Operations

Twelve people walk into a working group carrying separate problems and walk out carrying a shared one. Episode 05 of the Cascade Valley audio drama series.

King County faces a familiar cycle: deficits, targeted cuts, new taxes, repeat. A Theory of Constraints lens on their own public data suggests the measuring stick itself may be the problem.

Distorted cost accounting in public institutions does not just produce bad budget decisions. It produces learned helplessness in the people who manage those budgets. The system, not the people, is the cause.

A question for CFOs at Washington State critical access hospitals: could standard cost allocation be distorting your service line decisions at exactly the wrong time?

A fine art printing company in Kent, WA was drowning in rework and backlog. The constraint was obvious once we looked: the graphic artist was doing every job twice. A pre-flight checklist and a simple scheduling change fixed it.

A hospital CFO runs the same numbers two ways and gets answers that disagree by a factor of five. Episode 04 of the Cascade Valley audio drama series.

Healthcare has adopted Lean almost exclusively for process improvement, but the Theory of Constraints answers the question Lean cannot: where should you focus? Using both together produces dramatically better results.

Every business has one thing that limits how much it can get done. Find that one thing, fix it, and everything improves. Fix anything else, and nothing changes. A practical guide for small business owners.

You invested in a professional website. It gets traffic. It looks right. But the phone barely rings. The problem is not the website. It is what the website is saying.

You built a practice around work you love. Now it is full, and somehow that is the problem. A guide for wellness practitioners who want their business to work better without losing what made it worth building.

A concept for addressing the complex discharge problem at its source—by capturing discharge-relevant information during routine primary care, before any hospitalization occurs.