Balanced Score Card Review of April 2016 Data 1
Balanced Scorecard Patient Finance Access Patient and Service User Quality Human & Resource Management Safety 2
Finance 3
CUH Finance Report – April 2016 Actual outturn Apr 2016- CUH Gross pay & non pay budget € 112.5m (2015 : € 108.3m) Actual pay & non pay € 115.2m (2015: € 111.8m) Actual Deficit € 2.7m (-2.4%) Less expenditure on transitional care € 437k Drug costs refunded by PCRS € 1.15m. Adjusted Deficit € 1.1m (-1%) (2015 : € 3.4m /3.2%) 4
Income Outturn April 2016- CUH Income budget € 26.6m (2015 : € 21.0m) Actual Income € 25.9m (2015 : € 24.2m) Actual Deficit € 667k (-2.5%) (2015 Surplus : € 3.2m/15%) Less accelerated income target € 1.14m Adjusted Surplus € 476k (1.8%) (2015 : € 3.4m /3.2%) Patient Income outturn April 2016- CUH Income budget € 21.5m (2015 : € 17.5m) Actual Income € 22.1m (2015 : € 20.0m) Actual Surplus € 547k (2.5%) (2015 Surplus : € 2.5m/14%) 5
CUH Group Summary – Budget v Actual Expenditure YTD April 2016 Total Pay € k Non-Pay € k Gross Income € k Net € k CUH (inc SMOH) -830 -1,894 -2,723 -667 -3,390 Less adj 0 1,589 1,589 1,143 2,732 CUH adj -830 -304 -1,134 476 -658 Mallow 28 -74 -46 79 33 Total Group adj -801 -378 -1,180 555 -625 6
CUH – Pay & Nonpay Budget Surplus/(Deficit) % 7
CUH – Patient Income Budget Surplus % 8
CUH Budget v Actual - YTD YTD 2016 YTD 2016 Aduustments Variance €k % Variance YTD Actual Budget €k Actual €k €k €k Pay 77,228 78,058 -830 -1.1% 75,757 Non Pay 35,268 37,162 -1,589 -304 -0.9% 36,025 Gross Spend 112,496 115,220 -1,589 -1,134 -1.0% 11,783 Income 26,607 25,940 1,143 476 -1.8% 24.17 Net 85,889 89,250 -2,732 -658 -0.8% 87,613 9
CUH Budget v Actual Pay YTD April 2016 Budget €k Actual €k Variance €k % Variance 2015 Actual €k Variance €k Medical/Dental 21,552 22,190 -638 -3% 21,377 -813 Nursing/Midwifery 29,636 29,446 190 1% 29,220 -225 Paramedical 10,778 11,068 -290 -3% 10,580 -488 Housekeeping 2,331 2,381 -49 -2% 2,133 -248 Care Assistants 2,331 2,315 16 1% 2,133 -183 Catering 1,415 1,393 21 2% 1,283 -110 Portering 1,947 2,018 -71 -4% 1,895 -123 Administration 6,184 6,131 54 1% 5,930 -201 Other Staff 1,053 1,116 -63 -6% 1,207 91 Total 77,228 78,058 -830 -1% 75,757 -2,301 10
CUH AGENCY WTE – 2016 Apr-14 Sep-14 Dec-14 Jan-15 Feb-15 Apr-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual A ctual Radiotherapist 9.40 4.00 4.87 2.78 2.0 0.95 0.95 0.95 0.9 0.95 0.24 Radiographer 0.09 0.05 0.06 Labs 12.04 13.40 11.0 12.19 3.0 1.0 0.95 1.0 Cardiac Techs 3.80 3.80 Physio 1.60 1.50 Pharmacy 2.00 1.00 Admin 23.40 9.08 9.36 14.1 14.0 9.3 3.0 0.93 Nursing 46.20 33.0 34.7 37.8 34.4 40.0 35.0 32.8 30.4 31.0 28.4 28.6 29.3 31.2 26.1 35.2 32.9 33.8 34.2 HCA 34.80 16.2 22.7 23.2 19.3 24.4 26.8 31.0 29.8 34.7 32.7 30.8 32.4 34.5 38.2 37.2 35.2 37.7 36.9 House-Keeping 10.40 0.16 Physics 4.30 2.6 1.6 1.09 1.0 0.92 0.87 0.92 0.75 0.59 0.62 0.66 0.25 0.5 0.46 0.46 0.47 0.47 0.47 Catering 3.00 8.5 2.0 2.7 1.8 1.8 2.6 2.7 6.9 8.4 8.4 3.9 1.2 1.1 0.9 1.2 1.2 1.2 1.4 Social Work 1.00 0.5 Occ Therapy 1.00 0.37 Dietician 0.50 0.3 Medical 11.00 5.27 4.77 4.4 3.92 6.35 4.7 5.1 5.86 3.39 5.79 7.97 14.34 10.35 15.73 9.0 0.72 1.74 1.72 Consultant NCHD 10.28 8.53 6.08 11 164.5 99.7 91.1 98.26 79.4 84.7 74.9 75.4 74.6 79.0 76.2 71.9 77.5 77.7 81.4 83.1 80.8 83.4 80.8
CUH AGENCY COSTS € k 2014-16 12
CUH Average Nursing & HCA Agency WTE’s per Week 2014 -2016 13
CUH Non Pay NON-PAY -YTD 2016 Budget Actual Variance Actual YTD 15 Diff 2016-15 8,289 9,786 Medicines (see note) -(1,497) 8,004 -(1,782) 9,344 9,068 Medical & Surgical 277 8,870 -(198) 1,511 1,663 Blood -(152) 1,581 -(82) 140 142 Medical Gases -(2) 123 -(19) 1,507 1,554 Medical equipment -(48) 1,399 -(155) 1,742 1,681 Radiology 60 1,797 116 634 603 Provisions 31 613 9 117 152 Catering -(36) 101 -(52) 1,226 1,209 Cleaning/Waste 17 1,165 -(44) 617 632 Laundry -(15) 631 -(1) 1,128 1,143 Energy -(15) 1,305 162 127 159 Bedding/ clothing -(31) 119 -(40) 94 79 Furniture 15 72 -(7) 3,736 3,733 Pathology 3 3,577 -(156) 235 287 Maintenance /Grounds -(53) 234 -(53) 612 679 Transport /staff travel -(67) 587 -(92) 705 694 Office expenses 11 725 31 155 111 Telecommunications 44 142 31 417 451 Computer -(34) 385 -(66) 2,196 2,578 Admin expenses incl bad debts -(382) 3,724 1,146 281 229 Staff recruitment/training 52 355 126 454 529 Miscellaneous -(74) 518 -(11) TOTAL NON-PAY 35,268 37,162 -(1,894) 36,024 -(1,138) -1,589 1,589 -1,111 478 Less PCRS drugs/ Ward 2A TOTAL NON-PAY 35,268 35,573 -(304) 34,913 -(659) 2,035 1,462 694 573 122 Note :Bad debts in Admin exps 14
CUH Actual Non-pay Expenditure April 2016 v 2015 15
Patient Income 2014 – 2016 16
CUH Debtor days Consultant Claims - April 2016 17
CUH Census Movement Multi Unit Report April 2016 In line with National Reports, Grads/Interns are no longer being excluded from the Census WTEs 18
Finance Report - April 2016 Mallow Actual outturn ytd Apr 2016 Gross pay & non pay budget € 6.63m Actual pay & non pay € 6.68m Actual Deficit € 46k (0.7%) Mallow Income outturn ytd Apr 2016 Income budget € 1.28m Actual Income € 1.35m Actual Surplus € 79k (6.2%) 19
Patient Access 20
Weekly INMO Trolley Report Week ending 13 th May 2016 21
New ED Presentations 22
ED – 6hr & 9hr Target – All Patients (Quarter 4 2015 Jan – Apr 2016) 90.00% 80.00% 70.00% 60.00% 50.00% 9hr PET 6hr PET 40.00% 30.00% 20.00% 10.00% 0.00% Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 23
ED – 6hr & 9hr Target – Admitted Patients (Quarter 4 2015 Jan – Apr 2016) 24
ED – 6hr & 9hr Target – Non admitted Patients (Quarter 4 2015 Jan – Apr 2016) 25
New ED >75 years Presentations 26
PET >24 hours 2016 27
Ambulance Clinical Handover Performance 28
Ambulance Distribution 2016 29
Delayed Discharges Jan- May 17 th 2016 30
Outpatient Waiting Lists 31
Patients to be seen by 15 Month Timeline (end of current month April 2016) 32
Total Medical Patients to be seen by 15 Month Target End of May 2016 (projected) 33
Total Surgical Patients to be seen by 15 Month Timeline End of May 2016 (projected) 34
Women and Children Patients to be seen by 15 Month Timeline End of May 2016 (projected) 35
Patients Currently Waiting Longer Than 12 Months as of 04/05/2016 Waiting List 36
New and Return DNA Rate in CUH 37
Scope Waiting List 38
G Scopes Urgent – March 2016 39
R Scopes Routine - March 2016 40
Inpatient Waiting List 41
Total Inpatient & Day case Waiting List (12 th May 2016) Count Wait category of id PREADMI SUSPENSIO Grand hospital name wl type ACTIVE T N Total Cork University Hospital Adult 1680 341 50 2071 Child 72 30 1 103 GI Scope 150 174 18 342 Cork University Hospital Total 1902 545 69 2516 Grand Total 1902 545 69 2516 42
18 month Breaches as of 12 th May 2016 (50) 43
15 month Breaches as of 12 th May 2016 (143) 44
Quality & Safety 45
R Surgical ALOS – March 2016 46
Medical ALOS – February 2016 R 47
ALO All Inpatients A 48
Risk Management – April KPI data • Serious Reportable Events reported - 0 • Medication Safety Incidents reported - 0 • Complaints – 12 complaints raised in April with 33% closed within 30 day timeframe • New claims notified to hospital – 7 Risk Register Risk Register updated in May - 10 new risks added 49
Cancer KPI – Breast-Lung-Prostate January – April2016 50
CIT Referrals – 15 th May 2016 51
Theatre Utilisation - 21 st March 2016 to 8 th May 2016 % Utilization Utilisation Average Average Start Time Finish Time Average March IOI Turn-Around Average Average 2016 to in Minutes Present Target 85% 0:45 -10 to +10 8:30 17:00 Theatre 1 Neurosurgery 92% 01:10 -1 08:28 18:05 Theatre 1A Orthopaedics 86% 01:07 -11 08:34 17:23 Theatre 2 Orthopaedics 78% 01:09 -6 08:51 16:25 Theatre 3 Emergency 45% 01:25 23 09:13 16:48 Theatre 4 Breast 88% 00:46 3 08:48 16:49 Theatre 5 General 71% 01:12 16 09:05 16:25 Theatre 6 General 76% 00:59 11 08:46 17:23 Theatre 7 General 85% 01:03 4 08:35 16:45 Theatre 8 General 84% 00:57 17 08:37 16:56 Theatre 9 Plastics 73% 00:49 15 08:58 16:53 Cardiac Theatre 1 Cardiac 89% 01:25 -19 08:19 17:04 Cardiac Theatre 2 Cardiac 71% 01:45 4 08:30 17:00 Hybrid Theatre Vascular 74% 01:00 8 08:54 16:08 52
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