|
CorrectCare
Examining Cost:
How Improving Operations
Can Boost Your Bottom Line (part
2)
— Case Study Tables
by
Rick
Morse, MBA, CCHP
| Case
Study of an 850-Bed Jail: What's Wrong With This
Picture? |
|
Budgetary
Targets |
Benchmark
(Jail) |
Budget |
Actual vs.
Budget* |
Budget
Variance |
8 mo YTD
Budget |
8 mo YTD
Actual |
YTD Variance |
|
• Labor/Payroll |
53%–65% |
64.44% |
67.21% |
(4.30%) |
$2,404,886 |
$2,508,352 |
($103,466) |
|
• Off-Site
Care |
15%–25% |
18.75% |
19.10% |
(1.87%) |
$699,594 |
$712,655 |
($13,061) |
|
• On-Site Care |
2%–5% |
2.57% |
2.09% |
18.94 |
$96,000 |
$77,822 |
$18,178 |
|
• Pharmacy |
9%–10% |
10.56% |
10.67% |
(0.98%) |
$394,219 |
$398,077 |
($3,858) |
|
• Other Line
Items |
5%–10% |
3.68% |
3.55% |
|
$137,201 |
$132,627 |
$4,574 |
|
• YTD
Total |
|
100% |
102.62% |
|
$3,731,900 |
$3,829,533 |
($97,633) |
|
* Actual vs.
Budget was calculated as the line item actual amount
divided by the budgeted total amount. This was done to
highlight red flag percentages for this scenario. In
reality, we calculate budget variances as a percentage
of the line item budget amount divided by the line item
actual amount. |
|
Utilization
Targets |
Benchmark
(Jail) |
8 mo YTD
Budget |
8 mo YTD
Actual |
|
|
•
Hospital
Days
(per inmate per year) |
.130–.150 |
.135 |
.145 |
|
•
Emergency Department
Trips
(per inmate per year) |
.075–.100 |
.085 |
.104 |
|
•
Medications
(per inmate per month) |
.90–1.10 |
|
2.85 |
[This article first appeared in the
Winter 2009 issue of CorrectCare.] |