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Tag Archives: anesthesia
Getting Dr. Able out of the OR before 4pm…
narration for SHS1013 poster presentations supports #161 “SHS2013 Clarifying OR On Time Starts” supports #107 “SHS2013 Clarifying OR Turnover Time Concept Graph” supports #113 “Resolving Resistance to OR scheduling changes; Implementing a Multi-faceted Model” also see The effects of late surgeons … Continue reading
Graphic Simulation Interactions of Constraint Theory and Lean
SHS2013 #107 “Clarifying and Using OR Turnover Time for Purpose and Advantage“ supports #161 “Clarifying the Definition, Purpose, and Effects of OR On-time Starts“ supports #113 “Resolving Resistance to OR scheduling changes; Implementing a Multi-faceted Model“ also see: predicting scheduled starts for … Continue reading
Posted in anesthesiologist, ASC, Uncategorized
Tagged anesthesia, COO, CRNA, or sche, surgeon, theory of constraints, toc
2 Comments
bad research…or bad reporting?
This is an example of the perils (morbidity, mortality, and financial) of mathematical manipulation of data by researchers in basing broad conclusions without more fully understanding the processes and externalities involved: Unnecessary anesthesia adds $1B to health spending – FierceHealthcare … Continue reading
Posted in Accounting, Ambulatory Surgical Center, anesthesiologist, ASC, board of directors, CEO, surgeon
Tagged anesthesia, OR scheduling, OR throughput, risk, risk management, scheduling
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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
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OR scheduling concept map (concept diagram)…
A few years ago I diagrammed several concepts involved in scheduling an OR onto this graph. The intent was to take advantage (or nullify disadvantages) of characteristics of individual surgeons and anesthetists. The interplay of these concepts and individual factors … Continue reading
Posted in anesthesiologist, concept graph, concept map, healthcare reform, scheduling, surgeon
Tagged anesthesia, concept graph, concept map, COO, OR, scheduling, surgery
2 Comments
putting it all together…intra-case and inter-case….TOT and more
There are a thousand variations of the following examples, but I hope these four graphs will get across some ideas. For potential economic effects, see: Wasting $2.7 million dollars a year. Each of the following graphs has 5 bars. Each … Continue reading
Posted in anesthesiologist, board of directors, CEO, healthcare reform, scheduling, surgeon, Uncategorized
Tagged anesthesia, scheduling, surgeon, toc, TOT
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difficulties with start times and TOT in the OR…
The following are excerpts from a discussion concerning Turn-Around-Time (TOT) in the OR. They relate to my recent posts on scheduling, and show the complexity/difficulty in defining the problems and solving them: ____ she: There are benchmarks out in the … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, decisio, OR, scheduling, surgical case
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TOC in the OR visualized…
Ah…. theory of constraints… This is a visual representation to help with handling constraints in the OR. For those who use TOC, be aware that the person represented by the green bar (‘Anes MD presence’) could be simultaneously supervising four … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, anesthesiologist, COO, risk management, surgery, theory of constraints, toc
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Big Bwana and little bwana…
Everything in the below graph is adjustable (and is derived from less data than is normally collected in an OR). It’s quite useful when deciding how to create your portfolio of surgeons, anesthesiologists, or nurses to limit the short-comings, and … Continue reading
Posted in anesthesiologist, board of directors, CEO, healthcare reform, scheduling, surgeon
Tagged anesthesia, COO, finance, healthcare reform, healthcare systems analysis, OR, surgery, surgical case
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divide and concur….
Once you visually see the requirements for anesthesia presence during a case, you can also see the potential for saving down-time and better utilizing particular skills when personnel are scarce. I did leave out the pre-op visit in this … Continue reading
Typical OR case dissected with details…
These are the relevant milestones and intervals in a typical OR case. I left off the details so as not to detract from the comparison to the normal representation of an OR case as a single block of time with … Continue reading
Posted in anesthesiologist, board of directors, CEO, healthcare reform, scheduling, surgeon
Tagged anesthesia, CEO, COO, healthcare reform, healthcare systems analysis, scheduling, surgery
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Visual analytics for an OR case…
Visual analytics for an OR case: Lots of information if you understand the code…. You can tell whether surgery, anesthesia, or the hospital personnel are on top of things and you can compare differences in techniques with resulting effects … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, COO, OR, surgeon, surgery, surgical case
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new scheduler…timeline and map integration
Operating rooms are expensive assets; you don’t want them sitting idle when people need them. Each room may be equipped differently; you want to schedule procedures in the most appropriate room. To complicate matters, some procedures require special equipment that … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, scheduling, surgeon
Tagged anesthesia, CEO, COO, scheduling, surgery
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non-expert decison making: perils of democracy…
When making an individual decision, or whether voting as a group, the ‘strength’ of one’s conviction on a topic should be modified by one’s expertise before coming to a final resolution. All decisions have pros and cons, all of different … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, surgeon
Tagged anesthesia, CEO, COO, CRNA, decision algorithm, surgeon
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new OR scheduler…
I’ve been experimenting with a new scheduler. There are many options for visually representing information about OR cases. The scheduler is easily adapted for collecting data to analyze later. The scheduler also has a map view that can include even … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, COO, scheduling, surgery
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sample new OR scheduler
For all those OR schedulers out there, here’s a new approach. I left most of the data off on purpose to emphasize the information that the graphics—lines, blocks, fonts, colors, sizes, and proximity— can show. When in the program, pages … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, COO, finance, schedule, scheduling, surge, throughput
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hold the mayo…
Unfortunately, I forgot to take a picture of my poster presentation at the Mayo Clinic’s 3rd Annual Healthcare Systems Engineering meeting. However, I did take a picture as I was putting it together the week before. Here it is, in … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, scheduling, surgeon
Tagged anesthesia, COO, scheduling, surgeon
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understanding visual analytics… and others
What’s wrong with this picture; I see what you mean; I hear where you’re coming from; Something doesn’t feel right: These statements represent analytics. Analytics can be defined as the presentation of input in such a way that it taps … Continue reading
Posted in anesthesiologist, healthcare reform
Tagged anesthesia, COO, healthcare reform, risk management
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the law of unintended consequences…staffing anesthesiologists
Value: easily and potentially > than $1,000,000 a year Let’s suppose that a hospital wants fellowship trained anesthesiologists to do all their cases: pediatric anesthesia fellowship for all pediatric cases, neuroanesthesia fellowship for all neuro cases, ob-gyn fellowship for all … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, scheduling
Tagged anesthesia, CEO, cfo, COO, legal risk, risk, risk management
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OR throughput, flipping rooms with fast and slow anesthesia…
I found some graphs that I put together a couple of years ago. The results are born out empirically (at least by my experience in the OR). Lots of information about who to hire, who to fire, who to … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, COO, scheduling, surgeon
2 Comments
Let sleeping children lie…
While I was at KFSH&RC in Saudi Arabia, a Kiwi friend of mine who was head of the radiation oncology department asked me if my department (anesthesia) could help them expedite their pediatric radiation treatments. It would take them all … Continue reading
How to Tell the Productive Surgeons from the non-Productive
The previous blogs were concerned with economic gains for the different parties (surgeon, anesthesia, hospital) by optimizing the relationship each case had with another case (inter-case) — the OR schedule. Each OR is dramatically different, and what works for one … Continue reading
Posted in anesthesiologist, CEO, scheduling, surgeon
Tagged anesthesia, CEO, linkedin, risk management, schedule, scheduling, surgeon
2 Comments
communication…life line
With today’s technologies, there are multiple ways for anesthesiologists and surgeons to keep organized and transfer documents while driving in the city, roaming the halls of the hospital, or during a case in the OR. No one should have to … Continue reading
Posted in anesthesiologist, scheduling, surgeon
Tagged anesthesia, anesthesiologist, schedule, scheduling, surgeon
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ORTimes 