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Balanced Score Card Review of October 2015 Data

Balanced Score Card Review of October 2015 Data. Balanced Scorecard. Finance. 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)

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Balanced Score Card Review of October 2015 Data

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  1. Balanced Score CardReview of October 2015 Data

  2. Balanced Scorecard

  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

  7. CUH Budget v Actual Pay YTD – October 2015

  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 13th 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 - 2015January - October (10th November)

  23. Inpatient – Day case Waiting Lists

  24. Inpatient & Daycase Breaches – 31st December 2015

  25. Outpatient Waiting Lists

  26. OPD Potential Breaches – 21st December 2105

  27. Scope Waiting List

  28. G Scopes Urgent – September

  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 Target2014 Vs 2015

  34. Brachytherapy ActivityJanuary 2015 – October 2015

  35. Quality & Safety

  36. Day Surgery Admission Rate (September Dashboard) G

  37. A Surgery – Length of Stay(September Dashboard)

  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 22nd 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 VisitAntimicrobial Stewardship Programme Site visit on Tuesday 20th 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

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