Tags
- accounting
- agency
- anesthesia
- anesthesiologist
- anesthesiology
- board of directors
- board of directors data analysis
- buffers
- CEO
- cfo
- constraint theory
- COO
- cost accounting
- CRNA
- education
- ER scheduling
- finance
- flip room
- FTE
- full time employee
- fungibility
- GAAP
- healthcare reform
- healthcare systems analysis
- healthcare systems engineering
- hospital
- information technology
- inservice
- operating room
- operating room efficiency
- operating room productivity
- operating theatre
- operating theatre productivity
- OR
- OR scheduling
- OR throughput
- othopedics
- pareto optimal
- revenue
- risk
- risk management
- room flipping
- schedule
- scheduling
- standard costing
- surgeon
- surgeons
- systems engineering
- ta
- tdabc
- theory of constraints
- throughput
- throughput accounting
- toc
- TOT
- turn over time
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
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
Leave a comment
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
Leave a comment
Protected: TA vs GAAP (from a LinkedIn conversation)
There is no excerpt because this is a protected post.
Posted in Accounting, Uncategorized
Tagged GAAP, standard costing, throughput accounting
What is the cost of a minute of intra-unit patient transport time….from LinkedIn conversation
Follow Brendan What is the cost of a minute of intra-unit patient transport time? The cost of a minute of time in patient transport is a questions we get asked quite often by acute care leaders. Is anyone aware of … Continue reading
Protected: Strategy: Graphic examples of Orthopedic cases using PAs, Flipping Rooms, and Early Starts
There is no excerpt because this is a protected post.
Posted in concept graph, orthopedics, simulation, surgeon, Uncategorized
Tagged CEO, COO, healthcare systems engineering, OR throughput, othopedics, throughput
constraint theory and Pareto Optimals…
Brian Gregory, MD, MBA • Wayne, good question. Healthcare is a funny animal–you have constraints within constraints. One of the main tenets of ToC is to pick what you want to be the constraint. In the case of the OR (ER, radiology, … Continue reading
increase strategy to increase throughput: …data in context…lean in context…flipped rooms…
Why is this important? It can significantly increase total throughput and throughput as referenced by a particular agent (surgeon, anesthesiologist, hospital). Increased throughput can be converted into large increases in revenue. It can decrease cost for all agents. It can … Continue reading
Posted in Ambulatory Surgical Center, anesthesiologist, ASC, scheduling, surgeon
Tagged anesthesia, CEO, COO, OR scheduling, room flipping, scheduling, surgeon
Leave a comment
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
Leave a comment
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
Leave a comment
things you’ll probably never see…
Turnover Time (TOT) does not have an ideal value of zero. When you finally learn how to make it zero (or negative) you’ll discover the idiosyncrasies of your surgeon. If fact, you will have achieved the proper TOT for your … Continue reading
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
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
There is no excerpt because this is a protected post.
Posted in Uncategorized
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
There is no excerpt because this is a protected post.
Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesia, CEO, linkedin, risk management, schedule, scheduling, surgeon
Protected: the fungible anesthetist…
There is no excerpt because this is a protected post.
Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesiologist, CEO, COO, schedule, scheduling, surgeon
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
