Balanced Score Card Report Review of June 2017 Data

Transcription

1 Balanced Score Card Report Review of June 2017 Data

2 Finance

3 Finance Report June 2017 CUH Actual outturn 1H 2017 PAY & NONPAY Gross pay & non pay budget 176.7m (2016 : 170.5m) Actual pay & non pay 181.9m (2016: 174.4m) Actual Deficit 5.2m (-3%) (2016 : 3.9m/-2.3%) Less Adjustments 3.87m increase in Bad debts provision 2.1m PCRS Drugs 0.85m LRA Restoration unfunded 0.94m Adjusted Deficit 1.34m(-0.76%) (2016 : 1.8m/-1%) INCOME Income budget 39.74m (2016 : 40m) Actual Income 38.97m (2016 : 39.1m) Actual Deficit 0.77m (-2%) (2016 : 0.9m/-2%)

4 1.0% 0.5% CUH Pay & Non pay Budget Surplus/(Deficit) % Jan Feb Mar April May June July Aug Sept Oct Nov Dec 0.51% 0.0% -0.18% -0.5% -1.0% -1.5% -0.40% -0.81% -1.14% -0.91% -0.84% -0.66% -0.75% -0.76% -1.01% -0.72% -1.22% -1.04% -0.85% -1.32% -1.36% -0.85% -0.28% -0.52% -2.0% -2.5% -1.86% -2.01% -1.94% -1.96% -2.03% -2.42% -2.27% -2.30% -2.27% -2.43% -3.0% -2.88% -2.95% -2.86% -2.92% -3.5% 2017(adj) (adj) 2016

5 CUH AGENCY WTE Jul-14 Sep-14 Dec-14 Jan-15 Mar-15 Jun-15 Sep-15 Dec-15 Jun-16 Jul-16 Aug-16 Sep16 Oct 16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 June-17 Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual Radiotherapist Radiographer Labs Cardiac Techs Physio Pharmacy Admin Nursing HCA House-Keeping Physics Catering Social Work Occ Therapy Dietician Medical Consult NCHD

6 CUH AGENCY COSTS k

7 50 Acute Nursing Agency WTE 2015 to Jan Feb Mar April May June July Aug Sept Oct Nov Dec Acute HCA Agency WTE 2015 to Jan Feb Mar April May June July Aug Sept Oct Nov Dec

8 CUH Average Nursing & HCA Agency WTE s per Week Jan Feb Mar April May June July Aug Sept Oct Nov Dec CUH Average Specials /Other Nursing & HCA Agency WTE s per Week Jan Feb Mar April May June July Aug Sept Oct Nov Dec Specials 2016 Specials 2017 Other 2016 Other

9 CUH Non-Pay Budget v Actual June 2017

10 CUH Actual Non-pay expenditure k June 2017 v 2016

11 Jan Feb Mar Apr May Jun Jul Aug Sep 12th Oct 19th Oct 26th Oct 2nd Nov 9th Nov 16th Nov 23rd Nov 30th Nov 7th Dec 14th Dec 21st Dec CUH Private Bed Occupancy 2017 v CUH Bed Occupancy 2017 v

12 Patient Income

13 CUH Debtor Days Consultant Claims June Jan Feb Mar April May June July Aug Sept Oct Nov Dec Target (old) 2015

14

15 MGH - Finance Report June 2017 Mallow YTD June 2017 outturn Gross pay & non pay budget 10.03m (2016: 10m) Actual pay & non pay 10.32m (2016: 10.1m) Actual deficit 287k (-2.9%) (2016: 118k -1.2%) Less Adjustments 246k increase in Bad debts provision 186k LRA Restoration unfunded 60k Adjusted deficit 41k (-0.4%) Mallow Income outturn Income budget 1.77m (2016: 1.92m) Actual Income 2.09m(2016: 1.91m) Actual surplus 315k (18%) (2016:Surplus 91k 6%)

16 BGH - Finance Report June 2017 Bantry YTD June 2017 outturn Gross pay & non pay budget 10.3m Actual pay & non pay 10.48m Actual deficit 181k (-1.8%) Less Adjustments 199k increase in Bad debts provision 41k St. Josephs ward 111k LRA Restoration unfunded 45k Waiting list initiative 2k Adjusted surplus 18k (0.2%) Bantry Income outturn Income budget 1.79m Actual Income 1.81m Actual surplus 23k (1%)

17 Relocation of HBS Storage to the National Distribution Centre CUH Project-go live 12 th June 17

18 CUH - NDC Implementation Committee The CUH - NDC Implementation Committee is being established to: Oversee the implementation of residual actions set out in HBS Local project plan Address the specific service issues arising from the project Monitor the achievement of the HBS Cost Containment target of 700k Monitor the introduction of barcode/scanning to all stock locations Develop the suite of appropriate user reports for all levels of Management

19 CUH - NDC Implementation Committee This committee will operate on behalf of the EMB The core membership will comprise: Mr. Brendan O Reilly, Operations Manager Mr. Terry Kiely,Finance Manager Mr. Stephen Lynch,Assistant Head of Logistics & Inventory Management Mr. Michael Coleman, Logistics Operations Manager.Cork City & County A/ Director of Nursing Nominee Other individuals and departments will be called on as required

20 Patient Access Emergency Department

21 CUH 30 Day Moving Average (14/07/2017)

22 30 Day Moving Average (21/07/2017)

23 6 Hour PET & 8AM TrolleyGAR per 100 ED Attends 23

24 PET Monthly Comparison (Non Admitted)

25 PET Monthly Comparison (Admitted)

26 PET > 24hrs PET >24 hours Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

27 >75 years Bed Wait >9 hours >75yrs Bed Wait >9 hrs (2017) **Up to 18th July Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

28 Delayed Discharges April June 2017

29 Bed Days Used by inpatients for Associated Date with LOS > 14 days

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31 >14 Day Target Reduction 31

32 Overview of CUH In-Patients Awaiting Cardiac Surgery Numbe r Ward Adm. Date Patients in Hospital in excess of 14 days Referring Consultant Cardiologist Intended Surgical Procedure & Consultant Surgeon Current Status Patient 1. SDU 21/06/ 2016 Dr. E. McFadden AVR TA Surgery Date Wednesday 19/07/2017 Patient 2. SDU 10/07/ 2017 Dr. P. Kearney CABG KD Surgery Date (TBC) Referral rec d 17/07/17 Patient 3. 3D Card. Ward 17/07/ 17 Dr. E. McFadden CABG - KD Referral 4.00pm this afternoon referral on Mr Doddakula desk for his attention

33 Patient Flow Improvement Plan - PF 17 Whiteboards (completed) >14 Day Patient Review Discharge Coordinator Staffing (completed) Weekly >14 Day Review(work in progress) Delayed Discharges (18 patients >100 days) Long Term Care Process (MUH Meeting 20 th June) Early identification of patients with LOS >14 days (work in progress) Acute Surgical Pathway (work in progress) Cardiothoracic Pathway (completed) Orthopaedic Pathway (to be progressed) Integrated Care Pathways (work in progress) Acute Floor Interface Group (work in progress) Communication Plan (work in progress)

34 Patient Access - Outpatient Waiting Lists

35 Total Medical Patients to be seen by 15 Month Target (as of June 2017) (205)

36 Total Surgical Patients to be seen by 15 Month Target (as of June 2017) (3398)

37 2500 Patients Currently Waiting Longer Than 12 Months as of June 2017 (6719) ()

38 Ophthalmology Waiting List Validation (Sample) Number of Patients validated 101 Request to stay on list 52 Request removal from list 3 RIP 2 Return not known 1 Attended 1 Cancelled 1 No Response 41

39 Patient Access - Inpatient Waiting List

40 Patients to be treated by October 2017 (20/072017)

41 Patients to be treated by 15/10/2017 (373) (as of 20/07/2017)

42 Urology Waiting List

43 Plastic Surgery Waiting List

44 General Surgery Waiting List

45 Scope Breaches Gastroenterology 25 have a Pre admit date Surgery - 5 have a Pre admit date

46 Quality & Safety

47 ALOS All Inpatients May 2017 R

48 Hand Hygiene May 2017 G

49 National Early Warning Score May 2017 G

50 Cancer KPI Breast-Lung-Prostate January June 2017

51 Risk Management June KPI data Serious Reportable Events reported 2 Medication Safety Incidents reported - 6 Complaints 8 complaints raised in October with 38% closed within 30 day timeframe New claims notified to hospital 10 Risk Register Risk Register updated in June no new risks added Updated Risk Register to be submitted to the Group

52 Quality and Safety Pressure Ulcer Working Group meetings are on-going with the group quality and Safety Manager System Analysis Review commence review of implementation of the recommendations Falls Prevention Introduce on a trial basis fall prevention socks National Patient Satisfaction Survey CUH 45% response rate as of 7 th July one immediate trend is the Discharge process (national response rate 47%) Quality Survey - survey patients accessing our services

53 Human Resource Management

54 WTE s CUH Sick Leave 2016 v 2017 CUH Total % Sick Leave 2016 v 2017 % Jan Feb Mar April May June July August Sept Oct Nov Dec 2016% 2017% % Target Jun Jul-16 CUH Long Term Sick Leave WTE s Mar-17 Feb-17 Jan-17 Dec-16 Nov-16 Oct-16 Sep-16 Aug Apr May Jun-17

55 EWTD Compliance January - May 2017

56 Paediatric Unit Project Capital Projects Status Phase 1 - build programme completed Phase 2 funding received Radiation Oncology Unit Builder commenced on site on Monday 20 th February Education and Training Centre Blood Sciences Project Draft Statement of Need completed and discussion ongoing with UCC Meeting held with UCC Design Team appointed infrastructural works are near completion 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 Tender Pack being prepared Helipad Interim helipad in place preferred site identified Meeting with the IAA to be arranged

57 Key Issues Finance Patient Access Implementation of SAP Structured Overtime Pay controls clearly working Need for change in accounting for PCRS funded drugs Bad Debts PF17 working well challenge with complex discharges Ophthalmology service risk Plastic Surgery/SIVUH Lung Cancer CT's /Calculation of KPI's CAMHS Patient and Service User Pharmacy Review Quality Strategy Early Indications form National Quality Survey Complaints Register Unscheduled Care Process Day Surgery Unit Cardio Thoracic Surgery Waiting Lists No outstanding third party hearings INMO relations working well Implementation of change programme in Catering/Housekeeping Sick Leave Focus HR recruitment workload Grading of staff must be addressed Quality & Safety Human Resource