Operations

  • 10/16/19
    In 1605, Miguel de Cervantes gave us Don Quixote, one of the most enduring characters in literary history. A hopeless romantic intent on proving that chivalry was alive and well, Quixote set off on his unsteady steed, Rocinante, in the hopes of defending the honor of Dulcinea, who appears to have existed only in his imagination. Accompanied by his portly squire, Sancho Panza, Cervantes’ protagonist conjures a world in his mind that is largely unanchored.more...
  • SG2, a Vizient company
    10/14/19
    The confluence of market and regulatory forces in the orthopedic surgery space has created the perfect “migration storm” with extensive implications for acute care providers. The shift of these procedures to outpatient (OP) status and the migration of total joint replacement to ambulatory surgery centers (ASCs) have accelerated with CMS’s latest proposals — removing total hip replacement from the inpatient (IP)-only list and adding total knee replacement to the ASC-...more...
  • Sg2, a Vizient company
    10/09/19
    As we gear up for a busy autumn, CMS’s recent release of claims data related to the Bundled Payments for Care Improvement Advanced (BPCI-Advanced) program has increased anxiety among providers across the country. Those participating in, or considering entering into the program for Model Year 3 face the daunting task of culling three years of claims data and target-pricing sheets encompassing both peer and risk adjustment factors in search of opportunities to reduce Medicare spend for...more...
  • 09/16/19
    A physicist from Oxford found himself the prisoner of a group of swarthy pirates who had commandeered the professor’s schooner. Desperate for an escape, the physicist hatched a plan. He struck an intellectual bargain: if the pirate correctly solved a riddle of the physicist’s making, the academic would walk the plank. If the pirate answered incorrectly, the prisoner would be set free.more...
  • 09/05/19
    Imagine an organization where ... The most precious resource is maximized to its fullest capacity. The leader’s role is to coach, teach and mentor that most precious resource to achieve results that were thought impossible. The precious resource is excited to come to work and is trained and empowered to make decisions. Now imagine this scenario expanded to all of your precious resources – your staff. You have the proverbial army of problem solvers. Thousands of employees...more...
  • 09/03/19
    I have worked with many hospitals concerning patient throughput – it’s one of those issues that every hospital struggles with. A common barrier of efficient patient throughput is moving ED-admitted patients safely and quickly to inpatient nursing units. There are likely many barriers to this process and a process improvement event or A3 problem-solving team should be utilized to identify all the issues and direct the improvement team to action.more...
  • 08/28/19
    HCAHPS. Employee satisfaction. FTE numbers. Readmissions. Overtime. Length of stay. Market share. Infection rates. And on and on and on. Data. We are inundated with data in health care.more...
  • 08/27/19
    Is your organization planning a renovation or building a new facility? Be prepared with a plan (and a budget) for when the dust settles and interior design begins. As new construction and renovation projects near completion, furniture, fixtures and equipment (FF&E) become vitally important to the look, feel and design of the space that has been altered, but FF&E is rarely part of the agreement between the general contractor and hospital.more...
  • 08/23/19
    In a previous manufacturing life, I worked with Toyota and there was a huge emphasis on identifying and eliminating waste. One of the things Toyota stressed and often discussed in training and application was, “Which is the worst form of waste?”more...
  • 08/21/19
    “APAGOREUETAI TO KAPNISMA” Or, how about “VIETATO FUMARE” Well, okay then, what about     They all mean the same thing, but unless you speak Greek or Italian, the first two instructions may not have been clear.more...