About this Presentation

Following this presentation the participant will be able to- Identify the main injections and benefits; Explain how the 5 steps apply to this environment; and Discuss how buffer management supports integration in this environment. This presentation focuses on community health and social care in a region of the UK where the TOC approach has been applied through QFI Consulting over a period of more than 5 years. The research involves a combination of case and action research over three distinct cycles. The first cycle concerns the use of TOC based discharge management across the 12 community hospitals in the region. This is followed by 2 cycles extending the TOC application into community outpatient care over the last 18 months. The presentation is structured around these three cycles and in each case the process of analysis, design and implementation is presented together with the results and issues associated with building the capability then capitalising and sustaining it. These cycles are then discussed in relation to the 5 focusing steps with particular reference to the use of buffer management. The presentation concludes with a reflection on how the inherent simplicity of this complex environment relates to the other TOC applications.

What Will You Learn

To help you get the most value from this session, we’ve highlighted a few key points. These takeaways capture the main ideas and practical insights from the presentation, making it easier for you to review, reflect, and apply what you’ve learned.

Plane

Instructor(s)

Roy Stratton

Professor Roy Stratton is an Associate Professor of Operations and Supply Chain Management at Nottingham Trent University and has researched and implemented TOC related developments for over 30 years. He obtained his PhD at Nottingham Trent University and is currently on the Board of Theory of Constraints – International Certification Organization (TOC-ICO). His research is largely case and action research based focusing on flow management in complex environments covering supply chain, project and healthcare. His research appears in the IJOPM, IJPE, Supply Chain Management: An International Journal, Journal of Manufacturing Technology Management,

Ms Alka Wadhwa

Alka Wadhwa is an experienced consultant and process improvement expert with over 24 years of expertise in the Theory of Constraints (TOC), Lean Six Sigma, and organizational performance optimization. She has successfully led projects in healthcare, financial services, and manufacturing, driving significant improvements such as a 67% boost in hospital operations and a 140% increase in outpatient visits. Previously, Alka Wadhwa spent 17+ years at GE Global Research Center, where she led initiatives to enhance various GE businesses through advanced technologies, process redesign, and system optimization. Founder of Better Solutions Consulting, LLC, she specializes in using TOC, Six Sigma, and data analytics to streamline operations and build high-performance teams. Her work has earned her multiple accolades, including the Empire State Award of Excellence in healthcare.

Dr Gary Wadhwa

Dr. Gary Wadhwa is a Board Certified Oral & Maxillofacial Surgeon with extensive experience in the field. He completed his Oral & Maxillofacial Surgery training at Montefiore Hospital, Albert Einstein College of Medicine in Bronx, NY, and has served as an Attending at prestigious institutions like St. Peters Hospitals, Ellis Hospital, and Beth Israel Hospital in NY. With a career spanning over two decades, he was the former CEO and President of a group specialty practice in NY from 1994 to 2015. Dr. Wadhwa holds an MBA from UT at Knoxville, TN, and has undergone additional training in System Dynamics at MIT, Health System Management at Harvard Business School, and Entrepreneurship and healthcare innovations at Columbia Business School. Committed to expanding access to Oral & Maxillofacial Surgery care, he is currently engaged in a meaningful project to provide healthcare services to underserved populations in inner city and rural areas through non-profit Community Health Centers.

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