Business Process Efficiency Consulting
Bisbee & Associates has a background in complex organizational development as well as business planning and executive management.  Our core team has launched a number of businesses and/or managed large divisions of corporations. 

We have also built a track record of project-based, organizational consulting engagements with a number of healthcare organizations in the Midwest.

Operational Improvement Services for Hospitals

Operational Improvement for hospitalsB&A’s expertise in developing and executing complex programs for clients has translated to a consulting services offering based on targeted operational improvement.  We leverage a “toolbox” that includes elements of Six Sigma, Lean Design, and Xerox Quality Training to work on under-performing departments in hospitals.

We are usually brought in by the upper management. They typically point us to a department or function that is not performing to its potential. This department generally recognizes its problem, but has been unable to find solutions.

Our goal is to develop a solution utilizing the resources at hand. To do this, we follow a systematic method. We approach the department from a highly professional standpoint, in that we assume nothing and document our findings based on both direct observation and empirical research.  Our skill is in maintaining a "fact-based" approach, with a refusal to fall into a typical trap of "management by anecdote" and "management to the exception."   This is particularly valuable in the sometimes entrenched culture in many healthcare institutions.

Our process is simple and straightforward. The basics include correctly identifying a limited number of problem statements, developing specific solutions using the team and internal personnel, identifying an implementation plan, and executing that plan.

Although this seems highly simplistic, the reality is that most organizations greatly benefit from our outside expertise and fact-based methodologies. We have the ability to cut through the old organizational habits and mindsets.

Our Process

  • 1. Assessment
  • 2. Problem/ Opportunity Statements
  • 3. Action Plan Development
  • 4. Implementation
  • 5. Results

AssessmentWe analyze the division or operating entity from both a quantitative and qualitative perspective. This includes historical data analysis of performance metrics, as well as interviews of all levels of staff and leadership. Our goal is not to introduce new information, but to get a clear picture of the problems faced by the organization. Most times, the employees have a good idea of what's wrong.

Opportunity StatementsFrom the assessment, we identify a limited set of "root cause" problem statements that describe the primary issues faced by the organization. Typically, they number between two and five. These problem statements provide a focus on results. In other words, when the organization addresses the specific statements, as worded, it will succeed in improving and achieving measurable results.

Action PlanFor each Problem Statement, B&A works with the operational leaders and employees to develop milestone-based action plans. Typically, we work with cross-functional teams with delegated authority to solve the problems.

ImplementationAt the client's option, B&A can assist in the implementation of the solution. In some cases, this may include ongoing oversight and process management. In other cases, it comes in the form of periodic leadership coaching and milestone management. Still other times, our role is defined to provide ongoing metrics and performance tracking. We follow the lead of our client in this regard.

AssessmentThe results we provide typically come in the form of increased efficiency, decreased costs, enhanced or improved revenue, or improved customer satisfaction.

Engagement Examples

  • Organizational structure redesign to more functional and business–based divisions for care delivery
  • Throughput analysis and improvement implementation to speed the time to serve patients
  • Staffing and scheduling solution development & implementation, including implementation of "same day scheduling" for patient groups
  • Care team development and implementation for a provider group that included both a physician group as well as hospital employees
  • Shared decision making and leadership implementation between a physician group and a hospital management infrastructure
  • Data–driven metric development and implementation for management of nursing teams
  • Value mapping exercises to improve throughput and patient access in outpatient clinic settings
  • Deployment of patient access models related to physician availability