About
Healthcare teams are working harder than ever, yet long waits, capacity pressure, delayed discharges and competing priorities continue to disrupt flow.

The challenge is often not a lack of effort or resources. It is understanding what is actually limiting the system—and what should change first.

Join us for this free introductory session to explore how Theory of Constraints can help healthcare leaders and improvement professionals look beyond the visible symptoms, identify the real bottleneck and improve flow across the system.

We’ll introduce practical concepts that can be applied across areas including emergency care, inpatient services, operating rooms, outpatient care and behavioral health.

This session also provides a foundation for the TOC + Healthcare Online Conference on December 9, 2026, where we will go deeper into healthcare applications, tools and approaches.
When
Tuesday, October 20, 2026 · 12:00 p.m. Eastern Time (US & Canada) (GMT -4:00)
Agenda
  • Welcome and Introduction: Why this conversation matters for healthcare today
  • Where Healthcare Gets Stuck: Common signs of poor flow: delays, waits, capacity pressure and competing priorities.
  • Finding the Real Bottleneck: A simple introduction to TOC thinking and how to identify what is really limiting performance
  • Discussion+ live Q&A
  • What Comes Next: Practical next steps and a preview of the TOC + Healthcare Online Conference on December 9.
Presenters
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Danilo Sirias, PhD
Facilitator
Professor of Management and Marketing, Saginaw Valley State University
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Dr. Christopher Strear, MD, MBA, FACEP
Chief Medical Officer at Intermountain Health St. Vincent Regional Hospital
Dr. Strear is a board certified emergency physician and Chief Medical Officer of Intermountain Health St. Vincent Regional Hospital in Billings, Montana. Dr. Strear has led patient flow initiatives utilizing TOC applications at multiple hospitals and health systems with outsized results. He has co-authored the book "Smash the Bottleneck: Fixing Patient Flow for Better Care" with Danilo Sirias and published the first application of TOC in North America to an inpatient healthcare setting.
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