Operations work

Hospital operations review

A three-to-five-week look at occupancy, delayed discharge, and how the building actually fills — finished as a visual briefing for the board or the weekly operations meeting.

Hospital room with a made bed and a window along the ward
Format

On-site visits, review of existing occupancy and list extracts, written visual briefing

Duration

Three to five weeks

Where

Tbilisi hospitals; other Georgian cities by arrangement

Fees

Quoted after a scoping conversation

Who this is for

This review is for a hospital director, a director of nursing, or a clinical director who has to explain why a ward is blocked, why trolleys sit in a corridor, or why Friday occupancy looks nothing like Tuesday’s. It suits private hospital groups along Vazha-Pshavela Avenue and similar Tbilisi streets, and it can be arranged for a regional facility if a named contact will host the visits.

It is not a software installation, and it is not an audit of clinical quality. We do not read case notes. We do not rank consultants.

What you receive

The result is a visual briefing pack: occupancy drawn by weekday and by ward, delayed discharges shown as beds held rather than as a sentence in a report, and a short spoken briefing (usually forty-five minutes) for the people who sit on Thursday’s meeting. Figures are labelled in ordinary hospital language. You keep the pack as a PDF and as printed boards if you want them on the wall in the operations room.

You also receive a two-page note on what we could not see — missing discharge timestamps, theatre lists that were rewritten by hand, clinics with no recorded finish time — so nobody pretends the drawings are more complete than the records.

What is in scope

  • A first conversation to agree which wards, theatres, or clinics sit inside the review
  • Two to four site visits at change of shift or at the start of a theatre session
  • Occupancy, length of stay as recorded, delayed discharge, and overflow into corridors or day rooms
  • A comparison of the planned theatre list with the list as it ran, where those papers exist
  • A written briefing and one presentation to your nominated group

What is out of scope

  • Patient-identifiable records, diagnoses, or outcome scores
  • Procurement advice, building design, or staffing negotiations with unions
  • Day-to-day running of your information office after the briefing is delivered
  • A login, a live screen, or an ongoing feed unless you later commission monthly occupancy briefings

Who does the work

Nino Beridze leads hospital operations reviews. Giorgi Kapanadze joins when theatre lists are in scope. A junior colleague may sit in on a ward walk; the briefing itself is given by the person who walked the floors.

How the weeks run

Week one is access and a data request limited to occupancy extracts, theatre lists, and clinic diaries you already produce. Week two is time on the ward and in the theatre office. Weeks three and four are drawing, checking figures with your named contact, and preparing the pack. A fifth week is used only if a second site or a night visit is required.

Duration and place

Most Tbilisi reviews finish in three to five weeks. Visits happen in the hospital you name. We work from our office at Level 7, 63 Vazha-Pshavela Avenue, Tbilisi 0186 between visits. Regional hospitals are possible when travel days are agreed in the quote.

What we need from you

A named host, permission to walk agreed wards, and extracts without patient names. Dates of admission, discharge, and “medically ready” if you record them. Theatre lists as planned and as run. We will refuse a file that contains identity numbers or diagnoses.

Constraints

A review cannot repair missing timestamps. If discharge times were never written down, the drawing will show that gap rather than invent a time. Public holidays and a week of industrial action will stretch the calendar. We do not work around an infection-control closure by guessing occupancy.

Fees

Quoted after a short scoping conversation. A typical Tbilisi review covering two or three wards sits in the range set out on the fees page. A deposit holds the visit week. Travel outside Tbilisi is itemised.

Next step

Write to us with the hospital name, the wards that worry you, and a month when a visit is possible. We reply within two working days and will not ask for clinical notes.

Request this review