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Financial and Operational Review CUH and MGH - February 2016

This report presents a detailed analysis of the financial performance and operational activities of CUH and MGH for February 2016, including budget vs. actual outturn, deficits, income, staffing data, patient access, and quality and safety metrics.

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Financial and Operational Review CUH and MGH - February 2016

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  1. Balanced Score CardReview of February 2016 Data

  2. Balanced Scorecard Patient and Service User

  3. Finance

  4. CUH Finance Report – February 2016

  5. Finance Report - February 2016 Actual outturn Feb 2016- CUH/MGH Gross pay & non pay budget €59.1m Actual pay & non pay €60.2m Actual Deficit €1.2m (2.0%) Actual outturn Feb 2016- CUH Gross pay & non pay budget €55.8m Actual pay & non pay €56.9m Actual Deficit €1.1m (2.0%) Income outturn Feb 2016- CUH /MGH Income budget €13.8m Actual Income €13.5m Actual Deficit €307k (2.2%) Income outturn Feb 2016- CUH Income budget €13.2m Actual Income €12.9m Actual Deficit €339k (2.6%)

  6. MGH Finance Report- February 2016

  7. Finance Report -February 2016 Mallow Actual outturn ytd Feb 2016 • Gross pay & non pay budget €3.29m • Actual pay & non pay €3.36m • Actual Deficit €68k (2.1%) Mallow Income outturn ytd Feb 2016 • Income budget €631k • Actual Income €644k • Actual Surplus €13k (2.1%)

  8. CUH Group –Surplus / (Deficit) percentage %

  9. CUH Group –Pay & Non pay Budget Surplus/(Deficit) % • CUH Group –Income Budget Surplus/(Deficit) %

  10. CUH Group Summary – Budget v Actual Expenditure February 2016

  11. CUH Actual Non-pay Expenditure February 2016 v 2015

  12. CUH AGENCY COSTS €k 2014-16

  13. CUH AGENCY WTE – 2016

  14. CUH Average Nursing & HCA Agency WTE’s per Week 2014-16

  15. Patient Income 2014 –2016

  16. CUH Debtor days Consultant claims-Jan 2016

  17. Patient Access

  18. INMO Trolley ReportAnnual data for 2015 and comparative data for 2014

  19. Weekly INMO Trolley ReportWeek ending 11th March 2016

  20. ED New Presentations- 2015 & Jan – Feb 2016

  21. ED Admissions 2015 & Jan – Feb 2016

  22. ED – 6hr & 9hr Target – All Patients (Quarter 4 2015 & February 2016) R

  23. ED – 6hr & 9hr Target – Admitted Patients (Quarter 4 2015 & February 2016)

  24. ED – 6hr & 9hr Target – Non Admitted Patients(Quarter 4 2015 & February 2016)

  25. Delayed Discharges Jan- March 8th 2016

  26. Outpatient Waiting Lists

  27. Patients to be seen by 15 Month Timeline

  28. Total Medical Patients to be seen by 15 Month Targetas of 14/03/2016 Total Patient Count - 236

  29. Total Surgical Patients to be seen by 15 Month Timeline as of 14/03/2016

  30. Women and Children Patients to be seen by 15 Month Timeline as of 14/03/2016

  31. Patients Currently Waiting Longer Than 12 Months as of 14/03/2016

  32. New and Return DNA Rate in CUH

  33. Scope Waiting List

  34. G Scopes Urgent – December

  35. Scopes Routine - December R

  36. Inpatient Waiting List

  37. Total Inpatient & Day case Waiting List(10th March 2016)

  38. 18 month Breaches as of 10th March 2016 (32)

  39. 15 month Breaches as of10th March 2016 (122)

  40. Quality & Safety

  41. Cancer KPI – Breast-Lung-ProstateJanuary & February 2016

  42. Commencement of 8 week CIT presence in CUH • Increased awareness of CIT • Increased referrals to CIT by 55.7% • Increased hospital avoidance • Increased admission avoidance

  43. Results 8 week CIT presence in CUH

  44. OPAT Referrals – January & February 2016

  45. OPAT Referrals – Bed days saved

  46. Quality and Safety • Appointment of Lead for Clinical Audit completed • Appointment of Risk Manager completed • Appointment of Quality Assurance Manager completed • Housekeeping Services Project Group – Job Descriptions signed off: Health Care Assistant Facilitator &Health Care Assistant • Quality Improvement Programme for Outpatient services • Commence development of CUH Quality Strategy

  47. Risk Management - February KPI data • Serious Reportable Events reported - 0 • Medication Safety Incidents reported  0 • Complaints – 27 complaints raised in February on average 60% closed within 30 day timeframe • New claims notified to hospital - 0 • Risk(s) escalated in February - 0 • Audit of SRE Maternity services

  48. Human Resource Management

  49. Sick Leave – February 2015

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