I had some questions about the financial packets. I just fired them off to the person I thought could best answer them. The message below was viewed far and wide by Hospital staff as being rude and belittling. If that is the case, then I need to recalibrate because although I would say it was short and direct, it was not meant to be rude or belittling, I was just trying to understand the fortunate turnaround in the trajectory of the Hospital’s income. I can see some umbrage about the survival question, but since I am fiercely interested in public health policy and a hot topic of debate in that arena is the cost of futile end-of-life care, I just added it on because I was curious and not with any agenda or underlying attitude.
So it looked like ICU days in those two months totaled somewhere around 100 days over budget. Is that correct? What was the contribution of those to the good results in those two months? What is the unit contribution margin of an ICU day? Is there any chance that the 3rd party payers (I assume that these were not private pay) may challenge the medical necessity of the ICU days or is that unheard of? Qualitatively are we looking at a general surge in ICU usage or one or two patients who had extraordinarily long stays? If it is the latter, I guess I have to ask if they survived? How much variance, in general, is there in the ADC in the ICU. Is this two month period the best (worst?) ADC for the ICU vs. budget in the last year, the last 5 years, the last 10 years?