
IP Surgeries
344
398
OP Surgeries
15.7%
54

344

620
(10)
590
-1.7%
Total Surgeries
580
46
41
-34.1%
(14)
Outpatient Cath Lab Procedures 182 246 (64) -26.0% 276
27

Site Performance Summary
Overall supplies were over budget by $110K but under prior year by $394K. Supply expense per adjusted admission was below budget
by $88 and under prior year by $418. Unfavorable budget variance for medical surgical supplies ($232K) and implants ($364K) were
supported by favorable budget variances in pharmaceuticals ($229K) and other expenses ($217K). Implant cost were driven by volume
increases in the high cost service lines of CRM ($109K), Spine ($24K) and non-joint orthopedics ($87K). Medical surgical costs were
driven by complex internal fixation procedures ($50K), increased volume in robotic procedures ($29K), endoscopy catheters and clips
($23K). Other expenses was favorable due to rebates from Medronic and Johnson and Johnson totaling $127K. Increased supply
utilization of person protective equipment, respiratory and IV supplies increased $46K over prior year due to increase influenza volume.
Jewish Hospital Leader's Summary
Key Challenges
4 External Fixation procedures totaling $110,538 compared to only 3 the prior year totaling
$53,528. Price increase due to usage of the uncapped Stryker product for 3 of the procedures in
2018 vs only one in 2017. Increase in Intuitive supplies by $29K.
Increase in Medtronic Kyphoplasty kits ($7K), Terumo angioseal devices ($12K), EKOS catheters
Med/Surg
($6K) and Jugular Filters ($7K) increased costs in the Cath Lab
Increase in Endoscopy supllies for RFA catheters ($11K) and Resolution Clips ($12K)
Reduction in utilization of Atgam for transplants totaled $300K
Rx Reduction in utilization of Carmustine for transplants totatling $24K
Reduction in utilization of Mozobil for transplants totaling $58K
Increase in 5 ICD procedures ($102K) and 21 leads ($25K) added $127K in CRM implant costs
over prior year.
Increase in non-joint orthopedics ($87K), spine biologics ($57K), Watchman procedures ($34K),
Implants
Craniotomy procedures ($18K), and shunt insertions ($10K)
Increase in 8 spinal fusion cases added $55K in spinal implants over prior year
$127K in rebates and incentives due to Medtronic and Johnson and Johnson rebates
Laboratory reagents increase $31K over prior year. Overages were identified and booked to
Other Expenses
inventory at the end of the month
IV and IV sets continue over budget due to reclassification of IV catheters and IV start kits from
medical surgical supplies to this category the previous year
Actions Taken/Planned:
Summitted 3 separate items to inventory on the last day of the month totaling $40K. This
Inventory Transfers
includes six Kyphon Kits ($21K), 2 boxes of Resolution Clips ($8K) and Reagents ($11K).
Accruals Identified and removed two accruals totaling $60K from two order in 2017.
Held on $6K in supply orders at the end of the month mainly comprised of supply orders from
Supply Orders
the Laboratory.