The Operator | Healthcare Business
Efficiency. It signals discipline. It signals control. Nobody argues against it — which is exactly why it's dangerous. In this episode, Larry Benz joins us to dig into one of the most seductive and misapplied concepts in healthcare operations: efficiency. Larry traces it back to its origin — Frederick Taylor's 1880s steel mill time-and-motion studies — and shows exactly how a framework built for uniform, mechanical, repeatable work got borrowed by healthcare and applied to the one thing it was never designed for: the clinical encounter. What happens when a 74-year-old woman with a new hip, mild dementia, and a daughter who drove two hours to be there gets eleven minutes left in her appointment because a scheduling template built in a home office said so? That's not an edge case. That's the system working as designed. Larry breaks down: * The four things operators actually mean when they say "we need to be more efficient" — and why three of them are quietly destroying retention and referral volume * Why the causal arrow runs the other direction: clinical relationship quality drives revenue, not the other way around * The difference between burnout and moral injury — and why wellness retreats and resilience training are an insult wearing a gym bag * What efficiency theater looks like in practice: note templates, widened supervision spans, compressed appointment slots * The metrics that actually matter: plan-of-care completion rate, dropout rate by visit, same-clinician continuity, and referral rate from completed patients Larry's closing argument: Frederick Taylor would have hated your best clinician. Your best clinician would have noticed. ???? Larry goes deeper on all of this in his latest article on The Operator, his Substack for healthcare leaders who want the ideas behind the metrics. Read it here [https://benzoperator.substack.com/p/healthcare-concepts-we-keep-getting-2a3] Subscribe to The Operator for free and get the full series — Healthcare Concepts We Keep Getting Expensively Wrong — delivered directly to your inbox.
14 episodes
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