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PNolan2015
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As someone who got surgery at HSS (shoulder labrum repair), I can attest to its excellence as a hospital. I think its interesting that their low infection rates and high low cycle time can be attributed to limiting doctors to one specific surgery so that they become experts. While we’ve seen a number of cases where similar approaches have been taken (highly specialized tasks for workers to improve throughput and reduce error rates), a potential downside has always been worker boredom. When this technique is applied to highly qualified and intellectual surgeons, can the same thing be said? Does HSS ever allow doctors to “rotate” to a new surgery to alleviate boredom as Wang did with his workers at BYD?
Fascinating post. The immediate question that popped into my mind as I began reading was how they navigate the infamous traffic in India. It seems that motor bikes are a logical and practical solution for this. One question that looms is how scalable this business model is. As internet usage and the popularity of Domino’s pizza grows in India, do you think that the company will be able to maintain the 30-minute promise that you consider to be the primary driver of its growth? Understanding urban environment in India, the cities are incredibly populous, so I can see an overwhelming amount of incoming orders as a potential problem for a restaurant with limited numbers of delivery boys.