WYNN Inpatient Pharmacy · KPI Scorecard

01Volume BenchmarksReference only — no goal

02Central Pharmacy PerformanceQuality · Safety · Distribution

03Clinical Pharmacy ServicesInterventions · Stewardship · Safety

04Emergency Department & TraumaNew FY2026 Metrics

05Cost & FinancialDrug Spend · Waste · Labor Cost

06Labor & WorkforceTurnover · Overtime · Vacancy · FTE

Definitions

CMAED — Case Mix Adjusted Equivalent Discharge = (Inpatient Discharges + Outpatient Equivalents) × CMI. CMI Patient Days — Total Inpatient Days × Average CMI. DOT — Days of Therapy. SAAR — Standardized Antimicrobial Administration Ratio (NHSN). PCD — Patient Care Days. Productive FTE % = Productive Hrs ÷ (Productive + Non-Productive Hrs).

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01 · Volume Benchmarks

Patient Care Days (PCD)

ICU Days

CMI Patient Days

CMAED

Rx Charge VolumeGoal: 200,000

02 · Central Pharmacy Performance

Central Pharmacy Quality Audit %Goal: >90% — enter decimal (e.g. 0.88)

Compounded Products Documentation Audit %Goal: >90% — enter decimal (e.g. 0.987)

# Carousel Pockets Without Vend >180 DaysGoal: <250

# Omnicell Pockets Without Vend >90 DaysGoal: <1,000

Pharmacy Attributed Med Events / 100,000 OrdersGoal: <5

03 · Clinical Pharmacy Services

Total Pharmacist InterventionsGoal: ≥3,200/mo

Pharmacist Interventions / 100 PCDGoal: 30 — auto-calculates if blank

Total Antibiotic DOT / 1,000 Patient DaysGoal: <675

SAAR Antibiotic Ratio (NHSN)Goal: ≤1.0

Vancomycin Trough in Range % (Jan–Feb only)Goal: ≥65% — enter decimal (e.g. 0.71)

Vancomycin AUC in Target Range % (Mar onward)Goal: ≥70% — 400–600 mg·h/L — enter decimal (e.g. 0.74)

Medication Histories Completed on Admission %Goal: ≥85% — enter decimal (e.g. 0.88)

VTE Interventions / 1,000 Patient DaysGoal: 5

04 · Emergency Department & Trauma

ED Interventions per ShiftGoal: ≥10

ED Antibiotic Stewardship InterventionsGoal: ≥90

ED Pharmacist Emergency ResponsesGoal: ≥130

Acute Stroke Med Time — All (min)Goal: <60 min

Acute Stroke Med Time — Pharmacist Present (min)Goal: <60 min

ED Order Verification Time Median (min)Goal: <2 min

05 · Cost & Financial

Inpatient Drug Purchases ($)Goal: <$1,000,000

Drug Cost / CMAED ($)Goal: <$120

IV Waste Dollars ($)Goal: <$6,000

Productive Labor Cost / CMI Weighted Patient Day ($)Goal: <$40

06 · Labor & Workforce

Staff Turnover Rate %Goal: <5% — enter decimal (e.g. 0.025)

Overtime %Goal: <5% — enter decimal (e.g. 0.054)

Vacancy Rate %Goal: <10% — enter decimal (e.g. 0.076)

Productive FTE %Goal: >80% — enter decimal (e.g. 0.761)

Budgeted FTE / Actual Worked FTEGoal: 1.0

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