Tag Archives: COO

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

Posted in anesthesiologist, OR concepts, scheduling, simulation | Tagged , , , | Leave a comment

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 , , , , ,

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 , , , , , , | Leave a comment

Protected: the art of flipping rooms…


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Posted in Ambulatory Surgical Center, anesthesiologist, ASC, board of directors, CEO, healthcare reform, scheduling, surgeon, Uncategorized | Tagged , , , , , , , , , , , ,

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 , , , , , | Leave a comment

Protected: labor analysis of CRNA from collectible time data…


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Protected: conundrum…


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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

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constraints, risk, and ego in OR start delays… simple example


First off, there must be a 100 different reasons for late OR starts.  Everything from surgeons, anesthesiologist, nurses, equipment, meetings, policies, traffic, school age children and equipment…to a mix of any of the above.  The trick is in understanding the … Continue reading

Posted in anesthesiologist, CEO, healthcare reform, scheduling, surgeon, Uncategorized | Tagged , , , , | 1 Comment

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

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Protected: the fungible anesthetist…


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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

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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

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Wasting surgeons’ time? One hospital– $27 Million opportunity Loss per Year from scheduling


click here:  3 Graphs of Actual and Optimized Surgical Schedule « ORTimes – Healthcare Systems Engineering Analysis The above chart was derived from data from a client who wanted to know if they were using their CRNAs efficiently. (we’ll show that … Continue reading

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