West Central Hospital--Key Operating Indicators

West Central Hospital--Key Operating Indicators Category Measure FY 2007 FY 2008 FY 2009 Hospital's CCG Top Quartile for FY09Quality Outcomes Inpatient Mortality 2.2 2.3 2.2 1.8Number of hospital-acquired Pressure Ulcers per 1,000 Inpatient Discharges 0.4 0.5 0.7 0.3Central Line-associated Blood Stream Infections per 1,000 Catheter Days in Adult ICU Patients 1.6 2.3 1.5 1.3Inpatient Acute Care Falls per 1,000 Patient Days 2.67 2.81 2.8 2.3Percent of Core Measure Indicators Achieving 90% or Higher 93 95 90 98% of patients transferred to hospital during a Home Care episode 23% 23% 28% 21%Patient Satisfaction Overall Rating of the Hospital 63.0% 59.0% 60.0% 60.0%Likelihood to Recommend the Hospital 67.0% 71.0% 75.0% 64.0%Communication with Nurses 75.0% 72.0% 71.0% 71.0%Communication with Doctors 80.0% 78.0% 79.0% 78.0%Liquidity Current Ratio 1.05 0.96 0.81 1.44Net Days in Patient Accounts Receivable 39.72 44.94 36.85 41.98Gross Days in Patient Accounts Receivable 45.11 48.4 40.81 42.46Profitability Operating Margin Percent 2.88 5.14 4.28 1.19Return On Total Assets % 8.58 12.76 8.4 0.24Net Profit (Loss) per Adjusted Discharge 262.4 463.45 395.28 -7.89Capacity, Utilization, and Other Statistical Data CMI Weighted Adjusted Discharges 47,377 52,917 53,614 32,307CMI Weighted Adjusted Patient Days 179,056 191,762 190,225 147,951Average Length of Stay - Total 3.78 3.62 3.55 4.30Hospital CMI Adjusted Total Length Of Stay 4.33 4.27 4.18 5.5Hospital CMI 1.15 1.18 1.18 1.26Worked Hours Total Worked Hours per CMI Weighted Adjusted Patient Day 25.2 23.9 24.1 17.4Total Worked Hours per CMI Weighted Adjusted Discharge 95.2 86.5 85.4 82.8Expenses per Adjusted Discharge Ratios Total Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Discharge $7,135 $6,698 $6,954
$6,578Total Labor Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Discharge $3,489 $3,255 $3,322 $3,021Total Non-Labor Expense per CMI Weighted Adjusted Discharge $3,646 $3,443 $3,632 $3,572Total Supply Expense per CMI Weighted Adjusted Discharge $1,399 $1,283 $1,363 $1,146Expenses per Adjusted Patient Day Ratios Total Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Patient Day $1,888 $1,848
$1,960 $1,445Total Labor Expense, AWI Adjusted, per CMI Weighted Adjusted Patient day $923 $898 $936 $651Total Non-Labor Expense per CMI Weighted Adjusted Patient Day $965 $950 $1,024 $775Total Supply Expense per CMI Weighted Adjusted Patient Day $370 $354 $384 $254Expenses as % of Total Operating Expenses Total Labor Expense as % of Total Operating Expense 52.6% 52.6% 51.9% 45.1%Total Non Labor Expense as % of Total Operating Expense 47.4% 47.4% 48.1% 47.3%Total Supply Expense as % of Total Operating Expense 18.2% 17.7% 18.1% 14.7%Expenses as % of Total Operating Revenue Total Labor Expense as % of Net Operating Revenue 51.1% 49.9% 49.7% 43.1%Total Non Labor Expense as % of Net Operating Revenue 46.0% 44.9% 46.1% 45.4%Total Supply Expense as % of Net Operating Revenue 17.7% 16.7% 17.3% 14.4%b = Unable to compute Hospital's ranking to its Compare Group. CCG = Custom Compare Group (Note: "Hospital's CCG Top Quartile" data is based on a peer group of hospitals with several similar organizational
and operational characteristics to those listed above) Based on this scorecard, which areas of the organization seem to be doing well, and which ones are most in need of improvement? What are your
grounds for concluding this? Summarize what these scorecard indicators say about this organization in comparison with its peer organizations
(e.g., the Custom Compare Group).Consider the selection of metrics for this scorecard. Do you think this scorecard will provide managers and administrators with a balanced view
of the organization’s performance? Explain why or why not. Suggest adding and/or deleting any metrics and provide a rationale for doing so.Review the scenario and consider these details in connection with the scorecard data. Propose a significant, yet plausible strategic goal for
this organization. Then identify 2–3 metrics the organization should focus on to help them meet this goal. Are these metrics in the scorecard
already? If so, which ones are they? If not, which metrics would you add to the scorecard to help leadership monitor this strategic goal?

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