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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?
brian@ortimes.org

Diagrams

Capacity and Throughput Improvements With Invention

Tradeoffs in Optimizing OR Capacity Utilization and Throughput with Scheduling

Idle Capacity States and Influencing Factors (personnel, equipment, sunk, fixed, variable)

Tracking Capacity Utilization and Throughput with Accounting

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Recent Posts
- Take A Deep Breath — Tony B. Wilde August 16, 2025
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- 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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