EM consultant work for flow, throughput etc?

[Interpolfanclub]

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Anyone who has practiced clinically every transition to work as a consultant to EDs with regards to throughput flow etc? I'm a current medical director and have been out of residency x 10 years and don't have any desire to cut back now but I want to start exploring options as I get older and I've always liked the idea of starting a business.

 

[deleted245139]

Virtually same position and wondered the same. Business venture? Haha

 

[Hercules]

I had a similar idea (and am 10 years out of residency as a medical director too) and asked my outgoing medical director why he didn’t do it (we have a very high functioning ED). He told me that his consulting work fits on an index card and you can’t really sell the truth:

1. Put an SDG in place that is made up of all high functioning, entrepreneurial, EM boarded docs whose compensation is highly based on their productivity.
2. Have a supportive admin whose goals align with the SDG.
3. There is no step 3. The combination of 1 and 2 will tend to quickly solve the flow issues.

He was kidding but there’s a lot of truth in his statement.

 

[EctopicFetus]

Lets be honest.. running an ED doesnt take a genius. All common sense stuff. The issue is too many C suites have no common sense. I worked in logistics/operations prior to med school. My background is in science. It blew my mind how it was common sense stuff. No one wants to pay doctor type money for this cause it is purely common sense. Call me a cynic.

 

[TooMuchResearch]

Health systems pay large sums of money to non-physician consultants to work on these issues.

Lets be honest.. running an ED doesnt take a genius. All common sense stuff. The issue is too many C suites have no common sense. I worked in logistics/operations prior to med school. My background is in science. It blew my mind how it was common sense stuff. No one wants to pay doctor type money for this cause it is purely common sense. Call me a cynic.

 

[hundreddaysoff]

I had a similar idea (and am 10 years out of residency as a medical director too) and asked my outgoing medical director why he didn’t do it (we have a very high functioning ED). He told me that his consulting work fits on an index card and you can’t really sell the truth:

1. Put an SDG in place that is made up of all high functioning, entrepreneurial, EM boarded docs whose compensation is highly based on their productivity.
2. Have a supportive admin whose goals align with the SDG.
3. There is no step 3. The combination of 1 and 2 will tend to quickly solve the flow issues.

He was kidding but there’s a lot of truth in his statement.

Just curious: why can't you sell this? Does it not check enough of the current upper-management fad boxes to convince them?

I mean, yes, this plan all fits on an index card in the abstract, but I'd think the devil and hourly fees are in the implementation details, most pressingly finding supportive midlevel admins.

(Of course I'm very naive about all this consulting stuff.)

 

[EctopicFetus]

Health systems pay large sums of money to non-physician consultants to work on these issues.

Very few of them exist. The issue is consultants exist to cover a c suite ass. Often add little value. Often done just to show something is being done.
they do pay but again hi I’m random medical director guy isnt gonna get them to open the pocket book. Call me a nay sayer

 

[TooMuchResearch]

Our primary system hired one of these business consultants. Our group is still dealing with the BS changes that were recommended, and our throughout didn't improve.

Very few of them exist. The issue is consultants exist to cover a c suite ass. Often add little value. Often done just to show something is being done.
they do pay but again hi I’m random medical director guy isnt gonna get them to open the pocket book. Call me a nay sayer

 

[deleted480308]

Our primary system hired one of these business consultants. Our group is still dealing with the BS changes that were recommended, and our throughout didn't improve.

It’s a common problem that executives often correlate wisdom of advice with how much they paid for it

 

[EctopicFetus]

Our primary system hired one of these business consultants. Our group is still dealing with the BS changes that were recommended, and our throughout didn't improve.

I mean listen. I think it’s nonsense. It’s not rocket science. Anyone who thinks ed flow is complex has never set foot in a big busy warehouse. That’s complicated.
Even that is mostly common sense and understanding your equipment and what it can do.
Hiring a consultant in the ed for this is for idiots. Imho