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Tag Archives: healthcare reform
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
book recommendation: Models.Behaving.Badly by Emanuel Derman (Why Confusing Illusion With Reality Can Lead To Disaster, On Wall Street And In Life)
It’s nice to see one’s thoughts echoed by others who are much better known and established— even to the point of the same words and phrases used to categorize and clarify a universal problem and possible approaches to understanding and … Continue reading
a box lunch to go…
It looks as though healthcare funding will be cut shortly. Medicare will be on the chopping block soon, reimbursements for hospitals will be down. Those who don’t think outside the box–who never saw the lid of the box closing–will be … Continue reading
Posted in board of directors, CEO, healthcare reform
Tagged CEO, constraints, COO, healthcare reform
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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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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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the surgeon as a constraint…
This graph shows components of surgical time during a typical surgical case: red bar: primary surgeon needs to be present and is present top yellow bar: surgeon needs to be present, but isn’t–he’s late and everyone is waiting … Continue reading
Posted in healthcare reform, scheduling, surgeon
Tagged constraints, COO, healthcare reform, healthcare systems analysis, scheduling, surgeon
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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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So much data…so little time
Posted in anesthesiologist, CEO, healthcare reform, scheduling, surgeon
Tagged COO, healthcare reform, healthcare systems analysis, surgery, surgical case
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FT: “Chief profitability officers still rare”
The Financial Times has new articles emphasizing that the CFO needs to know more systems engineering, have better analytical skills, and understand IT better. Surprised? Chief probability officers still rare Competitive difference is in the analysis Finance heads need much … Continue reading
Posted in board of directors, CEO, healthcare reform
Tagged board of directors, CEO, cfo, COO, healthcare reform, healthcare systems analysis
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FT: “Competitive difference is in the Analysis”
I’ve been discussing this, and showing examples, on my weblog for some time. Here’s a (The) major financial newspaper saying the same thing: Competitive difference is in the analysis
Posted in board of directors, CEO, healthcare reform
Tagged CEO, cfo, COO, healthcare reform, healthcare systems analysis, systems analysis
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FT: “Finance heads need much wider view of IT”
For those of you who won’t subscribe to Financial Times… Finance heads need much wider view of IT The Financial Times is a premier newspaper dedicated to the finance world: CFOs, CEOs, CFAs. If you pass the article along, a … Continue reading
Posted in board of directors, CEO, healthcare reform
Tagged board of directors, CEO, cfo, COO, healthcare reform, healthcare systems analysis
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business interest…
When we started this blog, we didn’t know how well it would be received. Even though there were few comments, we could follow how many viewers had dropped by to have a look and download our graphs and articles. We … Continue reading
Posted in anesthesiologist, CEO, healthcare reform, scheduling, surgeon
Tagged CEO, COO, healthcare reform
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time to call it a day…
About two weeks ago, I returned after having honored a request from a Mayo researcher to give my poster presentation (a rational and extremely profitable OR scheduling and analysis system that I’ve actually used) at the Mayo Clinic’s 3rd Annual … Continue reading
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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Using what you have…
The graph below contains sets of useful abilities/tools for running a hospital. Each black line connects a group of people to abilities and tools they use (solid black) or might use (dashed black). Every hospital will show a different set … Continue reading
Conflict of interests for surgeons?…
I’ve seen this potential for abuse over the years. It’s probably just jealousy on my part… we get donuts from the reps, some of the surgeons get all expense paid trips to exotic (well, sometimes exotic) locations. There may be … Continue reading
Posted in CEO, healthcare reform, surgeon
Tagged CEO, finance, healthcare reform, surgeon
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Operations-a-Finance….cost accounting vs managerial accounting vs others
“If discussing shop with a Finance person, one thought is to get a feel of where they are coming from. How difficult is it to get them to use “GAAP” in the conversation and what is their attitude about it?” … Continue reading
Posted in CEO, healthcare reform
Tagged CEO, finance, healthcare reform, operations management
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Comments…SPC vs SQC
Thanks Wayne for clarifying… “We agree much more than disagree – especially about using all the tools and methods at one’s disposal. 🙂 Yes, if you say “process control” that covers a lot of ground. But SPC really is very … Continue reading
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
Tower of Babel…
One of the major anesthesia journals is still publishing articles on the financial benefits of using shorter acting drugs for anesthesia. Anyone with two neurons and a synapse who practices anesthesia has known this for over a decade. When will … Continue reading
‘When Worlds Collide’…. Finance and Healthcare
There’s an insightful book authored by the current CEO and co-COO of Pimco (also past investment manager of Harvard Management Company, Harvard University) Mohamed A. El-Erian called ‘When Markets Collide–Investment Strategies for the Age of Global Economic Change’. The book … Continue reading
ORTimes 