The Ins and Outs of Furniture, Fixtures and Equipment in the Health Care Setting

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

The Worst Form of Waste

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

Creating a Visual Management Board

“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

BPCI Advanced Participation Next Steps: Lay the Foundation for Success

If you successfully submitted your application and data request for CMS’ Bundled Payment for Care Improvement Advanced (BPCI Advanced) then you, like many across the U.S. health care system, gave a sigh of relief when the clock struck midnight on June 24. That relief, however, will be brief. More

The 6 Steps of A3 Problem Solving

There are many Lean tools available to use to improve a process. But oftentimes it’s difficult to select the appropriate one because the issue isn’t clearly defined. This leaves managers asking, “What tool is the most appropriate? How do I communicate the need for this process change? Is the issue worthy of a full Lean event such as kaizen or can I solve the problem in a different way?” More

Rheostats, Capacitors and Health Care Demand

If you’ve ever driven a car in a light rain and struggled to match the timing of your intermittent windshield wipers to the rate at which the rain was falling, you’ve crossed paths with Robert W. Kearns. Mr. Kearns received multiple patents in 1967 for his design of intermittent windshield wipers, which utilize an electronic gadget called a capacitor. Capacitors store electricity until they reach their maximum capacity, at which point they release the electricity in a pulse. By... More

Keeping Up With CMS: Timeline Guides for New and Evolving Alternative Payment Models

There’s a lot happening in traditional Medicare alternative payment model (APM) development and evolution. Because we recently passed the Bundled Payments for Care Improvement Advanced (BPCI Advanced) application deadline on June 24 and the Medicare Shared Savings Program (MSSP) notice of intent to apply (NOIA) deadline on June 28, I want to remind organizations of the various programs and their associated deadlines, as well as the opportunity (or lack thereof) for entry. Let’s... More

Finches, BFFs and the Limits of Crowdsourcing

Raise your hand if your mother ever said anything along the lines of, “If all of your friends jumped off of a bridge, would you jump, too?” Fifty years before Facebook, parents worried about their kids being unduly influenced by the behaviors of friends. Can you imagine their anxiety had they foreseen the digital age and its propensity to create social herds? More

Sorting Out a Governance Process for Clinical Decision-Making: The 7 Truths

Whether an organization calls it governance or refers to it as oversight, leaves it to a steering committee or keeps it within a traditional value analysis structure, the goal is the same: create an informed, clinically driven process at the physician level for patient-centric decisions that are implemented at the organizational level. Or in some cases not implemented. More