Page 65 - Mercy MOR All Regions_FinalwithVideo

Key Performance Indicators Metric $1,503 West Hospital Variance $151 % Variance 13.5% $1,523
Actual
Prior
Budget
$86,414
$3,484,500
$3,398,086
Supply Expense
2.5%
$3,109,110
4.0%
$20,974,880
$800,206
Net Patient Revenue
$18,732,217
$20,174,674
16.6%
-1.1%
17.3%
Supply Expense % Net Patient Revenue
16.2%
-6.4%
9.1%
$1,654
Supply Expense per EIPA
Total Admissions
1,094
1,242
148
1,100
13.8%
5,592
680
4,912

5,038
Total Patient Days
2,107
Total EIPAs
154
2,261

2,041
7.3%
IP Surgeries
OP Surgeries
14
420
3.4%
406

307
592
(33)

-5.6%
510
559
Total Surgeries

Outpatient Cath Lab Procedures 139 186 (47) -25.3% 203
64
49
(21)
43
-32.8%
Site Performance Summary
Overall supplies were under budget by $173K but over prior year $202K. Supplies per EIPA under budget by $190 and under prior year
by $58. Supplies for over budget for implants ($52K) and pharmaceuticals ($68K). The unfavorable variance for implants was driven by
volume increases in the orthopedic service line. Total knee procedures increased 25 cases adding $86K in cost over prior year. The new
orthopedic joint contract yielded savings of over $600 per total knee and total hip case over prior year. Volume increases from other
orthopedic procedures drove up cost in implant other through Stryker, Zimmer and Synthese totaling $53K over prior year. Medical
surgical supplies were under budget due to decreased volume in the Cardiac Cath lab compared to budget with thier gross charges at
17% under budget saving $98K. Other expenses were favorable due to large rebates from Medtronic, Roche and Johnson and Johnson
totaling $179K for the period.
Key Challenges
West Hospital Leader's Summary
Increase in 24 Biosense Webster ablation catheters added $63K in expenses to the Cardiac Cath
Lab over prior year
Increases in 3 Cardivascular Systems Diamondback devices added $10K in expenses to Cardiac
Med/Surg
Cath Lab over prior year
iAssist knee kits and cement mixing supplies to support volume increases in total knee
procedures added $12K to Surgery over the prior year
Increase of 13K pharmacy orders (7%) over prior year due to increased patient volume
Rx Increased spending for isoproterenol of $24K compared to run rate due to one complex patient
Increase in inhaled medications by $5K to support increased demand of respiratory supplies due
to influenza
Increase in 25 total knee procedures adding $86K in additional cost over prior year. Decrease in
total hip procedures decreasing $24K over prior year
Cost per procedure for total knees down $646 per joint and total hips down $673 per joint over
Implants
prior year due to new orthopedic joint contracts
Increase in Stryker, Zimmer and Synthes implants totaled $53K
Rebates from Medtronic, Roche and Johnson and Johnson totaled $179K
Inventory variance was budgeted at a negative $24K. This will cause overages throughout the
Other Expenses
year as we strive to keep invenory variance to a minimum
IV and IV sets continue over budget since reclassification from the medical surgical gl code was
realized in the second part of 2017 and not during the budget period
Actions Taken/Planned:
Holding Orders Held one non essetial plant maintenance order
Accrual Review Reviewed outstanding PO accruals for large amount that could be reversed
Order Denials Denied one EVS order for a fax machine that should go through IT