Is it all about Control?

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Root Causes of US Healthcare Design Conflicts
Healthcare scrum
US Strategic Competitive Healthcare design
- AI Development Diagram to guide incorporation of CFMA, industrial engineering, clinical and other concepts in any industry
Applied Value based Healthcare
86 Citations: Pediatric Radiation using Propofol
Surgeon Capacity ~$27M potential loss
CRNA Capacity >$900K loss
CFMA – Conceptual Framework of Managerial Accounting
Complex Collaboration: operational concepts diagrams
Where are your CRNAs?
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Is it all about Control?

Posted on December 22, 2013 by Brian D Gregory MD, MBA

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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.

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Recent Posts
- Take A Deep Breath — Tony B. Wilde August 16, 2025
- Managerial Accounting Primer March 28, 2019
- Root Causes of US Healthcare Design Conflicts January 31, 2016
- Is it all about Control? December 22, 2013
- MIT news: “flexibility in resources drastically improves wait times” August 11, 2013
- Finance Leaders Bemoan Talent Shortage August 7, 2013
- LinkedIn conversation…transparency discussion SCO (Surgery Center of Oklahoma) July 23, 2013
- Why OR staffing and scheduling is different than ER staffing and scheduling… July 21, 2013
- Can engineers and physicians mix…from LinkedIn conversation June 24, 2013
- Value Added rationale….Lean Six Sigma group from Linkedin June 23, 2013
- TA vs GAAP (from a LinkedIn conversation) May 15, 2013
- What is the cost of a minute of intra-unit patient transport time….from LinkedIn conversation April 16, 2013
- TA (throughput accounting) and TDABC (time driven activity based costing)….the fabric, the ‘warp and woof’ of healthcare accounting? March 18, 2013
- Synergy of TDABC and Throughput Accounting… March 1, 2013
- big-data, gut-feelings, intuition January 21, 2013
- Getting Dr. Able out of the OR before 4pm… December 14, 2012
- OR Policy Comparative Results and PreOP Congestion December 10, 2012
- Graphic Simulation Interactions of Constraint Theory and Lean December 3, 2012
- The effects of late surgeons on other surgeons, overtime, Pre-Op, PACU, and patient waiting… December 1, 2012
- Strategy: Graphic examples of Orthopedic cases using PAs, Flipping Rooms, and Early Starts November 25, 2012
- Artificial Intelligence (AI), Simulations, and Experts…from Linkedin conversation November 21, 2012
- Linkedin converstion: “How will medical tourism insert itself into mainstream of US healthcare reform?” July 6, 2012
- Linkedin Medical Tourism excerpt: Major Diagnostic Category flaws July 6, 2012
- Lawyer discussing complicated fine print (tax laws?)… April 22, 2012
- Is Healthcare’s Insular Culture a Liability or Benefit? Linkedin thread started by Peter Hadras… April 22, 2012
- Canadian healthcare analyzed by Robert Gordon… April 9, 2012
- constraint theory and pareto optimals linkedin… April 7, 2012
- throughput accounting…a natural for hospitals? Linkedin thread. April 5, 2012
- constraint theory and Pareto Optimals… March 29, 2012
- bad research…or bad reporting? March 22, 2012
- throughput accounting (TA) vs activity based costing (abc)… March 4, 2012
- accounting and scheduling come together… February 17, 2012
- increase strategy to increase throughput: …data in context…lean in context…flipped rooms… January 23, 2012
- flipping rooms…get started January 18, 2012
- the art of flipping rooms… January 17, 2012
- book recommendation: Models.Behaving.Badly by Emanuel Derman (Why Confusing Illusion With Reality Can Lead To Disaster, On Wall Street And In Life) January 4, 2012
- Healthcare Administrator-Physician divide January 4, 2012
- a little data goes a long ways… November 18, 2011
- unfounded confidence…anesthesiologists excluded :) October 25, 2011
- Foldit….human pattern recognition trumps algorithms… September 22, 2011
- FTE, utilization, and cost accounting … when PUNs equal CUEs September 8, 2011
- not your father’s OR scheduler… September 7, 2011
- labor analysis of CRNA from collectible time data… August 31, 2011
- conundrum… August 15, 2011
- a box lunch to go… August 10, 2011
- Do Doctors run Hospitals better? July 10, 2011
- ‘risk vs return’ or ‘when the shit hits the fan’ in the OR July 10, 2011
- OR scheduling concept map (concept diagram)… May 13, 2011
- the dark side of hospital patient flow…Part 2 April 5, 2011
- the dark side of hospital patient flow… Part 1 April 4, 2011
- getting your hands dirty… March 20, 2011
- putting it all together…intra-case and inter-case….TOT and more February 22, 2011
- things you’ll probably never see… February 21, 2011
- absolute loss of time… February 20, 2011
- clinical resolution of systems engineering scheduling in the OR… February 18, 2011
- coffee and donuts…. time for a break February 17, 2011
- difficulties with start times and TOT in the OR… February 17, 2011
- constraints, risk, and ego in OR start delays… simple example February 16, 2011
- predicting scheduled starts for surgery… February 15, 2011
- micro real options in the OR… February 14, 2011
- TOC in the OR visualized… February 12, 2011
- butterflies and nails… February 8, 2011
- Big Bwana and little bwana… February 7, 2011
- the surgeon as a constraint… February 6, 2011
- divide and concur…. February 6, 2011
- the cost of late surgeons… and the revenue from early surgeons February 5, 2011
- Typical OR case dissected with details… February 4, 2011
- So much data…so little time February 3, 2011
- Simulations… let’s not repeat the same old mistakes February 3, 2011
- Visual analytics for an OR case… February 1, 2011
- FT: “Chief profitability officers still rare” December 22, 2010
- FT: “Competitive difference is in the Analysis” December 22, 2010
- FT: “Finance heads need much wider view of IT” December 22, 2010
- sample requirements for vice-chair of anesthesia department… December 16, 2010
- new scheduler…timeline and map integration December 1, 2010
- practical uses for emotional intelligence… November 21, 2010
- board can struggle with data puzzle… November 21, 2010
- non-expert decison making: perils of democracy… November 9, 2010
- new OR scheduler… October 2, 2010
- sample new OR scheduler September 24, 2010
- hold the mayo… September 6, 2010
- business interest… September 3, 2010
- time to call it a day… August 30, 2010
- Visual analytics wins again… :) August 5, 2010
- Protected: theory, tools, and techniques… abstract July 20, 2010
- understanding visual analytics… and others July 19, 2010
- the law of unintended consequences…staffing anesthesiologists July 14, 2010
- Using what you have… June 13, 2010
- Conflict of interests for surgeons?… June 11, 2010
- Operations-a-Finance….cost accounting vs managerial accounting vs others May 10, 2010
- Protected: Concerning hospitals hiring physicians… May 5, 2010
- Protected: Scheduling Abstractions… May 3, 2010
- disruptive physician? April 26, 2010
- the power of graphics… April 23, 2010
- OR throughput, flipping rooms with fast and slow anesthesia… April 21, 2010
- only the beginning… April 17, 2010
- Fiscally responsible OR expansion… April 9, 2010
- Comments…SPC vs SQC April 7, 2010
- Process control revisited…Information architecture April 5, 2010
- Process control… April 4, 2010

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Is it all about Control?

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About Brian D Gregory MD, MBA

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