metrics revenue, expenses, workload clinical activity - … · · 2009-08-11supply expense...

Pharmacy Metrics of Revenue, Expenses,

Workload and Clinical Activity

Table of Contents

Pharmacy Metric Chart

• Revenue and Expenses o Hospital Revenue and Expenses 1 o Top 15 Drug Expenses 9 o Indigent Drug Replacement 14 o Kentucky Clinic Pharmacy Revenue and Expenses 15 o KADAP Program Revenue and Expenses 16

• Workload Volume and Personnel Utilization o Pharmacy Services – all 2 o Hospital Doses and FTE 3 o Hospital Doses Billed 4 o Pediatric Orders 7 o Chemotherapy Preparation 8 o Kentucky Clinic Pharmacy Prescriptions/FTE 17 o Pyxis Vends and Inventory 5 o Pyxis Volume – Percent of Total Doses 6

• Clinical Activity and Education o Hospital Clinical Consults 10 o Clinical Education 11 o Medication Error Reporting 12 o Adverse Drug Reaction Reporting 13 o Kentucky Clinic Pharmacy Clinical Consults 18

Supply expense includes all variable and fixed expenses directly related to drug distribution.

Presenting a Rolling 12‐Months ‐ Updated 08/03/2009

Jul‐08 Aug‐08 Sep‐08 Oct‐08 Nov‐08 Dec‐08 Jan‐09 Feb‐09 Mar‐09 Apr‐09 May‐09 Jun‐09

TOTAL REVENUE $10,723,772 $10,666,053 $9,959,201 $10,084,844 $10,086,751 $11,251,413 $10,621,019 $10,234,632 $10,721,953 $11,167,531 $10,904,470 $10,609,079

Total Supply Expense $3,616,849 $2,251,510 $2,896,144 $3,186,545 $2,547,343 $3,330,337 $2,957,636 $2,534,063 $3,407,321 $3,099,037 $2,765,235 $3,078,900

Revenue/Supply Expense $2.96 $4.74 $3.44 $3.16 $3.96 $3.38 $3.59 $4.04 $3.15 $3.60 $3.94 $3.45

$0.00

$0.50

$1.00

$1.50

$2.00

$2.50

$3.00

$3.50

$4.00

$4.50

$5.00

$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000

Ratio

Reven

ue:Expen

se

Dollars

Revenue and Supply Expense*Hospital Based Pharmacy Services

CHART 1

140

160

140

160

Pharmacy Services ‐ FTE Paid by Cost CenterCHART 2

Budget LIne


TOTAL REVENUE $10,723,772 $10,666,053 $9,959,201 $10,084,844 $10,086,751 $11,251,413 $10,621,019 $10,234,632 $10,721,953 $11,167,531 $10,904,470 $10,609,079

Total Supply Expense $3,616,849 $2,251,510 $2,896,144 $3,186,545 $2,547,343 $3,330,337 $2,957,636 $2,534,063 $3,407,321 $3,099,037 $2,765,235 $3,078,900

Revenue/Supply Expense $2.96 $4.74 $3.44 $3.16 $3.96 $3.38 $3.59 $4.04 $3.15 $3.60 $3.94 $3.45

$0.00

$0.50

$1.00

$1.50

$2.00

$2.50

$3.00

$3.50

$4.00

$4.50

$5.00

$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000

Ratio

Reven

ue:Expen

se

Dollars

Revenue and Supply Expense*Hospital Based Pharmacy Services

CHART 1

0

20

40

60

80

100

120

140

160

0

20

40

60

80

100

120

140

160

FTE Bu

dget Plan

FTE Paid


73290 30.03 31.51 29.08 30.66 29.89 31.29 23.97 29.29 29.98 30.08 31.65 30.36

73249 7.04 7.46 6.06 6.88 6.92 7.39 4.80 5.43 5.02 6.05 5.90 6.23

73248 0.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

73241 98.06 96.28 94.72 93.47 96.01 93.86 99.87 96.96 101.25 98.21 99.62 98.68

73210 10.01 6.97 7.69 7.76 7.84 6.85 9.67 6.43 6.95 7.23 4.84 9.10

Budget Plan 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 145.94 145.94 145.94 145.94

Pharmacy Services ‐ FTE Paid by Cost CenterCHART 2

Budget LIne

Pharmacy Services Dashboard - Rolling 12 Months.xlsx Page 1

Chart #3: Relationship of hospital pharmacy staff (pharmacists and technicians) to pharmacy doses dispensed.

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

20

30

40

50

60

70

80

90

100

110

120

130

140

Doses Dispe

nsed

Hospital Pha

rmacy FTE


Hospital FTE (73241‐9) 105.66 103.74 100.77 100.35 102.93 101.25 104.67 102.39 106.27 104.26 105.52 104.91

Total Hospital Doses Dispensed (computed) 273,445 290,551 281,125 277,798 273,972 285,941 284,860 260,240 293,332 289,636 285,501 272,540

Hospital Pharmacy Staff and Doses Dispensed

Hospital FTE (73241‐9) Total Hospital Doses Dispensed (computed)

CHART 3

FTE data from Avega often lags behind.

CHART 4

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

20

30

40

50

60

70

80

90

100

110

120

130

140

Doses Dispe

nsed

Hospital Pha

rmacy FTE


Hospital FTE (73241‐9) 105.66 103.74 100.77 100.35 102.93 101.25 104.67 102.39 106.27 104.26 105.52 104.91

Total Hospital Doses Dispensed (computed) 273,445 290,551 281,125 277,798 273,972 285,941 284,860 260,240 293,332 289,636 285,501 272,540

Hospital Pharmacy Staff and Doses Dispensed

Hospital FTE (73241‐9) Total Hospital Doses Dispensed (computed)

CHART 3

FTE data from Avega often lags behind.

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Jul‐08 Aug‐08 Sep‐08 Oct‐08 Nov‐08 Dec‐08 Jan‐09 Feb‐09 Mar‐09 Apr‐09 May‐09 Jun‐09 Jul‐09


Pediatric Order Types Dispensed ‐ Total 30142 34016 34187 32097 29970 35191 34682 27861 34209 35174 34730 28826 36100

Adult Order Types Dispensed ‐ Total 243303 256535 246938 245701 244002 250750 250178 232379 259123 254462 250771 243714 255001

Doses Billed ‐ TotalAdult Order Types Dispensed ‐ Total Pediatric Order Types Dispensed ‐ Total

CHART 4



Pyxis Inventory $314,365 $314,365 $316,119 $301,687 $319,838 $351,275 $344,457 $351,328 $352,816 $354,305 $361,299 $365,378 $365,378

Pyxis Vends (Cost) $580,976 $565,908 $540,288 $551,064 $524,046 $526,953 $526,953 $464,213 $524,003 $548,167 $517,546 $510,677 $535,374

Pyxis Inventory Turns 22.18 21.60 20.51 21.92 19.66 18.00 18.36 15.86 17.82 18.57 17.19 16.77 17.58

0.00

5.00

10.00

15.00

20.00

25.00

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

Inventory Turns

Dollars

Pyxis Vends and Inventory CostsTarget is Inventory Turns = 16

CHART 5


Pyxis Inventory $314,365 $314,365 $316,119 $301,687 $319,838 $351,275 $344,457 $351,328 $352,816 $354,305 $361,299 $365,378 $365,378

Pyxis Vends (Cost) $580,976 $565,908 $540,288 $551,064 $524,046 $526,953 $526,953 $464,213 $524,003 $548,167 $517,546 $510,677 $535,374

Pyxis Inventory Turns 22.18 21.60 20.51 21.92 19.66 18.00 18.36 15.86 17.82 18.57 17.19 16.77 17.58

0.00

5.00

10.00

15.00

20.00

25.00

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

Inventory Turns

Dollars

Pyxis Vends and Inventory CostsTarget is Inventory Turns = 16

CHART 5

79% 78% 78% 78% 79% 79% 80%78% 79%

78% 78% 78% 79%

53%55%

57% 57% 58%61% 60%

59% 59%57%

60%

57%60%

40.00%

45.00%

50.00%

55.00%

60.00%

65.00%

70.00%

75.00%

80.00%

85.00%


Percen

t Pyxis Dispe

nsed

Percent of Med Doses Dispensed through PyxisPercent of Adult Med Doses Pyxis Percent of Pediatric Med Doses Pyxis

CHART 6

Adults


0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000


Num

ber o

f Orders

Pediatric Order Types Dispensed ‐ Total

TPN

Syringe

Piggyback

Medication

Injection

Compound

CHART 7

1600

Markey Cancer Center Chemotherapy Doses

Markey ‐ Inpatient at MCOP Markey ‐ Outpatient

CHART 8

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000


Num

ber o

f Orders

Pediatric Order Types Dispensed ‐ Total

TPN

Syringe

Piggyback

Medication

Injection

Compound

CHART 7

0

200

400

600

800

1000

1200

1400

1600

Chem

othe

rapy

Doses


Markey ‐ Outpatient 881 834 888 852 762 957 870 785 946 983 993 1040 1030

Markey ‐ Inpatient at MCOP 342 297 217 301 258 278 281 221 289 274 355 331 349

Markey Cancer Center Chemotherapy Doses

Markey ‐ Inpatient at MCOP Markey ‐ Outpatient

CHART 8


20%

30%

40%

50%

60%

$500,000

$750,000

$1,000,000

$1,250,000

$1,500,000

$1,750,000

Percen

t of Total Dollars

Dollars

Top 15 Drug Expenses ‐ Hospital BasedCHART 9

Jul08 Aug08 Sep08 Oct08 Nov08 Dec08 Jan09 Feb09 Mar09 Apr09 May09 Jun09

AZACITIDINE $25,757 $24,425 $6,661 $9,104 $39,146 $30,953 $40,967 $68,279 $41,877 $56,580 $57,388 $71,385

IODIXANOL $37,770 $42,085 $61,096 $37,460 $38,019 $50,050 $29,447 $43,464 $46,046 $43,892 $40,395 $50,209

INFLIXIMAB $36,074 $20,204 $32,046 $16,676 $28,721 $36,376 $43,160 $26,343 $54,233 $77,668 $77,521 $72,127

DOCETAXEL $61,821 $64,058 $58,445 $58,888 $47,237 $32,837 $37,656 $29,031 $26,008 $59,868 $38,460 $44,565

FILGRASTIM $31,144 $56,523 $51,274 $38,321 $44,591 $46,488 $29,813 $37,811 $59,910 $62,324 $73,853 $44,455

LYMPHOCYTE IMMUNE GLOBULIN $129,363 $20,865 $93,095 ‐$1,289 $16,692 $16,692 $66,300 $82,203 $79,263 $58,437 $81,600

DARBEPOETIN ALFA/POLYSORBATE $73,788 $45,757 $57,404 $63,818 $45,927 $59,420 $53,971 $44,074 $66,356 $70,146 $42,956 $49,876

ALBUMIN HUMAN $68,028 $99,907 $28,112 $69,767 $28,935 $76,989 $74,903 $102,698 $27,590 $104,915 $39,651 $65,510

ENOXAPARIN SODIUM $63,635 $61,268 $75,074 $57,450 $67,973 $80,476 $77,508 $79,647 $89,076 $66,299 $79,984 $71,346

TRASTUZUMAB $73,004 $78,480 $69,354 $94,368 $74,124 $68,564 $83,941 $76,310 $66,571 $79,495 $88,959 $68,139

PIPERACILLIN/TAZOBACTAM $159,314 $23,967 $105,484 $72,258 $81,515 $89,788 $63,244 $99,676 $112,284 $79,792 $82,226 $100,013

PEGFILGRASTIM $98,480 $123,894 $103,245 $109,171 $109,243 $122,096 $94,922 $75,616 $93,034 $92,046 $90,402 $138,574

RITUXIMAB $116,927 $101,123 $120,197 $117,389 $112,863 $117,162 $110,269 $81,579 $113,921 $115,097 $114,893 $131,243

BEVACIZUMAB $220,355 $169,881 $176,190 $149,987 $195,028 $127,016 $209,091 $119,814 $101,493 $224,532 $158,968 $160,764

IMMUNE GLOBULIN $233,376 $102,861 $102,937 $171,922 $164,553 $284,206 $248,075 $146,370 $177,671 $367,103 $167,351 $160,289

TOP FIFTEEN % 46% 45% 41% 42% 41% 43% 44% 44% 39% 50% 43% 48%

0%

10%

20%

30%

40%

50%

60%

$0

$250,000

$500,000

$750,000

$1,000,000

$1,250,000

$1,500,000

$1,750,000

Percen

t of Total Dollars

Dollars

Top 15 Drug Expenses ‐ Hospital BasedCHART 9


0

1000

2000

3000

4000

5000

6000

Num

ber o

f Con

sults


PHARMACY COMMUNICATION 906 935 974 864 795 645 753 611 601 555 587 818 740

PHARMACOTHERAPY CONSULT 1328 2024 2294 2099 1765 1977 1691 1640 1735 1307 2193 2670 2652

PHARM THERAPEUTIC DRUG MONITORING 329 286 368 309 339 278 270 252 297 206 245 375 369

PHARM PATIENT EDUCATION 125 116 92 99 70 88 104 104 130 112 110 128 116

PHARM MED RECONCILIATION 1156 1066 914 913 872 849 701 751 748 736 872 962 810

PHARM MED HISTORY CONSULT 639 626 609 602 610 500 459 454 527 468 588 560 428

PHARM EMERGENCY MANAGEMENT 39 34 40 48 75 85 60 52 42 49 69 60 79

PHARM DISCHARGE COUNSELING 18 21 15 21 9 18 6 18 38 20 31 55 71

Pharmacy Services Clinical Consults per MonthCHART 10

0

1000

2000

3000

4000

5000

6000

Num

ber o

f Con

sults


PHARMACY COMMUNICATION 906 935 974 864 795 645 753 611 601 555 587 818 740

PHARMACOTHERAPY CONSULT 1328 2024 2294 2099 1765 1977 1691 1640 1735 1307 2193 2670 2652

PHARM THERAPEUTIC DRUG MONITORING 329 286 368 309 339 278 270 252 297 206 245 375 369

PHARM PATIENT EDUCATION 125 116 92 99 70 88 104 104 130 112 110 128 116

PHARM MED RECONCILIATION 1156 1066 914 913 872 849 701 751 748 736 872 962 810

PHARM MED HISTORY CONSULT 639 626 609 602 610 500 459 454 527 468 588 560 428

PHARM EMERGENCY MANAGEMENT 39 34 40 48 75 85 60 52 42 49 69 60 79

PHARM DISCHARGE COUNSELING 18 21 15 21 9 18 6 18 38 20 31 55 71

Pharmacy Services Clinical Consults per MonthCHART 10

0

5

10

15

20

25

30

35

40

45

50

Jul. 08 Aug. 08 Sep. 08 Oct. 08 Nov. 08 Dec. 08 Jan. 09 Feb. 09 Mar. 09 Apr. 09 May. 09

Num

ber o

f Stude

nts

Pharmacy Services Clinical Education ActivityIPPE Students APPE Students PGY1 Residents PGY2 Residents

CHART 11


0

50

100

150

200

250

300

Jul‐08 Aug‐08 Sep‐08 Oct‐08 Nov‐08 Dec‐08 Jan‐09 Feb‐09 Mar‐09

30 24 28 20 18 10 11 21 28

88

6176 98

9194

113

142 126

52

41

36

4648 53

63

6269

21

2717

10 2311

13

19 25

3

11 5

45

6

3

2 4

1

0 0

01

1

0

00

Num

ber o

f Med

Errors Re

ported

Medication Error Reporting by NCC MERP Classification

A B C D E F‐I

CHART 12

CHART 13

0

50

100

150

200

250

300

Jul‐08 Aug‐08 Sep‐08 Oct‐08 Nov‐08 Dec‐08 Jan‐09 Feb‐09 Mar‐09

30 24 28 20 18 10 11 21 28

88

6176 98

9194

113

142 126

52

41

36

4648 53

63

6269

21

2717

10 2311

13

19 25

3

11 5

45

6

3

2 4

1

0 0

01

1

0

00

Num

ber o

f Med

Errors Re

ported

Medication Error Reporting by NCC MERP Classification

A B C D E F‐I

CHART 12

0

20

40

60

80

100

120

140


6873

55

107104

80

94

104

122

106101 102

121

Adverse Drug Reaction ReportingNumber of ADR's

CHART 13


$0

$50,000

$100,000

$150,000

$200,000

$250,000

Jul08 ‐ Sep08 Oct08 ‐ Dec08 Jan09 ‐Mar09 Apr09 ‐ Jun09

Pharmacy Indigent Drug Replacement ProgramOncology Drugs Non‐Oncology Drugs

Integrilin, Xigris and Thyrogen

CHART 11CHART 14

$0

$50,000

$100,000

$150,000

$200,000

$250,000

Jul08 ‐ Sep08 Oct08 ‐ Dec08 Jan09 ‐Mar09 Apr09 ‐ Jun09

Pharmacy Indigent Drug Replacement ProgramOncology Drugs Non‐Oncology Drugs

Integrilin, Xigris and Thyrogen

CHART 11CHART 14



TOTAL REVENUE $2,521,395 $2,607,149 $2,472,680 2,671,319 2,535,689 $2,750,555 $2,640,127 $2,516,381 $2,572,282 $2,658,937 2,873,103 $2,495,593

TOTAL EXPENSE $1,872,640 $1,876,598 $1,977,466 2,251,510 1,460,074 $2,304,486 $1,933,511 $1,967,749 $2,272,448 $1,726,609 1,724,945 $1,981,141

Revenue/$1.00 Expense $1.57 $1.58 $1.43 $1.34 $2.08 $1.35 $1.56 $1.44 $1.29 $1.79 $1.99 $1.45

$0.00

$0.50

$1.00

$1.50

$2.00

$2.50

$0

$500,000

$1,000,000

$1,500,000

$2,000,000

$2,500,000

$3,000,000

$3,500,000

Revenu

e pe

r $1 Expe

nse

Dollars

Kentucky Clinic PharmacyRevenue and Total Expense

73290

CHART 15

University of Kentucky Chandler Medical Center ‐ Pharmacy ServicesCHART 16


TOTAL REVENUE $2,521,395 $2,607,149 $2,472,680 2,671,319 2,535,689 $2,750,555 $2,640,127 $2,516,381 $2,572,282 $2,658,937 2,873,103 $2,495,593

TOTAL EXPENSE $1,872,640 $1,876,598 $1,977,466 2,251,510 1,460,074 $2,304,486 $1,933,511 $1,967,749 $2,272,448 $1,726,609 1,724,945 $1,981,141

Revenue/$1.00 Expense $1.57 $1.58 $1.43 $1.34 $2.08 $1.35 $1.56 $1.44 $1.29 $1.79 $1.99 $1.45

$0.00

$0.50

$1.00

$1.50

$2.00

$2.50

$0

$500,000

$1,000,000

$1,500,000

$2,000,000

$2,500,000

$3,000,000

$3,500,000

Revenu

e pe

r $1 Expe

nse

Dollars

Kentucky Clinic PharmacyRevenue and Total Expense

73290

CHART 15

Jul‐08 Aug‐08 Sep‐08 Oct‐08 Nov‐08 Dec‐08 Jan‐09 Feb‐09 Mar‐09 Apr‐09 May‐09

Revenue $1,462,607 $1,438,507 $1,521,341 $1,637,143 $1,320,065 $1,694,312 $1,551,605 $1,488,518 $1,591,368 $1,687,525 $1,466,231

Total Expense $1,092,243 $1,079,567 $1,135,914 $1,215,292 $993,264 $1,268,217 $1,173,895 $1,126,944 $1,204,902 $1,244,531 $1,102,535

% Margin 25% 25% 25% 26% 25% 25% 24% 24% 24% 26% 25%

10%

12%

14%

16%

18%

20%

22%

24%

26%

28%

$0

$200,000

$400,000

$600,000

$800,000

$1,000,000

$1,200,000

$1,400,000

$1,600,000

$1,800,000

% M

argin

Dollars

University of Kentucky Chandler Medical Center ‐ Pharmacy ServicesKADAP Program Summary

CHART 16


Chart # 17: Relationship of KCP pharmacy staff (pharmacists and technicians) to prescriptions filled.

Drug cost based on actual drug replacment value (Novation ‐ Inpatients; 340b ‐ Outpatients)

0

5000

10000

15000

20000

25000

20.00

22.00

24.00

26.00

28.00

30.00

32.00

34.00

Rx Filled

KCP Ph

armacy FTE


KCP FTE 30.03 31.51 29.08 30.66 29.89 31.29 23.97 29.29 29.98 30.08 31.65 30.36

Rx Filled 18535 17871 20258 20256 18184 16925 18809 19147 20454 19954 18197 18806

Kentucky Clinic Pharmacy Staff Compared to Prescriptions FilledKCP FTE Rx Filled

CHART 17

FTE data not available from Avega to date.

KCP CLINICAL CONSULTSCHART 18

FTE Recharge Event

0

5000

10000

15000

20000

25000

20.00

22.00

24.00

26.00

28.00

30.00

32.00

34.00

Rx Filled

KCP Ph

armacy FTE


KCP FTE 30.03 31.51 29.08 30.66 29.89 31.29 23.97 29.29 29.98 30.08 31.65 30.36

Rx Filled 18535 17871 20258 20256 18184 16925 18809 19147 20454 19954 18197 18806

Kentucky Clinic Pharmacy Staff Compared to Prescriptions FilledKCP FTE Rx Filled

CHART 17

FTE data not available from Avega to date.

0

100

200

300

400

500

600

700

800

900


Num

ber o

f Con

sults

KCP CLINICAL CONSULTS

KCP CLINICAL CONSULTS

CHART 18

FTE Recharge Event


metrics revenue, expenses, workload clinical activity - … · · 2009-08-11supply expense...

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