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Balanced Score Card Review of October 2015 Data. Balanced Scorecard Finance Patient Access Quality & Safety Human Resource Management.

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Presentation on theme: "Balanced Score Card Review of October 2015 Data. Balanced Scorecard Finance Patient Access Quality & Safety Human Resource Management."— Presentation transcript:

1 Balanced Score Card Review of October 2015 Data

2 Balanced Scorecard Finance Patient Access Quality & Safety Human Resource Management

3 Finance

4 Finance Report – October 2015 Actual outturn YTD - October 2015 Group budget €235.2m (2014 €228.3m) Group actual expenditure €236.5m (2014 €235.8m) Group actual deficit €1.3m ( 2014 : €7.5m) Less: Additional bad debts provision re MOU €1.1m Loss of earnings –Radiation therapists €150k Waiting list penalties €170K Adjusted group surplus –YTD Oct €0m CUH Budget €220.8m (2014:€212.5m) CUH /SMOH actual expenditure €222.6m (2014 €219.6m) CUH /SMOH actual deficit €1.8m (2014 €7.1m) Adjusted deficit (excl bad debt/LOE)–ytd Oct €0.4m Mallow Budget €14.4m (2014:€13.9m) Mallow actual expenditure €13.9m (2014 €14.3m) Mallow actual surplus €460k ( 2014 deficit €372k)

5 CUH Group –Surplus / (Deficit) percentage % (October)

6 CUH Group Summary – Budget v Actual Expenditure YTD - October 2015 Pay €kNon-Pay €kIncome €kTotal CUH-2,816-7,6158,579-1,852 SMOH0-247349 CUH-SMOH-2,816-7,6398,652-1,805 Mallow-4-504968460 Total-2,820-8,1439,620-1,343

7 CUH Budget v Actual Pay YTD – October 2015 2015 Budget €k 2015 Actual €k Variance €k % Variance 2014 Actual €k v 2014 Variance €k Medical/Dental53,44754,344-(897)-1.7%52,797-(1,547) Nursing/Midwif ery72,38673,002-(616)-.9%72,862-(140) Paramedical26,73927,016-(277)1%26,918-(98) Housekeeping5,4795,652-(173)-3%5,324-(327) Care Assistants5,0535,567-(514)-10%5,324-(243) Catering3,3033,382-79-2.4%3,482100 Portering4,8144,827-13-.3%4,981154 Administration14,86515,075-210-1.4%14,757-319 Other Staff2,9082,945-37-1.3%2,97833 Total188,994191,810-2,816-1.5%189,424-2,386

8 CUH Actual Non-pay Expenditure €k YTD 2015

9 CUH AGENCY COSTS €k 2013 – YTD 2015

10 CUH AGENCY WTE – YTD 2015

11 CUH Average Nursing & HCA Agency WTE’s per Week 2013-15 CUH Average Specials /Other Nursing & HCA Agency WTE’s per Week 2014-15

12 Patient Income 2013 – YTD 2015

13 CUH Debtor days –YTD 2015

14 Mallow Budget v Actual YTD October 2015

15 Forecast Group Budget €283.0m (2014 €284.9m) Group projected expenditure €286.4m (€284.2m) Collection of EU Charges €0.7m Group Projected Deficit €2.6m ( surplus 0.7m) Less: Additional bad debts provision re MOU €2.2m Loss of earnings –Radiation therapists €0.4m Waiting list penalties €170k Add National service contracts €210k Adjusted group projected surplus €0.4m CUH Budget €265.8m (2014:€265.1m) CUH projected actual €268.7m (€265.3m) CUH projected Deficit €2.9m (€0.2m) Mallow Budget €17.2m (2014:€17.5m) Mallow Projected Actual €16.9m (€16.8m) Mallow Projected Surplus €0.3m (€0.7m)

16 Patient Access

17 CUH Weekly INMO Trolley Report Week ending 13 th November 2015

18 Ambulance Turnaround Times - October

19 ED – 6hr & 9hr Target – All Patients (January – October ) R

20 ED – 6hr & 9hr Target – Non Admitted Patients (January – October )

21 ED – 6hr & 9hr Target –Admitted Patients (January – October )

22 Delayed Discharges - 2015 January - October (10 th November)

23 Inpatient – Day case Waiting Lists

24 Inpatient & Daycase Breaches – 31 st December 2015

25 Outpatient Waiting Lists

26 OPD Potential Breaches – 21 st December 2105

27 Scope Waiting List

28 Scopes Urgent – September G

29 Scopes Routine - September R

30 Medical ALOS (September Dashboard) A

31 New Patients Treated with Radiation Oncology in Target - October

32 Reasons for Treatment Delay - October

33 New Patients Treated within Target 2014 Vs 2015

34 Brachytherapy Activity January 2015 – October 2015

35 Quality & Safety

36 Day Surgery Admission Rate (September Dashboard) G

37 Surgery – Length of Stay (September Dashboard) A

38 ALOS – Excluding LOS over 30 days (September Dashboard) A

39 Cancer KPI – Breast-Lung-Prostate –January – October

40 OPAT Outpatient Parenteral Antimicrobial Therapy – IV antibiotics/antifungals/antivirals given at home Reduces patients length of stay in hospital Avoids Admission for long period Reduces healthcare associated infection risk Patients can return to work

41 Bed Days Saved

42 Quality and Safety  Appointment of Clinical Director for Women and Children Directorate  Appointment of Lead for Clinical Audit  External Expert for Radiology Review identified  Improvement Programme on Complaints Management  Housekeeping Services Project Group – Principals agreed  Pilot project on risk assessment, risk escalation and risk register using module on Q Pulse (medium term plan is an electronic system)  Quality Improvement programme for Outpatient services  Interviews for post of Risk Manager, Quality Assurance Manager and Quality Improvement Manager

43 Patient Experience Report Jan – June 2015

44 Complaints by Directorate

45 Compliance with Timeframes

46 Compliments

47 Complaint Management Review Group Lean mapping project June 2015 Pilot project November 2015 on improvements in the  Triage  administration support  pooling of investigative resources  data capture on process  recommendations for improvements  monitoring of recommendations

48 Risk Register Risk Register update submitted 22 nd October 11 on-going investigations Three new risks escalated to Group CEO in November  Risk Assessment –Grade 3 Pressure Ulcer  Risk Assessment –Grade 4 Pressure Ulcer  Risk Assessment – Sexual Assault

49 HIQA Announced Visit Antimicrobial Stewardship Programme Site visit on Tuesday 20 th October 2015 Acknowledged good progress with Antimicrobial Stewardship Programme that ties in with the National Stewardship programme Challenges  Medication Safety officer  Infection Control Nurse staffing levels  Clinical Pharmacist resources  Lack of surgical site surveillance  Laboratory surveillance of multi-drug resistant organisms not performed

50 Reducing Healthcare Acquired Infection (MRSA) (September Dashboard) R

51 Reducing Healthcare Acquired Infection- C diff (August Dashboard) R

52 Antibiotic Consumption Rate (September Dashboard) G

53 Human Resource Management

54 Sick Leave – October 2015

55 Staffing & Costs October 2015

56 EWTD Compliance (Jan – October)

57 Nursing - Starters/Leavers 2015

58 Capital Projects ProjectStatus MRI UnitCompleted and operational Paediatric Unit Phase 1 - build programme commenced in July Phase 2 – submitted for capital funding Mental Health UnitCompleted and operational Acute Medical Assessment Unit – Phase 3 & Endoscopy Unit Completed and operational Radiation Oncology Unit  Planning permission granted  Enabling works to commence in November 2015 Cystic Fibrosis/ Respiratory WardCompleted Education and Training CentreStatement of Need being developed Blood Sciences ProjectDesign Team appointed – request for managed service 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 2Project group in place HelipadInterim helipad in place - final solution being assessed by CAA. Transitional Care UnitCompleted

59 Key Issues Reopening of 31 inpatient beds Recognition of Budgetary performance Dependency on patient income 2016 Estimates Undergraduate Training costs - €6.5m per annum Management of Unscheduled Care Implementation of Change Programme Initiatives Scheduled Care Implementation of plan to meet waiting list targets –Hospital Group approach to maximise capacity


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