About this Presentation

This presentation demonstrated how the common control functions underpinning simplified drum buffer rope (SDBR) and critical chain project management (CCPM) applications have been successfully applied to managing patient flow across health and social care. The presentation showed how this approach has been practically delivered together with an assessment of the current limitations. The presentation concludes by using the control functions to explain why attempts to use kanban control in the management of patient flow has not proved to be fruitful.

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
TOC can be effectively applied in various areas of healthcare, leading to significant improvements in patient flow and reduction in length of stay.
The implementation of TOC has led to significant improvements in patient flow and reduction in length of stay in hospitals. Some hospitals have reported halving their average length of stay within two months.
There are limitations and challenges in applying TOC in healthcare, particularly in terms of capturing and analysing causes of delay. The speakers found that the Pareto analysis of causes of delay often did not match the theory, leading them to develop more granular methods of analysis.

Instructor(s)

Alex Knight

ALEX KNIGHT BSc, MBA Alex’s fascination with the Theory of Constraints started with a chance meeting with Dr Eli Goldratt. After meeting Eli, Alex realized the biggest breakthrough needed was in how we run and transform businesses. His first exploration with TOC was when he was at Ashridge Business School and was soon teaching TOC on all major executive open and tailored programs. He became a Board Member and led their international consulting activities for fifteen years. This involved working all over the world with many international businesses including Unilever, Hewlett Packard and American Express. Alex is globally recognized for his close work with Dr Eli Goldratt in bringing the Theory of Constraints to health and social care. His work around the world over the last three decades with leaders in health and wellbeing is encapsulated in his business novel, Pride and Joy. This has been translated into Japanese and French. It not only provides a blueprint for transformational change in health and social care but also highlights the key stages of analysis and innovation that are required to create a breakthrough in any industry. Alex's work is guided by his time spent with Dr Goldratt. It is through a combination of coaching executives in what not to change, laser-like focus on the few key leverage points to change and the development of true innovation in these selected areas that Alex believes leaders can better understand their own assumptions, achieve step changes in their own performance, the teams they work in and the areas they are responsible for. Alex’s passion is to demonstrate that TOC is not a methodology to be carried out by unique individuals but can be a practical process taught to everyone allowing the whole organization to participate in breakthrough thinking.

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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