Big Bwana and little bwana…

Everything in the below graph is adjustable (and is derived from less data than is normally collected in an OR). It’s quite useful when deciding how to create your portfolio of surgeons, anesthesiologists, or nurses to limit the short-comings, and exploit the strengths, of the individuals and cases.  It’s a portfolio.  You pay hedge fund and mutual fund operators incredible amounts of money for guessing on their portfolios, often with little return to show for it. You have your own portfolio at the hospital…with a much better chance of big returns if you let skilled people handle the scheduling and running of the OR.  Would you let your neighbor create a hedge fund for you?  Who’s running your OR?

Big Bwana-the systems engineer, and little bwana-the cost accountant were hunting for large game in Kenya when they ran out of bullets.  The angry lion looked at them and their guide and began to charge. Little bwana said, “I’m an accountant and know that there are no bullets left, we’re doomed !!”  The safari guide began putting on his running shoes.  Big Bwana said, “Guide, I’m an accomplished systems engineer and know that there’s no way you can outrun that lion.”  . The guide replied, “I don’t need to outrun the lion, just you Bwanas.”

Don’t waste your resources optimizing processes that don’t matter.  Which ones matter?  That’s what this dynamic graph is for.  Put your fast people where their skills make a difference, and your slow people where their skills don’t.  Put your fast cases where they can burn through the day… and your slow cases in the slow lane out-of-the-way.  Discover what abilities, and which people, are of value to maximizing throughput, and attach a realistic monetary amount to those skills.  Same thing with cases… How does an individual case, or surgeon, affect the entire output of the OR.  Every OR is different. Simulate.  Think outside the bwana…

About Brian D Gregory MD, MBA

Board Certified Anesthesiologist for 30 years. TOC design and implement for 30 years. MBA from U of Georgia '90: Finance, Data Management, Risk Management. Practiced in multiple US states and Saudi Arabia at KFSH&RC and KFMC Taught residents in two locations. Worked with CRNAs for 20 years.
This entry was posted in anesthesiologist, board of directors, CEO, healthcare reform, scheduling, surgeon and tagged , , , , , , , . Bookmark the permalink.

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