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- accounting
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- board of directors data analysis
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- cfo
- COO
- cost accounting
- CRNA
- education
- finance
- flip room
- FTE
- full time employee
- fungibility
- GAAP
- healthcare reform
- healthcare systems analysis
- healthcare systems engineering
- hospital
- information technology
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- operating room efficiency
- operating room productivity
- operating theatre
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- OR
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- OR throughput
- revenue
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- systems engineering
- throughput accounting
Author Archives: Brian D Gregory MD, MBA
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
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MIT news: “flexibility in resources drastically improves wait times”
From MIT news (August 6, 2013)— From theory to practice “In work beginning with his master’s thesis, Xu has shown that having even a little flexibility in resources drastically improves wait times”: I blogged about this in January 2010 … Continue reading
Finance Leaders Bemoan Talent Shortage
http://www3.cfo.com/article/2013/4/training_finance-function-training-skills-talent-corporate-executive-board-kruti-bharucha?utm_source=taboola Read the comments in the article.
Posted in Accounting, CEO, healthcare reform
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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
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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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getting your hands dirty…
Sometimes, to get what you want, you have to jump in and get your hands dirty… It’s been a month since my last post, a series of posts dealing with ‘what ifs’ and some simple simulations dealing with scheduling OR … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, scheduling, Uncategorized
Tagged cfo, healthcare reform, healthcare systems analysis, OR, scheduling
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board can struggle with data puzzle…
Board can Struggle with Data Analysis I’ve discussed visual analytics before, and its ability to bring actionable information to both the CEO and worker on the floor. The Financial Times has just published the above Special Report saying that boards … Continue reading
Protected: Process control revisited…Information architecture
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Process control…
All the charts and graphs that you see in this blog are process control charts—like every efficient, productive industry (Boeing, GE, Toyota) uses. Every day, even during the day, you use these charts to see where processes need changes to … Continue reading
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
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Protected: the fungible anesthetist…
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Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesiologist, CEO, COO, schedule, scheduling, surgeon
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The bottom line…
Each row represents an individual CRNA. If over half of each time unit (10 minutes) is billable on an anesthesia record, then it is red. Less than half is yellow. Exactly half is green. Lines that are all yellow belong … Continue reading
Posted in anesthesiologist, CEO, scheduling
Tagged anesthesiologist, schedule, scheduling
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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
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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
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