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Author Archives: Brian D Gregory
Root Causes of US Healthcare Design Conflicts
Single payer means single customer. If there is just one customer (no others exist) who no longer needs your services, or has an alternative to your services, then that customer, the single payer, can set the price just above the … Continue reading
Posted in Uncategorized
Protected: MIT news: “flexibility in resources drastically improves wait times”
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Posted in anesthesiologist, OR concepts, scheduling, simulation
Tagged COO, fungibility, healthcare systems engineering, systems engineering
Why OR staffing and scheduling is different than ER staffing and scheduling…
The OR case load has a very high daily variability of patient arrivals similar to an ER. However, unlike an ER patient’s arrival that normally may monopolize a single (or shared) ER nurse and room until the next caretaker (physician, … Continue reading
Posted in OR concepts, scheduling, simulation
Tagged buffers, constraint theory, ER scheduling, fungibility, OR scheduling
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Protected: TA vs GAAP (from a LinkedIn conversation)
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Posted in Accounting, Uncategorized
Tagged GAAP, standard costing, throughput accounting
Protected: Strategy: Graphic examples of Orthopedic cases using PAs, Flipping Rooms, and Early Starts
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Posted in concept graph, orthopedics, simulation, surgeon, Uncategorized
Tagged CEO, COO, healthcare systems engineering, OR throughput, othopedics, throughput
Protected: constraint theory and Pareto Optimals…
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FTE, utilization, and cost accounting … when PUNs equal CUEs
also see: Graph of CRNA usage for optimized Surgeon Schedule also see: TA(throughput accounting) and TDABC (time driven activity based costing)….the fabric, the ‘warp and woof’ of healthcare — Cost accounting (whether standard costing or TDABC) is based on the concept … Continue reading
Posted in Ambulatory Surgical Center, anesthesiologist, CEO, healthcare reform, scheduling, surgeon, Uncategorized
Tagged anesthesiology, cfo, COO, cost accounting, FTE, full time employee
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Fiscally responsible OR expansion…
This post is in response to a question posted in the Yahoo group (hme) about ‘triggers’ for OR room/suite expansion. As usual, in healthcare, nothing is easy: The decision to increase the number of OR’s can’t be made solely on … Continue reading
Protected: Process control revisited…Information architecture
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Posted in Uncategorized
Protected: Process control…
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Posted in CEO, healthcare reform
Tagged CEO, healthcare reform
Protected: How to Tell the Productive Surgeons from the non-Productive
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Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesia, CEO, linkedin, risk management, schedule, scheduling, surgeon
Protected: the fungible anesthetist…
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Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesiologist, CEO, COO, schedule, scheduling, surgeon
Graph of CRNA usage for optimized Surgeon Schedule
also see: FTE vs cost accounting … when PUNs equal CUEs also see: Wasting surgeons’ time This is a graph of the CRNA usage for the Optimized Surgeon schedule from the blog post dated Jan 20, 2010. Compare this graph to … Continue reading
Posted in anesthesiologist, scheduling
Tagged anesthesiologist, CRNA, schedule, scheduling
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Graphs of Actual and Optimized Surgical Schedule
Warning! Not for the graphically challenged. In reference to the graphs I posted on January 14, 2010, I’ve added several graphs with detailed information. The first graph is of the actual room schedule (non-optimized) before optimizing it by a better … Continue reading
Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesiologist, CEO, COO, linkedin, schedule, scheduling, surgeon
With whom should I do my cases?
<click on the above graph for a larger image> The above graph is an example of finished data analysis for three different orthopedic groups (Arizona Cutters, ORO Pods, Tucson Bones) which are deciding in which hospital, and with which anesthesia … Continue reading
Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesiologist, CEO, finance, linkedin, schedule, scheduling, surgeon
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Do you know where your CRNAs are?
<click on graph to enlarge in separate window> [Note that the scale for the upper and lower graphs are different] I mentioned in the prior post that my client had wanted an analysis of how well they were using their … Continue reading
Posted in anesthesiologist, scheduling
Tagged anesthesiologist, COO, CRNA, finance, schedule, scheduling
