Operations Report January, Executive Summary

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January, 216 Executive Summary

Ending January 31, 216 Executive Summary Cooper Green Mercy Health Services (CGMHS) is pleased to submit this summary of key utilization for the month ending January 31, 216. Primary Care visits are up month over month for the period ending January 31, 216. Specialty clinic visits remained relatively stable as compared to the same period in FY 215. Visits to all clinics are annualizing at approximately five percent over FY 215 levels. Some of this increase is attributable to the Behavioral Health clinic which saw patients only 4 months during the previous fiscal year. Urgent care continues to demonstrate growth over the first four months of FY 216. If this trend continues, annualized growth will approximate 13 percent. Reference lab volumes should begin to decrease in the coming months with a commensurate increase in inhouse tests as the facility s new A1c analyzer is calibrated and brought online over the next few weeks. Enrollment volume is the highest it has been in the last 15 months at 11,26 and represents a 1.2 percent increase over the same point in time in FY 215. The indigent patient population has increased and now represents 63.8% of the total patient population. NOTE ABOUT DATA PRESENTED IN THIS REPORT: Because of the way the CGMHS systems track patient visits, visits can be under reported. A single patient who might see a primary care physician and then have a visit in Rehabilitation Services on the same day is counted in the last clinic area he or she visited, not both. The EMR/Registration software conversion to Cerner/IDX will hopefully rectify this data collection and reporting anomaly.

Visits Ending January 31, 216 All Visits 31 21595 214 49,68 21 15995 15639 1521 215 55,152 11 1 1916 11127 4948 4522 211 224 7358 4667 4181 1567 647 822 653 FY 214 FY 215 FY 216 Year Primary Care Specialty Care Pain Care Rehabilitation Urgent Care Behavioral Health 216 YTD (Four s) 19,248 Clinical Service FY 214 FY 215 FY 216 Primary Care 15,995 21,595 7,358 Specialty Care 15,639 15,21 4,667 Pain Management 2,11 2,24 822 Urgent Care 1,916 11,127 4,181 Behavioral Health 647 653 Rehabilitation 4,948 4,522 1,567 TOTAL VISITS 49,68 55,152 19,248

Visits Visits Ending January 31, 216 Primary Care - Visits by 25 2 15 257 1567 1988 1746 1 5 FY 214 FY 215 FY 216 Specialty Care - Visits by 18 16 14 12 1 1334 952 1147 1234 8 6 4 2 FY 214 FY 215 FY 216

Visits Visits Ending January 31, 216 Pain Care - Visits by 3 25 241 2 182 22 197 15 1 5 FY 214 FY 215 FY 216 Behavioral Medicine - Visits by 2 18 16 152 153 176 172 156 157 175 14 12 1 8 117 6 4 2 42 FY 214 FY 215 FY 216

Visits Visits Ending January 31, 216 7 Rehabilitation Services - Visits by FY 215 6 5 4 3 2 1 44 48 344 324 318 4 261 46 47 344 339 47 382 63 512 88 45 94 86 415 393 Scheduled Walk Ins 6 Rehabilitation Services - Visits by FY 216 5 4 79 73 112 93 3 2 49 359 428 371 1 Scheduled Walk Ins

Visits Ending January 31, 216 14 Emergent/Urgent Care - Visits by 12 1 1111 139 995 136 8 6 4 2 FY 214 FY 215 FY 216

Visits Visits Ending January 31, 216 Total In-House Lab Tests by 14 12 1 11497 9529 1124 971 8 6 4 2 FY 214 FY 215 FY 216 2 18 16 14 12 1 8 6 4 2 Total Reference Lab Tests by 1334 1378 1617 1218 FY 214 FY 215 FY 216

Visits Ending January 31, 216 Total Lab Phlebotomy Patients by 18 16 14 12 1 1331 98 1216 1317 8 6 4 2 FY 214 FY 215 FY 216

Axis Title Ending January 31, 216 Pharmacy - Prescriptions by 1 9 8 7 845 766 8642 87 6 5 4 3 2 1 FY 214 FY 215 FY 216 Prescriptions Filled Pharmacy Core Measures FY 216 Cash Deposited Third Party Revenue Patient Assistance Drugs Purchased October 8,45 $52,195.74 $194,133.4 $241,378.73 $28,731.83 November 7,66 $46,698.33 $213,193.22 $212,144.27 $34,99.63 December 8,642 $53,846.47 $261,156.85 $255,77.75 $298,87.66 January 8,7 $48,114.7 $372,9.26 $196,595.28 $263,749.98 February March April May June July August September

Ending January 31, 216 12 Imaging Utilization FY 214 1 8 6 4 151 176 7 128 88 81 36 33 58 73 155 52 84 75 168 231 55 45 97 18 14 221 145 165 5 52 6 116 184 46 1 141 44 87 83 45 2 559 417 557 543 521 56 456 476 494 573 546 372 Computerized Radiology Computed Tomography Mammography Ultrasound Imaging Utilization FY 215 12 1 6 141 8 6 4 112 181 41 15 147 56 124 125 52 111 118 132 173 55 43 221 19 49 75 115 143 188 17 71 55 11 97 117 197 156 75 51 56 52 2 537 442 545 581 546 63 68 486 494 464 457 487 Computerized Radiology Computed Tomography Mammography Ultrasound

Ending January 31, 216 Imaging Utilization FY 216 12 1 8 6 4 1 185 55 129 73 124 162 52 36 16 142 52 2 519 437 46 349 Computerized Radiology CT Scanning Mammography Ultrasound

Ending January 31, 216 Metabolic Wellness Utilization FY 215 Inlcudes Diabetes Clinic, Weight Management and Patient Education 16 14 12 1 8 6 4 2 54 37 58 82 45 48 37 31 23 27 32 42 19 24 15 15 6 61 3 29 37 37 43 47 42 47 49 18 Diabetes Weight Mtg Education 14 Metabolic Wellness Utilization FY 216 Inlcudes Diabetes Clinic, Weight Management and Patient Education 12 1 8 6 4 2 29 11 32 32 26 34 3 33 5 56 57 29 Diabetes Weight Mtg Education

Enrollees Enrolles Ending January 31, 216 ENROLLED PATIENTS - FY 215 12, 1, 8, 6, 839 859 86 854 894 893 915 927 958 957 956 973 2,717 2,642 2,594 2,543 2,487 2,438 2,385 2,363 2,347 2,35 2,286 2,237 4, 2, 5,851 5,8 5,84 5,796 6,68 6,154 6,236 6,197 6,148 6,189 6,182 6,171 - Indigent Total Medicare Total Medicaid Total Commercial Total Self Pay Total Other Total 12, TOTAL ENROLLED PATIENTS - FY 216 1, 8, 978 99 1,33 2,197 2,149 2,129 1,59 2,127 1,86 2,111 6, 4, 2, 6,141 6,169 6,351 6,633 7,31 - - - - - - - - Indigent Total Medicare Total Medicaid Total Commercial Total Self Pay Total Other Total

Ending January 31, 216 DATA TABLE FOR ENROLLED PATIENTS FY 215 Indigent Total 5,851 5,8 5,84 5,796 6,68 6,154 6,236 6,197 6,148 6,189 6,182 6,171 Medicare Total 2,717 2,642 2,594 2,543 2,487 2,438 2,385 2,363 2,347 2,35 2,286 2,237 Medicaid Total 839 859 86 854 894 893 915 927 958 957 956 973 Commercial Total 256 264 275 283 274 276 285 283 297 317 318 34 Self Pay Total 143 149 16 176 191 193 26 213 219 236 24 267 Other Total 14 14 14 91 92 96 18 15 96 87 9 91 Grand Count 9,91 9,818 9,797 9,743 1,6 1,5 1,135 1,88 1,65 1,91 1,72 1,79 DATA TABLE FOR ENROLLED PATIENTS FY 216 Indigent Total 6,141 6,169 6,351 6,633 7,31 - - - - - - - Medicare Total 2,197 2,149 2,129 2,127 2,111 - - - - - - - Medicaid Total 978 99 1,33 1,59 1,86 - - - - - - - Commercial Total 363 372 381 388 43 - - - - - - - Self Pay Total 269 275 291 3 31 - - - - - - - Other Total 89 88 86 82 85 - - - - - - - Grand Count 1,37 1,43 1,271 1,589 11,26 - - - - - - -