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Demo Health System · Root-cause insights across the trailing 28 days of OR operations.
What happened: ENT has the lowest block utilization of any service line at 43.0%.
Likely driver: Under-filled block time, late starts, and gaps between cases leave staffed OR time unused.
Impact: Unused prime OR time is the most expensive idle capacity in the hospital.
Suggested next action: Release and reallocate underused block, tighten scheduling, and backfill from the waitlist.
What happened: Average room turnover in OR-6 is 43 minutes.
Likely driver: Cleaning, instrument processing, and staffing handoffs between cases.
Impact: Excess turnover is non-billable OR time; trimming it directly adds case capacity.
Suggested next action: Parallel-process turnover, pre-stage instrument trays, and standardize the turnover workflow.
What happened: Complex Spine Fusion contributes only $894 margin per case — the thinnest in the catalog.
Likely driver: High supply/implant cost, long OR time, or under-coded reimbursement for this case type.
Impact: Low-margin cases occupying prime block crowd out higher-contribution cases.
Suggested next action: Review supply standardization and coding; consider block placement of higher-margin case mix.
What happened: Several surgeons, led by Dr. URO01 (47.8% on-time), routinely start late.
Likely driver: First-case-on-time-start breakdowns: pre-op readiness, consents, anesthesia, or surgeon arrival.
Impact: Late starts cascade through the day, pushing later cases and adding overtime.
Suggested next action: Run a first-case-on-time-start program with surgeon-level reporting and pre-op readiness checks.