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Improving Medical Care Productivity
by Enhancing Patient Flow

July 30, 2019 (At SVSU)

Register 9 to noon Here Register 1:30 - 4:30 Here Like Us On Facebook

Emergency Room - Patient Flow

Breaking down barriers to effective patient flow in Emergency Departments and Inpatient Units

Productivity in medical services can be enhanced by improved patient flow. Hospital overcrowding, and therefore poor patient flow, have implications in quality of care delivered, hospital finances, patient satisfaction, and provider wellness. Inefficient patient flow can contribute to patient morbidity and mortality and costs hospitals millions of dollars due to patients leaving without being seen, prolonged inpatient stays, and customer dissatisfaction.

In this workshop, we will introduce the Theory of Constraints (TOC), which posits that the productivity of any system is limited, at a point in time, by ONE constraining resource. Working as a team to identify, optimize and break this constraining resource improves the performance of the entire system.

In this workshop, you will hear a case where inpatient lengths of stay were too long, several patients had been in the hospital/or over a year, and the ED was closed to ambulance traffic for 60 hours every month, on average, due to overcrowding. Within months of applying TOC to the hospital's system, they had virtually eliminated ambulance diversion. Their rates of patients who left without being seen rate in the ED fell sharply, and inpatient length of stay was reduced to levels below the national benchmark. This was accomplished during a devastating influenza epidemic, a period of record ED patient volumes, record ambulance traffic, and record numbers of admissions.

Learning objectives:

  • Introduce the Theory of Constraints
  • Define healthcare productivity measurements
  • Understand healthcare system bottlenecks in Emergency Departments and Inpatient Units
  • Introduce the five focusing steps to dramatically improve patient flow

When: July 30, 2019

Two Times to Choose From:

9:00 am to 12 noon
1:30 pm to 4:30 

Both session are the same, you only need to attend one

Program Cost: $75.00

Questions?: Contact Jaime Frank at 989-964-4048 or at 

Cancellation/Refund Policy:
Cancellations made 3 days or less prior to the start of the class will be eligible for 50% refund. No refunds will be honored on or after the first day of class.



Christopher Strear
Dr. Strear earned a medical degree from the University of Pennsylvania. He is currently the Director of Patient Flow for Northwest Acute Care Specialists and is an attending physician in emergency medicine at Legacy Emanuel Medical Center in Portland, Oregon. Additionally, he is a Clinical Assistant Professor of Emergency Medicine at Oregon Health and Sciences University in Portland, Oregon. He began his career in Operational Flow and Process Improvement as the Director of Patient Flow at Legacy Emanuel Health Center in 2008. His Emergency Department implementation resulted in a dramatic reduction of length of stay and in savings of $3 million dollars to the hospital in year one. His flow team was twice awarded the John G. King Quality Award for accomplishments in clinical quality and process improvement. He is currently patient flow advisor and internal consultant to multiple hospital flow steering committees in the Pacific Northwest.

Danilo Sirias
Dr. Sirias has a Master’s degree in Industrial and Systems Engineering and a Ph.D. in Business Administration both from The University of Memphis. He is currently a Professor in the Department of Management and Marketing at Saginaw Valley State University. Sirias’ research connects the Theory of Constraints with patient flow in Emergency Departments, Inpatient Units, Operating Rooms and Outpatient Clinics. His latest contributions to the field include the case study Valley Hospital: Managing Patient Flow in the Emergency Department, and the presentation Analysis and Improvement of Patient Flow Performance Using TOC, Lean and Simulation Approach.


Contact Us


Curtiss Hall 149


8 a.m.-4:30 p.m.
(Eastern Standard Time)