Balanced Score Card Review of September 2016 Data Balanced - - PowerPoint PPT Presentation

▶
balanced score card review of september 2016 data
SMART_READER_LITE
LIVE PREVIEW

Balanced Score Card Review of September 2016 Data Balanced - - PowerPoint PPT Presentation

Sep 01, 2022 258 likes •871 views

Balanced Score Card Review of September 2016 Data Balanced Scorecard Patient Finance Access Patient and Service User Quality Human & Resource Management Safety Finance Finance Report- September 2016 Actual outturn September 2016-

slide-1
SLIDE 1

Balanced Score Card Review of September 2016 Data

slide-2
SLIDE 2

Balanced Scorecard

Finance

Patient Access Quality & Safety Human Resource Management

Patient and Service User

slide-3
SLIDE 3

Finance

slide-4
SLIDE 4

Finance Report- September 2016

slide-5
SLIDE 5

Actual outturn September 2016- CUH

  • Gross pay & non pay budget €256.4m (2015

:€246.3m)

  • Actual pay & non pay €263.9m (2015: €254.6m)
  • Actual Deficit €7.5m (-2.9%) (2015 :€8.3m /3.4%)
  • Less Drug costs refunded by PCRS €3.44m.

Expenditure on transitional care €548k Adjusted Deficit €3.51m (-1.4%)

slide-6
SLIDE 6

Income Outturn September - 2016 – CUH

  • Income budget €60.3m (2015 :€47.8m)
  • Actual Income €58.9m (2015 :€55.6m)
  • Actual Deficit €1.4m (-2.2%)
  • Less accelerated income target €2.58m
  • Adjusted Surplus €1.24m (2.1%) (2015 :€7.8m /16%)

Patient Income outturn September 2016- CUH

  • Income budget €48.7m (2015 :€39.9m)
  • Actual Income €48.6m (2015 :€45.6m)
  • Actual Deficit €102k (-0.3%) (2015 Surplus :€6.1m/15%)
slide-7
SLIDE 7

CUH Revised Expenditure limit 2016-PAY

7

slide-8
SLIDE 8

CUH Revised Expenditure limit 2016-NON PAY

8

slide-9
SLIDE 9

CUH Revised Expenditure limit 2016- TOTAL

9

slide-10
SLIDE 10

10

Cost Containment Initiatives update at 7/10/16

TARGET

23/ 9 30/ 9 07/ 10 14/ 10 21/ 10 28/ 10 04/ 11 11/ 11 18/ 11 25/ 11 02/ 12 09/ 12 16/ 12 23/ 12 30/ 12

ACTUAL

1

Reduce stock issues by 15% 200 15 15 15 15 15 15 15 15 15 15 15 15 15 171 19 50 25 77

2

Cut-off for Dec stock issues

300

150 150

3

Discretionary travel, training 50 10 20 20

4

Blood Science project savings

200

50 70 80 40 40

5

Recode donated funds expenditure 150 75 75 92 92

6

Recode Clinical trials expenditure

200

200 200 200

7

Defer high cost drug treatments 50 15 15 20

8

Defer TAVI programme to 2017

25

25

9

Defer Pipeline procedures 65 20 20 25

10

Intrathecal pumps , stimulators

100

30 35 35

11

Reduce MRI Spend 100 10 30 30 30

12

Add drugs funding; GTD ;Oncology

200

200

TOTAL-Target

1,640

15 15 300 15 15 15 170 15 15 15 205 15 15 150 560

TOTAL- Actual

503

19 50 317 117

slide-11
SLIDE 11

CUH Group Summary – Budget v Actual Expenditure September 2016

Pay €k Non-Pay €k Total Gross Income €k Net €k CUH (inc SMOH)

  • 187
  • 761
  • 949
  • 43
  • 992

Less adj 476 476 283 759 CUH adj

  • 187
  • 286
  • 473

240

  • 233

Mallow 34 62 96

  • 12

84 Total Group adj

  • 153
  • 224
  • 377

228

  • 149
slide-12
SLIDE 12

CUH Group Summary Budget v Actual expenditure – YTD September 2016

Pay €k Non-Pay €k Total Gross Income €k Net €k

CUH (incl SMOH) -1,999

  • 5,501
  • 7,500
  • 1,350
  • 8,850

Less Adj 3,987 3,987 2,587 6,574 CUH (adj)

  • 1,999
  • 1,514
  • 3,513

1,237

  • 2,275

Mallow 34

  • 25

9

  • 162
  • 153

Total Group (adj) -1,965

  • 1,539
  • 3,503

1,075

  • 2,428
slide-13
SLIDE 13

CUH Budget v Actual Pay YTD September 2016

Budget €k Actual €k Variance €k % Variance 2015 Actual €k Variance €k Medical/Dental 48,819 50,416

  • (1,597)
  • 3%

48,694

  • (1,721)

Nursing/Midwifery 67,202 66,405 797 1% 65,674

  • (731)

Paramedical 24,406 25,148

  • (742)
  • 3%

24,069

  • (1,080)

Housekeeping 5,279 5,497

  • (218)
  • 4%

5,034

  • (463)

Care Assistants 5,279 5,243 36 1% 5,034

  • (209)

Catering 3,203 3,243

  • (39)

1% 3,041

  • (202)

Portering 4,410 4,571

  • (162)
  • 4%

4,336

  • (235)

Administration 14,004 13,973 31 0% 13,529

  • (444)

Other Staff 2,385 2,490

  • (105)
  • 4%

2,697 207 Total 174,987 176,986

  • (1,999)
  • 1%

172,109

  • (4,877)

13

slide-14
SLIDE 14

CUH –Pay & Nonpay Budget Surplus/(Deficit) %

14

slide-15
SLIDE 15

CUH – Patient Income Budget Surplus %

slide-16
SLIDE 16

CUH Budget v Actual Pay YTD July 2016

slide-17
SLIDE 17

CUH AGENCY WTE – 2016

Jul-14 Sep-14 Dec-14 Jan-15 Mar-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 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual

Radiotherapist

9.40 4.00 4.87 2.78 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 1.0 1.0

Cardiac Techs

3.80 3.80 1.0

Physio

1.60 1.50

Pharmacy

2.00 1.00

Admin

23.40 9.08 9.36 14.1 9.3 0.93

Nursing

46.20 33.0 34.7 37.8 40.0 32.8 30.4 31.0 28.4 28.6 29.3 31.2 26.1 35.2 32.9 33.8 34.2 31.8 31.6 32.1 28.7 27.6

HCA

34.80 16.2 22.7 23.2 24.4 31.0 29.8 34.7 32.7 30.8 32.4 34.5 38.2 37.2 35.2 37.7 36.9 41.1 38.4 45.7 52.1 52.1

House-Keeping 10.40 0.16 Physics

4.30 2.6 1.6 1.09 0.92 0.92 0.75 0.59 0.62 0.66 0.25 0.5 0.46 0.46 0.47 0.47 0.47 1 0.83 0.83 0.83 0.83

Catering

3.00 8.5 2.0 2.7 1.8 2.7 6.9 8.4 8.4 3.9 1.2 1.1 0.9 1.2 1.2 1.2 1.4 1.1 1.2 1.0 1.0 1.0

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 6.35 5.1 5.86 3.39 5.79 7.97 14.34 10.35 15.73 9.0

Consultan

0.72 1.74 1.72 0.5 0.25 0.95 4.44

NCHD

10.28 8.53 6.08 3.27 2.47 4.45 5.13 6.7 164.5 99.7 91.1 98.26 84.7 75.4 74.6 79.0 76.2 71.9 77.5 77.7 81.4 83.1 80.8 83.4 80.8 78.77 76.75 85.03 92.20 88.23

slide-18
SLIDE 18

CUH AGENCY COSTS €k 2014-16

slide-19
SLIDE 19

Acute Nursing Agency WTE 2014 to 2016 Acute HCA Agency WTE 2014 to 2016

19

slide-20
SLIDE 20

CUH Average Nursing & HCA Agency WTE’s per Week 2014-16

CUH Average Specials /Other Nursing & HCA Agency WTE’s per Week 2015-16

20

slide-21
SLIDE 21

21

NON-PAY -YTD 2016 Budget Actual Variance Actual YTD 15 Diff 2016-15 Medicines (see note)

19,743 23,448

  • (3,705)

19,249

  • (4,199)

Medical & Surgical

21,160 21,698

  • (538)

20,707

  • (991)

Blood

3,422 3,824

  • (402)

3,558

  • (266)

Medical Gases

317 319

  • (2)

288

  • (31)

Medical equipment

3,412 3,513

  • (101)

3,127

  • (386)

Radiology

3,949 4,008

  • (58)

3,906

  • (102)

Provisions

1,436 1,493

  • (57)

1,394

  • (99)

Catering

265 384

  • (119)

259

  • (125)

Cleaning/Waste

2,775 2,894

  • (119)

2,728

  • (166)

Laundry

1,398 1,382

16 1,371

  • (11)

Energy

2,555 2,400

156 2,847 447 Bedding/ clothing

288 324

  • (36)

310

  • (14)

Furniture

214 204

10 182

  • (22)

Pathology

8,459 8,677

  • (218)

8,473

  • (204)

Maintenance /Grounds

531 614

  • (82)

623 9 Transport /staff travel

1,385 1,517

  • (132)

1,355

  • (162)

Office expenses

1,596 1,465

131 1,621 156 Telecommunications

351 354

  • (3)

356 2 Computer

945 905

39 870

  • (35)

Admin expenses incl bad debts

5,511 5,617

  • (107)

7,202 1,585 Staff recruitment/training

644 540

105 744 204 Miscellaneous

1,029 1,290

  • (261)

1,357 67 TOTAL NON-PAY 81,387 86,871

  • (5,484)

82,527

  • (4,344)

Less PCRS drugs /Ward 2A

  • 3,511

3,511 3,511 TOTAL NON-PAY 81,387 83,359

  • (1,972)

82,527

  • (832)

Note :Bad debts in Admin exps 1,400 848 552 3,712 2,864

slide-22
SLIDE 22

CUH Actual Non-pay expenditure €k YTD 2016 v 2015

slide-23
SLIDE 23

Patient Income 2014 –2016

slide-24
SLIDE 24

Consultant Claims

O/s Consultant claims at 31st September 2016

24

Directorate Value €k Prev Value €k Current Diagnostics 10 11 Medicine 3,837 3,832 Surgery 2,249 2,105 Women and Children CUH 402 142 Total-CUH Primary 6,498 6,227 Women & Children CUMH 1,000 1,300 Total-CUH /CUMH Primary 7,498 7,527

Consultants > €100K at 13th Oct No of claims Value €k REIDY, DECLAN 38 265,991 HARTY, JAMES 78 239,479 MCFADDEN, EUGENE 72 205,897 DODDAKULA, KISHORE 29 205,625 HARNEDY, NORMA 29 204,901 O'HALLORAN, D. J. 23 198,091 MCSWEENEY, NIAMH 33 175,810 O'MAHONY, DEIRDRE 91 163,619 SWEENEY, BRIAN 170 163,420 KEARNEY, PETER 21 153,083 ANDREWS, EMMET J. 18 150,539 DUGGAN, CLEONA 10 150,288 KELLY, LOUISE 34 143,843 MCGIBNEY, CAROL 19 143,058 GALLAGHER, PAUL 4 135,828 POWER, DEREK 81 132,278 TAYLOR, COLM 58 129,988 COSTELLO, DANIEL J. 6 125,229 PLANT, BARRY 9 124,536 BAMBURY, RICHARD 92 124,517 BORAN, SINEAD 35 121,375 O'SULLIVAN, MARTIN 15 102,618 GUERIN, SHANE 22 101,213 3,661,226

slide-25
SLIDE 25

CUH Debtor days Consultant Claims

September 2016

25

slide-26
SLIDE 26

Mallow Finance Report –September 2106

Budget €k Actual €k Variance €k %Variance Pay 11,401 11,365 34 0.3% Non - Pay 3,616 3,641

  • 25
  • 0.7%

Gross Expend 15,018 15,008 9 0.1% Income 2,883 2,720

  • 162
  • 5.6%

Total 12,135 12,288

  • 153
  • 1.3%
slide-27
SLIDE 27

Patient Access

slide-28
SLIDE 28

Weekly INMO Trolley Report

Week ending 7th October 2016

slide-29
SLIDE 29

ED – 6hr & 9hr Target – All Patients

(Quarter 4 2015 Jan –September 2016)

slide-30
SLIDE 30

ED – 6hr & 9hr Target – Admitted Patients

(Quarter 4 2015 Jan – September 2016)

slide-31
SLIDE 31

ED – 6hr & 9hr Target – Non admitted Patients

(Quarter 4 2015 Jan – September 2016)

slide-32
SLIDE 32

PET > 24hrs - Weekly – 10th – 17th October

slide-33
SLIDE 33

Outpatient Waiting Lists

slide-34
SLIDE 34

Total Medical Patients to be seen by 15 Month Target

end of September 2016

slide-35
SLIDE 35

Total Surgical Patients to be seen by 15 Month Timeline

end of September 2016

slide-36
SLIDE 36

Women and Children Patients to be seen by 15 Month Timeline

end of September 2016

slide-37
SLIDE 37

Patients Currently Waiting Longer Than 12 Months

as of 09/08/2016

slide-38
SLIDE 38

Patients to be seen by 15 Month Target End of current month October 2016

slide-39
SLIDE 39

Scope Waiting List

slide-40
SLIDE 40

Scopes Urgent – August 2016

G

slide-41
SLIDE 41

Scopes Routine - August 2016

R

slide-42
SLIDE 42

Inpatient Waiting List

slide-43
SLIDE 43

Total Inpatient & Day case Waiting List

(13th October 2016)

43

Wait category

Hospital name wl type ACTIVE PREADMIT SUSPENSION Grand Total

Cork University Hospital Adult 1924 363 45 2332 Child 75 52 3 130 GI Scope 171 161 8 340 Cork University Hospital Total 2170 576 56 2802 Grand Total 2170 576 56 2802

slide-44
SLIDE 44

Patients to be treated by 23rd December 2016 (412)

slide-45
SLIDE 45

Patients to be treated by 23rd December

Consultant Breakdown

slide-46
SLIDE 46

Patients to be treated by 23rd December 2016

weekly comparison

slide-47
SLIDE 47

Quality & Safety

slide-48
SLIDE 48

Surgical ALOS – August 2016

A

slide-49
SLIDE 49

Medical ALOS – June 2016

G

slide-50
SLIDE 50

ALOS All Inpatients - September

A

slide-51
SLIDE 51

Risk Management – September KPI data

  • Serious Reportable Events reported - 2
  • Medication Safety Incidents reported - 9
  • Complaints – 16 complaints raised in September with 31%

closed within 30 day timeframe

  • New claims notified to hospital – 2

Risk Register Risk Register updated in June - 0 new risks added

slide-52
SLIDE 52

Cancer KPI – Breast-Lung-Prostate January – September 2016

slide-53
SLIDE 53

Quality and Safety

Lean Review of Endoscopy Service Patient Pathway

  • The key findings were presented to the Endoscopy Service

Users Group Housekeeping Services Project Group

  • Post of Health Care Assistant - interviews completed and 25

panelled.

  • Health Care Assistant Facilitator Work programme agreed
  • 10 places in Dementia Care training assigned to CUH
slide-54
SLIDE 54

Human Resource Management

slide-55
SLIDE 55

Sick Leave – August 2016

4.01 3.79 3.74 3.16 3.07 3.86 3.75 3.91 3.72 3.81 4.08 4.32 4.65 4.59 4.53 3.91 3.39 4.27 3.78 3.77

2 4 6

Jan Feb Mar April May June July August Sept Oct Nov Dec

%

CUH – Total % Sick Leave 2015 v 2016

2015% 2016% % Target

28 27.39 34.06 32.07 37.99 28.89 24.99 36.59 34.31 27.64 28.89 35.06 35.6 40.76

10 20 30 40 50

Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16

WTE’s

CUH Long Term Sick Leave – WTE’s

slide-56
SLIDE 56

Support Services Sick Leave (Oct ’15 – Aug ’16)

7.14

7.56 6.65

5.46

5.37

6.12 7.11 6.81 8.16 6.73 4.81 2.38

1.92 2.17 1.50

2.61 2.26 1.69 2.40 1.44 2.45 2.68

6.62 8.84 10.75

7.90 8.00 10.17 12.34 9.74 13.04 9.95 11.44 2 4 6 8 10 12 14 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Month % Housekeeping Portering Catering Target

slide-57
SLIDE 57

Nursing Sick Leave (Oct ‘15 – Aug ’16)

5.93 3.76 3.69 5.92 5.62 6.34 5.95 4.41 4.3 4.27 3.78 4.63 5.52 4.58 3.15 4.33 4.84 5 5.44 5.4 5.06 4.16 1 2 3 4 5 6 7 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16

%

HCA's Nursing Target

slide-58
SLIDE 58

EWTD Compliance –January - September 2016

slide-59
SLIDE 59

Capital Projects

Project Status Paediatric Unit Phase 1 - build programme to be completed by November 2016 Phase 2 – funding received to progress to Design stage Radiation Oncology Unit  Planning permission granted  Enabling work have commenced  Equipment replacement Education and Training Centre Draft Statement of Need completed Meeting held with UCC Blood Sciences Project Design Team appointed Funding for interim infrastructural works approved Oncology Service  Expansion of Day Unit – plan signed off – submitted for Philanthropic funding (ACT)  Refurbishment of Ward 2D – capital funding in place  Medical Oncology Centre – developing Statement

  • f Need

Ophthalmology Transfer – Phase 2  Project group in place  Application for planning permission submitted Helipad Interim helipad in place – preferred site identified – contractor notified Replacement Autoclaves & RO Project Commenced

slide-60
SLIDE 60

Key Issues

  • Retention of 30 inpatient beds (Transitional Care Unit)
  • Dependence on patient income
  • Potential loss of €300,000 income
  • Undergraduate Training costs - €6.5m per annum
  • Management of Unscheduled Care/Scheduled Care
  • Implementation of Change Programme Initiatives