Healthcare Membership Options

Choose Membership Plan

Basic Membership

$100Month

  • Our basic membership includes access to
  • - our members only Community Forum section,
  • - Video and Classic training materials,
  • - our Newsletters,
  • - Podcasts and
  • - Articles written specifically to address your practice issues.
  • Basic members also have the opportunity to work one on one with Lee in limited Zoom sessions. All sessions are recorded and available to all basic members so we can share the learning generated in the BR community.

Value Membership

$500Month

  • Our best value membership. Get all the Basic membership benefits, PLUS
  • - a customized "Readiness for Change" project, PLUS
  • - a level 1 Patient Care Value Stream AND
  • - a one hour Zoom meeting EVERY MONTH to help you integrate and align ALL your practice QI initiatives.
  • PCMH, MIPS, ACO, CPC+ initiatives can be duplicative and we help make sense of them all in the wider context of your practice's best direction for stability, balance and growth. These elements get your practice off the ground on a transformation program designed around the BR transformation methodology, created from the results of 30 years of working in organizational transformation and unique in the industry.

Premium Membership

$1500Month

  • Our Premium members receive everything in the Value membership package, PLUS
  • - extra one on one Zoom sessions on specific practice development areas, such as integration of behavioral health, HR issues and Revenue Cycle Management. It is the true custom support solution for strategically aligned QI in your practice. Think of this as your "On Demand Strategic and Operations Support System"
Membership

Transformation Club Membership Options

Operating Rooms

  • Category: Uncategorised
  • Published: Wednesday, January 01 2020 16:32
  • Written by Super User
  • Hits: 3875
  • Print

Photo by JAFAR AHMED on Unsplash


Surgery is dependent on a highly complex set of facilities, people, schedules, environments and procedures. To analyze it all as an interconnected system is daunting, which is why most consulting organizations (including the big ones) don’t do it.

We understand the nature of the interrelationships between the OR, supply chain, facilities, sterile processing, logistics, purchasing, surgeons and block allocations and have found that it is in these interrelationships where the most value can be added.

We worked on a major medical center in the southern USA, with a remit to optimize the operating room. After detailed analysis, it quickly became clear that there were multiple difficulties at all levels of the system,  but we concentrated on three:

  1. Turnaround time in the OR units.

  2. Case cart preparation, deployment and tear down

  3. Inventory deployment and supply chain optimization

By treating these issues as interconnected elements in a system, we reduced turnaround time significantly, released technician capacity in preparation and tear down of case carts resulting in vastly decreased overtime, changed the system of preference card setup and maintenance to reduce errors and increased surgeon satisfaction in a highly competitive local market for their services.

OR time is arguably the most valuable resource a hospital has. It’s certainly the most valuable resource a consulting surgeon has, yet system level inefficiencies consume that time in non productive ways. We have a deep understanding of those issues, and have proven countermeasures and methodological systems improvements which can release that capacity to increase patient load, surgical outcomes and profit.

We can work on a specific project basis, or include elements of this in a more general engagement for OR improvement. If you'd like to find out more about our OR experience at BR, and how it can give you increased capacity, please call us at (802) 870 3433 or email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Testimonials from our Clients

Kathy Boudreau - Practice Manager, Associates in Primary Care. Rutland VT.

In 2018 and 2019, we worked with Lee Bryan and the Transformation Team to conduct an analysis comparing our current state and designing our future state of practice processes. The Transformation Team assisted the practice team in identifying their value-generating processes (value streams), issues preventing them from providing value, and countermeasures to those issues. We were able to reduce practice load by over 12% by focusing on the patient care value stream. See more about this on our YouTube channel at https://www.youtube.com/watch?v=bqJu6h13VZ0

Kathy Boudreau - Practice Manager, Associates in Primary Care. Rutland VT.

We gained an FTE!