Page 63 - Mercy MOR All Regions_FinalwithVideo

Budget Variance Supply Category Department Comments
Med/Surg
Over budget by $54K and over prior year $7K. Increase in
Cath Lab Medtronic Kyphoplasty kits ($7K), Terumo angioseal devices
($12K), EKOS catheters ($6K) and Jugular Filters ($7K)
($232,173) Med Surg
Over budget $113K and over prior year $85. Increase in one
external fixation procedure adding $50K in cost over prior year.
OR
Increase in $30K for Intuitive Surgical supplies to support
increase in 11 robotic procedures.
Drugs
$228,926 Drugs
Cardiology Implants
Increase in 5 esophegeal stents in Endoscopy adding $12K
($21,479) Stents Increase in 2 carotid stents in Cath Lab adding $3K
Increse in 1 Boston Synergy stent adding $1K
Increase in 4 ICD procedures totaling $80K
($109,158) CRM
Leads increased by 21 items adding $25K
Decrease from 2 valves in 2017 to only 1 valve in 2018. Only
$8,953 Valves
valve ordered in 2018 was the Edwards Magna Ease valve ($6K)
Non-Cardiology Implants
Increase from 16 spinal fusion cases in 2017 to 24 spinal fusion
($65,178) Spine cases in 2018. Average hardware cost per procedure increased
from $8,526 in 2017 to $8,674 in 2018
Overall spending on total joints down $120K from prior year.
Jewish Hospital Variance Analysis
Main drivers were decreases in 22 total knee procedures
$3,705 Ortho ($110K).
Knee revisions were even over prior year, but cost decreased
$48K
Increase in spine biologics over prior year totaled $57K
Increase from primary hardware vendors (Stryker, Synthes, and
Arthrex) increased $87K over prior year.
Hip Pinning ($25K), Ankle Internal Fixation ($13K), Elbow
internal fixation ($8K), Tibia nail insertion ($7K), Femur internal
OR
fixation ($6K),
($243,211) Other Surgical One Sealant $18K for Craniotomy increase 8 over prior
year
Increase in Caro Allografts for Podiatry totaling $19K
Increase in Codman valves for Shunt Insertions totaled $10K
Cath Lab Increase in 2 Watchman procedures totaling $34K
Other Expenses
(57,930) Dietary
36,038 Blood
18,989 Endomechanical
(7,906) Other Non-Medical
IV Catheters ($12K) and IV Start Kits ($5K) were previously
(30,078) IV and IV Sets classified as medical surgical supplies.
Increase among various solutions totaled $12K
13,135 Physical Plant/Maintenance
Moved $21K of reagents to inventory
(32,873) Laboratory Luer adapters and vacutainers previous classified as medical
surgical supplies ($5K)
24,307 Chemistry Supplies
(455) Radiology
9,964 Office
9,258 Minor Equipment Non-Medical
3,516 Suture
$8K of supplies through Medline previously categoriezed as
(12,090) medical surgical or endomechanical.
Instruments Replacement instruments for a shoulder tray totaled $6K
(2,136) Minor Equipment Medical
32,397 Linen & Laundry
8,359 Freight
3,279 Housekeeping & Laundry
6,296 Contrast Media
(4,390) Gases, Medical
682 Forms
(42) Fuel (aircraft & auto)
131 Uniforms
21 Film, Radiographic
(472) Anesthesia
17,182 Inventory Variance
18,113 Premier Incentive
127,814 Rebates & Incentives
(2,709) Purchase Discounts