Page 53 - COPR-Oct 2017

Appendix — Operational Excellence

KPI Name System Leader Measure Definition
MHP Mission Dave Nowiski Numerator: Annualized YTD operating income
Support Subsidy Denominator: YTD provider FTEs
per Provider The annualized number demonstrates what the MSS per provider will be at the
end of the year if MHP continues to perform at the same rate throughout the
remaining months.
Incremental Chris Hilton Numerator: Incremental EBIDA excluding Home Office Assessments
Operating Denominator: Incremental Net Operating Revenue
Margin
Efficiency
Ambulatory Carl Swart Copay Collections:
Point of Service Numerator: Collected copay dollars Denominator: Expected copay dollars
Collections
Outstanding Balance Collections:
Numerator: Collected outstanding balance dollars Denominator: Total outstanding
balance dollars
Data includes: Copay collected compared to copay expected, and outstanding
balance collected compared to total outstanding balance for monthly
department encounters.

Average Dr. Sam Numerator: Average length of stay
Inpatient LOS El-Dalati Denominator: Geometric mean expected length of stay
Agency FTE Use Don Koenig The total agency salaries and wages variance to budget by month
Profit/Loss Dr. Tom Welch Numerator: Total cost of care
per Medicare Denominator: Total Medicare population
Patient by Total cost includes both direct and indirect costs. Cost accounting occurs monthly
Condition and produces year-to-date costs for charge items. Consequently, costs for a
previous month’s patients may move up or down.
wRVU per Ronda Lehman Numerator: Worked relative value units (wRVU)
Provider FTE Denominator: Provider (FTEs)
Demonstrates the productivity levels compared to budget. The budget is based on
volume assumptions per provider.
Medicare Cathy Saluga Numerator: Medical costs
Advantage Denominator: Gross premium revenue
Medical Loss Medical Loss Ratio (MLR) is a metric used in the insurance industry to measure
Ratio medical costs as a percentage of premium revenues. Positive plan performance
(gain) occurs when the actual MLR is less than the target MLR. Negative
performance (loss or in some cases break-even) occurs when the actual MLR
exceeds the target MLR. The MLR is compared to the target MLR to determine
gain or loss.
Hospital Salaries Chris Hilton Hospital Salaries:
& Supplies as • Numerator: Hospital salary expense
% of Net Patient • Denominator: Hospital Net Patient Revenue
Revenue Supplies:
• Numerator: Hospital supply expense
• Denominator: Hospital Net Patient Revenue

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