IHO Monthly Newsletter: July 2026.

Ending the Throughput Crisis: Transforming Safety, Staffing, and Financial Performance.

60-Minute Webinar Agenda

Time	Segment	Presenter	Key Focus / Talking Points
0:00–0:05	Welcome & Strategic Framing	Julia Krol	ED overcrowding, nurse burnout, surgical bottlenecks are symptoms, not causes Artificial variability in elective admissions drives peaks Surgery = hospital financial blood flow
0:05–0:12	IHO Patient Flow Methodology	Eugene Litvak	Level elective admissions to stabilize census Align staffing & beds Visual: before/after flow chart Closing: “If solution exists, why not implement?”
0:12–0:22	Surgeon Perspective	Shaf Keshavjee	Limited timely OR access Forced overtime Post-op patients in non-preferred units Reduced cancellations & improved surgical case volume Cultural resistance explained
0:22–0:32	ED Perspective	Peter Viccellio	Boarding is a system failure Impact on mortality & LWBS How smoothing elective admissions relieves ED pressure Misconception: “ED must absorb variability”
0:32–0:42	Nurse Perspective	Linda Laskowski Jones	Staffing ratios distorted by peaks Burnout & moral distress Reduced turnover with stable flow Staffing models fail due to artificial peaks in census
0:42–1:00	Live Q&A	Julia Krol	First question pre-prepared: “If you were CEO today, what is the first step?” Audience questions (C-suite & frontline)