Tag Archives: toc

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

Posted in Accounting, healthcare reform, scheduling, Uncategorized | Tagged , , , , , , , , , , , | Leave a comment

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 , , , , , , | 2 Comments

throughput accounting…a natural for hospitals? Linkedin thread.


see also: TA (throughput accounting) and TDABC (time driven activity based costing)…the fabric, the ‘warp and woof’ of healthcare accounting?   Throughput Accounting— a natural for Hospitals? In my work with increasing OR productivity, throughput accounting quickly shows the benefits of … Continue reading

Posted in Accounting, board of directors, CEO, healthcare reform | Tagged , , , , , , , , | Leave a comment

throughput accounting (TA) vs activity based costing (abc)…


see also: TA (throughput accounting) and TDABC (time driven activity based costing)…the fabric, the ‘warp and woof’ of healthcare accounting? from a Linkedin topic: Just thought I’d expand on some thoughts about Acitivity Based Costing (ABC) vs Thoughput Accounting (TPA): … Continue reading

Posted in Accounting, CEO, healthcare reform | Tagged , , , , | Leave a comment

the dark side of hospital patient flow…Part 2


I received this email last week. Have you ever seen the drawings with the title ‘Where’s Waldo?’ Let’s play “Where’s the constraint?’ Think in terms of the discussion from my prior post ‘the dark side of hospital flow…Part 1’. Start … Continue reading

Posted in board of directors, healthcare reform, scheduling, Uncategorized | Tagged , , , , | Leave a comment

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 , , , , | Leave a comment

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 , , , , , , | 1 Comment