Balanced Score Card Review of May 2015 Data
Balanced Scorecard Patient and Service User
Finance
CUH Group Budget 2015 Budget 2015 Group Budget € 283.6m (2014 € 284.9m) Group projected expenditure € 283.3m (2014 € 284.2m) Group Projected Surplus € 0.3m (2014 surplus 0.7m) CUH Budget € 264.1m (2014: € 262.8m) CUH projected actual € 264.1m (2014 € 265.2m) CUH projected Deficit € 20k (2014 € 2.4m) MGH Budget € 17.3m (2014: € 17.5m) MGH Projected Actual € 17.0m (2014 € 16.8m) MGH Projected Surplus € 0.3m
Actual Outturn YTD - May 2015 • Group budget € 116.95m (2014 € 113.6m) • Group actual expenditure € 116.86m (2014 € 118.7m) • Group actual deficit € 91k ( 2014 € 5.1m) • CUH Budget € 109.8m (2014: € 105.5m) • CUH /SMOH actual expenditure € 110.1m ( € 110.3m) • CUH /SMOH actual deficit € 247k (2014 € 4.8m) • Mallow Budget € 7.1m (2014: € 6.9m) • Mallow actual expenditure € 6.8m (2014 € 7.3m) • Mallow actual surplus € 338k ( 2014 deficit € 404k)
CUH Summary Budget v Actual Expenditure May 2015 Pay € k Non-Pay € k Income € k Total CUH -271 -538 787 -22 SMOH -2 19 17 CUH-SMOH -271 -540 806 -5 Mallow 98 -143 199 154 Total -173 -683 1,005 149
CUH Actual Non-pay Expenditure € k YTD May 2015 v 2014
CUH Group – Surplus / (Deficit) percentage %
CUH AGENCY COSTS € k 2013 – May 2015
CUH Agency Costs – April 2015
CUH Average Nursing & HCA Agency WTE’s per Week 2013 -15 CUH Average Specials /Other Nursing & HCA Agency WTE’s per Week 2014 -15
Patient Income 2013 – May 2015
Cost Containment
Consultant Private Insurance Claims O/s Consultant claims at 29 th May 2015 Consultants No of claims Value € k at 16 th June HARTY, JAMES 169 529,945 Value € k Directorate Value € k POWER, DEREK 240 331,388 Prev Current CROSBIE, ORLA 20 280,233 ANDREWS, EMMET J. 76 245,273 Diagnostics 17 19 TAYLOR, COLM 56 223,890 PLANT, WILLIAM 46 193,670 Medicine 3,299 3,818 KAAR, GEORGE 18 169,432 GILMORE, JENNIFER 1 149,341 2,148 Surgery 2,293 KEARNEY, PETER 56 136,655 O'MAHONY, DENIS 10 112,194 401 Women and Children CUH 430 FLEMING, PAT 23 109,286 O'HALLORAN, D. J. 24 104,411 Total-CUH Primary 5,864 6,560 O'CONNOR, MICHAEL 15 102,430 KELLY, PETER 38 100,093 Women & Children CUMH 500 500 PLANT, BARRY 15 98,147 GUERIN, SHANE 19 96,869 Total-CUH /CUMH 6,364 7,060 HARTY, JAMES 169 529,945 Primary O'LEARY, PAULA 28 95,219 TOTAL 3,168,791
Access
CUH Weekly INMO Trolley Report Week ending 19 th June 2015
Daily Trolley Numbers – May - June 2015 ( 21/06/2015)
ED – 6hr Target (April Dashboard) R
ED – 9hr Target (April Dashboard) R
ED >24hrs R (April Dashboard)
ALOS for all Patients G (April Dashboard)
Medical ALOS A (April Dashboard)
Surgical ALOS R (April Dashboard)
G ALOS – Excluding LOS over 30 days (April Dashboard)
HIPE Coding G (April Dashboard)
Day of Procedure Admission Rate for Surgical Inpatients (April Dashboard) G
Delayed Discharges - 2015 January – June (9 th June)
Inpatient – Day case Waiting Lists
Total Adult Waiting List (Active – 1310) May (1310) and June (1245) Vascular Urology Respiratory Plastic Surgery Orthopaedics Neurosurgery June Neurology May Gynaecology Gen Surgery Gastro Cardio Thoracic Cardiology Breast Surgery 0 100 200 300 400 500 600
Prospective View – June 2015 (48 Active) Cardio Thoracic – 1 suspended per patients Gen Surgery – I TCI, 4 Suspension per patients, I date to be arranged Gynaecology – presently being transferred to outside provider Urology – 2 Suspensions per patient Vascular - 6 to Outpatients per consultant
Prospective View – December 2015 (381) 180 170 160 140 120 100 74 80 June 60 43 40 21 15 15 20 8 3 3 2 1 0
Scopes Urgent - April 2015 G
Scopes Routine – April 2015 G
Outpatient Waiting Lists
Medical Patients to be seen by the 30 th of June 2015
Surgical Patients to be seen by the 30 th of June 2015
Women and Children Patients to be seen by the 30 th of June 2015
OPD Potential Breach Report Count of ID Comments /Update 22.6.15 Expected Total as of 22.6.15 for 18Mth by June 30th Current RAG Expected RAG Specialty June 30th 17.6.15 deadline Status Status • Regular Clinics fully booked to 30th June Diabetes Mellitus Yes 287 287 • Discussed Registrar post & GP Clinics with Michael Murphy - No further update • Dr. Sean Manning sees additional patients when his schedule allows • Regular Clinics fully booked to 30th June Endocrinology Yes 159 ?150 • Discussed Registrar post & GP Clinics with Michael Murphy today - No further update • 9 to be removed pending confirmation of their attendance privately • 3 returned for capacity in Mr. McCourt's Clinic General Surgery Yes 42 0 • 39 Purchased Care Gynaecology Yes 1057 1057 • Discussed again with Miriam - there was agreement to put on additional clinics however the service has now requested this be used for urgent patients • Dr. Babiker left end of May • Routine patients that were booked with agreement have since been cancelled by the service - so numbers may actually increase Neurosurgery Yes 45 0 • Out of Hours Clinics held • Physiotherapists commenced clinics • Registrar to do Saturday Clinics - - last one on 27th June • Entire list will be cleared • SLA agreed for purchased care with Dr. Mr. Traynor Ophthalmology Yes 81 0 • Referrals transferred and all patients notified by letter Plastic Surgery Yes 138 0 • Met with consultants who agreed to request their teams to see suitable patients on a See & Treat Basis - 30 deemed suitable - Additional funding required for Theatre time (CUH) to treat these patients. • 59 + 6 agreed under Purchased Care - Additional funding required for Theatre time in SIVUH to treat these patients • 41 previously seen in Mater Private to receive required treatment under purchased care • 2 Patients suspended per validation as unavailable to attend on 30th June • Clerical Error - Patient cancelled appointment for 1.5.15 Rheumatology Yes 0 0 Urology Yes 41 0 • 39 Referrals transferred to Mallow General Hospital • 1 Suspended to later date per patient request • 1 to go to Purchased Care Vascular Surgery Yes 62 0 • SLA for purchased care agreed with consultant • Clinics commencing 25th June Grand Total 1912 1606
Quality
Emergency Hip Fracture Surgery – April R
Emergency Re-admission - Medical R
R Emergency Readmission - Surgical
Cancer KPI – Breast-Lung-Prostate -Jan – May
Radiotherapy -New Treatments - May
CUH Patients undergoing Radical Radiotherapy commenced treatment within 15 working days of being deemed ready to treat
Treatment Delay
New Patients Treated Within Target January 2014 - May 2015 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Outside Target 11% 12% 9% 12% 10% 9% 14% 5% 7% 11% 19% 14% 21% 16% 18% 18% 20% In Target 89% 88% 91% 88% 90% 91% 86% 95% 93% 89% 81% 86% 79% 84% 82% 82% 80%
Complaints Management - Action Plan
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