
Show Notes
ONLY BROKEN SYSTEMS SHAKE AT 80 PERCENT CAPACITY
Two hospitals in the same city, same patient acuity. One falls apart at 75% capacity, the other runs smooth at 95%. Dr. Jake Tayler Jacobs explains the difference: one was built to survive, the other was built to scale.
IN THIS EPISODE • Six signs of survival infrastructure, including daily heroes and knowledge that walks out the door every night • Why "slow is smooth, smooth is fast" and the five step playbook for rebuilding while you keep running • Piloting in parallel: running a new SPD workflow on first shift until second shift begged to switch • A case study: 47 unnecessary steps removed, 20% more volume with fewer staff, SPD turnover from 67% to 8%
YOUR CHALLENGE Start this week. Pull six weeks of data and find the capacity where overtime, errors and complaints spike. That is your shaking point.
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