Balanced Score Card Review of March 2016 Data...CUH Budget v Actual Pay YTD Mar 2016 2015 Budget...
Transcript of Balanced Score Card Review of March 2016 Data...CUH Budget v Actual Pay YTD Mar 2016 2015 Budget...
Balanced Score Card Review of March 2016 Data
Balanced Scorecard
Finance Patient Access
Quality
&
Safety
Human Resource
Management
Patient and Service User
Finance
CUH Finance Report – March 2016
Actual outturn Mar 2016- CUH/MGH Gross pay & non pay budget €89.6m
Actual pay & non pay €91.4m
Actual Deficit €1.8m (2.0%)
Actual outturn Mar 2016- CUH Gross pay & non pay budget €84.6m
Actual pay & non pay €86.3m
Actual Deficit €1.7m (2.0%)
Income outturn Mar 2016- CUH /MGH Income budget €21.0m
Actual Income €20.2m
Actual Deficit €761k (3.6%)
Income outturn Mar 2016- CUH Income budget €20.0m
Actual Income €19.1m
Actual Deficit €919k (4.6%)
CUH Group Summary Budget v Actual Expenditure - Mar 2016
Pay €k Non-Pay €k Total Gross Income €k Net €k
CUH -149 -443 -592 -580 -1,172
SMOH 0 -2 -2 0 -2
CUH-SMOH -149 -445 -595 -580 -1,174
Mallow -13 -23 -36 125 89
Total -163 -468 -631 -454 -1,085
CUH Summary – Budget v Actual Expenditure YTD March 2016
Pay €k Non-Pay €k Total Gross Income €k Net €k
CUH -673 -1,037 -1,710 -919 -2,629
SMOH 0 -5 -5 19 14
CUH-SMOH -673 -1,042 -1,715 -899 -2,615
Mallow -81 -23 -104 138 34
Total -754 -1,065 -1,819 -761 -2,580
CUH Group –Surplus / (Deficit) percentage %
CUH Group –Pay & Non pay Budget Surplus/(Deficit) %
CUH Group –Income Budget Surplus/(Deficit) %
CUH Budget v Actual Pay YTD Mar 2016
2015 Budget €k 2015 Actual €k Variance €k % Variance 2015 Actual €k v 2014 Variance €k
Medical/Dental 16,325 16,725 -400 -2% 16,127 -598
Nursing/Midwifery 22,169 22,218 -49 0% 21,897 -321
Paramedical 8,194 8,289 -95 -1% 7,906 -383
Housekeeping 1,753 1,781 -27 -2% 1,568 -213
Care Assistants 1,735 1,742 -7 0% 1,568 -175
Catering 1,034 1,045 -11 -1% 953 -92
Portering 1,465 1,508 -44 -3% 1,392 -116
Administration 4,611 4,609 2 0% 4,428 -181
Other Staff 792 833 -41 -5% 895 62
Total 58,078 58,751 -673 -1% 56,734 -2,018
CUH Actual Non-pay Expenditure March 2016 v 2015
CUH AGENCY COSTS €k 2014 -16
CUH AGENCY WTE – 2016
CUH Average Nursing & HCA Agency WTE’s per Week 2014 -2016
Patient Income 2014 –2016
Consultant Claims O/s Consultant claims at 31st March 2016
Directorate Value €k Prev
Value €k Current
Diagnostics 8 22
Medicine 3,581 3,445
Surgery 2,169 2,434
Women and Children CUH 355 363
Total-CUH Primary 6,114 6,265
Women & Children CUMH 1,142 1,100
Total-CUH /CUMH Primary
7,256 7,365
Consultants at 14th Apr No of claims Value €k
HARTY, JAMES 132 507,960
O'HALLORAN, D. J. 49 359,745
TAYLOR, COLM 98 285,351
CAHILL, MARY 89 254,177
GUERIN, SHANE 20 191,350
REIDY, DECLAN 24 168,252
O'SULLIVAN, SEAN S. 5 160,901
HENRY, MICHAEL 11 145,700
MCCOURT, MORGAN 41 141,640
O'MAHONY, DENIS 8 135,942
O'CONNOR, MICHAEL 14 133,316
GILLIGAN, OONAGH 87 125,800
O'BROIN, EOIN 43 122,610
FLEMING, PAT 22 114,375
KELLY, PETER 28 111,140
ANDREWS, EMMET J. 31 110,002
MCSWEENEY, NIAMH 28 95,079
O'SHEA, DERVILLE 25 89,488
SWEENEY, BRIAN 68 88,378
ZULQUERNAIN, SYED 40 86,565
PLANT, BARRY 10 85,553
HORGAN, MARY 16 84,422
3,597,746
CUH Debtor days Consultant Claims-Mar 2016
Patient Access
INMO Trolley Report Annual data for 2015 and comparative data for 2014
Weekly INMO Trolley Report Week ending 15th April
ED New Presentations Jan – Mar 2016
ED Admissions Jan – Mar 2016
ED – 6hr & 9hr Target – All Patients (Quarter 4 2015 Jan – Mar 2016)
Monthly Distribution of Ambulance Presentations (Jan – Mar 2016)
CUH Monthly Performance 20min Target
Delayed Discharges Jan- April 12th 2016
0
5
10
15
20
25
5th Jan 12th jan
19th Jan
26th Jan
2nd Feb 9th Feb 16th Feb
23rd Feb
1st Mar 8th Mar 15th Mar
22nd Mar
29th March
5th April
12th Apr
13
15 14
20
13
21
18
17
18
22 21
23
16
23 23
Outpatient Waiting Lists
27
2041 Urgent and Routine Patients who need to be seen in relation to the 15 month deadline by
month end (April) 2016 Count of Patients %
No of Patients with an Appointment before or on End of Month 251 12.30%
Number of Patients with an Appointment Post End of Month 62 3.04%
Number of Patients with No Appointment 1728 84.66%
Patients to be seen by 15 Month Timeline (end of current month April 2016)
Total Medical Patients to be seen by 15 Month Target
End of April 2016
Total Patient Count - 236
29
Total Surgical Patients to be seen by 15 Month Timeline End of April 2016
30
Women and Children Patients to be seen by 15 Month Timeline End of April 2016
Patients Currently Waiting Longer Than 12 Months
as of 06/04/2016 Waiting List
New and Return DNA Rate in CUH
32
Scope Waiting List
Scopes Urgent – February 2016 G
Scopes Routine - February 2016 R
INPATIENT WAITING LIST
Total Inpatient & Day case Waiting List (14th April 2016)
Count
of id Wait category
hospital name wl type ACTIVE PREADM
IT SUSPENSI
ON Grand Total
Cork University Hospital Adult 1729 366 47 2142
Child 71 37 3 111
GI Scope 139 167 16 322
Cork University Hospital Total 1939 570 66 2575
Grand Total 1939 570 66 2575
18 month Breaches as of 14th April 2016 (63)
15 month Breaches as of 14th April 2016 (139)
0
10
20
30
40
50
60
70
Cadriology Cardio thoracic
General Surgery
Urological Surgery
Plastic Surgery Vascular Surgery
Respiratory Gynaecology Orthopaedics
3
8
37
9 8
3 3
67
1
Quality & Safety
Surgical ALOS – February 2016
R
Medical ALOS – February 2016 R
Day Case Rate – Elective Cholecystectomy February 2016
R
NEWS Implementation – Feb 20116
G
IMEWS Implementation – Feb 2016
G
Risk Management – April KPI data
• Serious Reportable Events reported - 0
• Medication Safety Incidents reported -3
• Complaints – 16 complaints raised in January on average 3.6% closed within 30 day timeframe
• New claims notified to hospital - 1
• Risk(s) escalated in December -
Cancer KPI – Breast-Lung-Prostate January – March 2016
CIT Referrals – 5th April 2016
10
12
2
1
2 2
1
0
2
4
6
8
10
12
14
INR POC INR HOPAT s/c inohep W/Care Port flush IV abs
Risk Management - March KPI data
• Serious Reportable Events reported - 0
• Medication Safety Incidents reported 3
• Complaints – 16 complaints raised in February on average 3.6% closed within 30 day timeframe
• New claims notified to hospital - 1
• Risk(s) escalated to CUH Risk Register - March - 0
Quality and Safety
Serious Reportable Events
Audit of Serious Reportable Events completed – report awaited
Housekeeping Services Project Group
Post of Health Care Assistant advertised
Post of Health Care Assistant Facilitator signed off
Quality Improvement Programme for Outpatient services
Commence development of CUH Quality Strategy
NAS/Cork Hospital Interface Group
Development of South West Dispatch/Operational Paramedical Personnel Guideline
Human Resource Management
Sick Leave – March 2015
4.01 3.79
3.74
3.16 3.07
3.86 3.75 3.91 3.72 3.81 4.084.324.65 4.59 4.53
0
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
29.95
31.7 29.5
19.03
28.37
28 27.39
34.06
32.07
37.99
28.8924.99
36.59
34.31
0
10
20
30
40
Feb-15
Mar-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
WTE’s
CUH Long Term Sick Leave – WTE’s
Medically V’s Self Certified Sick Leave – March 2016
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
H'keep
ing
Po
rtering
Caterin
g
HSSD
Security
HC
A'S
Nu
rsing
Ad
min
Direc
Param
ed
Ad
min
Co
nsu
ltants
NC
HD
'S
9.895.93 5.39
18.27 17.3920.87 20.3 18.81
10.23 9.74
0 2.91
90.11
94
.07
94
.61
81
.73
82.61
79.13
79.7
81
.19
89
.77
90
.26
100
97.09
Self Certified Hrs Med Certified Hrs
% Hours Sick Leave per Dept (Paramedical) – March 2016
Speech & Lang,
2.57%
Resp Tech,
0.00%
Dark Room
Tech's, 23.23%
Biochem, 0.78%
Radiography,
8.80%
Biomed Eng,
1.94%
Radiation
Oncology,
11.58%Podiatry, 0.00%
Physiotherapy,
4.50%
Non Invasive
Cardiology,
2.25%
Dietetics,
2.45% Histopathology,
6.03%
Haematology,
2.02%
Blood
Transfusion,
1.81%
Microbiology,
13.36%
Neurophys,
2.05%
Occ. Therapy,
0.00%
Perfusionist,
0.00%
Physics, 6.27%Phlebotomy,
3.53%
March 2016
There was no return from Pharmacy and Social Work for March 2016
EWTD Compliance – Quarter 4 2015 & Jan - March 2016
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
Contractor appointed for enabling work
Funding received for Bracktherapy Equipment
Education and Training Centre Statement of Need being developed
Blood Sciences Project
Design Team appointed Funding for interim
infrastructural works approved
Purchase of OLA 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
of Need
Ophthalmology Transfer – Phase 2
Project group in place
Application for planning permission submitted
Helipad
Interim helipad in place – contractor to be appointed in
March 2016
Replacement Autoclaves & RO Project Commenced
Key Issues
• Retention of 30 inpatient beds (Transitional Care Unit)
• Dependency on patient income
• Clarification of 2016 Budget
• Undergraduate Training costs - €6.5m per annum
• Management of Unscheduled Care
• Implementation of Change Programme Initiatives