ED Overcrowded? Fix Throughput, Staffing & Revenue — Register Now ED Overcrowded? Fix Throughput, Staffing & Revenue — Register Now ED Overcrowded? Fix Throughput, Staffing & Revenue — Register Now

Bridging the gap between healthcare delivery and management science

Through innovative strategies, we enhance healthcare delivery and management, optimizing operations to achieve better patient outcomes and overall efficiency.

In this issue:

  • Eugene Litvak on the “Health Frontiers with Dr. Bob” Podcast
  • The Hidden Operational Costs of Delayed Surgery
  • Data Matters

Upcoming Complimentary Webinar!

Ending the Throughput Crisis

How Surgeons, ED Physicians, and Nurse Leaders Can Transform Safety, Staffing, and Financial Performance

Objective: Helping hospitals financially survive and improve quality of care during this period of volatility

Join invitees from CMS, AHA, ACS, ACEP, and others

Presenters

Eugene Litvak, PhD
Eugene Litvak, PhD

President & CEO

The Institute for Healthcare Optimization

Shaf Keshavjee MD
Shaf Keshavjee, MD

Thoracic and Lung Transplant Surgeon, Chief of Innovation, University Health Network (UHN)

Professor of Thoracic Surgery and Biomedical Engineering and Vice Chair for Innovation, Department of Surgery, Temerty Faculty of Medicine – University of Toronto (UofT)

Peter Viccellio, MD, FACEP
Peter Viccellio, MD, FACEP

Professor of Emergency Medicine

Stony Brook University

Linda Laskowski Jones
Linda Laskowski Jones, MS, APRN, ACNS-BC, CEN, NEA-BC, NREMT, FAWM, FAEN, FAAN

Editor-in-Chief

Nursing

Julia Krol, RN, BSN, MBA
Julia Krol, RN, BSN, MBA

Vice President

The Institute for Healthcare Optimization

Register for WebinarSee full bios

Enroll in IHO’s Patient Flow Assessment. We will accept applications of up to 3 hospitals and using your own hospital’s data will perform an assessment of your patient flow and identify key opportunities for improvement. Contact info@ihoptimize.org for details.

The Science of Smoothing: Eugene Litvak, Ph.D.’s Blueprint for Fixing the Healthcare Crisis

Hospital overcrowding and long wait times are often blamed on a lack of resources, but the real issue may be variability in scheduling. In this recent podcast episode of “Health Frontiers with Dr. Bob,” Dr. Eugene Litvak explains how smoothing elective surgeries can reduce bottlenecks, improve patient safety, and increase efficiency across the hospital. This conversation is essential for healthcare administrators, physicians, and operations leaders focused on improving system performance.

» Listen to discover a smarter approach to managing hospital capacity

The Institute for Healthcare Optimization Wants to Hear from You!

What is your top operational area of concern?

  • Financial Margins
  • Surgery
  • Emergency Department
  • Medical Inpatient Beds
  • Surgical Inpatient Beds
  • ICU
  • Procedure Areas
  • Other

The Hidden Operational Costs of Delayed Surgery

Imagine a patient in the emergency department. They need surgery – and soon. However, the operating room has a full schedule of cases planned for today. It would be easy to let the ED patient wait until the end of the day, or even to admit them to an inpatient bed and wait until a spot opens on the OR schedule. But there are more costs to this practice than you may realize.

It’s easy to see that if this patient waits for surgery, they will be using valuable hospital resources – an inpatient or ED bed that could be used for another patient, nursing and other staff to care for the patient.

What we don’t always think about, however, is the delay on the back end. If the patient waits longer than clinically appropriate, the patient may take longer to recover and have an extended length of stay even after surgery. One published article reporting on findings from The Ottawa Hospital, found that a

“Delay of operating room access for emergency surgery was independently associated with an increased risk of in-hospital mortality, longer length of stay and higher total hospital costs.”

That’s only one reason it’s important to ensure you have the right capacity and processes in place to ensure that patients who need emergency surgery have access when they need it most.

READ MORE »

Data Matters

Stop collecting MORE data and focus on collecting ACTIONABLE data to drive patient flow improvements

  • Variability in demand matters – and it comes from unexpected places. For most health care organizations, scheduled patient demand is actually more variable than demand from emergency patients
  • Assess how scheduling impacts wait times and delays
  • Minimizing variability across days of the week and time of day can reap large financial, staffing, and access gains

Small changes, big results – with less stress and more control over your day.

Benefits from working with the Institute for Healthcare Optimization

The Institute for Healthcare Optimization (IHO) is an independent not-for-profit research, education and service organization focused on bringing the science and practice of operations management to healthcare delivery.

IHO has a 20+ year history of helping hospitals and healthcare delivery organizations improve operational efficiency in patient flow while simultaneously improving patient outcomes and staff work balance.

IHO is a consulting leader, using state-of-the-art analytics to help healthcare leaders fully understand their operations, and to identify optimal solutions to complex problems around capacity planning, staffing, and operational process design.

Recommended Reading

Spreading Out Elective Admissions Could Save Lives, Strengthen Hospitals, and Reduce Health Spending

STAT News
March 2026

Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety

Ed. Eugene Litvak
JCR Publisher

Questions?

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