Donald Sipp Jr.
Ideas

Where the next books begin

Short essays on flow, work, and the people who make hospitals move. Not a blog. A workbench.

Donald Sipp Jr.
July 2026

Flow has physics

Walk any hospital at 10 a.m. and you can feel it: the building either moves or it doesn't. Leaders talk about gridlock the way they talk about weather…

Read the essay

July 2026

The what, the why, and the how

Most workforce training fails for a simple reason: it teaches the what and stops. Here's the task, here's the procedure, sign the roster. Com…

Read the essay

July 2026

A profession, not a stopover

For decades, hospitals treated transport as a job you pass through: the "orderly" role, staffed by whoever was available, trained by whoever had time…

Read the essay

July 2026

The $3.6 billion nobody budgets for

There is a line item no hospital budget carries, and it is one of the largest in the building: the compounding cost of preventable patient delays…

Read the essay

July 2026

The last impression is a transport

Every hospital with an HCAHPS strategy has invested in nursing communication and bedside manner. Very few have addressed patient transport…

Read the essay

July 2026

The visibility gap

Rooms are being cleaned. Charts are being signed. Patients are still getting infected. The problem is not the policy…

Read the essay

New essays are announced through the quarterly newsletter.

The full argument lives in the books

Essays are sketches; When Beds Don't Move is the blueprint.

The library