About this Presentation

Public hospitals around the world share a familiar set of challenges: long wait times, departmental silos, burnout, and budget shortfalls. Graham Scott exposes how traditional budgeting and accounting practices create local optima that block flow and fuel inefficiency. This session unpacks ten common hospital problems—traced back to flawed financial models—and shows how TOC offers a path to better resource allocation, improved coordination, and more patient-focused outcomes without demanding additional funding.

What Will You Learn

To help you get the most value from this session, we’ve highlighted a few key points. These takeaways capture the main ideas and practical insights from the presentation, making it easier for you to review, reflect, and apply what you’ve learned.

Plane
The session reveals that financial constraints in organizations are often a symptom of flow breakdowns, not a lack of capital — and that unlocking throughput can free up performance without new funding.
It shows how rethinking priority, capacity protection, and work release can reduce the “need” for money by making existing resources more effective and aligned to true demand.
The presentation hints that when leaders learn to manage constraints first, money becomes a follower of performance — not the driver — leading to faster improvement and less waste.

Instructor(s)

Graham Scott

Graham is a Fellow Chartered Accountant who lives in New Zealand. He owned his own practice for 25 years before selling to concentrate on TOC teaching and consulting. In 2020 he completed a Master of Commerce under Professor Vicky Mabin that applied TOC thinking to organizational budgeting. In 2021 Graham published "Practice Makes Profit", a book that simplifies TOC by using small business examples that helped a surgeon increase his profit 20x. "Simplifying TOC and numbers.

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