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Balanced Score Card Review of September 2015 Data

Balanced Score Card Review of September 2015 Data. Balanced Scorecard. Finance. Finance Report - September 2015. Actual outturn YTD August 2015 Group budget €188.2m (2014 €183.0m) Group actual expenditure €188.1m (2014 €191.9m) Group actual surplus €104k ( 2014 deficit: €8.9m)

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Balanced Score Card Review of September 2015 Data

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  1. Balanced Score CardReview of September 2015 Data

  2. Balanced Scorecard

  3. Finance

  4. Finance Report - September 2015 • Actual outturn YTD August 2015 • Group budget €188.2m (2014 €183.0m) • Group actual expenditure €188.1m (2014 €191.9m) • Group actual surplus €104k ( 2014 deficit: €8.9m) • CUH Budget €176.7m (2014:€170.1m) • CUH /SMOH actual expenditure €177.1m (€178.6m) • CUH /SMOH actual deficit €421k (2014 €8.5m) • Mallow Budget €11.5m (2014:€11.2m) • Mallow actual expenditure €11.0m (2014 €11.8m) • Mallow actual surplus €525k ( 2014 deficit €617k)

  5. Forecast 2015 • Group Budget €282.58m (2014 €284.9m) • Group projected expenditure €282.2m (€284.2m) • Group Projected Surplus €379k ( surplus 0.7m) • CUH Budget €265.3m (2014:€262.8m) • CUH projected actual €265.4m (€265.2m) • CUH projected Deficit €97k (€2.4m) • Mallow Budget €17.3m (2014:€17.5m) • Mallow Projected Actual €16.8m (€16.8m) • Mallow Projected Surplus €476k

  6. CUH Group Summary – Budget v Actual Expenditure YTD September 2015

  7. CUH Budget v Actual Pay YTD - September

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

  9. CUH Actual Non-pay Expenditure €k YTD September 2015 v 2014

  10. CUH Debtor days –September 2015

  11. CUH AGENCY COSTS €k 2013 – September 2015

  12. CUH AGENCY WTE – September 2015

  13. CUH Agency Costs – September 2015

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

  15. Patient Income 2013 –September 2015

  16. Mallow Budget v Actual YTD September 2015

  17. Patient Access

  18. CUH Weekly INMO Trolley Report Week ending 16th October 2015

  19. Ambulance Turnaround Times (September) 90% of patients clinically transferred <60 minutes after the 1st two weeks of the month to 94% at the end of September.

  20. ED – 6hr & 9hr Target 12th October) (9hr – 73% - 6hr – 56%) R

  21. ED – 6hr & 9hr Target (Jan – Sept - Trend line)

  22. Delayed Discharges - 2015January - October (13th October)

  23. Inpatient – Day case Waiting Lists

  24. Total Adult Inpatient Waiting List ( 22/10/2015)

  25. Waiting List – 15 month Target (22/10/2015)

  26. Outpatient Waiting Lists

  27. OPD - Potential Breaches (4,499)

  28. Patients to be seen by the 31st of December 2015 4417 Urgent patients waiting 0-12 months not due to breach • 4499 Urgent and Routine patients due to breach the 15 month deadline of the 31.12.15: • 1157 have been booked and capacity maximised to EOY • 3342 Potential Breaches • 2342 Gynae & Ophthalmology • 523 Difficulties • 163 Diabetes • 74 Endocrine • 90 Plastics • 80 Vascular Surgery • 23 Paeds Neurology ? NL • 93 Gen Surg ?SIVUH but includes Children • The remaining patients will be managed through additional out of hours clinics

  29. Medical Patients to be seen by the 31st of December 2015

  30. Surgical Patients to be seen by the 31st of December 2015

  31. New and Return DNA Rate

  32. Scope Waiting List

  33. G Scopes Urgent – September

  34. Scopes Routine - September R

  35. Medical ALOS(August Dashboard) A

  36. New Patients Treated with Radiation Oncology September

  37. Reason for Treatment Delay - September 2015

  38. Quality & Safety

  39. Day Surgery Admission Rate (August Dashboard) G

  40. G Surgery – Length of Stay

  41. A ALOS – Excluding LOS over 30 days(August Dashboard)

  42. Cancer KPI – Breast-Lung-Prostate -Jan – September

  43. Quality Programme Clinical Care Indicators • Medical Readmission rates • Surgical readmission rates • Patient experience of nursing care • Staph Aureus rates • C. Difficile Rates • Training in hand hygiene (online or in person) • End of life care in a single room • Presence of family room on ward (and further standard or room) • Falls • Smoking cessation

  44. Learning – Hold to Account • Restructuring of Board Agenda • Spend time at board meeting on discussing quality (and measure) • Act - Restructuring of Board minutes to reflect recommendations • Non executive quality walk rounds to meet clinical team on wards providing the care Results • Dedicated time for the discussion of quality of clinical care at board meetings • Quality of Clinical Care Indicators are analysed monthly by the Board • 150% increase in the time spent discussing quality of clinical care at board meetings Improvement in quality of discussion & number of recommendations by the Board in relation to quality of clinical care

  45. Risk Register Risk Register update submitted 22nd October 2015 49 Open Risk Assessments on Risk Register Two new risks escalated to Group CEO: • Risk Assessment 56 – Keogh Billing system • Risk Assessment 57 - Delayed intervention for patients requiring Implantable Cardio Defibrillator (ICD) procedures.

  46. Reducing Healthcare Acquired Infection (MRSA)(August Dashboard) G

  47. Reducing Healthcare Acquired Infection- C diff(August Dashboard) G

  48. Reducing Healthcare Acquired InfectionAugust Dashboard) G

  49. Human Resource Management

  50. Sick Leave – August 2015

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